ACADEMIC SKILLS DURING MY RESIDENCY

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DAYS IN NEPHROLOGY

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My day started on 9th May 2020 with Morning rounds of my patients in Nephrology ward with my intern. At around 11am , A Patient presented to the casualty, A 60 year old man, Farmer from a local village, Occasional Alcoholic since 25 years and Chronic Beedi Smoker since 25 years, who was diagnosed to be hypertensive and diabetic 6 months back.  He apparently had no medical issues until an year back when he started getting breathless on walking for a few miles and he gradually started experiencing breathlessness even on rest, on & off though he had no complains of associated chest pain, palpitations, nausea, vomitings or associated giddiness. One fine morning, before he started for work he observed his feet were swollen upto his ankles for which he decided not to consult a doctor and managed by resting for a few days. Over the next few days the swelling in his feet gradually progressed up to his thighs and it alarmed him when he had developed facial puffiness. He also sta...
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Brain Stem Strokes

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BRAIN STEM STROKES: Here's a brief discussion regarding the Ventral Midbrain Syndromes which I've gone through on 9th & 10th of May. Will update regarding the other syndromes in my further posts. The posterior surface of midbrain has a Tectum portion & a Tegmental portion. The Tectum portion consists of Corpora Quadrigemina & 4th cranial nerve where as the Tegmental portion comprises of Floor of the 4th ventricle, Median Sulcus, Facial colliculus & Sulcus Limitans.  Three important Ventral Midbrain Syndromes are  : 1) Weber syndrome 2) Claude syndrome 3) Benedikt syndrome These occur due to the involvement of P1 segment of Posterior cerebral artery.  Posterior Cerebral Artery is divided into P1 & P2 segment ( proximal & distal to Posterior communication artery)  1) Weber Syndrome:   The lesion is at the level of crus cerebri, here you can see the location of the cor...
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Clinical Problem Solving 2022

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We had our Medicine CME on ' Clinical Problem Solving' held on the 25th of January 2022. http://medicinedepartment.blogspot.com/2021/12/medicine-conference-on-theme-clinical.html?m=1 https://medicinedepartment.blogspot.com/2022/01/revised-conference-schedule-2022.html?m=1 The previous day I had an amazing time with all my medicine colleagues, juniors and our HOD Dr. Rakesh Biswas rehearsing for our big day and also  making the necessary arrangements for our CME with the help of  our administration PG Dr. Aparanjhi who helped us with rangoli with our logo of Clinical Problem Solving.  The aim of our CME was mainly to  help our undergraduate students, our interns  understand not only the basics of all the topics discussed but also how sometimes it becomes difficult to come to a diagnosis and the complexities we deal with while managing a patient and how to a...
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