Monthly Archives: July 2021

medical code of conduct-ethics

10 7.21 No act of invitro fertilization or artificial insemination shall be undertaken without the informed consent of the female patient and her spouse as well as the donor. Such consent shall be obtained in writing only after the patient is provided, at her own level of comprehension, with sufficient information about the purpose, methods, […]

*Post Covid -Heart**

*Post Covid -Heart** It is 2 -3 months since Second wave -But patients keep flocking the OPD with Complaints of Paplitations tachycardia exhaustion fatigue. Many of them being even unaware of past Covid infection. It is important for every doctor to recognise post covid cardiac issues . *Clinical manifestations* 1. *Chest pain in up to […]

Patient. You’re fired

The complexities of firing a patient, according to experts Naveed Saleh, MD, MS|July 23, 2021 Physicians cherish caring for patients. The drive to help others is woven into the very fabric of medicine, as demonstrated by lines from the modern version of the Hippocratic Oath:  It doesn’t happen often, but occasionally it is necessary for […]

National Snakebite Management Protocol,

India is recognised as having the highest snakebite mortality in the world. Most of the fatalities are due to the victim not reaching the hospital in time and are preventable. Research has shown that PHC doctors do not treat snakebite mainly due to lack of confidence. At the secondary and tertiary care level Emergency departments, […]

Snakebite management protocol

Is lamotrigine safe for use in pregnancy?

*Is lamotrigine safe for use in pregnancy? Part one* The use of psychotropic medications during pregnancy. For women with bipolar disorder, one of the medications that is very frequently used is lamotrigine. For many psychotropic medications, we just don’t have enough data on their use in pregnancy. But we do have a fair amount of […]

Incidence of, and risk factors for nodding off at scientific sessions

     Auscultations       Incidence of and risk factors for nodding off at scientific sessions Kenneth Rockwood, David B. Hogan, Christopher J. Patterson; for the Nodding at Presentations (NAP) Investigators  Abstract We conducted a surreptitious, prospective, cohort study to ex- plore how often physicians nod off […]

Sims’ Symptoms in the Mind

                  Any screen.  Any time. Anywhere. Activate the eBook version of this title at no additional charge. Expert Consult eBooks give you the power to browse and find content, view enhanced images, share notes and highlights—both online […]

FAQ on COVID-19 in Pregnancy

 Government of West Bengal Department of Health & Family Welfare State Family Welfare Bureau Swasthya Bhawan GN 29, Sector V, Salt Lake, Kolkata – 700091. FAQ on COVID-19 in Pregnancy (July 2021) ANS: Though the incidence of Covid-19 in pregnancy is similar to the general population, absolute risk of severe Covid-19 in pregnancy was […]

Supreme Court

*NewsFirst* : Supreme Court takes Gujarat Govt to task for extending deadline till June 30 next year for hospitals to correct building bye-law violations. • Supreme Court had ordered fire-safety audits and other illegalities by hospitals across India after hospital fires in Gujarat and Maharashtra had killed scores of patients. • Supreme Court says Hospitals […]


 v• {1161 3u:t ;:qllllclltli:ll ij)<YS) 4stma>rfl =11’1’1\’C : M<i”it ::qr416S41ct SJMRhi Q),Jtarfl oitiH (i’oli<l?ftnl f<lRlce llii.ll1fd6& w.;r 3Jo5 q;’f(¥)feift H<‘c.tcft’lfll< ti’Rdh <P<O’lU fcr.icft tmft. sl < f t i ‘ I S I > H I f t l 6 fi?>dtcft81 r<ll<l 3f.if ci lffif<o<o 3HC’51. C”Qj;ft 3’ii: ar&M ttiOI ‘H::if –mft. c:ai..-t tn […]

HC sets aside GR capping non-Covid treatment charges

      Validity unknown Digitally signed by Sanjay Kumar Date: 2021.07.19 16:53:26 IST Reason:   I Boost for private charitable hospitals In a precedent-setting decision, Nagpur bench terms notification as ‘unconstitutional’ City MumbaiMirror s aturd I 1Sharmeen.Haklm m TWEETS @sharmaenMIRROR n a boost for private charitable Ihospitals, a Bombay High Court bench […]

