50 yr Male Farmer By Occupation Came to Casualty With Cheif Complaints of Pain both knees since 6 days HOPI :- Patient Was Apparently Asymptomatic 4 years Back , Then He Developed Knee joint Pains,bilateral ,which is Insidious In Onset, Gradually Progressive over years,and similar complaints On & off ,went to Rural Community Practitioner And Given Medicine and got relived. The Patient Had Been Taking pain management Medication whenever he has Joint Pains,Swelling was also present at the knee and Ankle joints during during Pain whenever he gets pain. The patient was able to do his Routine farming Activities for 2 years . Since 2 years the patient stopped doing farming works and used to stay at home and was able to take care of his daily activities. Aggravated during walking and relived with rest and also with medication. Pain was not completely relieved On taking medication but patient used to feel better. Usually pain is migratory typ...
Attendance for the month of may. Medical leave- 0 Casual leave -0 May15th -followed morning rounds and discussed pathologist about BMD patient biopsy report and discharged the patient. 16th - opd duty 17th -attended daily rounds, evaluated the admitted patient (45yr Male 2 episodes of loose stools,RVD +ve with persistent diarrhoea) 18th - attended morning rounds and done all the investigations required for the patient. Prepared for case presentation. 19th -attended daily rounds, presented case and discussed relevant points. 20th -attended daily rounds, review usg done,fundoscopy of patient. 21st- attended daily rounds and helped in writing elog of BMD patient. 22nd - attended daily rounds,correction of hypokalemia to the patient and monitored.. 23rd - opd duty 24th - evaluated the case of 21yr Male with known case of type1 DM with high sugars and vomitings. 25th - attended rounds and done all the investigations required for the patient. 26th - attended ...
Octreotide Compared With Placebo in a Treatment Strategy for Early Rebleeding in Cirrhosis. A Double Blind,Randomised Pragmatic Trial https://aasldpubs.onlinelibrary.wiley.com/doi/epdf/10.1002/hep.510280507 Objective: Comparison of Octreotide with placebo in a treatment strategy for Early Rebleeding in Cirrhosis. P- 262 cirrhotic patients after control of acute upper digestive bleeding. I-131 patients were given a randomized, double blind trial of a 15-day course of subcutaneous octreotide vs placebo after control of upper digestive bleeding from any portal hypertensive source in cirrotic patients. C- Early rebleeding, from any source, within 15 days after randomization, was the primary measure of treatment. Secondary measure was the assessment of a 42-day rebleeding rate. O- Octreotide may safely reduce the risk of early rebleeding after upper digestive portal hypertensive hemorrhage in cirrhotic patients treated by Beta- blockers and/or sclerotherapy for long-...
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