An Excellent, informative Work Book for Medical Students

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Compiled and Edited by Prof. Eice Mohammad

An Excellent, informative Work Book
for Medical Students

SIALKOT: Prof. Eice Mohammad FCPS, MA (History) is a well-known healthcare profession in the country. In his early days, he was a leader of the Pakistan Doctors Organization and struggled for the rights and improvement of working conditions for the young doctors. At times, he had to pay a heavy price and face music for his activities. One may differ with his strategy and ideas at times but the fact remains that he is a humble, simple, God fearing, contented person who is not at all infected with the materialistic virus like many others in the medical profession. Yet another quality of Prof. Eice Mohammad has been that he has never opposed his transfer and was always willing to serve wherever the Government of Punjab posted him. The result has been that he has been Principal and Prof. of Medicine at Quaid-e-Azam Medical College, Bahawalpur, Allama Iqbal Medical College Lahore, Sheikh Zayed Medical College Rahim Yar Khan, and Sargodha Medical Collegeat Sargodha.

Prof Eice Mohammad also served as Prof. of Medicine at King Edward Medical College Lahore, Principal and Prof. of Medicine at Akhtar Saeed Medical and Dental College Lahore and was now working as Professor of Medicine at another private medical institution, Islam Medical College, Sialkot. He has also served as Dean of Academics, University of Health Sciences Lahore. Hence, working at all these public and private medical colleges, he has gained lot of experience of the problems these institutions face and how to manage them, what are the feelings of the medical students and young doctors, postgraduates as well as faculty members.


Prof. Eice Mohammad

A turning point in his academic career came when he thought of compiling and editing a Work Book for the Medical Students of which Third Revised and Updated Edition has been published in 2015.  Writing in the Preface, Prof. Eice Mohammad says that “since my student’s days in MBBS, I had a desire that a comprehensive history writing book should be available for the medical students posted in Medical Wards”. He knew its importance and utility, hence when the time came, he decided to accomplish this task himself making use of his varied experience and benefitting from his teachers as well as colleagues. The result is an excellent, informative Work Book for Medical Students which they would find of immense help and benefit.

Clinical Skills are extremely important but unfortunately not many faculty members these days teach it to the students. It is generally believed that after good history taking and appropriate physical examination, one can make correct diagnosis in almost 80-85% of the patients and it can be further confirmed with the help of laboratory investigations and imaging facilities. In nervous system, historytells what is the lesion whether congenital, vascular, neoplastic, inflammatory, degenerative or traumaticwhile the examination of the patient will reveal where is the lesion in nervous system. While compiling and editing this Work Book, Prof. Eice Mohammad has generously benefitted and taken illustrations, diagrams from various sources which all have been acknowledged keeping up the professional ethics. He has also added some of his own clinical collections of photographs and all this make it extremely useful and easy to understand for the students. Visual impact of illustration, photographs supplemented with the text would prove of immense help for the readers.

This Work Book has provision for writing Ten Case Histories and it covers comprehensive details from presenting complaints to history of present illness to systemic inquiry, treatment and its goals, past history. It covers general physical examination,  systemic examination including  nervous system, Skull and Spine, Sensory system, Reflexes, Cerebral system, CSF examination, Palpation, Percussion, Auscultation, ECG, Respiratory system, Alimentary system,  Examination of the abdomen, Examination of musculoskeletal system etc. Hence any medical student who has completed writing ten case histories can very well master this art and won’t find any difficulty in his clinical practice later in his professional career. However, the problem is that not many medical students these days are interested in writing case histories.

The Work Book also gives comprehensive details of Pattern of Fever, illustration of rash in chickenpox and how does it differ from rashes from smallpox. The students can clearly understand the difference. One of the pictures form his personal collection shows engorged and dilated veins on the anterior abdominal wall in a patient of cirrhosis of liver. It also gives normal values in various laboratory investigations. Also covered in the work book are grading of reflexes, grading of hypertensive retinopathy,  staging of diabetic retinopathy, Grading of murmurs, Signs of meningeal irritation,  illustrations showing  cutaneous sensory loss,  different types of strokes, cerebral thrombosis, Clinical pattern of Stroke  due to cerebralIschemia, Criteria  and causes of clubbing of fingers, Causes of  Palmar  Erythema, pictures depicting various rheumatic disorders, Causes of Atrial Fibrillation, New York  Heart Association Functional Classification of Severity of Heart Disease, Canadian Cardiovascular Society classification system for Angina Pectoris, detailed information about risk factors and criteria for ideal cardiovascular health, Fundamentals of diagnosis of Myocardial Infarction, Criteria for diagnosis of Rheumatic Arthritis, Rheumatic Fever, Causes of  Melaena, Bleeding per Rectum, Hematemesis, difference between Amoebic and Bacillary Dysentery, details about Anemia’s, Causes of Exudative and Hemorrhagic Ascites, causes of Enlarged and Tender Liver,  Causes of Generalized Enlargement of Lymph Nodes, Massive Hepato-Splenomegaly, biochemical differences between three Main Clinical types of Jaundice, Practical Tips for auscultation of Heart, causes of Bronchial Breathing, Causes of Left Ventricular Failure besides Risk Factors for Coronary Artery Disease.

The First page in the Book gives guidelines to the students how to interact with the patient. It rightlylays emphasis that they must give utmost respect to the patients, first introduce themselves and then ask for their permission to examine them. Whatever details the patient shares with them about their disease should be kept confidential. While Examining and interrogating the patient, always stand on the right side of the patient but left handers, can stand on left side for their convenience. The student have also been advised to tell the examiner if they are left hander so that they do not suffer in the examination. He has dedicated this book to eminent medical personalities and have also acknowledged some of his teachers and Mentors like Late Prof. Bashir Ahmad an eminent Neurosurgeon who was the pioneer of Stereotactic   Surgery for Parkinson’s disease in Pakistan. He has also mentioned about his elder brother Nemat Ali who he says, “nurtured in me the love for humanity and never urged me to amass wealth out of misery and disease of ailing human being”.  Other Pakistan eminent medical personalities he has acknowledged in the book include his teachers like Prof.Abdul Rauf khan, Prof. Akhtar Khan, Prof. Alamgir Khan, Prof. Hayat Zafar, Prof.M.Ibrahim from former East Pakistan who was Director and Prof. of Medicine at JPMC Karachi when he was a postgraduate student there, Late Prof. Zaki Hassan and Prof. Hassan Aziz from whom he learnt Examination of the Nervous System. In this revised Third  Edition he has also included”some  religious perspectives about the status of medical profession and writings on finer human values with an aim of personality building of young doctors in the making so that they consider themselves as servants of ailing humanity.”

In an era where self-directed learning is being given too much importance, the medical students will find this Work Book extremely helpful, highly informative for which the efforts made by Prof. Eice Mohammad to compile and edit all this useful information needs to be commended. After going through this book, a different academic personality of Prof. Eice Mohammad emerges. Hence, it is not at all surprising to see why the Government of Pakistan thought it fit to select him and nominate as a Government representative in the reconstituted Pakistan Medical& Dental Council. Any effort by the Pakistani physicians in record keeping, writing and publishing thereby helping the healthcare professionals and particularly the young generation of doctors is praiseworthy, hence these few lines of admiration for Prof. Eice Mohammad whom I have known now for almost over  thirty five years. SAJ

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