ESR (Erythrocyte Sedimentation Rate) Usually elevated within 48-72 hours of the infection onset (less reliable in the first 48 hours of infection) Continues to rise for 3-5 days after institution of successful therapy and continuing rise beyond 4th-5th day of treatment can be an indication of treatment failure (not good…
Author: Epomedicine
Clinical Skills and Approaches 
Management of Diabetes – GLUCOSE BAD mnemonic
Glycemic control HbA1c 3 monthly or Bianually (if treatment goal acheived and glycemic control considered stable) – Target: Non-pregnant adult patients: <7% Minor cardiovascular disease, minor hypoglycemic episodes, short diagnosis time with diabetes, and long life expectancy: <6.5% Significant co-morbidities, progressive micro- and macrovascular complications, or short life expectancy: <8%…
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How Medicine May Change In A Post Covid-19 World
There is no doubt that we will start thinking in terms of the world pre and post Covid-19. The entire globe has been turned upside down to the point that daily life from before is completely unrecognizable. How we deal with our personal lives, our professions and society as a…
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Common Myths About Herpes
Just like with other venereal diseases, there is a lot of conjecture out there about what they are and how they actually affect the person who has them. Whether you’ve had herpes before or not, you might still be in a place where you know little to nothing about it….
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The Use Of CBD Oil In The Management Of Chronic Pain: Is It Effective?
Since the 2018 Farm Bill was passed, CBD has been high in the public consciousness as an alternative treatment, with the 2019 Consumer Reports survey finding that almost 25% of respondents had used CBD to replace over the counter medication or prescription drugs. People have been using CBD oil to manage a…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Casting technique related Radiographic indices
Cast index Formula: Inner diameter of cast on lateral view (m) / Inner diameter of cast on AP view (n) Cut-off: 0.7-0.8 Padding index Formula: Dorsal fracture site gap (h) / Maximum interosseous length in AP view (g) Cut-off: 0.3 Cantebury index Formula: Cast index (m/n) + Padding index (h/g)…
Clinical Skills and Approaches 
Radial Tunnel Syndrome (RTS) – Anatomy and Clinical Examination
Synonyms: Radial pronator syndrome, Treatment resistant lateral epicondylitis (tennis elbow) Anatomy of Radial Tunnel The anatomic radial tunnel (~5 cm) extends from the radial head to the inferior border of the supinator muscle. Mnemonic: FREAS Fibrous bands anterior to radiocapitellar joint Radial recurrent vessels (leash of Henry) ECRB medial edge…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Patient Decision Making Capacities – CURVES mnemonic
a. Choose and communicate Can the patient make a choice and communicate that choice? b. Understand Does the patient understand the risks, benefits, alternatives and consequences of the decision? c. Reason Can the patient provide logic or reason behind his/her decision? d. Value Is the choice the patient makes consistent…