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Otorhinolaryngology CBME Logbook

The document is an Otorhinolaryngology logbook detailing various educational sessions, including seminars, museum studies, and library assignments, with topics such as anatomy, physiology, and diseases related to the ear, nose, and throat. Each entry includes the date, topic studied, facilitator's name, objectives, and a summary of concepts learned. The logbook emphasizes interactive learning and the development of communication skills through self-directed sessions.

Uploaded by

fredikjoshi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
131 views52 pages

Otorhinolaryngology CBME Logbook

The document is an Otorhinolaryngology logbook detailing various educational sessions, including seminars, museum studies, and library assignments, with topics such as anatomy, physiology, and diseases related to the ear, nose, and throat. Each entry includes the date, topic studied, facilitator's name, objectives, and a summary of concepts learned. The logbook emphasizes interactive learning and the development of communication skills through self-directed sessions.

Uploaded by

fredikjoshi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

<br>

(Otorhinolaryngology Logbook as per CBME)


i. Seminar

Sr. Date Topic Studied Sign ofMentor


No. Observer/Guid

|. 15|3|23| Anatomy of Eor


2. |22\a|23 Anatomy 4 Phgsoloay of
Nose ¢
3.
|29|3l23 Anatony4 hysiolo8y
of (an
Phaoyx
(2 (4l23 facial Neve < its appli ed
Anatony
5 als|0 Tonsillitis and Aslemoid hyfestoPh
(4|5|23 Sinusimitis arnd ts Suoeog
t. sl4|23 C&OM

Date Out of Marks obtained Faculty's sign

10

6
<br>

Otorhinolaryngology Logbook as per CBME)


ii. Museum study
Sr. Date Topic Studied Sign of Mentor/
No. Observer/Guide
Arntsochoanal foly
19) |23 Tonsil amd adernoids
3. 28| 23 Sogital Sechiorn Of Head t
Neck
3|8|23 Ihyooid specimem
to8(23 AC Polye 4 Ethmoidal blye

Date Out of Marksobtained Faculty's sign

10

iii. Library assignments

Sr. Date Topic Studied Sign of Mentor/


No. Observer/Guide
4|3]23 Memiese's Disease
2 |22|a23 Tumos of Nasophoynx
|23 Disea se of Salivoy gland
3.

4. 5|4|23| voco Cord Palsy


5. |G|5|23 Lwduoig's Argima

DateOut of Marks obtained Faculty?s sign

10

7
<br>

(Otorhinolaryngology Logbook as per CBME)

SDLTopic: Anatomy of Eas Date:


(Seminar/Museum study/Library study) I5|3|23
Name of the Facilitator: Ds. Rathwala
Objective of thesession:
To have an
imtergcti ve Sessio gnd
Conceptual legomin
Summary of concepts learnt (Q&As, Concept Map and Reflection):

what Happemeel 2

Today (24 e had a


Self Dizected leoroning
on the topic
09as
of Anatomy of Eax. waic
Pesete lay
Slideshouo Eergone Cmates
Prepaed ther Allote
topic omd cid pot toPojnt Exploimatio
ith Necegsany Diagnms Whese Needed

So what
The aJbole
toplc o
Anotoy
divided
of
ous CassMetes. tas was

The
beteen 1o of
chole topic c004 divided im Extesmal
Fas Middle pas Ond
The Pats of the Poma
Intesnal Eas
acoustic eatus Cne Normal StoUctuse,
ot Tynpanic membmane. Coith the
blood Supply and other important featuse
(oese Cavesd in the
Jhe
Midle fas 00a Coveseoau loutena
(all media wall Anteios (Mal Posteiox
00a4
its AI]
SOof cmd the floox ame te á
-
Contents the 3Bones Stapes ncus
<br>

Otorhinolaryngology Logbook as per CBME)

Malle Facia) its brocr0ches


Nesue, amd
otbex
Aateag Eustachian tubeereandalso Covesed
Impotant andmaks
bom
the bong
To the intenad Ean leotot
labainth windous
and
Cnd membaanous Cochlee
OVal coimdouw
Round Semicaulare
Supetor Posteion amd lateral aDeKe
Cancd amdts imPotaot iots
ouso Coesed

Wnot Next
e n
This kind
o
Sessione help This
deseloping Ours CorsnmunicQtiom Skils.
Also helpš os Coveming he topic Hhooug hly
inbettex Undetandis9
a
amd have
<br>

Otorhinolaryngology Logbook as per CBME

SDLTopie: Arnaomy t Physiology


(Seminar/Museum study/Library study)
oF Nose Date:
22l3l23
Name ofthe Facilitator:
DT. Atisha
Objective of the session:
To have an iteractive esion amd
Conceptua! leaaning
Summary of concepts
learnt (Q&As, Concept Map and Reflection):

What Happeneo 2

Iodouy 9e had a Self Dsected learsning


Sessiom on the topic
Physiolo9y of Andtomy omd
o
of Nose. wNich
ou lakosnates cexe Preseateo
Pepecsed theig faatIn heSlideshou exgone
Explaimetion
0as to the poist

Ihe cohole topic was divided


SbtopicA Io Physiolog of af Nose
in we
the
Calbout its
Nose leeaned
function in mespiratioPsotection
of loueY AiKDaya VOcal sesonamce,
Aix
Conditioning of imspined Ais Naial
Reflex cnd olfactoy Anctioo
Io the ExteSDal Eax the lboy Cund
Otilaginouy fameork amd Bkim and
signiicame asee told.
of each
In the Ttesna! Nose the asa
Value Nasal Cavity C9eKe
Ke Couexed. The
lotesa) cwall oF
Noe along aoitta the ofesio

10
<br>

Otorhinolaryngology
Logbook as per CBME)

e
onjdle amd Supeai076 tuoloipt oitl ho
sespectiwe. meatus wese algo Covesed
Tae penings oF tae SinuLeL Blla
Ethmoidal is Uncmate Poocess infundilbulun
wese also Covesed.
The coith its ini ng
intesnal Nose cnd
Blood
Hhe NeVe Supey amd its function,
Supply and ympaatic caeTe
Dranage Cere
also ovesed.