Headache Syndromes

Oxford Textbook of Headache Syndromes EDITED &v Michel Ferrari Joost Haan AndrewCharles David W. Dodick SEGlES EDITOR Fumihiko Sakai Christopher Kennard ALL CONTENT AVAILABLE AT OXFORDMEDICINE .COM Oxford Textbook of Headache Syndromes OXFORD TEXTBOOKS IN CLINICAL NEUROLOGY Published Oxford Textbook of Epilepsy and Epileptic Seizures Edited by Simon Shorvon, Renzo Guerrini, Mark Cook, and Samden […]


 EMOTION AND CONSCIOUSNESS This page intentionally left blank Edited by LISA FELDMAN BARRETT PAULA M. NIEDENTHAL PIOTR WINKIELMAN   THE GUILFORD PRESS New York London © 2005 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 All rights reserved No part of this book may […]

STATES O MIND: ESP and A tered STATES O MIND: ESP and A ltered States of Consciousness

 STATES O MIND: ESP and A tered  STATES O MIND: ESP and A tered States of Consciousness Adrian Parker Introduction by John Beloff  States of Mind ESP and Altered States of Consciousness Adrian Parker Introduction by John Beloff Probably more than at any other time in history, there is today a preoccupation […]

States of Consciousness

 An Authors Guild Backinprint. com Edition “A beautiful piece of work on the theory of altered states of consciousness.” —Stanislav Grof, M.D. author of Realms of the Human Unconsciousness CHARLES T. TART. PHD  States of Consciousness  States of Consciousness Charles T. Tart AN AUTHORS GUILD BACKINPRINT.COM EDITION  States of Consciousness All […]

[Fire Safety in COVID hospitals

] “lllWhat is this report in sealed cover? This is not nuclear secret:” Supreme Court pulls up Gujarat govt “Hospitals have become large industry now based on human distress and we cannot prosper them at the cost of lives. Let such hospitals be closed,” the Court observed. <img src=”;fit=max&amp;w=1200&#8243; alt=”[Fire Safety in COVID hospitals] &quot;What […]


Copyright_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf Preface-to-the-second-edition_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf Foreword_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf Glossary_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf 1-Origin-and-technical-aspects-of-the-EEG_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf 2-The-normal-adult-EEG_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf 3-The-normal-EEG-from-neonates-to-adolescents_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf 4-The-abnormal-EEG_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf 5-The-EEG-and-epilepsy_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf 6-The-EEG-in-other-neurological-and-medical-conditions-and-in-status-epilepticus_2016_Rowan-s-Pri mer-of-EEG-Second-Edition-.pdf 7-The-EEG-Tips-on-indications-reading-and-reporting_2016_Rowan-s-Primer-of-EEG-Second-Edition-. pdf Appendix-1-Influence-of-common-drugs-on-the-EEG-and-on-seizure-threshold_2016_Rowan-s-Primer- of-EEG-Second-Edition-.pdf Appendix-2-Treatment-of-Status-Epilepticus_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf Questions_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf Answers_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf Index_2016_Rowan-s-Primer-of-EEG-Second-Edition-.pdf Rowan’s PRIMER of EEG LARA V MARCUSE MD Assistant Professor Neurology and Co-Director of the Mount Sinai Epilepsy Center, The Icahn School of Medicine at Mount Sinai, New York, USA MADELINE C FIELDS MD Assistant Professor […]

Imaging of Neurodegenerative Disorders

         Kanekar, Imaging of Neurodegenerative Disorders (ISBN 978-1-60406-854-2), copyright © 2016 Thieme Medical Publishers All rights reserved. Usage subject to terms and conditions of license. Imaging of Neurodegenerative Disorders Best Evidence Recommendations 2nd Edition Sangam G. Kanekar, MD Associate Professor of Radiology and Neurology Milton S. Hershey […]


 OXFORD TEXTBOOKS IN CLIN ICAL NEUROLOGY Oxford Textbook of Cognitive Neurology and Dementia Oxford Textbooks in Clinical Neurology  PUBLISHED Oxford Textbook of Epilepsy and Epileptic Seizures Edited by Simon Shorvon, Renzo Guerrini, Mark Cook, and Samden Lhatoo Oxford Textbook of Vertigo and Imbalance Edited by Adolfo Bronstein Oxford Textbook of Movement Disorders Edited […]


