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Medicine, Medicine classes, NEET PG, NExT, NExT Exam

Churg-Strauss syndrome or Eosinophilic Granulomatosis with Polyangiitis

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#NEETPG #INICET #FMG #MCISCREENING #MARWAHMEDICINE #PREPLADDERMEDICINE Churg-Strauss syndrome, also known as eosinophilic granulomatosis with polyangiitis (EGPA), has peripheral eosinophilia and pulmonary eosinophilia with infiltrates on CXR. The characteristic feature of this disease is Eosinophilic vasculitis which is not seen in other diseases of lungs which have eosinophilia. A mnemonic to remember Churg-Strauss syndrome is: “CHARM”: C –Cardiac manifestation of myocarditis H –High eosinophil count with as much 75% of TLC being eosinophils A – Asthma and Allergic rhinitis history R – Renal involvement with Glomerulonephritis and Rashes with Purpura M – Mononeuritis multiplex (peripheral neuropathy) Usually, the patient will start having features of asthma and allergic rhinitis by 20-30 years of age. Lateral Peripheral eosinophilia is seen with as much as 75% of TLC being eosinophils. Eosinophils then infiltrate tissues producing neuropathy, myocarditis, eosinophilic gastroenteritis. In late forties or fifties these patients will develop fever, weight loss and malaise with myalgia.   Laboratory Findings Eosinophilia: Elevated eosinophil count in peripheral blood. Elevated Acute Phase Reactants: Such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Positive ANCA (Antineutrophil Cytoplasmic Antibodies): Although not always present, ANCA positivity, particularly perinuclear ANCA (p-ANCA), can be seen in a subset of patients. Chest X-ray: May reveal pulmonary infiltrates, nodules, or cavities CT Scan: High-resolution CT may show ground-glass opacities, interstitial fibrosis, or other pulmonary abnormalities. Biopsy Findings: Histopathological examination of affected tissues may reveal eosinophilic infiltration, vasculitis, and granulomatous inflammation. Telegram link: https://t.me/realmarwahmedicine

Medicine, Medicine classes, NEET PG, NExT, NExT Exam

HYPERSENSITIVITY PNEUMONITIS

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#NEETPG #INICET #FMG #MCISCREENING #MARWAHMEDICINE #PREPLADDERMEDICINE Here is a Quick mnemonic to remember the features of Hypersensitivity pneumonitis is: FARMER’S LUNG 4 F – Fever and Breathing problems A – Acute onset on exposure to grain, Moldy hay and Silage which harbor Thermophilic Actinomycetes R – Respiratory symptoms (cough, dyspnea and Clubbing is seen too M – Malaise starting within 4 to 8 hours of antigenic exposure E – Elevated erythrocyte sedimentation rate and BAL shows lymphocytosis R – Radiographic findings (ground-glass opacities, reticulonodular infiltrates) S – Symptoms improve with removal from exposure L – Lymphocytic alveolitis U – Uncommon but can progress to chronic disease N – Noncaseating granulomas G – Granulomatous inflammation and Diagnosis is based on Clinical prediction rule 4- Type 4 hypersensitivity reaction This mnemonic can help you recall the key features associated with Hypersensitivity pneumonitis.

