Chandana vishwanatham

We, from the Department of General Medicine, at Kamineni Institute of Medical Sciences made high-quality research our top priority. Research within the field of General Medicine is crucial for advancing medical knowledge, improving patient outcomes, and implementing evidence-based medicine in practice. In our department, several research projects are currently underway, addressing a wide range of clinical issues. However, the effectiveness and efficiency of ongoing research projects can be significantly influenced by organizational and procedural frameworks within a department. Despite the commitment to high-quality research, various challenges have been identified that may hinder the successful completion and impact of these projects. The main challenge was insufficient research knowledge among post-graduates conducting the research. Their research needs improvements in terms of organizing the collected data and defining objectives and methodology to initiate with. Further improvement

1/5/2024 Admissions under unit -1 1. A 47-year-old male, known to be diabetic, presented with fever, severe weight loss, and loss of appetite for one month. He has a previous history of pulmonary tuberculosis seven years ago, for which he underwent Anti-Tuberculosis Treatment (ATT) for six months. He also reported experiencing loose stools for the past ten days. Additionally, he complained of passing small amounts of stools during urination and weakness in all four limbs. Physical examination revealed normal vital signs, bronchovesicular breath sounds in both lung apices, and a non-tender soft abdomen. The neurological examination was found to be normal. He had received treatment at other hospitals with antibiotics, but there was no improvement in the fever which persisted. The differential diagnoses considered included reactivation of pulmonary tuberculosis and Pott's spine (suggested by weakness and fecal incontinence). Further investigations revealed anemia, elevated ESR, and a