Hey frends its Simply and IMP ans and divison I have recived frm
my senior frend..m fwdng it to u..hope it wil b fruitful for u
regards urs mate H!r@ :D
Imp topics 4 oscepaedscounselng of pcm,thalasemia,rikets,iron
deficiency.Growth retardatncauses,downsyndrome,congentl heart
disease,ariprogwho,diarrhea,pneumonia,meningts,c.p
child,xraypneumonia,pleurleffusn,rickts#2 aik viva cranial nerves
pehogawonaihua to motor ya sensory ya reflexes.. mera 2nd 4, 6 and
7 cr nerves kahuatha detailed wobheFwd :Skin me
itch,blistrs,legulcrs,eczma,psoriasis,acne,sq.celca,basalcel ca.
Davidsn say yeh topic parh k baqi skin short
say4,7,8,9,11-15,17-197,9,11,17,18,19 mst impImci 4om
kndiKundiGrwtnddvlp,chrmsm,cns,livrsplen ,heart,bldppa 7 8 9 10 11
12 14 17 18 28(rickts)yr 11 4rm b0th,nd 10 pecntravsy he.Fwd:
Peadiatrics syllabus:Only chaps 1,4, 6-21 from PPA are in the
courseCh 4: do IMCI from KundiCh 11: do from PPA n KundibothCh 12:
Only ARI's imprtnt, do it frmKundiCh 13 & 16: Kundi onlyCh 14:
only diarrhea's imprtntKundiGrwtnddvlp,chrmsm,cns,livrsplen
,heart,bldppa 7 8 9 10 11 12 14 17 18 28(rickts)yr 11 4rm b0th,nd
10 pecntravsy he.Aoa.Todaysosceunobservd: endotrachl tube,
diphtheria, wlson disease, beta thalasemiaxray, anyphylaxs reaction
bee sting, nephritic syndrom, vW disease. Observd: 1 viva on
malnutrition, 1 on cough n resp distress, 1 station fr
anthropometry n its relevant qs, 1 short case of pulses xmnation n
viva, 1 short scenario of cerebelar function tests.Pcm facial palsy
aur precordium ka examination tha, asthma aur hemiplegia ki history
rickets ka X-ray unobserved meinhypothyrodismchkn pox hemorrhagic
disease of new born enteric fever sickl cell anemia 2 dds k
scenerio theHal b .1st shft.Jaundce lab reportMicrocytc anemia lab
reportSarcoidosisxrayT.b/ MS xray dun knwEcg
(lftvntrclarhyprtrophy)EttndInsuln syringechronic rheumatc fever
prescriptionthyrotoxicosis , cushingnd stroke cases ,Today 2nd
shift:scenario aplastc anemia dkaya hyperosmolar coma
katha..eksmjhnaeaya.cxr bronchiectasis pulmonary
edema....tbprescrptn...facial nerve palsy pic....lp
needle...nasogastrc tube....ecgsmjhnaeaya...examinatns m rheumatoid
arthritis, anemic bnditi,upper limb motor
sys...cldkihxExamPulsesCerebellumAnthropmtryHx of diarrhoeaHx of
cough acc to imnciStaticAnaphylactic reactionEpiglottitisVon
weillebrnd diseaseWilson diseaseTofGlycogen syorage
diseaseXraythalasemia skullInsettJRAAcute glomerulonephritisRickets
xrayReyes like scenarioClaudicati0nRectal bleedngV0mitng n diarrhea
caseChckenp0xHem0rrhagc dis of
newb0rnUTITyph0idHypothyr0idExamPcmPrec0rdiumHemiplegiaFacial
nerveHx c0ugh n breathnessnessHx Rheumat0id ArthritisViva
Rheumat0id ArthritisExam: AbdCranial nerves, m0tor sys of l0wer
limbThallasemia childUn0bs wre difficultChest xraywre so ajeeb2
ecgLFTMicr0cytic anemiaInsulin syringeEttRx rheumaticCushng
syndr0methyr0idStr0keTopics to be revisd from theoryCVS:Afib MS MR
AS AR VSd MI stable anginaResp :Copd, tb , pnumo, lung ca,
asthmaCNS:Stroke ,transverse mylitis, epilepsyGITCeliac
crohnulcerativLiverCLD hepbpbc hepatic encaphMskRA
OADiabDkaInstruments, xray, ecg, prescriptions, lab rep0rts fr0m
comprehensiveHx n exam n causes fr0m bedside scenarios fr0m
c0ncept.History cldki,usika viva,gp + abdcns m0tor system,gpcrohn's
disease,facial nerv palsy,organ0phnsphate p0is0ning,honk (nt
sureaplastic anaemia,cxrbroncheactasis,cxr
cardiomegaly,ng,lpneedl,ecg (ptanaikia)prescripti0n (tb)Yar 2labs
thnjosmjhnahy ay prek man jaundice thashayd r ek may microcytic
anemiaxrays man 1 miliray seeds 1 man consolidationinstrumnts man
ett r insulin syrng1case cushngssydromkatha1case stroke ka1 pic thy
josmjhnahyay2 ecgthnwoh to bilkulsmjhnahy ayprescription writing
chroncr.feverxaminationshmary hall man ek anemia pr thy
ekabdekcnshistryr.aprTopics for medicine 2:-Cns Endo and diabetes
Musculoskeletalsystem Kidney Nutrition and enviromental Clinical
biochemistry and metabolism Psyciatry and poisoning.