Medical, Medicine, Medicine classes, NEET PG

Dr. Marwah Live: Best YouTube channel for budding doctors

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Medical science is one of the most widespread forms of education in the world, where the bests emerge towards becoming doctors, the saviors of lives. While it is one of the most desired professions in the world, it is also, without a doubt, one of the most difficult professions to get into.  Honestly, why wouldn’t it be when people often refer to them as mortal Gods or entrust them with all their heart for saving hundreds of lives. Therefore, the course of MBBS for budding doctors and the subsequent entrance for their PG courses are extremely challenging, to say the least. However, they need not worry, because there are materials available online that can be the live-savers of the saviors.  While there are hundreds of books available, with each weighing about a ton each, there are also interactive live sessions available online, and they are as important for the real-life experience as books are for knowledge. One such platform that helps the budding doctors and PG aspirants to further success in their careers is Dr. Marwah Live, a YouTube Channel, designed by Dr. Deepak Marwah, to aid the students to learn the concepts of the field of medical science, through live sessions, where he gives real-life visualization of the world of medicine. His sessions are moderately long, that do not bore the students with few hours of monotonous information, making their brain capacities reduce and cause mental fatigue. Dr. Deepak Marwah is a widely known academician and a clinician. He has been teaching young medical students, who are the flag-bearers of the medical science of the next generation. He trains them for their Undergraduate examination concepts and trains them for post-graduation entrances. An alumnus of the Maulana Azad Medical College in Delhi, he has been involved with academics for the last 15 years. With over 45 thousand Subscribers, his channel is one of the most student-friendly channels available in the field of medical science, with lucid lectures that aid the ease of understanding every concept by heart. Although there is no particular day in the week that he uploads the videos or goes a life, they are fairly regular and whenever they come up, it is made sure that they are delivered in the best ways possible. Dr. Marwah not only teaches the concepts of Medical Sciences with ease and depth but also provides live interactive preparatory classes for INICET aspirants, who want to join for Post Graduate (PG) courses in Medical Science, like Doctor of Medicine (MD), Masters of Surgery (MS) and so on. He provides keynotes on how to crack the examinations, increase the strike rate, and score at a level where the candidates can be in a position to choose their Post Graduate Specialization according to their own preference and design their future in the field of medical science, just how they envision it. The eligibility criteria to appear in the INICET examination is that the candidates must have acquired their previous degree and also completed one year of their mandatory rotatory internship and have acquired the certificate for the same.  Once they have qualified for eligibility to sit for the exam, they have to score over the decided cut-off in the INICET exam and then continue with the follow-up procedures for finally being admitted to their preferred specialization in the post-graduate courses of whatever their chosen degree or domain would be. Some of Dr. Marwah’s widely appreciated and viewed videos are: INICET practice Sessions Cardiorenal Syndrome Quick Revision of Internal Medicine Multisystem Inflammatory And so on. Along with these, a series on his YouTube Channel has become hugely impactful on the medical students, for its realistic approach. The series is known as Clinical Scenarios Live stream. In these videos, the real-life scenarios in the medical world are discussed with the viewers. Dr. Deepak Marwah is also very vocal about the balancing of academics and life. He emphasizes the fact that rest and sleep are two very integral parts of life in order to repair and maintain the mind and body and also get rid of the fatigue that our minds may have been affected by due to continuous pressure. He says that according to him, proper rest and sleep are directly proportional to better efficiency in any concerned field. Some of the tips that he gives in order to follow a healthier lifestyle to performing better are: Following a healthy sleep schedule Take breaks in between studying to rest your brain and take a nap Distancing from the intoxication of any kind Being physically active in daily life Besides the importance of sleep and a healthy lifestyle, Dr. Marwah is also vocal about the tips to stay motivated and emotionally healthy while the students are going through a difficult phase of examinations and have to invest a lot of time studying. According to him, psychology identifies four different types of motivation- Extrinsic motivation comes from the outer world, intrinsic motivation comes from within, introjected motivation is the voice inside us that pressurizes us, and identified motivation makes a person knows their purpose and benefits of doing a certain job. To increase motivation, Dr. Marwah suggests the following: Reinforcement Learning: Setting a positive reward for an act or behavior, or a target reached The Ulysses Pact: Planning something and being bound by the plan to perform it. The Self Talk: The internal self-conversations that motivate people to do better. It is visible that Dr. Marwah is not just a wonderful academician, but also an insightful person. The time and effort that he has put into his channel, trying to help students get hold of their dreams, is commendable. His efforts have provided a new direction to the students and helped them score their targets whilst clearing their concepts and thus, it would not be an overstatement to say that his channel is undoubtedly the best platform for budding doctors to grow and learn and open their eyes to an ocean of opportunities lying ahead for them. […]

