Institute & NEWSLETTER
Transcript of Institute & NEWSLETTER
MEDICAL APOGEE VOLUME-2
HON’BLE PRESIDENT DR.DIXIT SHAH
HON’BLE CHANCELLOR DR. HARSHAD SHAH
HON’BLE VICE CHACELLOR DR. R. P.BHARANEY
2020
Biannual Official Newsletter Smt. B. K. Shah Medical Institute
& Research Centre
Dean : Dr.PareshGolwala.
Chief Editor: Dr. Punit Singh
Associate Professor, Department of Ophthalmology
Co-Editors: Dr. Aditya Agrawal
Associate Professor, Department of Orthopaedics
Dr.Honeypal Singh Maharaul
Associate Professor, Department of General Surgery
SBKS MI&RC, PIPARIA , WAGHODIA, VADOADRA
MESSAGE FROM CHIEFEDITOR
“While writing is like a joyful release, editing is a
prison where the bars are my former intentions and
the abusive warden my own neuroticism.”― Tiffany
Madison
It gives me immense pleasure to write editorial for this
newsletter. SBKS MI&RC journal with a vision to promote
best medical teaching and care of patient , hope that this
newsletter fulfill the purpose to inform ,engage and
inspire the diverse readership and help in expanding the
horizon of knowledge.
Dr Punit Singh
Chief Editor
MESSAGE FROM DEAN’S DESK
Medical Education Challenges the best and the brightest minds to learn the science of medicine and public health; and the art of compassionate care. As one of the nation’s premier medical institution; Smt.B.K.Shah Medical College
And Research Center (SBKS MI&RC) is dedicated to advancing biomedical knowledge and humane healing
through innovative educational methods. In recent years; our SBKS MI&RC has become best place to pursue an
education with totally modernized facilities; a redesigned curriculum that introduces early clinical experiences; and new academic partnerships and global initiatives; we are pointed aggressively to the future. We select each new
entering class with the intent of ensuring that we will train tomorrow’s medical leader ; secure in the knowledge that
they will be well prepared to practice their chosen specialties and to meet the needs of the public. I look
forward to providing highlights of their contributions in the upcoming months.
Dr. Paresh P. Golwala
Dean
Medical Education Unit
Online session on “Use of technology in online student assessment” held on 26-05-20
ONLINE SESSION ON “USE OF TECHNOLOGY IN ONLINE STUDENT ASSESSMENT” HELD ON 26-05-20 BY
MEDICAL EDUCATION UNIT
Objectives: To make the faculties oriented about the various platforms for online assessment. Brief Information on Proceeding: The Program was started at 3.00 pm with total no. of 378 Participants attending. The link was sent to all heads of institution. Following that faculty from various institutions attended this in their institutional seminar rooms through online platform with social distance maintenance. The Resource Person, Dr Chinmay Shah (Associate Professor & Head, Dept. of Physiology, GMC, and Bhavnagar) explained in details about the various platforms used for online Assessment with demonstration. He additionally gave more insight into Google classroom, Google form, online OSPE & Viva. Conclusion: All the participants found this event very useful during this where online teaching learning & assessment is the only option to continue academic commitments.
CONFERENCE ON “CRITICAL CARE IN TROPICAL INFECTIONS”
HELD 07-02-20 BY DEPARTMENT OF MEDICINE
Objectives: To represent the challenges occuiringin critical care in tropical infections. Name of Organizing Chairperson was Dr. Hetal Pandya & Name of Organizing Secretary was Dr. Drishti Khatri Brief Information on Proceeding : Session was started with acute complications of malaria vaccine preventable disease in adults , rational use of antibiotics, emergencies in leptospirosis , various aspects of urosepsis, critical care complications in dengue fever. Conclusion: There were 301 participants who attended the event and it was concluded with the importance of critical care management in tropical infections.
CME ON“2019 NOVEL CORONA VIRUS” HELD ON 13-02-20 BY
DEPARTMENT OF MEDICINE
Objectives : To introduce the novel corona virus and its epidemics. Name of Organizing Chairperson was Dr. G. V Shah & Name of Organizing Secretary was Dr. Hetal Pandya Introduction of the Event / Activity : Seminar on “2019 Novel Corona Virus” was conducted by Department of Medicine. Conclusion : There were total 263 participants who all attended this event and it was concluded with a good discussion.
DEPARTMENT OF MICROBIOLOGY
Training program on “Best practices in Infection control” held
on 05-02-20
TRAINING PROGRAM ON “BEST PRACTICES IN INFECTION
CONTROL” HELD ON 05-02-20 BY DEPARTMENT OF
MICROBIOLOGY
Objectives: To introduce best practices of infection control to nursing students Name of Organizing Chairperson was Dr V S Date Name of Organizing Secretary was Dr Sucheta Lakhani Brief information on proceeding: This event was conducted by Department of Microbiology for the Nursing students. Conclusion: 150 Students attended the event and learnt various methods of infection control and were satisfied.
Dr Punit Singh, AssociateProfessor Ophthalmology department
was invited as guest speaker at Baroda ophthalmic society as
Glaucoma Specialist.
