Author Archives: deemagclinic

The silver lining

The silver lining The seven hundred odd doctors who have lost their lives to Covid 19 may finally not have been in vain. The Parliamentary standing committee on Health has stated in its report ‘Outbreak of Pandemic Covid-19 and its Management’ that the Government must address the abysmally low public spending on healthcare and raise […]

MHE

   Under the MHCA 2017, all hospitals, where the persons with mental illness (PMI) are admitted, are the MENTAL HEALTH ESTABLISHMENTS (MHE). To get recognized as a teaching centre for MBBS, all the medical colleges are required to have a specified number of indoor beds in Psychiatry. Therefore, all the medical colleges are MHE under […]

Medband

MedBand   Emergency Alert & Vitals Remote Tracking Device Findings Based on Market study done and findings from others sources, more than 50% of people do not reach hospital on time. A lot of precious time is still being wasted in taking a heart attack patient to a facility that is capable of treating heart […]

WHO CHIEF

Tedros was born in Asmara, which at that time was in Ethiopia—but is now the capital of Eritrea to Adhanom Gebreyesus and Melashu Weldegabir. The family originated from the Enderta awrajja of the province of Tigray. Tedros recalls that as a child he was very aware of the suffering and death caused by malaria.His younger […]

Drug-induced QT interval prolongation: mechanisms and clinical management

Drug-induced QT interval prolongation: mechanisms and clinical management Senthil Nachimuthu, Manish D. Assar, and Jeffrey M. Schussler Additional article information Abstract article-meta The prolonged QT interval is both widely seen and associated with the potentially deadly rhythm, Torsades de Pointes (TdP). While it can occur spontaneously in the congenital form, there is a wide array […]

Arrhythmogenic Foods: Grapefruit, gram floor, sesame seeds, another threats for Long QT Patients

June 07, 2019 at 11:52 PM Yes, Grapefruit!  While it has been known for over a decade that grapefruit contains a chemical that can block your body’s ability to degrade many prescribed medicines, it would not otherwise be expected to have direct effects on the electrical system of the heart.  Nevertheless, a recent study conducted […]

Po2

Precautions/Checklist while doing pulse oximetry : 1. Check spo2 after 15 minutes of rest 2. Hands should be warm. Low temperature may decrease the capillary perfusion leading to false low values 3. Use right middle finger or right thumb 4. Pulse oximetry should not be done under direct light like sunlight or OT light 5. […]

Low dose steroids in rheumatoid arthritis

Dr. Rohini Handa explains the role of low-dose and high-dose steroids in Rheumatoid Arthritis (RA), types of corticosteroids and when to use them in established RA, and useful facts for clinicians to use steroids in resource-constrained settings. Rheumatoid Arthritis (RA) is the most common inflammatory polyarthritis chanced upon in clinical practice. The use of corticosteroids […]

Covid and mental health

 CONTRIBUTORS  Dr. Manisha Murugesan, Senior Resident, Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru -560029. Dr.Patley Rahul, Post-Doctoral Fellow in Community Mental Health, Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru -560029. Dr. Rakesh Chander K., Senior Resident, Department of Psychiatry, National Institute of Mental Health and […]

Neurotransmitters

SEROTONIN Now, onto the individual neurotransmitters. We’ll start with serotonin (also known as 5-hydroxytryptamine or 5-HT). Serotonin is a complex little guy because it has so many roles in your body. You probably are familiar with the idea that drugs that boost serotonin in the brain are used as antidepressants. However, serotonergic drugs have functions […]

Neurotransmitters

SEROTONIN Now, onto the individual neurotransmitters. We’ll start with serotonin (also known as 5-hydroxytryptamine or 5-HT). Serotonin is a complex little guy because it has so many roles in your body. You probably are familiar with the idea that drugs that boost serotonin in the brain are used as antidepressants. However, serotonergic drugs have functions […]

KAPLAN & SADOCK’S Study Guide and Self-Examination Review in Psychiatry Ninth Edition  KAPLAN & SADOCK’S Study Guide and Self-Examination Review in Psychiatry NINTH EDITION Benjamin James Sadock, M.D. Menas S. Gregory Professor of Psychiatry, New York University School of Medicine; Attending Psychiatrist, Tisch Hospital; Attending Psychiatrist, Bellevue Hospital Center; Honorary Medical Staff, Lenox Hill […]

