Munukutla Sai Mythili

A 63 Y/O MALE WITH PEDAL  EDEMA SHORTNESS OF BREATH AND SCROTAL SWELLING This is online E log book 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 series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This is an ongoing case. This blog post will be updated regularly. CHIEF COMPLAINTS Pedal edema since 3 months  Shortness of breath since 3 months[grade 2 to grade 3] Scrotal swelling since 1 month HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 3 months back then he developed b/l pedal edema(pitting type) for which he went to near by RMP and got medication Following which he had shortness of breath (grade 2 to grade 3) No c/o Orthopnea, PND, chest pain, Palpitations C/o Scrotal swelling (painless)  HISTORY OF PAST ILLNESS Not a kn

  A CRITICAL APPRAISAL ON THE ARTICLE       ''  Clinical outcomes in vaccinated individuals hospitalized with Delta variant of SARS-CoV-2 '' OBJECTIVES: TO IDENTIFY THE TYPE OF STUDY AND TO WRITE A CRITICAL APPRAISAL BY USING THE HARVARD STYLE CITATION AS A GUIDE FROM THE CRITICAL APPRAISAL SKILLS PROGRAM [ Microsoft Word - CASP Cohort Study Checklist 2018_DRAFT.docx (b-cdn.net) ] To start with let us first discuss what is a cohort study A COHORT STUDY : The word cohort means a group of people. These types of studies look at groups of people. They can be forward-looking (prospective) or backward-looking (retrospective). Prospective” studies are planned in advance and carried out over a future period of time. Retrospective cohort studies look at data that already exist and try to identify risk factors for particular conditions. Interpretations are limited because the researchers cannot go back and gather missing data. APPRAISAL: Research and Clinical study are the most

  MEDICINE   D EPARTMENT                  B IMONTHLY  A SSESSMENT                                           JUNE 2021 Max marks:100[5 x 20marks] BY MUNUKUTLA SAI MYTHILI 88 Submit by : 25/7/2021 QUESTION 1 : Competency tested for peer to peer assessment Students considered for review : Roll Numbers:87 QUESTION 1 : What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? The student has has presented in a different way the student has given a proper grading for the quantitative and explained the qualitative in a few words however the individual questions were not explained The different students were considered but in each students questions were not described Each student had many answers but all the answers were clubbed and hence no specifics were given Overall work is well presented but precise. QUANTITATIVE : 15/20 QUALITATIVE:  Ov

CHRONIC LEUKEMIA By Munukutla Sai Mythili 88     Shwetha Mummadi 87 INTRODUCTION Leukemia is cancer that starts in the blood-forming cells of the bone marrow. When one of these cells changes and becomes a leukemia cell, it no longer matures the way it should and grows out of control. Often, it divides to make new cells faster than normal. Leukemia cells also don't die when they should. This allows them to build up in the bone marrow, crowding out normal cells. At some point, leukemia cells leave the bone marrow and spill into the bloodstream. This increases the number of white blood cells in the blood. Once in the blood, leukemia cells can spread to other organs, where they can prevent other cells in the body from functioning normally. Leukemia is different from other types of cancer that start in organs like the lungs, colon, or breast and then spread to the bone marrow. Cancers that start elsewhere and then spread to the bone marrow are not leukemia. What is a chronic leukemia? I