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0 DEPARTMENT OF MEDICINE CHANDKA MEDICAL COLLEGE HOSPITAL LARKANA / GHULAM MUHAMMAD MAHAR MEDICAL COLLEGE SUKKUR YEAR______________SESSION _________________BATCH____________ NAME OF STUDENT________________________________ SHAHEED MOHTARMA BENAZIR BHUTTO MEDICAL UNIVERSITY LARKANA MEDICINE LOG BOOK 3 RD YEAR TO FINAL YEAR MBBS

SHAHEED MOHTARMA BENAZIR BHUTTO MEDICAL UNIVERSITY … · Hematology Pallor Fever Lymphadenopathy Petechial Rash Iron Deficiency Anemia Megaloblastic Anemia Acute Leukemia Chronic

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Page 1: SHAHEED MOHTARMA BENAZIR BHUTTO MEDICAL UNIVERSITY … · Hematology Pallor Fever Lymphadenopathy Petechial Rash Iron Deficiency Anemia Megaloblastic Anemia Acute Leukemia Chronic

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DEPARTMENT OF MEDICINE

CHANDKA MEDICAL COLLEGE HOSPITAL LARKANA / GHULAM MUHAMMAD MAHAR MEDICAL COLLEGE SUKKUR

YEAR______________SESSION _________________BATCH____________

NAME OF STUDENT________________________________

SHAHEED MOHTARMA BENAZIR BHUTTO MEDICAL

UNIVERSITY LARKANA

MEDICINE LOG BOOK

3RD YEAR TO FINAL YEAR MBBS

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CERTIFICATE

It is certified that,_________________S/O/D/O________________ Roll No: ______Group______Session______

Batch_________ of Chandka Medical College Larkana / Ghulam Muhammad Mahar Medical College

Sukkur, SMBB Medical University Larkana has successfully completed the prescribed training the

Department of Medicine SMBB Medical University Larkana. His/ Her internal Evaluation score is______

Ward Test Score:

_______________ _______________ _______________ _______________ _______________

Head of Medical Unit-I Head of Medical Unit-II Head of Medical Unit-III Head of Medical Unit-I Head of Medical Unit-II

CMCH Larkana CMCH Larkana CMCH Larkana GMMMC Sukkur GMMMC Sukkur

Lecture Attendance ___________

Midterm test Result___________

Pre- Prof Result ____________

CHAIRMAN DEPARTMENT OF MEDICINE

CMC@SMBBMU LARKANA

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LIST OF CONTENTS

SERIAL NO. DESCRIPTION PAGE NO:

A STUDENT PROFILE 3

B GRADE REPORT 4

C FACULTY INTRODUCTION 5-6

D GUIDELINES FOR CLINICAL TRAINING 7-8

E CASE HISTORY 9-22

F STUDENT PRESENTATION 23

G PROCEDURE 24-26

H TUTORIAL 27-29

I JOURNAL CLUB 30

J LIST OF SIGNS/ COMPONENTS OF CLINICAL EXAMINATION TO BE OBSERVED 31-32

K LECTURES ATTENDED 33-36

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A. STUDENT PROFILE

ROLL NO: ___________BATCH NO: _____________SESSION.________________

NAME: ______________________________________CASTE:_______________

FATHER’S NAME: _______________________________________

CNIC: ________________________________

ADDRESS: _____________________________________________________________

PHONE NO: ______________________E-MAIL ADDRESS: ___________________________________SIGNATURE OF STUDENT.___________

3RD YEAR MBBS 4TH YEAR MBBS FINAL YEAR MBBS

ROLL NO

DATE OF START

EXAMINATION

PHOTO

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B.GRADE REPORT

BATCH NO. SESSION. ROLL NO. NAME.__________________________________________

UNIT 3RD YEAR 4TH YEAR FINAL YEAR

ATTENDANCE GRADE SIGNATURE ATTENDANCE GRADE SIGNATURE ATTENDANCE GRADE SIGNATURE

MU.1/4

MU.2/5

MU.3

NEURO

CARDIO

DERMA

PSYCH

PULMO

NEPHRO

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C. FACULTY INTRODUCTION

Dean: Professor Dr. Hakim Ali Abro Professor

Chairman: Professor Dr. Bashir Ahmed Shaikh Professor

CHANDKA MEDICAL COLLEGE LARKANA

Medical Unit-I.

