Victor's Medical Diary

Wednesday 30/11/2022 Adarsha Hospital,Kundapura  Had a pretty good day today. Finished rounds and OPD with Dr.Adarsh. During the evening around 3:30pm a patient was brought to casualty in a unconscious state. I rushed to casuality to see him. The patient was Mr.Shankar, a middle aged man k/c/o T2DM,HTN,IHD with a recent h/o hospitalisation for CVA left hemiparesis. He was in a unconscious state with a GCS of E1V1M1 with profuse sweating. He had tremors on his left hand. He had multiple episodes of vomiting and had Nausea since 1 day. His Vitals were stable and GRBS was 127mg/dl. He had a Temp of 100.1 degree F. On Examination his pupils were reactive. CNS was unconscious and not oriented. Chest was clear. ECG was done and was normal. Electrolytes were norrmal. As my time was up I came to my house. Will review the patient tomorrow and update on his condition.

Sunday 27/11/22 Adarsha Hospital,Kundapura I had night duty today, So didn't see much patients. But in the evening there was an interesting patient. The patient was Mrs.Sudha, 26 year old female with no premorbid illness presented with c/o deviation of right side of mouth with right upper limb weakness. She also had drooping of right eyelid. She was admitted to ward and was advised for blood investigations,ECG,CXR and CT Brain. Her blood tests were normal except slight rise in total counts of WBC, ECG,CXR abd CT Brain were normal. She was reffered to Physician Dr.Nagesh.  When Dr.Nagesh saw the patient he immediately diagnosed her as Bell's Palsy and nothing else. He was 100% confident. He advised the following treatment and said that it will take one week to recover and there is no need to worry. His treatment was as following: 1. Inj MOCEF 1gm IV ATD 1-0-1 2.Inj EMESET 4mg IV 1-1-1 3.Inj PANTOP 40mg IV 0-0-1 4.Inj NERVIJEN PLUS IV 0-0-1 5.Tab SUPRADYN P/O 1-0-1 6.Tab WYLOSONE...

Saturday 26/11/22 Adarsha Hospital,Kundapura A patient 24 year old male presented with c/o difficulty in micturition since 2 years and sudden loss of micturition (Urinary Retention) since 2 days. He had undergone USG Abdomen and Pelvis which stated that he had Mild Calculus in the Urinary bladder. He was reffered to Urologist and he advised him surgery named Cystolithotrity. Bladder Stones  - Causes,Symptoms,Risks,Complications,   Diagnosis and Treatment

Thursday 24/11/22 Adarsha Hospital, Kundapura More details about TURBT Transurethral resection of a bladder tumor (TURBT) can involve both biopsy and tumor removal (resection). Because the procedure goes through the urethra, no incisions are necessary. The surgery can prevent cancer from invading the muscle wall.

Friday 25/11/22 Adarsha Hospital,Kundapura The day was boring as I had evening duty today. I was sitting in the OPD when a call came from 2nd floor ward. It was about decreased urine output about a patient named Sri Devi.  I had seen this patient few days back. Sri Devi was a middle aged woman, k/c/o T2DM,HTN,CKD,IHD came with c/o breathlessness, lower limb swelling and abdomen distension since 5-6 months. She was admitted to ward for further management. Her breathlessness and lower limb swelling had decreased but abdomen distension was still significant. We went to see her at approx 4:00pm to asses her condition. She had passed urine today morning at 6:00 am and since then she had not passed urine. On examination she had some tenderness at lower abdomen, but she didn't had the urge to pass urine. We advised for hot water compression over the bladder region and wait for few hours. Because she was a k/c/o CKD and she had limit of 1 and half litres of water per day. At 5:30 pm We got...

Tuesday 22/11/22 Adarsha Hospital, Kundapura The day started at 11 am due to temporary shift changes. I finished Dr.Adarsh sir OPD and went to casuality with sir for dressing. At that time, he called Dr.Krathika to say something. He said write the full form of OCD (Obsessive compulsive disorder) otherwise the insurance people may not sanction the amount. I wondered what it might be at first as I was unaware of the term OCD. Then I found out that the patient diagnosed with OCD was Mr.Ganesh. I had seen him two days before when he came for admission to our hospital. He had unusual complaints like he had lust for girls etc. But my duty was about to finish that day and the next day I was on leave, So I missed to see him. Then I looked at his Case sheet,Mr. Ganesh, a 24 year old boy had c/o bad dreams with unwanted thoughts in day and night. He would feel lust to any girl he sees and he is also ashamed of his thoughts. He consulted Psychiatrist Dr.Nithin and he had advised a...