Sadly, diabetes ranks high on the list of common health issues that Americans have to deal with. To provide a clearer perspective, diabetes (specifically type 2) ranks as the fifth most common health condition that adversely impacts life quality in the country. Making certain lifestyle changes ensures that people with…
Author: Epomedicine
Surgical Skills
Geometry and Margins of Elliptical Excision
Ends of ellipse (Apical angles): Dimension of ellipse: Axis of ellipse: Margin of excision: Lesion type Surgical margin Uncertain Consider shave or punch biopsy to delineate prior to elliptical excision or start with 1- to 2-mm margins to avoid unnecessary tissue removal. Benign Visible lesion removed BCC 3–5 mm SCC 3–6 mm…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Wormian Bones
Wormian bones are abnormal ossicles that develop from extra ossification centers within the cranium. They are most frequently located in the lambdoid suture or the coronal suture, and have been seen in the fontanelles, particularly the posterior fontanelle. Commonest Cause Idiopathic (Anatomic variant) Other Causes Mnemonic: PORK CHOPS 1. Pyknodyostosis…
PGMEE, MRCS, USMLE, MBBS, MD/MS
AKI RIFLE Criteria Mnemonic
Stage GFR criteria Urine output criteria Mnemonic 1, 2, 3, 4 1, 2, 3 1. Risk Cr ↑ 1.5-2 XGFR ↓ 25-50% (>1/4) <0.5 ml/kg/hr X 6-12 (>1/4 day) 2. Injury Cr ↑ 2-3 XGFR ↓ >50-75% (>2/4) <0.5 ml/kg/hr X >12-24 hrs (>2/4 day) 3. Failure Cr ↑ >3…
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Unwanted Pregnancy – Risks of Abortion and Options to Consider
Let’s face it: many couples have unexpected pregnancies and not all of them are wanted. When a woman becomes pregnant without being ready to become a parent, she becomes anxious and irritable. Unwanted pregnancies come with many thoughts, including options to “take care” of it. For most, the first thought…
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Why Go to a Neurological Physiotherapy Clinic?
When your back or shoulder hurts, you might want to check in with a physiotherapist so they can offer the right intervention. Some of the conditions that they can treat include stroke, multiple sclerosis, spinal cord injury, polyneuropathies, spasticity, and Parkinson’s disease to name a few. See info about stroke…
Clinical Skills and Approaches
Plantar fasciitis : Injection Technique
Anatomy Plantar fascia arise from medial and lateral tubercles on the inferior surface of calcaneus. The lesion is invariably found at the medial head. Intersection technique 1. Position: Supine with knee flexed and hip externally rotated (figure of 4) 2. Landmark: Point of intersection of a line drawn parallel to…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Anatomy of Physis (Growth Plate)
Periphery of physis: The physis is connected to the epiphysis and metaphysis peripherally via: Blood supply of physis: There are three sources of blood supply to the physis: the epiphyseal, metaphyseal, and perichondral circulations. Zones of physis: Zones Characteristics Functions Blood supply Diseases Epiphysis Epiphyseal artery Multiple Epiphyseal Dysplasia (MED) Physis 1….