Topics for Medicine 1RespoCvsGitHepatobiliary diseases
Infectious diseases Hematology Dermatology Genetics Immunological
disordersM1=
Respiratory,cvs,git,infectiousdis,liver,blood,derma,genetics n
immuno.
M2=neuro,endo,diabetes,musculoskel,nutritionenvrmnt,kidney,waterelectrolyte,theraputics,psychiatry
n poisoning..Paeds:From PPA:- Nutrition- NeonatalogyFrom kundi:-
IMCI- Immunization- Hematology (OnlyThalasemia)- CVSFrom
comprehensive review:- Growth n development- Metabolic diseases-
All the systemsFwdd:Peads most imp.Growth n d.ev, imunisatio.n,
malnutritio.n, rickets, imci, neo.nate, inf.ectious d. Imp.only,
cvs whole, utinephrotic n glo.merunephritis 4m renal, genetic:down,
single gene d.e.f.ects only names , 4m KUNDIPeadsosce(unobsrvd):
Raisdicp,endotrachealtube,cretinism,rickets,ccf,thalasemia,d.d of
rash with fevr.,x.ray .Our osce(obsrvd): examinations of
malnutrition,raisdicp, periphrl pulse. Nd 2 spots of
histriesPoisoning: paracetamol, salicylates, TCA, benzodiazipines,
opioids, organophosphates.Physchiatry: anxiety symptms, DD wala
table, depresses m0od (topic n table), delusi0ns, hallucinations,
anxiety disorder, mood disorder, schizophernia.Envir n nutrtn:
temperature, high altitude, obesity, vitamin n mineral
deficiency.Blood,resp,heart,vaccines and chromosome,imci ,diarrea
from kundi..Rest PPAM1:
Resp,cvs,git,inf,liv,bld,skn,genit,imu,M2:cns,endo,dm,msk,nut,kdny,biochem,psych,poison,therapyMost
probable distribution of questions according to a list in dimc. (No
idea how reliable this is though)M1Respiratory 19cvs 18git
19infectious diseases 14liver 9blood 13derma 5genetics 1immuno
2M2neuro 18endo 18diabetes 6musculoskeletal 14nutrition &
environment 11kidney 12water electrolyte 5theraputics 7psychiatry
4poisoning 5topics to do from infectious
diseasesPUO,acutediarrea,measles,rubella,parvovirus
B19,chickenpox,shingles,mumps,influenza,EBV,CMV,dengue,HSV,staph,strep,typhoid,,diptheria,leprosy,malaria,amoeba,giardia,roundworm,shistosomiasis,candida,histoplasmaFr0m
David txt Do: CVS, resp, GIT, liver, blood, CNS, diabetes, from
endo do thyroid n pituitary fr0m main n all rest topics fr0m short.
And all other systemic chaps u can either do them fr0m short david,
inamdanish or PK shortMedicine has two exams. The following chaps
are included in med 1: 3,4,11,13,18,19,22,23,24,27 (3,4,11 are nt
imp.)Med 2: 2,5,9,10,16,17,20,21,25,26 (2 is nt imp.)28/2/11--2nd
shftFoley catheter, typhoid prescription, acromegaly pic, inferolat
mi ecg(probably),organophosphrous poisoning, scenrio of microcytic
anemia, scenario of nephrotc or nephritcsyndrmnt sure, cardiomegaly
xray, othrxraynt sure bt probably fibrosis, 1 scenario of cvs with
S3 audible, raised jvp,low vol. rapid pulse,edema, ascites, dntknw
ans.Cld long case hstry, xmanatn n viva, 2 shrt cases n both gpe n
telpositv findings n diagnosis.#3Aik xrayhoga..mera teratology of
falotpetha.. aik hypothyroid bachayki pic pichley do saal se
arahecuz most of student wrong diagnose krtehainImp topics 4
oscepaedscounselng of pcm,thalasemia,rikets,iron deficiency.Growth
retardatncauses,downsyndrome,congentl heart
disease,ariprogwho,diarrhea,pneumonia,meningts,c.p
child,xraypneumonia,pleurleffusn,rickts#2 aik viva cranial nerves
pehogawonaihua to motor ya sensory ya reflexes.. mera 2nd 4, 6 and
7 cr nerves kahuatha detailed wobhefwd txt ....*diarhea with any
travel hxthnk tropical sprue.*female patient with
pruritis,jaundice,thnk primary biliary cirhosis.*patient with hx of
diarhea n paralysis now,thnkgbs*elderly patient with spinal
claudicatin.thnk lumbar canal stenosis.*Post
transplantlymphoproliferativelymphoma,EBvirus.*patient with loin
pain n systemic symptoms,thnk acute pyelonephritis.*premature
ageing of skin,werner syndrome(PATHOGNOMIC SIGNS OF 32 DISEASES )1.
