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a case series of Dextrocardia with various anomolous associations

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A rare case of Mitral stenosis in a hypothyroid patient is not out of risk of post operative unstable haemodynamic s even though surgery done in euthyroid state

Abstract: valvular heart disease with hypothyroidism is not a rare entity and many cases were reported and its recommended to go for surgery in euthyroid state to avoid post operative haemodynamic complications.we are reporting a case where

APVD

APVD/APVR-anomolous pulmonary venous drainage/return types: PAPVD(partial anomolous pulmonary venous drainage) failure of 1-3 pulmonary veins to drain into LA where alternatively drains into SVC/lt SVC(PLSVC)/innominate vein /IVC TAPVD(total anomolous pulmonary venous drainage) failure aii the pulmonary veins

constrictive pericarditis

    a case      

VSD with GERBODE extinction

sinus venosus type ASD with opening of LUPV

   

critical care

    ARTERIAL LINE MANAGEMENT:         TUBE STAINING   INDICATION OF REOPENING IN CARDIAC SURGERY: >7ml/Kg(grossly 400ml) in 1st hour >5 nl/Kg(grossly 300ml) in 2nd hour >3ml/Kg(grossly >250ml) in next consecutive 2 hours  

common mistakes and rectification

1.     2.bubbling sound from tube   check the water level in bag

IHD

        movement restriction in all left main and LAD disease patient is a must otherwise patient may develop sudden re attack of MI in pre operative period and may die (ref  http://www.hhrids.com/hr15040009/) patient went

basic principle of surgery

PRINCIPLE OF HISTORY TAKING: LISTEN(open question)-hope and excitation CLARITY(closed question)-for diagnosis and grading the severity of symptoms NARROW(focused question)differentials FITNESS(fixed questions)-previous operation/anaesthesia/post operative events/drugs/known allergy PRINCIPLE OF EXAMINATIONS: Physical examination general            

urology principles

    CONGENITAL ANOMALI   horse shoe kidney       renal stone C/C loin pain dysuria O/E- investigations: Xray KUB USG(KUB)with PVR and MCC IVU(if s. creatinine is normal) to see excreation plan: 1.renal stone i.any

obstructive jaundice

        10. Investigations depends on 1.type of surgery 2.patient(depending on natural history/incidence…sickle cell anaemia is investigated in afro americans, TB in south asians) 3.comorbidities a. For confirmation of diagnosis **(if jaundice) LFT(to determine the

colorectal carcinoma

 

hernia

           

inguino scrotal swellings

 

elephantiasis

steps of physical examinationexamination 1.Greetings to examiner 2.Ask for pre requisits (privacy screen, attendance,chair) 3.Greetings to patient 4.self introduction,confirmation of identity and address,intro with examiners and attendence, 5.explanation,assurance,consent 6.Positioning 7.exposure 8.re assurance 9.hand wash 10.examination i.local inspection

leg swellings

steps of physical examinationexamination 1.Greetings to examiner 2.Ask for pre requisits (privacy screen, attendance,chair) 3.Greetings to patient 4.self introduction,confirmation of identity and address,intro with examiners and attendence, 5.explanation,assurance,consent 6.Positioning 7.exposure 8.re assurance 9.hand wash   10.examination i.local

lymphadenopathy

steps of physical examinationexamination 1.Greetings to examiner 2.Ask for pre requisits (privacy screen, attendance,chair) 3.Greetings to patient 4.self introduction,confirmation of identity and address,intro with examiners and attendence, 5.explanation,assurance,consent 6.Positioning 7.exposure 8.re assurance 9.hand wash 10.examination i.local inspection

    case report-1   case report-2

post burn contracture

Post burn scar HISTORY How long you are suffering from this? Type of burn/mode of injury How you were treated initially INSPECTION Scar Extent Limb Symmetry Limb length/discripency Deformity Joint movement(active)   PALPATION 1. Temperature 2. Tenderness
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