1. Professor Dr. Hakim Ali Abro Professor 2. Dr. Azizullah Jalbani Professor 3. Dr. Mumtaz Ali Chhutto Associate Professor Medical Unit -II

. 1. Professor Dr. Bashir Ahmed Shaikh Professor 2. Dr. Imdad Ali Ansari Associate Professor 3. Dr. Zahid Hussain Shaikh Associate Professor 4. Dr. Kamlesh Kumar Associate Professor Medical Unit-III

1. Professor Dr. Habib-U-Rahman Qadri Professor 2 .Dr. Kouro Mal Gurbakhshani Professor 3. Dr. Shaikh Khalid Muhammad Associate Professor Neurology: Chairman Prof: Dr. Alam Ibrahim Siddqui Professor Psychiatry: Chairman Dr.Rahmat Ali Wagan ` Associate Professor Dermatology: Chairman Prof: Dr. Irfan Ahmed Shaikh Professor Dr. Dileep Kumar Senior Lecturer Dr.Aijaz Ahmed Solangi Senior Lecturer Nephrology:Chairman Prof:Dr. Bashir Ahmed Shaikh/ Muhammad Ali Professor / Assistant Professor Cardiology: Chairman Dr.Fayaz Mujtaba Shah Associate Professor Dr.Rajesh Assistant Professor Dr. Saeed Ahmed Shaikh Senior Lecturer Dr. Khalilullah Shaikh Lecturer Pulmonology: Chairman Prof:Dr. Muhammad Aslam Soomro Professor Gastroenterology: Dr. Ali Hyder Mugheri Associate Professor

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FACULTY INTRODUCTION

GHULAM MUHAMMAD MAHAR MEDICAL COLLEGE SUKKUR

Medial Unit-I/4

Prof: Dr. Altaf Ahmed Shaikh Professor

Dr. Iftikhar Ali shah Assistant Professor

Dr. Pirbhu Mal Assistant Professor (Current Charge Basis)

Medial Unit-II/5

Prof:Dr. Saleh Muhammad Channa Professor Dr.Khalil Ahmed Sanghroo Senior Registrar Pulmonology

Dr. Shafi Muhammad Khuhawar Associate Professor

Cardiology

Dr. Raj Kumar Associate Professor

Dr.kheraj Mal Assistant Professor (Allowed to work)

Neurology

Dr. Lal Chand Associate Professor

Dr.Abdul Gaffoor Mangsi senior Registrar

Psychiatry

Dr. Inyatullah Awan Associate Professor (allowed to Work)

Gastroenterology

Dr. Kelash Assistant Professor

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D. GUIDE LINES FOR CLINICAL TRAINING

3RD YEAR 4TH YEAR FINAL YEAR

The scheduled group of students will rotate through medical unit 1, 2 & 3 in CMC and 4 & 5 in GMMC. In each unit every student will fill the proforma regarding history and examination of five patients.

The scheduled group of students will rotate through allied departments. In each unit every student will fill the proforma regarding history, examination and investigation of five patients.

The scheduled group of students will rotate through medical unit 1,2 & 3 in CMC and 4 & 5 in GMMC . In each unit every student will fill the proforma regarding history, examination, investigation, and management and counseling of the ten patients.

In each unit every student will present a presentation regarding signs and symptoms as prescribed by the department.

In each unit every student will present a presentation regarding signs, symptoms and investigation as prescribed by the department.

In each unit every student will present a presentation regarding the topic as prescribed by the department.

Case discussion along with the teacher.

In each unit every student will observe the prescribed procedures.

