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Common Mistakes in Clinical Medicine
Kashinath Padhiary
PART I:
Medical Education
BASIC PRINCIPLES OF EDUCATION
WHAT TO KNOW ?
PATCHY KNOWLEDGE
THE SYNDROMES AND SIGNS
BOOKS TO FOLLOW
LEARNING IN THE AGE OF SUPER-SPECIALIZATION
VALUE OF NON-CLINICAL SUBJECTS
RECENT AND OLD KNOWLEDGE
WHAT TO DO AND WHY TO DO?
BEDSIDE CASE PRESENTATION
MAINTENANCE OF RECORDS
DAILY NOTE
GROUP ANSWER
GROUP EXAMINATION
LEARNING BY OVERHEARING
MULTIPLE CHOICE QUESTIONS
THESIS
APPEARING AN INTERVIEW
EXAMINATIONS AND FAILURE
DUTY IN OPD, INDOOR AND CASUALTY
THE TEACHING HOSPITAL
PART II:
Diagnosis
REACHING AT A DIAGNOSIS
GOING THROUGH THE TREATMENT PAPERS AT THE BEGINNING
TAKING HISTORY AND EXAMINING THE PATIENT REPEATEDLY
ONE TRACK MIND
INABILITY TO USE COMMON SENSE
Case 1
Case 2
Case 3
Case 4
ASSEMBLE ALL THE POINTS TO COME TO A CONCLUSION
CONVERSION REACTIONS
THE CHIEF COMPLAINTS
UNCOMMON MANIFESTATIONS OF COMMON DISEASES/COMMON MANIFEATATIONS OF UNCOMMON DISEASES
INADEQUATE FAMILY HISTORY/EXTENDED FAMILY HISTORY
EXTRAMARITAL SEXUAL CONTACT
SEXUAL/GENITAL PROBLEM IN FEMALES
MISSING MENSTRUAL / OBSTETRICS HISTORY
HISTORY OF RHEUMATIC FEVER
HISTORY OF ANIMAL BITE
DRY COUGH
NON-INFECTIVE CAUSES OF FEVER
TRUE CONVULSION AND PSEUDOCONVULSION
HEMOPTYSIS AND HEMATEMESIS
BLEEDING PILES AND BACILLARY DYSENTERY
EVALUATION OF CHEST PAIN AND ABDOMINAL PAIN
COMFORT OF THE PATIENT
PRIVACY OF THE PATIENT
EXAMINING A PATIENT UNDER TREATMENT
METHOD OF EXAMINATION
DOUBTFUL FINDINGS
MISSING THE OBVIOUS
JUMPING FOR A CONCLUSION
BLOOD PRESSURE RECORDING
Missing to Record by Palpatory Method
Failing to Record BP in Other Limbs
Diastolic Blood Pressure
Cuff Improper Size
Placement of the Tubing
Position of the Cuff/Apparatus/Arm
Recording BP in Presence of Arrhythmia
Rate of Inflation/Deflation
Choice of Arm
Standing BP
Other Precautions
THE LOW BLOOD PRESSURE
RESPIRATION
Is the Patient Taking Respiration at all?
Have You Calculated the Respiratory Rate?
Have You Marked the Type of Respiration?
Have You Assessed the Depth of Respiration?
Have You Observed Any Abnormal Breathing?
BRADYCARDIA
PULSE DEFICIT
IRREGULARLY IRREGULAR PULSE
REGULAR RHYTHM WITH NORMAL HEART RATE
TACHYCARDIA
TEMPARATURE
JUGULARVENOUS PULSE
Venous Pulse/Arterial Pulse
Pathological Elevation
Pulsatile/Non-pulsatile
THE GAG REFLEX
NINETH AND TENTH CRANIAL NERVE
LIMITATIONS OF SENSORY EXAMINATION
THE ROMBERG'S TEST
COMMON ERRORS IN MOTOR EXAMINATION
ALL PARAPLEGIA IS NOT DUE TO SPINAL CORD DISEASE
INTERPRETATION OF VOCAL RESONANCE (VR)
LIMITATIONS OF PHYSICAL FINDINGS IN A RESPIRATORY CASE
THE RED URINE
CANNON WAVE AND CANNON SOUND
INSPECTING EXCRETA IN YOUR OWN EYE
Stool
Urine
Sputum
Vomitus
ANEMIA AND HYPOPROTEINEMIA
MASS IN LEFT ILIAC FOSSA
INTESTINAL OBSTRUCTION
EXAMINATION OF GENITALIA
PER RECTAL EXAMINATION
LOOKING FOR A TURNING POINT
HURRIED EXAMINATION
PART III:
Investigations
INVESTIGATING WITHOUT PROPER PLANNING
PRIORITIZING THE INVESTIGATIONS
TIMING OF INVESTIGATION
CHALLENGING A REPORT
WHY WE GET WRONG REPORTS?
