Incorrect Answers!

Professor: So, what do you think is the complication of thyroglossal cyst?

Me *In Volume 3- audible in a half-a-meter diameter area, basically in a self-mumbling volume* : Kind of Regurgitation of ingested things like um..food and water.

Bench-mate *staring at me for infinity*

Me: You know..you eat stuffs and it slips through that hole and collects in that cyst. After over-filling it regurgigates..Oh yeaaa! Even if it does over-flow, it'll slip baccck towards the oropharynx. *sheepish grin*

Bench-mate *wide eyed* : If you don't know the answer, it's you better don't speak.

Me: I was not sure that's why I was mumbling *you idiot*!

Bench-mate *rolling her eyes*

Me *THE whatever look*

I like expressing what comes to my mind while answering. My brain is in automatic mode of processing the questions to get the answers. It's not a nice habit to say incorrect answers. Mistakes matter. But making mistakes when learning is a natural part. And expressing is a bigger satisfying achievement than sitting quiet with the fear of making mistake.

Causes of Cyanotic Heart Disease

Causes of Cyanotic Heart Disease: the five "terrible T's" and one "S"
1. Transposition of the great vessels
2. Total anomalous pulmonary venous return
3. Tetralogy of Fallot
4. Truncus arteriosus
5. Tricuspid atresia
6. Severe pulmonic stenosis

Causes of Altered Mental Status in Neonates: THE MISFITS

Causes of Altered Mental Status in Neonates can be remembered by the mnemonic: THE MISFITS

Trauma

Heart disease, Hypoxia and Hypovolemia

Endocrine (e.g. Congenital Adrenal Hyperplasia , Thyrotoxicosis)

Metabolic ( Electrolyte Imbalance)

Inborn Errors of Metabolism

Sepsis (e.g. Meningitis, Pneumonia, UTI)

Formula Mishaps ( under or over- dilution)

Intestinal Catastrophes (e.g. Volvulus, intessuseption)

Toxins and Poisons

Seizures

Untitled

With the start of neonatology unit yesterday, I guess  our good days are back for few days. Being tired of taking history every single day (even if it makes us the better and more expert at it) today was like a bliss. Like getting an umbrella in scorching sunlight. Whatta big relief!! After forgetting what interest is, today we were kids again. Learning something new with lots of interest.

1. Learnt how to put on sterile gloves. I succeeded with no laughs on me.

2. Learnt handwashing. Yeyyy me! I wont have to post a post during surgery rotations on how i was standing without any idea on what scrubbing is :D One less post to write during winters! 

Exposure to experience

My clinical rotations had started long long ago. I mean 7 weeks back. 7 weeks of my 12 weeks pediatrics posting have finished already. These 7 weeks have taught me things equivalent to 2 years of basic science combined.

1. Don't show off. Show up!

2. Be in the cockpit
You cannot learn how to fly by sitting at the back. You have to be in the cockpit- watching and learning from the pilot. Being in the cockpit and carrying a book on how to fly a plane won't help either.

3. Patients can teach you a lot!
Learn from every patient you see. In our clinical postings, each one of us is assigned 2 inpatient beds with real kids. Real, sick kids patients. If a patient stays in a bed for a week. You get more or less 24 patients in 12weeks. Plus 2/3 cases are taught everyday for around 3 weeks. Almost 36 more patients to learn from. 60 chronic diseases to learn from in 10 weeks (2 weeks of neonatology out of 12) is a great achievement!

4. Learn to say 'I don't know.' but make sure you look it up later.

5. Do not stress.

6. Enjoy the holidays while you can. You never know what turn your life might take. May be the rules of your clinical rotations change tomorrow and you stop getting the much needed and much awaited holidays. I thank god for starting my clinicals with pediatrics and not surgery where we get no government holidays except saturdays. And my fellow mates have to reach 1 hour before the scheduled time. 12 free days in 12 weeks! Oh lord! Save my soul during winters!

Pathology Slides

Here is a general and systemic pathology website. The site includes photomicrographs, movies and a growing number of interactive clinical cases. There is also self assessment quiz at the end of each unit.
The major sections in the website are:
Inflammation and Repair
Infectious Diseases
Hemodynamic Disorders
Neoplasia
Cardiovascular Diseases
Pulmonary Diseases
Gastrointestinal Diseases
Liver and Gallbladder
Renal Diseases
Reproductive Diseases
Endocrine Diseases
Breast Diseases
Hematologic Disorders
Lymphatic System
Immune System
Pediatric Diseases
Disorders of the skin
Musculoskeletal Disorders
Central Nervous System Disorders

Causes of common drops

Wrist drop : Radial Nerve
Foot drop : Common Peroneal nerve
Eyelid Drop : Trigeminal nerve
Uvula drop : Vagus nerve
Shoulder drop/ upper limb (whole) drop : Brachial Plexus Injury
Lower limb drop (whole) : Sciatic nerve injury

Ectopia lentis

Ectopia lentis (Dislocation of lens) is seen in Marfans syndrome & Homocystinuria , but in one the dislocation is up (and outward) while in the other it goes down (and inward).
Remember that " urine goes down and into closet ". So lens get displaced down and inward in Homocysteinuria. And lens get displaced up and outward in Marfans syndrome (Opposite of above).

Blood disorders: Male vs Female

HE (male) gets:
HEmophilia (X-linked)
HEinz bodies (G6PD deficiency, causing HEmolytic anemia: X-linked)
HEmochromatosis ­ (male predominance)
HEart attacks (male predominance)
HEnoch-Schonlein purpura (male predominance)

SHE (female) gets:
SHEehan's syndrome

A New Name

I guess people have ups and downs during their blogging and I think I'm in that down phase. Hats off to those extra- ordinary people who do this blogging thing day in and day out.

With my unusual blogging rhythm I thought of using a pen- name (which suits me better) rather than my original name in my blog. What word can match my blogging and real life better than a Pulse's Pulsatile nature.