Dr. Shamol
Internal Medicine Specialist & Clinical Educator
Everything Dr. Shamol Offers
Recent Clinical Case Studies
Recurrent Syncope in a 58-Year-Old Male: Unmasking Complete Heart Block Behind a Normal Resting ECG
Three episodes of sudden loss of consciousness without prodrome over two months. Resting ECG unremarkable. 24-hour Holter revealed complete AV dissociation with 3.8-second pauses. The diagnostic journey from Adams-Stokes attacks to permanent pacemaker implantation.
Prolonged Fever of Unknown Origin in a Diabetic Male: The Unsuspected Vertebral Osteomyelitis
A 55-year-old diabetic male with 6-week fever, back pain, and markedly elevated ESR (118 mm/hr). Blood cultures negative. CT spine revealed L3-L4 endplate destruction. Staphylococcus aureus isolated on CT-guided biopsy. Challenging diagnostic workup and 6-week IV antibiotic course.
Chronic Cough with Haemoptysis in a 38-Year-Old: Distinguishing Smear-Negative Pulmonary TB from Lung Malignancy
Three sputum AAFB smears negative despite 3-month cough, weight loss, and night sweats. HRCT showed a 3.2cm right upper lobe cavitating lesion with satellite nodules. Bronchoscopy washings grew MTB after 3 weeks. Critical decision points in smear-negative TB vs. squamous cell carcinoma.
Qualifications & Experience
"Clinical medicine is neither guessing nor rote memorization. When you grasp the bedside pathophysiological mechanism, every physical sign and viva counter-question answers itself with clarity."