WAQt Next
This kimd of Sessioms help Ud in
daselopig out ConMumicotion Skillg. Taic
also helos US in Covering the topic
a
and hawe. Betex Undezstanding

11
<br>

Otorhinolaryngology Logbook as per CBME

SDLTopie: Antrochomal Polye Date:


(SeminarMuseum study/Library study) 29|3\23
Name the Facilitator: Dr.
of
Mayar
Objective of the session:
To
hae inteactive Sesiom and
Conceptual leaóning.
Summary of concepts learnt (Q& As, Concept Map and Reflection):

What Happened 2

Today c0e had


Self Dixected leaning a
Segsiom
Depatnet
n Cohich u9e visited the ENT
museum amd ae Sauw the
Specimnen of the Aotaochoamol folup in
a
cut Section of head OndNect
So
Whct

We Saoo
aut
the
Specigen ohich Cas c
Cosonal Section im cohich we coexe
adble to Qppeiti ate
Nase Cavity we the folyp mside tue
leaned bloout the
Polye itS Defimitiom Cnd wlhat is a
Antrochoanal Polyp.
we
Then leasned what ase the Causes
its
Aetiologicad factoxs
Gsocoth and othex Chimical Feotunes
Synptomy cmd Sin ohich aon be Seen
Ptiet also leamned
X-ay Siqne ond
amd othex Imyesti ation&
Done fos the Dicgnosis

12
<br>

Otorhinolaryngology
Logbook as per
CBME

Je leasmed bous to
cife entiate
the Aotochoancl coede the ehrnoido
lye fxom the
Holyp Ihen c0e taugat hou) the
to eoutmentis Done and whot aoe tha
Complication. we D2Ie taglat about
methoo
the
Srogicl toet meot rctionod
Endoscapic SinuA Suage The Steps.
amo' how HS Done ama
o
tae complicatione
(ee desctoed to U8

2
wht Next
ws
This_ kimd OP SeSonl help in
Poactical knoledge amd OUs
developin
obsersuing &kil| The visualication helpe im
minds.
cleaaig Hhe Conceet in oK

13
<br>

as per CBME)
Otorhinolaryngology Logbook
Date:
Aodenoid
SDL. Topic : Tomsils and 12l4|23
(Seminar/Museum study/Library study)
Name ofthe Facilitator: Do. Poqjc
Objective ofthesession: SCss)on nd
To baue mteccive
Conceptual eaornin9Map
concepts learnt (Q& As, Concept
and Reflection):
Summary of

9
What Happenel
a sel£ DizectedENTleamning
Today CUe had we Visitee the
Session im ohich
mueuTn md ne Saw the
Depafment ademoid
Specimem of the Tonsils_ omd
conich oere
eSe Removed gically Foom fhe
Potient follouin Tonsillectåmy and
adenoideckomy

So what

Fast ue leasneal about the tomsill


3e leeNed the Anatomy of the Peelatine
ton sil oith its alood Supplyvenou
Daainaqe ymphatio
we
Dacindge and Nesue
Supply. Then leasned aliout difeset
fathalbaicul Conditins of ToDAils like Acute.
Chaonic Tomsillitg.

Then the Paocedue Of Tonsil


cohole
Rerrnoval iodicatiomi amd the
its 0Seol
instmets in it amd Complicationn
werse Covesed.

14
<br>

Otorhinolaryngology
Logbook as per CBME)

Alemoid Specimen coo


Them tHhe
Shouwed to Eiast we (eaoned alout the
Aolenoida te
then its
Anatomy of the
lolood Sueply Nerve Supply ynphatics
amd venous Docunage he-n ifS Difeserot
Potholoqy its Adenoid facies 0ese.
tauht
Then the Ademoidectomy its imdicotions.
Paoce elue
the metho useol in it the Conplicotions
C0ese Covesed.

Whot Next 2

Sessions help
his kind of in daelapng g

our Paacticod KAoledge aad the obseSV u

Bkills_ The viSualization belps


Semembering topio 0sily

15
<br>

Otorhinolaryngology Logbook as
per CBME

SDL Topic: Date:


Meinese's Disese
(Seminar/Museum study/Library
study)
3j5|23
Name of theFacilitator:
Objective ofthesession: Do. Neha
o
hoe am irotersactive Sesion ad
Concepthual leaoning
summary of concepts learnt (0& AS,ConceptMap and Reflection):

What tappemed 9

loday ue had a Self-Dizected eacming


session otthe topic of the MeinexelS
Diseese. To this oe had to qathes intonmcon
Hae
On
aad to
topic omd then GoroLeof af 10 People
Pseseot it im the Class
So what
o
this Sessiosn tae atthdogy amo
Mechonism Jay cohica it develops" ite
Aetiology an factos wexe
CorNes se0
ed Them the
Covesed.
Ter
The Casdlimal Sympton&
clinicad e
atuses.
feetuse
Episodic Vextigo luctuating
timnitus amd Pressuge ig in
Coese also delcoilbed in detail
To the Pas bXaminatiom
otoscopy
Nystagmus, Tumning fok tets usexe
Covesed aIn Iwesigation
plaih LOu) the Audiometoy
eealy atected Ther fseaueney
Then Hhe. the vaiat
16
<br>

Otorhinolaryngology Logbook as per


CBME)

Cote1aA 0exe also


amd the piagmo&tic
De scaibed
gene Tal measres
Io tretment fhe
management oF Acute AHack.
Poecautions
and chaomic Phase Phamacoloico wwese.
Approacn and Susical Pocedunel
desoziloed

whot Next
m

help 0g
This
o
Sessims
kMd ConOAuaication Skills_ asd
developing Knowledge oF the topic
\mpovise tae CioiCeel Practice
It caoill be heltu in

17
<br>

(Otorhinolaryngology Logbook as per CBME)

sDLTopic: Vocal Cosd


(Seminar/Museum study/Library
(alsy Date:
Name of theFacilitator:
study) 14|5|23
Objective of the session: D. DhsUvika
To hawe
Conceptual leaDmlmg
an
inteaacive ÇessiDn cnd
Summary of concepts learnt (Q&As,
Concept Map and Reflection):

what Happemed 2

Today cQ had a
self- Digected
Session on Hhe
toeic of theVoca4 Cod.
earonnirng
fal s 10 of Ous ClassmoteA
to aathex infomation of 02e52 made.
tae Aresent im the. Scame
cnd
front of Hhe
Clag