Study Guide and Self-Examination Review in Psychiatry

KAPLAN & SADOCK’S Ninth Edition  KAPLAN & SADOCK’S Study Guide and Self-Examination Review in Psychiatry NINTH EDITION Benjamin James Sadock, M.D. Menas S. Gregory Professor of Psychiatry, New York University School of Medicine; Attending Psychiatrist, Tisch Hospital; Attending Psychiatrist, Bellevue Hospital Center; Honorary Medical Staff, Lenox Hill Hospital, New York, New York Virginia Alcott […]

LABORATORY CONFIRMED COVID 19 PATIENT

LABORATORY CONFIRMED COVID 19 PATIENT  MILD DISEASE Uncomplicated URTI (&/or Fever) WITHOUT breathlessness/ Hypoxia SEVERE DISEASE Respiratory rate ≥ 30/min AND/ OR SpO2< 90% on Room Air MODERATE DISEASE Respiratory rate ≥24/min AND/ OR SpO2< 94% on Room Air    ADMIT in COVID WARD ANTIVIRALS   HCQ 400 mg BD for 1-day […]

MANAGEMENT OF COVID-19 PATIENTS IN HOME ISOLATION

MANAGEMENT OF COVID-19 PATIENTS IN HOME ISOLATION Prof. (Dr). Bibhuti Saha Prof. (Dr). Jyotirmoy Pal Prof. (Dr). Soumitra Ghosh   Clinical Presentation • Malaise • Fever • Dry cough • Rhinorrhoea • Headache • Anosmia • Dysgeusia • Ageusia • Irritability • Diarrhoea • Weakness • Confusion  Whom To Test • Patient with […]

Duration of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infectivity: When Is It Safe to Discontinue Isolation?

Clinical Infectious Diseases REVIEW ARTICLE Duration of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infectivity: When Is It Safe to Discontinue Isolation? Chanu Rhee,1,2,3 Sanjat Kanjilal,1,2 Meghan Baker,1,2,3 and Michael Klompas1,2,3 1Department of Population Medicine, Harvard Medical School/Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA, 2Division of Infectious Diseases, Brigham and Women’s Hospital, Boston, Massachusetts, […]

Neurobiology of sleep*

Link to session recording and Summary of Live CME Chitchat 7 dated 08.11.2020 on *Neurobiology of sleep* (Please follow the page for future updates) Summary of Chitchat 7: Neurobiology (in general) broadly encompasses six aspects (i) Neuroanatomical structure, (ii) Neurophysiological function, (iii) Evolutionary biology, (iv) Molecular correlates, (v) Body correlates and (vi) Neurochemistry. Sleep has […]

‘A Disease protected in India”

‘A Disease protected in India” ©️ Dr. Rajas Deshpande There’s a deep valley between Doctors and many Patients, especially in India. Most patients and relatives refuse to grasp: That some diseases have no treatment, are not curable yet need a doctor’s supervision to maintain, prolong life with supportive medicines and techniques. That there cannot be […]

cases in psychiatry

Case Vignettes 1 1. Alzheimer’s Dementia 2. Delirium not induced by alcohol and other psychoactive substances. 3. Mental and behavioural disorder due to use of alcohol; dependence syndrome; uncomplicated withdrawal. 4. Mental and behavioural disorder due to use of alcohol; dependence syndrome – complicated withdrawal. (Delirium tremens with convulsions) 5. Mental and behavioural disorder due […]

Blood clots and covid

Blood clots continue to wreak havoc for patients with severe COVID-19 infection, and a new study explains what may spark them in up to half of patients. The culprit: An autoimmune antibody that’s circulating in the blood, attacking the cells and triggering clots in arteries, veins, and microscopic vessels. Blood clots can cause life-threatening events […]

What is Proteinuria?

