4TH YEAR MBBS CLASS - MODULE-2, CYCLE-1 (WEEK 9 of 16) VENUE: LEC HALL NO 2

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1 4TH YEAR MBBS CLASS - MODULE-2, CYCLE-1 (WEEK 9 of 16) VENUE: LEC HALL NO 2 TRG WK DAY CBL ENT-5 09 SUR-5 EYE PATH-LEC-19 Tumours of small intestine and colon Brig Shahid Jamal SURG-LEC-7 Bactremia, Septecemia, Pyaemia, SIRS, Sepsis, Severe Sepsis & Septic shock. Col Arsalan Shafique Malik ENT-LEC-9 Acoustic Neuroma,and other tumours of ear. Brig Nusrat Raza EYE-LEC-10 Corneal Diseases - I (Evaluation) Brig Imran Basit CM-LEC-29 Maternal and Child Health I (Introduction to Rep Health). CM-LEC-30 Maternal and Child Health II (Safe motherhood, Ante-natal, Post-natal, Maternal Health) CM-LEC-31 Maternal and Child Health III (Neonatal, Infant and Child Health morbidity and mortality) GYNAE-LEC-9 Ethical Issues in Gynaecology and Obstetrics Maj Rabia CMH PATH-LEC-20 Normal structure and function of liver/ Hereditary hyperbilirubinemia LT Col Asma Hayat PATH-LEC-21 Diseases of Pancreas Brig Shahid Jamal PATH-LEC-22Cirrhosis Brig Iqbal Khan PAED-LEC-9 Introduction to neonatal medicine Col Zeeshan Ahmed ENT-5 EYE-5 SUR-5 CM-9 PATH-5 PAED-5 GYNAE-5 CM-10 ENT-5 EYE-5 SUR-5 CM-9 PATH-5 PAED-5 GYNAE-5 CM DRILL BEH-SCN-1 Stress and Stressors COM CPC HIV DAY SEMINAR A 34 years old male patient came in OPD with the complaints of excessive sneezing, watery rhinorrhoea and nasal obstruction off and on for last 10 to 12 years. Symptoms were aggravated during spring season. Examination revealed pale nasal mucosa,enlarged turbinates and watery discharge. Discuss management Lt Col Muhammad Ali Gas Gangrene: A diabetic patient had an injury while walking bare feet in a field. Patient developed swelling, and redness of his foot. There is severe local wound pain, and crepitus. The wound produces a thin brown sweet smelling discharge. Reflect on the diagnosis, pathophysiology and management.major Abu Ala Nafees, Dept of Plastic surgey, CMH Rwp Refractive surgery/contact lenses : A male student wants to get rid of his glasses which he is using for far vision. What are the available options and how will you convince him? Maj Sadia Humayun PATH-5 GYNAE-5 PAED-5 Diseases of Male & Femal genital tract-histopathology A 60 years old male presented with frequency, nocturia and dysuria. And A middle aged female patient presented with vaginal discharge Nutritional deficiency anemia Mrs X reported at 28 weeks of pregnancy with easy fatigability,light headedness and breathlessness.she is found to have HB of 8.2 gm/dl. MCV is 80 and MCHC is 27. What are the relevant investigations and how would you manage her. (Maj Umairah Yaqub MH Rwp) NEUROLOGY: A nine mo old infant is brought with h/o sore throat and fever for the last one day, suddenly started having GTC seizures lasting for 5 min. Fits Ocurred with onset of high grade fever. There is family of seizures with fever in elder sibling as well.col ZESHAN AHMED CM-9 Nutrition (BMI, Nutritional deficiencies). Faculty CM-10 Nutrition (BMI, Nutritional deficiencies). Faculty

2 4TH YEAR MBBS CLASS - MODULE-2, CYCLE-1 (WEEK 10 of 16) VENUE: LEC HALL NO PATH-LEC-23 circulatory disorder, LFTs, Acute and chronic hepatitis Lab Investigations Lt Col Asma SURG-LEC-8 Normal physiology, water loss & intoxication, ECF loss & Excess, Hyponateremia, Hypernateremia, hypermagnesiumemia, hypomagnesiumemia Col Imran Arshad CMH ENT-LEC-10 Deafness in Children Lt Col Muhammad Ali EYE-LEC-11 Corneal Diseases - II (Bacterial, Fungal) Brig Imran Basit CM-LEC-32 Maternal and Child Health IV (Approaches to STI treatment). CM-LEC-33 Maternal and Child Health V (IMCI) CM-LEC-34 Maternal and Child Health VI (Family Planning & Emergency Obstetric Care) GYNAE-LEC-10 