GM PG FINAL YEAR (2018-21 BATCH) UNIVERSITY PRACTICAL EXAMINATON

I feel very fortunate for practicing the branch of my choice where I get to see vast variety of   cases  on day to day basis. Here I will be sharing few of my experiences during my junior residency .  I have seen closely majority of cases during my first year of residency. One of the mind blowing case was of Non Hodgkins Lymphoma: Patient presented with fever of high  grade with anorexia, he was almost worked up for 2 weeeks but we couldnt find any conclusive  diagnosis. we ultimately labelled him as pyexia of unknown origin.  Then gradually after weeks of stay in  hospital patient started developing vague abdominal pain which made us repeat his usg abdomen and  Erect X ray abdomen which showed mediastinal lymphadenopathy.  we tried palpating the rest group of  lymph nodes for any enlargement but there was only mediastinal lymphadenopathy, as we couldnt get any  cause for his lymph node enlargement , we planned for a lymph node...

TITLE: SIGNIFICANCE OF SERUM PSEUDOCHOLINESTERASE LEVELS IN PATIENTS WITH ORGANOPHOSPHORUS COMPOUND POISONING” INTRODUCTION: Acute poisoning is important cause of morbidity and mortality in India. In medical emergency 10% of admissions are due to poisoning and organophosphorus poisoning contributes to nearly 50% of it.[1]Apart from use of these substances as agricultural insecticides, pesticides, they are frequently abused for suicidal purposes because of their low cost, rapid action and easy availability. They have been imported in India since 1951, but very few knew the nature of these compounds as a virulent poison till the Kerala food poisoning tragedy in 1958. This tragedy took a toll of hundred and add due to inadvertent stocking of food stuff and folidol packages in the same hold where the folidol containers leaked and contaminated the gunny bags containing food stuff[2]. Exposure to organophosphorus compounds in the form of nerve agents and pesticides poses an ever increasing m...

 LONG CASE: A 45 year old male, daily wage labourer came to the casuality with   CHIEF COMPLAINTS : Imbalance while walking   since 3 days       associated with Swaying to both the sides since 3 days. Involuntary movements of the extremities since 3 days. HISTORY OF PRESENT ILLNESS : patient was apparently asymptomatic 3 days back then in the morning after he had his  breakfast he noticed  *imbalance while  walking along with swaying on both the sides which was sudden in  onset, progressive in nature , associated with generalized weakness and falls without loss of  consciousness.  *involuntary movements of the extremities particularly upper limbs since 3 days,  symmetrical, which  was aggravating while trying to reach an object and relieving with  rest,interrupting with his daily activity. No history of buckling of limbs No history of stiffness of limbs No history of difficulty in getting...