Background: Medicine is considered to be a stressful profession particularly during post graduate years. Stress is also linked to various diseases such as Hypertension and Diabetes etc. Hence, understanding stress is important. Objectives: to study the prevalence of stress among final year post graduate students using a screening instrument and to study the association of stress with certain academic and socio demographic characteristics. Methods: This is a cross sectional study done on all final year post graduate students of all specialties covering both M.D and diploma candidates who are willing to participate in the study. A total of 71 study subjects were chosen. It was conducted in Kamineni Institute of medical sciences, Nalgonda district from 15th August 2013-10th January 2014. Kessler 10-item psychological distress scale (K10), a 10 item questionnaire was used to collect data regarding stress. Results: The mean Kessler score obtained for the study population was 25 with a standard deviation of 6.74. This falls under the category of moderate stress according to Kesslers scoring. No statistically significant association was found between stress and gender, type of specialty, degree/ diploma. Marriage is found to significantly lower stress levels. Conclusion: Study shows that stress among post graduate medical students is high. No statistically significant association was found between stress and gender, type of specialty, degree/ diploma.

The complications in the post partum period can be varied and sometimes devastating. Venous thrombosis is one of the most common post partum event followed by metabolic abnormalities. Here we discuss a patient with hypernatremia, rhabdomyolysis and CSVT occurring during the post partum period.

Medullary carcinoma of thyroid (MCT) is a rare neuro-endocrine thyroid malignancy, which is associated with specific supportive diagnostic markers. Despite this, its cytological diagnosis is often difficult. We report here a case of MCT in a 57 year old female presented as tinnitus. The diagnosis was established on ultrasound guided FNAC (fine-needle aspiration cytology) and high serum calcitonin and confirmed by histopathology & immuno-histochemistry.This case is reported to highlight the presentation of this rare thyroid tumor and to emphasize the need for meticulous clinical examination and high index of suspicion to diagnose it and to rule out underlying multiple endocrine neoplasia (MEN) association.

Dandy walker syndrome is a rare congenital malformation that involves the cerebellum and fourth ventricle. It is characterized by agenesis or hypoplasia of cerebellar vermis, cystic dilatation of the fourth ventricle and enlargement of the posterior fossa. Dandy Walker Malformation is a condition which can be effectively diagnosed by imaging modalities, especially in antenatal period with a proper antenatal checkup and sonography