Prefinal Practical Exam June 2023
June 13 2023 - Prefinal practical exam links
[13/06, 9:49 am] Dr. Rakesh Biswas Sir GM: Original @~Tunia Shivani Shivani
"Since 1 month he has been complaining of generalised weakness. Since 15 days he has been feeling cold(even though it is summer) and has been switching off all the fans in the house."
No one got this history before!!
[13/06, 9:54 am] Dr. Rakesh Biswas Sir GM: All suggestive of thyroid involvement!
"suffering with constipation since 10 days. Has not passed stools at all(confirmed by the attender) He did not take any medication for it
He also complained of abdominal distension/bloating due to not passing stools."
You are impacting our workflow! We shall order a T3, T4, TSH because of this.
No one else pointed to this direction till now
[13/06, 9:59 am] Dr. Rakesh Biswas Sir GM: Didn't acknowledge help taken from previous case reports and didn't reference those
Is unable to interpret her CNS findings
[13/06, 10:08 am] Dr. Rakesh Biswas Sir GM: Unable to demonstrate CNS examination
Negative marks for both examinee and mentor
[13/06, 10:10 am] Dr. Rakesh Biswas Sir GM: Couldn't identify tracheostomy tube
[13/06, 10:11 am] Dr. Rakesh Biswas Sir GM: Edema cause for the patient. Unable to answer
[13/06, 10:16 am] Dr. Rakesh Biswas Sir GM: Serial 1:
Consanguinious marriage and polio?
@~Swarnamukhi Says polio is due to Deficiency in bones and polio is genetic!
[13/06, 10:20 am] Dr. Rakesh Biswas Sir GM: Unable to tell us the cause for his ecchymotic patches
[13/06, 10:22 am] Dr. Rakesh Biswas Sir GM: Cause of his ascites?
Unable to answer satisfactorily
[13/06, 10:26 am] Dr. Rakesh Biswas Sir GM: Gall bladder Stones causing portal hypertension @~Lohith Varma That's @~Swarnamukhi 's current answer
[13/06, 10:30 am] Dr. Rakesh Biswas Sir GM: Unable to tell if how why patient is in encephalopathy
[13/06, 10:33 am] Dr. Rakesh Biswas Sir GM: Percussion skills not practiced
[13/06, 10:34 am] Dr. Rakesh Biswas Sir GM: Starting now
[13/06, 10:49 am] Dr. Rakesh Biswas Sir GM: Copy pasted entirely admittedly from 2017 Sahithi's case report to save time as per @~Balaganesh Kilaru
To quote,
: From then Getting intermittent giddiness episodes associated with numbness over left upper and lower limb.
When ever he is getting episodes he used to stay back in house .
3 weeks back 1 episode of syncopal attack while he was in shop in the afternoon.
Unquote
What is the difference between giddiness and syncope and why does he have either?
[13/06, 10:53 am] Dr. Rakesh Biswas Sir GM: @~$@$! Thinks there is a component of substance abuse! To follow this up with the Psy please
[13/06, 11:04 am] Dr. Rakesh Biswas Sir GM: History retaken :
During the syncope episode, he appears to have had headache, abdomen pain and left upper and lower limb numbness following which he fell on a chair with blurred consciousness!
[13/06, 11:08 am] Dr. Rakesh Biswas Sir GM: [6/13, 8:51 AM] +91 86392 55328: https://balaganeshkilarurollno01.blogspot.com/2023/06/27m-giddiness-headache-since-3years.html
[6/13, 10:34 AM] Rakesh Biswas: Starting now
[6/13, 10:49 AM] Rakesh Biswas: Copy pasted entirely admittedly from 2017 Sahithi's case report to save time as per @~Balaganesh Kilaru
To quote,
: From then Getting intermittent giddiness episodes associated with numbness over left upper and lower limb.
When ever he is getting episodes he used to stay back in house .
3 weeks back 1 episode of syncopal attack while he was in shop in the afternoon.
Unquote
What is the difference between giddiness and syncope and why does he have either?
[6/13, 10:53 AM] Rakesh Biswas: @~$@$! Thinks there is a component of substance abuse! To follow this up with the Psy please
[6/13, 11:04 AM] Rakesh Biswas: History retaken :
During the syncope episode, he appears to have had headache, abdomen pain and left upper and lower limb numbness following which he fell on a chair with blurred consciousness!
[13/06, 11:20 am] Dr. Rakesh Biswas Sir GM: Pulmonary edema is collection of blood congestion in the lungs as per @Chopde Akhil 17
[13/06, 11:22 am] Dr. Rakesh Biswas Sir GM: @Chopde Akhil 17 What are the auscultation findings in pulmonary edema?
[13/06, 11:29 am] Dr. Rakesh Biswas Sir GM: How to distinguish crepitations and wheeze?
@Chopde Akhil 17 Will present one patient of OBG, surgery, Pediatrics and medicine everyday till 19th July if he wants to pass medicine
[13/06, 11:34 am] Dr. Rakesh Biswas Sir GM: First intern to make this patient's case report is @Sowmika 17
[13/06, 11:46 am] Dr. Rakesh Biswas Sir GM: Chest diagnosis not mentioned
Nature of crepitations not elucidated
[13/06, 11:48 am] Dr. Rakesh Biswas Sir GM: Difference in coarse and fine crepitations?
[13/06, 12:11 pm] Dr. Rakesh Biswas Sir GM: @Joshua doesn't have have a phone, got damaged 6 months back!
In the case report only images, no findings mentioned and previous pasted information not acknowledged.
Positive findings verbally below !
Tactile vocal fremitus is increased in left and right infraclavicular and supramammary area
What are other findings that have to be present?
[13/06, 12:17 pm] Dr. Rakesh Biswas Sir GM: @Varsha
Please reference whatever you share from googled realizations!
[13/06, 12:19 pm] Dr. Rakesh Biswas Sir GM: @Varsha We all need to learn how to cite references for whatever we borrow online
[13/06, 12:22 pm] Dr. Rakesh Biswas Sir GM: Unable to identify a neck pulsation with adequate reason
[13/06, 12:37 pm] Dr. Rakesh Biswas Sir GM: https://rohithjampanirollno185.blogspot.com/2023/06/a-36-year-old-male-with-vomiting-and.html
@Rohith Jampani 17 Findings?
[13/06, 12:41 pm] Dr. Rakesh Biswas Sir GM: How do you assess protein malnutrition on general examination?
[13/06, 1:01 pm] Dr. Rakesh Biswas Sir GM: Unable to demonstrate ankle or knee jerk
[13/06, 2:03 pm] Dr. Rakesh Biswas Sir GM: Never share patient or hospital identifiers in social media @~GVK
[13/06, 2:22 pm] Dr. Rakesh Biswas Sir GM: No examinee or PGs in medicine ward!!
[13/06, 2:56 pm] +91 95503 60199: Naresh absentee for today’s exam.
[13/06, 3:33 pm] Dr. Rakesh Biswas Sir GM: https://dsrinikhil2k17-39.blogspot.com/2023/06/1701006039-long-case.html?m=1
Wrong findings written without examining the patient. @~Nikhil Reddy Learned how to see sensation today
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