_So what
Io
this Sessiom Ast
the Neve Suppk
duction albot the muscle Baief intso
amd theiAcioos 03ed In Speech
Thero
falsy amd the classiticaton of Voco
the Cusey coese lavesea cosol
Thet Unilatera amd loilatemal
Palsy amd bila
nilateel momplete.
Cornplete Palsy wese cmd loilatea
headings Cavesed
OAetiolo9 Ondes the
PositioA of
and the ts OLtnent cspect of t,
Poeseattion had ae
Tables md
Dagmam

18
<br>

Otorbinolaryngology Logbook as per CBME)

wlhich helped US
in ndestaDding the
tooic bettes
We also tae Voice
leasned aoout ypes
amd Prore and
UndesStond
fine caole A9exe
loy

NexX+ 9
what
s
Ihis kimd SeesioMS belp
oE in
developng Commun ictioSkileOf
ndmpsoui Se tae knoledge the
ua Quo CliniCel
topce It w|| also help
<br>

Otorhinolaryngology Logbook as per CBME)


Home Assignment:

Sr. Date Topic for assignment Sign of Mentor


No.
Observer/Guide

CsoM

IT|5|23 Otoscleo0sis

3. 8|s|23 Deviated Nasod Septu n

4. 2i|6|[23 Nasophorygeal
AngiofibO ma

5. 28l6|23 Audiogam
6. 194|23 Nasal Polyps

Date Out of Marks obtained


Faculty's sign
10

20
<br>

Otorhinolaryngology
Logbook as per
CBME)
:
Home assignment Topic CSOM
Date:
Name of theFacilitator:Do. Mayur 1o|5\23
Objective of the session:
Tohaue itesa ctie SegsoM_ ad
Concep ual leaomin
Summary of conceptslearnt (Q&As, Concept Map and Reflection):

Tody C9e c0exe qiven the home.


Assigmment to (ite abowt Aetiology,
PattaogeneAistpe +
fecotuses ad Complicaion
Treatnent of the Chamic SiuppZtive
Otitis Media

So what
By
r cooiting Assignmet 0e got to kraw
now CsOM eyopswhat is the
mechamism,
oue
how Can differsentiate Tuhoympamic
Crond AtiCoountrad type, type oF Tyoapamic
membocse Pexpoation its Maagement
tyopamoplasty arnd the Complicatioe

What Next 2

us
Tais kined of Assignaents help in
daxelapin undesandin of al the
topics

21
<br>

Otorhinolaryngology lLogbook as per CBME

Home assignment Topic : OD ScleosiS Date:

Name ofthe Facilitator: Do. Saheb


Objective of the session:
too way comunicotion und

Summary of
iteracive lea3nng
concepts learnt (Q& As, Concept Map and Reflection):

what Happened)

meot 02 ccee qiven the home Assigm


loday
to coite aboit the
Patholog Climico
Ahal
Feetuses and
finding s amo deteil of
tae topic Otoscl aement in

So What

By coiting the
Assignmet we leaoned
its Detol We
Ne leorsneol how otoscleosis
Develops we
also learsned he cliniced
tion seseta
Tnyestigotiong to be Done like-unning
Fosk test TA HRCTetc hen coe also
leosnd about the suTgical Managerment
Staperdotomy its Steps, Uses Cootaaindication
arnd Complictions.
What Next

This kind of Sessions


crnd
help in leaaming the baics Assignmets
OS
ad to
Connunicates bethen Beaadim
them.

22
<br>

Otorhinolaryngology Logbook as per CBME)

Home assignment Topic: Deviated Nasal Sephrm Date:


all5|23
Name of theFacilitator: Drs. Dhauvika
Objective of thesession: and
D0 Day communicatiom
itesactiwe legoming
Summary of concepts learnt (Q& As, Concept Map and Reflection):

What Happened
home Assign
Todag (0e weTe qiven theAetiology
to Oaotie ahout the
types featuses Managerment amd
Deviate
(ornplications in detail of the
Nasal Septun

-So Whet2
to
Assigmment ae got
the
By coaiting
Knous the Aehalegy Spudeviatiom
difeserntiate it foo the
Dislocotion howto Nose. Also got to know
We
othey Conditions of
ClimicOl fecatures oitth cohica Patient
About its SubmuCosel
Rsesents amd Mamaement
Resection amd Septoplasty

9
What Next
v8 im
kimd of Assigoments help
This
mderstamd
the basic so thatCoe otheas
them and Comm Un'icete bettes coith
Regasding t.

23
<br>

(Otorhinolaryngology Logbook as per CBME)


A. Introduction to Otorhinolaryngology [Link]
Topic Competency Name of

Date
covered Teacher
[Link] to Otorhinolaryngology
Yes Do.kkR4
[Link] Taking
[Link] ofNose
yes [Link]
Yes Ds. AM
[Link] ofEar
Yes
[Link] ofThroat
Yes [Link]
24|23
[Link] lectures in Otorhinolaryngology
TOPICS
Competency Name of Date
covered Teacher
[Link] & physiology of ear,nose,
throat, head & neck EN1.1 [Link] ||23
2. The pathophysiology of common
diseases in ENT [Link] 24123
EN1.2
[Link] national programs for
prevention of deafness, EN2.15 Do. MD a|23
cancer, noise &
environmental pollution
4.0talgia
[Link] ofthe external Ear
EN4.1 Ds. AM |2|23
EN4.2 Do. kkR |u223
[Link]
EN4.3 [Link] 21]2|23
[Link] Ear
EN4.6 Do. AM 232/23
[Link]
EN4.7
[Link] Loss [Link]|3(23
EN4.12,
4.14, 4.15 DhouvikG
10.0tosclerosis
EN4.13 Do. AM 4|4|23
[Link] Nerve Palsy
EN4,18 [Link] 8\u|23|
[Link], Meniere's Disease, Tinnitus
EN4.19, DT. 25lu|23
4.20, 4.21 Saheb
13. Nasal Obstruction
EN4.22 Do. AM
14. Epistaxis 2|5|23
EN4.30 Do, MD
15. Trauma to the face & neck
EN4.31 [Link] |l6|5|23|
[Link]
17. Tumors of Nasopharynx
EN4.33
EN4.35 Do. AM 23523
[Link] ofthe Salivary glands
EN4.36 Do. MD
24
<br>