What is Proteinuria? Increased excretion of proteins in the urine is called as proteinuria. Normal individuals excrete less than150 mg of total proteins per day. It consists of albumin less than 30 mg derived from serum, others mainly, Tamm-Horsfall/uromodulin secreted by thick ascending limb of Henle and early distal convoluted tubule, small molecular weight proteins […]

Breaking Down COVID-19

 Carey Kriz • Naiyer Imam Sarah Zaidi Editors BREAKING DOWN COVID-19 A Living Textbook Publication of First Medicine and Global Clinical Partners  Breaking Down COVID-19  Carey Kriz • Naiyer Imam • Sarah Zaidi Editors BREAKING DOWN COVID-19 A Living Textbook Publication of First Medicine and Global Clinical Partners Contents Chapter 1 Chapter […]

MCQ IN PSYCHIATRY

 Edited by Dr Anil Kakunje MCQ’s in Psychiatry & Psychology 1555 PLUS Revised Second Edition  1555 PLUS Published by The Indian Psychiatric Society Karnataka Chapter Copyright with the Editor First Edition : 2017 Printed at: Chetana Printers, Milagres, Mangalore Price: Rs. 250/- MCQ Rapid Fire Identify the person Fill in the blanks True/ […]

Indian Roots

Roots Written by Kadambi Srinivasan Published by Tirumala Tirupati Devasthanams Tirupati 2019 ROOTS By Kadambi Srinivasan T.T.D. Religious Publications Series No.1181 © All Rights Reserved First Print : 2015 Re-print : 2019 Copies:1000 Published by Sri Anil Kumar Singhal, I.A.S., Executive Officer, Tirumala Tirupati Devasthanams, Tirupati. D.T.P. Office of the Editor-in-chief, TTD,Tirupati. Printed at Tirumala […]

Covid the final

 Carey Kriz • Naiyer Imam Sarah Zaidi Editors BREAKING DOWN COVID-19 A Living Textbook Publication of First Medicine and Global Clinical Partners  Breaking Down COVID-19  Carey Kriz • Naiyer Imam • Sarah Zaidi Editors BREAKING DOWN COVID-19 A Living Textbook Publication of First Medicine and Global Clinical Partners Contents Chapter 1 Chapter […]

will different strains of covid in the world cause problems in imported vaccines

That multiple strains of COVID-19 coronavirus exist in different parts of the world probably won’t impede vaccine development in the short term, experts told MedPage Today. In a manuscript posted to the medRxiv preprint server, researchers reported finding multiple strains of SARS-CoV-2, the virus causing COVID-19. “It’s not the exact same virus everywhere in the […]

Covid

guidelines

  THE AMERICAN PSYCHIATRIC ASSOCIATION PRACTICE GUIDELINE FOR THE Treatment of Patients With Schizophrenia THIRD EDITION                                   THE AMERICAN PSYCHIATRIC ASSOCIATION […]

BEING DOCTOR

Q & a on medicolegal issues

Q & A IN NEUROPSYCHIATRY

viva voce in neurology volume one

viva voce in neurology

viva voce in neurology

Yoga for psychiatric disorders: from fad to evidence-based intervention?

      The British Journal of Psychiatry (2020) 216, 291–293. doi: 10.1192/bjp.2019.249 Editorial  Yoga for psychiatric disorders: from fad to evidence-based intervention? Shivarama Varambally, Sanju George and Bangalore Nanjundaiah Gangadhar Summary There is growing evidence for yoga’s neurobiological effects in people with psychiatric disorders. Postulated mechanisms of action include: (a) […]

Acute Respiratory Distress Syndrome

 CliniCal FoCus Review Jerrold H. levy, M.D., F.a.H.a., F.C.C.M., editor Contemporary Management and Novel Approaches during COVID-19 George W. Williams, M.D., Nathaniel K. Berg, B.S., Alexander Reskallah, M.D., Xiaoyi Yuan, Ph.D., Holger K. Eltzschig, M.D., Ph.D. Acute respiratory distress syndrome (ARDS) is de ned as hypoxemia secondary to a rapid onset of noncardio- genic […]

Acute Respiratory Distress Syndrome

 CliniCal FoCus Review Jerrold H. levy, M.D., F.a.H.a., F.C.C.M., editor Contemporary Management and Novel Approaches during COVID-19 George W. Williams, M.D., Nathaniel K. Berg, B.S., Alexander Reskallah, M.D., Xiaoyi Yuan, Ph.D., Holger K. Eltzschig, M.D., Ph.D. Acute respiratory distress syndrome (ARDS) is de ned as hypoxemia secondary to a rapid onset of noncardio- genic […]

