Test your clinical acumen.

One patient has come with only one clinical finding that his liver is enlarged and there is intercostal tenderness . Spot the diagnosis ?

Words of wisdom

 Our honourable P.M should give only one slogan and act  seriously and sternly ,
"Corruption ,leave India".
If corruption is eradicated completely and thoroughly which is rampant and in a epidemic form, India will be a much better country than the America and our honourable P.M will find a much higher place in Indian history than mahatma Gandhi who gave the slogan ,"The English ,leave India" .
Our P.M alone can save India from this viral disease of corruption which is more lethal and more dreaded than E-bola viral epidemic in west Africa .

Test your clinical acumen

 A patient has a large and soft liver and there is no spleenomagaly and his J.V.P is not seen . Spot the the diagnosis ?

Words of wisdom

 A good doctor without the grip over the psychology  is as good as a flower without scent .

Test your clinical acumen

(1) A patient of anasarca has come ,he has hypertension and microscopic haematuria .

Words of wisdom

(1) A man cannot be a true surgeon without the knowledge of medicine .

(2) A man cannot be a true physician without the knowledge of every discipline of medical science.

( Sushruta, father of modern surgery .)

Test your clinical acumen

(1) A patient having cardiac murmurs and has prolonged fever sweating and spleenomegaly.

Words of wisdom

(1) Major time in life is wasted .
(2) Major money and property earned in life is wasted .
(3) Major education taken in life is wasted .
(4) Major work done in life is wasted .
Then why to worry and to use corrupt means for earning money. Make merry and always be cheerful with what you have.

Please remember the lines from a great man of English literature.

"They also serve the almighty who only wait and watch."

Test your Clinical acumen

(1) A robust gentleman of fifty five feels suffocated whenever he visits cinema in a cinema hall.  He consulted one clinician . The clinician finds nothing abnormal except bilateral  basal crepts . Can you spot the diagnosis ?

Test your clinical acumen .
(1) A patient of irregular fever for months together with total  leucocyte count two thousand only . Can you spot the diagnosis ?
(M.R.C.P viva question)

Words of wisdom
(1) To bat more than a century in life ,it is more than essential that you must not earn fat on your body and never earn fat of finance and property by legal or illegal means or it is more than certain that you will be bowled out in the way much before time.

Test your clinical acumen

(1) A patient has come with the complaints of flushing and sweating of one side of his face and cheeks during meals . He gives the history of Parotid abscess which was incised and drained earlier in a big hospital .
(2) A patient has come with symmetrical enlargement of all the salivary glands ,narrowing of both the palpebral fissures due to enlargement of lacrimal glands and parchment like dryness of the mouth .

Words of wisdom

While taking tea ,all of a sudden ,an idea comes to your brain or you remember some very small work ,you should stop taking tea then and there and start doing that pretty work otherwise you may forget it the very next Moment as nothing dies so fast as a new idea in a fast brain and the very next moment is as uncertain as life itself .

Test your clinical acumen

(1) A patient of rheumatoid arthritis has come with dry eyes and dry mouth . What is this syndrome known as ?

(2) A patient has come with dry eyes and dry mouth only . What is this syndrome known as ?

(3) A child patient of polyarticular rheumatoid arthritis has developed spleenomegaly and enlargement of lymph glands .

Test your clinical acumen

 Two pyelograms of two different patients have been shown to you .

(1a) A patient of forty has spider leg deformity  with clubbing and cupping of terminal calyces of both the kidneys .
(1b) A patient of fifty five has spider leg deformity with clubbing and cupping of renal calyces of only one kidney .

(2) A patient of ten has been advised pyelography . In his pyelogram there is inward direction of the calyces .

(3) A lady patient of twenty has been advised pyelography. Her pyelogram shows irregular dilatation of the calyces  and cavity formation .

worlds of wisdom

A prestige loving man prefers taking troubles for himself to taking minor obligations.