 Handbook of EEG INTERPRETATION This page intentionally left blank Handbook of EEG INTERPRETATION William O. Tatum, IV, DO Section Chief, Department of Neurology, Tampa General Hospital Clinical Professor, Department of Neurology, University of South Florida Tampa, Florida Aatif M. Husain, MD Associate Professor, Department of Medicine (Neurology), Duke University Medical Center Director, Neurodiagnostic Center, […]

* * *महाभारत का एक सार्थक प्रसंग

* * *महाभारत का एक सार्थक प्रसंग जो अंतर्मन को छूता है …. !!* महाभारत युद्ध समाप्त हो चुका था। युद्धभूमि में यत्र-तत्र योद्धाओं के फटे वस्त्र, मुकुट, टूटे शस्त्र, टूटे रथों के चक्के, छज्जे आदि बिखरे हुए थे और वायुमण्डल में पसरी हुई थी घोर उदासी …. ! गिद्ध, कुत्ते, सियारों की उदास और […]


Acute presentations index Acute alcohol withdrawal Acute benzodiazepine withdrawal Acute dystonic reactions Acute grief reaction Acute manic episode Acute opiate withdrawal Acute psychotic episode Acute stress reaction , Akathisia Anorexia nervosa admission criteria Antidepressant discontinuation syndrome Antipsychotic-induced parkinsonism Attemped overdose Attempted hanging Attempted suicide Capacity assessment Catatonia Challenging behaviour 828b Child protection issues Culture-bound syndromes […]

Medical records

Delhi High Court on Monday observed that the medical reports led by the jail doctors should be explicit and must explain the complex medical terms used not just in medical jargon but also in simple language. The Court also observed that such medical reports must clearly state the history, examination ndings, clinical diagnosis and its […]

‘Lady Doctors’

It was a Google Doodle of Rukhmabai Raut, a child bride who was not only one of India’s first divorcees but also a pathbreaking female doctor, that led London-based journalist and author Kavitha Rao down an enchanting rabbit hole from which emerged her book ‘Lady Doctors: The Untold Stories of India’s First Women in Medicine’. […]

Drug Deaddiction

 Contents Preface Foreword Acknowledgements 1. Drug De-addiction Programmes in India 2. Assessment and Diagnosis in Substance Use Disorder 3. Epidemiology of Substance Use 4. Acute Effects of Alcohol, Opioid and Cannabis Use 5. HealthHazardsofLongTermAlcohol,Opioid and Cannabis Use 6. Treatment Principles and Issues in Manage- ment of Substance Use Disorder – An Overview 7. Pharmacotherapy […]

*Lithium-induced “benign” tremor*

*Why is lithium-induced “benign” tremor important?* There is something about tremors that make them particularly unacceptable to patients. In part, this may be because they are visible to others. Many of patients have complained to me that it was embarrassing for them for others to notice that their hands were trembling–at work or in social […]

Mood disorder

   DSM-5 Classification of Mood Disorders  Disruptive Mood Dysregulation Disorder  Dysthymia (Persistent Depressive Disorder)  Major Depressive disorder (unipolar depression) Depressive disorder not otherwise specified (Premenstrual Dysphoric Disorder, Atypical depression, Postnatal depression, Seasonal affective disorder)   Bipolar II Disorder (Hypomania + Major Depressive disorder)   Bipolar I Disorder (Mania with Major […]

Management of schizophrenia

Differential diagnosis  Chronic schizophrenia In chronic schizophrenia the diagnosis itself is rarely in doubt. 1. neurological syndromes (e.g. a leukodystrophy) can mimic the clinical picture. 2. A more common problem is to distinguish negative symptoms from depression 3. from the sedative and parkinsonian effects of antipsychotics. Management of acute schizophrenia The management of schizophrenia […]

Psychiatric Emergency

 12/7/2019 Assist.Prof.Hafidh M.Farhan 1 References Comprehensive Text book of Psychiatry       ;By B. Manual of Psychiatric Emergencies; By Steven Hyman, and George Emergency Psychiatry; By Randy and Brook Sadock and V. . Sadock     Tesar . Hillard     ,    Saturday, […]

Basics of psychiatry

Overview of psychiatry • Psychiatry is, in fact, fundamentally similar to the rest of medicine: the treatments used are primarily evidence-based. • Psychiatric disorders may be defined as illnesses that are conventionally treated with treatments used by psychiatrists, just as surgical conditions are those thought best treated by surgery. Studying psychiatry Studying psychiatry is worthwhile […]

