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MISSION MAY REVISION | TOP 50 SYNDROMES | PART 3 |NEET PG | Dr Anand Bhatia | Let's Crack NEET PG — Transcript

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0:01Hello everyone, welcome to pediatrics by
0:03Dr. Anand. This is the beautiful anac
0:04academyg platform and today's topic of
0:07choice. What is today's topic of choice?
0:09I forgot. No, I remember. Today's topic
0:12of choice is nothing but uh what do you
0:13call amazing top 50 syndromes? I'm just
0:16seeing my laptop charger is not there.
0:18Okay. So today's topic of choice is uh
0:20top 50 syndromes in pediatrics. This is
0:23the part three of the class where we're
0:24going to cover some amazing uh what do
0:26you call crazy MCQs and crazy you know
0:30syndrome which are really important for
0:31the exam purpose. If my solitary voice
0:34is audible to everyone please put a
0:37message in the comment section
0:42I think is my voice coming. Hello Vi.
0:46Hello everyone. What is up? What is up
0:48guys? Very good. Yeah, this is the
0:51beautiful ANA Academy APG platform.
0:52Let's start the amazing class. So yes,
0:54in the ANA Academy, my name is Dr.
0:56Anand. I'm assistant professor in an
0:59amazing college for amazing week four
1:02where you have some amazing test
1:04happening on March 23rd, 24, 25 every
1:07day. So we have started this test series
1:10which is really amazing and I want you
1:11all guys to participate as much as
1:13possible in the test series. It will be
1:15really helpful for you. Hello Saraj,
1:18hello Sonia. Hello VI. Hello Priya.
1:21What's up? Cal Raha. Is my face coming?
1:23Is my biceps visible? Thank you very
1:26much. Also at the same time we have this
1:28beautiful all India mock test happening
1:31on March 27 9:00 a.m. So yes, all India
1:35mock test happening on March 27 at 9:00
1:37a.m. which going to be amazing. So
1:39participate but once you open it, it'll
1:41be locked. You have to use some code and
1:43here the code is Dr. Anand. If you use
1:45this code, you will unlock the test and
1:47give the test and enjoy life. Also, at
1:50the same time in an academy, we have
1:51something known as plus subscription.
1:53Something known as iconic subscription.
1:56In the plus subscription, what do you
1:58have? Nothing. You just have all the
2:00amazing access to my live and recorded
2:03classes. Educators are really amazing.
2:05Quiz is good quality and watch me on
2:08your laptop, iPad, Android device,
2:11everywhere. In the iconic subscription,
2:13you get the anac academy platform and
2:16the prep ladder subscription. All the
2:17clinical notes, full syllabus, question,
2:20dream notes, whatever you say, you get
2:22it on the iconic subscription. Hi Nishi.
2:25Priya says you are glowing. Yes, I know
2:27I'm glowing because I came from gym
2:30because once I come from gym, then all
2:32the antioxidants and all the negative
2:34vibes goes out. Then I keep thinking
2:36negative vibes. You I was not having any
2:38negative vibe. Then what just went out?
2:40I don't know. But it is amazing to go to
2:42gym. What are your hobbies guys? What do
2:44you think? I like to go to gym. What do
2:46you like? Do you like to eat momos? Yes
2:49or no? Let me know please. Thank you.
2:51Okay, let me close the other you know
2:54this thing so that there is no issue
2:57anywhere. So yes, I'm closing every
3:00stuff. Yeah, perfect. Okay, so let's
3:02start again. And also yes, amazing
3:04congratulations to the amazing FMG
3:06toppers. People who work hard deserve to
3:08be on this platform and I want you all
3:10guys to work hard. If you're a newcomer
3:12to the anac academy channel, download an
3:14academy. Type anand bhya follow me there
3:17because we have some amazing content
3:19happening, amazing quiz happening every
3:21weekend and weekdays we are having a
3:22theory class. It's amazing. We have made
3:25this batch of MCQ marathon batch and
3:28also for the FMG students FMG high yield
3:30revision batch. I hope you guys are part
3:32of it. And that's it. I have told
3:34everything about the plus subscription,
3:36iconic subscription and the new one
3:38coming nowadays is a light light
3:40subscription or light. Take the light
3:42subscription and feel very very light.
3:45Okay. Very very light. Light light. Yes.
3:47Yes. Yes. Yes. Yes. Perfect. Great. So
3:49beautiful. Okay. My goodness. Dr. Giri
3:52says at present I am in treadmill in gym
3:55and watching your class. Dr. Giri. Dr.
3:59Giri. Do please can I write your name?
4:01Please, please, please can let me write
4:02your name. So this is the heights of
4:04dedication my dear friends. So very
4:06good. Wherever you are in the gym, in
4:09the washroom, wherever you are, just
4:11just type type and watch the show and
4:14feel I am so happy. Thank you so much.
4:16Yes, let's start the amazing class.
4:18Today's topic of child's choice is
4:19nothing but uh top 50 syndromes in
4:21pediatrics and we are going some amazing
4:23crazy division. We are doing this is the
4:25part three. I'm going to introduce some
4:27new strange syndromes like Kabuki
4:29syndrome and all that. I'm going to show
4:31you some good pictures and we're going
4:33to enrich and share good knowledge. And
4:36yes, uh before starting any amazing
4:38segment, we always have a motivating
4:40quote and this is my favorite motivating
4:42quote. When you want to succeed, when
4:44you want to succeed as bad as you want
4:47to breathe, then you will be successful.
4:49So it's a very beautiful amazing quote.
4:51When you want to be when you want to
4:54succeed as bad as you want to breathe,
4:57then you will be successful. I wanted as
5:00bad as I breathe. I wanted BMW last
5:03week. I got it. So, I have everything in
5:05my life. Yes, exactly. Let's start the
5:07amazing quote. Yes. I'm going to show
5:09you some amazing syndromes, amazing
5:10pictures first of all, and you have to
5:13tell the best syndrome comes to your
5:15mind. This picture one of the very
5:17amazing cutiepie pie picture a patient
5:19who can touch her shoulders together
5:22what will you write and come what do you
5:24think Rashmi Kumari exactly yes h okay
5:27okay okay okay t rashmi don't go to gym
5:30just stay at home no problem what do you
5:32think guys everyone let's put the answer
5:34in the comment section Dr. Osama shake a
5:36patient who can touch the clavicle.
5:38Exactly. Osama nailed it. So the best
5:40answer comes to my mind is nothing but
5:42cleanial disosttosis. Let's revise.
5:45Amazing. Amazing syndromes. Cleor
5:47cranial disosttosis comes to my mind
5:49when I'm able to touch my shoulders
5:52together. Why sir? Why are you able to
5:54touch your shoulders sir? Because most
5:57importantly absent clavicle. Absent
6:00clavicle. We need to understand absent
6:02clavicle when it will be there. I'm able
6:04to touch my shoulders seen in conditions
6:07like cleto cranial disastosis. So this
6:09is the first syndrome coming to my mind.
6:11A beautiful picture we must appreciate
6:13it. So nothing but known as absent
6:15clavical cletorranial disosttosis. And
6:17the other important point what are the
6:19other amazing points that I should
6:20remember for my PG exams. Patient will
6:23have drooping shoulders. Number one
6:26drooping shoulders. Delayed ocification
6:29of cranial bones. delayed ocification of
6:32cranial bones with multiple ocification
6:34centers known as vermian bones and
6:37delayed oification of pelvic bones. So
6:40the take-home message the take-home
6:41message I can understand sir delayed
6:44oification delayed oification is seen in
6:46creatininal diastosis as of course
6:49absent clavicle I may able to touch my
6:51shoulders can we appreciate drooping of
6:53shoulders yes that's another very
6:55important point and also at the same
6:57time vermian bones please remember guys
7:00not
7:02your notes should be amazing okay some
7:05write to the point to the point
7:06highlighter that you should know very
7:08good nisharal says Large anterior font
7:10inlay. Very good. So Naliphatra Vi K
7:13Singh. Beautiful people who are
7:14participating. Amazing. Amazing.