Sterilization and termination of pregnancy Lt Col Ayesha Imran MH PATH-LEC-24 Toxic and metabolic liver disease, biliary cirrhosis Brig Iqbal Khan PATH-LEC-25 Benign and malignant tumour of liver Brig Iqbal Khan PATH-LEC-26 Diseases of Gall Bladder Brig Iqbal Khan PAED-LEC-10 Birth Asphyxia Syndrome and HIE Lt Col Talal Waqar ENT-5 EYE-5 SUR-5 CM-9 PATH-5 PAED-5 GYNAE-5 CM-10 ENT-5 EYE-5 SUR-5 CM-9 PATH-5 PAED-5 GYNAE-5 CM DRILL CM-LEC-35 Human Nutrition I (Introduction to Nutrients, Nutritional Profiles of Principal Foods) PATH-PRAC 9,10 ( GP 1,2) CM-TUT-5 (GP 3,4) PATH-PRAC 9,10 ( GP 1,2) CM-TUT-5 (GP 3,4) ENT-5 SUR-5 EYE-5 A 34 years old male patient came in OPD with the complaints of excessive sneezing, watery rhinorrhoea and nasal obstruction off and on for last 10 to 12 years. Symptoms were aggravated during spring season. Examination revealed pale nasal mucosa,enlarged turbinates and watery discharge. Discuss management Lt Col Muhammad Ali Gas Gangrene: A diabetic patient had an injury while walking bare feet in a field. Patient developed swelling, and redness of his foot. There is severe local wound pain, and crepitus. The wound produces a thin brown sweet smelling discharge. Reflect on the diagnosis, pathophysiology and management.major Abu Ala Nafees, Dept of Plastic surgey, CMH Rwp Refractive surgery/contact lenses : A male student wants to get rid of his glasses which he is using for far vision. What are the available options and how will you convince him? Maj Sadia Humayun PATH-5 GYNAE-5 PAED-5 Diseases of Male & Female genital tract-histopathology A 60 years old male presented with frequency, nocturia and dysuria. And A middle aged female patient presented with vaginal discharge CM-9 Nutrition (BMI, Nutritional deficiencies). Faculty CM-10 Nutrition (BMI, Nutritional deficiencies). Faculty Nutritional deficiency anemia Mrs X reported at 28 weeks of pregnancy with easy fatigability,light headedness and breathlessness.she is found to have HB of 8.2 gm/dl. MCV is 80 and MCHC is 27. What are the relevant investigations and how would you manage her. Maj Umairah Yaqub MH Rwp NEUROLOGY: A nine mo old infant is brought with h/o sore throat and fever for the last one day, suddenly started having GTC seizures lasting for 5 min. Fits Ocurred with onset of high grade fever. There is family of seizures with fever in elder sibling as well.col ZESHAN AHMED

3 4TH YEAR MBBS CLASS - MODULE-2, CYCLE-1 (WEEK 11 of 16) VENUE: LEC HALL NO SURG-LEC-9 Acid base balance Lt Col Muhammad Ali,CMH ENT-LEC-11 Rehabilitation of the Hearing impaired Maj Gen Muhammad Ashfaq EYE-LEC-12 Corneal Diseases- III (Viral) Brig Imran Basit CM-LEC-36 Human Nutrition II (Nutritional Requirements, Balanced Diet) CM-LEC-37 Human Nutrition III (Assessment of Nutritional Status, Nutritional Surveillance) GYNAE-LEC-11 Evidence based medicine Maj Khalida CMH 12 RABBI-UL-AWWAL PATH-LEC-28 Hodgkin s lymphoma PATH-LEC-29 Non Hodgkins lymohoma PAED-LEC-11 Birth injuries/ problems of prematurity Col Zeeshan Ahmed PATH-6 CM-12 ENT-6 EYE-6 CM-11 PATH-6 CM (CBL) DRILL ENT-6 PATH-LEC-27 Normal structure lymphadenitis and classification of EYE-6 lymphoma s CM-VISIT-1 CM-11 ENT-6 A 10 years old was brought by her parents with history of recurrent attacks of sore throat, odynophagia and fever for the last two years, the attacks occurs once every two months and settle only after taking medication. Discuss PATH-6 Diseases of breasta patient with lump in breast diagnosis and management. Lt Col Saeed Ullah HYDATID DISEASE: A sheep farmer, who is otherwise healthy, complains of gradually enlarging painful mass in the right upper quadrant with the physical findings of a liver swelling. The ultra sound is suggestive of hydatid