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!
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| Swayambhu Stupa |
October 4, 2013
September 29, 2013
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.
August 17, 2013
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.
§ 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.
August 15, 2013
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!!!
They don't let anyone get close to them! Anyone!!!
August 4, 2013
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.
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.
June 1, 2013
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.
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
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.
May 28, 2013
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
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
May 25, 2013
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
May 16, 2013
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!
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!
April 24, 2013
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, sickkids 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!
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
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!
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