18100006010 LOG BOOK

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 biopsy ct guided , which showed features suggestive of non hodgkins lymphoma.  

Comments

Post a Comment

Popular posts from this blog

PG FINAL YEAR (2K18-21 BATCH) UNIVERSITY PRACTICAL EXAMS - DEPARTMENT OF GENERAL MEDICINE

PG FINAL YEAR (2K18-21 BATCH) UNIVERSITY PRACTICAL EXAMS DEPARTMENT OF GENERAL MEDICINE     S. NO HALLTICKET NO BLOG LINKS  CASE PRESENTATION   VIDEO LINKS  1 18100006001 CASES https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006001-case-presentations.html THESIS https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006001-thesis.html ACADEMIC PRESENTATIONS https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006001-academic-presentations.html https://youtu.be/mU4Lmxe5Vm4   2 18100006002 CASES https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006002-case-presentations.html THESIS https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006002-thesis.html https://youtu.be/vNGnqECBv40 3 18100006003 CASES htt
Read more

18100006003 CASE PRESENTATIONS

Image
LONG CASE: A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. Present Illness An agile stonemason, the patient reported that this symptom first started suddenly 3 days ago, at night, when he noticed he started feeling facial puffiness with pedal edema. The next morning, while brushing his teeth, the patient noticed he had facial puffiness, in the mirror. At the same time, he also noticed that he developed bilaterally symmetric, pitting type pedal edema, extending upto the middle of his legs. He immediately presented to the hospital with these complaints.  On interviewing the patient further, he denied having breathlessness, palpitations or chest pain. He reported frothing of urine but no haematuria. He also reported gradually decreasing urine output over the past 3 days. He did not have pain during micturition, no pus or any other abnormal discharge (casts) in urine. He did not have any history of vomiting or diarrhea, no
Read more

18100006005 THESIS

Image
TITLE:  “ ESTIMATED GLOMERULAR FILTRATION RATE AS A MARKER FOR EARLY DETECTION OF CHRONIC KIDNEY DISEASE IN TYPE 2 DIABETES MELLITUS”   INTRODUCTION: Diabetes is major health issue that has reached alarming levels ,today nearly half billion people are living with diabetes worldwide.  DEFINITION:  Diabetes is chronic condition that occurs when there are raised levels of glucose in blood either because of decreased insulin secretion (Type 1) or resistance to insulin action (Type 2) or combination of both.  Table- 1 Modified diagnostic criteria for diabetes  The World Health Organization estimated that there were 463 million diabetics in 2019 and this number would increase to 578 million by the year 2030 and 700 million by 2045. India leads the world with largest number of diabetic subjects earning the dubious distinction of being termed the “Diabetes capital of the world”. (1)    According to the Diabetes Atlas 2017 published by the International Diabetes Federation, the number of people
Read more