ESR (Erythrocyte Sedimentation Rate) Usually elevated within 48-72 hours of the infection onset (less reliable in the first 48 hours of infection) Continues to rise for 3-5 days after institution of successful therapy and continuing rise beyond 4th-5th day of treatment can be an indication of treatment failure (not good…
Clinical Skills and Approaches
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Common mistakes in Per Abdominal examination
1. Forgetting to Expose abdomen adequately: Before examination, patient should ideally be exposed from the nipples to mid thigh. Failure to do so may lead to missed findings during examination e.g. Hernia 2. Abdominal symmetry and movement: Abdominal symmetry and movement should be examined tangentially and from leg end. Comment…
Emergency Medicine
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Polytrauma Assessment and Management (ATLS) : Mnemonics
SIEVE triage system Mnemonic: ABC-30-2 Can Do Approach to assessment and initial management Mnemonic: ARM Adjuncts to Primary Survey Reflects the adequacy of resuscitation. Mnemonic: PEA COVER Primary Survey Follow the look, listen, feel approach – Mnemonic: ABCDE 1. Airway and C-spine protection: 2. Breathing: 3. Circulation and control of…
Clinical Skills and Approaches
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Management of Diabetes – GLUCOSE BAD mnemonic
Glycemic control HbA1c 3 monthly or Bianually (if treatment goal acheived and glycemic control considered stable) – Target: Non-pregnant adult patients: <7% Minor cardiovascular disease, minor hypoglycemic episodes, short diagnosis time with diabetes, and long life expectancy: <6.5% Significant co-morbidities, progressive micro- and macrovascular complications, or short life expectancy: <8%…
Surgical Skills
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Surgical Blades
One of the oldest surgical instruments used even today is a Scalpel (Surgical Blade with a Bard Parker Handle). Long before using metals in manufacturing, parts from various flora and fauna were used in making incisions during surgeries. Few examples are listed below. Table 1. Various objects used to make incisions. The…
Blog
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How Medicine May Change In A Post Covid-19 World
There is no doubt that we will start thinking in terms of the world pre and post Covid-19. The entire globe has been turned upside down to the point that daily life from before is completely unrecognizable. How we deal with our personal lives, our professions and society as a…
Blog
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Jaundice in Newborn Baby : Parent’s guide
Before starting with the topic, here is a recommended reading for the medical professionals. Yellowish discoloration of skin and sclera – ” Jaundice” is a commonly encountered problem for the parents of newborn babies. Jaundice is caused by the increase in level of bilirubin in blood (serum). Many parents notice yellowness…
Blog
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Common Myths About Herpes
Just like with other venereal diseases, there is a lot of conjecture out there about what they are and how they actually affect the person who has them. Whether you’ve had herpes before or not, you might still be in a place where you know little to nothing about it….