1. A small stab incision is made on skin with a no. 11 Blade where the drain is anticipated. 2. A feeding tube of an appropriate size or IV set tube with side holes is placed through the skin incision site to the desired site. 3. The tube is fixed…
Author: Epomedicine
Clinical Skills and Approaches
Clarke’s test
Synonyms: Patellofemoral grind test, Patella hold test, Zohler’s sign Tests for: Patellofemoral dysfunction Patient position: Lying down with knees extended and relaxed (heels on table) Technique: 1. Place the webspace of thumb on the upper pole of patella and push it inferiorly. 2. Ask the patient to contract his/her quadriceps…
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Understanding Chronic Pain: Answers to Common Questions
Pain is an undeniable reality that each of us encounters at some point in life. While most pains are fleeting, vanishing once the underlying cause is addressed, there exists a tormenting kind that persists and takes a toll on every aspect of life. Chronic pain, the elusive agony that defies…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Spinal segments vs Vertebral level
Spinal segment: The part of spinal cord to which a pair of spinal nerves (right and left) is attached. Cause of mismatch between spinal segments and vertebral level: General rule: Vertebral level Add Spinal segment Cervical + 0 Same C7-T1 C8 T1-T3 +1 T1-T4 T3-T6 +2 T5-T8 T7-T8 +3 T9-T11…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Median, Ulnar and Radial Nerve – Course and Innervation
Median nerve, Ulnar nerve and Radial nerve are the 3 major nerves of the upper limb originating from the brachial plexus. Some important neuroanatomic relationships in the forearm are: 1. Medial nerve: Crossed by brachial artery from lateral to medial just above the elbow to lie medial to brachial artery…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Mediastinum : Simplified
It is the region in thoracic cavity between the pulmonary cavities (covered by mediastinal pleura and excludes the lungs). Extent: Thoracic outlet (1st rib) to Diaphragm (T12) Superior mediastinum: Upper extent Thoracic outlet Contents (superficial to deep) 1. Glands (Thymus and Lymph nodes)2. 3 Veins (Brachiocephalic Lt. and Rt. and…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Thoracic Diaphragm : Mnemonics
Embryology Mnemonic: Several Parts Build Diaphragm Embryonic components Parts of Diaphragm 1. Septum transversum Tendinous portion (Central tendon) 2. Pleuroperitoneal folds Muscular portion 3. Body wall muscles Muscular portion 4. Dorsal mesentery of esophagus Crura 3 Major Openings of Diaphragm Mnemonics: 1. I Eat Apples 8, 10, 12 or 2….
PGMEE, MRCS, USMLE, MBBS, MD/MS
Superior Orbital Fissure (SOF): Mnemonics
Superior Orbital Fissure (SOF) is a cleft between greater and lesser wing of sphenoid which connects orbit and middle cranial fossa. It is divided into 3 compartments by the tendinous ring (annulus of Zinn). Superior orbital fissure alone (Lateral compartment): Mnemonic: LFTS Superior orbital fissure in tendinous ring (Intermediate compartment):…