2020-2022 TITLE : Factors influencing clinical decision making around therapeutic interventions for critically ill renal failure patients in a rural medical college NEED FOR STUDY : Renal failure is increasingly recognized as a global public health problem. The clinical decision to continue conservative medical management vs dialysis in a patient with acute on chronic renal failure (particularly in low resource settings), is dependent on factors that have not be characterized well in the global literature although there are absolute and relative indications for dialysis, there are many clinical grey areas around them. Aim: To study various events related to and influencing treatment decisions around patients with critically ill renal failure Objectives : 1) Document the events and symptoms leading to the patient presenting with renal failure 2) Study the associations between the events and certain symptoms influencing the therapeutic decision taken 3) Doc...
LONG CASE : 34 year old male patient resident of Nalgonda came to the hospital with CHIEF COMPLAINTS: Involuntary movements of upper limbs since 4 years Stiffness of all 4 limbs since 4 years Slowness of movements since 4 years Involuntary movements of lower limbs since 3 years HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 4 years back then he developed involuntary movements which developed in right upper limb since 4 years and after 6 months of initiation of right side developed to Left upper limb which was gradual in onset, occurs at rest since 3 years developed in lower limbs also which were subsided by voluntary movements and also subsides during sleep as told by family members. Involuntary movements not decreased with levodopa medication. He has history of difficulty in initiation of movements , to start there is clumsiness of movements and now difficulty to perform his day to day activities like mixing of foo...
KHL postings : DAY 1 :Presented a case of 56 /F P3L2D1 with c/of lump of right breast since 6 months .. on examination 5 *3*3 cm lump present in right upper outer quadrant .. with no other findings like nipple discharge, distruction, paued orange or lymphnodes . FNAC done outside shows ? invasive carcinoma advised true cut biopsy and mammography . Other follow up cases of carcinoma of breast and cervix DAY 2: Approch to thrombocytosis DAY 3: carcinoma of pancreas DAY 4: Carcinoma of stomach DAY 5: Carcinoma of rectum DAY 6 : Carcinoma of cervix DAY 7 : Recurrent carcinoma of breast DAY 8: 26/F P2L1 missed abortion done D and C outside twice but due to uncomfortable bleeding during 2 nd D and C emergency TAH + BSO done and HPE of the specimen of uterus showing invasive mole ( outside hospital ) ..so referred here to our hospital for further management .. on presentation patient was stable , only one beta hcg values available which was...
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