PG Intern Attendance From 25.05.2020 to 30.05.2020
PG intern attendance for 25th May 2020
Dr A .Vaishnavi :
Case presentation: Atypical presentation of progressive Right hemiparesis ( lower limbs more than upper limbs) .
With ataxia and UMN type of slight facial palsy
Log Book link :
Offline 2-4 PM Discussion:
Cortical vs subcortical vs brain stem differentials
? Cervical cord lesions
Queries :
1. Sensitivity ,specificity of Rinnes and Weber's test
2- principle of PTA
3- hemiparesis - anatomical localisation and their presentations
4- isolated neuro bechets case reports to be shared by Dr Vaishnavi, Dr Sushmita, and the unit Interns
Link to the session video:
Dr: Ajith : Thesis presentation : association of serum Magnesium in T2 DM
Discussion around the aims, objectives, research question and study design and currently available patient data.
Dr.Manasa: Inputs on Rinnes and Weber's test
Dr Aditya - OPD
Dr Zain and Dr Vamshi on official leave.
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns
Roll no. 104-110 were unable to attend as due to psychiatry postings.
Unit 1 Interns:
116. Dr. Rakesh
122. Dr. Laasya
128. Dr. Sowmya
Unable to attend as they were in OPD.
105. Dr. Sneha was unable to attend due to posting in Dialysis unit.
123. Dr. Sambodhi was unable to attend due to AMC duty
111. Dr. Priyanka: noting down questions
114. Dr. Preethi- Differentials based on the MRI of today's case.
117. Dr. Aditya- Recording
119. Dr. Sai Bhargavi- Differentiate between cortical lesions and cerebellar lesions.
122. Dr. Laasya- Subtle Facial N. Palsy signs
124. Dr. Roshini- Earliest fibers involved in Diabetic Neuropathy
125. Dr rashi case related queries
126. Dr. Sivani- Tests of 8th Nerve with interpretations
128. Dr. Sowmya- Pure Tone Audiometry principle
121. Dr. Pranavi- Behçet's disease, signs and diagnosis
127. Dr. Ram Reddy- How to localize lesions above pons, and below pons
PG intern attendance for 26th May 2020
Dr Laxma :
Case presentation: 21/ M
Diabetic ketoacidosis in Type 1 DM since the age of 11 years
Queries :
1. Difference between HHS and DKA
2- Storage of Insulin
3- oral potassium vs IV potassium - when and what to start in DKA
Dr: Nikitha : Thesis presentation : assessment of 24hrs urine Sodium in newly diagnosed Hypertensives
Queries
1- studies on effect salt intake on Blood pressure
2- salt sensitive individuals - mechanism and gentic predisposition .
Dr.Manasa,Dr A vaishnavi - answered few questions .
Dr Rashmitha, Ajith , Vamshi - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha- verbal elog presentation.
Dr k Vaishnavi - ICU duties
Interns
Dr. Rashi : Recording
Dr. Bhargavi : pathophysiology of DKA
Dr. Mahendra : difference Human mixtard insulin vs Actrapid case related
Dr.Lasya : mechanism of tachycardia and tachypnea in DKA
Dr Sreeja: management of DKA
Dr Pranavi: Case related queries - Acute renal failure
Dr Priyanka : verbal elog presentation
R.Aditya(intern) and V.Priyanka(intern) were in the O.P, Sir.
Manisha Reddy: Roll no.104 to 110 are posted in psychiatry sir
Dr. Rakesh
Roshiny: Sir this is S.Roshini(intern)
Sambodhi, ICU duty sir.
PG intern attendance for 27th MAY 2020
Dr Zain :
Case presentation: 55/F with hypotension- Hypovolemic shock secondary to Acute Diarrhea
Old CVA
Queries :
1.indications for Bicarbonate supplementation
2- Hypotension with bradycardia - relative bradycardia ?