Case discussion along with the teacher.

In each unit every student will observe/ assist the prescribed procedures.

In each unit tutorials regarding investigation and procedures will be delivered and need to be entered in log book.

---------------------------------------- Case discussion along with the teacher.

The students will participate in the journal club/ journal watch.

-----------------------------------------

-------------------------------------------

Sub group of the students will perform evening duties in the ward along with the post graduates.

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E. CASE HISTORY

MEDICAL UNIT 1 MEDICAL UNIT 2 MEDICAL UNIT 3

3RD YEAR/ 4th YEAR FINAL YEAR 3RD YEAR/ 4th YEAR FINAL YEAR 3RD YEAR FINAL YEAR Neurology

Syncope Hemiplegia Quadriplegia Altered Level Of Consciousness Dysaesthesias

Meningitis Encephalitis Stroke Epilepsy Polyneuropathy Parkinsons Disease Multiple Sclerosis

Connective Tissue Disorder Joint Pain Joint Swelling Gangrene Absent Peripheral Pulse Rash

Rheumatoid Arthritis SLE Osteoarthritis Gout Osteoporosis MCTD

Gastroenterology Acute Diarrhea Chronic Diarrhea Constipation Vomiting Abdominal Pain

GERD. Peptic Ulcer Disease IBS. IBD. Acute Pancreatitis Ca Pancreas

Endocrinology Weight Gain Weight Loss Short Stature Abnormal Sweating

Hypothyroidism Hyperthyroidism Cushing Syndrome Addison’ S Disease Diabetes Mellitus Hypoparathyroidism

Pulmonology Cough Cyanosis Breathlessness Wheeze

Tuberculosis Pneumonia Asthma Pneumothorax Pleural Effusion Ca. Lung

Hepatology Jaundice Hepatomegaly Splenomegaly AbdominalDistention

Acute Hepatitis Chronic Hepatitis Cirrhosis Liver Hepatic Encephalopathy Ca. Liver Acute Cholycystitis

Nephrology Oliguria/ Anuria Hematuria Flank-Pain Genital Ulcer Urinary Incontinence

Acute Renal Failure Chronic Renal Failure Nephrotic Syndrome Renal Tubular Acidosis Renal. Replacement Therapy

Cardiology Palpitation Edema Chest Pain Pulse J.V.P

Rheumatic Fever Infective Endocarditis MS & MR AS & AR Hypertension Angina

Hematology Pallor Fever Lymphadenopathy Petechial Rash

Iron Deficiency Anemia Megaloblastic Anemia Acute Leukemia Chronic Leukemia Lymphoma Thrombocytopenia Bone Marrow Transplantation

Poisoning Itching Erythematous. Rash

Snake Bite Organophosphate Poisoning Alcohol Poisoning Black Stone Poisoning

Psychiatry Loss Of Sleep Low Mood Agitation

Anxiety Neurosis Depression Psychosis

Dermatology Maculo.Papular Rash Vesicular Rash Erythematous Rash Urticaria

Eczema Psoriasis Exfoliative Dermatitis Drug Eruption

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F.STUDENT PRESENTATION

S NO. PRESENTED BY TOPIC SIGNATURE OF TUTOR

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G. PROCEDURE

SERIAL # NAME OF PROCEDURE OBSERVED ASSISTED PERFORMED COMMENTS SIGNATURE OF TUTOR

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G. PROCEDURE

SERIAL # NAME OF PROCEDURE OBSERVED ASSISTED PERFORMED COMMENTS SIGNATURE OF TUTOR

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G. PROCEDURE

SERIAL # NAME OF PROCEDURE OBSERVED ASSISTED PERFORMED COMMENTS SIGNATURE OF TUTOR

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H. TUTORIAL ATTENDED

SERIAL NO.

TOPICS SIGNATURE OF TUTOR

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H. TUTORIAL ATTENDED

SERIAL NO.

TOPICS SIGNATURE OF TUTOR

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H. TUTORIAL ATTENDED

SERIAL NO.

