Dr. Akshansh Prasad

Permitted v/s Recognised Status by MCI

Many of the students don’t know the difference between the two tags given by MCI now NMC to the Seats in Various Medical Colleges.  These two tags are namely ;  1. Permitted  2. Recognised  A “PERMITTED SEAT” is any MBBS or Post Graduation (PG) Degree/ Diploma seat in which the colleges are permitted by the MCI to take admission of students for the allowed course. But , the College or the Institution lacks the recommended infrastructure , facilities or faculties that is required in correspondence to the seat intake by the institution as per the guidelines drafted by MCI.  So, the MCI allocates time to the College or Institution to develop the required necessary infrastructure and facilities . Upon revision if the institution fulfilled the required necessities then MCI labels the seats as “RECOGNISED SEAT“.  Generally , In most of the cases The MCI recognizes the seat within 3 years after making the seat permitted , But if the  institute doesn’t have enough faculty, facility or the infrastructure required to meet the standards or norms as stipulated to satisfy MCI inspection done on the institute. If application of recognition is rejected by MCI, institute can again apply for recognition of the seat after improving its facilities and offer for inspection to the MCI. If MCI is satisfied with improvements done by the institute to it’s faculty, facility or the infrastructure on re-inspection, it gives RECOGNISED status to that seat which was earlier PERMITTED. So , This was the whole theory aspect of the terminologies but Does it impacts the students in any way ? Let us understand that below with context. Q. Difference between Permitted seat to that of a Recognised seat ?? Let’s know that , If a student has completed his/her UG/PG in a “MCI Permitted Seat” but not a MCI recognised seat , he/she can only practice in the state in which the institute is located whereas the student passing out on a “MCI Recognised Seat” is allowed to practice anywhere in India.  For example a student has done his UG/PG Degree from an institute in Uttar Pradesh which has a seat which is MCI permitted but not MCI recognised then that student can only practice in Uttar Pradesh and not in any other state in India. But If that seat gets recognized by MCI in future then he can practice anywhere in India.   So , to Summarise the whole Subject a student who has done MBBS/PG Degree or Diploma from a MCI approved seat cannot practice outside the state of the institute and those from MCI recognised seats can practice anywhere in India.

Skin Lesion and it’s types

Skin Lesions are the anomalies or findings that are not normally seen in a normal individual and indicates towards some sort of underlying disease or pathology.  Skin leasions can be found over the epidermis , dermis or mucosal surfaces anywhere in the whole body surface present in direct contact to external environment.  These lesions can be divided into three categories :- 1. Primary Skin Lesions  2. Secondary Skin Lesions 3. Special Lesions   1. PRIMARY SKIN LESIONS :-  These are the initial or non-modified lesions. These lesions can be furthur classified into –  a) Flat , Non Palpable lesions ; when size is less than 1 cm then it’s called Macule if larger then it’s a patch.  b) Circumscribed  , solid , raised lesions ; when size is less than 1 cm then it’s called Papules , when larger than 1 cm it’s reffered as plaques , if the lesion also have depth in it then it’s named as a Nodule.  c) Clear fluid filled lesion ; when size lesser than 1 cm it’s called as Vesicles and if larger then it’s called Bulla. d) Pus filled lesion ; when smaller called as Pustule , if larger and deeper then called An Abscess.  e) RBC extravasation over (Skin or Membrane). If less than 2 mm called as Petechiae , if between 2 mm to 1 cm named as Purpura , if larger then named as Echymoses .  f) Wheal ; is the term given to itchy , erythematous ,Transient evanescent plaque .  2. SECONDARY SKIN LESIONS :- When the primary lesion gets modified either by Treatment , Scratching or evolution of diseases.   a) Scale ; visible exfoliation of stratum corneum b) Crust ; Dried exudate such as Pus / Blood / Serum on skin surface   c) Erosion ; Focal or Complete loss of epidermis.  d) Ulcer ; Loss of epidermis alongside partial or total loss of dermis and Molecular Death of the involved layers.  e) Fissure ; Linear deep clefts or Cracks on the skin.  3. SPECIAL SKIN LESIONS :-  These are lesion seen only in certain kind of disease or disorders .  a) Target Lesion – seen in case of Erythema Multiforme .  b) Burrows – these are seen in individuals infected by Scabies as the parasite creates these burrows and serpigenous tunnels as their habitat over the skin.

Skin – largest sensory organs

Skin being the largest sense organ of the body among the 5 sense organs namely Vision , Hearing , Taste , smell and Touch.It weighs about 4-5 kg and comprises of about 16% of the body weight.Outlines the whole outer body by covering an area of around 1.7 m² (approx). Skin can be divided into 3 layers namely Epidermis , Dermis , Hypodermis. FUNCTIONS :- 1) It acts as a barrier in function by stopping all the external agents such as Bacteria , Viruses and other antigens present in the environment from directly entering in the body and disturbing the internal Homeostasis. 2) It also functions to provide the colour that every human holds via its EMU (epidermal Melanin Units) present in epidermis.One EMU consists of one melanocyte supplementing melanin to 36 keratinocytes.The number of EMU are same in all individuals around the world. It is the activity of the units which decides the skin colour of an individual. 3) It also functions as a sensory organ in the body with the help of some specialised cells and bodies . The sensory modalities percieved by the skin are Touch , Pressure , Vibration , Pain , Heat and Cold respectively. a) Touch – percieved by the Meissner Corpuscles.b) Thermal Sensation – percieved by Ruffini’s Corpusclesc) Pressure and Vibration – percieved by Pacinian Corpusclesd) Pain – percieved by free nerve endings.

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