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General medicine bimonthly assessment


Ch.Janani
Roll no. 29
Question 1

COMPLETENESS: 
•The case presented is correct with accurate data 

CORRECTNESS :
•The history of the patient,symptoms and signs have been listed well. The  clinical images were provide  with the laboratory investigations.

USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.



COMPLETENESS: 
•The case presented is correct with accurate data. 
•The  case has  completeness in all factors
The case begins with the chief complaint the history of presenting complaints in a chronological order, past history, personal history is written well the vitals have been explained.
•Icterus -present, oedema- present ,abdominal dissension  are  shown with images.
•All Investigations  done are suggesting the   provisional diagnosis and any  changes occuring in the  patient on every day basis and uncertainties around the diagnosis have been given. 

CORRECTNESS:
 The given data is correct

USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:






COMPLETENESS:

 •The case seems incomplete  
•Missing ones are 
Date of admission
Segmentation of the case as chief complaints,history of presenting illness, history of past illness ,personal and family history.
• The history taking is in chronological order but a clear explanation can be given .
•Clinical images are attached including radiological findings.

CORRECTNESS:
 The given data is correct.

USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
The patient  has chronic  hemolytic anemia  that is not ruled out in the patient's previous investigations outside the hospital 
 The patients investigations reveal bileduct dilation instead of doing costly procedures a permanent surgical procedure could be done.

CNS

COMPLETENESS: 
•The case is complete with all necessary data 
•The case log has details of the patient's  complaints and history of present illness , past illness , all   the investigations are  shown with images .

CORRECTNESS:
The data provided  is correct.

USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:


COMPLETENESS: 

•Patient's treatment plan according to the status of the patient is not mentioned also discharge summary is missing.

CORRECTNESS:

The data provided is correct. 

USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:

The therapeutic uncertainties can not be understood as the treatment  done on each day of hospital stay is not provided.





COMPLETENESS: 

•The case log has details of the patient's  complaints and history of present illness , past illness , all   the investigations are  shown with images .
• no discharge summary

CORRECTNESS:
The data provided is correct. 



COMPLETENESS: 

•The case log has details of the patient's  complaints and history of present illness , past illness , all   the investigations are  shown with images .
•any changes in the plan of treatment is not described. 

CORRECTNESS:
The data provided is correct.
Question 2
Gastroenterology



All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.





All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.








The patient  has chronic  hemolytic anemia  that is not ruled out in the patient's previous investigations outside the hospital 
 The patients investigations reveal bileduct dilation instead of doing costly procedures a permanent surgical procedure could be done.









All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.




















All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.

Q3) Include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for each patient

Question 4
.https://29janani.blogspot.com/2021/10/beyond-blog-4.html

Question 5

Students can record their professional ,clinical experience based on the objectives in the logbooks ,which facilitate and monitor students learning  elog can assist in reaching educational and clinical goals and also it can provide feedback to students and teachers. 

A salient feature of e log is the opportunity to provide formative feedback.importance of timely and positive feedback can never be underestimated. It helps to bridge gap between current and desired understanding. 

It is an important tool,which not only guides but also monitors the progress of a trainee through a training program. Majority of students believed that it had strong impact on clinical skills.E-log system is regarded as useful exercise for their learning as it not only increases motivation but also interaction with supervisors .The overall acceptance of this system by students is very high. 



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