Це відео не доступне.
Перепрошуємо.
Ward Rounds #13 with Prof . Chintamani
Вставка
- Опубліковано 25 лис 2023
- TO REGISTER FOR SCRUBS 2024 (1t to 4th March) under the Convenorship of Prof. Chintamani -
rzp.io/l/SCRUB...
Gurukkul SCRUBS is an annual academic event (both online and offline) for surgery residents and trainees across the globe who intend to excel in the field by learning from the Masters !!
A must-attend event for all the students interested in -
1. Sharpening their clinical skills and approach to a surgical case
2. Learning to make a correct diagnosis and evidence based management
3. Acquiring vital tips and tricks of cracking MS/DNB/MRCS or any examination in Surgery across the globe
The course will span over four days from 1st - 4th March 2024 reflecting the best intellectual energies from highly distinguished surgeons who are postgraduate teachers and examiners across the country for various MS/DNB/MRCS exams and who have always been involved actively in the training and teaching of surgery residents at Gurukkul of Surgical Disciplines.
The scientific program is meticulously designed to enable the interactive exchange of state-of-the-art knowledge on clinical scenarios in the form of -
1. LIVE Demonstration of Clinical examination in Surgery on index cases
2. Clinical Case Presentations & Discussion with eminent surgeons and distinguished faculty
3. OSCE based/MOCK Examination session
4. Grand Rounds
5. Operative videos
6. Radiology and Pathology for a Surgeon - Live Demonstration
7. Tips & Tricks of Attending Theory/Practical Exams
For any query, please write to us at gurukkulsurgery@gmail.com or visit www.drchintamanisurgery.co.in for more details.
I'm in awe, literally. Throughout my three months of general surgery rotation, I prayed for 1/10th of this learning. So informative. The registrar is so competent, the professor is so encouraging and just as professional and knowledgeable. Wonderful. My respect to this team of doctors.
P.S: those young doctors seem to be houseofficers or final year students. They're so frightened and look pale even when the professor is so kind and humble to them :D
it comes from the immense respect for someone's authority, considering the amount of knowledge and wisdom Professor (Dr) Chintamani Sir has, it makes sense to be cautious to not say something stupid.
I am an emergency doctor in Canada and I am amazed at the clinical skill level of this amazing doctor. Where there is passion, there is no burn out....wish I had professors like him
Unfortunately developed countries like uk Canada etc don’t have such rigorous ward rounds or teaching of trainee doctors nowadays . I am a trainee in the uk 😢😢
What an amazing teacher! A genuine gift
Dear Prof. Chintamani, I am deeply thankful for the outstanding education you provide. Your dedication is genuinely valued, and I urge you to continue your fantastic work. I serendipitously discovered your channel and have since become a devoted viewer. The array of fascinating presentations has truly captivated my interest. Thankful for you and the patients. I have taken the liberty of compiling a few notes and references that might benefit the learning journey of the wider audience. I hope you do not mind. Your leadership and knowledge are immensely important to everyone.
Differentiating cerebrospinal fluid (CSF) rhinorrhoea from regular rhinorrhoea (a runny nose):
1. Nature of the Fluid:
- CSF is typically clear and watery. It can sometimes be mistaken for a thin nasal drip.
- Regular nasal discharge may be thicker and can vary in color (clear, white, yellow, or green), especially if due to infection or allergies.
2. Associated Symptoms:
- CSF rhinorrhoea may accompany symptoms like headaches, visual disturbances, or a history of head trauma or neurosurgery.
- Common rhinorrhoea might be associated with symptoms of a cold, allergy, or sinusitis, such as nasal congestion, sneezing, and sore throat.
3. Positional Changes:
- CSF leakage can increase when leaning forward or changing head positions.
- Regular nasal discharge is generally consistent regardless of position.
4. Testing:
- The most definitive way to confirm CSF rhinorrhoea is through laboratory analysis of the fluid for beta-2 transferrin, a protein almost unique to CSF.
- Additional imaging studies, like a CT scan or MRI, may be used to identify the source of the leak if CSF rhinorrhoea is suspected.
5. Ring or halo Sign:
- A useful bedside test is the 'ring sign'. When the fluid is collected on a piece of filter paper, CSF will typically form a clear halo around a central spot of mucus.
- The CSF handkerchief test is a simple bedside method used to detect cerebrospinal fluid (CSF) in nasal discharge, indicative of CSF rhinorrhoea. In this test, a patient leans forward with a white handkerchief under their nose. CSF, being clear and watery, will leave a distinctive, ring-like stain on the fabric once it dries, in contrast to the thicker and stiffer, irregular stain of regular nasal mucus.
6. Onset and Duration:
- CSF rhinorrhoea often has a sudden onset, especially if related to trauma or surgery.
- Regular rhinorrhoea may develop gradually, especially if related to an infection or allergies.
7. Claim: Blood mixed with CSF does not clot due to fibrinolysin (While there is some understanding of 'fibrinolytic activity' in CSF, the specific correlation between this activity and the state of blood in CSF rhinorrhea [such as it being consistently unclotted] is not definitively supported by authoritative sources but there some very old research papers: Fibrinolytic activity of human brain and cerebrospinal fluid 1969 pubmed.ncbi.nlm.nih.gov/4243674/)
Blood clot resolution in human cerebrospinal fluid: evidence of first-order kinetics 2001 pubmed.ncbi.nlm.nih.gov/11523671/ : delves into the kinetics of blood clot resolution in CSF, specifically in cases of intraventricular hemorrhages. This study is significant because it provides insights into how blood clots behave and resolve in the CSF environment, which can be different from how they behave in the circulatory system
The influence of cerebrospinal fluid on blood coagulation and the implications for ventriculovenous shunting 2018 pubmed.ncbi.nlm.nih.gov/29701547/ : This research is particularly focused on the potential thrombotic complications in ventriculovenous shunts. The study found that the addition of CSF to blood can accelerate coagulation and that the interaction between CSF, blood, and foreign materials can promote clot formation. This suggests that CSF can influence clotting in certain circumstances, particularly in medical settings where blood comes into contact with CSF and foreign materials, like shunt devices
It is likely that the nasal cavity, with its blood supply and clotting factors, is more conducive to blood clotting. In contrast, CSF, which has different properties and lacks significant clotting factors, might not support clot formation to the same degree. Also CSF can dilute the blood, potentially affecting the concentration of clotting factors and cells necessary for clot formation. The functionality of platelets, which play a crucial role in clot formation, might be affected by the CSF environment. Also CSF is 99% water and clotting is mainly prevented by dilution of clotting factors.
Note:
Fibrolysin and Fibrinolysin are not the same, though their names sound similar.
Fibrolysin: This is a mixture of proteolytic enzymes, often used for breaking down scar tissue and in the treatment of conditions involving connective tissue, such as scars, keloids, and certain types of joint or muscle injuries. Its primary action is on fibrous tissue.
Fibrinolysin: This enzyme specifically targets fibrin, a protein involved in blood clotting. Fibrinolysin is used to dissolve blood clots and is a key component in treatments for thrombosis and embolisms. It is also known as plasmin.
The major difference lies in their applications: Fibrolysin is used primarily for the treatment of fibrous tissue disorders, while Fibrinolysin is used in the management of blood clot-related conditions.
8. High sugar levels in CSF (unless patient is a diabetic). Note: “Diabetes of trauma,” more commonly referred to as “stress hyperglycemia,” is a condition where an individual experiences elevated blood glucose levels as a result of acute stress, such as trauma, surgery, or critical illness. This condition is distinct from diabetes mellitus, which is a chronic metabolic disorder.
Ladies and gentlemen, feel free to correct any errors and omissions.
Thank You so much ❤
I am an intern ,watch your videos whenever i take break from my active study sessions ,i must say there is lots & lots of integrated knowledge about the system which gets imbibed by just passively seeing your videos also it helps in dealing with high order thinking skill questions in med entrance exams .
please continue making the same case discussion videos.
my small gesture of appreciation 😊
thank you sir
He is a gem... ward rounds❤ teaching like this is a true bliss ... sir scolds, you recognize your mistakes... that is how you learn
Every second was worth watching.
Please don't stop making these videos❤
No one can believe how useful to us those who are studying in abroad mbbs like Russia china Ukraine kazakhstan and many more I really love that and those who unable to communicate with the patient due to language barrier it's really a brahamshtra or like a weapon to knowledge really appreciate and Thanks so much ❤️❤️❤️
Thank you soo much sir. I m a general surgery resident in pakistan, and really thank ful to u and to God, that i found such a good teacher online. Sir waiting for your more round and OT vedios❤❤
May God give u a long and healty life, its a real way yo serve humanity❤
I had a similar consultant when i did my surgery rotation. He was more like a friend than a teacher. Gave me confidence and decsion making skills. Always when i present a case he used to say dont wait for my opinion just go ahead and manage if you are confidence enough.
Praying that I get into a college where I get to experience intellectually conducted ward round of this sort..amen
I literally get jealous with these students, bcz we don't have such amazing Ward rounds with such an amazing professor, Sir you are truly an inspiration !
I wish you were my teacher, Sir. Those students are some of the luckiest on Earth!
I am third year Internal Medicine resident pursuing Critical care next year.I find these videos very useful.Please don't stop making these thank you !
Sir, thank you for giving me chance to attend your class from afar. This quality of teaching is free! This discussion, answers from this student.... Altogether premium quality.
I'm really amazed by the skills and knowledge that sir is having and really I became your fan sir👏👏👏
Tnk u doctor..i watched ur surgery methods and did surgery to lot of patients
I greatly appreciate his approach to bedside teaching. The teaching style of the professor is outstanding, at the very least. Students are also motivated to engage actively in discussions. Notably, at 09:45, there's a charming respectfulness in how the students address him as 'sir,' although the frequency of 'sirs' in a single sentence is amusingly excessive. It's important to recognize that the patient, who should be given the high chair, is the main focus of this video. Their consent to participate and well-being is paramount. Additionally, it's crucial for the students to interact with the patient as a human being, not merely as an object of study. This approach fosters a more empathetic and respectful learning environment. I also extend my wishes for a swift recovery to the patients, who are commendably contributing to the students' learning experience.
