In medical schools, we learn many things without knowing the actual reason behind it. One of them is the pre-transfusion fever in a patient being planned for blood transfusion which is considered as a contraindication for it in many departments and health centers. So, the questions that came into my…
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.
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L-PRF for Chronic Wounds
L-PRF (Leukocyte-platelet rich fibrin) is a second generation platelet reach concentrate where autologous platelets and leukocytes are present in a 3D fibrin mesh which is used as a scaffold by surrounding host cells and which slowly releases growth factors and glycoproteins (≥ 7 days). It is processed without the anticoagulant,…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Pharmacology of Carbapenems : Mnemonics
Commonly used Carbapenems Mnemonic: MEDIC Meropenem Ertapenem Doripenem Imipenem/Cilastatin (renal dehydropeptidase I inhibitor) Besides these, there are other drugs like tebipenem (1st oral carbapenem), panipenem, tomopenem (has MRSA activity), etc. which fall under carbapenems. Coverage As the name suggests, they have carbapenems attached to beta-lactam ring which provides protection against…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Chronic Wounds : Mnemonic Approach
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…
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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…
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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…