With the medical field constantly changing, managing professional growth can be challenging, but there are specific steps you can take to help boost your professional healthcare career and reach new heights of success. This post will provide you with easy ways to improve your current role in the medical sphere…
Author: Epomedicine
Clinical Skills and Approaches
Total Contact Cast (TCC) – Principles and Technique
Total contact cast (TCC) is a modification of traditional below knee plaster with minimal padding, covering to protect toes, and molding to the contour of the foot and leg so that there’s no movement withing the cast. Indications of Total Contact Cast Contraindications of Total Contact Cast 1. Absolute: 2….
PGMEE, MRCS, USMLE, MBBS, MD/MS
Charcot Arthropathy : Mnemonics
Causes of Charcot Arthropathy Mnemonic: 10 S 3 Theories of Charcot Arthropathy a. Neuro-traumatic: Damage to sensory feedback → Repeated microtrauma → Release of proinflammatory cytokines → Bone resorption b. Neuro-vascular: Change in vascularity caused by dysregulation of vasomotor and trophic nerve supply c. Neuro-inflammatory: Abnormal persistence of inflammatory response…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Rheumatoid Arthritis – ACR 2021 Guidelines: Summary
Among various methods of measuring disease activity in rheumatoid arthritis, we will be discussing Clinical Disease Activity Index (CDAI). CDAI = TJC(28) + SJC(28) + PGA(10) + EGA(10) Interpretation of CDAI: CDAI Score Range Disease Severity ≤ 2.8 Remission > 2.8 – 10.0 Low > 10.0 – 22.0 Moderate >…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Methotrexate : Mnemonic
Methotrexate is a dihydrofolate reductase (DHFRase) inhibitor which inhibits DNA repair, synthesis and cellular replication. Actively proliferating tissues such as malignant cells, bone marrow, fetal cells, buccal and intestinal mucosa, and cells of the urinary bladder are in general more sensitive to its effect. A convenient regimen for Low Dose…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Approach to Rheumatoid Factor Positive test
Rheumatoid factor (RF; also mistakenly called RA factor) is an auto-antibody (commonly IgM and rarely IgG or IgA) directed against the Fc portion of IgG. Increase in both IgM and IgA RFs is almost exclusively observed in patients with RA (Rheumatoid Arthritis). Clinical Significance of Rheumatoid Factor 1. A positive…
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Pain all over body, Sleep disturbance, Fatigue, Headaches – Fibromyalgia
What is Fibromyalgia? Fibromyalgia is a chronic illness characterized by many symptoms that occur all at once: 1. Widespread pain 2. Fatigue 3. Sleep problems 4. Cognitive disturbances (concentration, memory) 5. Altered mood (anxiety, depression) 6. Other symptoms: headache, digestive disorders, dizziness, muscle spasms, chills, low-grade fever, ringing in the…
Surgical Skills
Bilateral V-Y (Kutler) flap for finger stump closure
Indications Classically, this flap is indicated in patients with transverse or volar oblique amputations. In actuality, the patient in whom this flap is useful generally will have an amputation where there is more tissue on the radial and ulnar margins of an amputation and exposed distal phalanx. Limitations Generally, the…