Indications for surgery: 1. Reduced vision secondary to: Threatens visual axis: Pterygium advancing toward or already impinging visual axis Induced astigmatism: Due to flattening of meridian of pterygium by fibrosis in atrophic stage 2. Cosmesis 3. Significant discomfort not relieved by medical therapy 4. Diplopia: Resulting from limited ocular motility…
Author: Epomedicine
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Thyroidectomy Basics
Synonyms: Thyroid resection surgery, Thyroid removal surge Definition: Thyroidectomy is the surgical removal of all or part of the thyroid gland. A “thyroidectomy” should not be confused with a “thyroidotomy” (“thyrotomy”), which is a cutting into the thyroid, to get access for a median laryngotomy, or to perform a biopsy. Indications: Proven neoplasm…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Applied Anatomy of Submandibular Salivary Gland
Synonyms: Submaxillary gland (SMG), Mandibular gland Definition: Submandibular glands are one of the major salivary glands comprised of mixed serous and mucous acini and located below the lower border of the body of mandible. It is the second largest salivary gland and produces approximately 70% of the saliva. Location: Submandibular triangle…
Blog 
Medical Memes
Meme (/mi:m/) is an image, video, piece of text, etc., typically humorous in nature, that is copied and spread rapidly by Internet users, often with slight variations. This is our small attempt to bring a sense of humour to the serious and hectic world of medicine. Send your meme creation…
Clinical Skills and Approaches 
Vestibular examination : Dix-Hallpike Maneuver for BPPV
Benign Paroxysmal Positional Vertigo (BPPV) is the commonest cause of episodic vertigo and is characterized by acute attacks of transient vertigo initiated by certain head positions, lasting seconds to minutes, accompanied by nystagmus that fatigues on repeated testing. Important terminologies linked with pathogenesis of BPPV: Otoconia: Calcium carbonate crystals released…
Clinical Skills and Approaches 
Examination of Gait
Definitions Gait: Gait is the cyclical pattern of musculoskeletal motion that carries the body forwards. It involves a cyclic loss and regaining of balance by a shift of the line of gravity in relation to the center of gravity. Normal gait is smooth, symmetrical and ergonomically economical. Gait cycle: The…
Clinical Skills and Approaches 
Examination of Facial Nerve (7th Cranial Nerve)
The anatomy of facial nerve has already been discussed in detail earlier. It is essential to have proper knowledge of anatomy to understand this section of clinical examination of facial nerve. A) Inspection: Observe: Face at rest for any facial asymmetry Any facial tics, symmetry of eye blinking or eye…
Clinical Skills and Approaches 
Hearing tests with Tuning fork
Tuning fork Parts of a tuning fork 1. Foot piece 2. Stem 3. Prongs How to use tuning fork? Hold the stem of the tuning fork between the index finger and thumb of your right hand without touching the prongs. Strike the junction of superior 1/3 and inferior 2/3 of the…