Pdf Verified: Ghanshyam Vaidya General Practice

| Situation | Textbook Answer | Vaidya’s Practical Tip | | :--- | :--- | :--- | | Dengue with thrombocytopenia | Monitor platelets, transfuse if <10,000 | Do not transfuse unless active bleeding. Give papaya leaf extract (though controversial, he documents traditional use). | | Scorpion sting in a child | Supportive care | Give prazosin STAT – it reduces pulmonary edema and mortality. | | Unconscious patient in ER | Full workup (CT, labs) | First check – pupil, glucose, pulse, breath odor. Exclude hypoglycemia, opioid overdose, and ketoacidosis. | | Chronic low back pain | MRI, referral to orthopedics | Red flag screening – only if neurological deficit or trauma. Otherwise, NSAID + physiotherapy. |