Sinus node dysfunction
A derangement in the normal functioning of the sinoatrial node. Typically, SA node dysfunction is manifest as sinoatrial exit block or sinus arrest, but may present as an absolute or relative bradycardia in the presence of a stressor. It may be associated with bradycardia-tachycardia syndrome
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Consultant Medicine(Physician2001-2012)Medical Officer(1984-2001)ART Physician Working As SMO(2012-til Date)
Consultant Medicine-J&K H&M Deptt Hospitals;Currently SMO-(ART Physician )GMC Jammu
Govt. Medical College, Jammu
MBBS(1975-1981);M.D (Medicine)1993-1996

Shivam Medicare Clinic
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NHL Municipal Medical College
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Siddhivinayak Clinic
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A case of Abdominal epilepsy *Chief Complaints* Loss of consciousness one episode Pain abdomen and loose stools *History* A female patient 25 year old came to the OPD with complaints of loss of consciousness after an episode pf loose stools prior to which she had severe crampy abdominal pain. Symptoms lasted for about 3-4 min witnessed by her mother.No h/o tonic clonic movements. No h/o fever headache giddiness, visual disturbance or ENT symptoms No post episode headache limb weakness Known case of IBS on diet.Hypothyroid on 25 mcg Thyronorm OD.. *Vitals* Normal *Investigations* EEG normal.MRI brain small nodular subependymal heterotopia adjacent to the atrium of right lateral ventricle. *Physical Examination* Nothing significant *Diagnosis* Abdominal Epilepsy *Management* Started on Tab Carbamazepine 300 mg incremental dosage
Dr. Naga Tanooj0 Like2 Answers - Login to View the image
CHOICE OF MECHANICAL VENTILATION
Dr. Prashant Vedwan1 Like1 Answer - Login to View the image
A 67 yr old male is operated for gall bladder .post op report is as follows,the patient is now recieving chemotherapy:what to be done next ?
Dr. Saurabh Jain0 Like1 Answer
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