MEDICINE
• 3rd nerve palsy-cf (190) , (193-194)
• A waves (JVP) 1
• ACE inhibitors (181-182)
• Acromegaly diagnosis 226-227
• Acute bacterial meningitis –
etiopathogenesis (206) , DX(206), mgt
(207)
• Acute diarrhea-Fluid replacement therapy
86
• Acute encephalitis syndrome (304-305)
• Acute exacerbation of COPD (324-325)
• Acute falciparum malaria – comp. (165-
166)
• Acute hepatitis- diagnosis (299)
• Acute kidney injury - etiology, c/f,
diagnosis, Staging , t/t - 110-112.
• Acute left ventricular failure -clinical
features, mgt. 29
• Acute loss of vision in one eye (186-187)
• Acute metabolic acidosis (374-375)
• Acute myocardial infarction (AMI)-define
ACS ,clinical features and mgt. 10-12
• Acute nephritic syndrome - c/f(104) ,lab
diagnosis,mgt,comp. 101-102. , causes,
pathogenesis,investigation, t/t -104,105
• Acute Pancreatitis -causes, clinical feature
, investigation, complications,Prognostic
parameters 68-70
• Acute peptic ulcer - drug therapy 73-74
• Acute pericarditis- cause, c/f and
diagnosis ( 39-40 )treatment 41.
• Acute poisoning mgt (378-379)
• Acute precordial/ severe retrosternal chest
pain/ severe epigastric pain and vomiting.
Causes , investigation/diagnose, mgt 12-
13
• Acute renal failure- etiology, c/f, diagnosis,
Staging , t/t - 110-112.
• Acute severe asthma- poor Prognostic
factor, mgt (324)
• Acute stroke- causes (212-213) ,mgt
(213-214)
• Addison Diagnosis 254
• Addison's Disease 252-253
• Addisonian crisis 254-255
• Adrenal crisis 254-255
1|Page
• Adult immunization (162-163)
• AIDS defining conditions (292-293)
• Alcohol withdrawal syndrome (351-352)
• Alcoholic dependence syndrome (350-
351)
• Alcoholic, severe epigastric pain and
vomiting-dd, causes diagnose , mgt 89-90
• Amoebic liver abscess (171-172) and
management (172-173)
• Amyotrophic lateral sclerosis (220-221)
• Anaemia diagnosis investigations 274-275
• Anaemia of chronic disease 275-276
• Anaphylactic hypersensitivity reaction
(160-161)
• Anaphylactic shock (160-161)
• Anaphylaxis (160-161)
• Anasarca- differential diagnosis, diagnose
and TREATMENT 51-52
• Anemia in CKD 107-108
• Angiotensin Converting Enzymes (ACE)
inhibitors 36 - 37
• Anion gap(371-372)
• Ankylosing spondylitis (128-129)
• Anorexia nervosa (352-353)
• Anti -cyclic citrullinated peptide antibody
(125)
• Anti-hypertensive. 34-35
• Anti-phospholipid antibody (134-135)
• Anti-snake venom in snakebite (377-378)
• Anticoagulant therapy in atrial fibrillation.
8-9
• Antiepileptic drug(205)
• Antinuclear factor/anti DsDna (130 -131)
• Antiplatelet agent 281
• Anxiety neurosis (348-349)
• Aortic dissection 33-34
• Aphasia (195-196)
• aplastic anaemia management 259-260
• Aortic regurgitation - Peripheral signs 22
• ARDS( acute respiratory distress
syndrome) (340-341)
• Arsenic poisoning ( 379-380)
MEDICINE

