Anahita behara

INTRODUCTION  https://www.ncbi.nlm.nih.gov/books/NBK538197/  Dandy-Walker malformation or syndrome is a rare congenital neurological anomaly that affects the development of the cerebellum, the region of the brain responsible for motor coordination and balance. This posterior fossa anomaly is characterized by agenesis or hypoplasia of the vermis and cystic enlargement of the fourth ventricle, causing upward displacement of the tentorium and torcula. Most patients have hydrocephalus at the time of diagnosis. Dandy-Walker malformation is the most common posterior fossa malformation, and it typically occurs sporadically. The syndrome can manifest with a wide spectrum of neurological and developmental symptoms, making timely recognition and management crucial for improving patient outcomes CASE REPORT  A 13 year old boy presented to the general medicine OPD of KIMS, Narketpally on 17th May 2025 , with the following complaints dribbling of urine from the back of the p...

 I am Dr.Anahita Behara from KIMS,Nkp and today I shall demonstrate the benefits of a case based learning ecosystem (CCBLE) , as a budding medical student full of curiosity ,  i was fascinated by the revelling mystery of the numerous diseases encountered during my study . I was deeply disturbed  by my inability to make a change . I had such big dreams but no way of achieveing them , until I was introduced to the concept of Case-based learning or  Patient-centric learning , following up on patients even after they were discharged and monitoring their lifestyle habits , gave us a window to view not only the "dis-ease" but the "ease" as well , linking all the domains of health .  It humanises the patient and forces us to look at the bigger picture.

Introduction  Acetamiprid belongs to a new systemic neonicotinoid insecticide that is effectively used for crop protection and flea control in agricultural works [ 1 ]. It has low toxicity in mammals, but ingestion of large amounts can cause severe toxicity. It is described in a case report that a buffalo exhibited severe gastrointestinal symptoms and respiratory distress following accidental ingestion of acetamiprid in India [ 2 ]. Here we describe a case of a 34 year old male with diabetic ketoacidosis and acetamiprid ingestion  Case Report  This is the case of a 34 year old male who is a resident of Nalgonda m, Telangana , who is a farmer by occupation , was brought to the casuality at 6:00am with history of Acetamipride 20% (insecticide) ingestion  approximately 50gm powder in 2 glasses of water , he presented with 3 episodes of turquoise colored vomitus and shortness of breath since 1:00am   There is n/h/o pain abdomen , giddiness , nausea , chest pain...

 Fungal 

 Admission Date: 07/03/2024 01:00 PM Discharge Date Date:21/04/2024 Discharge Type: Relieved Diagnosis CKD ON MHD Case History and Clinical Findings C/O PEDAL EDEMA SINCE 1 WEEK C/O DECREASED URINE OUTPUT SINCE 1 WEEK PT WAS APPARENTLY ASYMPTOMATIC 1 WEEK AGO THEN HE DEVELOPED PEDALEDEMA SINCE 1WEEK , WHICH WAS INSIDIOUS IN ONSET AND GRADUALLY PROGRESIVE IN NATURE ALSO C/O DECREASED URINE OUTPUT SINCE 1 WEEK N/K/C/O HTN , CVA , CAD , ASTHMA O/E: NO PALLOR ICTERUS CYANOSIS CLUBBING AND GENERALIZED LYMPHADENOPATHY PEDAL EDEMA PRESENT TEMPERATURE 97.8 PR- 79BPM RR-18CPM BP- 140/90 GRBS 112 SPO2- 98% AT RA CVS- SI S2HEARD NO THRILLS AND MURMURS RS- B/LAE NVBS HEARD P/A- SOFT AND NON TENDER NO PALPABLE MASS CNS - NFND CRANIAL NERVES INTACT SENSORY AND MOTOR SYSTEM NORMAL Investigation LIVER FUNCTION TEST (LFT) 06-03-2024 12:55:PM Total Bilurubin0.77 mg/dlDirect Bilurubin0.20 mg/dlSGOT(AST)10 IU/LSGPT(ALT)10 IU/LALKALINE PHOSPHATASE473 IU/LTOTAL PROTEINS7.4 gm/dlALBUMIN3.68 gm/dlA/G RATI...

  CASE :   DIAGNOSIS :  diagnosis  RTA , TRAUMATIC BRAIN INJURY(20/3/23) WITH INTRAVENTRICULAR HEMORRHAGE(RESOLVED) WITH ASPIRATION PNEUMONIA(RESOLVED) FRONTAL BONE FRACTURE s/p -RIGHT FRONTAL LACERATION SOFT TISSUE REPAIR WITH DEBRIDEMENT WAS DONE ON 21/3/23.HFMEF (EF-50%)  SUDDEN CARDIAC ARREST-? HIE ON MECHANICAL VENTILATION DAY-5 (25/3/23) POST CPR STATUS(2CYCLES) ON (25/3/23 ) ANTERIOR WALL MI (EVOLVED)  S/P TRACHEOSTOMY (29/3/23) RECURRENT HYPOKALEMIA WITH GRADE 2 BED SORE (DAY2) ?SEPSIS with LEFT MIDDLE LOBE CONSOLIDATION ? ventilator associated pneumonia  COURSE IN HOSPITAL  25 YEAR OLD MALE PATIENT BROUGHT TO CASUALTY WITH H/O FALL FROM BIKE UNDER ALCOHOL INFLUENCE AT 9:30 PM NEAR HALIYA,NALGONDA ON 20/03/23. AND THEN TAKEN TO HOSPITAL FOR FURTHER MANAGEMENT.PATIENT IS INVESTIGATED AND DIAGNOSED TO HAVE RTA , TRAUMATIC BRAIN INJURY,WITH INTRAVENTRICULAR HEMORRHAGE WITH FRONTAL BONE FRACTURE WITH ASPIRATION PNEUMONIA AND RIGHT FRONTAL LACE...