Tutorials in Medicine

Posts by Prof. Shaheen


  • by shaheenmoin
    The initial cases of novel coronavirus (2019-nCoV)–infected pneumonia (NCIP) occurred in Wuhan, Hubei Province, China, in December 2019 and January 2020. The pathogen was traced to the Huanan Seafood Wholesale Market. The dynamics of method of transmission and and infection dynamics of disease have helped shape some of the measures taken to limit the spread of … Continue reading Understanding the logic of prevention in the COVID19 disease.
  • by shaheenmoin
    A 23 year old laborer needs to be evaluated. He has been in bed for almost 3 months because his limbs are paralysed to the extent that he needs to be lifted up into a wheelchair and also when he needs a bath or a change of apparel. He needs a urinary catheter but can … Continue reading Paralysis in an adult man: quadriparesis/paraparesis.
  • by shaheenmoin
    Part of an assessment aka clinical examination in a postgraduate setting, is a series of scenarios or clinical material which a candidate is asked to read and assess, What is the purpose of this form of assessment? About the scenario: do you understand the information that is given you? Can you make a working diagnosis? … Continue reading Purpose of assessment: how to understand and plan your answer in an […]
  • by shaheenmoin
    When rodents are kept in captivity they are usually given their food in one go which they eat in one or two hours and then they fast for 22 hours. Most carnivores in nature eat one meal a day or maybe even every other day, depending on if they can find food to eat. Even … Continue reading Intermittent Fasting; how does it help.
  • by shaheenmoin
    A 23 year old woman presented to the OPD of her hospital with palpitation. Her description was “My heart thuds so fast that I think it is going to burst. It drums in my ear, goes fast and sometimes slower and takes hours to settle to a steady beat after I have rested for hours, … Continue reading Differentiating the causes of weight loss, diarrhoea. Another case another disease.
  • by shaheenmoin
    A 44-year-old man was evaluated at this hospital because of diarrhea, weight loss, and abdominal pain and irregular fever . Approximately 6 months before admission, the patient began to have early satiety, nausea approximately 30 minutes after eating small amounts of food, and intermittent anorexia. He began to consume primarily liquids, khichdi and sabudana for … Continue reading Evaluating chronic diarrhoea in an adult.
  • by shaheenmoin
    An eighteen year old woman was brought to the hospital after a syncopal attack. She had fainted after carrying a heavy load of washed clothes in the morning. She was dizzy but conscious on reaching the hospital 2 hours later. She had recovered in a few minutes after falling to the ground, had not had … Continue reading A young woman with anemia: enough to fail a candidate.
  • by shaheenmoin
    A 56 year old man reports to the OPD with pain in his left fore foot and says that his toes are turning black. His left foot is swollen, with patches of red and blue skin, a non-healing ulcer on the dorsum and left side of the ankle with blue/black discoloration of the big toe … Continue reading How to assess gangrene in the toes. Looking for peripheral vascular disease.
  • by shaheenmoin
    Scenario 1. A 16 year old girl is brought by her family to a tertiary care cardiac facility for management. She has been unwell for 5 years with severe palpitation, breathlessness which is exertional, recurrent swelling of the face and feet and has needed hospitalisation for worsening of her symptoms, to the local hospitals near … Continue reading Young women with mitral valve disease, atrial fibrillation or not and heart […]
  • by shaheenmoin
    The 2019-nCoV corona virus identified in the current outbreak in the Wuhan province in China is the third virus which has mutated from animals to infect human beings. This one has been traced to a seafood market in Wuhan province. The two other pathogenic human respiratory coronaviruses are : severe acute respiratory syndrome coronavirus [SARS-CoV] … Continue reading Corona Viruses 2019, why the mutation and what can be done.