COPD - Barrel-Chested2. Pneumonia - Greenish Rusty Sputum3.
Pernicious Anemia - Beefy Red Tongue (Schillings Test)4. Kawasaki
Dieases - Strawberry Tongue5.Typhoid - Rose Spot6.Tetany - Chvostek
Sign (Muscle Twitching Face)-Trosseaus Sign (Jerky Movts)7.
Pancreatitis - Cullen Sign (Bluish discoloration preumbilical
area)8. Appendicitis - McBurneys Point (rebound tenderness)-Rovsing
Sign (RLQ pain w/ palpation in LLQ)- Psoas Sign(pain on lying down
putting pressure on MB pt)9. Thrombophlebitis - Homans Sign10.
Hepatitis - Icteric Sclera (yellowish discoloration of sclera)11.
Meningitis - Burdzinski Sign (Pain on nape)-Kernig Sign (pain on
leg/ knee area)12. Pyloric Stenosis - Olive-Shaped Mass13.
Hyperthyroidism - Exopthalmus14.Addisons Disease. - Bronze-like
skin15. Cushing Syndrome- Boffalo Hump16.Cholera - Rice Watery
Stool17.SLE - Butterfly Rashes18. Leprosy - Leoning Face
(contracted face)19. Bulimia Nervosa - Chipmunk Face20.Liver
Cirrhosis - Spider Angioma21.Asthma - Wheezing
Inspiration22.Hyperpituitarism - CAROTENEMIA (Discoloration of
skin)- XANTHAMIA23. Down Syndrome- Single Crease on Palm24.TOF -
Ventricular Septal Defect , Pulmonary StenosisOverriding of Aorta ,
Right Ventricular Hypertrophy25.Cataract - Blurry Vision / Hizzy
Vision26.Glucoma - Tunnel-like Vision27. PTB - Low grade fever in
afternoon28.Cholecystitis- Murphys Sign (pain RUQ)29. Myasthemia
Gravis (MG) Ptosis (inability to open upper eyelids)30. Dengue -
Petechiae31.Parkinsons Diease. - Pill Rolling Tremors32. Measles -
Koplicks Spot*GOLD STANDARD*estimating resting energy expenditure
indirect calorimetrydiagnosis of Iron deficiency anemia Estimation
of serum Ferritinproving that the life span of red cell is
decreased ( useful in Hemolytic anemia) - Red cell survival
studyevaluation of stem cell transplantation therapy - Hemopoietic
stem cell transplantationGold standard technique for
differentiating allograft rejection and reactivation of disease
after heart transplantation - Endo-myocardial Biopsydiagnosis of
DVT - Contrast venographydiagnosis of acute pharyngitis - Throat
culturediagnosis of pertussis - Culture of nasopharyngeal
secretionsdiagnosis of Otitis externa caused by P. aeruginosa
Technetium bone scandiagnosis of Acoustic Neuroma Gadolinium
MRIdiagnosis of Shigella infection - isolation and identification
of pathogen from fecal materialdiagnosis of Tuberculous meningitis
- Culture of CSFdiagnosis of HSV Encephalitis - Brain biopsy (CSF
PCR largely replaced brain biopsy in recent times)diagnosis of
histoplasmosis - Fungal Culturediagnosis of hypertrophic
cardiomypathy and atrial myxoma Echocardiogramimaging heart valves
and valve motion abnormalities- 2D echocardiographyassessment of
Myocardial viability (Identification of ischemic or hibernating
myocardium) PETassessment of LV mass and volume MRIevaluation of
renal arteries and identification of renal artery lesions -
Contrast arteriographyevaluation of respiratory gas exchange
ABGassessment of albuminuria - 24 hr urine collectiondiagnosis of
PNH (Paroxysmal Nocturnal Haemoglobinuria) Flow cytometrydiagnosis
of ATTR and other AF mutations DNA sequencingidentifying and
quantifying atherosclerosis in cerebral arteries - x-ray cerebral
angiographyevaluating anatomy of arterio venous malformation -x-ray
angiographydiagnosis and classification of ataxia genotypediagnosis
of of lung infection (Radiotherapy induced) in a cancer patient -
open-lung biopsyGold standard medical treatment for symptomatic
progressive pulmonary hypertension Prostacyclindiagnosis of PIH
Serum Ureaassessment of visual impairment - Snellen's
charttreatment of non-castrate metastatic disease surgical
orchidectomybacterial stain analysis - Pulse-field gel
electrophoresistreatment of DCIS MastectomyGold standard approach
for resection of anterior and middle mediastinal masses -median or
