Days of life in medicine

 A 27 year old woman presented to our OPD with the complaints of  Fissured tongue since 6 months Angular chelitis since 6 months  Loss of appetite since 6 months  Weight loss over 6 months  She first reported to our outpatient unit with  oral ulcerations, tongue fissures , angular chelitis  since the past 6 months. She also reported  loss of weight of around 10 kgs over the last 6 month along with low grade intermittent fever over the past few months. The following month, she again presented with the complaints of bilateral non tender cervical lymphadenopathy. She reported that these cervical swellings would intermittently subside by itself.  She however had no complaints of cough, night sweats, eczema, joint pains.  On examination: Thin built woman Pulse Rate - 70bpm Blood Pressure - 110/70mmhg Respiratory Rate - 20 cycles per minute Temperature - 98.6 F GRBS - 100mg/dl Weight - 34kgs Height - 150cms Pallor + Lymph Node examination: Palpable submental, submandi

A 55 year old man presented on the 13th of February, 2022 with the complains of  Bilateral lower limb edema since 6 months Reduced urine output since 1 week  Dyspnea since 2 days  He works as tractor driver in a local village nearby. He got married 30 years back. His wife works as a daily wage labourer. He has two children, his son works as a tractor driver, he also  sometimes helps his mother with her work and his daughter is married. According to his wife,  they earn enough to provide the family's daily needs. He regularly consumes alcohol and also is a tobacco chewer since the past 20 years. According to his son, he consumes around 90ml of whiskey twice a week along with occasional tordy consumption. Since the past 2 years he apparently has been experiencing bilateral knee joint pain for which he has been consuming NSAIDs regularly. 6 months back, they first noticed him have bilateral lower limbs swelling upto his ankles which eventually resolved on its own. He however kept deve

Everyday Medicine Department Academic Sessions - January, February 2022    Jan 2022 January 1st/2022 https://ajithkumar9600.blogspot.com/   Attended by Dr.Aashitha pg y 3 Dr.Durga Krishna pg y 2 Dr.Vinay pg y 2 Dr.Ajith pg y3 Jan 2 -Sunday Jan 3 THEORY TOPIC-SLE 36year old female with multiple joint pains,oral ulcers PATIENT CONTEXT http://poreddyjahnavi128.blogspot.com/2022/01/36year-old-female-with-joint-pains.html   Attended by Dr.V.chandana pg Y2 Dr.Aashitha Pg y3 Dr.Vinay pg y 2 Jan 4 SEMINAR TOPIC  : Anorexia 50 year male with chronic loss of appetite PATIENT CONTEXT:   https://muskaanmenghwani.blogspot.com/2022/01/a-50-year-old-male-with-loss-of-appetite.html?m=1 https://youtu.be/W8Cz0uzGVkI    Attended by  Dr.V.chandana pg y 2 Dr.Aashitha pg y3 Dr.Vinay pg y 2 Jan 5 Journal club TOPIC-Antiplatelets vs placebo in prophylactic management of stroke  REFERENCE Link : https://www.ahajournals.org/doi/full/10.1161/strokeaha.107.497271 PATIENT CONTEXT:  http://anushachowdaryshivakoti15

Ward Residents: Dr. Nikitha Dr. Aashita Ward Interns: Dr. Rapole Krishna Dr  Lokesh  Dr. Vikyat Dr. Sanjay Dr. Nivrutha Dr. Kowshik 15/2-11-1: discussion on icmr project integration  Topic: dental flurosis in ckd CECT of 33/M Also 27 year old man with type 2 respiratory failure https://abhinavyarragunta.blogspot.com/2022/02/this-is-online-e-log-book-to-discuss.html 2 to 4pm: Discussion on all the admitted medicine ICU, AMC  and ward cases and updates 16/2/2022 11 to 1: Discussion on our ICU patient, 70 year old woman with Right neck of femur fracture, Prerenal AKI, and adynamic intestinal obstruction  http://tejaswini166.blogspot.com/2022/02/cbble-udhc-similar-cases.html Also discussion on examination of the gastrointestinal tract 2 to 4: Guest lecture on smart phone and psychiatry 17/2/2022 11 to 1pm: Discussion on transient psychotic disorder  And cervical spondylitis  http://laharivanama30.blogspot.com/2022/02/70yr-old-female-with-decreased-sensorium.htmlhttp

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 approach them, be