General Medicine

OVERVIEW OF DEPARTMENT OF GENERAL MEDICINE

Department of medicine is well established with experienced medical faculty. It has 6 units with dedicated team of doctors and well trained nursing staff. They are managing ICCU, MICU, Casualty, Emergency ward and dialysis unit round the clock which are fully operational with state of the art equipments.  Specialties like cardiology, nephrology, neurology, pulmonology, gastroenterology and endocrinology are attached. Specialty services are available under out-patient/in-patient for intervention. Students have the opportunity to obtain training in these subspecialties.

Hospital caters to large number of rural and urban population of north Karnataka.Students have good opportunity to learn clinical skills on the bedside. We have updated academic oriented teaching staff having national/international publications to their credit. Department constantly strives towards incorporating innovative methods of teaching through role-plays, group activities, short film production and quiz. Department organizes CMEs and workshop on a regular basis to keep themselves updated with the recent advances in the ever evolving subject of medicine.

VISION OF THE DEPARTMENT

1. To provide evidence based comprehensive healthcare to all.
2. To train undergraduates and postgraduates in General Medicine to achieve global standards in knowledge and clinical skills

MISSION OF THE DEPARTMENT

1. To provide affordable and comprehensive healthcare to OPD and IPD patients.
2. To equip undergraduates and post graduates with the knowledge and clinical skills essential to practice medicine ethically.
3. To foster research in General Medicine.

INFRASTRUCTURE OF THE DEPARTMENT

The infrastructure of the department is designed to support both educational and clinical functions, ensuring a comprehensive environment for medical staff and students. The department includes the following key facilities:

1. The staff and administrative areas include a Staff Room for collaboration and administrative tasks, a Head of Department (HOD) Room for leadership decision-making and meetings, and Individual Staff Rooms for medical faculty, each equipped with personal desks, computers, and space for consultations.
2. Seminar Halls: These 2 seminar halls are designed for lectures, workshops, and presentations. They are equipped with tiered seating, projectors, screens, microphones, audio systems, and video conferencing tools to facilitate both in-person and remote learning. The halls also include whiteboards or smartboards for interactive teaching
3. Digital library: The digital library provides easy access to both physical and digital medical resources. It includes textbooks, peer-reviewed journals, and research papers available online and offline. A well-organized library management system helps students and staff navigate through these resources, supported by high-speed internet for seamless access. The library also houses a collection of subscriptions to medical databases and journals.
4. General Wards: The department features 8 general wards, 4 for males and 4 for females, designed to accommodate a large number of patients. These wards are equipped with hospital beds, monitors, and emergency equipment and include nurse stations for centralized patient care. Each ward is linked to side labs for basic diagnostic tests and procedure room to perform simple bedside procedures. Each ward is attached with demo room where bedside clinical examination can be taught to students.
5. ICU (40-Bed Intensive Care Unit): The ICU is equipped to provide advanced care for critically ill patients with 40 beds(20 Medical ICU, 15 Intensive Cardiac Care Unit, 5 Respiratory ICU) and state-of-the-art equipment such as ventilators, defibrillators, ECG machines, and infusion pumps. The ICU also includes a centralized monitoring system, allowing for real-time updates on patient vitals at the nurses' station.
6. Dialysis Unit: The dialysis unit is equipped with 8 beds and provides life-sustaining treatment for patients with kidney failure. The unit is outfitted with dialysis machines and staffed with nephrologists and trained dialysis technicians to ensure the safe and effective treatment of patients round the clock.
7. Cath Lab and Coronary ICU: The catheterization lab (Cath Lab) is dedicated to performing minimally invasive diagnostic and therapeutic procedures for heart-related conditions. It is equipped with advanced imaging systems, such as fluoroscopy, to guide interventions like coronaryangiography and angioplasty. CICU is equipped with advanced monitoring systems, life support equipment, and staffed by specialized cardiologists and nurses trained to manage cardiac emergencies. The CICU ensures 24/7 intensive monitoring and treatment for critically ill cardiac patients.

