It begins with attendance for 15th May 2020
Dr Satish: OpD Case presented in short
Dr Sufia: OPD case
Dr Radha: IPD case of delirium tremens
Dr Nikita: IPd case
Dr Zain: IPD case follow up
Final year PGs last day session video here:
Pulmonary hypertension theory pedagogy Dr Siphora
Organo phosphorus poisoning pedagogy viva Dr Rama Devi
Wilson's disease pedagogy Dr Deepak
Insulinoma pedagogy by Dr Vinuthna
Multiple myeloma discussion Dr Ramesh
Dr Anvesh dementia pedagogy and discussion by Dr Rajesh Komatla
Leptospirosis pedagogy Dr Keerthi
Complement pathway pedagogy Dr Sandeep
Interns
Dr Nikhil: IPD case of alcoholic cirrhosis
Dr Advytha: Recording
Dr Madhuri: Recording
Dr Vaishnavi: Recording
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Dr Rajesh Komatla: Queries and feedback for students
Other Interns and PGs attendance and activities unknown for the day.
Other PGs and interns please share your activities here as it may be useful for the completion certificate in future.
Attendance for 16th May 2020
Dr Satish: OpD Case presented in short along with a journal club meta-analysis on aspirin primary prevention trials
Dr Sufia: Extensive lecture on Sarcoidosis
Planned for her posting the lecture video to schoology final mbbs online learning platform in coordination with Roja ma'am.
Interns
Dr Nikhil: Case presentation
Dr Madhuri: Recording
Dr Vaishnavi: Recording
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Dr Rajesh Komatla: Queries and feedback for students
Dr Roja: Queries and feedback to students
Other PGs and interns please share your activities here as it may be useful for the completion certificate in future.
Attendance for 18th May 2020
Dr Satish:
1) Query
2) Pending RCT presentation of aspirin vs placebo secondary prevention trials
Dr Sufia: portal hypertension in Sarcoidosis
Planned for her posting the lecture video to schoology final mbbs online learning platform in coordination with Roja ma'am.
Dr Praneet: Lecture on portal hypertension
Dr Radha: Query on blast crisis in CML
Dr A Vaishnavi: Efficacy of imatinib, one RCT in 2003, many pending queries on diagnosis and treatment
Session video here https://youtu.be/7tTarrUE dlA
Dr Sushmita: Patient of CML, many pending queries regarding diagnosis and treatment
Session video here https://youtu.be/tD83lIRc G9g
Manasa: Myopathy Case follow up, planned ribose trial
Dr Vamshi: Thesis case data presentation pending
Interns
Dr Nikhil: differentials
Dr Madhuri: Recording
Dr Vaishnavi: Recording
Dr Intern: Recording
Dr Intern: Managing PPT
Dr Hitesh:
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Other PGs and interns please share your activities here as it may be useful for the completion certificate in future.
Attendance for 19th May 2020
Dr Divya chaitanya:
1) Case of Acute Diarrhea and suspecting pulmonary Tuberculosis in Reterovirus disease: 45 yr old male patient with Persistant diarrhoea with ? Pulmonary TB in RVD patient
Intern log of patient record: https://raveena27. blogspot.com/2020/05/medicine- may-17-2020-hello.html?m=1
1) Queries in history taking
2)INH in prophylaxis of TB (any recent guidelines)?
Session video here https://youtu.be/U0fg7Hsu PmI
Dr Manasa :Nerve conduction studies. Discussion about latency amplitude and conduction velocity
Dr Radha: Thesis presentation - Carotid intimal medial thickness and glomerular filtration in CKD
Queries : Primary prevention with statins and antiplatelets in High Risk patients
Is Carotid intimal thickness directly proportional to increased Risk of MI/ stroke ?
Dr Aditya : queries on Thesis presentation
Dr Vamshi: Thesis case data presentation pending
Dr .Vaishnavi : answered few theory based questions
Dr Rashmitha, Dr ajith, Dr .Vamshi - OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty but present in 2-4 session
Interns
Dr Nikhil: queries on drug induced Diarrhea
Dr Raveena : Recording
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Dr Roja - inputs on case and thesis presentation
PGs and Interns who were absent in the 2-4 session, share your reason for absence here .
