Posts

WEEKLY CASE #3

Image
  A 7-month-old boy is brought to the pediatric clinic by his parents for evaluation of progressive irritability, decreased spontaneous movements, and painful swelling of multiple joints over the past 3 months. The parents report that the child cries excessively when picked up or during diaper changes , and they have noticed that he has become increasingly stiff and reluctant to move his limbs. His feeding has also decreased, and he has not been gaining weight appropriately. They further mention that over the last month, they observed small, firm, painless nodules over his elbows, knees, and fingers , which have gradually increased in number. Additionally, his cry has changed it has become weak, hoarse, and rough-sounding , which they initially attributed to a recent upper respiratory infection, though it has persisted. Birth history is unremarkable. There is no history of consanguinity. Immunizations are up to date.   Examination Irritable infant with poor weight gain...

Curse!

Image
I suffer from an entity called Borderline Personality disorder(BPD). People living with BPD suffer from an enormous amount of pain which has been described akin to a third degree burn, and emotions feel like catastrophic madness with heavy upheavals and uncertainties. I am often numbed by the pain, even my numbness isn't the lack of emotions, its an another form of pain. I am often stormed by the sea of emotions and drowned within it. Hard Gasps of air lead me nowhere, as I struggle to keep myself afloat. I swim and swim, in search of a shore where I can keep my head above from being smothered. But all I can say that I have never reached the shore. I am never living, I am always surviving. I am not feeling things, I am numbed by the pain. I remember saying to someone, that I have been born with a curse. This curse has no fix, and it shall live with me, as long as I do. My highs are the highest, my lows are lowest. I have been the most unhinged guy to the most discreet person. I hav...

WEEKLY CASE #2

 A 52-year-old man presents to the emergency department with recurrent episodes of dizziness and near syncope for the past 2 months. These episodes are often triggered while turning his head to the right . He also reports a dull, intermittent pain in the right side of his neck which goes to his ear , and worsens if his partner touches it. On examination: Pulse: 48/min (regular) BP: 110/70 mmHg Mild tenderness over the right tonsillar fossa An ECG shows: Sinus bradycardia Occasional second-degree AV block (Mobitz type I) Cardiac enzymes are normal. Echocardiography is unremarkable. A carotid sinus massage reproduces his symptoms along with further slowing of heart rate. ❓ What INVESTIGATION would you do for the symptoms involved? What explains the symptoms?

WEEKLY CASE #1

Image
 A 24-year-old labourer presents to the OPD with complaints of generalized weakness, fatigue, and light-headedness for 2 days. He also reports decreased oral intake and excessive thirst. He has a history of recurrent headaches and has been on numerous medications across different physicians, after which he started on a particular drug for the past 3 months from which he says he feels better. He is unable to recall the name of the drug but brings a partially torn wrapper with him. You are unable to identify the medicine in it, as its single piece of table. On examination, he appears dehydrated. Vital signs: Blood pressure: 96/60 mmHg Heart rate: 112/min Respiratory rate: 20/min Breath sounds were vesicular, and Bilateral Air Entry was present. CVS examination showed S1 and S2 was present. Neurological examination shows mild proximal muscle weakness.  An intern was asked to perform CBC,LFT KFT analysis, Arterial blood gas analysis and Urine analysis which showed: What is the rea...

One Exam doesn't define your life, yes it does!

Image
“Making them out to be the greatest exam of your life is corroding yourself with unnecessary pressure that takes a toll on your mental well being.” This is something we hear often. People say you should not treat an exam like the defining test of your life because it creates pressure and harms your mental well being. In an ideal world, that advice would make perfect sense. In a just and equal society, where opportunities are fairly distributed and outcomes are not so heavily skewed by privilege, perhaps no single exam would carry such weight. In many developed systems, there are multiple pathways, second chances, and safety nets that prevent one moment from determining everything. Unfortunately, we do not live in such a system. We live in a country shaped by deep social, economic, and institutional inequalities. The reality is uncomfortable but undeniable. For some, doors open quietly through influence, money, or connections. The wealthy and the powerful rarely rely on a single examina...

Anki Mentorship

Image
  🚀 ANKI MENTORSHIP PROGRAM If you’ve been struggling with Anki, feeling overwhelmed,  I have been using Anki consistently for the last 1.5 years. During my peak preparation phase, I used Anki for 6 to 7 hours daily. I have explored multiple decks, experimented with different strategies, and understand what actually works and what wastes your time. I have a rich experience of using anki on IPAD, Anki droid as well as Laptop Here’s what I will help you with:  Which decks are best for each subject How to review GTs effectively using Anki Mastering filtered decks and custom decks Smart use of flags for revision and prioritization Add-ons that actually improve efficiency Building a strong Anki habit within 7 days 24x7 support for all your doubts and issues Free Lazarus Systems deck subscription If you are serious about improving your preparation and want to make Anki work for you instead of against you, I will guide you personally. If you agree, pay ₹199 and email me your de...