• Arterial blood gas (ABG) analysis (341- • Cerebrovascular accident (stroke) –

342)
• Ascariasis: diagnosis and management
(169)
• Ascites-causes , clinical ,lab investigation,
treatment , complication 48-50,47,56
• Asymptomatic bacteruria 113,114
• Atrial fibrillation (AF) and lone
AF?causes, consequences, enumerate
the drugs used in treatment . 4-
5.diagnosis of AF (6-7)Treatment of atrial
fibrillation ( 8 )
• Atypical angina 18
• Autosomal recessive disorders (153)
• Bacterial endocarditis- skin manifestation
(363)
• Bacterial pneumonia - c/f , mgt (319)
• BCR-ABL fusion gene (155)
• Bells palsy (187)
• Benzodiazepine poisoning mgt (379)
• Beriberi (144-145)
• Betathlasimia 270-271
• Biology of ageing (159)
• Bipolar disorder(346-347)
• Bitot's spot (138)
• Blind loop syndrome 84
• Blood transfusion hazards 287
• Body mass index (148-149)
• Bronchial asthma vs cardiac asthma (326)
• Bronchial asthma- def (325),
pathophysiology drugs (326-328)
• Bronchial asthma- def (325)Acute severe
asthma - aims & principles of tx (329)
• Bronchiectasis (328-329)
• Broncho-pulmonary segments (341)
• C reactive protein (160)
• Cancer- General clinical feature (386-387)
• Cannon waves. 3
• Cardiac biomarkers 43-44
• Carpal tunnel syndrome (223-224)
• Causes of goiter 232-233
• Cavitary lesions of lung (339-340)
• Cerebral malaria mgt (166-167)
causes(214), mgt (214-215)
• Chloroquine SIDE EFFECT (166)
• Chorea (188-189)
• Chronic duodenal ulcer - treatment 74
• Chronic kidney disease(CKD) stages
(105).
• CKD stage IV - Mgt 106-107
• Chronic lead poisoning (380-381)
• chronic liver disease with ascites -mgt 47-
48
• Chronic liver disease-stigma ,
complications 52-53
• Chronic myeloid leukemia (
CML)management 276-277
• Chronic renal failure- biochemical
changes 110
• Chronic renal failure- bone changes / bone
features 108-109
• Chronic stable angina-Diagnosis 17- 18
• Chyluria 97-98
• Cirrhosis -Definition, Complication 52-53
• Clubbing (316)
• CML investigations 278
• Coin lesion in chest X-ray (338-339)
• Coin shadow in chest skiagram (338-339)
• Coma in elderly emergency comatose
condition sudden altered level
consciousness non diabetic diabetic
ketoacidosis causes management 238-
239, 236
• Community acquired pneumonia- def, .
causative organisms, mgt (318)
• Complete heart block - diag. (c/f, ecg) 7
• Complicated malaria(165-166)
• Convulsion with fever , jaundice, sudden
onset- possibilities, routine and
specialized test. 50-51
• COPD – mgt (329-330)
• Coronary artery disease / AMI - risk
factors 15
• Corrigan sign 23
• Corticospinal tract lesion sign (185)
• COVID-19 prevention (307-308)
• Crohn's disease - diagnosis 86-87

2|Page
MEDICINE
• Cytokines ( 159- 160)
• Delirium (196-197)
• Delusion (356)
• Dementia (185-186)
• Dengue fever – Mgt(176-177),C/F
(177),ComplIcation 175
• Dengue hemorrhagic fever(175)
• Dengue shock syndrome (176)
• Dengue – Diagnosis (177-178)
• Depression- mgt (349)
• Diabetes ... Emergency history of weight
loss polyuria deep breathing
unconsciousness low grade fever cough
and expectoration 7 days pain abdomen
for one day management 236-237
• diabetes mellitus 248-,242,249
• Diabetes mellitus diagnostic criteria
management type 2 DM 239-241
• Diabetes- dermatological manifestation
(359-360)
• Diabetic foot 241-242
• Diabetic mellitus classification 242-243
• diabetic nephropathy 249-250
• diabetic neuropathy diagnosis 244-245
• diabetic neuropathy features 247
• diabetic retinopathy management 246-247
• Dialysis / hemodialysis in CKD -
indication 107
• Dialysis disequilibrium syndrome. 112
• Diarrhea in HIV infected pt (294-295)
• Diarrhea since one year -management
strategy ( 80-82)
• Diarrhea(gastroenteritis)-mgt 77-78
• Dilated cardiomyopathy 42-43
• Diphtheria – complication (309)
• Discolouration of eyes and urine for last 2
weeks -evaluate , treatment 62, 60
• Diuretics in clinical 116
• DMARD in rheumatic arthritis (122-123)
• DOTS in tuberculosis (321-322)
• Down's syndrome (156-157)
• DPP 4 inhibitor 245
• Drug abuse (347-348)
3|Page
• Drug overdose (381)
• Drugs & kidney. 115,116
• Drugs and liver 90-91
• Dubin-Johnson syndrome 63
• Dwarfism 225
• Dysphagia- causes, clinically
differentiation , Barium swallow
appearance of the esophagus in different
types ,mgt(77)72
• Echocardiography- indication 42
• Enteric fever- treatment (182)
• Erythema multiforme (363)
• Erythema nodosum (357)
• Erythema nodosum leprosum (179-180)
• Extensor plantar response (189-190)
• Extrapulmonary tuberculosis (323-324)
• Exudate pleural effusion(338)
• Falciparum malaria-anti malarial tt (167)
• False localizing sign in neurology (193)
• Fever and altered sensorium five day
referral case possible causes approach
diagnosis management (304-305)
• Fever generalized body pain female 25
year generalized rash one day
dd(305),mgt(175)
• Fever in old age 6 month duration (183)
• Fever joint pain pallor 2 month 32F -
investigation , treatment (121-122)
• Fever Low grade malaise anorexia
Lymphadenopathy Investigation
management approach 287,284
• Fever with polyarthritis/arthralgia , skin
rash 2 week young female-approach(119-
121)
• G-6-PD deficiency (158)
• Gait disorders (224)
• GB syndrome - causes, C/F , mgt (216-
217)
• Gene therapy (151)
• Generalised anxiety disorder (347)
• Genetic linkage (155-156)
• Genetic mutation (150-151)
• GERD 75-76
• gestational diabetes 248
MEDICINE

