Assessment

Daily PG and UG academics  http://kimspglogbook79.blogspot.com/2022/11/november-daily-academics.html

Daily PG and UG academics : http://kimspglogbook79.blogspot.com/2022/09/october-daily-academics.html

  Presentation link : https://youtu.be/ORUPNrUwyJ4 TITLE :EVALUATION OF SERUM LIPID PROFILE IN STROKE PATIENTS  INTRODUCTION : 1)Stroke is an important cause of disability among adults and is one of the leading causes of death worldwide. 2) A stroke, or cerebrovascular accident, is defined by the abrupt onset of a neurologic deficit that is attributable to a focal vascular cause. 3)It is important to evaluate the serum lipid levels in both the types of strokes to guide lipid lowering therapy which can reduce incidence of stroke and related mortality . AIM AND OBJECTIVE : To study the serum lipid profile in stroke patients MATERIAL AND METHODS: This is a prospective observational study conducted at Kamineni institute of medical sciences,Narketpally from August 2020 to August 2022.This study involved 50 patients of stroke cases . INCLUSION CRITERIA:  Age more than 18 years  Patient with acute stroke  EXCLUSION CRITERIA: Patients with head injury, primary or se...

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) ...