Otorhinolaryngology Logbook as per CBME)

Competency Name of Date


TOPICS
covered Teacher
EN4.38 [Link] 447|23
[Link] ||23
EN4.39 Do. AM
Tonsillitis
[Link]& Chronic EN4.42 |D. MD (8|7|23
[Link] ofvoice DR 25]|23
EN4.44, 4.45 Dr.
ofvocal cord Dr. PB |8|23
22. Diseases EN4.48
Emergencies
[Link] EN4.49 Ds. Saheb 2l|23
[Link] bodiesinthei air &
food passages Ds. AM 29]8/28
EN4.52
Oesophagus (Do. DR A1
[Link] of EN4.53
[Link] manifestations
ofthe ENT

[Link] Lectures
Competency Name of Date
Topic Teacher
covered
PY10.13 Do. KKR |a8|28
[Link] ofsmell and taste sensation Ds.
M
|l6|8|23
radiation and CM3.1
[Link] hazards of air, water, noise,
pollution.
D. AM 23|8|23
DE4.1
cancer that can affect tissues of the
3. Common types of

oral cavity

[Link] procedure lectures


Competency Name of Date
Topic Teacher
covered
Ds kkR 2u||23
[Link]/Tympanoplasty Yes
yes Do. MD 25](23
[Link]
[Link] Polyp
Ds. AM |26|7|23
[Link] surgery Yes Do. PB 24|1]23
[Link] gland surgery Yey Do. DR 2817|23
Do. AM 31|4|23
6.0ral cancer surgery Yey
[Link] (TONSILADENOID Yes
Do. Saheb||23
RESECTION)
[Link]
Surgery yes Do. MD 2|t|2

25
<br>

lo-Ju to 12-Aug lo3


(Otorhinolaryngology Logbook as per CBME
(Observations done by students during clinical postings)
A. External Ear Examination
Pt. Nane Age/Sex Ward Provisional Date History
Diagnosis
ENT CSoM |Ie|23
Rathva

Deviben G,F ENT ASoM &||23


A. Rabasi
wad
kesha GoM ENT Otitis 20|7|23
D.
Tadvi
efusion
Sumeet G5,M ENT
ohai fusuncle 25|23
wasd
Uyas in Exteona!
Ears

Signature of Teacher In-charge


B. Throat Examination
Pt. Name Age/Sex Ward Provisional Date History
Diagnosis
Devikaben 4o
Pote 24|423
ENT toamg
|ayesh 25J.
Maheta M
oasdTonsil 2|03

karntibhai 20 1,M Adenoid 4||23


Pate

Signature of Teacher In-char3


26
<br>

Otorhinolaryngology
1Logbo0k as per
CBME)

C. Nose Examination
Pt. Name Age/Sex Ward Provisional Date History
Diagnosis
Deepak I31, M

k tel faly?
Rayuis. 24 1,F 11|| 23
ENT DNS
chaudhg
|Rajesh 2| Y, M Allegic 3|8|23
Rathwa Rhinitis
Acyte |8|23
Tadvi Foontal
Šinusithis

Signature of Teacher In-charge


D. OPD cases Discussed

Pt. Name Age/Sex Location/ Provisional Date History


Room No. Diagnosis
Katibha 524, M Corscinoma (|23
of
Tadvi base of
Tongue
Jayes 4oy,M 14||23
ENT AsoM
Raoari oPD
Ayaylohai 921,M Acute 21||23
Suthar Tonsillitis

Signature of Teacher In-charge


27
<br>

(Otorhinolaryngology Logbook as per CBME

E. OPD/Trentment room procedures observed:


Pt. Name Age/Sex Location/ Provisional Date Name of Procedure
Room No. Diagnosis
Jayesh Acute 23
93 Y,M
Rathw Tonsllitis
ENT
Shantibe oPD
fsegn body 21%|23
Pasg of NOSe

ubo

Signature of Teacher In-charge


FWard cases Discussed
Pt. Name Age/Sex Location/ Provisional Date History
Room No. Diagnosis
kantiben 4Y,f
Robarsi ENT CsOM a23
Rayvi Wad DNS
S. chaudhng

Signature of Teacher In-charg


28
<br>

Otorhinolaryngology
Logbook as per
CBME)

G. Emergency procedures observed

Pt. Name Age/Sex Location/ Provisional Date Name of Procedure


Room No. Diagnosis

Signature of Teacher In-charge


H. Operation Theatre procedures observed
Pt. Name Age/Sex Location/ Provisional Date Name of Procedure
Room No. Diagnosis
|kiscrnldhai
thyooid 26||23
Patel
opesaton
Rekhaben
Porsnars 27, Theatie DNS 28 ||23

Kenubhai
85 Y, M Mastoidectom a| |23
ardya
plasty

29
<br>

(Otorhinolaryngology Logbook as
per CBME)

I.
Audiometry/Endoscopy:
Investigative procedures like

Pt. Name Name of Procedure


Age/Sex Location/ Provisional Date
Room No. Diagnosis
Naynaben 42 Y, F |26|4|23
Rathva Audiogam
Deepak 15 Y, M
Patel Ateior 2l|23
|Rhinoscepy
Rakesh 501, M
yoimgotomg 419l23
fate
Dejikalben 2+ Y. M
Indirsect a|s|23
VOsava

Rajvi 2u,E PastesioN


Choudhang Rhinoopy

Signature of Teacher In-charge


[Link] in out reach activities -Awareness cacamps
Date Place No. of Patient Organised by Name of
attended Teacher

Signature of Teacher
In-charg
30
<br>

Otorhinolaryngology Logbook as per CBME)