3- How does Renal failure cause acidosis
Dr vamshi : Thesis presentation : Acid base balance in acute dairrhoeal diseases
Queries
1- what is base excess
2-mechanism of metabolic acidosis in Diarrhea
- pending work
- Death case sheets from MRD
Dr.Vaishnavi- update on patient - symptomatic improvement after Methylprednisolone therapy.
query - Hypovolemia with hypotension
Dr Laxma , Aditya,Dr Ajith,Dr rashmitha- involved in discussion
Dr Radha, Nikitha - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns
Dr. Aditya : Recording
Dr. Sreeja : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr.Sambodhi intern : Base excess definition
Dr Bhargavi Intern: case related queries
Dr. Preethi- took patient for ophthal referral
Dr. Mahendra
Dr. Priyanka
PG intern attendance for 28th May 2020
Dr Rashmitha :
Case presentation: 15/M with Acute ascending paralysis -? AIDP
Queries :
1. Methyl prednisolone vs placebo in GBS
2- Toxins causing peripheral neuropathy
Lathyrism - peripheral nerves or spinal cord involvement
3- Natural history of AIDP
Dr Sushmita : Thesis presentation : assessment of serum uric acid in Diabetes mellitus and its association with cardiovascular complications
Queries
1- pathophysiology of Metabolic syndrome
2- pathophysiology of Assymptomatic uric acid rise in metabolic syndrome
3- relation between carbohydrate metabolism and uric acid pathways
4- How does uric acid cause CV complications
5 - BMI and uric acid relation ?
Dr.Manasa- Explained about Nerve conduction studies
Dr Vamshi ,Dr Ajith ,Dr A vaishnavi ,Dr Radha involved in discussion
Dr Sathish ,sufiya - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns
Dr. Rashi Intern : Recording
Dr. Mahendra : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr.Sreeja : Types of Gait
Dr sambodhi : Base excess explanation
Dr Priyanka: case related queries
Dr Rakesh: case related queries
S.Rashi, Bhargavi - was in the op
124. S.Roshini was in the in AMC sir
Sreeja Polishetty: Sreeja _nephro duty sir
Jashwitha: 104-110 psychiatry sir
Dr. Preethi- patient discharge summary
PG intern attendance for 29th May 2020
Dr Nikitha ,Dr Radha :
Case presentation
43 yr old male patient with c/o sob ,pedal edema since 1week and anuria since 3days.
HFpEF secondary to ?HCM
Queries:
1) Diagnostic criteria for HCM?
Dr.Manasa : Thesis presentation
“Causes , management and clinical outcome in patients with hyponatremia”
Queries:
1) cause of hyponatremia in ckd pts
2) diagnostic criteria for SIADH
3) what contributes to the urine osmolality ,will urinary Na suffice ?
4) clinical indicators to detect volume status?
Dr Aditya :
Raised doubts about use of lasix and inotropes in pts with shock
Dr Sufiya , Dr Ajith
Involved in discussion
Dr Vaishnavi, Dr sushmitha,Dr Praneeth - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns
Dr. Aditya : Recording
Dr. Mahendra : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr. Sreeja : Types of Gait
Dr. Priyanka: case related queries
Dr sambodhi : Base excess explanation
Dr Bhargavi Intern: case related queries
Dr Rashi intern - was in the AMC sir
104 to 110 are posted in psychiatry sir
Sivani intern -was in opd sir
Dr. Preethi: amc work
PG intern attendance for 30th May 2020
Dr Sathish ,Dr Sufiya:
1) Case of a 55yr old male with complaints of lower limb joint pains since 1yr and swelling of the left gluteal region since 2mnths associated with pain and pus points with discharge
Prov diagnosis: left gluteal abscess with cellulitis with intrinsic AKI
Queries:
1) Microbial coverage of vancomycin and is it superior over other antibiotics like clindamycin,augmentin for skin infections?
2) Side effects of vancomycin?
3) mechanism of sepsis induced aki
4) will resuscitation leads to hemodilution in pts with heamarrhagic shock ?
5) Is fall of hb associated with proportionate fall of pcv ?
Dr Zain : Thesis presentation
“ hematological abnormalities in chronic liver disease patients”
Queries:
1) mech of direct toxic effect of alcohol on other organs apart from liver?
2) will increase PT also result in delaying of clotting time?
Dr Aditya ,Dr Vamshi,Dr Vaishnavi involved in the discussion
Dr Laxma and Dr Manasa- OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
Interns
Dr Bhargavi
Dr Mahendra : recording
Dr soumya
Dr Lasya
Dr Rakesh
Dr Chandana
Dr Priyanka
Sir, Sambodhi here, I had to take one of our patients with thrombocytopenia for his test and get his smear reports.
Pranavi ( intern) in opd sir.
Rashi (intern) - was on amc duty and also gad gone to the it dept, for uploading the videos
Ram Reddy (intern) in opd sir
Aditya- Sir, I had gone to hyderabad to get NCV done for our 18year old quadriparesis patient.