——————————————– Signs and Symptoms in Psychiatry

Assist.Prof. Hafidh M. Farhan Head of Department of Psychiatry Kufa College of Medicine University of Kufa ——————————————– Signs and Symptoms in Psychiatry Disorders of perception. Illusions. Misperception or misinterpretation of a real external sensory stimulus. Hallucinations. A false perception without an objective stimulus. a)Hypnogogic Hallucinations. b)Hypnopompic Hallucinations. c)Auditory Hallucinations. d)Visual Hallucinations. e)Olfactory Hallucinations. f)Gustatory Hallucinations. […]


Mental Health care and Neurology Block-Phase II 2017 Psychosis and schizophrenia 1. Synopsis A. A syndrome not a diagnosis B. Symptoms and presentations in psychosis C. Differential diagnosis and classification D. Epidemiology E. Aetiology F. Management. 2. Self-test Questions A. What is “thought broadcast”? B. What are the core symptoms of schizophrenia according to the […]

Taking a psychiatric history

Dr. Hafidh M. Farhan kufa medical college psychiatry 2018-2019 بسم الله الرحمن الرحیم 6th stage Taking a psychiatric history The purpose of the psychiatric history is help with decisions about diagnosis, will increase understanding of the factors that may influence symptoms or problems, and to help determine the most appropriate treatment and management plan. It […]

*Covid Update-216

*Covid Update-216* *Vaccine Variants and Third Wave*: A meeting was held on the Aegis of East Delhi Physicians Association in 10 July 2021. *Padam Shree Prof Raman Gangakhedkar from ICMR enlightened the audience with his original ideas, Dr Moorjhani Infectious Diseases Specialist also shared his experiences*. Meeting was chaired by Dr SK Gupta, Dr Pankaj […]

*MCI recommendations regarding issuing medical certificate.*

1. Never give it for more than 15 days. 2. See Patient again after 15 days and re issue. 3. Even in repeat case’s, make sure that he or she are the patient , identify the pt. By photo I. D. Card , and then issue. *Not to the attendants.* 3. Avoid issuing certificate for […]

*Drug dilution simplified*

*Drug dilution simplified* To make a solution of Norepinephrine, should I take Normal Saline or 5D? –the nurse asked. Which solution NS or 5D to take to make Amiodarone infusion? Is it better to write the solvent in the prescription? And does it matter? This is an everyday happening and how to solve the diluents […]


Finally, good news: *THE BRAIN OF AN ELDERLY PERSON.* The director of the George Washington University College of Medicine argues that the brain of an elderly person is much more plastic than is commonly believed. At this age, the interaction of the right and left hemispheres of the brain becomes harmonious, which expands our creative […]

Covid stories

WHO designated 2020 as the “International Year of the Nurse and the Midwife” and while this designation came prior to the COVID-19 pandemic, we cannot think of a better time to honour and recognize nurses for their commitment to the profession. Around the world nurses are on the front lines battling COVID-19 daily. But what […]

*Covid vaccination in Pregnancy*

*Covid Update -204* *Covid vaccination in Pregnancy* *Government of India on 25 June 21 approved covid-19 vaccination for pregnant women*. The Ministry of Health has issued guidelines that covid-19 vaccine can be given to the *pregnant women*. Note : MoHFW had already recommended vaccine for lactating women in second Half of May 21 *Is it […]

*Delta+ and Third Wave*

*Covid Update- 203* *Delta+ and Third Wave* 🔰 *Will the Third wave be driven by Delta plus variant?* *Too early to say as Virus* is constantly mutating. But the way this variant has spread across nations possibility can’t be denied. 🔰 *Does Delta plus variant has higher transmission?* ◆No definite evidence as yet. Evidence of […]

NV Ramana

While delivering his speech on the occasion of National Doctors’ day, CJI NV Ramana expressed concern towards the brutal attacks happening on doctors while on duty. “It is saddening that our doctors are being brutally attacked while on duty. Why is it that the medical professionals are at the receiving end for someone else’s failure?” […]


Pandemic Surges Again in Many Parts of the World, Fueled by Variants The highly contagious Delta variant is on the rise, and countries that hoped they had seen the worst of Covid-19 are being battered again. June 30, 2021 The nightmare is returning. In Indonesia, grave diggers are working into the night, as oxygen and […]