7:16Amazing. Very good. That's what so what
7:18so what is the take-home message sir?
7:19Absent clavicle sir keto cranial
7:22dasosttosis sir absent clavicle is there
7:24drooping of shoulder will be there sir
7:26and sir vermian bones and delayed
7:27oification of all the centers. That's
7:29what going to happen. Learn revise
7:31revise learn here only. Don't no going
7:33home and learning again business right
7:35now.
7:38Okay, next question. Beautiful picture.
7:41Beautiful picture. Beautiful picture.
7:43Who will tell me? Nishi, Sonali,
7:46Videaml, Osama Shik, Paras. What can we
7:49appreciate in this picture? What do you
7:51see and where do you see this? I think
7:52we have done this also. People who are a
7:54regular follower of my every post, they
7:57must be knowing about it. This condition
7:59is known as heterocchroma
8:01iridis. Yes or no? Is this line right or
8:04wrong? Is this heterocchromidis?
8:06Iris Mlab iris what is iris or I don't
8:09know what is iris or please tell me know
8:11what is iris dear the colored part the
8:14colored part of the eye is known as iris
8:16the colored part of the eye is known as
8:18iris okay that you should know second
8:21important thing
8:23means change in the color change in the
8:25color homo means same opacities means
8:29different so color of the iris basically
8:32and where do you see this Nishaal where
8:34do you see this dear Hiro can we
8:36appreciate one? Yeah, exactly. Osama has
8:38already told remember hostel car warden
8:41hostel warden basically will have okay
8:44I'll not tell you the triad. So who will
8:48tell me hostel warden what is the what
8:51you called
8:53triad of wardenber syndrome. Who will
8:55tell me what is the triad of wardenber
8:58syndrome? Yes very good. Most
9:00importantly hostile warden hostel car
9:02warden number one he will have
9:05heterocchroma iridis. Number two he will
9:07not be able to not be able to hear me.
9:09Hearing loss hearing loss will be there.
9:13And very very very important which is
9:14the classic feature of this syndrome.
9:16Wardenberg syndrome is nothing but white
9:18bunch of hairs. White bunch of hairs
9:21very importantly white bunch of hair
9:23basically you will see in a case of
9:25Wardenber syndrome. Yes. Deafness you
9:26can say hearing loss you can say
9:29brochomromis and white forlock or white
9:31bunch of hairs. Safed baloka.
9:34So very important classical feature.
9:36Yes. Chakravarti is right. So hearing
9:38loss with wide bunch of hairs or you can
9:40say distinctive hair coloring and
9:42heterocchromidis right I'll give you a
9:44chocolate if you can tell me what is the
9:46gene mutation what is the gene mutation
9:48you seen warden bug syndrome what is the
9:50gene mutation who will tell me pani
9:55yes kika very good what is the gene
9:58mutation so nali chakraarti osama vi yes
10:03what is the gene mutation what is the
10:05gene mutation you see in modern work
10:06syndrome who will tell Who will tell me?
10:09Okay, I will tell you. I will tell you.
10:11So, TCO F1 TCO F1. Yes or no? TCO F1
10:16gene mutation. It's a TCR is in preacher
10:19calling syndrome. Very true. This is
10:20nothing but pax 3. Very very right. Pax
10:233 mutation is Pax 3 gene mutation you
10:26will see in Wardenber syndrome. And
10:27where do you see TCO1? TCOF1 gene
10:31mutation you will see incoline
10:34syndrome. In treaten syndrome, you will
10:37see TCO F-1 gene mutation. And in
10:39hostile C warden warden bug syndrome you
10:42will see pax 3 pax 3 gene mutation. And
10:45remember this is nothing but autotosomal
10:47dominant inheritance tmark. It was
10:49already an exam question. What is the
10:51inheritance pattern of warden syndrome?
10:53The answer is very importantly
10:54autotosomal dominant and even treacher
10:57syndrome also treacher syndrome also the
10:59inheritance was autotosomal dominant.
11:01preacher colon remember Gandhi Gin
11:03mother Gandhi G's three monkeys remember
11:06colon syndrome anyhow it's the picture
11:07is going to come in the further slides
11:09just remember for preacher colon
11:10syndrome Gandhi G three monkeys Gandhi G
11:13three monkeys Gandhi G said don't see
11:15the bad stuff but those babies saw the
11:17bad stuff so I'll tell you the findings
11:19in the further coming slides for treat
11:21syndrome at least right now in this
11:23slide we need to understand that dry
11:26that the gene mutation for treaten
11:27syndrome is TCO F1 and Bordenber
11:30syndrome is patch Three, Pat 3 gene
11:32mutation and both treaten syndrome and
11:34warden syndrome they are autotosomal
11:37dominant inheritance and pax six
11:42anyone what do you think pax six gene
11:44mutation p 3 everyone told what about
11:47pax six gene mutation in which condition
11:49do you see anyone what do you think yes
11:52very good very good yes yeah where do
11:54you see p 6 genama what do you think so
11:58I have my mobile is flooded with
12:00messages That's why my WhatsApp is
12:02getting 24/7. Okay. Exactly. Very good.
12:06Yes. So, Pax 6 answer. Okay. No problem.
12:09Anyia. Any media. Pax six gene mutation
12:13you will see in any media. Very very
12:15important. PL Pax six gene mutation you
12:18will see in any media. Very good. And
12:20Pax 3 Warden syndrome. Perfect answer.
12:22Next. What is ania? Anyia is complete or
12:25partial absence of the colored part of
12:28the eye. Please have a concept avoid
12:31cramming and start making understanding
12:34the topic. Okay. Very importantly. Very
12:35good. Chakravarti kutika osama arpita
12:38sonali and ganja. Ganja always says
12:41always appreciate your barber. Please
12:43ask ganja only why we should appreciate
12:45your barber because I don't know. Okay.
12:47Yeah. Exactly. Perfect. Any idea is
12:50complete or partial absence of the
12:52colored part of the iris. That can you
12:54see that? Yes or no? The colored part is
12:56getting messed up. Right. Is getting
12:57almost kind kind of absent. that you
12:59should know. Perfect. Can you tell me
13:01three important uh any syndrome which
13:04has autotosomal recessive inheritance?
13:06Any condition? If I ask you this random
13:07question, name me at least three uh you
13:09know any any diseases having autotosomal
13:12recessive inheritance back to back
13:14chakravarti sonali kika sama arpita.
13:17Very good. So autotosomal recessive
13:19inheritance at least three right now
13:20remember SWWelanmia,
13:23Wardenb syndrome and Wilson disease.
13:26Sickle cell anemia, Wardenberg and
13:27Wilson disease. You should remember that
13:29and yeah that you should know. Okay. And
13:32very importantly next slide we're going
13:34to have is this one. This everyone knows
13:36about it. Yes. This is nothing but a
13:38female with a web neck. Female with a
13:40web neck. Right. Very importantly. So
13:42this uh female with a web neck. I had
13:45made one uh pneumonic for this one. See.
13:48Okay. I have a question. Do you see? Let
13:50me ask you new questions on Turner
13:52syndrome. Do you see short stature? Do
13:55you see short stature in a case of
13:57Turner syndrome? Yes or no? What do you
14:00think? Do you see short stature? I think
14:02everyone knows about it. We have done
14:03this million times. A female with a web
14:06neck. If you're a newcomer, remember
14:07guys, a female with a webbed neck, you
14:09must think of Turner syndrome. But I
14:11want to ask you new questions here. Do
14:13you she see short stature in a case of
14:16Turner syndrome? The big answer is yes.
14:18Definitely we see short stature in a
14:20case of Turner syndrome. Number one.
14:22Number two for Turner syndrome most
14:24importantly I had made one pneumonic. So
14:27okay see remember now remember one very
14:29important thing. Yeah exactly uh Dr.
