This is a case of nodular episcleritis. Definition of Episcleritis: Episcleritis is defined as the benign recurrent inflammation of episclera and tenon’s capsule. Types of Episcleritis: Diffuse episcleritis Nodular episcleritis Epidemiology: Common in females compared to males Common in young adults Etiology: Non-specific immune response to irritants Idiopathic (mostly) Rheumatoid arthritis…
Author: Epomedicine
Ophthalmology Spot Diagnosis: Hyphema
Definition: Accumulation of blood in the Anterior Chamber (AC). Causes: a. Post-traumatic: Trauma or surgery b. Spontaneous: Neovascularization Ocular neoplasms Vascular and clotting anomalies (leukemia, hemophilia, aspirin) Grading for Traumatic Hyphema: 0 : No layered blood, circulating RBCs only (Microhyphema) 1: Layered blood filling < 1/3 of AC 2: Layered…
Glaucoma Basics – Aqueous humor dynamics and Intraocular pressure
Volume of aqueous: 0.25 ml (Anterior chamber) + 0.06 ml (Posterior chamber) Composition of aqueous: similar to plasma except- higher concentration of ascorbate, pyruvate and lactate lower concentration of protein, urea and glucose Functions of aqueous: Maintains Intra-ocular Pressure (IOP) Provides nutrition to avascular lens and cornea Optical transparency Place…
Applied anatomy of Knee Joint
A. Osteology: 1. Femur: Largest bone in the body Distal femur possess 2 condyles of which the medial one is larger Medial epicondyle is more porminent and supports the adductor tubercle 2. Patella (Knee cap): Largest sesamoid bone Functions: fulcrum for quadriceps protects knee joint enhances lubrication and nutrition of…
X-ray Soft Tissue Neck
Anatomy: Retropharyngeal space: Extends from the base of the skull down to the level of the carina, and is located between the buccopharyngeal mucosa and the prevertebral fascia. Prevertebral space: A potential space that is located between the anterior aspect of the vertebral body and the prevertebral fascia. It is located directly posterior to…
Case Reports 
A Case of Rheumatic Fever
A 12 year old female came with complaints of multiple joint pain for 10 days which started in the left knee and resolved within 3 days, then started on the bilateral ankles which also resolved in 3 to 4 days and started on the right knee. She currently complains of…
Surgical landmarks for identification of facial nerve in Parotid surgery
The facial nerve (CN VII) exits the skull base through the stylomastoid foramen situated posterolaterally to the styloid process and anteromedially to the mastoid process and enters the parotid gland to divide it into a large superficial lobe and a small deep lobe. The main trunk of facial nerve enters…
Surgical Skills 
External Dacryocystorhinostomy (DCR)
Definition External Dacryocystorhinostomy (DCR) is the surgery to connect the mucosal surface of lacrimal sac to the nasal mucosa by removing the intervening bone. It creates a permanent anastomosis between the lacrimal sac and medial meatus of nose. Prerequisite Common canaliculi must be patent Indications of External Dacryocystorhinostomy Nasolacrimal duct…