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MEDICINE DEPARTMENT PAPER FOR JULY 2021 BIMONTHLY BLENDED ASSESSMENT

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Question-l  Peer review  Link: https://50himavathsa.blogspot.com/2021/07/general-medicine-assignment.html Himaratsa-50 Case reviews-He has analysed all the cases after reading both the case report and the assessment and has come to varied conclusions on the cases, their prognosis, their treatments and the post discharge care received by the patient. He has gone into great detail about the causes and the solutions for the majority of the cases but has fallen short of criticism and has not provided valuable input and feed back that will help the doctors writing these cases improve their methodology. He has gone into detail of the cases after they have come to the op but has missed the root causes like alcoholism which could have caused the cases in the First place. Overall himaratsa has done very well and I have leant a lot from his assessment. Case presentation E-Log - no case log given Case analysis - He has analysed a case of aki- acute kidney injury a 45 year old man. Link - https:/
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 20 year old male  came to casuality with complaints of fever since 2 days, epigastric discomfort, nausea,  chest tightness , yellowish discolouration of eyes and urine  since  4 days. Patient was apparently asymptomatic for 6 days back then had sudden onset of fever , low grade not associated with chillschills and rigor , loose stools , vomitings, pain abdomen, loss of apetite,cold , cough. Went to local rmp and took medication then fever subsided but developed yellow discoloration if eyes and urine. No H/O Malena, blood in the stools, any abdominal surgeries. Not a k/c/o HTN, DM 2, epilepsy, asthma, cad. PERSONAL HISTORY : . Mixed diet •Loss of appetite •Sleep adequate •Bowel and Bladder movements regular Addictions - none TREATMENT HISTORY   •No Long term treatment. FAMILY HISTORY  •Not significant GENERAL EXAMINATION •Patient is conscious, coherent and cooperative •Moderately built and Moderately nourished •No signs of - Pallor                        Cyanosis                      
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