K. Instrument sccn and discusscd during clinical postings
Name of Instrument Uses
Boyle-Devis tonsillectomy
Moutth gag coitu
togue Depsessot
Tuvenile Nasophaayngeel Arngiof-ilbrona
-
Doalfiros Bipod Fos fixotion of Boyle Davi
Metalllc Stand
biPo o netolic Stand
Magaus Cro's hold Doaffins
Plate
Denis Boocone's To holod tomsil Duaig tomsillecomy
Tosil ttolol ing
Potcep
Molligos Tongil
Di sSectoo cco ith At.
to DiSset the tomgi|
Pllas RetsactoT
to visualire tonil\lard tos3 leeder
Eve's Tonillas L bleedimg t
Snare louser Pole of tornil|.
Burskitt's Tonsil Cotcn tho oleeders (n tomgil bed.
Aterg Foöceps
Negus Cursved Depth.
(igatse tie at the
Aoteoy FoBeps
St ccals ThomSon Shave of Adenold foom Naso pha gnx
Adenoid csete amd cage Prevnts it foom Slipping.
tu
coi Cage
Yarokaus •In tonsillectomyademoldectosny
Pheroynyeol
Suctioo tbe
Lack's Torngue Cos Exarmimatiom of oral avity.
Depoe8500
Doyen's Mouth opeatios of oal aNity like

Thudicun's Aotestoo RhinoScof


Naga
SPeculu pos Nasal pachirng
Nage Doesing
Foceps
31
<br>

Otorhinolaryngology Logbook as
per CBME
K. Instrument seen and discusscd during clinical postings....
Name of Instrment
Uscs
foeesls elevate mycopeichondotal
Elevatoa
Asch's Septu upuarrd i
forceps liting the
#
Reduction
Walsham's
Fosceps Distnpactimg # io Reductio,
Mastojd
RetoatO i0mastoicl Surgeg
MaceuDens
maltoid cursette Curette out inteyentng Septa
4 Cell
Seeke Explore ais Cell.
Ear speculum Exomine EAC amol Tympnic
memosane
killian Renaving mexillooy Coet
Crouge i
Septoplašta
Beckman Shave off ademoid Fo
Adenoid usette
coithout cae Nasofhersynx
+o Rermove boy t
Catiloginous
foscep Pat follouing Septoplosty SMR t
Toachesstomg -Lo
- toicheotorny
Cuf Psevent
Tulbe
Pressuseaspiation tue
&

Re&pioutloN
Lorgngeod for indizect
Missor
St Clas Thomson visuctizing deefpos
long
doslspeculun
Bladed
In Suogeoies fat of Nasal Cavity

fosehead
MissoT AoteoioT RhinoSco
Py.
OtoscoPe Exormirmaion
Iyrnpanic meoocme Cersal

32
<br>

Otorhinolaryngology Logbook as per CBME

[Link], Symposiums, Seminars and Workshops attended


Topic Presented/ Name of Date
Attended Presenter
Roll No15\323
Components of the Attended
oaldeyes Ring
Peitonsil lars abscess omd Attended 22\3|23
tonsillitig
Attemoled sl5|23
Deviated Nascl Septum

Arnatomy 4 Pwysiolo Atternded 35 |ls|23

Extesd tar Attenaled 24ls|23


Anaton
Auditaay athuy Attended 53 |124|23

Attemded I9|4|23
yogotomy

Voccu Co
Palsy Attended |26|4|23

Signature of Teacher In-charge

33
<br>

(Otorhinolaryngology Logbook as per CBME

DEPARTMENT OF OTORHINOLARYNGOLOGY
HISTORY SHEET
Name ofPatient:
Pkash Rau kat
Age/Sex:
2q yos Male
Occupation:
Student
Address:
vaghodiya
MRD/IPD No.
Chief complaints:
Eors Discharsge coith Poogresie
Decseased heaoing and tinitus Since
2
months.

DP:PIt oas Relatively asnptomohe blf 2 mosths.


Ear Dischaoge
No fou
Smellit
hasis mucopusulant Not
Blood Stained amd Scaty amouht.
Deatness :

It developed gradualliy oves 2


The
months.
Patient seus that he heos hette
of Dischage tnen ohen the in Presence
No Complain ot Dschage is Aset
Past History:
vestigo, Headache.
The Potient hao histoy of Sose
Oppers
thsooat cnd
Respito toact intection e 2
moths
ago and tseated fos the Samme

34
<br>

Otorhinolaryngology Logbook as
per CBME)
Personal History:
Diet: Mixed
Sleep: Adleuate
Appetite: Norsmal
Drug allergy:
Addiction: Tobacco/Smoking/Alcohol: NO

General Examination:
Pallor: (-)
Temperature: 34°c Icterus: )
Pulse: 4mi mm ofHg Oedema: (-)
BP: 120/88

Systemic Examination: )
AS:
RS:
CNS:
CVS:

Local Examination:
1
Ear
RIGHT LEFT

wOmal Skin pPeg rgnce


Preauricular region

Postauricular region
NO mal post ayn'culgT regiv)

Pinna GnolprotnsUn
(+} Dfs charge E)
External auditory canal

Tympanic membrane
(Otoscopicfindings) Right
Left
Far

E
E

Subtotay
Pesforatiom

35
<br>

Otorhinolaryngology Logbook as per


CBME)
TUNNNG FORKTEST:
LEFT
RIGHT
Rinne's test
AC BC (+vel
Bc> Ac (-ve)
Right
Weber's test
lateseised towards,
Absolute bone conduction
Same as Ex dmienesle
Fistula test -Ve
-Ve
Mastoid tenderness:
YES/NO
Nystagmus: YES/ N9
Facial palsy:
YES/
CNS sign: NO
YES/NO
2. NOSE
RIGHT LEFT
External shape NOrmal p4 nfo shape
Nasal septum/ DNS
im Cemtoe in Cetse
Nasal mucosa
NOmal mu cosa
Turbinate NOmal Stze
PNS tenderness
bsent abseut
Polyp seen on AR abset abeut
3. ORALCAVITYAND OROPHARYNX:

Lips: Hots t &


pn
Gums: NOM
Teeth:
816543 Q) |234S648

Buccal mucosa: Nomall


Hard Palate
Anterior 2/3 of tongue
Floor ofmouth
Retro molar trigone
Uvula centre Lo
Cation.
Soft palate Palat Blu
enre piar equal
36
<br>

