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Mnemonics, Simplified Concepts & Thoughts

Epomedicine

Mnemonics, Simplified Concepts & Thoughts

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

Osteopetrosis : Mnemonic

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Jul 20, 2022Jul 20, 2022

Synonyms: Marble bone disease Albers-Schonberg disease (Autosomal dominant form) Mnemonic: OSTEOPETROSIS Osteoclast dysfunction (Carbonic anhydrase II gene mutation or chloride channel dysfunction) Symmetric skeletal sclerosis Thickened cortex with loss of medullary canal diameter (bone in bone appearance) Extramedullary hematopoiesis (aplastic anemia and hepatosplenomegaly) Overgrowth of skull foramina (cranial nerve palsies)…

PGMEE, MRCS, USMLE, MBBS, MD/MS

Hawkin’s Classification for Talus Fractures : Mnemonic

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Jun 28, 2022

Mnemonic: NISA 10-50-90-100 Type I – Non-displaced Neck fracture (upto 10% risk of AVN) 1 blood vessel damaged (entering talar neck) Management: 8 weeks in cast and 4 weeks in CAM cast Type II – Type I + Inferior (subtalar) subluxation/dislocation (upto 50% risk of AVN) 2 blood vessels damaged…

Clinical Skills and Approaches

Child with a limp : Mnemonic Approach

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Jun 24, 2022Jun 24, 2022

HISTORY AND EXAMINATION Mnemonic: LIMPINGS 1. Limping definition and onset Any deviation in walking pattern away from the expected normal pattern for the child’s age Limping is never normal Acute Acute infections Trauma Leukemia Unstable SCFE Epidural abscess Chronic SCFE DDH Neoplasm Child abuse Neuromuscular conditions Leukemia 2. Injury Mnemonic:…

Clinical Skills and Approaches

Mortarmen’s knee

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Jun 12, 2022Jun 12, 2022

Synonym: Adult onset tibial tubercle exostoses History: Pain over anterior surface of upper tibia Pain during running, jumping, squatting, kneeling and descending stairs Usually no history of trauma, anterior knee pain or Osgood-Schlatter disease Physical examination: Tenderness over hypertrophic tibial tubercle Quadriceps tightness (Ely’s test) X-rays: AP, lateral and tangential…

Clinical Skills and Approaches

Modified Ashworth Scale for Spasticity : Mnemonic

Dr. Sulabh Kumar Shrestha, MS Orthopedics, May 1, 2022May 1, 2022

Ashworth scale tests resistance to passive motion about a joint with varying degrees of velocity. Modified Ashworth Scale (Bohannon and Smith, 1987) has 1+ grading between grades 1 and 2. Modified Ashworth Scale (Ansari et.al., 2006) has been described here. Mnemonic: Ashworth is a juggling clown 0 : 0 is…

Surgical Skills

DIY Vac Dressing for Wounds

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Feb 22, 2022May 23, 2023

Pre-requisites for Vac Dressing Components of Vac Dressing 1. Pump for Negative Pressure: In a study, 3 closed suction drainage systems were studied – Davol Reliavac 400 Evacuator, Jackson-Pratt Closed Wound Suction Drainage System, and Snyder Hemovac 400. In all three systems, maximal negative pressures (-71 to -175 mm Hg)…

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Demonic Possession From The Eyes of Science

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Dec 22, 2021Dec 23, 2021

Several cultures and religions round the globe carry a belief that the humans are capable of being possessed or inhabited by spirits and even the goddess. The ministry of different religions have formulated a set of procedures called exorcism for casting or expelling out the spirit. It comprises of but…

Surgical Skills

Orthopedic Screw Insertion Mnemonic

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Dec 18, 2021Jan 20, 2024

Don’t Marry Too Soon DRILL Choose the correct drill bit Insert the drill bit correctly in the chuck Tighten the chuck sufficiently Start the drill home perpendicular to the surface Maintain adequate pressure Maintain the proper direction Irrigation with normal saline should be commenced simultaneously with drilling Keep the drill…

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