Dr A .Vaishnavi :
Case presentation: Atypical presentation of progressive Right hemiparesis ( lower limbs more than upper limbs) .
With ataxia and UMN type of slight facial palsy
Log Book link :
Offline 2-4 PM Discussion:
Cortical vs subcortical vs brain stem differentials
? Cervical cord lesions
Queries :
1. Sensitivity ,specificity of Rinnes and Weber's test
2- principle of PTA
3- hemiparesis - anatomical localisation and their presentations
4- isolated neuro bechets case reports to be shared by Dr Vaishnavi, Dr Sushmita, and the unit Interns
Link to the session video:
Dr: Ajith : Thesis presentation : association of serum Magnesium in T2 DM
Discussion around the aims, objectives, research question and study design and currently available patient data.
Dr.Manasa: Inputs on Rinnes and Weber's test
Dr Aditya - OPD
Dr Zain and Dr Vamshi on official leave.
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns
Roll no. 104-110 were unable to attend as due to psychiatry postings.
Unit 1 Interns:
116. Dr. Rakesh
122. Dr. Laasya
128. Dr. Sowmya
Unable to attend as they were in OPD.
105. Dr. Sneha was unable to attend due to posting in Dialysis unit.
123. Dr. Sambodhi was unable to attend due to AMC duty
111. Dr. Priyanka: noting down questions
114. Dr. Preethi- Differentials based on the MRI of today's case.
117. Dr. Aditya- Recording
119. Dr. Sai Bhargavi- Differentiate between cortical lesions and cerebellar lesions.
122. Dr. Laasya- Subtle Facial N. Palsy signs
124. Dr. Roshini- Earliest fibers involved in Diabetic Neuropathy
125. Dr rashi case related queries
126. Dr. Sivani- Tests of 8th Nerve with interpretations
128. Dr. Sowmya- Pure Tone Audiometry principle
121. Dr. Pranavi- Behçet's disease, signs and diagnosis
127. Dr. Ram Reddy- How to localize lesions above pons, and below pons
PG intern attendance for 26th May 2020
Dr Laxma :
Case presentation: 21/ M
Diabetic ketoacidosis in Type 1 DM since the age of 11 years
Queries :
1. Difference between HHS and DKA
2- Storage of Insulin
3- oral potassium vs IV potassium - when and what to start in DKA
Dr: Nikitha : Thesis presentation : assessment of 24hrs urine Sodium in newly diagnosed Hypertensives
Queries
1- studies on effect salt intake on Blood pressure
2- salt sensitive individuals - mechanism and gentic predisposition .
Dr.Manasa,Dr A vaishnavi - answered few questions .
Dr Rashmitha, Ajith , Vamshi - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha- verbal elog presentation.
Dr k Vaishnavi - ICU duties
Interns
Dr. Rashi : Recording
Dr. Bhargavi : pathophysiology of DKA
Dr. Mahendra : difference Human mixtard insulin vs Actrapid case related
Dr.Lasya : mechanism of tachycardia and tachypnea in DKA
Dr Sreeja: management of DKA
Dr Pranavi: Case related queries - Acute renal failure
Dr Priyanka : verbal elog presentation
R.Aditya(intern) and V.Priyanka(intern) were in the O.P, Sir.
Manisha Reddy: Roll no.104 to 110 are posted in psychiatry sir
Dr. Rakesh
Roshiny: Sir this is S.Roshini(intern)
Sambodhi, ICU duty sir.
PG intern attendance for 27th MAY 2020
Dr Zain :
Case presentation: 55/F with hypotension- Hypovolemic shock secondary to Acute Diarrhea
Old CVA
Queries :
1.indications for Bicarbonate supplementation
2- Hypotension with bradycardia - relative bradycardia ?
