Definition of Puerperium: Period following childbirth during which the body tissues, specially the pelvic organs involute i.e. revert back approximately to the pre-pregnant state both anatomically and physiologically – and lasts 6 weeks or 42 days. Immediate: Within 24 hours of childbirth Early: Within 7 days of childbirth Remote: Within…
Author: Epomedicine
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Multiple Myeloma : Quick Approach
Plasma cell dyscrasia refers to an abnormal proliferation of plasma cells that usually secrete a monoclonal immunoglobulin. A) CLINICAL FEATURES Features vary among various conditions: Mnemonic: CRAB Infection 1. Calcium increased: Hypercalcemia Nephrocalcinosis and
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Approach to Uncomplicated Diabetes Mellitus : Simplified
A) GLUCOSE LEVEL 1. Post-prandial: 140-200 mg/dl: Impaired glucose tolerance (Pre-diabetes) Diabetes prevented with: weight loss, exercise, metformin (in high risk) ≥200 mg/dl (+ Clinical symptoms): Diabetes confirmed 2. Fasting: 100-126 mg/dl: Impaired fasting glucose (Pre-diabetes) ≥126 mg/dl (+ Clinical symptoms): Diabetes confirmed
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Cardiac (Heart) Failure Made Easy (Pathophysiology and Diagnosis)
DEFINITION OF CARDIAC FAILURE It is a state in which there is: a. Forward failure: inability of heart to maintain cardiac output sufficient to meet the metabolic demands of peripheral tissues AND/OR b. Backward failure: ability to do so with elevated filling pressure PATHOGENESIS OF CARDIAC FAILURE 1. Myocyte loss…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Ebola Virus Disease
Author: Sulabh Kumar Shrestha, KISTMCTH The “Red Death” had long devastated the country. No pestilence had ever been so fatal, or so hideous. Blood was its Avatar and its seal—the redness and the horror of blood. There were sharp pains, and sudden dizziness, and then profuse bleeding at the pores, with dissolution. The scarlet stains…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Bronchiectasis Revision Notes
DEFINITION OF BRONCHIECTASIS Bronchiectais refers to the end-stage of variety of pathologic processes characterized by abnormal, irreversibly dilated thick-walled bronchi due to destruction of elastic and muscular components of bronchial wall. MORPHOLOGICAL CLASSIFICATION OF BRONCHIECTASIS Mnemonic: CVS 1. Cylindircal (Fusiform):
Emergency Medicine 
Status Epilepticus and Neonatal seizures : Updated Management
Terminologies Related with Status Epilepticus 1. Seizure: Abnormal or excessive neuronal discharge causing a transient disturbance of cerebral function. 2. Epilepsy: A condition characterized by recurrent (≥2) unprovoked seizures. 3. Status Epilepticus (SE): a. Conventional definition: 2 fits occur without recovery of consciousness in between or a single fit lasts longer than…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Peripheral Neuropathy Made Easy
Step 1: What system is involved – motor, sensory, autonomic or mixed? a. Sensory involvement Positive neuropathic sensory symptoms (PNSS) – suggest Acquired polyneuropathy prickling, tingling, asleep like numbness Pain – suggest Small fiber neuropathy due to toxic, metabolic, ischemic or idiopathic cause electric shock, burning, freezing, tightness, throbbing, allodynia…