Spaces of Hand Deep space infections occur in one of the three anatomically defined potential spaces within the hand. Thenar, mid-palmar and hypothenar spaces Interdigital subfascial web space Forearm space of parona Deep hand space Dorsal border Volar border Ulnar border Radial border Remarks Thenar Adductor pollicis Palmar aponeurosis Middle…
Author: Epomedicine
Emergency Medicine 
Differential Diagnoses of Older patient’s fall : Mnemonic
Mnemonic: CATASTROPHE 1. Caregiver and housing (information on the circumstances of present fall and falls history) 2. Alcohol (including withdrawal) 3. Treatment (medications, recently added or stopped, compliance) 4. Affect (depression or lack of initiative) 5. Syncope (any episode of fainting) 6. Teetering (dizziness) 7. Recent illness 8. Ocular problems…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Flexor Tendon Rehabilitation : Simplified
Immobilization Protocol Dorsal blocking orthosis Early stage (0-3/4 weeks) Intermediate stage (4-6 weeks) Late stage (6-8 weeks) Wrist: 20-30 degrees flexionMCP: 40-60 degrees flexionIP: Neutral ROM of elbow and shoulder Increase wrist extension (towards neutral) within splint Tendon gliding exercises (hold each position 3 seconds, repeat 10 times, do 3…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Mnemonic based management of Acute Pancreatitis
Acute pancreatitis along with case based discussion has been already covered earlier here: To remember the initial management of acute pancreatitis, one can remember the mnemonics given below: iPA-NCREAS (Ye et.al.) Investigations: Imaging (CT, MRI or Ultrasonography) Prognostic screen to identify severe pancreatitis Amylase and lipase levels Initial treatment: Nutritional…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Stages of Skin Graft take : Mnemonic
Mnemonic: AIIRR I – Adherence Formation of fibrin bonds between graft and it’s recipient wound bed II – Imbibition (1st 2-4 days) Donor tissue receives nutrition from absorption from the recipient site wound bed via capillary action (graft drinks from recipient bed) Graft increases in weight and volume and appears…
Blog 
5 Benefits Of Ashwagandha Capsules
With centuries of reliable historical evidence, adaptogens have been proven to effectively manage and treat a host of conditions caused by body stressors. Ancient societies such as the Chinese, Indians, Native Americans have been using these plants with positive results. Hence, modern medicine embraces these alternative medicines that are effective…
Clinical Skills and Approaches 
WIPERS mnemonic for starting patient examination
A useful approach before examining any patient, using the mnemonic WIPER. 1. Wind up clothes above elbow, Withdraw all jewelry and Wash your hands. 2. Introduce yourself. 3. Purpose and Permission – explain purpose and gain verbal consent (permission) to proceed with the examination. 4. Expose the patient as needed….
Surgical Skills 
Techniques of Securing Surgical Drain to Skin (Drain Fixation)
Choice of Suture: Non-absorbable (braided suture provides slightly superior grip on tubing than monofilament sutures) Technique 1: Create a series of knots around the drain. The long end of the thread (attached to the needle) is passed through the skin directly next to the drain exit site, to create a…