MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE
MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE "
Greetings!
This is E.Likhitha ,a medical student from India. As a student in the general medicine department, I embarked on a transformative journey, witnessing challenges,inspiring experiences with HOD Sir and complexities of patient care. In this platform, I will share the glimpse into my journey in the department and recount my experiences and invaluable lessons I gained during my time in the department.
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
In the case - based blended learning ecosystem (CBBLE), I had great experiences studying general cellular and neural cellular pathology. I learned about cellular changes in different diseases and how they affect the body. The case -based approach helped me apply my knowledge to real-life situations, improving my diagnostic skills and critical thinking. Collaborating with classmates and receiving feedback from instructors made the learning process engaging and interactive. The use of technology, like virtual microscopy and online discussions, made learning accessible and flexible. Overall, my time in the CBBLE gave me valuable knowledge and skills that I can use in clinical practice and research.
My Journey in the General Medicine Department: A Student's Perspective (2018-2023)
Introduction:
Embarking on my journey as a medical student in the General Medicine Department in 2018, I was filled with a mix of excitement, curiosity, and a deep sense of purpose. Over the course of five transformative years, I had the privilege of immersing myself in the world of medicine, witnessing the triumphs, challenges, and profound impact of healthcare on patients' lives. In this blog post, I will share a detailed account of my journey in the General Medicine Department from 2018 to 2023, highlighting the milestones, experiences, lessons, and personal growth I experienced along the way.
"HEALING IS A MATTER OF TIME,BUT IT IS SOMETIMES ALSO A MATTER OF OPPORTUNITY". -Hippocrates.
CASE-1
I still remember my first day of clinical posting,excited and nervous at the same time .As I entered the ward ,the ward was full of unfamiliar sick patients .I was very curious to know about their problem.I simply cannot take my eyes of from a woman who is around 55 years old.
Our professor was explaining about the case details and I found her complaints of giddiness and vomitings and I was thinking what will be the reason behind her complaints for her admission in the hospital.
Our professor started the examination on her and simultaneously asking her history about her complaints and she was explaining about it ,I was carefully listening to her history,
in the evening ,while eating she had an episode of vomiting and then she felt giddy and lost her consciousness ,followed by 2 more episodes of vomitings and slurring of speech.Immediately she was taken to the local hospital and then her blood pressure was 170/90 .She was referred here .The patient was brought here by 7pm.
We all are in the ward thinking about her diagnosis and done all type of examinations and I went into dilemma ,what will be the cause.
After sometime nurse came into ward and handed over her case report to our professor ,and then surprisingly on 2D ECHO Report ,there is diastolic dysfunction and it is the reason causing her these symptoms.
After seeing her reports ,I got some conclusion to the diagnosis after listening to the professor and he explained how it will leads to these symptoms.
She was diagnosed as hypertensive emergency and gave her anti hypertensive medications and treated her well.
As I was very much interested in her and I went on follow up for few days until I got to know she is recovering.This was my early experience in the hospital to get interested in patients more and more .
Thanks to HOD sir and my professor ,who are enlightening our minds and paths towards treating patients efficiently.
As I concluded my initial assessment, I couldn't help but feel a mix of emotion , compassion for the patient's suffering and a deep sense of responsibility to find a way to alleviate her distress. This encounter marked the beginning of my journey as a medical professional, reminding me of the immense impact our work can have on the lives of those in need. It solidified my commitment to provide the best care possible and find answers for patients like her.
https://eekalikhitharollno43.blogspot.com/2022/07/a-55-year-old-patient-with-giddiness.html
Case -2
My next case made me more interesting towards finding illness
While I was searching for an interesting case in the ward,I encountered a patient who is with an oxygen mask and of around middle aged man
Out of curiosity ,I asked the patient about his details and he was clearly explaining about his history and I imagined it while he was explaining .
His complaints are shortness of breath ,fever on and off and cough
Patient was apparently asymptomatic 3 years back ,then he developed shortness of breath of Grade-2 (acc. to MMRC ) the patient cannot walk beyond 500m and as he was a toddy maker ,he develops SOB on uphill,which is insidious in onset and not progressed till 10-04-23 and it is not associated with orthopnea and paroxysmal nocturnal dyspnea ,aggravated on exposure to cool temperature,by eating sweet and sour food,on exposure to dust in traffic and it is relieved on medication .
On 10-04-23,patient developed SOB of Grade-4(acc.to MMRC),he developing SOB even at rest ,which is sudden in onset and non progressive associated with wheeze ,due to this he was admitted in hospital .
Dry cough occasionally from past 3 yrs on exposure to cool temperature,eating sweets and exposure to dust and it relieved on medication.
H/O fever since 2 days ,which is insidious in onset ,intermittent in nature not associated with chills and rigors and it is relieved on medication .
H/O cough since 1 day ,which is dry and not associated with sputum,it is of 2 episodes and each episode had 10-12 bouts ,aggravated on exposure to cool temperature and relieved on medication .
No H/O chest pain,chest tightness,haemoptysis,
No H/O nausea,vomitings.
In past history,Addictions-he is a chronic smoker since 25 years and1 pack per day,and stopped since 5years.
and he is on medication for asthma since 3 years.
I examined the patient while he was lying on his bed ,while examining ,
Dull note heard on left side of chest on Mammary area on percussion
Bilateral rhonci heard on Mammary area,infra axillary area,suprascapular area and infra scapular area on AUSCULTATION.
Above postive findings lead us to the conclusion and I learnt many things along with my colleagues and post graduate sir about examination and helped us made a diagnosis.
He was diagnosed with obstructive respiratory disease which lead him to admit in the hospital and he is being treated carefully .
LEARNING POINTS:
- Proper respiratory examination findings
-ostructive respiratory diseases
https://eekalikhitharollno43.blogspot.com/2023/04/a-55-year-old-with-shortness-of-breath.html
Am experiencing how to dealt with the patients and I am learning it from our HOD sir and professors and colleagues .Because of their help and gaining a lot of knowledge about taking care of cases and while doing blogs and rounds along with our HOD making me very interested in taking cases and learning knowledge .This will help me making right decisions in the future.
THANK YOU SIR.
THANK YOU ONE AND ALL.
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