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| | Clinical Vignette A clinical vignette is a concise presentation of an interesting or challenging patient encounter that stimulated an interesting learning issue. |  | Senior Member | | Posts: 195 Thanks: 0
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Join Date: Apr 2006 Location: china | | | Re: MCQ-discussion -
15-08-2006, 10:11 PM
Quote: |
Originally Posted by JNUS Going into paralytic ileus and then develop abd. distension may not be so quick i mean within 2 days after hypokalemia ... actually i had not encountered so and had not read 'bout how quick it develops after hydrochlorthiazide..
May be clinical evidence are not much given to make it confusing , still i go for mesentric embolism..
i will discuss it with consultant tomorrow and will post after that... | well bro. i am waiting for the response by "consultant"
see u later | | The Following User Says Thank You to bharat For This Useful Post: | | | Senior Member | | Posts: 195 Thanks: 0
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Join Date: Apr 2006 Location: china | | | Re: MCQ-discussion -
15-08-2006, 10:15 PM
Quote: |
Originally Posted by Hero Your opinion and suggestions are welcomed. And this is my 100th post, now I become a senior member...thanks to all  |
hey hey hero hahaha congraz. man so quick you become senior man.
well i am following you hahah  
ani abe senir bye ko kusi ma Pijiu pri dinu pardine te  | | The Following User Says Thank You to bharat For This Useful Post: | |  | xenoMED Advisor | | Posts: 605 Thanks: 6
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Join Date: Oct 2005 Location: Balkumari, Lalitpur. Nomore in ER/Hosp. | | | Re: MCQ-discussion -
17-08-2006, 07:41 AM
Me including few of my seniors ( MO's ) were going for mesentric embolism. But when i discussed with a consultant physician, renowned physician of Nepal, now he is in his 70's says that it surely due to Hypokalemia, and Digoxin toxicity can be kept in 2nd option and Mesentric embolism in 3rd.
He told me that if it was mesentric embolism , his chief complain would have be severe pain rather than vomiting and palpitation, cause pain will bring patient to ER, if its mesentric embolism.
So now, i am satisfied that its due to hypokalemia, and still in corner of my mind i am still not so much reluctant for mesentric embolism....
Anyway, can't we have some more evidence of this same case ??? or answer... ??
remember that silence is sometimes the best answer | | The Following User Says Thank You to JNUS For This Useful Post: | | | xenoMED Advisor | | Posts: 605 Thanks: 6
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Join Date: Oct 2005 Location: Balkumari, Lalitpur. Nomore in ER/Hosp. | | | Re: MCQ-discussion -
17-08-2006, 07:43 AM
Anyway, more discussion like such cases r welcomed, if we can put some lights in the same case, i will be happy, why don't u guys also discuss with seniors...
remember that silence is sometimes the best answer | | The Following User Says Thank You to JNUS For This Useful Post: | |  | Senior Member | | Posts: 234 Thanks: 0
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Join Date: Jun 2006 Location: China | | | Re: MCQ-discussion -
17-08-2006, 08:55 AM
JNUS, its nice to know that u disussed this case with ur seniors and with ur consultant also. I am really happy to know that ur consultant also said that this could be due to hypokalemia, what I said before. I would have also discussed this case with my seniors but their English is not so good, so its worthless discussing this type of case. Its not a big deal coz I am the senoir in my batch and I hope I can discuss ANY cases regarding cardio.  | | The Following User Says Thank You to Hero For This Useful Post: | | | Senior Member | | Posts: 234 Thanks: 0
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Join Date: Jun 2006 Location: China | | | Re: MCQ-discussion -
17-08-2006, 09:37 AM
Quote: |
Originally Posted by bharat hey hey hero hahaha congraz. man so quick you become senior man.
well i am following you hahah
ani abe senir bye ko kusi ma Pijiu pri dinu pardine te | Pijiu ta mero daily routine jastai ho Bharat  . I guess u r not much interested in pijiu? am I right? | | The Following User Says Thank You to Hero For This Useful Post: | | | Senior Member | | Posts: 234 Thanks: 0
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Join Date: Jun 2006 Location: China | | | Re: MCQ-discussion -
17-08-2006, 09:39 AM
Quote: |
Originally Posted by JNUS He told me that if it was mesentric embolism , his chief complain would have be severe pain rather than vomiting and palpitation, cause pain will bring patient to ER, if its mesentric embolism. | That's what I said before. In mesenteric embolism the patient will have more acute presentaion which is not the case here. Also abdominal pain would be a presenting complaint and in this case there is no abdominal pain mentioned. That is what made me to think about hypokalemia. | | The Following User Says Thank You to Hero For This Useful Post: | | | xenoMED Advisor | | Posts: 605 Thanks: 6
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Join Date: Oct 2005 Location: Balkumari, Lalitpur. Nomore in ER/Hosp. | | | Re: MCQ-discussion -
18-08-2006, 08:40 AM
Ok, now its settled then....
remember that silence is sometimes the best answer | | The Following User Says Thank You to JNUS For This Useful Post: | | | Senior Member | | Posts: 195 Thanks: 0
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Join Date: Apr 2006 Location: china | | | Re: MCQ-discussion -
18-08-2006, 11:36 AM
Quote: |
Originally Posted by Hero Pijiu ta mero daily routine jastai ho Bharat . I guess u r not much interested in pijiu? am I right? |
hahah sasto beer (Laoshan,Qingtao......) bhye te nekane Budwisre ,snow,hineken bhey 1-2 bottel samme kai dila ni te kaune bhey tere me daily te ke weekly pani kanne free ma paye pani once a month resturent jada chai chodine hami pani pijiu kane .......hahahaha....any way bro. le mero bhag pani 2 bottal badyere kaye hucne yeha pathune garo bhye....see u....  | | The Following User Says Thank You to bharat For This Useful Post: | | | Senior Member | | Posts: 195 Thanks: 0
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Join Date: Apr 2006 Location: china | | | Re: MCQ-discussion -
18-08-2006, 11:37 AM
Quote: |
Originally Posted by JNUS Ok, now its settled then.... |
thanks for the confermation bro. | | The Following User Says Thank You to bharat For This Useful Post: | | | Thread Tools | Search this Thread | | | | | Display Modes |  Linear Mode | 
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