• Goitre diagnosis 228-229 • HIV infection Stages (295-296)

• Gout – (135-136),tt (133-134) • HIv infection- diagnosis (297)
• Graves disease tt 229-230 • HIV post exposure prophylaxis (293-294)
• GU tract / UTI - infection 112,113 • HIV- dermatological manifestation (369-
370)
• Gum bleeding the lady sudden onset gum
bleeding purpuric rash emergency fever • HLA linkage (153)
three day examine investigation diagnosis
• HLA-B 27 (153-154)
(303-304)
• Hook worm infestation (170)
• Gynecomastia 257-258
• Horners syndrome (191)
• H. pylori infection 76-77
• HSP (132)
• HAART (291)
• Hypercalcemia (374)
• haemoglobin synthesis haemoglobin
function 261-262 • Hyperkalemia and its treatment (371)
• Haemophilia 282-283 • Hyperosmolar non ketotic coma
complication 236-237
• Hand deformity (123-124)
• Hyperpigmentation (369)
• Hansen's disease – Treatment (180)
• Hypersplenism 264
• Harry Potter splenomegaly moderate
degree with anaemia chronic in nature • Hypertension- causes ,investigate, mgt
possible cause investigate manage 260- 30-32
261
• Hypertensive retinopathy 37-38
• Heart failure -def(26),causes (28-29),
• Hyperthyroidism diagnosis management
c/f (26) pathophysiology (28), types,
229-230
management (27)
• Hypertonia (189)
• Heat stroke (385-386)
• Hypervitaminosis A (137-138)
• Hematuria -d/d. 93
• Hypervitaminosis D (139)
• Hemiplegia in young (200-201)
• hypoglycemia 250-251
• Hemolytic anaemia cause 270
• Hemolytic anaemia diagnosis 270-271 • Hypogonadism 256-257
• Hyponatremia (373)
• Hemolytic anaemia investigate 263
• Hypopituitarism cause 227-228
• Hemoptysis in 60 yrs pt - causes, mgt
(312-313) • Hypothyroidism lethargy constipation
weight gain minor regia diagnosis
• Hepatic encephalopathy 58-59
treatment236, 230-231
• Hepatitis B – course(302-303) ,post
• Hypothyroidism treatment 235-236
prophylaxis (300) , serological
marker(300-301) , vertical transmission • Idiopathic thrombocytopenic ITP 279-280
(301-302)
• Idiopathic thrombocytopenic purpura
• Hepato-renal syndrome 55-56 cause clinical feature management 279-
280
• Herpes Zoster – Treatment (178-179)
• idiopathic thrombocytopenic popular
• High anion gap metabolic acidosis (375)
management 280-281
• High grade fever with chill and rigor since
• Impetigo (360-361)
last 5 days and become drowsy since last
night- diagnosis , mgt (164-165) • Infective endocarditis -Mgt. 25-26
• Hirtusm 256 • Inflammatory bowel disease- Extra
• HIV Gastrointestinal infection (297) intestinal manifestation 88-89