Attendance for 20th May 2020
Dr Aditya:
1) Case of a 30yr old male with low IQ ..complaining of sob,pedal edema n pounding palpitations ,on general examination patient had loss of hair over face,chest and axilla (?testicular failure) with difficulty in walking and had a waddling type of gait..possibly genetically inherited disorder
Queries:
1) Mechanism of dyspnoea? role of J receptors
2) Tanners staging?
Session video https://youtu.be/2GJicww _JJg
Dr sufiya : Thesis presentation-
“significance of serum pseudocholinesterase levels in op compound poisoning in the outcome of a patient”
Queries :
1) Does the PCE levels aid in diagnosis ?
2) Types of op compounds and its efficacy as an insecticide?
Dr sathish :
summarised the case and discussed on differentials possible
Dr Vamshi: Thesis case data presentation pending
Dr Radha ,Dr Nikitha - OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
Interns
Dr Nikhil: queries on case presentation
Dr Raveena : Recording
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Dr Rajesh - inputs on case presentation
Dr Roja - inputs on case and thesis presentation
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
Attendance for 21st May 2020
Dr Ajith :
Case presentation: Right side hemiparesis with Global aphasia
Queries :
1.Arrangement of fibres in Internal capsule
2. Blood supply of internal capsule
3. Difference between mutism and Aphasia
4. Plantar reflex a nociceptor refelx ?
Pending : 2D echo video
Dr .Vamshi : Evidence based medicine - statins vs placebo in secondary prevention of stroke - RCT
Dr. Praneeth : Thesis presentation-
Clinical features, management and outcomes in snake bite
Pending work - to show the case sheets of Dead patients from MRD .
Dr Aditya : raised
Queries - plantar reflex a nociceptor reflex ? .
Difference between aphasia and mutism
GCS
Dr . Manasa,Dr.laxma ,Dr.Radha involved in discussion
Dr A.Vaishnavi and Dr.Rashmitha: to share arrangement of fibres in Internal capsule
Dr satish ,Dr sufiya - OPD
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Interns End posting exam being conducted on few interns
Dr Nikhil:clinical features of 3rd nerve palsy .
Dr Raveena : hemiparesis vs parapersis
Dr.Aziz : pontine infarct features and cranial nerve involvement
Dr.madhuri : Facial palsy
Dr .vaishnavi : posterior cerebellar artery infarct features
Dr. Intern :
Dr. Nagashiva : recording
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Dr Roja - inputs on case and thesis presentation
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
Attendance for 22nd May 2020
Dr Nikitha:
1) Case of a 55 female with c/o sob and pedal edema since 10days.
Possibly heart failure rEF with severe PAH
Queries:
1) Modalities for valve replacement therapy
Dr Laxma: Thesis presentation-
“eGFR to detect early CKD changes in diabetics”
Queries:
1) Use of ARBs in reducing proteinuria and its efficacy.
2) pathogenesis of diabetic nephropathy
Dr Sufiya :
Short case presentation of75 yr old female with SOB and pedal edema
possibly heart failure with left lower lobe pneumonia
Dr Vamshi: Thesis case data presentation pending
Dr Vaishnavi, Dr Praneeth - OPD duty
Dr Aashitha ,Dr Natasha - Nephrology duty
Dr Usha, Dr k Vaishnavi - ICU duties
Dr Aravind - casualty duty
Interns
Dr Nikhil: queries on case presentation
Dr Raveena : Recording
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Dr Rajesh - inputs on case presentation
Dr Roja - inputs on case and thesis presentation
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
Attendance for 23rd May 2020Dr Sufiya: case presentation of a 24 year old man who came with complaints of difficultly in walking since 10days with history of fever on and off episodes with dry cough since 5mnths.prov diagnosis: acute paraparesis with distal weakness with sensory deficitQueries:1) signs of demyelination and localisation of lesion2) incidence of B12 def despite blood reports being normal3)how to differentiate between different types of neuropathiesDiscussion about plan of action and localisationDr Aditya: Thesis presentation-“Early diastolic dysfunction in patients with diabetes “Dr Radha:demonstrated an RCT on use of inhalational furosemide in patients with heart failure and its mechanismDr Vamshi and Dr Ajith presented their yesterday's logs verballyDr Laxma and Dr Manasa- OPD dutyDr Aashitha ,Dr Natasha - Nephrology dutyDr Usha, Dr k