CME INDIA Case Study
What kind of heart block is going on?
CME INDIA Case Presentation by Dr Neeraj, DNB, Med, Jamshedpur. CME INDIA CASE STUDY: Patient with giddiness and headaches for 1 day. What kind of heart block is going on? Intermittent 2:1 it looks like to me, says Dr Neeraj. CME INDIA DISCUSSION Dr Satish Kumar,...
9 Weeks Twin Pregnancy. Now TSH 0.24, T4 16.2, on Thyroxin 62.2mcg. Will you increase or decrease the dose?
CME INDIA Case Presentation by Dr Meenakshi Sahapathi, DNB Family Med, Faridabad. CME INDIA CASE STUDY: Please comment on dose of thyroxine in patient having twin pregnancy with 9 weeks period of gestation. Was initially on 37.5 mcg of thyroxine. At confirmation of...
Young Doctor with Recurrent Stroke: A Diagnostic and Therapeutic Dilemma.
CME INDIA Case Presentation Dr Deepak Gupta, DM, FESC, FSCAI, FACC, Director Cardiac Sciences Pulse Superspeciality Hospital, Ranchi. CME INDIA CASE STUDY: 50yr old male develops CVA while swimming in club at Varanasi, strong family history of stroke in young. He is...
Diagnose this Echo Clip
CME INDIA Case Presentation by Dr Deepak Gupta, DM Card, Pulse Hospital, Ranchi. CME INDIA Case: What is this? RHD Post BMV long back. Sunus Rhythm. No fever. CME INDIA Discussion: Dr Vivek Gupta, Surat: LA THROMBUS... Dr Sandeep: Mobile LA thrombus sir?? Dr S K...
A young patient presented with acute onset LMN type of quadriparesis. Other vitals are WNL.
CME INDIA Case Presentation by Dr Mritunjay Kumar Singh, Nephrologist, Physician, Gaya. CME INDIA Case: ECG done in medical emergency is shown below: CME INDIA Discussion: Dr Bipin Sinha, DM, Card, Delhi: Hypokalaemia, QU waves with QU prolongation in V4 clearly Small...
A case of Resistant Hypertension, History Solved the Mystery.
CME INDIA Case Presentation by Dr Prattay Guha Sarkar, DM, Cardiology, Assistant Professor of Cardiology at Rajendra Institute of Medical Sciences (RIMS), Ranchi. CME INDIA Case: 65year aged, BMI-32, female, presented with complains of occipital headache, giddiness,...
Is it MND or Cervical Cord Compression?
CME INDIA Case Presentation by Dr Ashutosh Chandan Dubey (Dr Strange), DNB Med, Bokaro CME INDIA CASE: A 50-yr. old male driver by profession, resident of Bokaro with primary education has come with complains of weakness of all 4 limbs which was insidious, gradual and...
Is it Pulmonary Embolism or LMCA disease?
CME INDIA Case Presentation by Dr Narendra Kumar, MD, Godda. CME INDIA CASE: 69-year male, diabetic and hypertensive, was under a neurophysician for CVA-for last one year, developed dyspnea since last evening, approximately 24 hours. BP-80/60mm of Hg., no History of...
PKDL or disseminated cryptococcal disease? Diagnose it.
CME INDIA Presentation by Dr Bhanu Pratap Singh, MD, Medicine, Siwan, Bihar. CME INDIA CASE: This patient presented with nodular rashes of 3-4 months duration, non-itching, mainly centrifugal distribution, no other systemic findings at present. Past H/O Kala-azar, 8...
A case of Resistant Hypertension with Hypokalemia
Presented by Dr Mritunjay Kumar Singh, Nephrologist Physician, Secretary, CCDSI, Gaya CME INDIA CASE: A 40-year-old male, Headache – 2 months, BP – 200/120mm of Hg Pulse – 80/min .NO R-R/R-F delayHad h/o hypertension for 1 years, on amlodipine(5mg), and...
Is it a case of Diabetic Dermopathy?
Case Presented by Dr N K Singh, Admin – CME INDIA. CME INDIA CASE STUDY: Young diabetic, now random sugar 340mg. On glimepiride 1mg and Metformin 500mg. These lesions for last 1 years. No itching, no significant occupational history. What is the diagnosis? Took some...
Diagnose this case of Bullous Eruption
Case Presented by Dr Prabhat Kumar, Agra. CASE: Age 60, No mucosa involved, Initially on upper limbs, then thorax and abdomen and in last involved lower limbs. Initially tense, Itching after bullae rupture. Discussion: Dr Amit Kumar, Dermatologist, Ranchi: The...
Diagnose this case of strange lips movement
Presented by Dr N. K. Singh, Dhanbad CASE: Diabetic, on Dapagliflozin, Gilmipiride, Metformin and Tenaligliptin. Random sugar 150 mg. For low back pain MRI advised. When JUST Inside MRI, got panicky and was taken out immediately. Since then this happening. Four days...
Diagnose this case of headache
Presented by Dr N. K. Singh, Dhanbad. CASE: This young man develops moderate headache only triggered by smell of smoke, chewing tobacco, incense scent or similar pungent smell. Frequency... Only after exposure of smell. Duration - 2 yrs. History: Had some stress...
Varicella (Chicken Pox) and Herpes Zoster?
Presented by Dr Sikandar Singh, Deoghar. CASE: Is it Varicella (Chicken Pox) and Herpes Zoster in the same patient and at the same time? Patient presented with history of painful eruption at left arm, upper chest and back 5 days ago. Then after 2days she develop...
A Case of Syphilis?
Presented by Dr Sanjeev Kapoor, Faridabad. Case: 30-year-old male, donated blood and found HIV POSITIVE and VDRL positive. History of multiple contacts since 8-9 years About 6 months ago, had history of penile chancre Since 2-3 months he developed these non-pruritic,...
Diagnose the ECG
Case by Dr Narendra Kumar, Cardiologist Physician, Godda, Jharkhand Male aged 55 yrs., pulseless with severe pain chest and breathlessness [Na-123, K-4.8, Cl-107] What does this ECG point? Discussion: Dr Ranjeet Ramgarh: Acute MI... Idioventricular rhythm. Dr Harish...
A case of Peak-Dose Dyskinesia
Posted by Dr Anil Kumar, Neuropsychiatrist, Ranchi Do you agree with his diagnosis? Parkinson's early onset on syndopa Plus tid and selgin 5 mg Patient improved after stopping selgin and slight reduction of syndopa Plus Peak dose dyskinesia Dr Ujjawal Roy, DM, Neuro,...
Spot the diagnosis
Q: Patient is mentally retarded and now present with altered sensorium - By Dr Prabhat Kumar Agarwal, Agra Responses: Dr Ravishankar Dwivedi Dermatologist, Ranchi: Tuberous sclerosis, Epilepsy, Low IQ, Adenoma sebaceum classical triad of Tuberous sclerosis. EPILOIA Dr...