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Mnemonics, Simplified Concepts & Thoughts

Emergency Medicine

Pulled elbow reduction

Epomedicine, Apr 6, 2020Apr 6, 2020

Synonyms: Nursemaid’s elbow, Radial head subuluxation, Elbow subluxation Age: Commonly 1-4 years After 5 years of age, the attachment of the annular ligament to the neck of the radius strengthens Enlargement of the proximal radial epiphysis with growth may also improve stability Presentation: History of pull may be absent in…

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PGMEE, MRCS, USMLE, MBBS, MD/MS

6 Ps and 3 As of Compartment Syndrome

Epomedicine, Apr 6, 2020Apr 6, 2020

Clinical features A. Adolescents and Adults Mnemonic: 6 Ps (by Hargens and Mubarak) Pain (may be absent in cases of nerve damage): Pain out of proportion to other physical findings (requiring increasing analgesic requirement) *: Earliest symptom Pain on passive stretch of the muscles in concerned compartment * Low sensitivity…

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PGMEE, MRCS, USMLE, MBBS, MD/MS pediatric fractures

General Principles – Pediatric Fracture Management

Epomedicine, Apr 4, 2020Apr 4, 2020

Children are not just mini-adults • Higher head to torso ratio: Head injury & Upper C-spine fractures • Light weight – projectile when struck • BSA to Wt. ratio – higher (rapid hypothermia) • Large cardiopulmonary reserves – normal SBP in significant hypovolemia Growth contribution by Proximal & Distal Physes…

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Blog

DIY N95 Mask

Epomedicine, Apr 3, 2020Apr 23, 2020

With the ongoing pandemic of COVID-19, world is facing an acute shortage of surgical and respirator masks. And along with this “face mask movement“, globally “face mask making movement” has also started. Fabric materials may provide only minimal levels of respiratory protection against virus-size submicron aerosol particles (e.g. droplet nuclei)…

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PGMEE, MRCS, USMLE, MBBS, MD/MS Hernia basics

Hernia – The Basics

Dr. Vinay Kumar Parepalli, MS General Surgery, Apr 3, 2020Dec 7, 2022

“No disease of the human body, belonging to the province of the surgeon, requires in its treatment a greater combination of accurate anatomic knowledge, with surgical skill, than hernia and all its varieties.” – Sir Astley Cooper ‘Hernia’, a word derived from Latin for ‘Rupture’, defined as the unusual protrusion…

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Emergency Medicine

Kaplan’s Lesion : Complex Dorsal MCP joint dislocation

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Apr 1, 2020Apr 1, 2020

What is Kaplan’s lesion? Metacarpophalangeal (MCP) joint dislocation: Complex (Irreducible) Dorsal Mechanism of injury: Hyperextension injury Involvement: Usually occurs on border digits (Index > Little finger) Characteristic position of index finger: Hyperextended at MCP rests on dorsum of metacarpal Deviated towards middle finger Slightly flexed middle & distal phalanx with…

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PGMEE, MRCS, USMLE, MBBS, MD/MS

Novel Coronavirus Disease (CoViD-19) – “An Old Family with a New Disease”

Dr. Vinay Kumar Parepalli, MS General Surgery, Feb 27, 2020May 23, 2020

Coronaviridae, one of the families of viruses which are known to cause diseases in mammals and birds ranging from the common cold to Severe Acute Respiratory Syndrome. A new species which belongs to this family emerged recently causing an outbreak of a respiratory disease in the eastern part of Asia….

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Emergency Medicine

LRINEC score for Necrotizing fascitis – Mnemonic

Epomedicine, Feb 22, 2020Feb 22, 2020

The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score is a tool to distinguish ordinary skin infections from necrotizing fasciitis. Mnemonic: NeC WASH Na level: <135 mmol/L: 2 points Creatinine: >1.6 mg/dl: 2 points WBC: <15,000/cu.mm: 0 points 15,000-25000/cu.mm: 1 point >25,000/cu.mm: 2 points Acute phase reactant (CRP): >/= 150:…

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