disease. Reflect on the pathophysiology, diagnosis, and management of the patient?lt Col Tariq Mahmood, Dept of Neurosurgery, CMH Rwp (Maj Tabasum CMH Rwp) EYE-6 Gradual loss of vision II: An old man, 61 years of age comes with complaints of gradual loss of vision in both eyes, more pronounced in left eye. How will you manage the case? Col Amjad Akram CM-11 Family Planning Faculty CM-12 Family Planning Faculty Causes of high maternal mortality The minister of health informed the prime minister last year that Pakistan will not be able to achieve MDG5.What are the factors responsible for this outcome. CARDIOLOGY: A three year old child in noted to have a mummer on routine examination. Examination revealed clubbing, cyanosis, single second heart sound, ejection systolic murmur LSE: LT COL SHAMAMA

4 4TH YEAR MBBS CLASS - MODULE-2, CYCLE-1 (WEEK 12 of 16) VENUE: LEC HALL NO PATH-LEC-30 Diseases of thymus and spleen ANAE-LEC-3 Plexus block: Brig Liaqat ENT-LEC-12 Otalgia (Earache) Col Attique Ahmed EYE-LEC-13 Corneal Diseases- IV (Keratoconus, Contact lens) Brig Imran Basit CM-LEC-38 Human Nutrition IV (Food borne diseases, Community Nutrition Programmes) CM-LEC-39 Human Nutrition V (Nutritional Problems in Public Health) CM-LEC-40 Human Nutrition VI (Malnutrition) GYNAE-LEC-12 Dysmenorrhoea and premenstrual syndrome Maj Sadia Khan MH PATH-LEC-31 Normal structure, congenital anomalies, inflammatory and neoplastic disorders of Male genital tract PATH-LEC-32 Renal cysts PATH-LEC-33 Glomerular diseases PAED-LEC-12 Neonatal Sepsis Lt Col TalalWaqar ENT-6 EYE-6 CM-11 PATH-6 CM-12 ENT-6 EYE-6 CM-11 PATH-6 CM DRILL BEH-SCN-2 Life Events PATH-PRAC 11,12 ( GP 1,2) PATH-PRAC 11,12 ( GP 1,2) CM-TUT-6 (GP 3,4) CM-TUT-6 (GP 3,4) ENT-6 A 10 years old was brought by her parents with history of recurrent attacks of sore throat, odynophagia and fever for the last two years, the attacks occurs once every two months and settle only after taking medication. Discuss diagnosis and management. Lt Col Saeed Ullah HYDATID DISEASE: A sheep farmer, who is otherwise healthy, complains of gradually enlarging painful mass in the right upper quadrant with the physical findings of a liver swelling. The ultra sound is suggestive of hydatid disease. Reflect on the pathophysiology, diagnosis, and management of the patient?lt Col Tariq Mahmood, Dept of Neurosurgery, CMH Rwp PATH-6 Diseases of breasta patient with lump in breast Causes of high maternal mortality The minister of health informed the prime minister last year that Pakistan will not be able to achieve MDG5.What are the factors responsible for this outcome. (Maj Tabasum CMH Rwp) EYE-6 Gradual loss of vision II: An old man, 61 years of age comes with complaints of gradual loss of vision in both eyes, more pronounced in left eye. How will you manage the case? Col Amjad Akram CM-11 Family Planning Faculty CM-12 Family Planning Faculty CARDIOLOGY: A three year old child in noted to have a mummer on routine examination. Examination revealed clubbing, cyanosis, single second heart sound, ejection systolic murmur LSE: LT COL SHAMAMA

5 4TH YEAR MBBS CLASS - MODULE-2, CYCLE-2 (WEEK 13 of 16) VENUE: LEC HALL NO 2 TRG WEEK DAY PATH-TUT-3 Liver Pathology Lt Col Asma Hayat SURG-LEC-10 Nutrition entral, gastrostomy, jejunostomy, parentral, TPN Lt Col Shehzad Abbasi ENT-LEC-13 Tinnitius Brig Nusrat Raza EYE-LEC-14 Lens- I (Evaluation) Maj Gen Mazhar Ishaq CM-LEC-41 Occupational Health I (Concepts, occupational medicine and hygiene. Ergonomics and its importance) Maj Saira Shahzad CM-LEC-42 Occupational Health II (Occupational hazards, general principles of control and prevention). Maj Saira Shahzad CM-LEC-43 Occupational Health III (Org of occupational health services, Health