18100006006 CLINICAL COMPETENCIES

 







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18100006006 THESIS

TITLE: “ETIOLOGY,MANAGEMENT AND OUTCOME IN PATIENTS WITH HYPONATREMIA IN ICU KIMS,NARKETPALLY” INTRODUCTION: Hyponatremia is the most common electrolyte disorder among hospitalized patients and has been associated with increased mortality. Hyponatremia is defined as a serum sodium concentration (Na + ) less than 135 mEq/L Serum sodium levels and serum osmolality are normally maintained under precise control by homeostatic mechanisms involving thirst, anti-diuretic hormone and the renal handling of filtered sodium. Hyponatremia occurs in a broad spectrum of patients who are asymptomatic or critically ill. Patients in whom the serum sodium concentration is greater than 130 mEq/L are usually asymptomatic, whereas those in whom these values are lower may have symptoms. Clinical symptoms vary from individual to individual. Majority of patients with hyponatremia are asymptomatic. Most patients with hyponatremia have non-specific symptoms or symptoms due to an underlying disease or disorder...
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18100006008 THESIS

TITLE: “ASSESSMENT OF LEFT VENTRICULAR FUNCTION IN ISCHEMIC STROKE INTRODUCTION: Heart disease is a major risk factor for stroke, ranking third after age and hypertension1.  Congestive Cardiac failure ranks second in cardiogenic stroke risk1 with a two to three fold relative risk1,2 Heart failure is a progressive and debilitating disease, is increasing in epidemic proportions and affecting both the developed and the developing world3,4. Heart failure is associated with shorter life expectency, increased frequency of hospitalization and poor quality of life, and is a major public health challenge even in India5-8. In order to reduce the complications of heart failure it is essential to diagnose and treat pre symptomatic left ventricular dysfunction (LVD).We focus on a new way to screen for asymptomatic LVD which is likely to be cost-effective. LVD is a treatable condition, which accounting for 8% of people aged 25–75 years, 12% of 45-75 years old. Of the 8%, 4% are asymptomatic9. Th...
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