LOG BOOK ( SEP 2022 )

Sep 1 

8-9 am : seen case of 14 /M with pancytopenia with autoimmune thyroditis 

https://raveen07.blogspot.com/2022/08/14m-massive-splenomegaly-case-of.html

9- 10 am : Clinical meet on RAMSUN HUNT SYNDROME 

10-11 am : Helped Nishitha ( junior ) in managing nephro cases as it was her 1 st day in nephrology 

11 -12 : Meet at counsilling room

2 -4 pm : attended class 

Tutorial on CT abdomen

2D echo ,Aortic sclerotic valve 


Sep 2 : Duty day 8 to 9 - seen the old case of 14/M 

9 to 1 - OPD 

2 - 4 - Internal assessment exam  

Night duty ( 3 admissions)

1. 35F fever and joint pains https://ailanibyogita.blogspot.com/2022/09/a-35-years-old-female-with-co-fever.html

2. 59M feve, vomitings and loose stools

http://chennaharsha.blogspot.com/2022/09/59-yr-old-male.html

3. 75M with fever and altrered sensorium 

https://ailanibyogita.blogspot.com/2022/09/a-75-years-old-male-with-altered.html 

Sep -3 : 

8 to 9 am : Follow up of cases of yesterday's admission 

9 to 11 am - icu and amc rounds 

11 am to 1 pm - done LP to 70/M with fever and altered sensorium 

https://youtu.be/QhsD6RsqUGg

2pm -4pm : Log book assessment 

Sep 4 th  - Sunday 

Sep 5 th 

8 -9 am : icu rounds 70/M with meningitis 

9-11 am : icu rounds 

11 -12 pm : Discussion on ABG 's of meningitis case 

12-1 pm : 65/M fever with thrombocytopenia with quadraperesis secondary to myelopathy and ? Viral cerebritis 

https://deepikaraga97.blogspot.com/2022/09/70-yo-male-with-fever-and-lower-limb.html?m=1

2 - 4 pm : Theory class on localisation of stroke 

https://jharipriya.blogspot.com/2022/09/cva-pca-stroke-with-acute-infarct-in.html

 Sep 6th : Emergency leave 

Sep 7 th : 

8-9 am : ICU rounds 


Sep 4 th - Sunday 

Sep 5th - Monday 

9:30am -10:45am clinical rounds in ICU and AMC

10:45 to 1pm 

Case presentation by 5th sem

And intern yogitha 

https://ailanibyogita.blogspot.com/2022/09/a-75-years-old-male-with-altered.html

Q&A 

1.Diff.diagnosis for fever with altered sensorium

2.Can hypoxia cause M.acidosis

3.after how many hours of hypoxia ,lactic Acidosis develop.

4.Mechanical ventilation

Attended by 

PGs- manasa,chandana,SaiCharan,deepika, Venkat sai,vamshi,Bharath, haripriya, Keerthi,vinay.

INTERNS

yogita,Divya,Raveena,Sushma,Srija,Navneeth,Harsha

2pm to 4pm 

Case presentation by haripriya and Vamshi krishna

 LOCALISATION OF NEUROLOGIC LESIONS BY EXAMINATION 


Sep 20 

8-9 : ICU rounds with junior and interns 

3 cases on ventilator 

1) https://ailanibyogita.blogspot.com/2022/09/a-70-year-old-female-with-post-wall-mi.html 

2)https://ailanibyogita.blogspot.com/2022/09/a-35-year-old-male-with-co-sob.html 

3)https://caseopinionsbyrollno05.blogspot.com/2022/09/33-year-old-male-patient-who-is-chronic.html?m=1

9-11 am : HOD sir rounds 

11-12 pm: SR rounds 

12 - 1 pm - class 

2pm -4pm : Mortality meet 

75/M necrotising fascitis with sepsis and shock with AKI, COPD, PAD 

80/F with septic shock with CAP 

4 pm to 6 pm 

1) Extrubated 80/F with Cardiogenic shock with NSTEMI with CVA 

2) Cardiac arrest and resuscitated a Case of 33/M with CAP on ventilator ( post CPR revived ) 

3) Done LP for 50/F with altered sensorium 

Sep 21 

8-9 am 2 cases in icu rounds with junior ( pavani )and interns ( yogitha, meghana ) 

1) 80/F with Cardiogenic shock resolved extrubated yesterday and doing well on O2 mask 

2) 33/M with CAP with septic shock and MODS 

9am-11am : Rounds with Hod sir and SR ( Dr aravind reddy) 

11am - 1pm : class discussion on HRCT chest of 33/M dilemma of TB 

50/M with RA and gouty arthritis 

2pm-4pm : Integrated meet on TBI presented by surgery, EMD, Medicine and ENT 

Learning point : aniconvulsants used for 1 week in case of phenytoin and levipil for 3 months .. should be initiated mostly in a case of seizure after traumatic injury 

2) Port's fluppy tumor, traid in pontine haemorrahage( 3P's) , Monro Kellie Docktrine 


Sep 27 th 

2-4 pm : morbidity meeting 

Hypothyroidism 

Sep 28 th 8 to 9 am - Rounds with junior 

10 to 12 am - faculty rounds 

12 - 12.30 am : Placed central line for 70/F with CAP with MODS with HTN  

https://caseopinionsbyrollno05.blogspot.com/2022/09/70-year-old-female-with-shortness-of.html?m=1

2- 4pm : Integrated meet on head injury 

Sep 29 th 

8-9 am : Rounds in amc with interns 

9am -10 am : Clinical meet on Basal cell carcinoma 

10 am - 11am : Faculty rounds ( Dr Harsha sir ) 

Discussion on hyponatremia and RPGN 

Cause of death in 70/F with CAP 

https://caseopinionsbyrollno05.blogspot.com/2022/09/70-year-old-female-with-shortness-of.html?m=1

11am - 12 am : Hod sir rounds 

2 -4 pm : Class on approach to Altered sensorium by Dr . Nikitha Mam 

Sep 30 th 

8am -9am : 2 cases in AMC 

http://shraddhabovolla10.blogspot.com/2022/09/22-yr-old-with-pain-abdomen-vomitings.html

OPD and casualty 




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