COLLECTION OF SAMPLES
A REPORT MAY BE AN EYE OPENER
LIMITATIONS OF INVESTIGATIONS
Normal Tests in the Presence of Disease
Abnormal Tests in the Absence of Disease
An Abnormal Report May Not Suggest a Diagnosis
OPINING ON INVESTIGATIONS WITHOUT SEEING THE PATIENT
PERSISTENCE OF AN ABNORMAL REPORT
THE TEST OF CHOICE
URGENT EVALUATION OF CERTAIN CASES
INFLUENCE OF TREATMENT ON INVESTIGATIONS
TESTS TO MONITOR DISEASE COURSE
HARMFUL TESTS
TESTS IN WOMAN
PRECAUTIONS BEFORE TESTING
COMMON MISTAKES IN ECG INTERPRETATION
PART IV:
Management
CHLOROMYCETIN THERAPY
AMINOGLYCOSIDE THERAPY
THE RESTLESS PATIENT
PREVENTION OF BEDSORE
PREVENTION OF FECAL IMPACTION
PRESCRIPTION OVER PHONE
PRESCRIBING WITHOUT SEEING THE PATIENT
INCOMPLETE PRESCRIPTION
MANY DRUGS IN ONE PRESCRIPTION
PRESCRIBING IN PREGNANCY
PRESCRIBING IN LACTATION
Some of the Safe Drugs in Lactation
Some of the UnSafe Drugs
DRUGS AND RENAL FAILURE
THE DECISION OF NOT TREATING AN ILLNESS
POSITIONING
The Poison Taken
Amount of Poison
Purpose of Intake
Management
List of the Dialyzable Drugs
List of Non-dialyzable Drugs
List of Drugs Intoxication Where Dialysis May Be Useful
INTAKES AND OUTPUT
PUTTING RYLE'S TUBE IN A PATIENT OF TETANUS
ISSUING DISCHARGE CERTIFICATE
INTERDEPARTMENTAL REFERRAL
DEALING WITH DEATH
Declaration of Death
Speak Less
Try Your Best Before Death; Do not Hold Postmortem
Give Guarded Prognosis
Make A Show Business
Suggest Directly to the Doctors
Do Not Shift Responsibility
Close Door Discussion
Cover the Twilight Period
Inform Your Presence to Other Staff
Watch for the Hot Spots
BROUGHT DEAD
FILLING UP THE DEATH FORM
LEFT AND RIGHT
HPOGLYCEMIA
PHYSICAL VERIFICATION OF THE DRUGS
NEW COMPLAINT WHILE ON TREATMENT
ADVERS DRUG REACTIONS
Prevention
Major Drug Reactions
Minor Drug Reactions
CONTROL OF VOMITING
DIARRHEA WITH BHDEHYDRAION
FOOD AND WATER IN ARF
TREATMENT OF HYPOKALEMIA
THE INCURABLE DISEASE
CHRONIC DISEASE
MOTIVATING TO COMPLETE ATT
PREGNANCY AND DISEASES
DRUGS CHANGING THE COLOR OF URINE
LONG-TERM TREATMENT
DRUGS WORSENING AN ILLNESS
SNAKE BITE
UNKNOWN BITE
DRUG INTERACTION
MODE OF DRUG ADMINISTRATION
BENEFIT OF DOUBT
RYLE'S TUBE IN CORROSIVE POISONING
TREATMENT PRECEDES DIAGNOSIS
PART V:
Bedside Procedures
ADMINISTRATION OF IV FLUID
Not Getting A Vein
Rate of Flow
Odd Timing
Choice of IV Fluid
Amount of IV Fluid
Thrombophlebitis
BLOOD TRANSFUSION
Indication
Contraindication
Amount
Type of Blood Product
Timing
Premedication
Rate of Infusion
Mismatched Transfusion
MAINTAINING ASEPSIS
ADMINISTRATION OF LOCAL ANESTHETICS
TEST FOR BLEEDING TIME AND CLOTTING TIME
LOOK FOR PATENCY
KEEP THE PATIENT UNDER OBSERVATION
LUMBAR PUNCTURE
Indication
Failure
Traumatic
Precaution
FEEDING
Amount
Frequency
Type of Food
Placement of Ryle's Tube
PARENTERAL ALIMENTATION
The Type of Fluid Chosen
PLEURAL ASPIRATION
PERITONEAL ASPIRATION
PERICARDIOCENTESIS
ASPIRATION OF AMOEBIC LIVER ABSCESS
CATHETERIZATION OF BLADDER
REMOVAL OF THE CATHETER
Timing
Failure
Retention After Removal
CAROTID SINUS MASSAGE
CARDIAC MASSAGE
Timing
Ideal Place
Interruption
Outcome
Appendix
INDEX
TOC
Index
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