Synonyms: Hippocratic fingers, Acropachy, Dysacromelia, Drumstick fingers, Watch glass nails, Parrot beak fingers, Serpent head nails, Lovibond’s sign Definition Focal and bulbous enlargement of the distal phalanges due to proliferation of connective tissue between the fingernail and the bone with increase in both the longitudinal and transverse curvatures of the…
A Case of Neuroleptic Malignant Syndrome: A Quick Approach
A 15 year girl started complaining of strange feelings 3 weeks back. She started behaving weirdly and complained her mother that she could hear inanimate objects talking to her- like bangles, rings, glasses. She rapidly had a deterioration with change in personality. She starting acting bizarre and doing abnormal things….
Clinical Skills and Approaches 
Edema – Physical Examination
Synonyms: Oedema, Swelling Definition of Edema Accumulation of excessive amount of fluid in the extravascular interstitial space of the body. Interstitial space is the extravascular compartment of the extracellular fluid and surrounds the cells of a given tissue. Anasarca is a severe and generalized edema with profound subcutaneous tissue swelling. Further…
Clinical Skills and Approaches 
Cyanosis
Synonyms: Morbus coeruleus, Blue disease Definition of Cyanosis Cyanosis is the bluish discoloration of the skin, mucous membrane and nail bed usually owing to atleast 5 gm/dl of reduced hemoglobin/deoxyhemoglobin or abnormal hemoglobin derivatives (eg. methemoglobin, sulfhemoglobin, etc.) circulating within the superficial dermal capillaries and subpapillary venous plexus (not, as commonly taught, the…
X-ray of Mastoids
While we have more sophisticated radiological techniques of examination of the mastoids, the ability to read an X-ray of mastoid is a must for the undergraduate students of the medicine. While describing an X-ray in ENT or Otorhinolaryngology, you need to comment on these points: Plain or Contrast Regions: Mastoid,…
Basics of Fluid therapy
A. Anatomy and Physiology of Body Fluid Compartments: Remember the “60-40-20” rule of body water. 1. Total body water: 60% (50-70%) of Total Body Weight Greater in lean individuals because fat contains little water Greatest percentage in newborns, then decreases with age 2. Intracellular fluid (ICF): 40% of Total Body…
Surgical Skills
Myringotomy and Tube Insertion
Synonyms: Of Myringotomy: Tympanotomy (Opening the middle ear cavity), Tympanostomy (Instillation of a ventillation tube), Myringocentesis Of Ventilation Tube (VT): Grommet, Pressure Equalization Tube, Ear tubes, Tympanostomy tubes Definition of Myringotomy Myringotomy is the incision on the tympanic membrane to remove accumulated fluid or to provide aeration in case of…
Blog 
Ignoring Consent and Counselling is a spark to all troubles
Information about his health is patient’s right excluding certain modifiable scenarios. This right is retained by the attendant of the patients as well. Most often the root of all trouble lies in the failed communication and inability of the doctor or medical personal to build a sense of transparency and…