Friday, 16 December 2016

My 1st year MBBS experience

After clearing my Medical entrance, I got admission in a medical school . Joining medical school was like dream come true. I was really happy and excited about a completely new experience. I feel proud to be a part of this medical community , as I can now actually do something directly for the people of my country.

Every year lakhs of science stream students prepare for Medical entrance,  but only a handful of them cross the exam. Things are getting harder day by day due to increased competition and quality of education. Internet has made things easier, and knowledge available for everyone anytime.

I still remember, when I was in 1st year MBBS. It was really difficult for to me cope with the new syllabus. For the first 2 months , i couldn't understand what to do and what not to.
In reality I didn't know how to study.
In the beginning I used to fail in most of the PCT ( part completion test ). I could not even secure 50% mark in these exams. It was really confusing as I had no idea  , what the professor is going to ask and which topic is more important. And finally after some time I somehow managed to adjust myself with the situation. Whatever be the situation just say yourself “ I will never give up ” . I decided to make plans before implementation of any idea. In the beginning all my plans failed , be it Plan A or Plan Y. After , soon I started improving. Soon results came in my favour. I started learning from my mistakes. Each time i was becoming better and more powerful than earlier. i started making better , more improved and smart Plans.
Well said by Dr. Vishram Singh

“To learn from previous experience and change accordingly, makes you a successful man.”

Finally , my 1st year mbbs professional exam approached. I didn't panic this time, instead i gave my exam with confidence , without thinking much about negative consequences.
After 1 month , it was the time for declaration of exam's result. I was out of control , i didn't know how to control my mind and emotions.

Finally , at 7:30 pm , i got to know that our result has been declared. I was severely shivering. One of my friend asked me for my Roll number; this time i was out of this world. I , then gave my Roll number to him and asked to check the result. But , one more disaster was waiting for me , NO Internet Connection. I could feel my heartbeat and all signs of Tachycardia. After 5 minutes I got internet connection, and the page reloaded. I saw in the next page : PASS .

What a relief,  this word was the Word of the Day in my Dictionary for that day. I passed all the subjects , with better marks than I expected . I discovered , Physiology as the strongest subject with more marks , than other subjects .I was still shivering and full of adrenaline rush. I could not understand,  how to celebrate my success , shall I Dance , Jump from a tower or shall I take a mike and announce everywhere about this news.
Now , I was gonna be a Senior. I will be in 2nd year MBBS. New subjects,  New experience and One more challenge.

At the end , I just wanna say one thing !

                         “ A Goal Without A Plan, Is Just A Wish ”.

This was my experience of 1st year in my medical school. You can also share your feelings in the comment section below. I will happy to listen your reactions about the article.
Thanks everyone for viewing my page .

Medical mnemonics

Hi , guys what's up , it's been so long that I haven't posted anything in my blog. Today , I am gonna write about mnemonics.

ANATOMY

# Synovial joint
Praying Hard Provides Children Strong Belief.

P ~ Plane joint
H ~ Hinge joint
P ~ Pivot joint
C ~ Condylar joint
S ~ Saddle joint
B ~ Ball and socket joint

# Examples of saddle joint
Cat Is Sleeping in SADDLE JOINt

C ~ Calcaneocuboidal joint
I ~ Incudomalleolar joint
S ~ Sternoclavicular joint
t ~ 1st carpometacarpal joinT

# General points to describe any body part
AV LMN

A ~ Arterial supply
V ~ Veinous drainage

L ~ Lymphatic drainage
M ~ Muscle
N ~ Nerve supply

# Internal thoracic / mammary artery branches
Pari Pari Mujhe Perfect Superman Se Abhi Milao

P ~ Pericardiophrenic artery
P ~ Perforating branches
M ~ Mediastinal branches
P ~ Pericardial
S ~ Superior epigastric artery
S ~ sternal
A ~ Anterior thoracic artery
M ~ Musculophrenic artery

# Human body parts that 45 cm or 18 inches in Length
Very FAST

V ~ Vas differns
F ~ Femur ( for 6 feet person )
A ~ Aorta ( complete part )
S ~ Spinal cord / Sartorius muscle
T ~ thoracic duct / Transverse colon

