MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE

 I'm SHAIK SAMEER, a under graduate medical student from Telangana, India.

I m here to share my experience that i have learned in the past years under the guidence of my beloved professor of general medicine.


CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER


 NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.


MY FIRST PATIENT INTERACTION

I FIRST INTERACTED WITH MY PATIENT IN THE AMC WARD.

HE WAS SEVERELY DEHYDRATED AND WAS IN SEVERE PAIN.SO I WENT NEAR HIM AND ENQUIRED ABOUT HIS MEDICAL CONDITION.

I HAVE TAKEN A DETAILED HISTORY FROM THE PATIENT TO FIND OUT THE EXACT CAUSE AND THE CONDITION HE IS FACING.

FROM  THE HISTORY I GOT TO KNOW THAT HE WAS A ALCOHOLIC AND WAS TAKING ALCOHOL FROM PAST THREE DAYS BEFORE THE PATIENT GOT ADMITTED . 

ON THE THIRD DAY OF HIS ALCOHOL PARTY HE GOT SEVERE PAIN IN THE EPIGASTRIC REGION WHICH WAS SQUEEZING TYPE AND PAIN SEVERITY GRADUALLY INCREASED WITH TIME . HE ALSO HAD 8 EPISODES OF VOMITING ON THAT DAY. SO HE WS BROUGHT TO OUR HOSPITAL BY HIS FAMILY MEMBERS .

FROM THE HISTORY I GOT TO KNOW THAT PAIN IN THE EPIGASTRIC REGION  MAY BE DUE TO ALCOHOL IRRITATION .

HERE MY THEORETICAL KNOWLEDGE HELPED ME TO THINK ABOUT VARIOUS POSSIBILITE OF ALCOHOL CAUSING PAIN. 

THEN ON MY FURTHER INTERACTION WITH THE PATIENT I HAVE DONE  GENERAL AND PHYSICAL EXAMINATION BY TAKING CONCENT FROM THE PATIENT 

ON DOING GENERAL AND PHYSICAL EXAMINATION AND PROPER HISTORY TAKING I AM ABLE TO FILTER OUT MOST OF THE CONDITIONS AND ONLINE DISCUSSIONS ABOUT THIS CONDITION ALSO HELPED ME TO LERN MORE ABOUT THIS CONDITION AND COMPLICATIONS THAT CAN OCCUR.

THANKS TO MY PROFESSOR FOR TEACHING ME THE IMPORTANCE OF TAKING DETAILED HISTORY AND EXAMINATION AND MAKING ME A BETTER STUDENT.

Here is the link of the blog of this patient.

https://sameer204.blogspot.com/2022/03/this-is-online-e-log-book-to-discuss.html

Comments

  1. G.VAMSI KRISHNAJune 12, 2023 at 7:23 AM

    Sameer in a way u tried to help this patient but what about your learning experiences and competencies achieved?
    Nothing here.

    Not just describing about the patient u should tell more about your days in the department by seeing the maximum number of cases - sharing your experience and learning points in brief.
    Like what have you learned from the patient?
    How did it help you and your patient?
    How much can u review the literature and use it in solving their problem or not?
    Finally, your learning in total and patient follow-up?

    Approach towards a patient is more important - by the end of your history taking you should be able to make a probable diagnosis - the organ system involved - which was provisionally confirmed by your examination and finally some necessary investigations.
    Investigations are meant to confirm your diagnosis but not to make a diagnosis.

    Individual patient blogs would be more impactful if you describe everything in detail - the daily routine of the patient - the sequence of events - your approach towards addressing the patient's problems - the final turn of events - the course of events in the hospital and your discussion with learning points around that particular patient at the end with proper follow up.

    We are here to help you. Try to improve in these aspects from next time.

    ReplyDelete

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