Online learning portfolio

Health camp at nearby village to raise awareness of early diagnosis of kidney disease 19/10/21   Helped in enrolling a 45/ F with cervical myelopathy secondary to papillary thyroid CA planned for radiotherapy at MNJ cancer hospital hyderabad. 20/9/21 Health camp at village for awareness of infectious diseases.  26/09/21 Health camp for employees of Fertilisers factory 2/02/2021 Did a fund raiser to get important investigations done for destitute patients ACTH levels in a case of ?APS MRI Brain in a case of L Hemiparesis Got NCS done for a patient with ?Muscular dystrophy after convincing the hospital management to give a waiver.   https://18100006009.blogspot.com/2021/08/38m-with-weakness.html?m=1

  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 pul 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 ryle’s 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 responders ...

  14 YR MALE PRESENTED WITH HISTORY OF PASSING BLOOD IN STOOLS AND URINE FOR 2 DAYS (2 EPISODES) CHIEF C/O  LETHARGY FROM 1 WEEK 14 /M BORN OUT OF CONSANGINOUS MARRIAGE , 4TH CHILD TO HIS PARENTS, 3 ELDER SIBLINGS, 2 SISTERS AND 1 BROTHER CONGENITAL DOWNS SYNDROME PT WAS A/A 6 YRS BACK WHEN HE DEVELOPED SUDDEN GENERALISED WEAKNESS AND WAS TAKEN TO A HOSPITAL IN AN ALTERED MENTAL STATE ,FOUND TO HAVE HYPERGLYCEMIA(?DKA). PT WAS EVALUATED AND FOUND TO HAVE TYPE 1 DM AND WAS ADVISED INSULIN SINCE THEN 3 YRS BACK PT AGAIN DEVELOPED SIMILAR COMPLAINTS FOR WHICH INSULIN DOSE WAS INCREASED , 1 MONTH BACK DEVELOPED SUDDEN INVOLUNTARY MOVEMENTS IN HANDS AND FEET , FOUND TO HAVE HYPOGLYCEMIA PT ALSO FOUND TO HAVE LOW HB,WBC,RBC,PLT(?PANCYTOPENIA) PT WAS MANAGED CONSERVATIVELY AND DISCHARGED AFTWER WHICH HE DEVELOPED CURRENT SYMPTOMS WITH IN 2 DAYS PAST HISTORY: K/C/O DM SINCE 6 YRS NO H/O HTN,ASTHMA,TB PERSONAL HISTORY: APPETITE REDUCED FROM PAST 2 MONTHS MIXED DIET REGULAR BOWEL AND BL...