History of scientific medical journal publication in Nepal In 2013, Journal of Nepal Medical Association (JNMA) celebrated golden jubilee. Founder Chief Editor of JNMA, Dr. Mrigendra Raj Pandey wrote, “My article was published in Indian Heart Journal way back in 1957 and became the first, which inspired me further and ultimately…
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.
Emergency Medicine
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Testicular Torsion
Learning Objectives List the differential diagnosis for an acutely painful scrotum. Understand the anatomical basis of testicular torsion. List common presenting signs and symptoms of testicular torsion. Describe both initial and definitive management of testicular torsion. Explain why torsion is an emergent condition and discuss the time for salvage of…
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Vancouver (NLM) Referencing Style : General rules of Citation
Vancouver style or NLM style of referencing is commonly used in medicine to cite other’s work in the text. General Rules 1. Reference numbers: Indicate the reference using arabic numerals inside [square] or (curved brackets) or as superscripts – use the same style throughout your scientific writing. Reference numbers must…
PGMEE, MRCS, USMLE, MBBS, MD/MS
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History and Physical Examination Format
HISTORY 1. General Information: 2. Chief complaints: Example: Lower abdominal pain X 2 daysNausea and vomiting X 1 day 3. History of Presenting Illness: “OPQRST” for each symptoms Negative history: Treatment received for the complaint Review of systems: may or may not be related to chief complaint – include only…
Emergency Medicine
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Acute STEMI Management – Mnemonic based approach
60 year old smoker patient came with epigastric pain and shortness of breath for 4 hours. The patient was tachypneic with SpO2 90%. Other vital signs were relatively stable. ECG was done, Troponin I was positive and CK-MB was 100 IU/l. What is there in ECG above? ST elevation and…
PGMEE, MRCS, USMLE, MBBS, MD/MS
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Fever and Rash : Mnemonic Based Approach
Seven Killer Causes of Fever and Rash Mnemonic: SMARTTT Sepsis Meningococcemia Acute endocarditis Rocky mountain spotted fever Toxic erythemas Toxic epidermal necrolysis Travel-related infections Onset of Rash with “X” Days of Fever Mnemonic: Very Sick Person Must Take Double Eggs Varicella (Chicken pox): 1st day (rash is often 1st sign…
Emergency Medicine
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Short Approach to SVT and AVNRT management
This is an ECG from a patient who came with a complaint of palpitation: Analyze the ECG: Rhythm: Regular Heart rate: Around 170/min QRS: Around 0.08 s i.e. ≤0.1 s (narrow QRS complex) ECG diagnosis: Regular Supraventricular Tachycardia (SVT) Now, look for P waves – There are no P waves In…
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Is Nitrofurantoin effective for Skin infections?
Recently, a wound swab culture and sensitivity reported an E.coli sensitive to Nitrofurantoin. But will it really be helpful in the wound infection? Without a doubt, literatures claim that the sole use of the drug is in the treatment of Urinary Tract Infection (UTI), as after oral or intravenous (i.v.)…