This is a regular academic session log for the post graduate residency training program comprising currently of residents of 2019 and 2020 batch. 
The training program comprises of a regular hands on learning of clinical decision making during the bedside rounds from 10 AM to 1:00 PM as well as 2-4 sessions officially divided daily into:
Theory on Monday, 
Seminar on Tuesday, 
Journal club on Wednesday, 
Tutorial on Thursday 
Group discussion on Friday 
Log Book audit on Saturday 
These are blended learning sessions with both online and offline components and while the offline learning timings are as mentioned above, the online component of the learning continues 24x7.
1st October 
Friday 
Group Discussion 
Topic : Pancytopenia 
2nd October 
Saturday 
Gandhi Jayanti holiday 
3rd October 
Sunday 
4th October 
Monday 
Theory 
Fever and Altered sensorium 
Presenter Dr Rashmita 
Attendees Other PGs 
5th October 2021
Tuesday 
clinical seminar 2-4 PM 
Presenter Dr Rashmita 
Cerebral osmotic demyelination syndrome
Context : ICU bed 1
Attended by 
Dr Vamsi 
UGs 2018, 2017 batches
6th October 2021
Wednesday 
Journal club 2-4 PM 
Presenter Dr KV
Context : AMC bed 1 link :https://vamsikrishna1996. blogspot.com/2020/12/supraja- medicine-elog-nephrology-case. html?m=1
Attended and signed by :
Dr Vamsi 
Dr Rashmita 
Other PGs 
UGs 2018 batch
7th October 2021
Thursday 
Tutorial 2-4 PM 
CNS diagnosis and treatment 
Presenter Dr AV
Link:
Context : A young man with visual blurring, band like sensation and motor paralytic bladder 
Attended and signed by :
Dr DK
Dr Ajit 
Dr Zain 
Dr Divya 
Dr Rashmita 
Other PGs 
UGs 2018 batch
8th October 2021
Friday 
Group discussion 2-4 PM 
Bone marrow failure sepsis 
Presenter: Dr DK, Dr Sushmita, Dr Rashmita 
Link:
Context : A middle aged woman with bicytopenia and sudden severe leucopenia and terminal sepsis 
Attended and signed by :
Dr Ajit 
Dr Zain 
Dr Divya 
Dr Rashmita 
Dr AV 
Dr Usha 
Dr Vamsi 
Other PGs 
UGs 2018 batch
9th October 2021
Saturday 
Log Book evaluation :
Review of Dr Zain's revised log book after the inputs provided on September :
Dr Zain has prepared a fresh log book documenting his non verbal and verbal workflow better than previously here : (link) 
10th October 2021 Sunday 
11th October 2021
Monday Theory 
Chronic hemolytic anemias and 
Diagnosis and Management of chronic biliary stricture 
Context link : https://elogformedicalcase. blogspot.com/2021/10/ homozygousthalassemia-e- female-with.html?m=1
12th October 2021
Tuesday 
Clinical seminar 
Cardiac arrhythmias particularly Multifocal atrial tachycardia 
Link to context : 
13th October 2021
Wednesday 
Journal club : Efficacy of steroids in Covid 19
Presenter Dr Zain 
Link to presentation :
14th October 2021
Thursday 
Tutorial : CNS examination findings and neuroanatomical localization of stroke 
15th October 2021
Friday 
Academic holiday due to Dussehra
16th October 2021
Saturday 
Log Book evaluation :
Dr Raveen's, Dr Vamsi's  and Dr Karnati Vaishnavi's log book answers to May 2021 online assignment compared and critically appraised. 
Learning points from the appraisal : To be shared by Dr Nikita and Dr Vamsi. 
18th October 2021
Monday 
Theory of CNS localization with particular reference to hemiparesis 
Links to context :
Context :
19th October 2021
Tuesday 
Clinical seminar : Approach to diagnosis and management of heart failure 
Context :
20th October 2021
Wednesday 
Journal club : 
Context 
As per the journal club "The gold standard test for the serologic diagnosis of scrub typhus is the indirect immunofluorescence assay (IFA)" and the ICT test done here in this patient's context from Nalgonda is barely comparable.
21st October 2021
Thursday :
Tutorial : Diagnosis of brain death 
Context :
22nd October 2021
Friday:
Group discussion : Approach to pleural effusion management 
Context :
23rd October 2021
Saturday :
Log Book Dr Raveen's May 2021 online assignment along with answers by other present PGs such as Dr Karnati , Dr Zain and Dr Vamsi  
24th October 2021 
Sunday
25th October 2021
Monday 
Theory: PUO 
26th October 2021
Tuesday 
Clinical seminar : 
27th October 2021
Wednesday 
Journal club : 
- Reis G
 - dos Santos Moreira-Silva EA
 - Medeiros-Silva DC
 - et al.
 
Effect of early treatment with fluvoxamine on risk of emergency care and hospitalisation among patients with COVID-19: the TOGETHER randomised, platform clinical trial.
Lancet Glob Health. 2021; (published online Oct 27.)main study limitations are related to the lack of event adjudication and to the inconclusive effects on patient-important outcomes such as hospitalisation and mortality. https://www. thelancet.com/journals/langlo/ article/PIIS2214-109X(21) 00501-5/fulltext
Our take : 
 PICO 
"P" outpatients with laboratory-documented SARS-CoV-2
"I" Fluvoxamine (n=741) 
"C" placebo (n=756)
"O" the fluvoxamine group 79 (11%) participants had a primary outcome event compared with 119 (16%) in the placebo group (table 2). Most events (87%) were hospitalisations.
the minor differences between hospitalization could be the anxiolytic effect of fluvoxamine. 
28th October 2021
Thursday 
Tutorial: Hypokalemic periodic paralysis 
Context: 
2017:
2016:
29th October 2021
Friday :
Group discussion : Cirrhosis portal vein thrombosis and budd chiari syndrome 
Context : 
30th October 2021
Saturday :
Log Book : Online assignment and monthly reflective experiences for 
August 2021--Chandana 
May 2021--Vamsi 
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