Exam and Results Exam date: September 12, 2023 Result date: October 5, 2023 Attempt: First Background: Recently passed PG in Orthopedics and Trauma from Nepal Maximum possible score overall: 299 (1 question was cancelled) Overall score required to pass: 200 (66.8%) Score obtained: 250 (83.6%) Application Preparation Preparation time: 3…
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
Statistics – High Yield (Cheat Sheet)
Normal distribution Non-normal distribution a. Positive skew: Longer or fatter tail on right b. Negative skew: Longer or fatter tail on left 2X2 tables Disease present Disease absent Test positive TP FP Test negative FN TN Event Non-event Exposed or Treatment a b Non-exposed or Placebo c d Formulae Incidence…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Electrosurgery Notes
Terminologies Electrosurgery modalities Modality Electrode configuration Waveform Indications Remarks DC Electrocautery Patients with ICDs and pacemakers No current passes through patient (direct heat transference to tissue) AC Unaltered sine wave a. High voltage, Low ampere Can be tolerated in patients with pacemakers at low dosage Electrodessication Monoterminal Markedly damped Superficial…
Clinical Skills and Approaches
Orthopedic Examination Made Easy
Orthopedic examination is a fundamental aspect of assessing musculoskeletal conditions, injuries, and disorders. This comprehensive guide aims to provide healthcare professionals, students, and practitioners with a thorough understanding of the principles, techniques, and best practices involved in conducting orthopedic examinations. By examining the mechanics behind the tests, readers will gain…
Emergency Medicine
Circumferential Periosteal Block (CPB)
Use: Alternative to hematoma block in reduction of distal radius and ulna fractures Advantage: Providing distance from the fracture hematoma (no theoretical risk of converting closed fracture into open fracture) Disadvantage: Risk of neurovascular injury on volar surface of forearm Local anesthetic and volume: 10–15 ml of 1 % plain lidocaine…
PGMEE, MRCS, USMLE, MBBS, MD/MS
SCFE : Mnemonic Approach
Approach to a limping child General points Classification Management depends on 4 factors which can be remembered using the mnemonic SCFE. Stability and Severity a. Loder classification: b. Severity: Severity Southwick angle on frog-leg lateral view (Difference of head-shaft angle from normal side) Wilson slip % on AP or frog-leg…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Management of Skeletal Tuberculosis – Principles
Classification Stage/Type Pott’s spine (Kumar’s) Pott’s paraplegia (Tuli) Hip and Knee Hip (Shanmugasundaram) I Predestructive (Straightening, spasm, hyperemia) Negligible (Objective plantar extensor response or ankle clonus) Synovitis (ROM 75-100%/Haziness, rarefaction)– Hip: FAbER, Apparent lengthening Normal (C) II Early destructive (Diminished space, paradiscal erosion, K<10) Mild (Subjective neuro-deficit but walks with…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Clavicle Fractures : Last Minute Revision
1. 80-85% are mid-shaft fractures (other 10-15% are lateral 3rd and 5% are medial 3rd fractures) because of: 2. Deforming forces: 3. X-ray views: 4. Allman classification: Dameron and Rockwood classification for lateral 1/3 pediatric fractures: Type I: Mild strains of ligaments or periosteal tears Type II: Complete disruption of…