Politeness is Poison!

Last week, during the bedside teaching one of my classmate, T, wasn't able to see what the professor was inspecting on the patient. There was a significant finding and the professor was going on and on about it. I know how it feels when everyone is craning their necks to see what they can see but you can't see even the patient's clothes or feet or even the bed in which the patient is lying. When you can hear clearly, but what you hear makes no sense to you. That particular day, from the place where I was, I could clearly see the patient's significant finding. Having been in T's shoes, I knew how it felt. So I thought of giving him some space so that he too could take a look. But, my my! Bhalai ka to koi zamana hi nae raha (You should not speak of kindness) !! He stood in my spot there for the entire class. It was like Sheldon got his spot back by depriving other Sheldon of the same spot!

May be, I should learn something from the crayons. Some are sharp, some are pretty, some are dull, some are bright, some have weird names. But, we have to learn to live in the same box!

Swayambhu, Nepal

I'm leaving for a short trip to my birth-city and my mother's place in West Bengal, India. Hoping to see some beautiful Durga Puja Pandals there. Happy Dashain!

Swayambhu Stupa

Beautiful Nepal

I stumbled and spent hours upon a blog which had amazing photos. And I suddenly had this thought of making my blog a little less boring and monotonous by incorporating pictures in it from in and around the valley of Kathmandu and other stuff and other places. I was running out of posts to make anyway. I'm not a pro in photography but it won't hurt to try amateur photography to test my skills. I'll get started soon.

Mitral Stenosis X- Ray Findings

Radiological signs seen in mitral stenosis are:

§  Backward displacement of esophagus by enlarged left atrium (in lateral view X-ray). Also the earliest sign.

§  Straightening of left heart border due to enlarged left atrium.

§  Double shadow due to enlarged left atrium. Dense right atrial shadow superimposed within fainter left atrial shadow that touches the diaphragm.

§  Splaying of carina (The left main bronchus is lifted up by the enlarged left atrium)

§  Prominent upper zone pulmonary veins (Inverted moustache sign /  Antler’s horn sign / Cephalisation pulmonary of blood flow)

§  Enlarged pulmonary trunk (This occurs following the development of pulmonary hypertension)

§  Kerley B lines (indicating fluid collection in the interlobular septa. 1-2 cm in length lines in lung peripheries perpendicular to and extend out to pleural surfaces.)


NOTE: Here is a chest radiograph exhibiting classic findings of chronic mitral stenosis.

Are you interested in knowing the Peripheral signs in Aortic Regurgitation? Click here.

Gunnerhoea

Had a bad-day- Surrounded by gunners everywhere. To my front, to my back, to my right, to my left. All trying to outgun each other.

They don't let anyone get close to them! Anyone!!!

Cookies & Explorer

Few days after my last post, I updated Chrome. It asked something about some cookies' settings. I have no idea about the internet cookies. I may have selected options which I shouldn't have. And BOOM! Blogger doesn't work in Chrome anymore.

So, I took weeks to figure out what to do. And with no options remaining, here I am, posting my first blog from explorer and will continue to do so. Yeah yeah! I know I have lots of patience.

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

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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!