American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC)

   Topics               Adult Basic and Advanced Life Support Introduction Pediatric Basic and Advanced Life Support Neonatal Life Support Resuscitation Education Science These Highlights summarize the key issues and changes in the 2020 American Heart Association (AHA) Guidelines for Cardiopulmonary […]

Food

twitter.com/fitbharat/status/1319080417006288896

Acute Respiratory Distress Syndrome

 CliniCal FoCus Review Jerrold H. levy, M.D., F.a.H.a., F.C.C.M., editor Contemporary Management and Novel Approaches during COVID-19 George W. Williams, M.D., Nathaniel K. Berg, B.S., Alexander Reskallah, M.D., Xiaoyi Yuan, Ph.D., Holger K. Eltzschig, M.D., Ph.D. Acute respiratory distress syndrome (ARDS) is de ned as hypoxemia secondary to a rapid onset of noncardio- genic […]

Anisocoria

The Academy uses cookies to analyze performance and provide relevant personalized content to users of our website. Learn more logo and main page link personal tools Create account Log in search form navigation bar Toggle navigation /.navbar-collapse Content navigation namespaces Page Discussion views View form View source History start the content area title of the page […]

Post COVID-19 Patient information pack

                                           Helping you to recover and manage your symptoms following COVID-19   […]

How less we know!

Despite tremendous advances in medical science, uncertainty of outcome and ignorance of knowledge continue to persist. In fact, ignorance is common to every science but more so with medicine because medicine is a dynamic science, ever changing. Ignorance is not just lack of knowledge but also lack of awareness of a fact that we don’t […]

क्या चिकित्सकों के अच्छे दिन फिर से लौटेंगे? क्या ये होनहार मेडिकल स्टूडेंट डॉक्टर बनकर पछतावा तो नहीं करेंगे? (संदर्भ: नीट 2020 रिजल्ट )*

* *©️डॉ सुरेश पाण्डेय, नेत्र सर्जन, कोटा* आज 16 अक्टूबर को नीट का रिजल्ट आया है। शोएब आफताब एवं आकांक्षा सिंह ने नीट में 720 में से 720 अंक प्राप्त किए हैं। इन दोनों को एवम् नीट में सफल होने वाले सभी विद्यार्थियों को बहुत बहुत बधाई, सफल चिकित्सक बनने एवम् उज्ज्वल भविष्य की हार्दिक […]

serious neuropsychiatric effects of covid

From acute delirium to long term fatigue, covid-19 has serious neuropsychiatric effects Viral infections of the respiratory tract can have multisystemic effects, including on the central nervous system (CNS), and thus may precipitate a spectrum of psychiatric and neurological disorders.1 Some patients with covid-19 are now known to develop various CNS abnormalities with potentially serious […]

Covid

*Dr. Hans Selye*

*HISTORY TODAY IN MEDICINE* *OCTOBER* 1⃣6⃣ *Dr. Hans Selye*   *Jan 26, 1907 – Oct 16, 1982* 💠Hungarian-Canadian Endocrinologist 💠Father of the Field of Stress Research His contributions… 🔹Selye studied medicine at *German Medical School* in Prague and later earned a Doctorate in organic chemistry during 1929. 🔹After completion of his studies, he emigrated to United […]

The story of anaesthesia credit to *Dr HS Adenwalla*

When one goes through the history of the birth of anaesthesia one wonders why anaesthesia did not come to us as early as the year 1800- a good 50 years before it actually did! In 1800 the celebrated English chemist, Sir Humphrey Davy had relieved the pain of an infected tooth by inhaling Nitrous Oxide. […]

Incidence of Barotrauma in Patients With COVID-19 Pneumonia During Prolonged Invasive Mechanical Ventilation – A Case-Control S

 Original research  Incidence of Barotrauma in Patients With COVID-19 Pneumonia During Prolonged Invasive Mechanical Ventilation – A Case-Control Study Journal of Intensive Care Medicine 1-7 a The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/0885066620954364 journals.sagepub.com/home/jic    Josefina Udi1,2  , Corinna N. Lang1,2, Viviane Zotzmann1,2, Kirsten Krueger1,2, Annabelle Fluegle1,2, Fabian […]