This infrastructure combines educational spaces, medical facilities, and patient care areas to create an environment that supports both clinical excellence and medical training.

FACILITIES AND SERVICES PROVIDED BY THE DEPARTMENT

The department provides a comprehensive range of facilities and services to meet the healthcare needs of patients, including both OPD and IPD services in General Medicine, along with specialized clinics such as the Geriatrics Clinic (first Wednesday of each month), the Asthma Clinic (first Thursday), and the Hypertension Clinic (second Wednesday). The ICU, a 40-bed facility, is equipped to provide advanced care for critically ill patients with 40 beds (20 Medical ICU, 15 Intensive Cardiac Care Unit, 5 Respiratory ICU) and state-of-the-art equipments like ventilators, defibrillators, ECG machines, and infusion pumps, and includes a centralized monitoring system for real-time updates on patient vitals, efficiently being managed by doctors and nursing staff trained in intensive care. Additionally, super-specialty services are available with daily OPD and IPD offerings in Endocrinology, Neurology (with EEG, NCS, and EMG), Nephrology (including dialysis), Gastroenterology (featuring Upper GI endoscopy and colonoscopy), Cardiology (with Cath Lab and Coronary ICU), and Pulmonology (Bronchoscopy and sleep studies).

These services ensure comprehensive care for a variety of medical conditions.

ACADEMIC ACTIVITIES

 The department plays pivotal rolein academic activities for both undergraduates and postgraduates.

Undergraduate students:

The department actively engages in interactive lectures, Small group discussions that encourage active participation and collaborative learning. Emphasis is placed on self-directed learning, promoting independent research and knowledge acquisition, alongside AETCOM (Attitude, Ethics, and Communication) to develop professional skills. Additionally, students engage in linker cases, quizzes, and role play, all aligned with the Competency-Based Medical Education (CBME) curriculum, to enhance their clinical and communication abilities.

Postgraduate students:

 The academic activities are structured to hone the clinical skills, expand the knowledge base and develop a logical reasoning and stratagise treatment plans. this is achieved by case presentations, journal clubs, subject seminars and grand rounds, clinico pathological case discussions providing opportunities for advanced learning and critical thinking. Further, postgraduate students participate in pedagogy sessions to develop teaching skills and attend symposia to stay updated on the latest advancements in the field.

These activities collectively ensure a robust educational experience for both levels of training.

Some of the other activities conducted by the department of medicine are:

1. Neuro Axis 2024 – An integrated Neurology CME was organized on 16^th and 17^th Nov, 2024 which focused on case presentations by post graduates and the recent advances in neurology were discussed by keynote speakers of international acclaim. 16 medical colleges participated in the inter-collegiate Neuro quiz.
2. “A Case of Aspergilloma in old tuberculosis cavity” presented by Dr. Raghavendra Mural under difficult to treat TB clinic, State Task Force, State level NTEP Programme on 23/10/2024
3. Guest lecture on "Phycician's perspective on HELLP syndrome" for OBGyn post graduates : Dr Krutika Morappanavar 18.07.2024
4. Workshop on nutritious food and healthy lifestyle conducted for Bagalkot district Police officials and staff by Dr. Veena Munavalli on 29/10/2023
5. Guest lecture - "Comprehensive management of NAFLD - A primary care perspective" by Dr. Krutika Morappanavar 23.06.2023
6. "Revisiting HbA1c" Worshop for post graduates by Dr. Krutika Morappanavar 20.04.2023
7. World hypertension month 2024 was celebrated by the department of Medicine by organizing month long activities to bring awareness about hypertension and it's due management by conducting various competitions for undergraduates and Interns.