• HIV infection Oral lesions (298-299) • insulin sensitizers 247-248

4|Page
MEDICINE

• insulin therapy indication DM 244 • MDR tuberculosis (320-321)

• Internal malignancy- skin manifestation • Megaloblastic anaemia 272-273
(361-362)
• Meningitis-causes (207-208), Dx (208) ,
• Iron deficiency anaemia 268-269 d/d (208-209)
• Iron deficiency anaemia blood picture 269- • Microalbuminuria 93-94
270
• Microcytic anaemia 272
• Iron deficiency anaemia treatment
• Microcytic hypochromic anaemia cause,
approach 264,268-269
clinical approach, treatment 263-264
• Irregular pulse. 4
• Migraine- mgt (222-223)
• Irritable bowel syndrome - treatment 83-84
• Miliary mottling in chest X-ray (344)
• Japanese encephalitis diagnosis (307)
• Mitral regurgitation- complications 21
• Jugular venous pulse. 3-4
• Mitral stenosis-C/f 20 -21 , mgt 23
• Kala-azar - Laboratory diagnosis(173) ,
• Multibacillary leprosy- Treatment (180)
treatment of kala-azar(173-174)
• Multiple myeloma diagnosis 278-279
• Kaposi sarcoma (297-298)
• Multivalvular rheumatic heart disease -
• Koilonychia(359)
explanation, mgt 19-20
• Koplik spots (306-307)
• Myasthenia gravis (219-220)
• Korsakoff psychosis (145)
• Myxedema coma 234-235
• Left sided pleural effusion- causes (335)
• Needle stick injury (doctor)—mgt (289-
• Lepra reaction (179-180) 291)
• Lepromatous leprosy (180-181) • Nephrotic syndrome- investigation ,
mgt (100) Causes 102, complications 103
• Leprosy -mgt ( 180)
• Neurological tuberculosis - C/F (209-210)
• Leptospirosis(309-310)
• Neurotoxic snake bite mgt (376-377)
• LFT in acute viral hepatitis 62-63
• Newer oral anticoagulants. 10
• lgA nephropathy 103
• Niacin: deficiency symptoms (146)
• lodine deficiency disorders (147)
• Night blindness (137)
• Lose weight for sometime (50 yr)- causes,
diagnosis (382-384) • Non-ST elevated AMI. 15-16
• Low backache in female (384-385) • nonketotic hyperosmolar diabetic coma
243-244
• Lower Gl bleeding-causes, diagnosis 64-
65 • Nosocomial pneumonia (319)
• Lump painless right side nick two-month • Obsessive compulsive disorder (355-356)
enlarging weight loss for G eating night
• Obstructive sleep apnoea (343-344)
sweet diagnosis dd management 285-286
• Oncogene (154)
• Lupus nephritis - classification 103-104
• Opportunistic infection in AIDS (291-292)
• Lymphadenopathy Generalised Diagnosis
284-285 • Organophosphorus poisoning (376)
• Macroglossia (385) • Osmotic diarrhea 85
• Malaria Chemoprophylaxis (168-169) • Osteoarthritis- Treatment (144)
• Malaria in pregnancy- Treatment (168) • Osteomalacia (143)
• Malignant malaria (165-166) • Osteoporosis- causes (141-142), mgt
(142-143)
• Manic depression (346-147)
• P. falciparum malaria- TT (167)
• Manic depressive psychosis (346-347)