Medical, Medicine classes

Hardships in MEDICAL FIELD during COVID POSTINGS

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Tired of all the expectations! Doctors are not just burdened with work but also with a ton of expectations, from patients, their families and society as well. You don’t get to begin your day in a brilliant coloured corporate boardroom hi-fiving a good-looking colleague. Rather you usually begin and even end your day talking to a gloomy looking patient telling you his sad story. Very often you are further burdened with the HOD asking you to run some random errands. Most of your days are spent running between the OPD and the IPD, trying to manage the never ending stream of patients. A regular day starts at 8 am with just a simple toast and tea. Breakfast is a luxury you haven’t had time for several years. Sometimes the days begin even earlier than 8 am or the long night shift never ends. Well, let’s face it; we have all gone through the daily grind of being a doctor, faced our fair share of expectations, and powered through the rough days. Mostly we still manage to come out of all this smiling. First of all, becoming a doctor is not a joke and requires extreme mental and physical fitness. Ordinary people can’t hold their bladder for 2 hours. Ever seen the queue outside the toilet in the 2-hour Delhi Hyderabad flight, while you hold it for 10 hours in the operation theatre? So relax, you are a class apart. You’re the one delivers a baby aboard an indigo flight while the mindless airline staff takes selfies with a preterm 1.5Kg baby without ensuring basic hygiene. Hence, worsening the risk for COVID-19 transmission. So, the first message of this write up is: BEING a DOCTOR is not a JOKE and these internet educated people are sissies, simply looking for some masala and sympathy. For them Homeopathy is good despite no evidence of its efficacy and inspite of the fact that Lancet called it the biggest scam of the century. These dumb heads would rather believe a smooth-talking baba than science and evidence. They actually deserve what the government gives them i.e. no hospital beds and no health care. However, in the face of all this frustration and anger we might be feeling, let’s not forget that there is a meaning behind all this. Somebody on this planet has to volunteer and gear up to reduce the misery being spread by politicians and people alike. Like Lord Shiva, someone has to drink the poison and you’re the one doing it. Surrender is not the way. Your HOD may be cumbersome, the consultants selfish and self-absorbed but you mustn’t let these selfish and inferior people force you to give up. You must rise and shine for a bigger purpose and that is to make your mother and country proud. You’re the pillar upholding this ramshackle of a heath infrastructure that is crumbling. While the MLA of your district enjoys a bevy of official cars and a luxurious office, the poor District Medical Officer sits in a non-descript building without any air conditioning, doing so much paper work apart from finishing an OPD of 200 desperate people who have nowhere to go. If these people go to the police station they are beaten and if they go to the politician they fear being murdered. So, they go and vent their frustration at a poor and studious 24-year-old MBBS doctor. Not that you need to take any non-sense, but showing a bit of empathy will surely help you reduce your stress level and remedy the angst of the hostile and low IQ homosapiens. The COVID-19 situation has been a whirlpool of death and equivalent to near extinction. You are one of those brave soldiers who are fortunate enough to have been selected for the mission to defeat the virus. Perhaps, that’s the reason you take all the crap from your seniors, while sacrificing your personal well being, going to duty in a PPE kit on an empty stomach. This is not a joke. None of the non-medicos have the attitude, physical and mental capability required to wear this battle gear. You’re a class apart, a cut above the rest. You’re a doctor who must not accept nonsense. Your beliefs are rooted in giving it back when the situation demands. Instead of being angry at a poor patient, make the pseudo intellectuals cry. This is a flat line ECG. It takes 5 and half years to understand the basics of this. And yet, a 12th fail’s relatives barge in only to ask you to take body temperature as body is warm. They have no shame in beating the doctor up and in damaging hospital property. In such an event, all legal provisions must be used and non bailable warrants issued against the culprits. To cut the long story short, the take home message for a young and dashing doctor is: You’re born to drink poison and reduce the suffering of the poor and downtrodden. You are mentally and physically superior. Under any circumstances don’t try to hurt your-self. Your parents and loved ones are more important than everything else. Talk to your parents daily, even if it’s only for a couple of minutes after the end of your shift. Don’t rush during the removal of your PPE kit. Ensure that you use the sanitizer liberally and allow it to air dry. Thanks for reading all my rambling in this crazy time. Love you all! Dr. Marwah

Medical, Medicine classes

How to effectively use the Rapid revision program to increase your Strike rate?