Insurance & Social Security Schemes) Maj Saira Shahzad GYNAE-LEC-13 Medication in pregnancy Maj Shaia Afzal CMH PATH-LEC-34 Tubulointerstitial diseases Brig Tariq Safarz PATH-LEC-35 Renal stones and urinary tract pbstruction PATH-LEC-36 Diseases of lower urinary tract PAED-LEC-13 Neonatal Jaundice Col Zeeshan Ahmed CBL ENT-7 EYE-7 SUR-7 CM-13 PATH-7 CM-14 ENT-7 EYE-7 SUR-7 CM-13 PATH-7 CM DRILL CPC- EYE-2, ENT-2 SELF STUDY / MISSED LEC Corneal ulcer / Pterygiyum / Chalazion : Dr Inam ul Haq Chronic Suppurative Otitis Media and Cholesteatoma (TYMPANOPLASTY & MASTOIDECTOMY) :Col Atique CM-VISIT-2 ENT-7 A 40 years old female reported with recurrent attacks of tinnitus, vertigo and deafness for the last 10 PATH-7 Diseases of Endocrine glands Special Pathology years,discuss differential diagnosis, investigations and management: Lt Col Shahzad Ahmed A 30 years old female with painless swelling on anterior aspect of neck. SUR-7 TUBERCULOSIS: A patient has the usual general manifestations of tuberculosis: evening pyrexia, cough, and malaise. Locally there is regional lymphadenopathy where the lymph nodes are matted. In addition in the area is a painless, fluctuant mass; significantly, there are no signs of inflammation. Reflect and discuss the pathophysiology, diagnosis, and management of the patient?lt Col Yasir Saeed, Dept of thoracic surgery, CMH Rwp Maintaingeuglycemia pre pregnancy and in pregnancy 1-A 24 years old woman with type 1 diabetes mellitus since 10 years and HBA1C 10.4 attends the pre pregnancy clinic. How can she prepare for her future pregnancy? How will you manage her pregnancy? (Maj Amera Tariq MH Rwp) EYE-7 Gradual loss of vision III: A 42 years old man, known case of open angle glaucoma comes with complaints of deterioration of vision. How will you manage the case? Col Amjad Akram NEUROLOGY:A mother brings a two year old child with globally delayed developmental mile stones, and seizures. He is unable to hold his neck, no speech and unable to follow light. He was alright when he had meningitis at the age of six months.br IMRAN ASGHAR CM-13 Interaction with supervisors-3 Faculty CM-14 Interaction with supervisors-4 Faculty

6 4TH YEAR MBBS CLASS - MODULE-2, CYCLE-2 (WEEK 14 of 16) VENUE: LEC HALL NO PATH-LEC-37 Tumours of lower urinary tract SURG-LEC-11 Hypovolemic Shock causes, pathophysiology, effects, types, and treatment Lt Col Raheel CMH ENT-LEC-14 Anatomy of Nose and Paranasal Sinuses Lt Col Shahzad Hanif EYE-LEC-15 Lens -II ( Congenital, Age related) Maj Gen Mazhar Ishaq CM-LEC-44 Occupational Health IV (Occupational Diseases and Prevention) Maj Saira Shahzad CM-LEC-45 Environment and Health I (Air Composition, Diseases caused by Air pollution and its prevention) CM-LEC-46 Environment and Health II (Sources of Water, daily requirement. Water pollution, causes and prevention) Col (R) Naseer Alam Tariq GYNAE-LEC-14 Normal conception and female infertility Brig Abeera Ch. MH PATH-LEC-38 Normal structure, inflammatory and neoplastic disorder of prostate PATH-LEC-39 Congenital anamolies, inflammatory and neoplastic disorders of vulva and vagina PATH-LEC-40 Congenital Anamolies, inflammatory and neoplastic disorders of cervix PAED-LEC-14 Acyanotic Heart Disease Brig Faheem Ahmed Subhani ENT-7 EYE-7 SUR-7 CM-13 PATH-7 CM-14 ENT-7 EYE-7 SUR-7 CM-13 PATH-7 CM DRILL SELF STUDY / MISSED LEC COM CPC QUAID DAY / PRACTICAL / TUTORIAL ENT-7 A 40 years old female reported with recurrent attacks of tinnitus, vertigo and deafness for the last 10 years,discuss differential diagnosis, investigations and management: Lt Col Shahzad Ahmed SUR-7 TUBERCULOSIS: A patient has the usual general manifestations of tuberculosis: evening pyrexia, cough, and malaise. Locally there