PGMEE, MRCS, USMLE, MBBS, MD/MS
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Approaches to Middle ear and Mastoid surgery
Endomeatal (Transcanal or Transmeatal) Approach: Not used commonly in children owing to relatively small ear canal This incision is used when the mesotympanum and hypotympanum are the surgical sites A posterior tympanomeatal flap is raised to enter into the middle ear. The flap includes skin over the medial two-thirds of the bony…
PGMEE, MRCS, USMLE, MBBS, MD/MS
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National Immunization Schedule of Nepal (2024)
There should be at least 7 contacts of children (At birth, 6,10,14 weeks, 9, 12, 15 months) to health center to fully immunize as per national immunization programme of Nepal. Previously, 11 antigens were provided through national immunization program. Recently, rotavirus vaccine and fIPV (fractional IPV) has been added. Nepal is polio…
PGMEE, MRCS, USMLE, MBBS, MD/MS
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Beta-Blockers : Mnemonics
We have 1 heart and 2 lungs. a. B1 – heartb. B2 – bronchial wall Cardioselective (B1) vs Non-selective (B1 and B2) beta blockers Beta blockers with 1st letter from A to N are Cardioselective: Acebutolol Atenolol Bispoprolol Betaxolol Celiprolol Esmolol Metoprolol Nebivolol Nebivolol = NO donor Beta blockers with…