TOPICS SIGNATURE OF TUTOR

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I. JOURNAL CLUB

SERIAL NO.

DATE TOPIC SIGNATURE OF

TUTOR

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J. LIST OF SIGNS/ COMPONENTS OF CLINICAL EXAMINATION OBSERVED

\\

S.# COMPONENT OF EXAMINATION PERFORMED/ OBSERVED

SIGNATURE OF TUTOR

1. Pulse

2. Blood Pressure

3. Respitatory Rate

4. Temperature

5. Anemia

6. Jaundice

7. Cynosis

8.

Dehydration

9. Clubbing

10. Koilonychia

11. Leukonychia

12. Beau’s Lines

13. Half White/ Half Brown Nails

14. Palmar Erythema

15. Flapping Tremor

S.# COMPONENT OF EXAMINATION PERFORMED/ OBSERVED

SIGNATURE OF TUTOR

16. Gynecomastia

17. Spider Angioma

18. Wasting

19. Corneal Arcus

20. Lymph Nodes

21. JVP

22. Thyroid

23. Hyper Pigmentation

24. Vitiligo/Hypo Pigmentation

25. Pedal ,sacral, General Edema

26. Alopecia

27. Rash (Petechail/Any)

28. Inspection Of Abdomen

29. Palpation Of Liver

30. Palpation Of Spleen

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LIST OF SIGNS/ COMPONENTS OF CLINICAL EXAMINATION OBSERVED.

S.# COMPONENT OF EXAMINATION PERFORMED/

OBSERVED SIGNATURE OF

TUTOR

46. Speech

47. Cranial Nerves 1-2

48. Cranial Nerves 3,4 &6

49. Cranial Nerves 5

50. Cranial Nerves 7

51. Cranial Nerves 8, 9 &10

52. Cranial Nerves 11-12

53. Tone and Power

54. Refexes

55. Cerebellar Signs

56. Involuntary Movements

57. Touch Sensation

58. Pain Sensation

59. Proprioception Sensation

60. Vibration Sensation

S.# COMPONENT OF EXAMINATION PERFORMED/ OBSERVED

SIGNATURE OF TUTOR

31. Palpation Of Kidney

32. Shifting Dullness

33. Fluid Thrill

34. Auscultation Of Abdomen

35. Inspection Of Chest

36. Palpation Of Chest

37. Percussion Of Chest

38. Auscultation Of Chest

39. Inspection Of Precordium

40. Palpation Of Precordium

41. Auscultation Of Precordium

42. Level Of Consciousness

43. Memory

44. Signs Of Meningel Irritation

45. Romberg`S Sign

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K: LECTURES ATTENDED

S.No Date Lecture Topic S.No Date Lecture Topic

1. 16.

2. 17.

3. 18.

4. 19.

5. 20.

6. 21.

7. 22.

8. 23.

9. 24.

10. 25.

11. 26.

12. 27.

13. 28.

14. 29.

15. 30.

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K: LECTURES ATTENDED

S.No Date Lecture Topic S.No Date Lecture Topic

31. 46.

32. 47.

33. 48.

34. 49.

35. 50.

36. 51.

37. 52.

38. 53.

39. 54.

40. 55.

41. 56.

42. 57.

43. 58.

44. 59.

45. 60.

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K: LECTURES ATTENDED

S.No Date Lecture Topic S.No Date Lecture Topic

61. 76.

62. 77.

63. 78.

64. 79.

65. 80.

66. 81.

67. 82.

68. 83.

69. 84.

70. 85.

71. 86.

72. 87.

73. 88.

74. 89.

75. 90.

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K: LECTURES ATTENDED

S.No Date Lecture Topic S.No Date Lecture Topic

91. 106.

92. 107.

93. 108.

94. 109.

95. 110.

96. 111.

97. 112.

98. 113.

99. 114.

100. 115.

101. 116.

102. 117.

103. 118.

104. 119.

105. 120.