lateral thoracotomytreatment of Coarctation of aorta - Surgical
repairevaluation of coronary artery disease cardiac
Catheterizationculture of V. cholerae o139 - Conventional culture
methodsGold standard to determine cut-off titre of widal test for
diagnosis of Typhoid fever Nested PCRGold standard treatment of
brucellosis in adults - IM Streptomycin + Doxycyclindiagnosis of of
chronic arterial mesentric ischemia angiographytreatment of chronic
ulcerative colitis - Total proctocolostomy with end
ileostomyevaluation of imaging modalities for liver tumours
-Intraoperative ultrasonographydiagnosis of common bile duct stones
Endoscopic cholangiographymeasurement of GFR - inulin
clearanceorgan confined, muscle invasive, bladder cancer is
-radical cystoprostatectomy in men and anterior pelvic exenteration
in womanfemoral shaft fractures - reamed locked intramedullary
nailingin case of difficult intubation - flexible
fibreopticintubationscopediagnosis and treatment of Ventilator
AssociatedPneumonia (VAP) - Broncho alveolar lavageGold standard
treatment of hyperparathyroidism SurgeryGold standard investigation
to differentiate follicular and papillary carcinoma of thyroid
gland- histologyprocedure for thymectomy - Trans cervical
mediastinoscopyandsurgerytreatment of adrenal tumours -
laparoscopic adrenalectomydiagnosis of breast cancer
mammographystaging of breast cancer - Axillary lymph node
dissectionevaluation of a stable patient with suspected vascular
injury angiographydiagnosis of GERD - Ambulatory 24 hr PH
monitoringtreatment of GERD - LaparoccopicNissens
fundoplicationevaluating cure rate in duodenal ulcer patients
vagotomyGold standard finding for the diagnosis of GI perforation -
finding pneumoperitoneumdiagnosis of Zollinger-Ellison syndrome -
Serum gastrin levels( Most patients have serum gastrin levels above
1000pg/mL)diagnosis of colonic mucosal disease colonoscopydiagnosis
of steatorrhoea - timed quantitative stool fat
determinationtreatment of incontinence with an isolated sphincter
defect- overlapping sphincteroplastydiagnosis and method of
management of Acute arterial occlusion laparotomyconfirmation of
mesentric arterial occlusion mesentricangiographydiagnosis of
celiac disease Small intestine biopsyidentifyingcholedocholithiasis
ERCPtreatment of Symptomatic cholelitiasis
Lapcholecystectomydiagnosis of Primary sclerosing cholangitis
ERCPdiagnosis of Hepatitis C HCV RNA assayGold standard test for
diagnosis of intraluminal bile duct abnormalities ERCPmanagement of
hydatid disease surgeryassessing degree of liver injury and
fibrosis -Liver Biopsymanagement of blunt hepatic trauma -
non-operativemanagementGold standard test for assessment of
function of sphincter of oddi manometryGold standard investigation
of diagnosis of Klatskin tumor Cholangiographydiagnosis of invasive
amoebiasis - ELISAFwd:Paeds CONCEPT Correctionsp10...q8..ans is
pericarditisp52...q26...ans is 8-12 wksp54....q37..ans is
pyrimethaminep58...q66..scoring sysp80..q28..ans is
pregnancyp134...q4...Aq5...Ep211...q24...Ep213....q37...Ap224...q6...Bp225...q7..Bp235...q68...Ep236...q73..Ap285...q65...Cp329...q6...Ep331...q28...DFwd:Corrections
concise
paeds:p7...q7....Bp33...q69...Ap59...q56..Ap61...q60...Cp81...q31...AP127...q66..D....q67...Cp141...q21...Bp143....q26...A(PATHOGNOMIC
SIGNS OF 32 DISEASES )1. COPD - Barrel-Chested2. Pneumonia -
Greenish Rusty Sputum3. Pernicious Anemia - Beefy Red Tongue
(Schillings Test)4. Kawasaki Dieases - Strawberry Tongue5.Typhoid -
Rose Spot6.Tetany - Chvostek Sign (Muscle Twitching Face)-Trosseaus
Sign (Jerky Movts)7. Pancreatitis - Cullen Sign (Bluish
discoloration preumbilical area)8. Appendicitis - McBurneys Point
(rebound tenderness)-Rovsing Sign (RLQ pain w/ palpation in LLQ)-
Psoas Sign(pain on lying down putting pressure on MB pt)9.