Vaishnavi - ICU dutiesDr Aravind - casualty dutyInternsRoll no. 104-110 were in psychiatry postings and unable to attend the 2-4 sessionFollowing were the questions raised during the learning session and questions assigned to the interns to be sought under the guidance of their respective unit PGs:111. Dr. Priyanka- UMN vs. LMN112. Dr. Chandana- monosynaptic vs polysynaptic reflexes113. Dr. Sai Mahendra- neuropathy vs. Myopathy114. Dr. Preethi- anemia in chronic inflammatory diseases116. Dr. Rakesh Kumar- difference between superficial and deep reflexes and their pathways117. Dr. Aditya-Which Nerve fibers carry fine touch sensation and pain sensation, what is dissociative anesthesia?119. Dr. Sai Bhargavi122. Dr. Laasya123. Dr. Sambodhi124. Dr. Roshini125. Dr. Rashi126. Dr. Sivani128. Dr. Sowmyawere all present in the discussion and will be assigned questions from the next discussion109. Dr. Manisha115. Dr. Sandeep121. Dr. Pranavi127. Dr. Ram ReddyAre of Unit 6 and could not attend as they were in OPD.Faculty present:Prof Kanni: feedback to presentersDr Roja - inputs on case and thesis presentation
"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
Dr. Aditya Intern : Recording
Dr. Priyanka Intern : difference btw UMN and LMN lesions
Dr. Preethi, Dr j
Jeshwitha : case related queries
Dr.intern : Rinnes ,Weber's test
Dr intern : case related Queries
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Dr Rajesh- inputs on case presentation
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
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""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. Intern : Recording
Dr. Intern : pathophysiology of DKA
Dr. Intern : difference Human mixtard insulin vs Actrapid case related
Dr.intern : mechanism of tachycardia and tachypnea in DKA
Dr Intern: management of DKA
Dr Intern: Case related queries - Acute renal failure
Dr intern : verbal elog presentation
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
Dr Roja - inputs on Thesis presentation
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
""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. Intern : Recording
Dr. Intern : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr.intern : Base excess definition
Dr Intern: case related queries
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
""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. Intern : Recording
Dr. Intern : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr.intern : Types of Gait
Dr sambhodi : Base excess explanation
Dr Intern: case related queries
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
S.Rashi - was in the op
Sreeja _nephro duty
S.Roshini was in the in AMC
104-110 psychiatry
""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 ?HOCM
Queries:
1) Diagnostic criteria for HOCM?
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 osmolarity ,will urinary Na suffice ?
4) clinical indicators to detect volumr 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. Intern : Recording
Dr. Intern : summary of case presentation
Dr. Pranavi: Answered queries regarding case presentation
Dr.intern : Types of Gait
Dr sambhodi : Base excess explanation
Dr Intern: case related queries
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to presenters
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
Rashi intern - was in the AMC
Sivani intern -was in opd
104 to 110 are posted in psychiatry
""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
Other PGs and interns participation or activity unknown.
Faculty present:
Prof Kanni: feedback to the presenters
PGs and Interns who were absent in the 2-4 session, share your reason for absence here."
[5/31, 8:13 AM] Sambodhi KIMS: Sir, Sambodhi here, I had to take one of our patients with thrombocytopenia for his test and get his smear reports.
[5/31, 8:15 AM] +91 95536 39949: Pranavi ( intern) in opd sir.
[5/31, 8:27 AM] Rashi Kims 2016 Intern: Rashi (intern) - was on amc duty and also gad gone to the it dept, for uploading the videos
[5/31, 8:30 AM] Ram Reddy (intern) in opd
[5/31, 10:12 AM] Aditya Rahilla Kims 2015: Sir, I had gone to hyderabad to get NCV done for our 18year old quadriparesis patient. -Aditya (intern)
[5/31, 8:04 PM]: Dr Laxma, Dr Sathish, Dr Vamshi :
involved in the discussion
Dr Aravind : casualty duty
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