14:31Giri is also very right Dr. Giri very
14:33good. So Turner syndrome number one see
14:35can we link and study most importantly
14:37yes can we see this girl basically short
14:40stretcher she's a case of turner
14:41syndrome always remember she imagine a
14:44turner syndrome female patient she's
14:46turning a wheel she's turning the wheel
14:49and driver is very short naturally
14:51turner syndrome patient if if she's
14:53turning a wheel if she's driving the
14:55driver is short no she's short and this
14:58these kind of drivers these patient
15:00basically will prefer low cabins you
15:02know like sedan Like my my BMW is having
15:04sedan like low cabin the cabin is really
15:06low. One is XUV the cabin is really high
15:09and turner syndrome patient basically
15:11prefer low cabins. Low cabins. So that's
15:13the pneumonic we have low cabins. What
15:15is low cabin sir? So this is also
15:17photographic memory. Imagine she's
15:19turning a wheel and driver is short and
15:21she prefers low cabins. Low cabins.
15:24Okay. Why sir? L for most importantly
15:27low thyroid. Every single point is a PG
15:30entrance question. And what happens to
15:31the thyroid levels in a case of what do
15:33you call turner syndrome? They usually
15:35have hypothyroidism low thyroid and they
15:37will have lympadeema and they will have
15:39a low height nothing but short stature.
15:41So let's just finish all the important
15:43points of what do you call turner
15:45syndrome though they prepare low cabins
15:47L for low thyroid lympadeema and low
15:50height O for most importantly ovaries.
15:52Everyone knows right streaking of
15:54ovaries. Can Turner syndrome patient can
15:56have babies? The answer is no. They
15:59cannot have babies. Why? Because they
16:01have streaking of ovaries. Their ovaries
16:03are kind of streaked. So because of that
16:05also compensatory mechanism, their FSH
16:07and what happens to FSH and LH levels in
16:10a case of Turner? They are very very
16:12increased because of the compensatory
16:14mechanism. Let's revise again. Very good
16:16Saraj is right. Saratum also adding
16:18extra point. Low thyroid lympadema low
16:2030 years. Yes buddy. Very good Saraj.
16:22Yes, you can say that low. Yeah,
16:24exactly. So low 30 years. Very good.
16:26Yes. So let's revise again. Turner
16:28syndrome the pneumonic is low cabins. L
16:31for low thyroid lympadeema and low
16:33height and low sets. O for ovaries
16:36streaking of ovaries. W most important
16:38web neck obviously web neck. Yes or no.
16:41So web neck will be there. Low cabins. C
16:43for most important. Yes. This is a very
16:45important point. Cystic hyroma. Cystic
16:48hyroma. I I want to show you the picture
16:51of cystic highroma. One second. Let me
16:52just show you this one. Can we
16:54appreciate this? Yes or no? kind of this
16:56bull neck appearance nothing but cystic
16:58hyroma cystic hyroma that you should
17:01know okay photographic memory look at
17:02the picture and tell the diagnosis so
17:05cystic hyroma that is important so yes
17:07low cabin C for cystic hema a for
17:10aminoria most importantly amoria they
17:13will have some periods problem aminoria
17:15and high arched pallet high arched
17:17pallet and low cabins B for absent bar
17:20body star mark already another very
17:23important question what happens to the
17:24bar body we Absent bar body. Yes,
17:27Arpita. Very good. Yeah. Hi Suman. Hi
17:30Suman. Yeah, take care Suman. Good
17:31night. So that's what so cystic hyroma
17:34and most common congenital heart
17:36internal is bicaspidotic ball and
17:38cabins. N for nipple widely space. Again
17:41another very important star. PG question
17:44web neck with widely spaced nipples
17:46undoubtedly turner syndrome and S
17:48multiple S we have the patient will have
17:50short stretchure. The very important
17:52again star mark PG. I'm telling you all
17:54the BG questions. What happens to the
17:56kidney basically in a case of Turner
17:59syndrome? So horseshoe shaped kidney,
18:01you will have a horseshoe shaped kidney.
18:03Yes. Sensorial neural hearing loss and
18:05short forth metacarpal. Short fourth
18:08metacarpal.
18:13Very good. These are the important
18:15points of turner syndrome. Low cabins.
18:17Low cabins. Okay. Remember that. I'll
18:20repeat again. Low thyroid lympadeema. O
18:22for speaking of ovaries. L O WW for web
18:25neck cabins. C for cystic hyroma. Minora
18:30cabins. B for absent bar body. N for
18:32nipple widely space. And S for short
18:34stretcher horseshoe shaped kidney and
18:36sensory neural hearing loss. Done.
18:39Next question. You should always do you
18:42should always do a renal ultra sound if
18:45you're suspecting Turner syndrome. Osama
18:47could you tell me why exactly? Very
18:49good. Dr. Giri is adding us extra point.
18:51So horseshoe shaped kidney horseshoes
18:54shaped kidney is seen in Turner syndrome
18:56also and in wagger syndrome also W AGR
18:59wagger syndrome right so the tumor the
19:01syndrome associated with v tumor are
19:04wagger syndrome dennidrash syndrome and
19:07you know that right back with white man
19:09syndrome so why do should we always do
19:12brown spot brown spot node dear so why
19:14do you do please do renal ultrasound if
19:16you're suspecting a turner syndrome why
19:18because everyone knows you see horseshoe
19:19shaped kidney horseshoe shaped kidney
19:21and some kidney defects you see right
19:23very good next important yeah this is a
19:25very good question if I am having Turner
19:27syndrome increase risk of which
19:29malignancy manag this is the new
19:32question this is the new question we
19:34have not discussed this Osama what do
19:35you think bro yes exactly very good
19:37Priya is right Jakarvatari is right
19:39Arpita is very right if I have Turner
19:42syndrome there is a increased risk of
19:44which malignancy which malignancy what
19:47do you think anyone starts from G it
19:49start from G what do you I think Priya
19:51Chakraarti Osama yes gonedo blasto
19:54another star mark this is a very new
19:57question they can ask you turner
19:59syndrome patient do you want to do
20:01ultrasound hji sir why sir turner
20:03syndrome you can see horseshoe shaped
20:05kidney that's why I want to do the
20:06ultrasound okay so which risk of which
20:09malignancy basically is common in turner
20:10syndrome gonadoblastto gonadoblastoma is
20:13very very important you should know next
20:14important because streaking of ovaries
20:16no streaking of ovaries ovaries ovaries
20:18so connect connect yourself gonad gonad
20:20adds problem gonadoblastoma. Yes. What
20:23is this? I have already shown you the
20:24picture. This is nothing but cystic
20:26hyroma. This is nothing but cystic
20:28hyroma. Cystic hyroma. That you should
20:31know. Very important. Yeah. So what do
20:33you think? Which of the following? Which
20:35of the following is not a feature of
20:37Turner syndrome? A B C D. Very nice
20:40question. What do you think? Anyone?
20:41Exactly. So which of the following is
20:43not a feature of Turner syndrome?
20:50[Music]
20:55I should get them cut. I think
21:03don't get shaved and students they want
21:05you with beard. I was like okay.
21:09Yeah. Exactly. So the best answer for
21:11this question is very good. Cryptocitism
21:14right? This is not a feature of Turner
21:17syndrome. Short fourth metacarpal you
21:19can see shield chest you can see cubitus
21:21vgus you can see but torsion of testes
21:24or unescended testes cryptocrisism is
21:26that only you know unescended testes or
21:28torsion of testes so that's always
21:30remember most importantly it has nothing
21:32to do with testes
21:34turner syndrome is a female with a web
21:37neck who cannot have babies amura widely
21:40spaced nipples and everything it has
21:42nothing to do with the testes only
21:44streaking ovaries that you should
21:45remember very good the best answer has
21:47been given written by Kika, Osama,
21:49Singh, Ganja and Kos. Very good.
