Assessment

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 y...

  1) ( RCT study of efficacy of steroids )- 20/1/2021 https://youtu.be/R6DH9b1EfUU 2) ( 65/ ym with recurrent CVA with recurrent urosepsis ) 18/11/2020 https://youtu.be/OZeOCUsjmIc 3) 56/M with Diabetic foot and non healing ulcer  17/12/2020 https://youtu.be/AtAVIUR-L9A    4) Discussion on young male with heart disease and psychiatric illness ( Heart disease and stress) https://youtu.be/0DhbPzGuQVk   5) Integrated meet on approach to central vertigo https://youtu.be/tI6uoD3wErY   6 ) Prevention of health care associated infections  https://youtu.be/so0E-lJldmo   7 ) Mortality meet on young male with DKA and Hbs ag positive  https://youtu.be/9k4JibwfvdE   8 ) Paper presentation in TSAPICON ( 2022 ) https://youtu.be/ORUPNrUwyJ4 9) Thesis Case Discussion  https://youtu.be/Y7D6l9ZySJ4Case

 https://kattamanasa3.blogspot.com/2021/04/yr-female-with-g4p2l1d1a1-was.html?m=1 https://kattamanasa3.blogspot.com/2021/05/21f-with-fever-anaemai-recurrent-uti.html?m=1

 DAY- 1: 1) GBS with respiratory failure given 5 days IVIG and monitored for single breath count . as the patient has fall of saturations emergency tracheostomy done( day 6) . But patient had complication of right lung collapse .. tracheostomy tube connected to CPAP for 2 day with maintaining saturations of 95 % .. after 2 days trial of T piece done and patient able to maintain saturations with no respiratory distress. Bed sore( grade1) , oral and tracheostomy care taken 2) 55/M with right upper limb and lower limb waekness with Global aphasia underwent thrombolysis with teleplase Intra arterial thrombolysis 4.5 hrs  Intra venous thrombolysis 6 hrs  Surgical thrombectomy 24 hrs  Alteplase 0.9 mg/kg -10% direct IV and remaining in Ns over 1 hour  Teleplase : 0.2 mg /kg iv over 1min Contraindications for thrombolysis  1) high bp more than or equal to 200/100  2) high sugars more than 400 mg/dl  3) Bleeding disorders  4 ) liver disease  5) ...

 1) PG integrated meet - autoimmune vasculitis 2)Aug 3rd (2021) - mortality meet : infective endocarditis  3) Dec 15 th integrated PG meet 2021( stress and heart diseases - DCMP)  https://youtu.be/0DhbPzGuQVk 4) Dec 28 th mortality meet ( septic shock and MODS )  5)Jan 11 th Mortality meet ( DKA with shizoprenia and hbs ag positive) -  https://youtu.be/9k4JibwfvdE 6) efficacy of steroids ( COVID central meet)  https://youtu.be/R6DH9b1EfUU 7)COVID: prevention of health care associated infections  https://youtu.be/so0E-lJldmo 8) Mortality meet on Feb 1st 2022 41/M with left emphysematous pyelonephritis with sepsis with ARDS with alcoholic liver disease with AKI secondary to sepsis with type 2 respiratory failure with alcohol and tobacco dependence syndrome  9) Integrated meet  Central vertigo : 23rd feb  https://youtu.be/tI6uoD3wErY 10)Advances in covid management( interns ) : 16 th feb and 22nd feb 2022  11) Mortality meet : 9th July...

 1) Explaining ascitic tap to ug students  https://youtu.be/XIUsUAy4Atg   2) Placed central line to 22/F 3) Done pleural tap to 45 /M in suspected case of pulmonary TB    4)USG guided ascitic tap done in difficult case of 44 /M with thick abdomen using LP needle  https://youtu.be/zoZ0287oR7o 5) Pleural tap for long distance patient .. suspected case of ? GB wall rupture                      https://youtu.be/iB9IC3ipFHs 6 ) Pleural tap for 13 year old boy who was on maintenance haemodialysis with recurrent pulmonary odema 7) LP in case of 70M with fever and altered sensorium  https://ailanibyogita.blogspot.com/2022/09/a-75-years-old-male-with-altered.html https://youtu.be/QhsD6RsqUGg 8)Triple lumen placed in case of Cardiogenic shock https://ailanibyogita.blogspot.com/2022/09/a-70-year-old-female-with-post-wall-mi.html                      ...

 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...