Chronic wounds are wounds that have failed to proceed through an orderly and timely reparative process to produce anatomic and functional integrity over a period of 3 months. Factors that Adversely Affect Wound Healing Mnemonic: DIDN’T HEAL Diabetes (Diminished sensation, peripheral perfusion and impaired polymorphonuclear phagocytosis) Infection Drugs (Steroids and…
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.
Blog 
Clouds – Zach Sobiech, Music and Osteosarcoma
Zach was diagnosed with osteosarcoma at the age of 14 (2009). He underwent multiple cycles of chemotherapy and surgeries until he was diagnosed with terminal disease in 2012. In 2013, at the age of 18, he succumbed to his illness. “Clouds” movie (named after his song) released in 2020 tells…
Clinical Skills and Approaches 
C-spine X-ray : Mnemonic Approach
Mnemonic: ABCDEF For images of the particular Cervical spine (C-spine) X-ray findings and views mentioned below, please refer to the links at the end of the article or use web-search. Adequacy Skull base, C1-C7 and upper T1 must be visible 3 views: True lateral, AP, Odontoid (Open mouth) +/- Swimmer’s…
Blog 
Medical Poems About Doctor, Patient and Illness
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…
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,…