21:51Perfect. Next question. Uh this part uh
21:53very good question. Anyone? Very easy
21:55question. What is this and where do you
21:57see this? If this today is a need PG
21:59exam, if they ask you this question,
22:01what is this condition and where do you
22:03see? So what will you answer? Anyone?
22:05Exactly.
22:14Very good. No, this is known as maid
22:17lungs deformity. This known as maid lung
22:19deformity. And where do you see maid
22:22lung? Exactly. Sambirth, Kumar, Mandal.
22:24Very very right. Where do you see maid
22:28lung deformity? Turner syndrome. In
22:30Turner syndrome only you will see maid
22:32lung deformity. Sir what is made lung
22:34deformity? Abnormal growth. Abnormal
22:37growth of the wrist when child is born.
22:39Abnormal growth of the wrist. Can we
22:41appreciate this? Abnormal growth of the
22:43wrist. Yes or no? So known as maid lung
22:45deformity, abnormal growth of wrist and
22:48when a child is born and known as maid
22:50lung deformity seen in Turner syndrome.
22:52Turner's room wrist drop is different.
22:55This one is a maid lung deformity,
22:56right? That you should know. Okay. And
22:58everyone knows about it. Do you see
23:00mental retardation in Turner syndrome?
23:02No. Do you see short stature in a case
23:05of Turner syndrome? Yes, definitely. And
23:08can you see lymph nodes, lympadeema or
23:10cystic hyoma? Definitely we can see in a
23:13case of Turner syndrome that you should
23:14know. Okay. Perfect. Very good. Videika
23:17casing. Perfect. Very nice. This one is
23:20lymphadeema. This one is a very
23:21important. Can we see the swelling? Yes
23:23or no? This side. Can we see that full
23:25swelling? So this is a case of lymph
23:27edema. I've tried my best to show you
23:29the the photos of cystic hyroma. This is
23:32nothing but cystic hyramma. Okay. This
23:34is nothing but maid lungs deformity.
23:37Okay. This is nothing but what do you
23:39call this one? Lympedema. Okay. Picture.
23:41Picture. Look at the picture. Tell the
23:43diagnosis. Look at the picture. Tell the
23:44diagnosis. Photographic memory is
23:46important.
23:48The next nice question. What is the key
23:50to happiness? What is the key to
23:52happiness? Success like success. Is
23:54success the key to happiness? Success is
23:56not the key to happiness. Happiness is
23:59the key to success. Very nice question.
24:01See, success is not the key to
24:03happiness. Like once I get success, then
24:05I will be happy. No happiness being
24:08happy every time all the time having
24:11nothing still being happy having
24:14everything still being happy. Happiness
24:16that is the key to success guys not like
24:19success once I get something then I will
24:21be happy but you'll be waiting only to
24:23be happy then no be happy every day be
24:26be happy every day right exactly having
24:27enjoying the journey very this is a very
24:29good line okay what is the key to
24:31happiness success is not the key to
24:34happiness
24:36is the key to success once you are happy
24:38with whatever you have in life either
24:41you have everything or you have nothing
24:44you have a best friend you don't have a
24:46best friend. Someone left you, someone
24:47ditched you, whatever it is. If you're
24:49happy, if you love what you do, then you
24:52are successful. Now that is the best
24:53part. I love teaching. I like to teach.
24:55If I if you love what you do, then you
24:57don't have to struggle. You know, you
24:58love what you do. Sushal, she likes
25:01singing. She loves singing. So, she's
25:02always singing, right? So, she is
25:04successful. Someone who who likes to
25:06sing but doing the ICU job. Someone who
25:09likes to do teaching but still doing 24
25:11hours in a busy ICU hospital duty.
25:14Someone who loves ICU patient management
25:16but he's teaching for eight hours he'll
25:17be it's it's like a torturing job. Are
25:19you understanding? So if you love what
25:21you do then that is the meaning that you
25:24are successful. Next important point.
25:26Yeah good question. We know this answer.
25:28Can anyone tell me exactly? And do we
25:31have any other syndrome with
25:32anti-mongaloid gland? Please tell me
25:35three important syndromes with
25:36anti-mongaloid gland. Yes. Very good. So
25:40some says
25:45[Music]
25:56That's what happiness is inside you,
25:58bro. You don't have to go to Italy,
26:00France, Japan to to you know find
26:03happiness. I was reading some nice nice
26:05you know uh some uh what do you call
26:07article like people go abroad to find
26:10god you know you want to find god uh
26:12visit that country do you want want to
26:14find god visit that uh uh area of the
26:17world then you will feel god then you
26:19will find god no god is inside you right
26:22god can be anywhere you don't have to go
26:23somewhere to find god what do you think
26:26right exactly so yes beautiful answer
26:28any other syndrome with the
26:29anti-mongaloid sland undoubtedly nunan
26:32syndrome yes Undoubtedly kryochart
26:34syndrome. Yes. And undoubtedly preacher
26:37colon syndrome. Undoubtedly preacher
26:39colon syndrome. These are the three
26:40important syndrome you will see.
26:41Antimaloid slant. Sir, what is
26:43antimaloid slant sir? Downward downward
26:47slanting of eyeballs. Yeah. Are you
26:49understanding? Downward slanting of
26:50eyeballs. This antimongaloid slant. And
26:53upward if the girls do makeup little
26:54upward slanting of eyeballs that is
26:56slant seen in Down syndrome.
26:59Next question. Yeah. And yeah. Nunan
27:02syndrome, trioline syndrome, kryochart
27:04syndrome, even kabuki syndrome. One
27:06syndrome is going to come in the further
27:07slides. I'm going to show you one nice
27:09syndrome known as kabuki syndrome. They
27:11can ask you a question on that. It was
27:12there in Nelson. So I thought of sharing
27:14with you. Yes, exactly. Very good
27:15Nikita. Very good. Next question. Yes.
27:18Now if I show you this picture,
27:20beautiful picture. Can you please tell
27:22me what are the findings so that we can
27:24come to a conclusive diagnosis of this?
27:26What is this syndrome? Yes. Swaraj,
27:28Nikita, Chakraarti, Arpita, Nishi,
27:31Swaraj, Quas Singh, Osama and Farhas.
27:34What can we appreciate? Okay, first of
27:36all, what can you see? Number one, can
27:38we appreciate anti-mongoloid
27:41slant? See, dear remember, okay, every
27:44one of you for every syndrome
27:46highlighter. Highlighter. If I say
27:48hemihypertrophy, what will you think of?
27:50Beck with white men syndrome. If I say
27:52macroali with flushed cheeks with
27:54pointed chin, what will you think of? I
27:57only forgot you will think of yeah sto
27:59syndrome right if I say single palmer
28:02crease what will you think of okay down
28:05syndrome you'll think of right that's
28:06what so so these are the important
28:08things so so in this case if I talk
28:09about anti-mongaloid gland number one
28:12long palpibbral fissure long little long
28:16see short where do you see short
28:18palpibbral fissure to small eyes short
28:21palpal fissure was there in fetal
28:23alcohol syndrome right this is long
28:25palpibbral fissure We have to link and
28:27study please. We have to link and study.
28:29One was short palpibbral fissure. This
28:32is long palpibbral fissure. Small eyes
28:35you will see in fetal co syndrome. This
28:37is longa long palpable fissure. And very
28:40importantly pad of fat in the fingers.
28:43Pad of fat. Can we see this fingers
28:45little pad of fat? Pad of fat. Pad of
28:49fat. Are you understanding? So that's
28:51what so any any guesses? Any guesses?
