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house old

Old house down the Melancholy street


Littered rooms that echo in emptiness, the dimness that encroaches everything that enters into the room like a seductress, the old lamp and it’s struggle to keep things safe here and those cracks on the …

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Clinical Cases

Medical case reviews and peer comments, discussions and hot debates, Spot medical case diagnosis and interesting case pictures and videos.

Clinical Medicine

Diseases and medical conditions that we face in clinical practice, Bedside classes,clinical skills and approaches to diagnosis and management.

Emergency Medicine

The Real Emergency Room scenarios, cases and topic reviews. Medical emergency conditions – approach to diagnosis and management.

Medical Students

Medical topics- easy to understand, conceptualize and remember through simplified texts, mnemonics, images, flowcharts and tutorial videos


Between life and death- Your success stories, writings, experience, ideas, innovations and medical life. Interviews, news reviews and analysis.

Medical Students »

Complications of Long Term Dialysis


A) Cardiovascular complications

1. Exacerbation or Precipitation of CHF – Voluminous AV Fistula

AV shunting → Decreased TPR → BP fall → Sympathetic stimulation & RAAS activation → Ventricular remodeling → Heart failure

Several studies have investigated the cut-off fistula access flow that is associated with a higher risk of high-output cardiac failure, with results ranging between 1.5 and 2.0 l/min

Requires surgical management of AV defect

2. Vascular and Cardiac calcifications – Read the full story »

Management of Puerperium

lactational amenorrhea mechanism

Normal puerperium has been already discussed earlier here.
A) Immediately after labor within 1 hour

Blood pressure and heart rate atleast every 15 minutes
Monitor amount of vaginal bleeding
Palpate fundus to ensure amount adequate contractions (if relaxed – …

Normal Puerperium Made Simple

cervical os puerperium

Definition of Puerperium: Period following childbirth during which the body tissues, specially the pelvic organs involute i.e. revert back approximately to the pre-pregnant state both anatomically and physiologically – and lasts 6 weeks or 42 …

Multiple Myeloma : Quick Approach

multiple myeloma features

Plasma cell dyscrasia refers to an abnormal proliferation of plasma cells that usually secrete a monoclonal immunoglobulin.
Features vary among various conditions:
Mnemonic: CRAB Infection
1. Calcium increased:



Mnemonic based approach to grading and planning treatment for BPH

diaper adult

During the last 1 month, how often/many times you had to –

1. Frequency: Urinate again <2 hours after you finished urinating ?
2. Urgency: Difficulty in postponing the urine ?
3. Nocturia: Get up to urinate …