GM PG FINAL YEAR UNIVERSITY PRACTICAL EXAMINATION

  Central line -IJV https://youtu.be/EJlsjUL8nMc Lumbar puncture https://youtu.be/qaG8hs-rlhA Menezes technique for lung biopsy https://youtu.be/yIfqr9gjOps

1) CLINICAL MEET: A case of 18/F with metabolic acidosis and hypokalemia   http://akshithakasani81.blogspot.com/2021/09/general-medicine-case-discussions_21.html Timeline of events and brief discussion of pathophysiology around it detailed below. Slide 1-3, illustrate the timeline of events  She had symptoms of urinary urgency, frequency, stress incontinence , and was diagnosed as GUTB by biopsy  Slide 2: IV pyelography or IV urography which shows no enhancement on the right side suggesting a non functioning kidney on the right. Bladder:contracted also called thimble bladder ,  TB frequently involves the GUT(genito urinary tract)-2nd most extra pulmonary involvement Kidney>bladder>fallopian tube>scrotum ATT regimen is same as for newly detected sputum positive -6months(2+4) Slide 4: 3 ABG's at three different scenarios in her Dec'20: 1 month post surgery followup April:1st presentation with quadriparesis thought to be GB , corrected with potassium replacemen...

LONG CASE: 29/F ,homemaker  , unmarried, hailing from chityal, who completed her bsc botany came with complaints of  lethargy ,since 6 months. History of presenting illness:  patient was apparently asymptomatic 6 months back , when she  started developing pedal edema on and off upto ankle, subsided on taking rest and elevating limbs, easy fatiguability on doing daily chores like cooking, cleaning the house. not associated with ,chest pain, shortness of breath, giddiness,loss of appetite,weight loss. past history: 12 years back , one afternoon during bathing she suddenly couldnt talk,or move her right upper and lowerlimb,with deviation of angle of mouth to the left ,upon which she made sounds , her mother who was nearby came to her aid ,and she was taken to hospital in nalgonda within an hour,and referred to gandhi hospital where she was admitted for 20 days,during which her speech returned and she was able to lift her right upperlimb and walk without support, but sti...