This is a collection of short poems written by me at different situations and times about medical professionals, patients and illness. Delusion of Immortality In Cotard syndrome, patients often declare to be dead, but this may also be the pathology of immortality. When reason is demolished by illness, disturbing paradoxes…
Author: Dr. Sulabh Kumar Shrestha, MS Orthopedics
He is the section editor of Orthopedics in Epomedicine. He searches for and share simpler ways to make complicated medical topics simple. He also loves writing poetry, listening and playing music. He is currently pursuing Fellowship in Hip, Pelvi-acetabulum and Arthroplasty at B&B Hospital.
PGMEE, MRCS, USMLE, MBBS, MD/MS
Well’s criteria for DVT with Mnemonic
Mnemonic: ABCD(CD)E(CDE) – 4P A: Alternate diagnosis of DVT more likely (-2) B: Bedridden recently >3 days or Big (major) surgery within 3 months (+1) C: Cancer – treatment or palliation within 6 months (+1) D: Deep venous involvement: Mnemonic – CD Collateral (non-varicose) superficial veins present (+1) Deep venous…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Pelvic Fracture Classification and Management : Simplified
Before proceeding to this topic, it would be wise to go through the topics listed below: Tile/AO Classification Tile classification divides pelvic fractures into three basic types according to stability based on the integrity of the posterior sacroiliac complex. Here is a mnemonic that can be used to remember tile…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Differentiating Necrotizing Fasciitis from other soft tissue infections
Necrotizing fasciitis can be misdiagnosed in about 75% of the cases in the intial stage of the disease. The most consistent feature of early necrotizing fasciitis is the pain out of proportion to swelling or erythema. Other features helping to differentiate from other soft tissue infections are: Tenderness extending beyond…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Cellulitis Assessment : Mnemonic
Cellulitis is a rapidly spreading acute inflammation with infection of skin and subcutaneous tissue that spreads widely through tissue spaces. It is commonly caused by either Streptococcus pyogenes or Staphylococcus aureus. Erysipelas is a superficial form of cellulitis involving lymphatics; it has a peau d’orange appearance and a sharp border. It characteristically appears on the face. Since,…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Antimicrobial Mechanism of Actions – Everything you need to know
Cell Wall Synthesis Inhibitors A peptidoglycan monomer consists of 2 joined amino-sugars, N-acetyl glucosamine (NAG) and N-acetyle muramic acid (NAM), with a pentapeptide coming off of the NAM. So, a peptidoglycan monomer is a NAG-NAM-pentapeptide. These peptidoglycan monomers are synthesized in cytosol and transported across cytoplasmic membrane by Bactoprenols (BP)….
PGMEE, MRCS, USMLE, MBBS, MD/MS
How to present a Journal Club?
A journal club is a group of individuals who meet regularly to critically evaluate recent articles in scientific literature. It is a part of postgraduate medical education aimed at improving the skills of critically appraising the journal articles. Critical appraisal is the process of systematically examining research evidence to assess…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Postoperative fever – Rule of W (Mnemonic)
Postoperative fever is defined as a temperature >100°F (38°C) on 2 consecutive postoperative days, or >102.2°F (39°C) on any 1 postoperative day. The most common cause of fever within the first 48 hours is a pyretic response to surgery, which is self-limiting. Textbooks have long listed the common causes of…