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):
Author: Epomedicine
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…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
COPD Revision Notes
DEFINITION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) According to GOLD, COPD is a common preventable and treatable (not curable) disease characterized by: Persistent airflow limitation (Post-bronchodilator FEV1/FVC < 0.7), usually progressive (excludes Asthma) Due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases. Chronic…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Medial Medullary (Dejerine’s) Syndrome : Anatomical basis mnemonic
As already discussed in the previous section about Lateral Medullary (Wallenberg) Syndrome: 6 “S” pass/lie on the Side (latetral) of Medulla Except the anteromedian part supplied by vertebral artery, rest of the medulla is supplied by PICA Let us now review the relevant anatomy and physiology of the medial portion…
Clinical Skills and Approaches 
Pronator Drift (Barre’s sign) : Neurological Examination
Components of pronator drift Progress from distal to proximal: Downward arm drift Forearm pronation Flexion of the wrist and elbow Method of assessment for pronator drift When the patient extends both arms upright in the supinated position and hold them at shoulder height for atleast 10 seconds (Patients should be…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Anatomical basis of Wallenberg (Lateral Medullary) Syndrome : Mnemonic
Before proceeding into the disease itself, let’s review – relevant anatomy of the medulla with a simple mnemonic. The Side (lateral) part of Medulla contains 6 “S“ 1. Spinocerebellar tract Posterior spinocerebellar tract: Ascends and enters to ipsilateral cerebellum via ipsilateral inferior cerebellar peduncle Anterior spinocerebellar tract: Ascends and enters…
Clinical Skills and Approaches 
Clonus : Clinical Examination and Mechanism
Definition of clonus Clonus is a rhythmic sustained involuntary muscular contraction (generally 5-8 Hz) evoked by sudden passive stretch of the muscle and tendon. Eliciting Clonus Clonus is commonly elicited in gastrocnemius (ankle clonus). Other sites where clonus can be elicited are quadriceps (patellar clonus), finger flexors and jaw. 1….