• Training of Nurses on the correct technique of BP measuremt by Dr. Pramiladevi R
• Short film making competion on the theme Hypertension 12.06.2024
• Poster painting competition on "Complications of Hypertension " 13.06.24
• Reel competition 14.06.24
• Meme competition 14.06.24
• Hypertension Quiz for undergraduates 15.06.24
• Radio talk by Dr. Pramiladevi R on Hypertension  awareness

Research Work Completed in the Department (last 3 yrs)

Ongoing Research in the Department of medicine

Publications from the Department during the past 3years (2019 to 2023)

1. Dr.VeenaMunavalli.Dr.Shewtha M S :Prevalence of hyponatremia in adult patients tithtuberculosisi:Indian Journal of Immunology and Respiratory2019.2581-4214
2.  
3. Adity Lajami.MohmedMujataba B R:Study of Prognostic on Snake Bite in a Tertiary Care Centre: Journal of Edidence Based Medicine & Health care /Val-6 Issue-12 March2019

4. Sunil Baragi, SambashivaBondalpatti,Adityalajami: Evaluation of Pulse Pressure as a Mentoring Tool in Dengue Infected Patients:GJRA:Val-8.Issue:3 March-2019.2277-8160

5. Dr.Aditya Lajami,Dr.KrishnaTulasi:Study of Association of Pulmonary Tuberculosis among Diabettes Mellitus in a Tertiary Care centre: Journal of Evidence Based Medicine & Health care /Val-6 Issue-12 March2019

6. Kadappa Jaligidad.SnehaPatil Sunil Bargi: Biochemical Profile in Patients with Malaria: An Observational Study:  GJRA Val-08.issue-01,Jan-2019

7. Dr.GopalBajaj.Dr.Sushmita S Managuli:The Clinical Study of Evaluation of the Cause of Thrombocytopenia in Patients with Fever: GJRA:Val-8.Issue:5 May-2019.2277-8160

8. Dr.Pramiladevi R , Dr Aron V Thomas:A comparison of Akin and Rifl Criteria for prognosis in Acute Kidney Injury-A case Series Study: International Journal of Scientific Research:Vol-08,Issue-06, June2019 .2277-8179

9. Dr.Gopal Bajaj ,Dr.Niviea C ,Dr Samir Jaju,: A Study of Thyroid Dysfunction in Metabolic Syndrome: International Journal of Scientific Research:Vol-8, Issue-7 July-2019-1482-1485

10. Dr.VeenaMunavalli. Dr.Ramu G: Spectrum of Bleeding Manifestations in Dengue fever Patients in Tertiary Care Hospital: GJRA:Val-9.Issue:2 Feb-2020.2277-8160

11. Dr.MaheshChavan ,Dr.Udit Aggarwal: Significance of Serological Markers and Platelet Count in Diagnosing Dengue Infection with Special Reference to NS1 Antigen: GJRA:Val-9.Issue:3 March--2020.2277-8160

12. Dr.RaviAllichandi. Dr.ManjunathKurahatti: Determination of prognosis of Snake Bite cases by Neutrophil – Lymphocyte ratio and Platelet – Lymphocyte Ratio: GJRA:Val-9.Issue:3 March--2020.2277-8160

13. Dr.SamratYogappanavar , Dr.Kiran L Hunasikatti: The studyof Serum CaliciumLevel inessential HypertensioninComparisionwithNormotensivesubject: GJRA:Val-9.Issue:3 March--2020.2277-8160

14. Dr.MaheshChavan,Dr.Joachim Souza: Microalbuminuria And Diabetic Retinopathy In Patients Of Type 2 DM - A One Year Cross Sectional Study At A Tertiary Care Hospital In North Karnataka: Global Journal For Research Analysis: Volume - 9, Issue - 7, July - 2020 Print Issn No. 2277 – 81
15. Dr.PrasadUgargol.Dr.Edwin Jose: A Study od Electrocardiographic Findings in Patients with Acute CVA: GJRA:Val-9.Issue:10 October--2020.2277-8160

16. Dr.MaheshChavan,Dr.AjinkyaAuti: Diastolic Dysfunction As A Marker In Predicting The Poor Prognosis In Patients With Liver Cirrhosis: International Journal of Scientific Research: Volume - 9 | Issue - 11 | November - 2020 | PRINT ISSN No. 2277 - 8179 |
17. Dr.S.A.Kora, Dr.Souza Joachim piedade: Clinical Profile, outcome and Patterns of Acute Poisoning among rural Patients in north Karnataka : A hospital Record based Case series study: MedicaInnovatica - Valume-9, Issue-2, Jul-Dec 2020