Thrombophlebitis - Homans Sign10. Hepatitis - Icteric Sclera
(yellowish discoloration of sclera)11. Meningitis - Burdzinski Sign
(Pain on nape)-Kernig Sign (pain on leg/ knee area)12. Pyloric
Stenosis - Olive-Shaped Mass13. Hyperthyroidism -
Exopthalmus14.Addisons Disease. - Bronze-like skin15. Cushing
Syndrome- Boffalo Hump16.Cholera - Rice Watery Stool17.SLE -
Butterfly Rashes18. Leprosy - Leoning Face (contracted face)19.
Bulimia Nervosa - Chipmunk Face20.Liver Cirrhosis - Spider
Angioma21.Asthma - Wheezing Inspiration22.Hyperpituitarism -
CAROTENEMIA (Discoloration of skin)- XANTHAMIA23. Down Syndrome-
Single Crease on Palm24.TOF - Ventricular Septal Defect , Pulmonary
StenosisOverriding of Aorta , Right Ventricular
Hypertrophy25.Cataract - Blurry Vision / Hizzy Vision26.Glucoma -
Tunnel-like Vision27. PTB - Low grade fever in
afternoon28.Cholecystitis- Murphys Sign (pain RUQ)29. Myasthemia
Gravis (MG) Ptosis (inability to open upper eyelids)30. Dengue -
Petechiae31.Parkinsons Diease. - Pill Rolling Tremors32. Measles -
Koplicks Spot*GOLD STANDARD*estimating resting energy expenditure
indirect calorimetrydiagnosis of Iron deficiency anemia Estimation
of serum Ferritinproving that the life span of red cell is
decreased ( useful in Hemolytic anemia) - Red cell survival
studyevaluation of stem cell transplantation therapy - Hemopoietic
stem cell transplantationGold standard technique for
differentiating allograft rejection and reactivation of disease
after heart transplantation - Endo-myocardial Biopsydiagnosis of
DVT - Contrast venographydiagnosis of acute pharyngitis - Throat
culturediagnosis of pertussis - Culture of nasopharyngeal
secretionsdiagnosis of Otitis externa caused by P. aeruginosa
Technetium bone scandiagnosis of Acoustic Neuroma Gadolinium
MRIdiagnosis of Shigella infection - isolation and identification
of pathogen from fecal materialdiagnosis of Tuberculous meningitis
- Culture of CSFdiagnosis of HSV Encephalitis - Brain biopsy (CSF
PCR largely replaced brain biopsy in recent times)diagnosis of
histoplasmosis - Fungal Culturediagnosis of hypertrophic
cardiomypathy and atrial myxoma Echocardiogramimaging heart valves
and valve motion abnormalities- 2D echocardiographyassessment of
Myocardial viability (Identification of ischemic or hibernating
myocardium) PETassessment of LV mass and volume MRIevaluation of
renal arteries and identification of renal artery lesions -
Contrast arteriographyevaluation of respiratory gas exchange
ABGassessment of albuminuria - 24 hr urine collectiondiagnosis of
PNH (Paroxysmal Nocturnal Haemoglobinuria) Flow cytometrydiagnosis
of ATTR and other AF mutations DNA sequencingidentifying and
quantifying atherosclerosis in cerebral arteries - x-ray cerebral
angiographyevaluating anatomy of arterio venous malformation -x-ray
angiographydiagnosis and classification of ataxia genotypediagnosis
of of lung infection (Radiotherapy induced) in a cancer patient -
open-lung biopsyGold standard medical treatment for symptomatic
progressive pulmonary hypertension Prostacyclindiagnosis of PIH
Serum Ureaassessment of visual impairment - Snellen's
charttreatment of non-castrate metastatic disease surgical
orchidectomybacterial stain analysis - Pulse-field gel
electrophoresistreatment of DCIS MastectomyGold standard approach
for resection of anterior and middle mediastinal masses -median or
lateral thoracotomytreatment of Coarctation of aorta - Surgical
repairevaluation of coronary artery disease cardiac
Catheterizationculture of V. cholerae o139 - Conventional culture
methodsGold standard to determine cut-off titre of widal test for
diagnosis of Typhoid fever Nested PCRGold standard treatment of
brucellosis in adults - IM Streptomycin + Doxycyclindiagnosis of of
chronic arterial mesentric ischemia angiographytreatment of chronic
ulcerative colitis - Total proctocolostomy with end
ileostomyevaluation of imaging modalities for liver tumours
-Intraoperative ultrasonographydiagnosis of common bile duct stones
Endoscopic cholangiographymeasurement of GFR - inulin
clearanceorgan confined, muscle invasive, bladder cancer is
-radical cystoprostatectomy in men and anterior pelvic exenteration