I was the patient during this presentation, I loved it.
Making my learning curve higher with your teachings....
I have nothing to do with medicine but I am in awe of the prof
A Professor imparting his wisdom and professionalism. Leading by example. Thank you. Excellent
We need these kinda rounds for us too😢😢
sir much respect from somalia
I like how the patient behind the medico has his leg on leg watching him as if it's his everyday's entertainment.......
I am a Radiodiagnosis resident, but now I don't know , why I think that I have taken a wrong branch..! And this feeling of mine even becomes firm after such great round lectures...! Trust me he is the most humble surgeon I have ever seen
Radio is mindblowing , you should be proud .
I am an internist but my second choice was always radio .
I know exactly know how to do sequentially about the knowledge which I have in a single place thank you sir
What an absolute genius Prof Dr Chintamani is. I love the way he explained CSF rhinorrhea and tube within a tube management.
Plus, not all professors are compassionate and kind as Prof Chintamani is.
Kudos to the resident. He is so accurate & well informed ❤
Nice practical presentation. Summary can be made as problem, which part of surgery. Equipments needed for surgery. Anestheologists role etc to make it more useful
God's gift for medicine....pls post more videos sir......crystal clear knowledge and information presented in the most integrated way
Everyone is highly talented 👏👏👏
Please keep posting. It helps alot of people. Thanks alot
Thank you so much . Hope u continue making more such videos 🙏
During mbbs teacher dont teach practical says you will learn during PG... During post graduation teachers dont teach saying if i teach you " you will open clinic infront of me.... So indirectly msg was i will not teach learn on your on....
So sir you are great in teaching students.... Every college should have dedicated faculty like you and more number /varity of cases....
Goverment is opening more and more number of college leading to decreasing quality of cases in medical college decreasing quality of outcoming doctors.... Because every faculty/experience is going to retire....
Why don’t uk hospitals don’t have such ward rounds where junior doctors or trainees can learn a lot😢😢😢
Maine pehli bar me surgery by professor caryminaty pdha
17.33 reminds me 3 idiots professor and chatur scene
Great video, indepth information... Sir kindly give each video title a number for easier navigation. , round no1 ---- round no 2-- etc...
Thanks you sir.
Wow. As someone who did medical school in UK, I wish we had this level of ward based teaching .
Uk sucks in medical training now.i feel sorry for the uk medical graduates,they haven’t seen a real ward round
what a great way o teaching please make this type of video sir
Respect ❤
Thank you sir❤
Wow. An amazing round.
अतिसुन्दर सर ,आपको सादर प्रणाम ।
I worked under him as a junior resident in the year VMMC came into reality. Wonder if the girls are junior most there as they remain in background.
Registrar is awesome
Thank you
If i stop drinking 1 month b4 coming to the hospital what will be my label?
Dr Karan 🔥
How many times does the registrar say sir😂😂
Amazing sir ❤
Great teacher ..
👏
Very good video
Great.
Respect❤
Sab doctor ke chashma kyu hota hai. Mere bhi hai. 😢bohot jada books 📚 padhi
I am a neet aspirant but why my legs are shaking.
These are PG residents, not MBBS students. I was expecting a better response from many students. A lot of the guys were please don’t ask me any question 😀
The reality is the residents are working >100 hrs every single week nonstop. There's barely time to bath let alone read.
@@harshrajjadhav940 It is tough, that is how the residency life is wherever I have seen. It is a life they chose to have it. But that is not a reason to not know the subject. When a patient comes in, are they expected to hear words like, "I went through a tough residency program, so I did not have time to read" ?
Firstly They are PG residents and he is a professor ; you can not expect them to be as fluent as he is. And they are called PG residents because they are in learning phase ….if they had already learnt everything then they would have been practising surgeons !!
💓❣️
❤
❤❤
❤❤❤❤
❤❤🎉🎉
Are they residents? Or mbbs students
Residents
👌👌👌👌♥️♥️❤️🇵🇰
Can anyobody say which cllg professor is he??
@diti827 What's gllg ? Do you mean college ?
@@seemasinha5972 yes cllg typo
Which medical college is this ?? Can someone
Vmmc
What is he saying. Super thick Indian accent
The resident explaining the cases right
@@oluwaseyidada7641 yea but I can’t understand a word he’s saying. Accent too thick
@@intergratedmedicine4538happens happens 😂
@@intergratedmedicine4538go n watch ur doctors videos then😂😂😂😂😂😂😂accent doesn’t matter what matters is knowledge, I bet this professor alone can eat ur hospitals entire fraternity in regards of knowledge 😂😂😂😂😂
Respect ❤