Otorhinolaryngology
Logbook as per CBME)

Pillars
Tonsils visPbie
Posterior 1/3 of tongue
Post pharyngeal wall & PND NOmal

4. LARYNX
INDIRECTLARYNGOSCOPY
Meden GkeyoreigoiC fos
Epiglntts Membrarous
ocacod

False voca
cord
Aepglottik
Veatrci
vocal proces

Frachsa
Artencid
&

Posteteoid cornicuate cartuges

Naoel Cncar insAts

5. NECKEXAMINATION
NO abnoTmal sueLu ng noteol
fmph ode enl9 ge ment €)

Laryngeal crepitus: Pres et


CLINICAL PROBABLE DIAGNOSIS:
Safe CSom
Previous Investigations:
o
examinatOn by toscope

Auoliograrm

He- CT emporl bone

Signature Examining Doctor:


of

Designation

37
<br>

(otorhinolarvngology Logbook as er CBME


Feedback
received
of
learner
Initial
HA HP Hp
9

of date
Initial faculty KKR
MO
and AM DR
8 Ds. ro.

of Completed
(C)/Repeat
Decision
Remedial

faculty

(R) (Re)
7

(E)
expectations
(R))expectations expectations
(M)/Exceed

(B)Mects

Rating Below

M M M M
6

at Remedial
certification Attempt Only(F)/
activity
or Repeat

First
(Re) () F
dd-mm-yyyy

(|7/23 14|7|23
completed
||23 s1}23

Date
Skill

depsesssd
Exomination

Rhinogapy tet

foatk
tongee

otoscopà
Tumning9
activity
Antero
hoat

of
Name

Competency
addressed

2.0
2.0 2.0 2.0

#
2
No.
Sr. 2. 3.
1
|a.
40
<br>

Otorhinolaryngology
Loghbook as
1.Ánterior nasal packing (D):
per CBME)

What Happenedi
Todouy we had a qseot
Sessiom on the topic of
Nasa Packimq. AlL the
AlL the aspects

_So hwhat2
he entise Sezsiom ag
divided in
Subtopic& 1he Psocecuse
Ateigs Nasal Packina
Imdicotions cwese told to 03
We
cAese also Shoon fhe
Naue foxceps and Hastnam
toxcepS colhich ase uged foa tae
Puspose of Nao) Packing A] the Steps
like Cheaaing oF blot Clot Haen Stopia
the bleeding arnd usimg mbbom gauze
Soakee in
Packing
iaid aafm
the ´Nasal Cavhy
amd them
inhoota)
s
eticol Manne8 coese aeKed
oF
The Denongtoatiom the Same aOad
also Done

whct Next
n
Thls il] help 08 developing Shills
tohich Coil| he meeded duaing
Paactice
os clinia

41
<br>

as per CBME
(Otorhinolaryngology Logbook

2.0toscopy ():

5 What tappemed ?

tn todays
topic o
Session we leoMed the
otoscop We ceese Showm
the
Otoscope amd the oto SCopic EXamination
was Done on
us
the Patiemt and Six
Explalned all the things.
So What ?

IheEaotise Pocedue ceu Desnemstoted


fos us to Ddesstond. Position of
fos Exominotion Examinogs Patiet
Position 0exe
told hen
the instanethen Shon
ce
hos to hold
wexe
Pasition of eoro -
back oagd by
the otoscopelet nand
A of EXaminex, lholdng
Right ln hand
Theo aftes
ympanic
this the Stouctue of
memhaane ls viSualised The
Aepearaane e
fatholoAy wexe told to B

\hot Next 2

This Dill hele us


seloping the skillsim Undextonding q
taot will be Needed
Ainiod Paactice

42
<br>

Otorhinolaryngology
Logbook as per
[Link] Fork Tests: CBME)

Whot Happemed 9
In todays Session we learned about
the tunoing fook tests in LNT we

leasned alout the Rinne test webes


test Alosole Bonetest Concuction test
Schcneabach's

-So What2
Sessiom (32 legmed alout the
To thiús
Tumoing foak testsS
we
leasmed whica
freauencies foak are ne
tunninq fork ost.
Then wwe coene talo aoOut Ais Comdiction.
am Bome Canduction

how) to fbaform all the tests


we
least wese
by them om eahothexWe amd
Peforming the also 2ot
able to_exalucte tae tindinB netwepn
to know how to Diffeentiate
NDsGncd Hecaing Comduetive deafness.
Deafness amd mixed heaoing
Sensomeuoa|
loss.

whet Net
OUo Skille
This coilhelp 0s im developimg Climiced
Dhich ore Needed Dualng flae
Prsactice

43
<br>

Otorhinolaryngology Logbook as per


CBME)
[Link] examination by using tonguc depressor

What Haepeed 2

Sess)oo leaoNed
0e leaaned hou) to
todas
m

EXamn)ne tae thaoot by


Tomgue Depressos. The Psocedoe
we
Demonstaated to amd eveying
Explained.

So wat 2

Fist the Entise PoceolUse coas told to


US
then it (0a TDesnon&toated the
Patiet
os
The Paients Position Examins
itioS and hou to hold the tomque
Depxessox and hous to DepreS the toNgue
Cas Demomgtoated.

Then toe staUctures Seen ike Ton&ils


Postemios Phosyngea cUall. Onophasynx eAC
y
02se DelCaibed sis.

ug deueloplng aua
Jhis coil| help in
Skillk_ thot coil) be needeal Dalaing
meedel
CAinica Poactice.

