J M
medicine lecture and topic discussion for 2nd 3rd MBBS students
Which is the only condition in medicine where steroid are gradually increased in dose
Usually high dose initially then tapered but here it’s not like that
Can u name
The condition
26/01/2023
06/04/2021
Hypokalemia
Patient admitted with acute MI and VT : VT reverted with defibrillation ; patient thrombolysed and stable about to discharge
Should he receive antiarrhythmic
Yes or not
Yes then how long ?
Asymptomatic 38 year old male ;for routine check up
All reports normal except
Lipid profile altered
S cholesterol -280
LDL 160
TRIGLYCERIDE 300
HDL 30
WHT TO DO ?
When to initiate dialysis in CKD patients
Absolute indication
1- uremic pericarditis
2- uremic encephalopathy
Regarding what level of creat to initiate following statement holds true
There is no minimum estimated glomerular filtration rate (eGFR) that provides an absolute indication to begin dialysis in the absence of symptoms. Many patients remain relatively asymptomatic despite an eGFR
How will u access a patient refered to you for pre op assessment
Which tests are must
01/02/2020
Comment on ecg
35 male with h:o palpitations 15 min
01/02/2020
Treatment of hyponatremia
31/01/2020
Causes of hyponatremia
28/01/2020
Management status epilepticus
Status epilepticus management
Those who like it plz share to ur medical student friends for their benefit
24/01/2020
https://www.youtube.com/channel/UCAI6WfUG261K7Se7a7yNl6g
J M Medicine lecture series for 2nd/3rd MBBS
Myasthenia gravis II
TREATMENT
All medico must have immunity to hepatitis B
Chances of getting of hep B after needle stick injury with hep B positive patient is upto 30 percentage
While that of HIV is just 0.3 percent so it much higher and preventable
All should have vaccination before your clinical term starts
If already been given or not sure about it then get the
Anti _ Hbs titre in good lab
If anti Hbs is more than 10 you are immune to hep b even if you get injury with hep b positive patient
No booster dose for hep b is required ;you have life long immunity
Kindly follow it for your safety..
22/01/2020
Myasthenia gravis I Myasthenia gravis I - pathophysiology; C/F, Diagnosis
Myasthenia gravis - pathophysiology clinical feature diagnosis
Hyponatremia is disorder of water balance and not of sodium balance so ; patient with hyponatremia have problem of excess water and normal total sodium content ; so hyponatremia can be
Hypervolumic - like heart failure where both sodium and water can be retained but if water retention is higher than sodium
Hypovolemic - like acute gastroenteritis when due to stimulation of ADH water retention exceed the sodium retention
Euvolemic - in case of inappropriate secretio of ADH leading to primary water retention
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