3- How does Renal failure cause acidosis
Dr vamshi : Thesis presentation : Acid base balance in acute dairrhoeal diseases
Queries
1- what is base excess
2-mechanism of metabolic acidosis in Diarrhea
- pending work
- Death case sheets from MRD
Dr.Vaishnavi- update on patient - symptomatic improvement after Methylprednisolone therapy.
query - Hypovolemia with hypotension
Dr Laxma , Aditya,Dr Ajith,Dr rashmitha- involved in discussion
Dr Radha, Nikitha - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns
Dr. Aditya : Recording
Dr. Sreeja : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr.Sambodhi intern : Base excess definition
Dr Bhargavi Intern: case related queries
Dr. Preethi- took patient for ophthal referral
Dr. Mahendra
Dr. Priyanka
PG intern attendance for 28th May 2020
Dr Rashmitha :
Case presentation: 15/M with Acute ascending paralysis -? AIDP
Queries :
1. Methyl prednisolone vs placebo in GBS
2- Toxins causing peripheral neuropathy
Lathyrism - peripheral nerves or spinal cord involvement
3- Natural history of AIDP
Dr Sushmita : Thesis presentation : assessment of serum uric acid in Diabetes mellitus and its association with cardiovascular complications
Queries
1- pathophysiology of Metabolic syndrome
2- pathophysiology of Assymptomatic uric acid rise in metabolic syndrome
3- relation between carbohydrate metabolism and uric acid pathways
4- How does uric acid cause CV complications
5 - BMI and uric acid relation ?
Dr.Manasa- Explained about Nerve conduction studies
Dr Vamshi ,Dr Ajith ,Dr A vaishnavi ,Dr Radha involved in discussion
Dr Sathish ,sufiya - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns
Dr. Rashi Intern : Recording
Dr. Mahendra : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr.Sreeja : Types of Gait
Dr sambodhi : Base excess explanation
Dr Priyanka: case related queries
Dr Rakesh: case related queries
S.Rashi, Bhargavi - was in the op
124. S.Roshini was in the in AMC sir
Sreeja Polishetty: Sreeja _nephro duty sir
Jashwitha: 104-110 psychiatry sir
Dr. Preethi- patient discharge summary
PG intern attendance for 29th May 2020
Dr Nikitha ,Dr Radha :
Case presentation
43 yr old male patient with c/o sob ,pedal edema since 1week and anuria since 3days.
HFpEF secondary to ?HCM
Queries:
1) Diagnostic criteria for HCM?
Dr.Manasa : Thesis presentation
“Causes , management and clinical outcome in patients with hyponatremia”
Queries:
1) cause of hyponatremia in ckd pts
2) diagnostic criteria for SIADH
3) what contributes to the urine osmolality ,will urinary Na suffice ?
4) clinical indicators to detect volume status?
Dr Aditya :
Raised doubts about use of lasix and inotropes in pts with shock
Dr Sufiya , Dr Ajith
Involved in discussion
Dr Vaishnavi, Dr sushmitha,Dr Praneeth - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns
Dr. Aditya : Recording
Dr. Mahendra : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr. Sreeja : Types of Gait
Dr. Priyanka: case related queries
Dr sambodhi : Base excess explanation
Dr Bhargavi Intern: case related queries
Dr Rashi intern - was in the AMC sir
104 to 110 are posted in psychiatry sir
Sivani intern -was in opd sir
Dr. Preethi: amc work
PG intern attendance for 30th May 2020
Dr Sathish ,Dr Sufiya:
1) Case of a 55yr old male with complaints of lower limb joint pains since 1yr and swelling of the left gluteal region since 2mnths associated with pain and pus points with discharge
Prov diagnosis: left gluteal abscess with cellulitis with intrinsic AKI
Queries:
1) Microbial coverage of vancomycin and is it superior over other antibiotics like clindamycin,augmentin for skin infections?
2) Side effects of vancomycin?
3) mechanism of sepsis induced aki
4) will resuscitation leads to hemodilution in pts with heamarrhagic shock ?
5) Is fall of hb associated with proportionate fall of pcv ?
Dr Zain : Thesis presentation
“ hematological abnormalities in chronic liver disease patients”
Queries:
1) mech of direct toxic effect of alcohol on other organs apart from liver?
2) will increase PT also result in delaying of clotting time?
Dr Aditya ,Dr Vamshi,Dr Vaishnavi involved in the discussion
Dr Laxma and Dr Manasa- OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
Interns
Dr Bhargavi
Dr Mahendra : recording
Dr soumya
Dr Lasya
Dr Rakesh
Dr Chandana
Dr Priyanka
Sir, Sambodhi here, I had to take one of our patients with thrombocytopenia for his test and get his smear reports.
Pranavi ( intern) in opd sir.
Rashi (intern) - was on amc duty and also gad gone to the it dept, for uploading the videos
Ram Reddy (intern) in opd sir
Aditya- Sir, I had gone to hyderabad to get NCV done for our 18year old quadriparesis patient.
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