44
<br>

(Otorhinolaryngology Logbook as per CBME

Feedback

received
of learner
Initial
HP HP

of date
MD
Initial faculty DR
and
Ds. Do.
7
(R)/Remedial

of Completed
(C)/Repeat

Decision

faculty

(Re)

expectations
expectations
expectations
(M)Exceed

(B)/Meets

Rating
Below
M
M
5 (E)

at (R)/Remedi

Attempt
activity Only(F)
or Repeat
(Re)
First
(
4 al

completed
ololityl&|23
23|e|23
dd-mm

Date
Yyyy

Prsoteduse

defend,Medico

Ssgica
commnicate discus

lDemon&tocte Patient

activity
identif, oith

of
#Name

to |andegal
2 to
Competency

addressed

3.3A B

9.3

46
<br>

Otorhinolaryngnlogy Loghaok as per CBME)


[Competency Acquisition
hETCOM Module: 3.3: The foundations ofcommunication -4 Date: 16|23
Competencies addressed
1
Demonstrate ability to communicate to patients in a patient, respectful, non
thrcatening, non-judgmental and empathetic manner

Activity Participatcd:

Wwht tHappened 2

Todoy
Today we had an AET OM Session
the topic how to commumicate cth
o

Im Respectfl. Non- thaeateMGning.


Poti ents.
noes.
Non-Judg-mental amd empcthctic
It waS
e
vey helptul session.

SO what

m SessioD c0e easnt how to


this
CoOunicate coith the cwesePotieots Ihe
Difenent Case Scenaaios_ Psesented
Hhe SCoeen and Siz a3ked
taeughts Potient amd we
the Doctoz Delt coith ye coould do n
uese also asked ohat
thot Situation

Then Atex neasng


us negandi m to
Pooyided guidane
onnunicetiong oith fahents

47
<br>

(Otorhinolaryngology
Logbook as per
Student's descriptive narrativeCBME)
ofskill acquired:

What Next
As
aroe
e cwe
the medice Lield
we should in DiagmDOSe
know how to DIgtion
txeet the Rtient butCosoYSDUmi Cation
iS also amimpotamt aspect SO
Needl to Impove ComMuolCation
Oud
Skills Om hou to Deal aith the
Patiernts in a
bettex ca

48
<br>

Otorhinolaryngology Logbook as per CEME)


Competency Acquisition
AETCOM Module: 3.3:The foundations ofcommunication -4 Date:
2323
Competencies addressed
as thev
1. Identify, discuss and defend, medico-legal, socio-cultural and cthical issues

pertain to consent for surgical procedures

Activity Participated:

Whet Happemed?

Today coe had on AETOMT leaxnimg


discsz
Sesslon on Hhe topic of identify -
Medíco-egal Socio Cultuaad
amd Defend
etlaical isSues cg Hhey Peatoaln to
and It s
Comset for Susical Poceduaes.
a weay &e sion
itretin9

So Whot
coe discusse about
ts -
In Session
cultuaal amd
the medico legalSocal
etaical iSSue This messeg albout bouw
to dea coith this kind a£ issue amd
tthat Pocceolue o

mhe Patient Ondesstand tis


given by
On be done coith Conkent C0QJ ANen py
Q
Role Play. Then Siz asked us to
Sumroncaize it.

49
<br>

(Otorhinolaryngology Logbook as per


CBME
Student's descriptive narrative of skillacquired:

What Next

Ce ase
AS
the medicol Field
n

(Oe sbDuld know Hhe clioiCo Aspect ou


he
Coounication Paot is also eaolly
lmpoatant ag
it helps in ConNeyiny
nessage to the Patient in bettex
So thot
they have Rigat infoxnatio
caA
Hegaoimg fheix Conditlosn omd Hhey Cam
haue the Right taeatmest
optione

50
<br>

Otorhinolaryngology Logbook as per CBME)


SVL Lab Activity:

Sr. Date SVLLab Activity details Sign of Mentor


No. Observer/Guide
Otoscopy
2. 20|7|23 Nasal endo Scopy
3. 26||23 Tndisect loyngo SCoP
u. 2|8|23
BoonchoScoPy
5. T||23 OesophagoscoPy

Date Out of
Marks obtained
Faculty's sign
50

52
<br>

Otorhinolaryngology Logbook as
per CBME)

SVLTopie : Otoscopy Date:


1H|7(23
Name of theFacilitator: Do. Atisha
Objective of the session:
Develop leasning oy demonstaahon.
Summary of concepts learnt (Q&As, Concept
Map and Reflection):

What tappenadg
Ioday e
had Lab demonst oatiom
ooscop ASe AIexe Shau the
the
instoument
topic oteso)to
amd Exarmime. Slon
Ma'am tthen
we
coeYe told to Dewntate
the Sane

So What2
The Etie Pxoceduse poas Demonstoated
to (s foom Position of Patient amd
xormines p method
of instauent
Inola
tae.
of Then
then Positiom menbroane Seen
Stouchge of ympamie
ly t 00Qs descibed. Its Normad amo
Appeaance esee desailoed
fathalogical

Wht Next
This coill hele wS amd
in undestonding
Skills taot (oill Needed
Developim the b8
CAinizal Paac tice.

53
<br>

Otorhinolaryngology Logbook as per


CBME

sVLTopie : Date:
Nase! Endoscop
2olt|23
Name of theFacilitator: s. RathuDala
Objective of thesession:
Develop leaming olemostoation
Summary of concepts learnt (Q& ÁS, Concept Map and Reflection):

What Happened
lodoy we had
a Lalb demosnstx ction
we
n
the topic of Nasa! Fndoscepy We ce9eXe.

Shouo he instomeot to we
Examime CAO Shoum. loy Siz qnel
CADeKe
told to DemnRtoate theSane

So What 2

s
The imdications and Eteps cexe.
told to tiaen jmgodmemt 0904 Shouwm amd
then the Stoetuses Nasal
Cavity ooeKe olescaibedi The latea) coall of s
Nose adong aith inferion, middle tuabrnate
ameats cweKe Shoum amd Sigoifeicance
of them in SiUA Susgey cwese told to
S.