Lazarus Systems

Image
 Lazarus Systems: Comprises of: 1)Gastrointestinal Systems: Anatomy : Ashwini Anatomy Deck abdomen (doesnt include: Liver,portocaval anastomoses,Perineum has been covered under NephroAnatomy) Rest all Chapters of Ashwini anatomy is covered Surgery : Mangomedic GIT and Hepatobiliary (I have added missing portions from Edition 8 marrow main notes too) Medicine Dams GIT  Pathology Marrow edition 8 notes all includes Q bank Pharmacology : Includes GRG Tau Deck Main notes(Will add marrow pharmac qbank if time permits :( Physiology : modified panacea deck, added Qbank questions too, added remaining new things from marrow physiology 8.0 main notes Surgery includes Hernia and core GIT: has all the mangomedic cards and I have added missing cards from ed8 main notes too 2) ENT Fleecesnatcher's deck wtih added portion from BTR ENT You can access the original fleecesnatcher deck for free from here(however note that it doesn't contain the btr portion) https://thenerdnextdoor2002.blogspot.c...

The Walk

Image
 I walk forlorn slow, deliberate, through a thinning fog that smells of something ending. The air is heavy with foreboding, like rain that never falls, like words that never leave the mouth. Each step feels negotiated, not taken. I have walked long enough against a wind that never rests. Even resolve has weight. Even patience fractures. And steel  however tempered  bends under pressure before it breaks. So if I pause here, it is not surrender. It is the sound of metal remembering it was once fire

Newer drugs

Image
 Based on Dr. Ankit Pharmac videos: https://t.me/DrAnkitPharmacologySeries Download the deck from here:

How to make flashcards faster

Image
 1) Download Greenshot software: https://getgreenshot.org/ Customise the shortcut key in the settings menu: Check the box save the picture to clipboard: This will directly send the selected screenshot to your Clipboard and you can CTRL+V anywhere to paste it. This tool has several other options like an image editor, can send the extracted image to some other destination you choose or a predefined destination which have already selected. 2. Download Microsoft Power Toys software: https://learn.microsoft.com/en-us/windows/powertoys/ This has several tools within it but one of the most handy tool which comes into play is the text extractor through which you can extract text from any image(OCR tool),  You can change the shortcut key in the settings. On pressing your shortcut key(I have set it as CTRL +T), a tool appears to select the text. Just select the paragraph of your desired region, the tool shall directly extract out image from the selected region and automatically send the...

PYQ deck

 Based on Novel Pea's PYQ deck INI 2025 not included Download from here : Download

Pain

Image
I am in pain, I am in a lot of Pain. I can't make my Pain go away,  I can't stop absorbing and experiencing the Pain,  I can't help but let the Pain get onto my thoughts. I am not sure of what makes the Pain tread and then halt,  I am not sure from where the Pain arises, what can I make of it; I am not sure how to deal with the Pain, nor do I have anyone to make me understand how to deal with it. The closest I can describe the Pain is When you have a big lump of non swallowable ache after a heartbreak, The Pain isn't new,  and its been there for a while and while,  it makes me anxious all the time,  And my hands are tied to my back,  while I have to put up a face of composure and generosity;  to not let it go to other people  for the Pain feeds on others sanity and itself grows, thus I everyday, taste it's elements as it shoves itself helplessly down my throat.

BTR PARODy subjects Deck

Image
 Includes the following: P sychiatry: Made from BTR notes, every topic has been covered Anaesthesia : Made from BTR notes every topic has been covered R adiology: Novel Pea Deck modified(source is Marrow Qbank) O rthopaedics: Made from BTR notes every topic has been covered(original link to the deck is  this  but now the deck has been modified a lot) D ermatolog y : Not included until now, I am yet to find a concise source for this, please let me know if you find a good deck for dermat thats short and covers everything You can download the deck from here: (Last updated on 28/12/2025) You can check out other decks on this page from here: https://thenerdnextdoor2002.blogspot.com/2025/09/index-guide-to-this-blog.html To support my work, you can buy Lazarus decks: Lazarus Pathology GRG Tau Micro Preet Other posts: Best addons of Anki for Reviewing and Editing All the named signs in MBBS

Best Addons of Anki

Image
 1) Review while editing ADDON 385888438 You wont need to press the E button again and again to open a new window to edit a card. Simply press the CTRL+ Click button on the respective field and the editing option toggles on. Can paste images, can make texts underlined, italics etc. Eventually, you save a lot of time. Quite helpful for decks like NovelPea which has a lot of information on the backside of the cards and require heavy editing. Cons: If you paste any text from outside, the text loses its formatting. This is the only con I have found until now. 2) Review lookup addon 364219370 No need to open the Browse menu again and again to search for a particular card. While reviewing any card, if you feel the need to search for some information from other card and add that to your current card, just click on the selected text, right click and search. A pop up menu that has options to zoom and modify your search text also helps a lot. Has some other helpful options too. Cons: If you ...

Rat Race

  In my batch right now, there are essentially two kinds of people. On one side are the general category students like me hooked on caffeine and anxiety grinding relentlessly for the NEET PG prep. They juggle exhausting hospital duties, endless lectures of rapid revision, GTs, revisions again, and Qbanks. Most of us quietly put their lives on hold: gyms abandoned, hobbies shelved, social circles shrinking. Every day feels like a calculation: Is this enough? Will this be enough? I am pretty sure that it's a do or die game for me, as someone who wont be able to survive in a hectic clincial branch as medicine, the only option that remains for me are the top branches like Radio and derma which close at 500. Coming from a middle class family with absolute zero background, this feels daunting. On the other side are those with near-guaranteed outcomes. A surgery seat at 40k. Medicine at 20k. The certainty itself changes everything. You rarely see them studying. Or maybe a half hearted a...