# Normal anatomical location of Nipple ( in a non-sagging breast )
Remember : 44

4 ~ 4th intercostal space
4 ~ 4 inches feon median plane

# Sites of constriction in Esophagus
ABCD

A ~ Aortic constriction
B ~ Bronchial constriction
C ~ Cervical constriction
D ~ Diaphragmatic constriction

# Relations of thoracic part of the Esophagus
ART of Left Diaphragm

A ~ Arch of Aorta
R ~ Right pulomary artery
T ~ Trachea

L ~ Left artrium / Left principal bronchus
D ~ Diaphragm

# Development of Diaphragm
Remember : Social Democratic Party of germany × SPD of BODY WALL

S ~ Septum transversum
P ~ Pleuroperitoneal membrane
D ~ Dorsal mesentry of Esophagus
BODY WALL ~ from body wall , peripherally

# Contents of Superior Mesdiastinum
Try To Eat The Soap And Vitamins Now

T ~ Thymus
T ~ Trachea
E ~ Esophagus
T ~ Thoracic duct
S ~ Sympathetic trunk
A ~ arch of aorta + its 3 branches  ( Arteries )
V ~ brachiocephalic vein + superior vena cava ( Veins )
N ~ vagus + phrenic nerve ( Nerves )

# Contents of Posterior Mediastinum
DATES

D ~ Descending aorta
A ~ Azygos vein + Accessory Azygos vein + hemiazygos vein
T ~ Thoracic duct
E ~ Esophagus
S ~ Sympathetic trunk

Thursday, 24 November 2016

Case #2

Student details , SANTU SAHA , 
IQCMC , Durgapur , India
Class - General Medicine ward ( 3rd semester )

Age              : 74 years
Sex               : Male
Occupation : retired 

State             : West bengal
Year              : 2016

Chief complains
1. Pain in loin region 
2. Radiating pain towards Right lateral thigh from gluteal region
3. Loss of appetite

History of present illness

1. Onset : Two weeks ago, the pain became intense
2. Position : lower loin region 
3. Quality : continuous deep pain
4. Relieving or aggravating factors : pain aggravated when he moved forward or tried to bent
5. Severity : intolerable 
6. Timing : mainly during morning hours
7. Treatment : pain relieving injection received

History of past illness

1. Recent minor trauma in left hip joint
2. Gall bladder calculi also found , but not removed yet
3. Heart related disease

Family history 
His mother had  Spondyloarthropathy.

Confirmatory test : Schober's test also performed (17cm)

Diagnosis

# X- ray report suggests that there are osteophytes in LV1-5 and a typical bamboo shaped vertebral arrangement is also present
# Disc degenerative changes also , found at this level .

# Also , there is reduced size of sacroiliac joint parts .

# Lumbar lordosis reduced too.

All these findings suggests,  Spondyloarthropathy , ankylosing spondylitis.



Wednesday, 23 November 2016

Case #1

Student details , SANTU SAHA , 
IQCMC , Durgapur , India
Class - General Medicine ward ( 3rd semester )

Age - 56 years
State - West bengal 
Year - 2016

Chief complains
The chief complains of the patient are : 
1. Swollen dorsum of both the foot 
2. Difficulties in breathing
3. Distended abdomen

History of present illness

Since, 2 months , the patient is having difficulties in breathing. 
He also has swollen dorsum of foot of both legs. He noticed this for the first time 15 days back in his feet.
He also has obesity.

Past history

He never had any major or minor surgical operated on him. 
He was apparently normal 2 months ago.

Hypertension           : Present 

Diabetes                    : Present

Edema                       : Present  (dorsum of foot)

TB                               : absent

Respiratory distress    : Present

Increased heart size also found (as per X ray flim) and there is heart failure.
Jugular venous pulsations can also be observed.

Drug history 
No allergy for drugs.

Personal history

Appetite                     : normal
Sleep                          : normal 
Built                            : Obese
Rate of respiration   : 19-22 times per minute  ( abnormal )
Tremors                     : absent

Findings

The problem seems to be due to his obesity. He also has got hypertension and heart failure as the heart is not pumping efficiently.  The edema also developed due this reasons only , as the venous return is not proper and there is accumulation of fluid in the interstitial spaces , again due to increased hydrostatic pressure. 
If any form of yoga or exercise, can be done to reduce the size of his abdominal obese , below 80cm of circumference,  then he can probably live a normal life again.