28:55Answer a baby with antimongaloid stand
28:57with long paltebral fissure. Can we
29:00appreciate this long little long little
29:02long palpable fissure right and finger
29:05pad of fat and kryo chart narr if this
29:08is if if I'm the examiner if I have to
29:10make a question on kryo chart syndrome
29:13I'll be talking about a patient who is
29:15having microelli a patient who is having
29:18high pitch cry resembling like a cat
29:20high pitch cry is resembling like a cat
29:22a patient with developmental delay I
29:24remember in my hospital a follow-up
29:26patient of cryo chat syndrome had come
29:28like around a little like adolescent
29:30baby boy actually and he was actually
29:32crying literally like like like a cry
29:34like a cat you know high pitch cry
29:36resembling like a cat. So microelli with
29:39high pitch cry resembling like a cat
29:40with developmental delay and which gene
29:42deletion which chromosome
29:45deletion you have 5 p in krytoart
29:48syndrome. This is the exam question.
29:49This is the exam question. 5p gene
29:52deletion is there and p is which arm? Is
29:54it the short arm of the chromosome or
29:55the long arm of the chromosome? This one
29:57is the everyone knows about it. Yes,
29:59this is nothing but the very good short
30:01arm of the chromosome. So, we finished
30:02cry to chart also. What do you call
30:07battery now? I cannot see your comments.
30:11I cannot see your comments. Do you want
30:15me to see your comments? If you want me
30:17to see your comments, let me know. Okay.
30:19One second.
30:21Okay. Hi. So, what do you think guys?
30:23Last two 10 seconds. Which syndrome is
30:26this? Can we appreciate this?
30:29Yes, exactly. So, which syndrome is
30:32this? This is which syndrome? Yes, this
30:35is nothing but kabuki syndrome. This is
30:37nothing but kabuki syndrome. Remember
30:39long palpibbral fissure, prominent
30:42fingertip pads and exactly. And one more
30:45thing nice version of the lateral
30:47portion of the lower eyelid. Lateral
30:50portion this part. Let's see the
30:51picture. Everal
30:56portion of the lower eyelid. If you have
30:58attended my recent quizzes of the
31:00syndromes basically I had asked this
31:02question. So that's what so kabuki
31:04syndrome very importantly long pelvic
31:06ferure. Okay fingert tip of finger tips
31:09having pad of fat and what else?
31:12Antimogloid gland. Done. Kabuki
31:13syndrome. I'm not able to see your
31:15comments. My mobile battery went down.
31:17Give me 20 seconds. Okay. Very nice
31:19question. Very very nice question. Who
31:21will tell me what is the answer? This is
31:23the this person has I think some million
31:25followers on Instagram on IG. What do
31:27you think? What is this picture showing?
31:34This is a typical case. Okay. What is
31:36this one?
31:42Do you know the name of the movie? My
31:43mobile is still not on. Yes, I think my
31:46niece was telling Wonder. Wonder is a
31:48movie. It's on Netflix. I think I heard
31:50it's a very good movie. So, what is
31:52this? Can we appreciate this downward
31:54slanting of eyeballs? Antimoloid gland
31:57number one very important yes or no and
32:00very very important this is a typical
32:02typical case of preacher colon syndrome
32:06this is a case of preacher colon
32:08syndrome sir how will I remember sir I
32:11have never seen the patient of preacher
32:12coline syndrome see I'm showing you now
32:14photographic memory remember in my whole
32:17life frankly speaking I have only
32:18studied through the photographic I only
32:20look at the picture picture ya and
32:23that's it that's what that's how I
32:24follow it So antimaloid gland number one
32:27this also can we appreciate
32:28antimongaloid gland antimaloid gland yes
32:31very importantly and what else yeah so
32:34treat syndrome sir how will I remember
32:36sir exactly
32:41yeah okay
32:48exactly so again a very beautiful
32:50picture of photographic memory can we
32:52appreciate this sir how will I remember
32:54sir sir I have I haven't seen this
32:55picture. So please could you tell me
32:57some important points of treating
32:58syndrome? Yes. The import the amazing
33:01important points of treating syndrome
33:03are Gandhi G's three monkeys. Gandhi G's
33:06three monkeys. Gandhi G said don't see
33:08the bad stuff. Don't see.
33:20I hate people who gossip. Hate it.
33:24Panchal says torrent
33:30do you guys remember we used to use
33:31torrent I remember long back torrent
33:35download movie and I remember I used to
33:36download movies also HD movies used to
33:38come to be so excited in the overnight
33:41we used to kept for downloading and next
33:43day morning we used to watch the movie
33:44like next day do you do you used to do
33:45that guys yes or no please let me know
33:47exactly
33:49it was very exciting also you used to
33:51take some BSNL plan that plan Overnight
33:54movie download next day we're going to
33:55watch it right exactly yeah so Gandhi G
33:58three monkeys can we revise this number
34:00one Gandhi G said don't see the bad
34:02stuff but this babies they saw the bad
34:04stuff and they got coloboma of the lower
34:07eyelid sir what is coloboma s I've never
34:09seen coloboma so see I've shown you
34:11everything what is ania what is ania
34:14what is ania
34:16pax six gene mutation ania
34:19the colored part of the eye the colored
34:21part of the eye missing absence or
34:23reduced colored part of the eye that is
34:25known as ania. Okay. Here only I what is
34:28colobma of the eyelid? I'll show you
34:30picture. I have the picture. Uh this one
34:32can Yeah. This very very nice picture.
34:34Very nice picture. This but can we
34:36appreciate the colob? Colob a defect in
34:40the eye. A defect in the colored part of
34:42the eye. Exactly. Any radia was missing
34:45color and colob is like a it's like a
34:47again iris defect only. Very
34:49importantly. Yeah. Congenital
34:51abnormality of the membrane of the eye.
34:53Congenital abnormality of the membrane
34:55of the eye. Okay. Cologuma you know I
34:58tell you this is like you might be you
35:00know uh it would be so easy for you to
35:02watch this image like that but so much
35:04of hard work I have done for this every
35:06sing I used to read Nelson used to make
35:07notes each word I used to Google it use
35:11various platform then download it think
35:14it then post it then tell it so it's
35:16like it's like a huge journey behind
35:18this I remember
35:22so yeah hole in the structure of the
35:23idea is can we appreciate this yes or no
35:25this This is known as coloboma of the
35:28eyelid. Where do you see coloma of the
35:29eyelid? Trier colon syndrome. Tree colon
35:31syndrome. Okay. So Gandhi G said don't
35:33see the bad stuff. They saw it. They got
35:35the coloboma of the eyelid. Gandhi G
35:37said they don't speak the bad stuff.
35:39Don't speak the bad stuff. So they got
35:41microathia and underdeveloped cheeks.
35:44Underdeveloped cheeks. I'll give you a
35:45topic if anyone can tell me microia
35:50microia. Have we read microia anywhere
35:53else? Yes or no? Exactly.
35:56Yeah, it it takes a lot of effort to
35:57make this. Then I remember I used to
36:00talk to my juniors that I have some very
36:03nice juniors you know like
36:06Nanasi Medical College say one of my
36:08junior was there Naan and he I used to
36:10send him the syndrome and the findings
36:12then he used to make a pneumonic and
36:14send me. So Naan only had sent me sir.
36:16So treating syndrome Gandhi G three
36:17monkeys if you tell it like that the
36:19students will remember sir. So I used to
36:21tell like who see I I have seen everyone
36:24is special in their own way. Everyone is
36:26special in their own way. Some people is
36:28very good in pneumonics. Some people is
36:29very good with reasoning. Some people
36:31are very good with arguing. Some people
36:33are very good with fighting. Yes. So do
36:35you agree with me? But I am a peaceful
36:37soul. Yes. Exactly. So yeah. Hi. So
36:41microathia you are saying back with
36:43whiteman syndrome. No no no. Progeria
36:47cruisen pau. Mhm. or amazing answer. If
36:50I say micro ganathia with difficult back
36:53and mass ventilation, micro ganatia with
36:55difficult back and mass ventilation plus
36:58U-shaped cleft pallet, then what do you
37:01think? Anyone still little more?
37:05Diva says some people are very good in
37:06reta. Yes, I agree with you. I agree
37:08with you. Exactly. Arita has nailed it.
37:11Very good. Arita. So if I say a
37:13microathia with difficult back math
37:16ventilation with a U-shaped cleft pallet
37:19and a point glossoptosis. Do you
37:22remember glossoptosis? Yes or no?
37:25Downward and downward and retraction of
37:27the tongue downward displacement and
37:29retraction of the tongue. Do you
37:31remember
37:33known as grosoptosis and
37:38yes atrial septile defect? Atrial
37:41septile defect is very common in Pier
37:42Robin syndrome. So these are the
37:44important point of Pier Robin syndrome.
37:47Pier Robin syndrome. Remember dear you
37:49have to link and study guys if you
37:51really want to get a rank one. If you
37:52really want to get the best of the best
37:54of the best marks link link micro
37:59short pelpure and long palibbrra fisher.
38:01Short pelpra fisher means small eyes
38:03seen in fetal alcohol syndrome. Long
38:05palpibbral fisher seen in kabuki
38:07syndrome. Right.
38:11very good. Perfect. So
38:14yes, what happens to the tongue size?
38:18H what happens to the tongue size in the
38:21Pier Robin syndrome? I am saying
38:23glossoptosis. I am saying there is a
38:26micro ganatia. The chin is very small.
38:28So there is downward displacement and
38:30retraction of the tongue. Uh what
38:32happened to the tongue size? Do you see
38:34macroia
38:36or do you see microloia?
38:53Yeah, some people are good in retifying.
38:56And this one Rashmi says, uh, sir Suraj
39:00is also very good in pneumonic. Okay,
39:02Suraj, if you're good in pneumonic,
39:03contact me, bro. If anyone if if any one
39:06of you is good in anything, someone is
39:08good in pneumonic, someone is good in
39:09diagrams, someone is good in flowcharts,
39:12contact me, you know, so that we can at
39:13least make another good uh things about
39:15it. And Dr. G says some people like you
39:17are very good at attracting people to
39:19your classes. Thank you bro. I'm nothing
39:21without your support gym show me selfie.
39:25What happening in gym? Which exercise
39:28you doing today? I did chest and my
39:30instructor is so happy with me.
39:31Instructor is like very good. You know I
39:33tell you one secret of life. Okay. One
39:35secret is of life is like uh you know
39:37always follow your guru. Always follow
39:40your guru. Okay. Because naturally you
39:42know like if you're studying for nepg
39:44you need to have a mentor right you need
39:46to have some educator which you think
39:48yes an some an or any s that way is
39:51teaching nice I should follow him right
39:53if you will be partial to your teacher
39:56even though if you're in school if
39:57you're in college if you're in PG if
39:59you're in gym if you're in dance class
40:01if you're in guitar class always follow
40:03whatever your you know your mentor says
40:06blindly follow it like my instructor I
40:08follow him blindly
40:12how does a horse walk? He will have this
40:14thing. No, like that he can't see right,
40:16he can't see left, he can only see
40:17straight. So follow because if you don't
40:20put trust, if you don't put a positive
40:22vibe, then positive result will not
40:24come. If you have, if see, are you
40:25understanding? Are you with me? I hope
40:27you are you can connect with mentally
40:29which I'm trying to tell you. Some
40:30people have this biased approach. No,
40:32no. Half I will study with an answer,
40:34half I will study with that teacher,
40:35half I have already taken notes of that
40:37professor. I'll study from that. If you
40:39have a biased approach then your numbers
40:41will be biased because halfa
40:44follow anyone religiously. Once I go to
40:47guitar classes I follow I follow my
40:50guitar fellow blindly blind
40:54my guitar fellow says
40:58because you need to put energy then only
40:59some output will come and same goes my
41:01gym instructor also he's like I like oh
41:03no I can't do weight I'm very tired.
41:06He's like today then you will put double
41:07weight. I was like okay fine I will put
41:09double weight. Then if I say that oh
41:11this is very heavy. He's like all right
41:12it's so light and I'm like yeah yeah
41:14yeah it's very very light. It's very
41:16yeah it's very light like that. It's
41:18very funny. Exactly. H So that's what
41:21Yeah. Yeah. That's it. That finishes the
41:23syndrome. So Gandhi G said don't see the
41:25bad stuff. The baby got a colomoma of
41:26the eyelid. Gandhi G said don't speak
41:28the bad stuff. The baby spoke and they
41:30got microathian and underdeveloped
41:32cheek. And very importantly uh this one
41:34micrograinia you will see uh in also
41:36pier robin syndrome the important points
41:38of pier robin syndrome are difficult
41:40back and mass ventilation u-shaped cleft
41:43pallet glossoptosis and I was asking a
41:45very important question this was the
41:47exam question that's why I remember
41:49luckily by god grace I have done all the
41:51fiveear mcq so I know which question is
41:53where so the answer is neither you will
41:56see macroia nor you will see microloia
41:59the tongue size is very very very very
42:01very normal. This is the exam question
42:04without fail. It has come already. Who
42:06has done who has told the right answer?
42:08Let me check. Sonia Sonia Matur Sonia
42:11Matur that that reminds me of Magna
42:14Matur from fashion movie. So yes, Sonia
42:16Matur is right. Very good. Perfect.
42:18Perfect. Exactly. Nishaal
42:21Nisha says an academy subscriber.
42:25So we all are one family. Remember that
42:28we are family. Remember that in my night
42:31duty also my JR my intern JR shouts at
42:35intern comes and tell me oh no sir I
42:37can't do duty with that ma'am she she
42:39shouts me very badly I say hello we are
42:41one family are one family
42:50then only you can live life happily bro
42:52otherwise to case yeah so yes very
42:56importantly remember preacher syndrome
42:58they are Gandhi G students Right? They
43:00are like bad student. They they saw the
43:02bad stuff. They spoke the bad stuff.
43:03They hear the bad stuff. If they hear
43:05the bad stuff, they will have deafness.
43:06Of course, undoubtedly. And as because
43:09by so much of bad nature, they had they
43:10were they were dominating students. They
43:12were dominating students. So, it's a
43:14autosomal dominant inheritance. And very
43:16importantly, I've told you no one
43:18answered this one, right? This one
43:21TCOF1 TCO F-1 gene mutation you see in
43:24treat syndrome that you should know.
43:26Very very very important question is
43:30intelligence affected in a case of
43:32Richard Collins triple star mark means
43:35it it we have to spend 5 seconds here.
43:38What do you think guys? What do you
43:39think? Anyone? Bhavani Kubing Nishi
43:42Osama Kabir Kabir Kabir new name. Yes.
43:47Kabir says are these syndromes are from
43:49particular module? These syndromes are
43:50from Nelson bro. These are from Nelson.
43:53Exactly. So yeah this is a good
43:55question. Yes, very important remember
43:57guys. So now can we appreciate now can
44:00we allow our brains for this new
44:01information that there are two
44:03syndromes. There are two syndromes where
44:05the intelligence is not affected at
44:07least that much I remember. One is the
44:09of course ner syndrome. Yes or no? And
44:12one another one is the preacher colon
44:14syndrome. Hi how will I remember sir?
44:16Very difficult to syndrome IQ is normal
44:19dear T and T. No both are T's only. Both
44:21are Teren finish. Yes or no? Done. Next
44:24question. This part over over this is
44:27the real patient. This is the real
44:28patient of my OPDS of this. Actually I
44:30would like to thank Dr. Anur Ra one of
44:32my favorite junior from Jamu Muji photo
44:35and they had got amazing patients of
44:37titrician syndrome. So can we appreciate
44:39the ear abnormality? Can we appreciate
44:42some cheek abnormality? Can we
44:44appreciate some antimaloid slant? Gandhi
44:46G said don't see the bad sub coloma
44:49though you can't see right now in his
44:50eyes but this is the picture of preacher
44:51colon syndrome and always respect your
44:53patients always remember that okay yeah
44:56yeah that's what so this also coloma
44:59okay but we can't see like we have to
45:01zoom the picture zoom so that's what you
45:04should know next question next question
45:06yeah that's what again you are unique
45:08you are unique and that is the best
45:10thing about you guys you are unique
45:12don't copy him don't copy her be
45:15yourself be amazing Amazing. The way you
45:16want to study, you study. Okay. You are
45:18unique and that is the best thing. That
45:21is the best thing about next question.
45:23Okay. Yeah. This is what I was studying
45:26in the morning. This is a very good
45:28syndrome. I was studying in the morning.
45:29I will give you the highlighter. I will
45:31give you the highlighter. Number one is
45:33gynecomia. Number one is gynecomia.
45:36That is the first point. Gynecomia and I
45:39would say small penis. Small testes or
45:42small penis. So if these two highlighter
45:45I would like to tell you then what what
45:46comes to your mind anyone swaraj panchal
45:49panchal panchal panchchal panchul how
45:52should I pronounce it bro I don't know
45:53arpita priya exactly if I say
45:55gynecomastia with small testes anyone
45:58what comes to my what should come to my
46:00mind if I say gynecomastia with small
46:03testes do we have some syndrome having
46:05this one very nice exactly nishi is also
46:10right nishi is thinking that way but
46:11yeah exactly Gynecomastia with small
46:14test is very importantly okay that is
46:16the first hint second hint which is the
46:18most common cause which is the most
46:20common cause of primary hypogonadism
46:23and infertility in males anyone two
46:27questions one answer now see link link
46:29and study link link link imagine a male
46:32patient with gynecomastia and small
46:35testes small testes means hypogonatism
46:38naturally and small testes means
46:40hypogonadism and hypogonatism means
46:42Infertility link and study tell your
46:44brains okay small testes okay gonad
46:46gonad hypoganism okay hypognadism
46:48natural infertility. So all this is what
46:50is nothing but kleinfelter syndrome very
46:52importantly. So Kleinfelter syndrome
46:5447xy everyone knows the carotype of
46:57that. So hypogonadism
46:59what do you call male with the
47:01gynecomastia with the small testes and
47:04what most importantly primary
47:05hypogonadism. So a small test is to
47:08hypognarism. Hypognitism means
47:09infertility, right? Let's link and
47:11study. If a newborn baby, if a newborn
47:15baby having gynecomastia,
47:17how do you approach this case? Anyone?
47:20What do you think? Okay, 5 more minutes
47:23and this class is over. 9:30. It's 9:20
47:25exactly. 9:30 p.m. 9:30 p.m. we have a
47:29audio class. We have a openhouse class.
47:31Download Anacade Academy app if you are
47:33a newcomer. If you have already the app
47:35then amazingly please open 9:30 p.m.
47:37Open the academy app. There there is
47:39something as open house. Click it. Then
47:41mobile. It's on the Android phone. Thank
47:44god. And this one we can have audio
47:48class. Let's see. We can we all can talk
47:49to each other. Actually there we all can
47:51talk to each other and first we will
47:54talk about ourself. We will talk about
47:56our hobbies. Then we'll study also.
47:58Okay. Exactly. Exactly. Anyone? H very
48:01good. Very good. Very good. Kitika
48:04Subramanyam. Sometimes I feel critic one
48:06of my junior was there in Lady Harding
48:07Kitika. Sometimes I feel that you are
48:09that Kitika but I don't think so. She
48:11was also from South but I don't know her
48:13full name but your name is Kitika
48:14Subraman. Yes. So what I was saying was
48:17Hi um a newborn a newborn baby having
48:20gynecomastia a newborn baby having
48:22gynecomastia then how do you approach
48:24this case? The answer is is perfectly
48:27normal. Perfectly like nothing to do it.
48:29It's one of the conditions in a newborn
48:32which looks abnormal but is normal. Why
48:35sir? Why gynecomastia? Why sir? How can
48:37it be normal? A male newborn having a
48:39breast enlargement. How can it be normal
48:41dear? It is because of the maternal
48:43estrogen level. Star mark PG question.
48:45Why do you see gynecomastia? Because
48:47some hormones from the mother carry to
48:49the baby. So sir basically you know what
48:52do you call this gynecomastia is one
48:55condition in newborn which looks
48:56abnormal but is normal because of the
48:59maternal hormones. One of the important
49:01hormone we have is nothing but
49:03kabuloscope maternal estrogen levels. Is
49:06everyone understanding? Yes or yes. What
49:10do you think? I'm just updating the app.
49:20Very nice question. Can we finish this
49:22amazing syndrome guys? We have not done
49:23client filter even once
49:28with okay client filter syndrome.
49:30Kleinfelter syndrome can have increased
49:32risk of which malignancy? Kleinfelter
49:35syndrome can have increased risk of
49:36which malignancy? Any random guesses?
49:38Exactly. Very good. So client felt
49:41syndrome can have increased risk of
49:42breast cancer and testicular cancer. How
49:45will I remember sir? I don't remember it
49:47at all dear small testes no small testes
49:50hypognatism and what infertility so
49:53testicular cancer finish this and
49:55gynecomastia no they can have breast
49:57cancer also so this syndrome can have
49:59increased incidence of testicular cancer
50:00and breast cancer that you should know
50:02next important thing what will happen to
50:04the testosterone levels any random
50:06guesses will you have in decreased
50:08testosterone level or increased
50:09testosterone level I have a small testes
50:11I am having infertility I'm having
50:13hypogonatism I can have testicular
50:15carcinoma so What will happen to my
50:16testosterone levels? Scala, what do you
50:18think? If if I don't know you are if you
50:20know you just just got this question in
50:22the nepg exam common sense my HD used to
50:25say common things are common and rare
50:27things are rare. So commonly if I'm
50:28having a small testes infertility
50:30hypogonatism then what happens to my
50:32testosterone level and naturally they
50:34will be low they will be low but
50:37remember the FSH and LS will be high
50:39okay testosterone levels will be low but
50:41my FSH and levels will be high that
50:44remember one thing that's these all are
50:45exam question my dear friends they're
50:46not just like random question these are
50:48proper exam question so we must
50:50appreciate them okay next question okay
50:52yeah what is the most effective
50:54treatment anyone any any random guesses
50:56imagine Again I am a male baby with
50:58gynecomastia with the uh small testes.
51:02Okay. Hypogonadism. My testosterone
51:05levels are low. Right. If my
51:06testosterone levels are low, what is the
51:09most effective treatment you want to
51:10give me? Do you want to give me
51:11testosterone therapy? Obviously yes. Yes
51:14or no? So testosterone therapy dear
51:16that's what right? Exactly. So you'll
51:18give a testosterone therapy in a case of
51:20Kleinfelter syndrome. Next question. A
51:23nice quote. Make yourself the best. Make
51:26yourself the best and destiny will do
51:28the rest. Beautiful quote. Make yourself
51:30the best. You are self-sufficient. You
51:33are You have everything what it needs to
51:36live a happy life. Do you need anyone
51:38else? No. Are you dependent for your
51:41happiness? Are you dependent on someone
51:42else? No. For your mood? If you behave
51:45nice to me, my mood will be nice. If you
51:47don't behave nice to me, then my mood
51:49will be bad. Are you that person? No. Is
51:52you are more dependent on how others
51:54think about you? No, if your mood
51:56dependent on how uh you know if you like
51:59if anyone say good to you or bad to you.
52:01No, your mood is your mood. Your mood is
52:04dependent on your mood. No one else
52:06mood. Please be emotionally independent
52:09guys. Please be emotionally very very
52:10very independent. Next question. Yeah,
52:12exactly. Yeah, exactly. Yeah,
52:14testosterone replacement therapy is the
52:16right answer and still I'm updating my
52:18this one. What do you call it? ANACA
52:19Academy app. Yeah. So, two more minutes
52:21then this class is over. Identify the
52:22syndrome. Who what do you think?
52:24Identify the syndrome. What What do you
52:25think? Uh this very nice picture. I can
52:28appreciate what can we appreciate here.