What Next
This kind of Session& help 8
Im
deuelapin the
UndestendingOuKandClinicQ Skillis
Meeded im Prsactice,

54
<br>

Otorhinolaryngology Logbook as per


CBME)

sVL Topie :
Tndrect loaymgoscop Date:
26|23
the Facilitator Dro. Mayuo
of
:
Name
Objective ofthe
session:
Develop leaanimg by demomstaatio"
Reflection):
Summary of concepts learnt (Q&As, Concept Map and

?
Whet Happened
had
a
lab desmonstoction
Tocday Ue
Tndinect layngoScop
Shonn the weimdme nf ¢Demomstae
AICAS
ese told to Do the
tios
Sense Sin
2
_So Whet
anod Diagrnastic ndications
The Theagpeutic
ootoaioicotion Paoceduse "DO tod to
and ccoas Sbow thesn Afes
US
aod ntounent StaUctuoe Seen though
Den ornstocttion the Zpiglottis allecula
indirec layngoscopy folols Toue VoCal
Aagepiqlotho fald etibulas Coomiculate
(osds PiaifoN fosse Aytemoid
Coratilage ewee Shoun to 08,

This kind of Sessiong help


rodeastandimg amd daelopinog the skills
ou climica Pectice
ded in

55
<br>

(Otorhinolaryngology Logbook as per CBME)

sVLTopic:
Booncho scopy Date:
Name oftheFacilitator: 2||23
Do. fooja
Objective of thesession:
Develop leaomin9 by
Summary of
Denonstoation
conceptslearnt (Q&As, Concept
Map and Reflection):

Wht Happened
Tocag C0e had a la_demnstoutim
On the topic of isnciest BAMnchosCOpy
(weKe_Shoum the insttiment Deiom&aa
tio CasDone ASe CPxe tolo todo
the Senne Sin.

So Whot

The
indications omd ootsaindication
OF the Poocedusewese told to US ad
the
instumet uged CYQTO
Shoum to usThen
the Denom toatin oE the &touctes Se0n
Then how to Check Aixtway
and Ay Abmernality ox obstrouction i it
(2as to US
told

Whot Next 2

This kind ot SessionA help


Undestanaing and developing theI2 Skills
in
Needed ins lroicod Paactice.
CAknicd Pactice,

56
<br>

Otorhinolaryngology Loghook as per


CBME)

sVL Topie: Oesophago Stopy Date:

ofthe Facilitator:
Do. Dhrouvik
Name session:
of
objective the
leasning by
Develap
DemomStoate Reflection):
Map and
Summaryofconcepts learnt (Q&As, Concept

whet Happened
a
lao deOmstaatiom
Todoy cwe hadDphagoScapy we
ceKe
oeA
) the topic of 4
Shouwm the
the instunment
cwe wOesp to llto Do the

Ca done and
Same loy

?
whet
So Contaanndicationk
and
The indicatiomsese tolo to aod w

with the PoOceduse ot


we ccOeTe
t cOOs Done
dermom&toatío peamd the
the ESophago Scope
ShoLem the Caicopnnge
Inpoztat lanomak like
Sphimcters Aota tocchea
anc carodiac end of esphagus

Wht Net
oE Sessicons help
u8
in
Skills.
This kind the
ndexstanding ooddexAoetice
and dexeloping
Needed inSus climica

57
<br>

Otorhinolaryngology
Logbook as per CBME

Research:
Sr. Date Sign of Mentor)
No. Research topic learnt
Observer/Guide

1. 12|4|23 MastoldectomA
2. 21|6|23 Septoplay
3. 26||23 Tomsillectomg
|G23 Tunos of Nasophag
23|8]23 Sphenopalatie fossa and
its Contemt

Marks obtained
Date Out of
Faculty's sign
20

58
<br>

Otorhinolaryngology Loghook as per


CBME

Rescarch Topic :
Mastoidectony Date:
12l4]22
Name of theFacilitator: Do. Mayus
Objective of thesession:
To Deelop selFleeanrg Ekills
have thnouh knaledg of topic
Summary of conceptslearnt (Q& As, Concept Map and Reflection):

What Happened
Tody coe had a Self Dizected lenina
im cohich the Students COese ronade to
Psesent the topic of nnastoldeckooaci
mastoldectog
the mnateriod they Collecteo cohile
fox the topic

Oux batchmate Covesed tthe cohole


topic oE Mastoidectoy coith its Definition
-
and types Coati cal, Radical modified Radical
its ohole Pooceduse and the Complications
oond othex Signticemt Details. It cHas
Explained in a Maanes

what Next ?

This help us.


kind of Sessiond
irmpoving oua thimkimg and aoay of to
Commmnumicatiom This coill be klefu
Poactice.

59
<br>

(Otorhinolaryngology Logbook as per CBME

Research Topic:
Septoplasty Date:
21|6|23
Nameof the Facilitator: Do. Dhauvika
Objective of the session:
To DeNelop
haue
Self- (eaning Skills and
Summary of
tOuh knoole de of topic
conceptslearnt (Q&As, Concept Map
and Reflection):
What
tappened
Today we a
had self Dizected
feersnie lnttae ohich
Pxeseted topic of Septoplasty by Hhe
mateaiol they Collected ohile Rse Ošchinq
Fos the topi

So
whot

Tody 9e
had leanned about the
All aseect of Septoplalty Fxplained by.
Ous classnates Thig imcluded the indication,
Whole Pro ceduse, inaoymentS USed
the Contoandicetion Psecqutions We alsoin it oanmd

4ot tohow it is
knouw
SuomucOsal Resection.
difeai fsos te

What Next2
This kind ot Seksio
our Thinkmg help 8
in
impoovig nd coay of tne
CommuniCatiom.

60
<br>

Otorhinolaryngology Logbook as per CBME)

Research Topic: "lomsillectony Date:


26||23
Name of the Facilitator: Ds. Scalheb
Objective of the session:

Deelop SelÊ - leaming


To Skills cund

have thaough knoledge oftopic.


Summary of concepts learnt (Q& As, Concept Map and Reflection):

Today we had a Self Diected o


leaoming im cihich ONe Of OLAS Clagsmete
o
Pxesented the topic Tomsillectomy lay the
moteaial they Callected cohile Reseaadlin
fox the topic.

So What

On of ous batchmate Covese the


daole topic of Tonsillectomy t imcuded
the omal Tomsi| Aoatomthen Tonsillectomy
coithits indicoctions Poocduse AL the
Instouments Vged Omd method coith the
1 Video of
Complication af
H

u
At the end
the PrOcedoe also hept cohich helped
OS
io viSual ising the cohole [Link]
a Poesentotio

Whot Next

This kind of SessiDns belp US


ou
fn
npovîng Thiraking and
fhe Counicehon

61

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