DEPARTMENT OF PHARMACOLOGY
CME on“Current Trends in Management of Neurological Disorders” held on 27-02-20
CME ON“CURRENT TRENDS IN MANAGEMENT OF NEUROLOGICAL DISORDERS” HELD ON 27-02-20 BY
DEPARTMENT OF PHARMACOLOGY
Objectives: Updating the new approaches available for management of neurological disorders. Name of Organizing Chairperson and Secretary was Dr. Maulin Mehta Brief Information on Proceeding : Opening remarks were given by respected Dean, Dr. G.V. Shah. All three sessions were started in time and ended in time with sufficient time for discussion. The sessions were interactive and interesting. Conclusion: All three speakers were rated between excellent to very good. All the participants found it to be very helpful and informative. They are interested to have more of such CME programs. Overall the event was rated as Good.
CASE REPORT
1.DEPARTMENT OF ANAESTHESIA
ANESTHETIC MANAGEMENT OF A PATIENT FOR AWAKE CRANIOTOMY WITH “ASLEEP AWAKE ASLEEP” TECHNIQUE.
Authors:
Tejash Sharma, Dr Jatin Patel, Akhilesh Chhaya
Associate Professor, Department of Anaesthesiology, Smt. B. K. Shah
Medical Institute & Research Centre, Sumandeep Vidyapeeth an
Institution Deemed to be University, Piparia-391760, Waghodia,
Vadodara, Gujarat, India.
Professor, Department of Anaesthesiology, Gujarat Adani Institute of
Medical Sciences, Bhuj, Gujarat, India.
Corresponding author: Dr Tejash Sharma, E-mail id:
[email protected] Mb. No. 9427332100
ABSTRACT
A neurosurgery like awake craniotomy allows surgeon to resect a tumour from safe margins and provides better post-operative neurological deficit. But at the same time it surfaces greater challenges to the anaesthesiologists. A 40 year male with low-grade glioma tumour in left fronto-parietal lobe presented for craniotomy under American society of anesthesiologist (ASA) class II. For allowing resection of maximum tumour and avoidance of
neurologic morbidity an awake craniotomy was planned. After the premedication the patient was induced with inj. Propofol , inj. fentanyl andinj. bupivacaine with adrenaline was infiltrated for placement of scalp fixator (Mayfield fixator) and skin incision. Airway was maintained with nasopharyngeal airway on spontaneous respiration, propofol infusion was discontinued to make patient conscious, hence cooperative for neurological testing during the procedure. Speech and motor testing were carried out. The propofol infusion was resumed as soon the cranium was closed and fixator was removed. Speech and motor function were intact except for mild weakness in the right forearm. This type of procedure needs proper patient selection, experienced surgeon and a well planned anesthesia. This case report describes anaesthesia management for awake craniotomy.
2.DEPARTMENT OF PEDIATRICS
Year – 2019 – 2020
Dr. Putun Patel, Assistant professor, dept of Paediatrics
Dr. Manish Rasania, Professor, dept of Paediatrics
Niyati Parikh, Resident doctor, dept of Paediatrics
CASTLEMANS DISEASE- A CASE REPORT.
INTRODUCTION
Castleman disease (CD) is an unusual lymphoproliferative disorder
of unknown cause. Reactive lymphoproliferative process in
response to an unknown stimulus and defective immune regulation
may be involved in its pathogenesis.
CASE REPORT
A 14-year old male patient presented to us with complaints of right
inguinal swelling of 2 * 2 cm for last 3 to 4 months. Swelling was
firm, mobile, gradually increasing in size. Also associated with
weight loss and decreased appetite. On histopathology (HP) of
inguinal lymph node showed few follicles within lymphoid tissue. A
few vessels are seen with thick and hyalinized wall and the
interfollicularstroma shows numerous sheets of plasma cells.
Immunohistochemistry (IHC) had CD3 and CD 20 highlights reactive
T and B cells, CD138 highlights the plasma cells, Kappa and Lambda
stain confirms the polyclonal nature, CD23 highlights the follicular
dendritic meshwork, CD10 highlights the germinal center. HP and
IHC findings were suggestive of CD plasma cell type. In past, in 2010
child developed cervical lymphadenopathy and in 2017 developed
axillary lymphadenopathy for which biopsy was done and some
treatment was given but no documents were available. At present
patient is given supportive management and kept in close follow up
and has not developed any new swelling.
CONCLUSION
In 1956 Benjamin Castleman and his associates described this
disease. It is also recognized as angiofollicular lymphoid
hyperplasia, giant lymphnode hyperplasia, lymphoid hyperplasia,
benign lymphoma, and follicular lympho-reticuloma. In India 76
cases of CD are reported in pediatric age group and plasma cell type
occurred in 24% of the patients. Prevalence is estimated to be less
than 1 / 100,000. It can present as a localized mass or as a
multicentric disorder. Its presentation as primary cervical
lymphadenopathy accounts for only 6% of cases. Histologically,
three variants are recognized, viz., hyaline vascular, plasma cell
type, and intermediate type. An abnormal production of a B cell
growth factor, such as IL-6, causes lympho-proliferation and plasma
cell differentiation is the key factor in pathogenesis of CD. Localized
disease usually has a benign course and its treatment of choice is
complete excision of the lymph node involved. Multicentric disease
is usually a systemic illness involving retroperitoneum, neck,
parotids and muscles or it can present as a disseminated
lymphadenopathy. It is aggressive and usually the fatal course is
associated with infectious complications and risk for malignant
tumors such as lymphoma or Kaposi sarcoma. For idiopathic
multicentric disease drugs such as Siltuximab,
Tocilizimab, Rituximab and chemotherapy in severe cases can be
offered. In our case patient was a multicentric disease, at present
patient is given supportive treatment and kept under close follow-
up, as patient was reportedly treated outside but no documents are
available. We plan to start chemotherapy if any recurrence found.