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This blog is maintained as classwork for adding/updating medical cases and their discussion under BMJ Student Elective Course in guidance of Dr. Rakesh Biswas.

Here is my Researchgate profile:  https://www.researchgate.net/profile/Vivek_Podder

BMJ Student Elective Programme
http://promotions.bmj.com/jnl/bmj-case-reports-student-electives-2/

All patient identifiers have been removed for de-identification per HIPAA regulations.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528047/figure/fig1/

Telegu BMJ Consent Form
Telegu BMJ Consent Form


UDHC Consent Form




Most recents BMJ Consent forms

http://authors.bmj.com/submitting-your-paper/patient-consent-and-confidentiality/

Signed informed consent from the patients have been taken using this consent form
Hindi - http://www.udhc.co.in/STATICS/docs/udhc-hindi.pdf
Bengali - http://www.udhc.co.in/STATICS/docs/udhc-bengali.pdf
English - http://www.udhc.co.in/STATICS/docs/udhc-english.pdf
Telegu- https://drive.google.com/file/d/0B2prWIVAQ3w_OHRRYllWRkFDZjg/view?usp=sharing
Trying to follow SOAP format
http://med.fsu.edu/userfiles/file/MedInfo_SOAPnote_Jobaid.pdf

History taking and Examination
https://www.ucl.ac.uk/pcph/undergrad/cbt/year4/history-and-examination

User Driven Health Care
http://www.udhc.co.in/

- Vivek Podder
   Tairunnessa Memorial Medical College
    Gazipur, Bangladesh

Disclaimer: I have tried utmost to deidentify patient's health information and I will continue to maintain this. However, it is possible that in certain situations it may been missed, please let me know if that strikes your eye. 

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Consent Forms

Hindi BMJ Consent form   Bengali BMJ Consent form English BMJ Consent form   Telegu BMJ Consent Form Telegu BMJ Consent Form   UDHC Consent Form                

57 Year Old female with goiter and thyrotoxicosis

This 57 year olf lafy presented with neck swelling, anxiety and tremor. Her medical information is attached below: We need to take a decision on this lady. To operate or not to operate. Now that our clinical suspicions of thyroticosis have been proved and malignancy not proved (not disproved either) what would be the next best step? Medical management for her thyrotoxicosis or still get an excision biopsy with sub total thyroidectomy (and subtotal thyroidectomy other than disproving malignancy will also become treatment for her hyperthyroidism). So which one should we prefer (if the family has no reservations from their side)?

60 year old woman with hypothyroidism and SIADH

This patient is a 60 year old woman with recent vomiting, coma (sodium 107) and clinical features of dull apathy, skin coarsening, bradycardia, areflexia strongly suggesting hypothyroidism. Serum osmolality and urine sodium are suggesting SIADH. Thyroid profile: Our patient's current dose of sodium is 10ml per hour and she is having mild hypotension at times and in her blood sugar recordings hypoglycemia (attached below) was noted. In brain imaging, empty Sella is noted (attached below).  Most of the data we have till now is suggesting hypopituitarism Online Discussion: