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…
Author: Epomedicine
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…
Clinical Skills and Approaches
Femoral Anteversion test (Craig’s test)
Synonym: Trochanteric prominence angle test Patient position: Prone with knee on test side flexed to 90 degrees Test procedure: Examiner palpates the greater trochanter and internally and externally rotates the hip until the greater trochanter lies at the lateral most aspect of the hip (the greater trochanter is parallel to…
Clinical Skills and Approaches
Schirmer’s test
Schirmer’s test is a measurement of tear production, devised by the German ophthalmologist Otto W.A. Schirmer. Originally, Schirmer used blotting paper to collect tears elicited by one of the 3 methods of stimulating lacrimation: Inserting the strip of paper itself Irritating the nasal mucosa after the cornea had been anesthetized…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Complex Regional Pain Syndrome (CRPS)
Synonyms: CRPS, Sudeck’s atrophy, Reflex sympathetic dystrophy, RSD, Causalgia Chronic regional pain syndrome (CRPS) is a persistent neuropathic pain syndrome of an inappropriate intensity due to sustained sympathetic activity with the absence of impending or ongoing tissue damage. There are 2 types of CRPS: Type 1 (Sudeck’s atrophy or Reflex…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Wrist Extensor Compartments
The Extensor Zone VII (wrist) contains 6 extensor compartments comprising of 6 synovial sheath lined tunnels separated from each other by fibrous sheath. These compartments contain tendons of muscles that pass from forearm to hand. The number of tendons passinf thorugh the compartments (radial to ulnar) can be remembered using…