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house old

Old house down the Melancholy street

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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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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.

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

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

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

Emergency Medicine »

Status Epilepticus Made Simple

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TERMINOLOGIES

1. Seizure: Abnormal or excessive neuronal discharge causing a transient disturbance of cerebral function.

2. Epilepsy: A condition characterized by recurrent (≥2) unprovoked seizures.

3. Status Epilepticus (SE):

a. Conventional definition: 2 fits occur without recovery of consciousness in between or a single fit lasts longer than 30 minutes with or without loss of consciousness. The rationale behind the time limit of 30 minutes is that – irreversible neuronal injury may occur after 30 minutes of seizure activity.

b. New ILAE task force definition: Read the full story »

Peripheral Neuropathy Made Easy

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peripheral neuropathy

Step 1: What system is involved – motor, sensory, autonomic or mixed?
a. Sensory involvement:

Positive neuropathic sensory symptoms (PNSS) – suggest Acquired polyneuropathy

prickling, tingling, asleep like numbness

Pain – suggest Small fiber neuropathy due to toxic, metabolic, …

COPD made Easy

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drug treatment of copd

DEFINITION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
According to GOLD, COPD is a common preventable and treatable disease characterized by:

Persistent airflow limitation (Post-bronchodilator FEV1/FVC < 0.7), usually progressive (excludes Asthma)
Associated with enhanced chronic inflammatory response in …

Urea Cycle : Mnemonics

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urea cycle

Mnemonic: Orange Cola, Coffee, Alcohol of Argentina For Aggressive Urine

Orange: Ornithine
Cola: Carbamoyl Phosphate
Coffee: Citrulline
Alcohol: Aspartate (enters cycle)
Argentina: Arginosuccinate
For: Fumarate (leaves cycle)
Aggressive: Arginine
Urine: Urea (leaves cycle)

Electron Transport Chain (ETC) and Oxidative Phosphorylation : Mnemonic

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mitochondria glucose catabolism

General concepts of ETC and Oxidative Phosphorylation:

1. Occurs in mytochondrial matrix: Glycolysis, Kreb’s cycle
2. Occurs in mitochondrial inner membrane: ETC – Stepwise movement of electrons from high energy to low energy that activates proton pump which …