52:29Can we appreciate a high arch palette?
52:32Very nice. A high arch palette. Number
52:35one. Can we have a Can we appreciate
52:37large ears? Yes or no? Can we see this
52:41baby kind of a I would say developmental
52:44delay? What do you think? Anyone?
52:46Anyone? What do you think?
52:51What do you think? What do you think? So
52:53what do you think? Uh who will tell me?
52:55Yes, exactly. Yes. Hi. Yeah, Osama is
52:57right. Which is the syndrome, bro? Which
52:59is the syndrome? High arch palette very
53:02importantly and also at the same time my
53:04net is working very fine. So what do you
53:06think
53:08exactly? Any any random guesses? What do
53:10you think guys? Yeah, very good Osama.
53:14So high arch palette with developmental
53:16delay with large ears. Guess which
53:18syndrome it is? Pritika Osama
53:22uh EDS allerg syndrome allerg syndrome
53:26will have hyper extended joints and all
53:28that Edward syndrome no dear Edward
53:31syndrome I would have shown you a rocker
53:32bottom feet for Edward syndrome who said
53:35the right answer
53:38is Panchcholi is a good surname pancholi
53:41is right
53:43fragile X syndrome fragile X syndrome
53:47okay fragile X syndrome How will I
53:50remember sir? Fragile X syndrome. Dear
53:52everything is large. Okay, remember
53:54large large everything is large. A male
53:56baby with a large face. Please can we
53:59appreciate this? Imagine picture large
54:02face. Please tell your brains allow your
54:04brains for this information. Large
54:06brains update. Phone update. So a baby
54:10with a large face with a large forehead.
54:13Forehead. Okay. with a large jaw, large
54:17jaw, large esties, large ears and high
54:22arch pallet. High arch pallet again very
54:24important PG question. Do you see a
54:26large nose? No. No. How will I remember
54:30sir? N for nose. N for no. N for nose. N
54:32for no. You don't nose. No large nose.
54:34Okay. You don't see a large nose. But
54:36everything is large. Everything is large
54:37in the case of fragile syndrome. Yes.
54:39Exactly.
54:42Per
54:44if I say in prader what happened
54:45paternal gene is affected no I would
54:47have shown you you know like
54:50other point obesity the baby eats a lot
54:53you know those things I would have shown
54:54you those things I would have shown you
54:55other pointers I would have told you
54:57about uni parental daisomi something
54:59like that that I would have told you but
55:01I didn't tell you about uniar daisomy I
55:03didn't tell you about the baby's having
55:04obesity the baby eats a lot no I didn't
55:06say anything about that so that that way
55:08it goes to pradery okay yeah and uh
55:11Yeah, this part is over and yeah, this
55:13is very good question. What do you
55:14think? Again, it's a new question.
55:16Wherever there's a new question, Osama,
55:18please update your notes. These all are
55:19new questions. We have not read these
55:20questions. Okay. Yeah. So, which is the
55:23most common? Which is the most common?
55:25Congenital heart disease and fragile X
55:27syndrome. What do you think? This is a
55:29totally brand new question. Any guesses?
55:32Any guesses? If this is a fourchambered
55:34heart, which is your favorite wall? Is
55:37this your favorite wall? Triricuspit
55:38wall. Is this the favorite wall? nitral
55:40wall or pulmonary or aotic which is the
55:43uh most common congenital heart disease
55:47in fragile X syndrome. Exactly. So best
55:51answer is
55:53answer very good Nishi Agarwal Nishi
55:56Agarwal Agarwal Group of Industries Kim
55:59Malkin very good Nisha Agarval very good
56:02bro very nice question very nice answer
56:03mitral wall prolapse and that goes that
56:06goes to undoubtedly another question
56:08that where else you will see mital wall
56:10prolapse I think everyone of us agree
56:13with that sonalatra where else do we
56:15have any other congenital heart any any
56:17syndrome basically where the most common
56:19congenital heart is mitora laps. What do
56:21you think?
56:26Mhm.
56:30Mar. Yes. Mar. What else? Mar.
56:34Very good. Very good.
56:4034%.
56:42Okay. Let's see. Let's move further.
56:45Okay. Another question. Oh, this is a
56:47good question. Which is the first heart
56:49valve? Which is the first hard well to
56:52be affected in case of rheumatic fever
56:54or rheumatic fever I would say not
56:55romatic fever but RHD romatic heart
56:57disease in a case of romatic heart
56:59disease dear which is the most common
57:01which is the first valve anyone another
57:03good question we are so happy we are
57:05actually studying amazing you know like
57:13do you know how many questions we are
57:14covering like another level exactly
57:17mital valve only sir mal That's right.
57:20The pneumonic is Matt Matt or some matty
57:23pneumonic mital wall is affected. Then
57:25aotic wall and tricuspid wall. If I'm
57:26wrong, please let me know. I think
57:30exactly the the walls involving in
57:33romatic heart disease are mital wall
57:35followed by aotic wall followed by trius
57:37wall that you should know. Perfect
57:39answer. Next question. Which is the mode
57:41of inheritance? Okay man. I think that's
57:44let's finish it here only. Which is the
57:46mode of in inheritance of ragile
57:48syndrome and which is the gene mutation.
57:50I think this is a homework for you guys.
57:52Let's finish this class here only. This
57:54is the homework for you both of you and
57:56tomorrow. Let's see what time we're
57:58going to have a class. I will tonight
57:59before sleeping I'm going to post it.
58:01Undoubtedly we'll have a anac academy
58:03class tomorrow. We're going to have a
58:04YouTube class also tomorrow. Tim timings
58:06I'll let you know roughly we take time
58:08around 5:15 p.m. for the anac academy
58:10and 8:30 for the YouTube and but still
58:12I'll let you know. Okay. This is the
58:14what do you call homework for both of
58:15you. What is the what do you call uh
58:18yeah what is the mode of inheritance and
58:20gene mutation in a case of um fragile X
58:24syndrome. Okay I'll not tell you you
58:25will tell me. Very good. So that
58:27finishes today's class. Thank you so
58:28much everyone for this participation.
58:30Now come on the openhouse. Come on the
58:32openhouse within 5 minutes. Give me 5
58:34minutes. My phone is getting updated.
58:36Maybe I'll take my mom's phone and open
58:38from there. Now this is for the Android
58:40users. First of all, it is for the
58:42Android users. Uh openhouse. Openhouse
58:45if you don't know, it's a platform where
58:46we can audio talk. I'll be the today's
58:49topic of choice is rapid revision of
58:50pediatrics audio. I'll be asking for
58:53milestones, vaccines, breastfeeding and
58:54growth and development. A lot of
58:56questions. So open house try and let's
58:59see if you're not a subscriber. If you
59:00are a subscriber, let's try just singing
59:02says how to add on in the group. Just
59:04download an academy app from your
59:06Android phone. uh and type Anand Bhartya
59:09first follow me there and also at the
59:11same time on the home itself there there
59:13will be some link coming known as
59:14openhouse so just click on the openhouse
59:17and you will find me somewhere somehow
59:19thank you so much everyone for this
59:21participation remember life is beautiful
59:24and before leaving we don't have any
59:26motivating code right now the motivating
59:28quotes are over the only quote I
59:29remember is make yourself the best and
59:33the destiny will do the rest thank you
59:36and Nishi says only for plus users I
59:39don't think so dear it is for everyone
59:40just open it once and see within 5
59:42minutes I think click button open your
59:45anac academy app on the Android phone
59:48there is a link of openhouse click there
59:51then I think the class will
59:52automatically start let me also check I
59:53have to take my mom's phone I need 5
59:55minutes for that because update phone my
59:58Android phone take care
1:00:01says I couldn't able to join your group
1:00:03because today it's saying it's group
1:00:04full don't worry ask me another link
1:00:06I'll send Hello. Thank you so much
1:00:08everyone. Please take care. Only good
1:00:10vibes. Okay. Good vibes and good vibes.

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