is regional lymphadenopathy where the lymph nodes are matted. In addition in the area is a painless, fluctuant mass; significantly, there are no signs of inflammation. Reflect and discuss the pathophysiology, diagnosis, and management of the patient?lt Col Yasir Saeed, Dept of thoracic surgery, CMH Rwp EYE-7 Gradual loss of vision III: A 42 years old man, known case of open angle glaucoma comes with complaints of deterioration of vision. How will you manage the case? Col Amjad Akram CM-13 Interaction with supervisors-3 Faculty CM-14 Interaction with supervisors-4 Faculty PATH-PRAC-13 Ch. Viral hepatitis PATH-PRAC-14 Ch. Pyelonephritis CM-TUT-7 Disaster Management 2 Maj Gen Salahuddin PATH-7 Diseases of Endocrine glands Special Pathology A 30 years old female with painless swelling on anterior aspect of neck. Maintaingeuglycemia pre pregnancy and in pregnancy 1-A 24 years old woman with type 1 diabetes mellitus since 10 years and HBA1C 10.4 attends the pre pregnancy clinic. How can she prepare for her future pregnancy? How will you manage her pregnancy? (Maj Amera Tariq MH Rwp) NEUROLOGY:A mother brings a two year old child with globally delayed developmental mile stones, and seizures. He is unable to hold his neck, no speech and unable to follow light. He was alright when he had meningitis at the age of six months.br IMRAN ASGHAR WINTER VACATION 07 JAN 15 JAN 2017

7 4TH YEAR MBBS CLASS - MODULE-2, CYCLE-2 (WEEK 15 of 16) VENUE: LEC HALL NO CPC-ENT-3,EYE-3 Cataract: Maj Gen Mazhar ishaq Epistaxis : Brig Nusrat Raza SURG-LEC-12 Septic shock, anaphylactic shock, spinal shock. Brig Bilal Umair CMH ENT-LEC-15 Physiology of Nose and Paranasal Sinuses Lt col Saeed Ullah EYE-LEC-16 Lens -III (ICCE/ECCE/Phaco emulsification) Maj Gen Mazhar Ishaq CM-LEC-47 Environment and Health III (Purification of Water. Water quality Standards. Diseases due to polluted water) CM-LEC-48 Environment and Health IV(Waste disposal - Contents, hazards and safety measures for solid/liquid waste) Col (R)Naseer Alam Tariq CM-LEC-49 Environment and Health V (Hospital Waste Management) GYNAE-LEC-15 Anemia in Pregnancy Maj Amera Tariq MH PATH-LEC-41 Congenital Anamolies,inflammatory and neoplastic disorder of uterus PATH-LEC-42 Diseases and tumours of ovary PATH-LEC-43 Placental diseases PAED-LEC-15 Cyanotic Heart Disease Brig Faheem Ahmed Subhani CM-15 PATH-8 CM-16 CM-15 PATH-8 CM PATH-PRAC 13,14 ( GP 1,2) PATH-PRAC 13,14 ( GP 1,2) BEH-SCN-3 DRILL Stress Mnagement CM-TUT-7 (GP 3,4) CM-TUT-7 (GP 3,4) / PRACTICAL / TUTORIAL A 10 years old boy was brought by her mother with complaints of severe pain in left year for last one day and blood PATH-8 stained discharge from the same ear for last four hours. The boy was suffering from upper repiratory tract infection for the preceeding few days.discuss important points in history, examination and management. Lt Col Ausaf Ahmed LAPROSCOPIC SURGERY: A patient has heard about laparoscopic surgery. She wants to know the principles of laparoscopic surgery? The advantages and disadvantages of such a surgery, the safety issues, and the principles of postoperative care. Kindly reflect and discuss these issues. Lt Col Imtiaz Khan, Dept of Thoracic Surg, CMH Rwp Painful red eye: A man, 54 years of age is brought to eye OPD with complaints of redness right eye, pain and nausea. How will you manage the case? Lt Col Abid Naqvi Diseases of Endocrine glands-special Pathology A 50 years old female has diffusely enlarged thyroid gland. CM-15 Environmental health Faculty CM-16 Study Designs Faculty PATH-PRAC-15 Renal cell carcinoma PATH-PRAC-16 Transitional cell carcinoma of urinary bladder CM-TUT-8 Disaster Management 2 Maj Gen Salahuddin Heavy menstrual Bleeding A patient comes to you with c/o regular but heavy painless periods for the last two years. She is nulliparous and wants to be investigated and treated for the heavy periods. Give points in the history that will help you reach a provisional diagnosis? (Maj Shazia Afzal CMH Rwp) GIT & EMERGENCY MEDICINE: A 2 year old child is brought with h/o paroxysmal colicky abdominal pain, passage of blood and mucus in stools. He cries with pain during paroxysms with drawing up of legs. Exam reveals pale febrile child, dehydrated with a mass palpable in upper andomen

8 4TH YEAR MBBS CLASS - MODULE-2, CYCLE-2 (WEEK 16 of 16) VENUE: LEC HALL NO 2 TRG WK DAY CBL PATH-TUT-4 Genital tract PATH-LEC-46 Fibrocystic change and hyperplasia Brig Iqbal ENT-LEC-16 Miscellaneous Disorders of Nasal Cavity ( foreign body, choanal atresia, maggots,nasal synechia,csf rhinorrhea: Col Atique EYE-LEC-17 Lens -IV (Complications) Maj Gen Mazhar Ishaq CM-LEC-50 Environment and Health VI (Radiation: Sources, types, causes, hazards and prevention, Healthful housing. Urban and rural slums. Noise: Definition, causes, acceptance level, hazards and control) CM-LEC-51 Environment and Health VII (Climate, Greenhouse effect, depletion of ozone layer, Acid rains, Effect of temperature/humidity on human health and their prevention) CM-LEC-52 HMIS Dr Samreen Misbah GYNAE-LEC-16 Primary amenorrhea Maj Talat Shaheen MH PATH-LEC 45 Normal structure, congenital Anamolies and inflammatory diseases of breast Brig Iqbal PATH-LEC-47 Normal structure, hyperpituitarism and tumours of pituitary gland Brig Tariq sarfarz PATH-LEC-48 Tumours of breat Brig Iqbal PAED-LEC-16 Rheumatic Fever/ Infective Endocarditis: Lt Col Shamamah Hassan CM-15 PATH-8 CM-16 CM-15 PATH-8 CM PATH-PRAC 15,16 ( GP 1,2), PATH-PRAC15,16 ( GP 1,2) DRILL SELF STUDY / MISSED LEC CM-TUT-8 (GP 3,4) CM-TUT-8 (GP 3,4) 2 ND MODULE TEST: PATHOLOGY (30 JAN), ENT(01 FEB), EYE (03FEB ), COMMUNITY MEDICINE (06 FEB ), SURG (08 FEB), GYNAE (09 FEB), PAED (10 FEB) / PRACTICAL / TUTORIAL A 10 years old boy was brought by her mother with complaints of severe pain in left year for last one day and blood stained discharge from the same ear for last four hours. The boy was suffering from upper repiratory tract infection for the preceeding few days.discuss important points in history, examination and management. Lt Col (R) Ausaf Ahmed LAPROSCOPIC SURGERY: A patient has heard about laparoscopic surgery. She wants to know the principles of laparoscopic surgery? The advantages and disadvantages of such a surgery, the safety issues, and the principles of postoperative care. Kindly reflect and discuss these issues. Lt Col Imtiaz Khan, Dept of Thoracic Surg, CMH Rwp Painful red eye: A man, 54 years of age is brought to eye OPD with complaints of redness right eye, pain and nausea. How will you manage the case? Lt Col Abid Naqvi PATH-8 Diseases of Endocrine glands-special Pathology A 50 years old female has diffusely enlarged thyroid gland. CM-15 Environmental health Faculty CM-16 Study Designs Faculty PATH-PRAC-15 Renal cell carcinoma PATH-PRAC-16 Transitional cell carcinoma of urinary bladder CM-TUT-8 Disaster Management 2 Maj Gen Salahuddin Heavy menstrual Bleeding A patient comes to you with c/o regular but heavy painless periods for the last two years. She is nulliparous and wants to be investigated and treated for the heavy periods. Give points in the history that will help you reach a provisional diagnosis?(maj Shazia Afzal CMH Rwp) GIT & EMERGENCY MEDICINE: A 2 year old child is brought with h/o paroxysmal colicky abdominal pain, passage of blood and mucus in stools. He cries with pain during paroxysms with drawing up of legs. Exam reveals pale febrile child, dehydrated with a mass palpable in upper andomen