in womanfemoral shaft fractures - reamed locked intramedullary
nailingin case of difficult intubation - flexible
fibreopticintubationscopediagnosis and treatment of Ventilator
AssociatedPneumonia (VAP) - Broncho alveolar lavageGold standard
treatment of hyperparathyroidism SurgeryGold standard investigation
to differentiate follicular and papillary carcinoma of thyroid
gland- histologyprocedure for thymectomy - Trans cervical
mediastinoscopyandsurgerytreatment of adrenal tumours -
laparoscopic adrenalectomydiagnosis of breast cancer
mammographystaging of breast cancer - Axillary lymph node
dissectionevaluation of a stable patient with suspected vascular
injury angiographydiagnosis of GERD - Ambulatory 24 hr PH
monitoringtreatment of GERD - LaparoccopicNissens
fundoplicationevaluating cure rate in duodenal ulcer patients
vagotomyGold standard finding for the diagnosis of GI perforation -
finding pneumoperitoneumdiagnosis of Zollinger-Ellison syndrome -
Serum gastrin levels( Most patients have serum gastrin levels above
1000pg/mL)diagnosis of colonic mucosal disease colonoscopydiagnosis
of steatorrhoea - timed quantitative stool fat
determinationtreatment of incontinence with an isolated sphincter
defect- overlapping sphincteroplastydiagnosis and method of
management of Acute arterial occlusion laparotomyconfirmation of
mesentric arterial occlusion mesentricangiographydiagnosis of
celiac disease Small intestine biopsyidentifyingcholedocholithiasis
ERCPtreatment of Symptomatic cholelitiasis
Lapcholecystectomydiagnosis of Primary sclerosing cholangitis
ERCPdiagnosis of Hepatitis C HCV RNA assayGold standard test for
diagnosis of intraluminal bile duct abnormalities ERCPmanagement of
hydatid disease surgeryassessing degree of liver injury and
fibrosis -Liver Biopsymanagement of blunt hepatic trauma -
non-operativemanagementGold standard test for assessment of
function of sphincter of oddi manometryGold standard investigation
of diagnosis of Klatskin tumor Cholangiographydiagnosis of invasive
amoebiasis - ELISAFwd:Paeds CONCEPT Correctionsp10...q8..ans is
pericarditisp52...q26...ans is 8-12 wksp54....q37..ans is
pyrimethaminep58...q66..scoring sysp80..q28..ans is
pregnancyp134...q4...Aq5...Ep211...q24...Ep213....q37...Ap224...q6...Bp225...q7..Bp235...q68...Ep236...q73..Ap285...q65...Cp329...q6...Ep331...q28...D
xraybeonchiectasisMilitary tbEcg .. V badPrescription..
RheumaticRest scenario...CushingThyrotixicosisSome anemiaSome
scenario.. God knowsInstrument..Ett and insulin.. Questions
weirdVivas easy.. Heart..Rhumatic history..Resp
posterior..GitMethod they done even either.. Focus on findings..
Easy stationsUnobserved maslaHx and viva of small join pain in
young male,examination cranial nerve, hepatoslepmegaly,
precodium..pan systolic murmur..xray military tb, sarcoidosis
/intetstial fibrosis..presp chronic rhematic heart ...ecg 2
hypokalemia AFTER diarrhea in an atelete, r-r interval, 2 lab
reportsBallard scoring k signs should b remembered.Neuromuscular
maturity signs are posture, square window, arm recoil, scarf sign,
popliteal angle and heel to earPhysical signs are eyes, pinna,
breast, skin and genitalsBaby Friendly hospital k 10steps atayhain
either in static or viva,Breast feeding ki assessment, counselling,
points of proper positioning n attachment.Developmental hx, h/o a
child with CP,Do IMCI thoroughly, nephroticwid relevant
examination, risk factors for developing malnutrition, assessment n
management of micronutrient deficiencies, thalassemia.Endotracheal
tube , hirschprng d, coeliac, chicknpx, dk, globular hrtcxr, wilsn
d, dengue n bleedngdisordr n mangmt, strep GN, h/o dvlp n malnut,
exm of pcm, liver palp, signs of meningeal irritn, JRA, enteric
fever, hypok, hypothyrd, foley c, pyloric stenosis, vW BRAND D,
asthma acute excerb, severe malnu, gastroenteritis, CLD viva n
complic, breast feeding, apex beat n causes of left sided shift,
ascites, deep tendon reflx, cxr pleural eff, investg n treat, h/o
nutr feeding widcounselling of mother.Last semester paedsosce 1st
shift1. X ray T.B2. Measles scenerio3.Acute
glomerulonephritis4.Scenerio of increasd heart rate, respiratory
rateInvestigation n management5.Meningococemia6. MAC values7.