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Imagine you are a month away from the exam day, your social media feed is full of stressful comments and you feel uncomfortable no matter what you do. Self-doubt creeps up on you. You start questioning your preparation, doubting whether you are on the right track and feeling as if everyone’s ahead of you in the game. You feel as if you are being left behind. STOP! It’s time to go into INTERNET DARKNESS MODE and stop the internet feed from taking over your brain and demeaning your efforts. It is now time for Rapid Revision and nothing is going to stop you from getting to your target. Complete the entire Internal Medicine RR series in 3 days@ 5hours. For each session minimum continuous sitting advised is of 3-4 hours. This is in keeping with the exam duration i.e. 3 hours plus the 15-30 minutes time before exam, when you reach the exam hall and wait for the exam to start. Keeping your study sessions of similar duration will help you build stamina for sitting that long and being able to concentrate. If you feel fatigue in back muscles and strain in eye muscles after 2 hours of continuous sitting in front of the laptop it means that your physical fitness is not up to the mark. Use the months until the exam to practice and improve. Write down summary of each topic in max five points. Keep a separate 50-page register for this. Focus especially on comparisons, for example multifocal atrial tachycardia versus Atrial Fibrillation, Multiple Sclerosis versus Neuromyelitis Optica. The combination of Audio-visual stimulus along with quick jotting down of important points will prep up your neo-cortex with lots of information to be deployed in the final battle in the examination. The entire list of antibodies mentioned in the Rheumatology section have to be crammed up straight, as it does not need much understanding and if asked during the exam, your eyes should be hunting for the correct option. Some path slides have been incorporated to cover the integrated topics. For those where the path slides are mentioned make a note in the register and do those topics from Pathology RR as well on the same day. Even if you’ve to compromise on a few hours sleep, try to do those topics on the same day, as it will increase your retention of these integrated topics. On the fourth day, the following five lectures must be done at 1.5 X from the main app in the last month before the exam. Questions are always asked from these topics in any exam anywhere in the world. It will take less than half a day and the rest of the day can be dedicated to MCQ of multiple topics. Electrolyte imbalance (Kidney first lecture) Renal Tubular acidosis (Kidney) Epilepsy and EEG (neuro First lecture), AIDS (Last lectures in App) ECG and Arrythmias Keep in touch with your family. A comforting voice can change your mood and remind you that you are doing it to make your parents proud of your achievements. Focus on the positives. Do something apart from furiously scrolling Instagram or Facebook. This is important for your sanity. Those who post every hour on Facebook may be much less prepared than you are and only showing off. Never Show off and be humble. Best Wishes for the Final Battle. You can do this.

Medical, Medicine classes

Making an Effective Study Plan

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Some tips to help you A study plan isn’t just a timetable, it’s much more than that. It details study goals, courses or syllabus to cover, time to be devoted to each, course material to study from, revision plans, tools to test your preparation, and more. Drawing a study plan helps you organize your time and thoughts better. It can help you stay focused, increase productivity, avoid mismanagement, and achieve your goals faster. Making an effective study plan can sound challenging. However, with some good planning and prioritization, you can come up with a handy study plan that enables you to accomplish your academic goals in an organized way. Well, before you start working on creating your study timetable, it is important to be aware of your learning style and your study potential. Also, you should consider and jot down all factors that can affect your study plan. We have listed below a few tricks and tips that can help you create an effective study plan. One way to make sure you get the best results in managing your study plan is to first collect all study material that you would need. You can collate your entire syllabus together from a reputed online study program provider and then use it effectively as per your need. Also, any books, class notes, or additional study material you may need, you should procure beforehand. Self evaluates and try to understand when and at what time of the day you are able to concentrate the most. This will help you to plan your daily routine in the best possible way. It is advisable to study during the daytime as all entrance exams are conducted during the day. If you are a night owl, try to slowly adapt and shift your study schedule to mornings as you wouldn’t want to be lethargic and unfocused during the actual exam. A handy study timetable consists of the variables like date and time with days of the week. You can hand draw a grid to prioritize your study schedule. Use colored highlighters to differentiate between weak and strong subjects, short and long subjects, etc. Divide your available time during a week into study blocks and then assign those blocks to a subject. This enables you to manage your time wisely without constantly checking. Start with 2 hours a day and then increase it gradually. This is an ideal way to go about it. The study is inevitably your key priority. However, it is important to take rest. To stay fresh and ensure complete concentration, it is advisable to take a power nap for an hour during the afternoon, after lunch. Pursuing your study schedule on a regular basis enables you to meet your academic goals. But, it is also vital to understand your requirements and make amendments accordingly. Once, you are aware that you understand a specific subject and need less time to study it than you should move on to another subject. By doing this, you can balance your study in a planned way. Creating your study plan in an easy-to-understand manner is another way to give a balanced approach to all subjects. The right way to go about it is to color-code all subjects so that you know which subject is easier and requires less study time and which subject is tougher and needs more study time. Prioritizing the subjects and courses, you need to study for within a certain amount of time is harder than you think. Therefore, it is advisable to finish one subject in a week and then move towards the second one instead of studying all at one time. Revision is the most important aspect of your study. During the first revision, it is better to revise two subjects in a day as that makes more sense. Following these tips and tricks, will surely help you achieve your academic goals. So, start creating your study timetable if you are looking to crack UG or PG entrance exams.

