The Diabetic Annual Review It is desirable for all patients with diabetes to undergo a full medical assessment once a year. History 1.Patient Concerns 2.Events- Life And Medical 3.Glucose Diary (Urine Or Blood) 4.Current Treatment 5.Hypoglycaemia 6.Driving 7.Pregnancy/Contraception In Women 8.Impotence 9.Symptoms Of CHD Or PVD 10.Smoking Habit? Examination 1.Weight/BMI 2.Blood Pressure – Erect And
Daily Quiz Medicine (15- 05- 2017)Medicine: The most important subject in all PG medical entrance exams. Preparing for this subject properly would enhance knowledge of student to answer questions from other subjects as well. Multiple sclerosis is not associated with HydrocephalusSpinal cord involvementOptic neuritisSpasticity Drug of choice of diarrhoea in AIDS is LoperamideLactuloseOctreotideCodeine CRP increases
Intravenous fluid therapy Provide IV fluid therapy only for patients whose needs cannot be met by oral or enteral routes, and stop as soon as possible. Skilled and competent healthcare professionals should prescribe and administer IV fluids, and assess and monitor patients receiving IV fluids. When prescribing IV fluids, remember the 5 Rs: Resuscitation, Routine
Abnormal Gait Posture Of The Patient During Walking Gait Attitude Of The Patient On Standing Stance Posture Of The Patient In Bed Decubitus Different Types Of Gait Neurogenic: 1.Hemiplegic / Spastic Gait – Hemiplegic Patient (UMN Lesion ) After Recovery 2.Scissors / Spastic Paraplegic Gait [Patient Stands With Crossed Legs (Often With A Stick In
Tremor Involuntary, Repetitive, Oscillatory Movements Of A Part Of The Body Around A Fixed Point. Classification: According To Relationship With Posture 1.Static Tremor Tremor At Rest Coarse In Nature Seen In Parkinsonism 2.Kinetic/ Postural/ Action Tremor Fine In Nature The Patient Is Asked To Outstretch His Hands With Separated Fingers For The Appearance Of Tremor
Trophic Changes 1.Trophic Changes In The Skin & Appendages: Dry/ Rough/ Cold Skin Pigmentation Local Cyanosis/Local Oedema Hypohydrosis (Lack Of Sweating) Hypotrichosis(Fall Of Hairs) Brittle Nails 2.Trophic Ulcers: Trophic Ulcer- Usually Present Over The Heel Or Ball Of The Great Toe Sites Examined- On The Lateral Malleolus Back Of The Heel Of Foot Shoulder Girdles
Plantar reflex The plantar reflex is a reflex occurs when the sole of the foot is excited with a blunt end. The method of elicitation The patient lies supine with extended legs and relaxation of the muscles of the lower limbs. Hold one leg firmly above the ankle joint with your left hand in such
