Central nervous system (CNS) examination is the most difficult thing to complete within a time limit during final exam and the dilemma is that, most of time the CNS is what is kept as a long case. Examiners love judging you on the basis of CNS case because: 1. CNS…
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The Use Of CBD Oil In The Management Of Chronic Pain: Is It Effective?
Since the 2018 Farm Bill was passed, CBD has been high in the public consciousness as an alternative treatment, with the 2019 Consumer Reports survey finding that almost 25% of respondents had used CBD to replace over the counter medication or prescription drugs. People have been using CBD oil to manage a…
PGMEE, MRCS, USMLE, MBBS, MD/MS
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Casting technique related Radiographic indices
Cast index Formula: Inner diameter of cast on lateral view (m) / Inner diameter of cast on AP view (n) Cut-off: 0.7-0.8 Padding index Formula: Dorsal fracture site gap (h) / Maximum interosseous length in AP view (g) Cut-off: 0.3 Cantebury index Formula: Cast index (m/n) + Padding index (h/g)…
Clinical Skills and Approaches
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Radial Tunnel Syndrome (RTS) – Anatomy and Clinical Examination
Synonyms: Radial pronator syndrome, Treatment resistant lateral epicondylitis (tennis elbow) Anatomy of Radial Tunnel The anatomic radial tunnel (~5 cm) extends from the radial head to the inferior border of the supinator muscle. Mnemonic: FREAS Fibrous bands anterior to radiocapitellar joint Radial recurrent vessels (leash of Henry) ECRB medial edge…
Clinical Skills and Approaches
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Ten Diagnostic Dilemmas in Neonatal Meningitis
Incidence the global incidence of neonatal sepsis at 5–6 per 1000 live births and that of meningitis at 0.7–1 (2.4–16 in South and South-East Asia, 6–21 in sub-Saharan Africa, and 1.8–12 in the Middle East and North Africa) Causative Agents : Group B streptococci Escherichia coli Klebsiella pneumoniae Streptococcus pneumoniae …
PGMEE, MRCS, USMLE, MBBS, MD/MS
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Patient Decision Making Capacities – CURVES mnemonic
a. Choose and communicate Can the patient make a choice and communicate that choice? b. Understand Does the patient understand the risks, benefits, alternatives and consequences of the decision? c. Reason Can the patient provide logic or reason behind his/her decision? d. Value Is the choice the patient makes consistent…
Clinical Skills and Approaches
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Femoral Anteversion test (Craig’s test)
Synonym: Trochanteric prominence angle test Patient position: Prone with knee on test side flexed to 90 degrees Test procedure: Examiner palpates the greater trochanter and internally and externally rotates the hip until the greater trochanter lies at the lateral most aspect of the hip (the greater trochanter is parallel to…
Clinical Skills and Approaches
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Schirmer’s test
Schirmer’s test is a measurement of tear production, devised by the German ophthalmologist Otto W.A. Schirmer. Originally, Schirmer used blotting paper to collect tears elicited by one of the 3 methods of stimulating lacrimation: Inserting the strip of paper itself Irritating the nasal mucosa after the cornea had been anesthetized…