Anemia scenerio8.Diabetes mallitus9. Fever n loss of deep tendon
reflexesInvestigation n management10. Viral meningitis11.Feeding
history viva12.cld history viva13. Facial nerve exam14.Pcm15.
Hepatomegalypaedsosceinteractive 51-history on jaundice in a 3 yr
old child wd viva2-ant chest examination wd viva3-pcm head to toe
examination wd viva4-cvs precordium examination wd viva5-Just Viva
on Asthma each n everything related to it..Statics:cxrpericarial
effusioncxr consolidationLab cbcwd microcytic hypochromic anemialab
csf d/r showing TB meningitisscenario thalessemiascenario
meningococcal meningitisscenario cereberal malariascenario
ulcerative colitisImp topics 4 oscepaedscounselng of
pcm,thalasemia,rikets,iron deficiency.Growth
retardatncauses,downsyndrome,congentl heart
disease,ariprogwho,diarrhea,pneumonia,meningts,c.p
child,xraypneumonia,pleurleffusn,rickts#2 aik viva cranial nerves
pehogawonaihua to motor ya sensory ya reflexes.. mera 2nd 4, 6 and
7 cr nerves kahuatha detailed wobhe#3Aik xrayhoga.. mera teratology
of falotpetha.. aik hypothyroid bachayki pic pichley do saal se
arahecuz most of student wrong diagnose krtehainN i ask k do v have
to say k concievenakare..she said k hamari society mei dis is not
considered acceptable.. askdem if dey have children who r alive n
unhethalasemianhihaitoukehdo k concievenakaro.. n if koi child
nhihaitou tell dem k agar concievekaretou chorionic villous
sampling karaya at 10-12wks so datpatachaljae k thalasemia major
haibachekoya.minor.. agar minor haitou she cant continue wid her
pregnancy.. 25% chance hotahai k bacha normal hoyathalasemia
minor..so u cant overlook it..-introduce
urself-apkothalasemiakibeemari k baaremei koi
malumathai?agarhaitoukia?-shaadikhandanmeihuihai? Agar hantoukis
se? I mean kia relation tha us se?1stcznya 2nd-ap k
khandanmeikissikokhoonnabannekibemarihai? Agar haitoukisse?-ap ne
apnayaapneshoharkathalasemiaka test karayahai?-phrthori past obs
history lo..shaadikokitnatymhua? is se pehlekitnebachehai?unmei se
kissiko ye bemaarihai? Koi bachazayatounhihua? Ya alive paida hone
k baad death hui ho..agar death huithitoukiswaja se,
isibeemarikiwaja se.-agar abhi expected haitou ask her k
kissidrkodikhaya.. 10-12wk pe koi test karayathaunho ne jis se
patachale k is bachekothalasemiahaiyanhi. Agar thalasemia major
haitou abort karwa le..Agar abort nhikarwaegetouapkokchpatahai k is
beemarikailajkiahai. Den tell k is bemaarika koi
ilajnhi..khooncharhanaparta. Kchbachoko 15din meikhooncdenapartahai
n kchko 1month mei..nkhoon dene k b alagmaslehai.. iron
accumulation in liver,heart,spleen,joint.. retinopathy..
bloodkissisahi blood bank na ho ho unscreened ho touhep b hep c ka
risk ho saktahai.. transfusion reaction ho saktehai..phrthora is
tarahbatado k ye expensive hotahai.. affordkarsaktehaiyanhi..
affordkar b saktehaitou koi khaasfaidanhi.. end result is death due
to complications..Med Osce 2nday 1st shift.Instruments: ETT and
insulin syringe X-Ray:bronchiectasis and pericard effusion
ECG:Atrial flutter PRESCRIPTION :TB SCENERIOS: TB,
varricealbleedind,lactic acidosis myesthenia gravis pic ,pic of inf
mononucleosis due to rashes developed after drug intakeXrays of
pleural efusi0n n c0nsolidati0n..xray findings ,d/d ,treatment
wageralikhniti..malaria prescripti0n, 2 instruments ng tube n
ikydnae, then ik thyr0id ka scenario tha pic thi n usi k sath
lymph0ma ka b thauski b pic thi..ikecgthaajebsa ,AF yaphrsvttha..
Bqi s0chti hun..Medicine Osce:5 Interactive Stations:- 3
Examinations + their short vivas right on the spots. ( Gholkr pi
jao Bedside n practisemacleods videos)- 1 Hx- Viva on the Hx(
diagnosis, investigations n its management)10 Non Interactive: ( Do
comprehensive for them it will be enough)- 2 Xrays- 1 prescription-
1 ECG- 1 spot having 2 instruments given.- 1 picture- 1 or 2 lab
reports.- Rest scenarios.okay 3 shahadatein, shahrukh, orange,
maryambajiddnt revise theory. only osce bookMedicine Oscepattrn
final yrz:1A:lab data1B:Xray2A:lab data2B:Xray3A: photogrph3B:
prscription writing4A:clinicl case scenario4B:ECG5A:emrgency case
scenario5B:instrumnt6:hstory takng+presntation skills7:
invstigations+managment8:short case9: short case10: short casePpa
se growth, nutrition, chromosome, neonatology kerlo,Kundi se growth
dvlopmnt, imnci, immunization, cvs, kerloBaqicomprehensisve se
nikaljayega,Haan comprehensive purikernaFwdd.Neuro topics: LP,
headache nd facial pain, coma, tests 4 cnfrming brain stem death,
dizines&funy turns, brain stem lesions, tab 26.24, 26.26,
papiledema, headache synd, vestibdisordrs,epilepsy, disordrs of
sleep, stroke, SAH, Multiplscl, transvrs myelitis, alzheimers,
parkinsons, wilsons,huntingtns motor neuron, meningits, alzheimer,
cerebabsces, neurosyph, tetanus, botulism, raisd ICP, neurofibrom,
acoustic neuro,hydroceph, idiopathic intracran HT, cerviclnd lumbar
spondylo, SC compresion, GBS, neuromuscjunct, muscular dystroph
(rest 4m pocket)medicinetheres no point in doing everything from
Davidson, u wont be able to revise l do
cvs,resp,git,diabetes,cns,blood ,liver,psych,poisoning and charts
of musculoskeletal from main davy.
Endo,kidney,infectiousdiseases,musculo from pocket.Skin from pocket
too. And after uve done all this, do Nutrition from main
davy...just a
read.poisoning,infectiousdiseases,musculoskeletal,skin from baby
and if you cant cope up with CNS from the main davidson then you
can do that too from baby.remember that skin is the least important
chapter from the systems so keep that for the endETT, hirschprng d,
coeliac, chicknpx, dk, globular hrtcxr, wilsn d, dengue n
bleedngdisordr n mangmt, strep GN, h/o dvlp n malnut, exm of pcm,
liver palp, signs of meningeal irritn, JRA, enteric fever, hypok,
hypothyrd, foley c, pyloric stenosis, vW BRAND D, asthma acute
excerb, severe malnu, gastroenteritis, CLD viva n complic, breast
feeding, apex beat n causes of left sided shift, ascites, deep
tendon reflx, cxr pleural eff, investg n treat, h/o nutr feeding
widcounselling of mother4wd msg.PEADS:FROM KUNDIch 1 hx takingch 2
growth devch 3 imunizatnch 4 only imci 4.6 4.7ch 9 only
acutdiarheach 10 resp disch 11 only chronic diarheach 12 cvsch 14
neuromusc dsch 21 only down syndrome n single gene defectFROM PPACh
7 nutritionch 8 metabolic dsch 9 neonatologych 10 infectious dsch
13 only heart sound, murmur , ecg, arrhythmiach 14 alimentry
tractch 15 liverch 16 hematologych 17 endoch 18 urinary systemch 19
cnsch 21 rheumatic ds4wd msg.Imp
topicsRespCOPDAsthmaPneumoniaTBBronchogenic CaGITPeptic
ulcerIBDsAcute n Chronic Pancreratitis (dnt
agree)CVSHTNCCFAnginaMIAtrail fibVTVFPVCsPericrdial
effusionLiverCLD HBV HCV WilsonHemochromatosisAlcoholLiver
abscessHepatomaFHFBloodAnemia iron
defmegaloblstcLeukemiaHemophiliaEndoHypo hyperDMCushing
syndromeCNSStrokeMeningitisParkinsonismEpilepsyBell
palsyBoneRASLEOsteoporosisOsteomalacia