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Medicine, Medicine classes

5 Ways to Overcome the Fear of Failing in Exams

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Have you ever been so afraid of failing at an exam that you just skipped it altogether? Fear of Failure is paralyzing. It leads to missed opportunities, inactivity, and low self-esteem. But don’t let the fear of failing an exam take over your life. Here are 5 proven ways to help you overcome this fear and create a healthier mindset. Identify the Root Cause of your Fear Examine your negative beliefs. Where does your fear of exams originate from? Take some time, sit down and introspect. Ask yourself the tough questions. Is the fear legit? How did you develop this fear? Is it making your life better or worse? And finally, what is the real cause behind your fear of failing exams? Once you figure out the real reason behind your fear of failure, you’ll realize that it sounds silly and you’ve fretting over nothing. Examining your negative beliefs is not easy, and requires a lot of courage. But it is definitely worth doing if you want live your life to the fullest. Remind yourself that Failure is Temporary Failure may feel permanent but it is nothing more than a temporary setback. The consequences of failure are never as bad as you imagine. Always remember that failing an exam is nothing more than a road bump. It is not the end of your life. Instead try to look at failure as feedback. When you fail an exam, you get to analyze where you went wrong which helps you prepare better for the next attempt. Overcome all-or-nothing Mindset All-or-nothing thinking or perfectionism is away thinking that pushes you towards unrealistic goals. Perfectionism is often seen as a strength, but being too much of a perfectionist can sometimes lead to self-defeating thought patterns. Too much perfectionism may lead to anxiety, fear of failure, and low self-esteem among other mental health issues. If you’re struggling with perfectionism, start with slowly challenging your behavior. List down things you believe should be done perfectly. Next write the reasons why you believe that activity must be perfect. And at last, write down the consequences if things don’t turn out as planned. When you write things down, you’ll be able to see through your negative beliefs and tackle them with better understanding. Work towards building a Healthy Self-Esteem When you have healthy self-esteem, you don’t see failure as a dead end but as a stepping stone to success. Work of shifting your perspective. Failure is inevitable. Even the most brilliant brains have faced failure. And who said failure is a bad thing? Failure is actually a blessing in disguise. Failure, not a success, teaches you lessons worth learning Exams. Welcome failure. Befriend your fears. Only then can you overcome them. Start Exercising and Meditating Join a gym. Go on a run. Work-out. Exercise releases endorphins which are natural painkillers, and help you combat stress in a much healthier way. Meditation is a great way to calm your mind and prepare yourself to face your fears with courage. When you meditate, you free your mind from anxious thoughts and become much more aware of yourself and your surroundings. Your breathing slows down, your mind stops racing and your pulse rate drops to a healthier level.

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Medical, Medicine classes, NEET PG

3 ways to overcome afternoon drowsiness for Doctors preparing

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For NEET PG entrance / NEXT examination While it is common for small children to take afternoon naps, we grown-ups cannot afford the same luxury. Research shows it is quite natural to experience drowsiness and lethargy during in the afternoon, around 8 hours after waking up. Drinking an extra cup of coffee may sound tempting, but it is certainly not the healthiest way to stay awake. While these hacks may help you temporarily ward off afternoon drowsiness, you may want to ensure there’s no underlying medical condition at play. Most young people don’t realize that this drowsiness can be symptom of iron or nutrient deficiency, insulin resistance or obstructive sleep apnea. No harm or shame in getting yourself evaluated rather than using quack remedies to ward off sleepiness. Today, I’m going to share with you 3 healthy ways to combat afternoon drowsiness and re-energize your body. Take a Power Nap Another great way to combat afternoon sluggishness is take a quick 20-minute power nap. Research proves that 20 minutes of afternoon sleep is way more restful than 20 minutes of extra sleep in the morning. Don’t look at FaceBook or Whatsapp during lunch which we normally do. That just saps our brain further. Say No to Canteen Food which is greasy and unhealthy. Either cook your self or order from a healthy restaurant. Processed food digests quickly, messes with your blood sugar levels, and leads to low energy levels. As someone struggling with afternoon sluggishness, you should avoid processed food at all costs. Instead opt for healthy, energizing meals which are rich in iron, lean protein and complex carbohydrates, for example: leafy green vegetables, lean meat, whole grains etc.

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