GM PG FINAL YEAR UNIVERSITY PRACTICAL EXAMINATION

Assessment of Haematological abnormalities in decompensated chronic liver disease. https://drive.google.com/file/d/12XMxwb15KzuxlSQP8B-wJEShr_BhMGmT/view?usp=drivesdk

Double lumen catheter placement in a 75/M for hemodialysis https://youtu.be/_UBMWl2Povc Ascitic tap of a patient with hepato renal syndrome https://youtu.be/wGaJQrs2Bd4 Lumbar puncture of 60 M with altered sensorium https://youtu.be/irPTk43BvKc   Pericardiocentesis in a 55 F with cardiac tamponade  https://youtu.be/4r9iaqPgGRs Pleural tapping in a suspected pulmonary TB patient https://youtube.com/shorts/QtRKRqwn26Y?feature=share Review 2D ECHO for a patient with pericardial effusion in a case of myxedema coma http://mahithguduri63.blogspot.com/2021/09/myxedema-coma.html Teaching an intern to place ryles in an intubated case Pleural tap for a patient with suspicion of Pulmonary TB Teaching an intern the procedure of ascitic tap https://youtu.be/_5r8Cuj8XQg

  1)INTERPRETATION OF PERICARDIAL FLUID ANALYSIS Use of light’s criteria in interpreting pericardial fluid is irrational as going by the study being provided here where in 30 patients with no pericardial disease undergoing CABG and Valve replacement surgery were analysed. The mean fluid LDH was 2.4times higher than sr LDH And mean fluid protein 0.6 times lower than Sr protein. The avg leucocyte count was found to be more than 1400… In the application of light’s criteria these might have been labelled as exudative causes. Hence light’s criteria has poor diagnostic value for pericardial fluid 1) CRITICAL APPRAISAL OF COVID 19 Treatment Drugs and Interventions Discussion of RECOVERY trial, ACTT-1 trial and COVACTA trial. 2)  ACCURACY OF ACTH STIMULATION IN DIAGNOSING ADRENAL INSUFFICIENCY 102 patients included in the study Out of which 66 patients showed a normal response to ACTH stimulation, with peak cortisol levels greater than 500 nmol/L (18 µg/dL). We considered them as resp...

 LONG CASE : 50 year old male, working as a mason for past 25 years, who is staying away from his family to fetch a livelihood  started to experience detoriation in his health from past 5 months, where in patient developed fever, which is continuous, aggravating in evenings  associated with chills and relieved with night sweats. Patient also started having complaints of cough, which was characteristically exhaustive to the tune that patient some times use to gasp for breath. Cough is productive with copious amount and mucoid consistency. Patient use to take symptomatic medications untill he had come for his daughters marriage 2 months back, after which the family members took him to hospital where he was treated with IV Antibiotics symptoms subsided only to recur with in a span of one to two weeks.  The attenders observed  there was a marked decrease in appetite with comprehensive reduction in carbohydrate & protein content of his diet which was differing fr...