5|Page
MEDICINE
• Pain in multiple joint 2 month 35 year
female- approach to diagnosis (117-119)
• Pancytopenia Approach 264-266
• Pancytopenia Cause management 259-
260
• Papilledema – causes (184)
• Paraneoplastic syndrome in bronchogenic
carcinoma (342)
• Parkinson's disease - c/f (218-219), drugs
used (218)
• Parkinsonism – causes (221)
• Parkinsonism – etiopathogenesis (217), cf
(218-219) and mgt (217-218)
• Paroxysmal supraventricular tachycardia
(PSVT) treatment 5-6
• Patellar clonus (190)
• Pellagra (146)
• Pemphigus (358)
• Pemphigus vulgaris(358-359)
• Peptic ulcer - etiology 73
• Pericardial tamponade/cardiac tamponade
40-41
• Peripheral Blood smear importance 262
• Peripheral neuropathy- causes (222)
• Peritoneal dialysis - 109,110
• Philadelphia chromosome (155)
• Phobia (349-350)
• Pleural effusion- approach to DX, light's
criteria .(332-335)
• Pneumonia- complications (320)
• Pneumonia: Classify (318)
• Pneumothorax (337)
• Pneumothorax- def, types (331-332)
• Polyarteritis nodosa (133)
• Polyarthritis -causes(117) , diagnostic
criteria(124-125), mgt(122)
• Polyarthritis- dd (117-118)
• Polycythemia 275
• Polyuria 98
• Polyuria- diagnostic work up 92
• Portal hypertension -clinical features ,
classification 67-68
• Post kala-azar dermal leishmaniasis (174-
175)
6|Page
• Post primary pulmonary tuberculosis (322-
323)
• Potts paraplegia -cf mgt (199-200)
• Proliferative lupus nephritis - urinary
finding (131-132)
• Proteinuria 95-96
• Proton pump inhibitors 74-75
• Pseudogout (135)
• Pseudopancreatic cyst 71
• Psoriasis (365-366)
• Ptosis (192)
• Pulmonary arterial hypertension 38-39
• Pulmonary function test Interpretation
(344-345)
• Pulmonary function tests(342-343)
• Pulmonary nodule (338-339)
• Pulsus paradoxus 2
• Purpuric rash 283-284
• Pyogenic meningitis – mgt (207)
• Pyuria. 96-97
• RA- dx,criteria (124-125), extra articular
manifestation(125,126), treatment(122)
• Rabies prophylaxis(305-306)
• Raynaud's phenomenon 32-33
• Reactive arthritis (127-128)
• Recurrent urinary tract infection 114,115
• Refractory anaemia 273-274
• Refractory ascites 54-55
• Resistant hypertension 35-36
• resistant kala azar - Treatment (174)
• Respiratory failure- def , COPD acute
exacerbation – mgt (324-325)
• Reticulocyte count significance 268
• Reversible dementia causes -187,188
• Rheumatic chorea (194-195)
• Rheumatic fever - Prophylaxis (24) ,
diagnostic(Modified jones)criteria 25
• Rheumatoid hand deformity (123-124)
• Rickets (140-141)
• Ringworm and its treatment (370)
• Ruptured esophageal varices -mgt 52
• SAH - C/F ,DX ,mgt (211-212)
MEDICINE
• Scabies (364)
• Schizophrenia- (353)cf (354-355),
diagnosis(353-354)
• Scrub typhus (310-311)
• Scurvy (146-147)
• Secondary hypertension- causes. 33
• Seizure and epilepsy – def
(203), classification (203-204), treatment
(204-205)
• Serum ascites-albumin gradient (SAAG)
54
• Severe falciparum malaria (165-166)
• Severe hematemesis due to portal
hypertension -mgt 53
• Sex linked inheritance (151-152)
• Sheehan syndrome 225-226
• Sickle cell anaemia 267
• Sickle cell disease - Bony complications
266-267
• Sildenafil use 255-256
• SLE- diagnosis (129) ,drug(130)
• SLE- skin manifestation (366)
• Small and large bowel diarrhoea- Clinical
features 88
• Small vessel vasculitis – causes(132-133)
• Solitary pulmonary nodule (338-339)
• Spastic paraplegia – causes (199)
• Splenomegaly massive 277
• Spondyloarthropathy- classification (126-
127)
• Spontaneous bacterial peritonitis (SBP)
57-58
• Status epilepticus – def (202)causes(201)
, mgt (202-203), complication (202) ,
necessary history req. to know the
cause(203), followup after discharge (203)
• Steatorrhoea 70-71
• Steroid side effect 253
• Stevens johnson syndrome (363)
• Stroke - def ,risk factor, management of
acute ischemic stroke (214-215)
• Sub acute thyroiditis 233
• Subarachnoid hemorrhage (211-212)
• Swine flu management (178)
7|Page
• Tachyarrhythmia types 6
• Tension pneumothorax-- c/f , mgt (336-
337)
• Tetanus- complication (308)
• Tetany (372)
• Tetralogy of Fallot 44-46.
• Thalassemia major 271-272
• Thiamine deficiency( 144-145)
• Thrombolytic therapy in AMI,
complications 16-17
• Thrombotic thrombocytopenic purpura
281-282
• Thyro toxic crisis/ thyroid storm treatment
234
• Thyrotoxicosis /hyperthyroidism sign and
symptom 231-232
• Tinea unguium (366-367)
• Topical antifungal (368-369)
• Toxic epidermal necrolysis (363)
• Transfusion reactions immune mediated
288
• Transient ischemic attack(215)
• Tremors -types (191-192)
• Triceps skinfold thickness (148-149)
• Tropical eosinophilia (170-171)
• Tropical splenomegaly (168)
• Tropical sprue 84-85
• Troponin T test 44
• Tubercular meningitis – mgt (210)
• Tubercular pleural effusion - c/f ,mgt (335-
336)
• Turner's syndrome (157-158)
• type 2 diabetes mellitus insulin therapy
251-252
• Type 2 DM management 239-241
• Type iV hypersensitivity reaction (161-
162)
• Ulcerative colitis -Clinical features 87-88
• Ulcerative colitis.-clinical features,
complications and management 82-83
• Uncomplicated falciparum malaria- tt (167)
• Unstable angina. Definition, examine,
investigate, mgt 14-15
• Upper motor neuron lesion- cf (184)
MEDICINE

