FINAL YEAR MEDICOS

For 3rd year

Pt has polyarthritis+ psoriatic lesions in his hands, body & also involved in scalp....... Psoriatic arthritis.

Herpes zoster ophthalmicus

Hepatospleenomegali tey sathe fever o ache... ascites o ache... r lymph node palpable o ache... alada alada case alada alada presentation...

17 ta long case ... thakbe... maximally hepatospleenomegaly... 3 tey nephrotic, 2 to thalassemia r 1 ta pl effusion / pneumonia... Each one er jonyo 1 ta kore case... 2 to half e exam... total 34... 17 -17 tey vangbe... 1 grp neonate another grp long case

Paediatric: 👇

Obs&Gynae specimens: 1.Ectopic pregnancy 2.Fibroid 3.Dermoid cyst 4.H.mole 5.Post op specimen of TAH+BSO.

Short cases: 1.Abdominal lump (gynecological) 2. Prolapse ( pelvic organ prolapse)

Long case: 1.Normal pregnancy, 2.Puerperium, 3. PIH, 4. Anemia in pregnancy, 5.Post cs pregnancy, 6. Post dated pregnancy.

Obs & Gyne: 👇 Basics: 1. Gravida parity edd 2. Age of gestation 3. Diameters(9.5) , presentation, vertex area, denominator, pelvic diam. 4. Labor definition and stages 5. Gynae and obs short case 6. Forceps use in obs and gynae 7. General investigation 8. Pih 9. Leopold maneuver

Steps of giving skeletal traction using a steinmann pin in proximal tibia.......Hod er question ortho er

Ortho short case: 1.Ctev 2.Cubitus varus 3.Genu valgum 4.Exostosis 5.Osteomyelitis 6. Parthes disease

Short Operative procedures: Steps of foleys catheter insertion Steps of i v canula insertion Steps of blood transfusion Steps of incision drainage Steps of dressing a wound.

Short case: Haemangioma,Hyposphidiasis,Hydrocele,Neurofibroma,Paraumblical hernia,Post burn contructure, Sebaceous cyst, Forehead & Nape of neck lipoma,Nonhealing ulcer

Long case: Varicose vein, breast ca, thyroid, abdominal lump(Pseudocyst of pancreas),Obstructive jaundice, Inguinal hernia, Incisional hernia.

X- ray: Free gas, intestinal obstruction, sigmoid volvulus, t tube cholangiogram, (pyelography, mammogram)

Surgery 👇

B) respiratory system Auscultate back of chest- clearly instruct pt "mukh khule lomba lomba sash nin" Copd auscultatory findings- Reduced vesicular breath sounds Prolonged expiration Rhonchi Normal inspiration expiration ratio Pleural effusion e percussion note is *stony dull* Percussion bosiye korbi Copd causes- smoking, cooking in wood, coal, environmental / industrial exposure Emphysema te liver niche neme jabe. Upper border of hepatic dullness in 6th space Copd management e 1) nebulization 2) acute attack e steroid - hydrocortisone iv 3) antibiotics 4) immunization- pneumococcal 5 yearly Influenza 1 yearly Reduced chest expansion er non respiratory causes Rib fracture/ trauma Myasthenia gravis Diaphragmatic palsy Kyphoscoliosis Ankylosing spondylitis Pleural rub vs crepitations Fine crepts small airways theke ashe. Coarse crepts larger airways theke mane respiratory bronchioles er aage Trail sign Pleural effusion but trachea shifted to same side

Onek ? Tubercular pt ache Oder ATD started Tai, sir general survey te jaundice ache ki na sunte chay ATD start korar por Kon investigation must LFT 4th day te LFT repeat korbo Upto 200 liver enzymes jete pare Tar besi gele drug induced hepatitis Stop ATD