Jod = Addition in Hindi or Nepali = Iodine induced Hyperthyroidisim ChaikOFF = Thyroid hormone synthesis is switched OFF = Iodine induced Hypothyroidisim Mechanism Jod-Basedow Wolff-Chaikoff Pre-requisite Abnormal thyroid gland free from pituitary control Thyroid gland under pituitary control Conditions Endemic goitre, Grave’s disease, Toxic multinodular goitre, Thyroid adenoma Normal…
Author: Epomedicine
Clinical Skills and Approaches
ABG Sampling (Radial Artery)
Start with WIPERS Then ABG 1. Allen’s test (modified): In case of Positive Allen’s test: DO NOT puncture radial artery 2. Bad things: 3. Gather equipment needed Then Procedure 1. Position: 2. Site preparation: 3. Local anesthesia (skin): Offer the patient local anesthesia – 4. ABG sampling: 5. Post sampling:
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Getting it Right with Fertility and IVF
Embarking on the journey of fertility and in vitro fertilisation (IVF) can be daunting, yet it’s a path trodden by many with hope and aspiration. In the realm of assisted reproductive technology, IVF stands out as a beacon of hope for numerous couples and individuals yearning to start or grow…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Hypertrophic Scar vs Keloid
Hypertrophic scars and keloids are both raised, firm scars formed from excess fibrinogen production and collagen during healing. Mnemonic: BAD SCARS Mnemonic Basis Hypertrophic scar Keloid B Behavior Natural regression No spontaneous regressio A Acuteness Appears in weeks Appears over months to years D Demographic All races affected More prevalent…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Severity Scores for Acute Pancreatitis : Mnemonics
Modified Glasgow-Imrie Score Severe pancreatitis likely: 3 or more of the following within 48 hours of symptom onset Mnemonic: PANCREAS Mnemonic Criteria Positive when P PaO2 <60 mmHg A Age >55 years N Neutrophils (WBC) >15,000/cu.mm C Calcium <2 mmol/l R RFT (Urea) >16 mmol/l E Enzyme (LDH/AST) LDH >600…
PGMEE, MRCS, USMLE, MBBS, MD/MS
ALI and ARDS : Mnemonics
Diagnosis (Berlin Criteria) Mnemonic A R D S Acute Lung Injury (ALI) Acute onset (<7 days) Ratio PaO2/FiO2 ≤300 mmHg or 40 kPa Diffuse bilateral pulmonary infiltrates on CXR Swan-Ganz pulmonary wedge pressure ≤18 mmHg or No evidence of Left atrial hypertension Acute Respiratory Distress Syndrome (ARDS) Acute onset (<7…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Surface Anatomy of Pleura and Lung
Surface Anatomy of Pleura Mnemonic: 2, 4, 6, 8, 10, 12 rule 1. Starts about 2 cm above the midpoint of medial 1/3 of clavicle. 2. Meet in the midline at rib 2. 3. Left side reaches sternal line at rib 4 (to make room for heart). 4. Right side…
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Starting Small: The Road to Building Healthy Lifestyle Habits
[ Disclaimer: Article may contain promotional links] We all have been there – scrolling through social media, bombarded by images of sculpted physiques and meticulously planned meal prep. Feeling a surge of inspiration, you vow to overhaul your entire lifestyle – become a gym freak, a culinary master and an…