The basic structure for communication skills remains the same. Recall the mnemonic P I CX3. Take into considerations of following points during consultation. Mnemonic: CONSENTS Mnemonic Headings Comments C Condition & natural history Explain the clinical condition & prognosis O Options & alternatives No treatment, conservative, medical, radiological, surgicalMake patients aware…
Clinical Skills and Approaches 
Communication Module for Discharge Against Medical Advice (DAMA)
The basic structure for communication skills remains the same. Recall the mnemonic P I CX3. Following additional points must be considered during consultation: 1. Determine decision making capacity. 2. Determine if they genuinely want to leave AMA or if it entails for something else. 3. If patient is determined to…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
How to crack Postgraduate MD/MS Entrance Examination?
(Article for Nepalese/ Indian and South Asian students) Postgraduate entrance exam for MD/MS is one of the toughest examinations in Nepal. The cut throat competition, the dilemma between studying or earning, and the pressure to perform against the toppers and best minds in the country make it one of the…
Clinical Skills and Approaches
Communication Skills Module for OSCE
Preparation Introduction Consultation Consolidation Conclusion The structural format can be remembered under the headings using mnemonic P I CX3.
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Skin Malignancies : Mnemonics
Malignant Melanoma Diagnosis or Clinical features: Mnemonic: ABCDE Risk factors: Mnemonic: MM RISK Pathologic Types: Mnemonic: Melanoma Always Spreads to Nodes (in order of worsening prognosis) Mnemonic Type Incidence Site Growth pattern Melanoma Maligna – lentiginous 10-15% Face (Precursor – Hutchison’s freckles/lentigo maligna) long in-situ stage before vertical growth Always…
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5 Ways to Treat Scoliosis without Surgery
Scoliosis is diagnosed when a sideways curvature of the spine exceeds 10 degrees. Your doctor will usually perform a physical examination and X-rays. Fortunately, apart from surgery, there are other practical noninvasive methods you could explore to improve the spinal alignment and ensure an enhanced quality of life. Here are…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Jod-Basedow Phenomenon vs Wolff-Chaikoff Effect : Mnemonic
Jod = Addition in Hindi or Nepali = Iodine induced Hyperthyroidisim ChaikOFF = Thyroid hormone synthesis is switched OFF = Iodine induced Hypothyroidisim Mechanism Jod-Basedow Wolff-Chaikoff Pre-requisite Abnormal thyroid gland free from pituitary control Thyroid gland under pituitary control Conditions Endemic goitre, Grave’s disease, Toxic multinodular goitre, Thyroid adenoma Normal…
Clinical Skills and Approaches 
ABG Sampling (Radial Artery)
Start with WIPERS Then ABG 1. Allen’s test (modified): In case of Positive Allen’s test: DO NOT puncture radial artery 2. Bad things: 3. Gather equipment needed Then Procedure 1. Position: 2. Site preparation: 3. Local anesthesia (skin): Offer the patient local anesthesia – 4. ABG sampling: 5. Post sampling: