2-4 PG Attendance From 15th May
PG intern attendance for 15th May 2020
Dr Satish: OpD Case presented in short
Dr Sufia: OPD case
Dr Radha: IPD case of delirium tremens
Dr Nikita: IPd case
Dr Zain: IPD case follow up
PG intern attendance for 16th May 2020
Dr Satish: OpD Case presented in short along with a journal club meta-analysis on aspirin primary prevention trials
Dr Sufia: Extensive lecture on Sarcoidosis
PG intern attendance for 18th May 2020
Dr Satish:
1) Query
2) Pending RCT presentation of aspirin vs placebo secondary prevention trials
Dr Sufia: portal hypertension in Sarcoidosis
Planned for her posting the lecture video to schoology final mbbs online learning platform in coordination with Roja ma'am.
Dr Praneet: Lecture on portal hypertension
Dr Radha: Query on blast crisis in CML
Dr A Vaishnavi: Efficacy of imatinib, one RCT in 2003, many pending queries on diagnosis and treatment
Dr Sushmita: Patient of CML, many pending queries regarding diagnosis and treatment
Manasa: Myopathy Case follow up, planned ribose trial
Dr Vamshi: Thesis case data presentation pending
PG intern attendance for 19th May 2020
Dr Divya chaitanya:
1) Case of Acute Diarrhea and suspecting pulmonary Tuberculosis in Reterovirus disease: 45 yr old male patient with Persistant diarrhoea with ? Pulmonary TB in RVD patient
Intern log of patient record: https://raveena27.blogspot.com/2020/05/medicine-may-17-2020-hello.html?m=1
1) Queries in history taking
2)INH in prophylaxis of TB (any recent guidelines)?
Dr Manasa :Nerve conduction studies. Discussion about latency amplitude and conduction velocity
Dr Radha: Thesis presentation - Carotid intimal medial thickness and glomerular filtration in CKD
Queries : Primary prevention with statins and antiplatelets in High Risk patients
Is Carotid intimal thickness directly proportional to increased Risk of MI/ stroke ?
Dr Aditya : queries on Thesis presentation
Dr Vamshi: Thesis case data presentation pending
Dr .Vaishnavi : answered few theory based questions
Dr Rashmitha, Dr ajith, Dr .Vamshi - OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty but present in 2-4 session
20th May 2020
Dr Aditya:
1) Case of a 30yr old male with low IQ ..complaining of sob,pedal edema n pounding palpitations ,on general examination patient had loss of hair over face,chest and axilla (?testicular failure) with difficulty in walking and had a waddling type of gait..possibly genetically inherited disorder
Queries:
1) Mechanism of dyspnoea? role of J receptors
2) Tanners staging?
Intern log will be shared soon
Dr sufiya : Thesis presentation-
“significance of serum pseudocholinesterase levels in op compound poisoning in the outcome of a patient”
Queries :
1) Does the PCE levels aid in diagnosis ?
2) Types of op compounds and its efficacy as an insecticide?
Dr sathish :
summarised the case and discuused on differentials possible
Dr Vamshi: Thesis case data presentation pending
Dr Radha ,Dr Nikitha - OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
PG intern attendance for 21st May 2020
Dr Ajith :
Case presentation: Right side hemiparesis with Global aphasia
Queries :
1.Arrangement of fibres in Internal capsule
2. Blood supply of internal capsule
3. Difference between mutism and Aphasia
4. Plantar reflex a nociceptor refelx ?
Pending : 2D echo video
Dr .Vamshi : Evidence based medicine - statins vs placebo in secondary prevention of stroke - RCT
Dr. Praneeth : Thesis presentation-
Clinical features, management and outcomes in snake bite
Dr Aditya : raised
Queries - plantar reflex a nociceptor reflex ? .
Difference between aphasia and mutism
GCS
Dr . Manasa,Dr.laxma ,Dr.Radha involved in discussion
Dr A.Vaishnavi and Dr.Rashmitha: to share arrangement of fibres in Internal capsule
Dr satish ,Dr sufiya - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
23rd may 2020
Medicine department attendance for 23rd May 2020*
Dr Sufiya: case presentation of a 24 year old man who came with complaints of difficultly in walking since 10days with history of fever on and off episodes with dry cough since 5mnths.
prov diagnosis: acute paraparesis with distal weakness with sensory deficit
Queries:
1) signs of demyelination and localisation of lesion
2) incidence of B12 def despite blood reports being normal
3)how to differentiate between different types of neuropathies
Discussion about plan of action and localisation
Dr Aditya: Thesis presentation-
“Early diastolic dysfunction in patients with diabetes “
Dr Radha:
demonstrated an RCT on use of inhalational furosemide in patients with heart failure and its mechanism
Dr Vamshi and Dr Ajith presented their yesterday's logs verbally
Dr Laxma and Dr Manasa- OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
PG intern attendance for 25th May 2020
Dr A .Vaishnavi :
Case presentation: Atypical presentation of progressive Right hemiparesis ( lower limbs more than upper limbs) .
With ataxia and UMN type of slight facial palsy
Log Book link :
Offline 2-4 PM Discussion:
Cortical vs subcortical vs brain stem differentials
? Cervical cord lesions
Queries :
1. Sensitivity ,specificity of Rinnes and Weber's test
2- principle of PTA
3- hemiparesis - anatomical localisation and their presentations
4- isolated neuro bechets case reports to be shared by Dr Vaishnavi, Dr Sushmita, and the unit Interns
Link to the session video:
Dr: Ajith : Thesis presentation : association of serum Magnesium in T2 DM
Discussion around the aims, objectives, research question and study design and currently available patient data.
Dr.Manasa: Inputs on Rinnes and Weber's test
Dr Aditya - OPD
Dr Zain and Dr Vamshi on official leave.
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
PG intern attendance for 26th May 2020
Dr Laxma :
Case presentation: 21/ M
Diabetic ketoacidosis in Type 1 DM since the age of 11 years
Queries :
1. Difference between HHS and DKA
2- Storage of Insulin
3- oral potassium vs IV potassium - when and what to start in DKA
Dr: Nikitha : Thesis presentation : assessment of 24hrs urine Sodium in newly diagnosed Hypertensives
Queries
1- studies on effect salt intake on Blood pressure
2- salt sensitive individuals - mechanism and gentic predisposition .
Dr.Manasa,Dr A vaishnavi - answered few questions .
Dr Rashmitha, Ajith , Vamshi - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha- verbal elog presentation.
Dr k Vaishnavi - ICU duties
PG intern attendance for 27th MAY 2020
Dr Zain :
Case presentation: 55/F with hypotension- Hypovolemic shock secondary to Acute Diarrhea
Old CVA
Queries :
1.indications for Bicarbonate supplementation
2- Hypotension with bradycardia - relative bradycardia ?
3- How does Renal failure cause acidosis
Dr vamshi : Thesis presentation : Acid base balance in acute dairrhoeal diseases
Queries
1- what is base excess
2-mechanism of metabolic acidosis in Diarrhea
- pending work
- Death case sheets from MRD
Dr.Vaishnavi- update on patient - symptomatic improvement after Methylprednisolone therapy.
query - Hypovolemia with hypotension
Dr Laxma , Aditya,Dr Ajith,Dr rashmitha- involved in discussion
Dr Radha, Nikitha - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
PG intern attendance for 28th May 2020
Dr Rashmitha :
Case presentation: 15/M with Acute ascending paralysis -? AIDP
Queries :
1. Methyl prednisolone vs placebo in GBS
2- Toxins causing peripheral neuropathy
Lathyrism - peripheral nerves or spinal cord involvement
3- Natural history of AIDP
Dr Sushmita : Thesis presentation : assessment of serum uric acid in Diabetes mellitus and its association with cardiovascular complications
Queries
1- pathophysiology of Metabolic syndrome
2- pathophysiology of Assymptomatic uric acid rise in metabolic syndrome
3- relation between carbohydrate metabolism and uric acid pathways
4- How does uric acid cause CV complications
5 - BMI and uric acid relation ?
Dr.Manasa- Explained about Nerve conduction studies
Dr Vamshi ,Dr Ajith ,Dr A vaishnavi ,Dr Radha involved in discussion
Dr Sathish ,sufiya - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
PG intern attendance for 29th May 2020
Dr Nikitha ,Dr Radha :
Case presentation
43 yr old male patient with c/o sob ,pedal edema since 1week and anuria since 3days.
HFpEF secondary to ?HCM
Queries:
1) Diagnostic criteria for HCM?
Dr.Manasa : Thesis presentation
“Causes , management and clinical outcome in patients with hyponatremia”
Queries:
1) cause of hyponatremia in ckd pts
2) diagnostic criteria for SIADH
3) what contributes to the urine osmolality ,will urinary Na suffice ?
4) clinical indicators to detect volume status?
Dr Aditya :
Raised doubts about use of lasix and inotropes in pts with shock
Dr Sufiya , Dr Ajith
Involved in discussion
Dr Vaishnavi, Dr sushmitha,Dr Praneeth - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
PG intern attendance for 30th May 2020
Dr Sathish ,Dr Sufiya:
1) Case of a 55yr old male with complaints of lower limb joint pains since 1yr and swelling of the left gluteal region since 2mnths associated with pain and pus points with discharge
Prov diagnosis: left gluteal abscess with cellulitis with intrinsic AKI
Queries:
1) Microbial coverage of vancomycin and is it superior over other antibiotics like clindamycin,augmentin for skin infections?
2) Side effects of vancomycin?
3) mechanism of sepsis induced aki
4) will resuscitation leads to hemodilution in pts with heamarrhagic shock ?
5) Is fall of hb associated with proportionate fall of pcv ?
Dr Zain : Thesis presentation
“ hematological abnormalities in chronic liver disease patients”
Queries:
1) mech of direct toxic effect of alcohol on other organs apart from liver?
2) will increase PT also result in delaying of clotting time?
Dr Aditya ,Dr Vamshi,Dr Vaishnavi involved in the discussion
Dr Laxma and Dr Manasa- OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
PG intern attendance for 1st june 2020
Dr Sushmitha :
1) Case of a 55 yr old male with complaints of burning sensation , tingling and numbness of both lower limbs and upper limb
Queries:
1) pathophysiology of diabetic peripheral neuropathy
2) Diabetes a small or large fibre neuropathy ?
3) alcholic peripheral neuropathy- pathophysiology
4) Dorsal ganglionopathies
5) Myelopathies clinical picture
Dr Rashmitha : Thesis presentation
“to study the role of of SAAG in etological diagnosis of ascitis”
Queries:
1) How did saag evolve since beginning?
2)How saag helps in deciding portal hypertension
Dr Natasha- review of RCTs about IVIg in GBS
Dr Vamshi,Dr A Vaishnavi ,Dr Radha ,
Dr Mansa , Dr Satish involved in the discussion
Dr Aashitha, Dr Aditya and Dr Sufiya - OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
PG intern attendance for 3rd June 2020
Dr Aashitha :
1) Case of a 65 year old male with quadriparesis( predominantly paraperesis) with myeloneuropathy ( compressive)secondary to ? Vertebral metastasis
Queries:
1) Metastatic carcinoma with unknown primary
2) How to take a vertebral lesion biopsy
Dr Divya chaitanya
A 35 year old female with postpartum pyelonephritis with thrombocytopenia
Queries
1)Usg findings of pyelonephritis
2)post partum renal cortical necrosis
Dr Satish : Thesis presentation on “Assesment of left ventricular function in patients with ischaemic stroke”
Queries:
1) Details about the patient data regarding the number of patients with significant reduced ejection fraction
2)Signs and symptoms of Heart failure
Dr K Vaishnavi Dr Aravind Dr Sushmitha Dr Satish Dr Manasa Dr Sufiya Dr Aditya Dr Rashmitha involved in Discussion.
Dr Ushasree, Dr Radha- OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
PG intern attendance for 4th June 2020
Dr Vamshi :
1) Case of a 45year old female with quadriparesis( predominantly paraperesis) secondary to Hypokalemia
?HypoKalemic Periodic Paralysis with DM type 2
Queries:
1) Genetic defects causing HypoPP
2) Nerve Muscle physiology with action potential
Dr Vaishnavi : Thesis presentation on “Herat failure with preserved ejection fraction”. (To be done due to lack of time)
Dr Sushmitha Dr Divya chaitanya Dr Manasa Dr Sufiya Dr Aashita Dr A.Vaishnavi Dr P Rashmitha Dr ajith involved in Discussion.
Dr Satish Dr K. Vaishnavi and Dr Aravind OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
6th June 2020
Dr K Vaishnavi:
1) Case of a 45year old male with chronic kidney disease with Hypertension
Queries:
1) Renal transplant and dialysis indications
2) Erythropoietin and placebo trial
Dr Aashitha : Thesis presentation on “ Thyroid profile in type 2 diabetes mellitus in geriatrics and non geriatrics “
Queries :
1)Diabetes type 2 and its pathogenesis
2)How does thyroid gets effected in diabetes
Aashitha update on her previous 60 yr old male male patient with vertebral metastasis with psa levels
Dr Sushmitha Dr Sufiya Dr Radha Dr Vamshi Dr Aravind Dr Satish Dr A.Vaishnavi Dr P Rashmitha involved in Discussion.
Dr Manasa Dr Divya chaitanya and OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
8th june 2020
Dr A vaishnavi :
Case presentation: 23/M alcholic with muscle pains since 1 year
Tingling numbness of both lower and upper limb since 1 month
With lower limb weakness of proximal and distal muscles
Queries :
1.From the age of 10, was he taking fermented toddy or water
2- Alcohol induced Hyperuricemia , peripheral neuropathy mechanisms
3- plantar reflex pathways
4- gaps in history of alcholism
E log and session video awaited
Dr Vamshi : case presentation :
29/F - post renal transplant presented with bilious vomitings, abdominal distension Since 1 week
Queries
1- Did IgA nephropathy recur in the transplant kidneys?
2- gaps in history - post renal transplant biopsy findings
E log and session video awaited
Dr Sushmita - To Review literature around
Alcochol induced Hyperuricemia Biochemical pathways
Hyperuricemia-biochemical pathways in metabolic syndrome
Metabolic syndrome biochemical pathways in carbohydrate to fat conversion in NAFLD
Dr Mansa - To review NCS and provide info regarding F waves and significance of h reflex
Dr Rashmitha ,Dr Sushmita,Dr satish,Dr.k vaishnavi ,Dr Divya ,Dr usha involved in discussion
Dr Aashitha,Dr Aditya,Dr.sufiya - OPD
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
PG intern attendance for 9th june 2020
Dr Manasa :
Case presentation:55/F with acute right hemiparesis
Queries :
1.Technique of Reflex elicitation
2- Crossed hemiplegia
3- Blood supply of pons- medial and lateral structures
4- ipsilateral upper limb and lower limb weakness and facial nerve palsy
Dr Usha : Thesis presentation :
Lipid profile in CKD
Queries
1- hypercholesterolemia- grading
Dr Aditya: raised queries on case presentation
To review on hypotonia with exaggerated reflexes,spinal shock
Dr A vaishnavi: review on arrangement of fibres in internal capsule
Dr.Radha,Dr sufiya,Dr sathish, Dr Aashitha,
,Dr.k vaishnavi ,Dr Divya ,
involved in discussion
Dr Sushmita- leave
Dr Rashmitha ,Dr Vamshi-OPD
Dr Ajith- casualty
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
PG intern attendance for ,10th June 2020
Dr Aashitha :
1) Case of a 55 year old female with abdominal distension since 2 years with weight loss and early satiety .- Splenomegaly
Queries:
1) will triple phase CT give details of portal vein ?
2) what is whasout period in triple phase CT
3)Therapeutic options available for this Patient
4) TIPS vs linorenal shunt which has better outcome and low rates of hepatic encephalopathy
5) indications of shunt placement
6) How do ppl develop Splenomegaly without ascites in portal HTN
Dr k vaishnavi : Thesis presentation on “Assesment of Thyroidprofile in chronic kidney disease patients "
Queries:
1) How does CKD related to thyroid dysfunction
2) Pathogenesis of subclinical hypothyroidism
Dr A Vaishnavi Dr Satish Dr Manasa Dr Sufiya Dr Aditya Dr Vamshi Dr Divya chaitanya involved in Discussion.
Dr Ushasree, Dr Radha- OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
PG intern attendance for 12th June 2020
Dr Usha:
1) Case of a 30 yr old female sezuires secondary to Uraemic encephalopathy
Queries:
1) Iron absorpition in duodenum
2) Size of kidney and its relation lumbar vertebrae
3)Metabolic causes of seizures
Dr Sufiya : Thesis presentation “ Pseudocholinsterase levels in OP poisoning.”
Queries :
1)How does pseudocholinesterase levels decrease in op poisoning
Dr Aditya Dr Radha Dr Vamshi Dr Aravind Dr Satish Dr K . Vaishnavi Dr P Rashmitha involved in Discussion.
Dr A vaishnavi Dr Sushmitha and OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
PG intern attendance for 15th june 2020
Dr k sushmitha:
Case presentation: 39/M Diabetic with recurrent UTI ?2 to Urethral stricture
Queries :
1.Bacteria causing urethral stricture and UTI
2-Diabetes and recurrent UTI
3- urethral stents
4- E coli culture
E log and session video awaited
Dr Rashmitha : Thesis presentation :
SAAG in ascitic fluid analysis
Queries
1- Amount and duration of alcohol causing ALD
2- alcoholic liver disease - ? Reversible
E log and session video awaited
Dr Vamshi - To Review literature around
Pathogenesis of ALD and how does features reverse
Dr sathish- uretheral stents in strictures
Dr A vaishnavi ,Dr.k vaishnavi ,Dr Divya ,Dr usha involved in discussion
Dr Aashitha,Dr Aditya,Dr.sufiya - OPD
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
Dr Ajith- casulaty duty
PG intern attendance for 16th june 2020
Dr Divya :
Case presentation:70/M with decreased urine output ,pedal edema ,NSAID abuse for 10 years
Queries :
1.mechanism of renal failure with NSAIDS
2- Does portal hypertension cause directly pedal edema ?
3-Thrombolytics in IvC thrombus ?
Dr Usha : Thesis presentation :
Lipid profile in CKD
Queries
1- Hypertriglyceredemia cut off level for MI
2- Role of lipid profile in outcomes of MI or CVA .How does hyperlipidemia cause Blood vessel damage ?
3-role of statins in prolonged dialysis vs short term dialysis
Dr Aditya: raised queries on case presentation - Y renal failure without gastric ulcers in chronic NSAID abuse .
Dr Manasa - kasaabach merrit syndrome
Dr A vaishnavi
,Dr sathish, Dr Aashitha,Dr Sushmita,Dr aravind
involved in discussion
Dr Rashmitha ,Dr Vamshi-OPD
Dr Ajith- casualty
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
""PG intern attendance for 19th June 2020
Dr Radha:
1) Case of a 70 yr old male with hypovolaemic shock with ?Acute exacerbation of COPD with AF
Queries:
1) Iv steroids in AECOPD
2)PT inr Aptt in DIC
3)ABG analysis
Dr Manasa: Thesis presentation “ Hyponatremia : Etiology, clinical features and outcomes”
Queries :
1)Differentiating features between siadh and cerebral salt wasting
2)3% Nacl in SIADH
Dr Aditya Dr sufiya Dr Aashitha Dr Rashmitha Dr Vamshi Dr Aravind Dr Satish Dr K . Vaishnav Dr Usha Dr Divya chaitanya involved in Discussion.
i OPD duty Dr A vaishnavi and Dr sushmitha
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
""PG intern attendance for 20 th June 2020
Dr Satish
1) Case of a 70 yr old male with CKD with headache fever vomitings and seizures
? Meningitus
Queries:
1) Brain stem reflex and pupillary pathway
2)Hyponatremia in tubercular meningitis pathophysiology
Dr Aashitha : Thesis presentation pending
Dr sufiya Dr Rashmitha Dr A vaishnavi and Dr sushmitha involved in Discussion.
OPD duty - Dr Divya chaitanya and Dr Manasa
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
""PG intern attendance for 22nd june 2020
Dr A Vaishnavi :
Case presentation: 60/M with CKD
Queries :
1.pathophysiology of headache
2-grades of severity of acidosis
E log and session video awaited
Dr Vamshi : Thesis presentation :
Acid base disturbance in Diarrhoea
Queries
1- problem statement of thesis
2- Treatment of Diarrhea patients - evidence and non evidence based treatments more in specific to Diarrhea with acidosis
3-Grades of dehydration
4- composition of bicarbonate in oral food
E log and session video awaited
Dr sathish- difference btw large bowel and small bowel diarrhoea
Dr Manasa ,Dr radha ,Dr.k vaishnavi ,Dr Divya ,Dr usha,Dr rashmitha involved in discussion
Dr Aashitha,Dr Aditya,Dr.sufiya - OPD
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
Dr Ajith- casulaty duty
"PG intern attendance for 23 rd june 2020
Dr Manasa :
Case presentation:60/M with ? PVD .
Queries :
1- Takayasu arteritis vs vascular disease pathology
2- distribution of atherosclerosis in vessels - which arteries will it involve and which are spared!!
3- systemic vs peripheral vascular disease
4- How to palpate popliteal artery
5- PVD vs embolic gangrene .
6- cutaneous atherosclerosis ?
7- pathogenesis of diabetic ulcer .
8- smoking and alcohol causing atherosclerosis
9- pathogenesis of dry gangrene !
10- role of heparin in venous embolism
11-cause of progression of gangrene-
Sepsis induced thrombi ?
Thrombus ?
Atherosclerosis ?
12- points favouring Takayasu arteritis
Dr Radha : Thesis presentation : pending
Cutaneous atherosclerosis
Dr Aditya: Internal thoracic Artery - endogenous heparin secretion.
Dr Divya
Dr A vaishnavi
Dr sufiya
,Dr sathish,
Dr Sushmita,
involved in discussion
Dr Rashmitha ,Dr Vamshi-OPD
Dr Ajith- casualty
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
""PG intern attendance for ,24th June 2020
Dr sufiya : 20/M RVD+ with ? TBM /PML
Queries:
1) IRIS
2) PML
3) cryptococcal pneumonia
Dr sathish-: Thesis presentation on
Assessment of left ventricular function in ischemic stroke!
Queries:
1) Patient files !
Dr A Vaishnavi , Dr Aashitha , Dr.k vaishnavi ,Dr Sushmita,Dr aditya ,Dr Manasa involved in Discussion.
Dr Ushasree, Dr Radha- OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
Dr. Rashmitha- post duty work
Dr Satish: OpD Case presented in short
Dr Sufia: OPD case
Dr Radha: IPD case of delirium tremens
Dr Nikita: IPd case
Dr Zain: IPD case follow up
PG intern attendance for 16th May 2020
Dr Satish: OpD Case presented in short along with a journal club meta-analysis on aspirin primary prevention trials
Dr Sufia: Extensive lecture on Sarcoidosis
PG intern attendance for 18th May 2020
Dr Satish:
1) Query
2) Pending RCT presentation of aspirin vs placebo secondary prevention trials
Dr Sufia: portal hypertension in Sarcoidosis
Planned for her posting the lecture video to schoology final mbbs online learning platform in coordination with Roja ma'am.
Dr Praneet: Lecture on portal hypertension
Dr Radha: Query on blast crisis in CML
Dr A Vaishnavi: Efficacy of imatinib, one RCT in 2003, many pending queries on diagnosis and treatment
Dr Sushmita: Patient of CML, many pending queries regarding diagnosis and treatment
Manasa: Myopathy Case follow up, planned ribose trial
Dr Vamshi: Thesis case data presentation pending
PG intern attendance for 19th May 2020
Dr Divya chaitanya:
1) Case of Acute Diarrhea and suspecting pulmonary Tuberculosis in Reterovirus disease: 45 yr old male patient with Persistant diarrhoea with ? Pulmonary TB in RVD patient
Intern log of patient record: https://raveena27.blogspot.com/2020/05/medicine-may-17-2020-hello.html?m=1
1) Queries in history taking
2)INH in prophylaxis of TB (any recent guidelines)?
Dr Manasa :Nerve conduction studies. Discussion about latency amplitude and conduction velocity
Dr Radha: Thesis presentation - Carotid intimal medial thickness and glomerular filtration in CKD
Queries : Primary prevention with statins and antiplatelets in High Risk patients
Is Carotid intimal thickness directly proportional to increased Risk of MI/ stroke ?
Dr Aditya : queries on Thesis presentation
Dr Vamshi: Thesis case data presentation pending
Dr .Vaishnavi : answered few theory based questions
Dr Rashmitha, Dr ajith, Dr .Vamshi - OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty but present in 2-4 session
20th May 2020
Dr Aditya:
1) Case of a 30yr old male with low IQ ..complaining of sob,pedal edema n pounding palpitations ,on general examination patient had loss of hair over face,chest and axilla (?testicular failure) with difficulty in walking and had a waddling type of gait..possibly genetically inherited disorder
Queries:
1) Mechanism of dyspnoea? role of J receptors
2) Tanners staging?
Intern log will be shared soon
Dr sufiya : Thesis presentation-
“significance of serum pseudocholinesterase levels in op compound poisoning in the outcome of a patient”
Queries :
1) Does the PCE levels aid in diagnosis ?
2) Types of op compounds and its efficacy as an insecticide?
Dr sathish :
summarised the case and discuused on differentials possible
Dr Vamshi: Thesis case data presentation pending
Dr Radha ,Dr Nikitha - OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
PG intern attendance for 21st May 2020
Dr Ajith :
Case presentation: Right side hemiparesis with Global aphasia
Queries :
1.Arrangement of fibres in Internal capsule
2. Blood supply of internal capsule
3. Difference between mutism and Aphasia
4. Plantar reflex a nociceptor refelx ?
Pending : 2D echo video
Dr .Vamshi : Evidence based medicine - statins vs placebo in secondary prevention of stroke - RCT
Dr. Praneeth : Thesis presentation-
Clinical features, management and outcomes in snake bite
Dr Aditya : raised
Queries - plantar reflex a nociceptor reflex ? .
Difference between aphasia and mutism
GCS
Dr . Manasa,Dr.laxma ,Dr.Radha involved in discussion
Dr A.Vaishnavi and Dr.Rashmitha: to share arrangement of fibres in Internal capsule
Dr satish ,Dr sufiya - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
23rd may 2020
Medicine department attendance for 23rd May 2020*
Dr Sufiya: case presentation of a 24 year old man who came with complaints of difficultly in walking since 10days with history of fever on and off episodes with dry cough since 5mnths.
prov diagnosis: acute paraparesis with distal weakness with sensory deficit
Queries:
1) signs of demyelination and localisation of lesion
2) incidence of B12 def despite blood reports being normal
3)how to differentiate between different types of neuropathies
Discussion about plan of action and localisation
Dr Aditya: Thesis presentation-
“Early diastolic dysfunction in patients with diabetes “
Dr Radha:
demonstrated an RCT on use of inhalational furosemide in patients with heart failure and its mechanism
Dr Vamshi and Dr Ajith presented their yesterday's logs verbally
Dr Laxma and Dr Manasa- OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
PG intern attendance for 25th May 2020
Dr A .Vaishnavi :
Case presentation: Atypical presentation of progressive Right hemiparesis ( lower limbs more than upper limbs) .
With ataxia and UMN type of slight facial palsy
Log Book link :
Offline 2-4 PM Discussion:
Cortical vs subcortical vs brain stem differentials
? Cervical cord lesions
Queries :
1. Sensitivity ,specificity of Rinnes and Weber's test
2- principle of PTA
3- hemiparesis - anatomical localisation and their presentations
4- isolated neuro bechets case reports to be shared by Dr Vaishnavi, Dr Sushmita, and the unit Interns
Link to the session video:
Dr: Ajith : Thesis presentation : association of serum Magnesium in T2 DM
Discussion around the aims, objectives, research question and study design and currently available patient data.
Dr.Manasa: Inputs on Rinnes and Weber's test
Dr Aditya - OPD
Dr Zain and Dr Vamshi on official leave.
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
PG intern attendance for 26th May 2020
Dr Laxma :
Case presentation: 21/ M
Diabetic ketoacidosis in Type 1 DM since the age of 11 years
Queries :
1. Difference between HHS and DKA
2- Storage of Insulin
3- oral potassium vs IV potassium - when and what to start in DKA
Dr: Nikitha : Thesis presentation : assessment of 24hrs urine Sodium in newly diagnosed Hypertensives
Queries
1- studies on effect salt intake on Blood pressure
2- salt sensitive individuals - mechanism and gentic predisposition .
Dr.Manasa,Dr A vaishnavi - answered few questions .
Dr Rashmitha, Ajith , Vamshi - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha- verbal elog presentation.
Dr k Vaishnavi - ICU duties
PG intern attendance for 27th MAY 2020
Dr Zain :
Case presentation: 55/F with hypotension- Hypovolemic shock secondary to Acute Diarrhea
Old CVA
Queries :
1.indications for Bicarbonate supplementation
2- Hypotension with bradycardia - relative bradycardia ?
3- How does Renal failure cause acidosis
Dr vamshi : Thesis presentation : Acid base balance in acute dairrhoeal diseases
Queries
1- what is base excess
2-mechanism of metabolic acidosis in Diarrhea
- pending work
- Death case sheets from MRD
Dr.Vaishnavi- update on patient - symptomatic improvement after Methylprednisolone therapy.
query - Hypovolemia with hypotension
Dr Laxma , Aditya,Dr Ajith,Dr rashmitha- involved in discussion
Dr Radha, Nikitha - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
PG intern attendance for 28th May 2020
Dr Rashmitha :
Case presentation: 15/M with Acute ascending paralysis -? AIDP
Queries :
1. Methyl prednisolone vs placebo in GBS
2- Toxins causing peripheral neuropathy
Lathyrism - peripheral nerves or spinal cord involvement
3- Natural history of AIDP
Dr Sushmita : Thesis presentation : assessment of serum uric acid in Diabetes mellitus and its association with cardiovascular complications
Queries
1- pathophysiology of Metabolic syndrome
2- pathophysiology of Assymptomatic uric acid rise in metabolic syndrome
3- relation between carbohydrate metabolism and uric acid pathways
4- How does uric acid cause CV complications
5 - BMI and uric acid relation ?
Dr.Manasa- Explained about Nerve conduction studies
Dr Vamshi ,Dr Ajith ,Dr A vaishnavi ,Dr Radha involved in discussion
Dr Sathish ,sufiya - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
PG intern attendance for 29th May 2020
Dr Nikitha ,Dr Radha :
Case presentation
43 yr old male patient with c/o sob ,pedal edema since 1week and anuria since 3days.
HFpEF secondary to ?HCM
Queries:
1) Diagnostic criteria for HCM?
Dr.Manasa : Thesis presentation
“Causes , management and clinical outcome in patients with hyponatremia”
Queries:
1) cause of hyponatremia in ckd pts
2) diagnostic criteria for SIADH
3) what contributes to the urine osmolality ,will urinary Na suffice ?
4) clinical indicators to detect volume status?
Dr Aditya :
Raised doubts about use of lasix and inotropes in pts with shock
Dr Sufiya , Dr Ajith
Involved in discussion
Dr Vaishnavi, Dr sushmitha,Dr Praneeth - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
PG intern attendance for 30th May 2020
Dr Sathish ,Dr Sufiya:
1) Case of a 55yr old male with complaints of lower limb joint pains since 1yr and swelling of the left gluteal region since 2mnths associated with pain and pus points with discharge
Prov diagnosis: left gluteal abscess with cellulitis with intrinsic AKI
Queries:
1) Microbial coverage of vancomycin and is it superior over other antibiotics like clindamycin,augmentin for skin infections?
2) Side effects of vancomycin?
3) mechanism of sepsis induced aki
4) will resuscitation leads to hemodilution in pts with heamarrhagic shock ?
5) Is fall of hb associated with proportionate fall of pcv ?
Dr Zain : Thesis presentation
“ hematological abnormalities in chronic liver disease patients”
Queries:
1) mech of direct toxic effect of alcohol on other organs apart from liver?
2) will increase PT also result in delaying of clotting time?
Dr Aditya ,Dr Vamshi,Dr Vaishnavi involved in the discussion
Dr Laxma and Dr Manasa- OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
PG intern attendance for 1st june 2020
Dr Sushmitha :
1) Case of a 55 yr old male with complaints of burning sensation , tingling and numbness of both lower limbs and upper limb
Queries:
1) pathophysiology of diabetic peripheral neuropathy
2) Diabetes a small or large fibre neuropathy ?
3) alcholic peripheral neuropathy- pathophysiology
4) Dorsal ganglionopathies
5) Myelopathies clinical picture
Dr Rashmitha : Thesis presentation
“to study the role of of SAAG in etological diagnosis of ascitis”
Queries:
1) How did saag evolve since beginning?
2)How saag helps in deciding portal hypertension
Dr Natasha- review of RCTs about IVIg in GBS
Dr Vamshi,Dr A Vaishnavi ,Dr Radha ,
Dr Mansa , Dr Satish involved in the discussion
Dr Aashitha, Dr Aditya and Dr Sufiya - OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
PG intern attendance for 3rd June 2020
Dr Aashitha :
1) Case of a 65 year old male with quadriparesis( predominantly paraperesis) with myeloneuropathy ( compressive)secondary to ? Vertebral metastasis
Queries:
1) Metastatic carcinoma with unknown primary
2) How to take a vertebral lesion biopsy
Dr Divya chaitanya
A 35 year old female with postpartum pyelonephritis with thrombocytopenia
Queries
1)Usg findings of pyelonephritis
2)post partum renal cortical necrosis
Dr Satish : Thesis presentation on “Assesment of left ventricular function in patients with ischaemic stroke”
Queries:
1) Details about the patient data regarding the number of patients with significant reduced ejection fraction
2)Signs and symptoms of Heart failure
Dr K Vaishnavi Dr Aravind Dr Sushmitha Dr Satish Dr Manasa Dr Sufiya Dr Aditya Dr Rashmitha involved in Discussion.
Dr Ushasree, Dr Radha- OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
PG intern attendance for 4th June 2020
Dr Vamshi :
1) Case of a 45year old female with quadriparesis( predominantly paraperesis) secondary to Hypokalemia
?HypoKalemic Periodic Paralysis with DM type 2
Queries:
1) Genetic defects causing HypoPP
2) Nerve Muscle physiology with action potential
Dr Vaishnavi : Thesis presentation on “Herat failure with preserved ejection fraction”. (To be done due to lack of time)
Dr Sushmitha Dr Divya chaitanya Dr Manasa Dr Sufiya Dr Aashita Dr A.Vaishnavi Dr P Rashmitha Dr ajith involved in Discussion.
Dr Satish Dr K. Vaishnavi and Dr Aravind OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
6th June 2020
Dr K Vaishnavi:
1) Case of a 45year old male with chronic kidney disease with Hypertension
Queries:
1) Renal transplant and dialysis indications
2) Erythropoietin and placebo trial
Dr Aashitha : Thesis presentation on “ Thyroid profile in type 2 diabetes mellitus in geriatrics and non geriatrics “
Queries :
1)Diabetes type 2 and its pathogenesis
2)How does thyroid gets effected in diabetes
Aashitha update on her previous 60 yr old male male patient with vertebral metastasis with psa levels
Dr Sushmitha Dr Sufiya Dr Radha Dr Vamshi Dr Aravind Dr Satish Dr A.Vaishnavi Dr P Rashmitha involved in Discussion.
Dr Manasa Dr Divya chaitanya and OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
8th june 2020
Dr A vaishnavi :
Case presentation: 23/M alcholic with muscle pains since 1 year
Tingling numbness of both lower and upper limb since 1 month
With lower limb weakness of proximal and distal muscles
Queries :
1.From the age of 10, was he taking fermented toddy or water
2- Alcohol induced Hyperuricemia , peripheral neuropathy mechanisms
3- plantar reflex pathways
4- gaps in history of alcholism
E log and session video awaited
Dr Vamshi : case presentation :
29/F - post renal transplant presented with bilious vomitings, abdominal distension Since 1 week
Queries
1- Did IgA nephropathy recur in the transplant kidneys?
2- gaps in history - post renal transplant biopsy findings
E log and session video awaited
Dr Sushmita - To Review literature around
Alcochol induced Hyperuricemia Biochemical pathways
Hyperuricemia-biochemical pathways in metabolic syndrome
Metabolic syndrome biochemical pathways in carbohydrate to fat conversion in NAFLD
Dr Mansa - To review NCS and provide info regarding F waves and significance of h reflex
Dr Rashmitha ,Dr Sushmita,Dr satish,Dr.k vaishnavi ,Dr Divya ,Dr usha involved in discussion
Dr Aashitha,Dr Aditya,Dr.sufiya - OPD
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
PG intern attendance for 9th june 2020
Dr Manasa :
Case presentation:55/F with acute right hemiparesis
Queries :
1.Technique of Reflex elicitation
2- Crossed hemiplegia
3- Blood supply of pons- medial and lateral structures
4- ipsilateral upper limb and lower limb weakness and facial nerve palsy
Dr Usha : Thesis presentation :
Lipid profile in CKD
Queries
1- hypercholesterolemia- grading
Dr Aditya: raised queries on case presentation
To review on hypotonia with exaggerated reflexes,spinal shock
Dr A vaishnavi: review on arrangement of fibres in internal capsule
Dr.Radha,Dr sufiya,Dr sathish, Dr Aashitha,
,Dr.k vaishnavi ,Dr Divya ,
involved in discussion
Dr Sushmita- leave
Dr Rashmitha ,Dr Vamshi-OPD
Dr Ajith- casualty
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
PG intern attendance for ,10th June 2020
Dr Aashitha :
1) Case of a 55 year old female with abdominal distension since 2 years with weight loss and early satiety .- Splenomegaly
Queries:
1) will triple phase CT give details of portal vein ?
2) what is whasout period in triple phase CT
3)Therapeutic options available for this Patient
4) TIPS vs linorenal shunt which has better outcome and low rates of hepatic encephalopathy
5) indications of shunt placement
6) How do ppl develop Splenomegaly without ascites in portal HTN
Dr k vaishnavi : Thesis presentation on “Assesment of Thyroidprofile in chronic kidney disease patients "
Queries:
1) How does CKD related to thyroid dysfunction
2) Pathogenesis of subclinical hypothyroidism
Dr A Vaishnavi Dr Satish Dr Manasa Dr Sufiya Dr Aditya Dr Vamshi Dr Divya chaitanya involved in Discussion.
Dr Ushasree, Dr Radha- OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
PG intern attendance for 12th June 2020
Dr Usha:
1) Case of a 30 yr old female sezuires secondary to Uraemic encephalopathy
Queries:
1) Iron absorpition in duodenum
2) Size of kidney and its relation lumbar vertebrae
3)Metabolic causes of seizures
Dr Sufiya : Thesis presentation “ Pseudocholinsterase levels in OP poisoning.”
Queries :
1)How does pseudocholinesterase levels decrease in op poisoning
Dr Aditya Dr Radha Dr Vamshi Dr Aravind Dr Satish Dr K . Vaishnavi Dr P Rashmitha involved in Discussion.
Dr A vaishnavi Dr Sushmitha and OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
PG intern attendance for 15th june 2020
Dr k sushmitha:
Case presentation: 39/M Diabetic with recurrent UTI ?2 to Urethral stricture
Queries :
1.Bacteria causing urethral stricture and UTI
2-Diabetes and recurrent UTI
3- urethral stents
4- E coli culture
E log and session video awaited
Dr Rashmitha : Thesis presentation :
SAAG in ascitic fluid analysis
Queries
1- Amount and duration of alcohol causing ALD
2- alcoholic liver disease - ? Reversible
E log and session video awaited
Dr Vamshi - To Review literature around
Pathogenesis of ALD and how does features reverse
Dr sathish- uretheral stents in strictures
Dr A vaishnavi ,Dr.k vaishnavi ,Dr Divya ,Dr usha involved in discussion
Dr Aashitha,Dr Aditya,Dr.sufiya - OPD
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
Dr Ajith- casulaty duty
PG intern attendance for 16th june 2020
Dr Divya :
Case presentation:70/M with decreased urine output ,pedal edema ,NSAID abuse for 10 years
Queries :
1.mechanism of renal failure with NSAIDS
2- Does portal hypertension cause directly pedal edema ?
3-Thrombolytics in IvC thrombus ?
Dr Usha : Thesis presentation :
Lipid profile in CKD
Queries
1- Hypertriglyceredemia cut off level for MI
2- Role of lipid profile in outcomes of MI or CVA .How does hyperlipidemia cause Blood vessel damage ?
3-role of statins in prolonged dialysis vs short term dialysis
Dr Aditya: raised queries on case presentation - Y renal failure without gastric ulcers in chronic NSAID abuse .
Dr Manasa - kasaabach merrit syndrome
Dr A vaishnavi
,Dr sathish, Dr Aashitha,Dr Sushmita,Dr aravind
involved in discussion
Dr Rashmitha ,Dr Vamshi-OPD
Dr Ajith- casualty
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
""PG intern attendance for ,17th June 2020
Dr Aditya : 20/M with acute onset of lower limb weakness ,stiffness ,Areflexia
Queries:
1) scapulo humeral reflex
2) sternal reflex
3)peripheral neuropathy - thrombocytopenia
4) hypokalemia with progressive weaknessand Areflexia after correction ?
5) hypokalemic periodic paralysis vs Non periodic paralysis
Dr Aravind : Thesis presentation on “study of serum magnesium band it's outcomes in Acute CVA
Queries:
1) Magnesium - atherosclerosis ?
2) trials - sr mg vs Placebo in CVA
Dr A Vaishnavi Dr Satish Dr Rashmitha Dr Sufiya Dr Aashitha Dr Vamshi Dr Divya chaitanya, Dr.k vaishnavi ,Dr Sushmita involved in Discussion.
Dr Ushasree, Dr Radha- OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty- Clinical implication of scapulo humeral reflex
Dr Aditya : 20/M with acute onset of lower limb weakness ,stiffness ,Areflexia
Queries:
1) scapulo humeral reflex
2) sternal reflex
3)peripheral neuropathy - thrombocytopenia
4) hypokalemia with progressive weaknessand Areflexia after correction ?
5) hypokalemic periodic paralysis vs Non periodic paralysis
Dr Aravind : Thesis presentation on “study of serum magnesium band it's outcomes in Acute CVA
Queries:
1) Magnesium - atherosclerosis ?
2) trials - sr mg vs Placebo in CVA
Dr A Vaishnavi Dr Satish Dr Rashmitha Dr Sufiya Dr Aashitha Dr Vamshi Dr Divya chaitanya, Dr.k vaishnavi ,Dr Sushmita involved in Discussion.
Dr Ushasree, Dr Radha- OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty- Clinical implication of scapulo humeral reflex
"PG intern attendance for 18th June 2020
Dr Rashmitha:
1) Case of a 33yr old male with cerebral sinus venous thrombosis
Queries:
1) Reflex arc pathway and its receptors
2) Efficacy of heparin over placebo
3)Queries in history regarding etiological diagnosis of cerebral sinus venous thrombosis
Dr Sushmitha : Thesis presentation pending “uric acid levels in diabetes mellitus type 2 “
Queries :
1)Carbohydrate protein and fatty acid metabolism causing uric acid synthesis.
Dr Aditya Dr sufiya Dr Radha Dr Vamshi Dr A vaishnavi Dr Manasa Dr Divya chaitanya involved in Discussion.
Dr Aravind Dr Satish Dr K . Vaishnavi OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
Dr Rashmitha:
1) Case of a 33yr old male with cerebral sinus venous thrombosis
Queries:
1) Reflex arc pathway and its receptors
2) Efficacy of heparin over placebo
3)Queries in history regarding etiological diagnosis of cerebral sinus venous thrombosis
Dr Sushmitha : Thesis presentation pending “uric acid levels in diabetes mellitus type 2 “
Queries :
1)Carbohydrate protein and fatty acid metabolism causing uric acid synthesis.
Dr Aditya Dr sufiya Dr Radha Dr Vamshi Dr A vaishnavi Dr Manasa Dr Divya chaitanya involved in Discussion.
Dr Aravind Dr Satish Dr K . Vaishnavi OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
""PG intern attendance for 19th June 2020
Dr Radha:
1) Case of a 70 yr old male with hypovolaemic shock with ?Acute exacerbation of COPD with AF
Queries:
1) Iv steroids in AECOPD
2)PT inr Aptt in DIC
3)ABG analysis
Dr Manasa: Thesis presentation “ Hyponatremia : Etiology, clinical features and outcomes”
Queries :
1)Differentiating features between siadh and cerebral salt wasting
2)3% Nacl in SIADH
Dr Aditya Dr sufiya Dr Aashitha Dr Rashmitha Dr Vamshi Dr Aravind Dr Satish Dr K . Vaishnav Dr Usha Dr Divya chaitanya involved in Discussion.
i OPD duty Dr A vaishnavi and Dr sushmitha
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
""PG intern attendance for 20 th June 2020
Dr Satish
1) Case of a 70 yr old male with CKD with headache fever vomitings and seizures
? Meningitus
Queries:
1) Brain stem reflex and pupillary pathway
2)Hyponatremia in tubercular meningitis pathophysiology
Dr Aashitha : Thesis presentation pending
Dr sufiya Dr Rashmitha Dr A vaishnavi and Dr sushmitha involved in Discussion.
OPD duty - Dr Divya chaitanya and Dr Manasa
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
""PG intern attendance for 22nd june 2020
Dr A Vaishnavi :
Case presentation: 60/M with CKD
Queries :
1.pathophysiology of headache
2-grades of severity of acidosis
E log and session video awaited
Dr Vamshi : Thesis presentation :
Acid base disturbance in Diarrhoea
Queries
1- problem statement of thesis
2- Treatment of Diarrhea patients - evidence and non evidence based treatments more in specific to Diarrhea with acidosis
3-Grades of dehydration
4- composition of bicarbonate in oral food
E log and session video awaited
Dr sathish- difference btw large bowel and small bowel diarrhoea
Dr Manasa ,Dr radha ,Dr.k vaishnavi ,Dr Divya ,Dr usha,Dr rashmitha involved in discussion
Dr Aashitha,Dr Aditya,Dr.sufiya - OPD
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
Dr Ajith- casulaty duty
"PG intern attendance for 23 rd june 2020
Dr Manasa :
Case presentation:60/M with ? PVD .
Queries :
1- Takayasu arteritis vs vascular disease pathology
2- distribution of atherosclerosis in vessels - which arteries will it involve and which are spared!!
3- systemic vs peripheral vascular disease
4- How to palpate popliteal artery
5- PVD vs embolic gangrene .
6- cutaneous atherosclerosis ?
7- pathogenesis of diabetic ulcer .
8- smoking and alcohol causing atherosclerosis
9- pathogenesis of dry gangrene !
10- role of heparin in venous embolism
11-cause of progression of gangrene-
Sepsis induced thrombi ?
Thrombus ?
Atherosclerosis ?
12- points favouring Takayasu arteritis
Dr Radha : Thesis presentation : pending
Cutaneous atherosclerosis
Dr Aditya: Internal thoracic Artery - endogenous heparin secretion.
Dr Divya
Dr A vaishnavi
Dr sufiya
,Dr sathish,
Dr Sushmita,
involved in discussion
Dr Rashmitha ,Dr Vamshi-OPD
Dr Ajith- casualty
Dr Zain,Dr laxma - Nephrology duty
Dr praneeth ,Dr Nikitha- ICU duties
""PG intern attendance for ,24th June 2020
Dr sufiya : 20/M RVD+ with ? TBM /PML
Queries:
1) IRIS
2) PML
3) cryptococcal pneumonia
Dr sathish-: Thesis presentation on
Assessment of left ventricular function in ischemic stroke!
Queries:
1) Patient files !
Dr A Vaishnavi , Dr Aashitha , Dr.k vaishnavi ,Dr Sushmita,Dr aditya ,Dr Manasa involved in Discussion.
Dr Ushasree, Dr Radha- OPD duty
Dr Zain ,Dr Laxma - Nephrology duty
Dr Praneeth , Dr Nikitha - ICU duties
Dr Ajith - casualty duty
Dr. Rashmitha- post duty work
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