How to Become a Successful Practitioner

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Category: Education
     
 

Presentation Description

Lecture for House Surgeons

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Presentation Transcript

How to become a successful practitioner? : 

How to become a successful practitioner? Dr. S. Aswini Kumar. MD

Are You Confident? : 

Are You Confident? In treating yourself Your parents? Your family members? Your neighbors?

Do No Harm : 

Do No Harm Prescribe simple medicines Prescribe safe medicines Try it on yourself first Think patient is you

History : 

History Get 70% diagnosis out of it Talk to the patient Listen carefully Be patient

Examination : 

Examination Stick to basic examination Choose appropriate signs Get co-operation Don’t postpone

Vitals are vital : 

Vitals are vital Pulse Respiration Blood pressure Pupil and reaction

Key signs - CVS : 

Key signs - CVS JVP Cardiomegaly Third heart sound Pericardial rub

Key signs - CNS : 

Key signs - CNS Lateral rectus palsy Plantar reflex Neck stiffness Finger nose test

Key signs - RS : 

Key signs - RS Breath sounds Vocal fremitus Percussion Adventitious

Key signs - GIT : 

Key signs - GIT Hepatomegaly Splenomegaly Ascites Bowel sounds

Provisional diagnosis : 

Provisional diagnosis Fever for evaluation Possible Enteric fever To exclude Meningitis Unlikely to be Weil’s

Symptom Relief : 

Symptom Relief Fever relief Pain relief Colic relief Cough relief

Specific treatment : 

Specific treatment Antibiotics Antacids Antihistamins Antihelminthic

Know your drugs : 

Know your drugs The strength, dose, Preparations, availability Cost, effectiveness Side effects, ADRs

P-Drug Concept : 

P-Drug Concept Pen tip drugs Personalized drugs Make a list and update Study these drugs

Warn side effects : 

Warn side effects Sedation Tremor Constipations Vomiting

Watch for ADR : 

Watch for ADR Rash Edema Hypotension Neurological

Additional Treatment : 

Additional Treatment Steam Inhalation Warm saline gargles Tepid sponging Plenty of fluids

Appropriate Investigations : 

Appropriate Investigations Not a panel Select judiciously Time correctly Study and interpret

Review SOS : 

Review SOS Timely review Report by phone Refer in time Do not neglect