18. Dr.Appupatil,Dr.VeenaMunavalli.Dr.KruthikaMorappanavar: Study of Electrocardiographic findings in Severe anaemia: Journal of Evidence Based Medicine & Health care Vol-7, Issue49,Dec-2020

19. Dr.AvinashJugati, Dr. SuhasiniMahindarker: Thyroid Dysfunctionin Type 2 Diabetes Mellitus: Journal of Scientific Reserch: Vol-9- Issue 12- December-2020

20. Dr.PrasadUgaragol, Dr.Rohan Desai: Near Fatal , Amitraz: A Not So Uncommon Poisoning: GJRA:Val-10.Issue:2 March--2020.2277-8160

21. Sunil Baragi, Dr.KadappaJaligidad. Dr.JoachimSouza:Study of Serum B –Type Natriuretic Peptide(BNP) Levels as a PrognositMarker in Acute Exacerbation of COPD in HSK Hospital , Bagalkot, Karnataka:  Edidence Based Medicine & Health care: Val:08- Issue:19- May10-2021

22. Gopal Bajaj: Study of Clinical Profile and Outcome of Metabolic Encephalopathy in

Patients Admitted at HSK Hospital, Bagalkot, Karnataka J Evid Based Med Healthc, pISSN - 2349-2562, eISSN - 2349-2570 / Vol. 8 / Issue 33 / Aug. 16, 2021

23. Dr.SunilBaragi, DrPavani D: Association of Inflammatory markers with the Severity of COVID -19 in  a tertiary care HospitalinBagalkot- A Cross sectional Study:JEvid Based Med Healthc, pISSN - 2349-2562, eISSN - 2349-2570 / Vol. 8 / Issue 28 / July . 12 2021

24. Dr.Umakant Boke, DrShivanand:Study of Serum Magnesium inLiver Disease – A Cross –Sectional observational study conducted in BagalkotDistrict , Karnataka

           J Evid Based Med Healthc, pISSN - 2349-2562, eISSN - 2349-2570 / Vol. 8 / Issue 42 /                    Nov . 30 2021

25. Dr.S.A.Kora,Dr.MirMohdMujtaba Ali Baquri : Serum Zinc level in Decompensated Liver Disease and Its Correlation with stages of Hepatic Encephalopathy: GJRA:Val-11.Issue:3 March—2022:.2277-8160
26. DrVeerabhadrappa Kuppast1 , DrShashidhar Khanapure2*, Dr. Aditya Lajmi3 , Pavanakumar Kamagond4: “Study of plural fluid analysis in tertiary care hospital at Bagalkot” Journal of Cardiovascular Disease Research: E-ISSN 0976-2833, P-ISSN 0975-3583 March-05-2022
27. Veerabhadrappa Kuppast1 , Shashidhar Khanapure2 , Aditya Lajmi2 , Pavanakumar Kamagond3: “Effect of dietary pattern and weight on cognitive function and academic performance in adolescents - a cross sectional study:Journal of Cardiovascular Disease Research: E-ISSN 0976-2833, P-ISSN 0975-3583:March-22-2022
28. Prospective Study on Tracking and Reporting of Adverse Medication Responses inPatients Referred to A Teaching Hospital for TertiaryCare: Aishwarya l Khatawakar, JosthanaRaghunathGudi, ShreeramKora.Madhupatil. SoumyaMorabad ,Chandrashekhar V M  : Indian Journal of Phamacy Practice : Vol-16, Issue-4,Oct-2023
29. Morappanavar K A, Masih P, Jaligadad K C, Goornavar S M. A Study on the spectrum of clinical manifestations and outcomes of scorpion envenomation. J Evid Based Med Healthc: 7;34 2020. Pg 1814-7-7.
30. Morappanavar K A, Sreenath D. CRP comparison with RDW as a prognostic marker for outcome of OP poisoning Global Journal for Research Analysis. 11-13. 10.36106/gjra/83