• Uremia. 98-99 coloured urine- diagnosis,investigate

,mgt 60-62
• Urinary incontinence in elderly. 94-95
 Cases - jaundice, high coloured
• Urine analysis. 96
urine for 3 days, preceded by fever
• Urticaria (364-365) nausea, malaise and myalgia for 4
days. Academic trip.-Differential
• UTI- etiology and mgt or causes and
diagnosis , investigation
consequences - 112,113
,management 60-62
• Vasculotoxic snake bite mgt (36-376)
 HAEMORRRHAGIC CVA- Case: 25
• Vesicular skin eruption (362) year man with slurring of speech
and weakness of right half of the
• Vitamin D toxicocity (139) body,conscious and has BP of
• Vitamin-D deficiency (138-139) 170/100- diagnosis & establish , mgt
(213-214)
• Vitiligo (367-368)
 JAUNDICE - Case - malaise, fever
• Vivax malaria- Treatment (167-168) nausea, upper abdominal pain and
• Wide split of S2 1-2 high coloured urine. DD,
investigation, management. 60-62
• Wilson's disease 59-60
 PARKINSONISM - Case: A 65 years
• X linked disorders (151-152) man with shaking of limbs, getting
slowed down repeated postural
imbalance- provisional
DX(218), approach to DX(218-219),
tx (217-218)
CASES  PLEURAL EFFUSION,
PNEUMONIA - Case : 50-years
 Case - Chronic diarrhea mixed with
male with a history of fever,
blood with evidence of
difficulty in breathing of recent
Malabsorption -approach to
onset and dullness on percussion
diagnosis 79-80
over right side of chest: approach to
 Case- Severe DX , mgt (316-318)
hematemesis,melena/ upper gastro
intestinal bleeding-causes, diagnosis
 UMN LESION - Case- 40yr , male
gradual onset weakness of both
this ,mgt 65-66, 52
lower limb. Approach to dx (197-
 Case: 65 years female with right 199)
sided pleural effusion causes,
approach to DX (330-331)
 Case: 65 years male ,chronic
smoke with cough, fever, and --- END ---
respiratory distress - causes,
investigation to DX , mgt (313-314)
 Case: 31 year woman with sudden
onset right sided chest pain and
shortness of breath.The pain is
made worse by deep breath and
coughing. Breathlessness persists:
approach to DX , mgt (314-316)
 Case: 50 year male with shortness
of breath of acute onset with history
of several similar attacks : d/d(325-
326), mgt (229)
 Case-low grade fever, anorexia,
nausea for several days,yellowish
discolouration of eyes and high

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