Indications Contraindications Advantages Disadvantage Tension (maximum tension occurs in mid portion of the defect) especially with large defects Blood supply of flap Oblique terminal branches of the digital arteries arising from the trifurcation of distal interphalangeal joint (a subcutaneous pedicle flap) Technique References:
Author: Epomedicine
PGMEE, MRCS, USMLE, MBBS, MD/MS
Management of Anti-tubercular therapy (ATT) induced Hepatitis
Definition of ATT induced hepatitis ALT > 3 X Normal + Symptoms OR ALT > 5 X Normal without Symptoms Management of ATT induced hepatitis 1. Hold all TB drugs for 7-10 days. Wait before restarting ATT until: Symptoms: Resolve ALT <2.5 X Normal For severe TB, patients should be…
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4 Ways that Food Affects Your Health
People often have complicated relationships with food, and they also have different opinions on what purpose food should serve in our lives. While some may be of the opinion that food should only be used to fuel our bodies, others may disagree and think that food should always be a…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Osteoid Osteoma : Mnemonic
Epidemiology and Clinical features Mnemonic: LMNOP Lower extremity predilection (proximal femur > tibial diaphysis) Male predilection (2:1 to 3:1) Night pain relieved by NSAIDs (absent in osteoblastoma) Osteogenic benign tumor Prostaglandins (PGE2) and Cyclooxygenase (COX1 and 2) release by nidus (explains night pain and response to NSAIDs) 3 Concentric layers…
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What is Cosmetic Plastic Surgery?
Cosmetic plastic surgery involves a range of procedures that are performed to change somebody’s appearance. Surgical procedures might be done on the face, upper body, or lower body, depending on the needs of the individual. For example, some people choose to get cosmetic plastic surgery to change their body shape….
PGMEE, MRCS, USMLE, MBBS, MD/MS
Pregabalin vs Gabapentin
Both pregabalin and gabapentin are GABA analogues that bind to presynaptic neuron’s voltage-gated calcium channels (VGCC), specifically to the alpha-2-delta protein leading to reduced calcium influx at the nerve terminals. This leads to reduced release of excitatory neurotransmitters. Though the compounds are similar they have few important differences that must…
Emergency Medicine
Conus Medullaris Syndrome vs Cauda Equina Syndrome : Anatomical basis and Mnemonic
Definitions Condition Vertebral level of injury Neurological level of injury ISNCI level of injury Conus Medullaris Syndrome (CMS) T12-L2 T12-S5 T11 Cauda Equina Syndrome (CES) L3-L5 L3-S5 L2 Anatomy The spinal cord ends as a tapered structure called the conus medullaris at the level of L2–L3 disc in the neonate…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Pirani Score and Dimeglio Classification for Clubfoot Assessment
Pirani socre Pirani score for assessment of clubfoot (CTEV) consists of 6 parameters (3 each in midfoot and hindfoot) which is scored as 0, 0.5 or 1 with a maximum possible score of 6. The parameters can be remembered using the mnemonic: PER TOM Posterior crease Empty heel Rigid equinus…