Chandana vishwanatham

Our department is a team of 38 doctors (30 post graduates,7 senior residents and a professor), supported by few other specialty doctors who visit the hospital weekly once or twice and interns. In our department of General Medicine the workflow mainly consist of First-year and second-year postgraduates concerned with the patient care, looking after admissions, out-patients, while final-year postgraduates supervise the work of their juniors, prepare for thesis, and final exams. Senior residents and Professor duties mainly pertain to conducting grand rounds, patient counselling , maintaining a smooth workflow, preparing roasters, organising duties and academics. Important aspects of post-graduate training include, 1.The first important aspect being well organised academics and teaching sessions.  2. Another important aspect is developing teaching skills among post-graduates by continuous encouragement and motivation to present seminars, case presentations and journals. This also helps...

 May 1st-Sunday https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437371/ Efficacy and safety of Rituximab in SLE Shared and discussed Dr.Hari Priya pg1 ************* May 2nd Online https://ashpublications.org/blood/article/117/16/4190/20799/The-American-Society-of-Hematology-2011-evidence Dexamethasone+Rituximab vs Dexamethasone alone in newly diagnosed ITP Shared and discussed by Dr Hari priya http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435674/ Pathological significance and prognostic role of indirect bilirubin in hepatic encephalopathy Shared and discussed by Dr Sai charan https://manasaalasani.blogspot.com/2022/04/65-year-old-female-labourer-by.html Removal of phenytoin by Hemodialysis Discussed by shailesh https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3398619/#:~:text=Diffuse%20blackish%20hyperpigmentation%20was%20seen%20in%2040%25%2C%20which%20was%20relatively,as%20well%20as%20superficial%20dermis http://1601006027.blogspot.com/2022/04/60-yr-old-male-with-crf-flash-pulmonary.html...

 Jan 1 Log book audit https://ajithkumar9600.blogspot.com/   Attended by Dr.Aashitha pg y 3 Dr.Durga Krishna pg y 2 Dr.Vinay pg y 2 Dr.Ajith pg y3 Jan 2 -Sunday Jan 3 THEORY TOPIC-SLE 36year old female with multiple joint pains,oral ulcers PATIENT CONTEXT http://poreddyjahnavi128.blogspot.com/2022/01/36year-old-female-with-joint-pains.html   Attended by Dr.V.chandana pg Y2 Dr.Aashitha Pg y3 Dr.Vinay pg y 2 Jan 4 SEMINAR TOPIC  : Anorexia 50 year male with chronic loss of appetite PATIENT CONTEXT:   https://muskaanmenghwani.blogspot.com/2022/01/a-50-year-old-male-with-loss-of-appetite.html?m=1 https://youtu.be/W8Cz0uzGVkI    Attended by  Dr.V.chandana pg y 2 Dr.Aashitha pg y3 Dr.Vinay pg y 2 Jan 5 Journal club TOPIC-Antiplatelets vs placebo in prophylactic management of stroke  REFERENCE Link : https://www.ahajournals.org/doi/full/10.1161/strokeaha.107.497271 PATIENT CONTEXT:  http://anushachowdaryshivakoti150.blogspot.com/2021/12/40-yr-f...

 1/11/2021 THEORY TOPIC:  VENOUS AND ARTERIAL THROMBOSIS Cerebral venous thrombosis  Polycystic ovarian syndrome  Context :http://sairajgovind099.blogspot.com/2021/10/38-year-old-female-with-seizures-and.html Presenter Dr Chandana   Dr Sai Govind  ATTENDED BY:  DR.V.Chandana(PGY-2) Dr.Raveen DR.USHA (PGY-3) DR.Zain(PG Y3) Dr .A.vaishnavi(PG Y 3) Dr.AAshitha(PG Y 3) 2/11/2021 SEMINAR TOPIC INTERMITTENT FEVER WITH SEIZURES PUO  CONTEXT https://moulika99.blogspot.com/2021/11/blog-post.html?m=1  PRESENTED By Dr.NIKITHA PG  Y 3 ATTENDED BY Dr.V.CHANDANA PG Y 2 DR.ZAIN PG Y 3 Dr.AJITh PG Y3 DR.SUSHMITHA PG Y3 DR.RASHMITHA PG Y 3 DR .NIKITHA PG Y 3 ********************* 3/11/2021 JOURNAL CLUB Obstructive sleep apnoea non CPAP therapeutic options : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803051/ Presenter Dr Chandana  Context : https://alekhya09.blogspot.com/2021/11/osa.html?m=1 ATTENDED BY DR.V.CHANDANA PG Y 2 DR.USHA PG Y 3 DR....

 BIMONTHLY EXAM AUGUST 1) REVIEW  https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 LONG CASE :  A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. *evolution of symptomatology is well described in the illness . * Proper past ,personal ,family ,surgical ,medical and immunization histories are provided. * Differential diagnosis for the conditions he's been in are given .  *classification criteria for rheumatoid arthritis is provided which gives us idea in which category patient is in based on points . *The possible scenarios that can be are described in brief . *Diagnostic approach is mentioned. *After final diagnosis , further plan of treatment is given clearly. SHORT CASE :  A 49 year old English and Telugu language lecturer presented with a 2 month history of progressive asymmetric involuntary movements of his right index and middle fingers. *Present...

 CASE - 1 .https://aniganikavya06.blogspot.com/ What is the reason for giving thiamine in this patient?  I agree that thiamine should be given to the patient, as he is a chronic alcoholic, there is deficiency of thiamine due to reduced absorption at the level of intestine, as thiamine has many functions regarding the metabolism, lack of it creates imbalance and some neurological disturbances. So, in order to prevent this thiamine should be given to the patient CASE - 2 https://blendedasessmentmadhukumar.blogspot.com/  Why haven't we done pericardiocentesis in this patient?     I agree to the answer given, as there is less pericardial effusion and it is resolving on its own. In this case pericardiocentesis cannot be done, as it requires a large quantity of pericardial effusion. As there no cardiac tampanode in this patient which is an another reason we are not considering pericardiocentesis.  CASE - 3 .https://amitsharma1996.blogspot.com/ What is the pr...

          Pulmonology A) Link to patient details: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html Questions : 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Evolution of symptomatology and Event timeline- 20 Years ago - SOB Grade1 for a week , occurred every year for the same duration 18 Years ago- Polyuria and was diagnosed with DM 12 Years ago - SOB Grade 1 for a month 1 Month ago - Weakness was given iv fluids 30 Days ago - SOB ( latest episode) gradually progressive 20 Days ago - HRCT showed Bronchiectasis 15 Days ago - Pedal edema and facial puffiness 2 Days ago - SOB Grade 4 , drowsiness and decreased urine output.  Anatomical location of the problem is BRONCHIOLES,RIGHT heart failure(Cor pulmonale) Primary etiology is rice dust exposure as pat...