Sir explains beautifully every important clinical aspect

Good case discussion 🙏

Thanks sir excellent discussion🙏🙏

Best classroom episode 👍

Great teacher sir

Thanx team AETCM

Hats off sir

❤❤❤❤ great

Thanks

Super sir👌👌👌👏👏👏👏

Please give lecture on varicose veins management

Sir I studied somewhere in pharma tamsulosin will not cause any postural hypotension due to its selective alpha 1 a block property???

@AETCMEmergencyMedicine

7 ай бұрын

First dose phenomenon is theoretically low but they can have

7:02 what did he say, quinolones can induce what in elderly? I got it its seizure.

Sar mughe urin retancion ho gya ha plese help me kya dbai le plese sir reply

Actually sir many years back I was a MO in neurology deptt.I had taken a day off and next morning after the rounds were over and just after HOD left sister told me doc i tried to do catheterization but couldn't and since last time also they couldn't put nasogastric tube but i could as been a fresher medical officer in manipal we had to do everything and she told me night shift doc also tried but couldn't so can you just see once.I first asked the patient he said i haven't passed urine so i percussed there was suprapubic dullness he was a middle aged man so i do not remember he must be having bph too as many years back but since sister said so first i tried bigger size there was resistance so told her to get the smallest size and iy went and around about 100 to 150 ml urine came this i remember and i felt very happy and told sister do not worry and rushed to OPD happily and later after 3 to 4 hours or so 2 nd year MD doc called me and said i ruptured the urethra and every one looked down upon me I got blasted by my senior too and consultant too obvious and earlier sister tried too and night doc too but because of me urethra ruptured so my career got ruined as everyone was murderer where ever i went as later it seems patient went into DIC and after that what happened I do not know.So i learnt a great lesson since sister told me she had tried but couldn't plus night doc too couldn't meaning there some obstruction and i should have informed the consultant straight away and he would do suprapubic cystotomy straight away but i didn't even the sister rather than telling me as mere mo had she informed consultant as the night doc couldn't too as told by her plus I took a day off so they could have told consultant in round itself that she couldn't nor night doc too there would be no issue but she told me that to mere mo and as a fresher in manipal we had to do catherizarion whether male or female as before we had no brother only female nurse so i thought i will see once if not will inform Hod but i could and urine came but 100 ml or so and i became a murderer as they said i ruptured the urethra and after that my hands Shivers even if I have to place an iv line sir so my advice to all the junior doc never listen to sister's and even if simple catherizarion always inform your senior and do in their presence not like me thinking catherizarion as mostly nurses only do that not consultant and this was my first and last mistake but where ever i went after that people were murderer or uncapable or incompetent that too just after my mbbs when it's the time to learn practical stuff after internship plus male patient and me female doc so people were i love to see only male patient etc etc so my career ended and also if female patient and make doc make sure female sister is there and i listen to your videos to pratically update myself as haven't been practicing since many many years so that i atleast do justice to my patients in ngo where i just prescribed tablets there are no procedure to be done.Had sister informed consultant and not me ?Had the night doc informed consultant on night itself ?it keeps popping on my mind Or had i after sister telling me told consultant straight away rather than attempting myself maybe the patient wouldn't suffer the patient suffered because of me and my career and reputation as a fresher doc got runied as it was my first and last mistake of my life and people still call me murderer or incapable where ever i go.So next life I prefer to become a singer not mbbs.Do you think i should be jailed??????

@drsajid1240

9 ай бұрын

Don't worry bro! This small mistakes do happen. Don't live a guilty life. Consultant b rupture hi krta urethra😮

@BlueSky-lb8fw

8 ай бұрын

We have no control over the outcome. Despite best efforts patient can crash and burn but that doesn’t make us the culprit. Ofc we can learn and be better next time. Every dr gets a case that haunts them for the rest of their lives. For you it’s a ruptured urethra and for me it was hyperK and VFib.

@selvadivine5263

7 ай бұрын

Our intention is the question u r really tried save him from pain full suprapubic catheterization

How does catheterizing a patient cause hypotension.i don't understand

@fatimahussain5707

7 ай бұрын

Maybe vasovagal syncope