General principles and classification of open fractures have been discussed earlier. The Gustillo-Anderson classification commonly used for the long bone fractures might not be suitable for open pelvic fractures. Jones-Powell classification It is based on the mechanical stability of the pelvic ring and the potential contamination of the open wound….

The Use of Stem Cell Treatment in Patients with Cerebral Palsy
At present, nearly 10,000 babies are born with cerebral palsy (CP) every year, with an estimated 764,000 children and adults displaying at least one symptom of the condition, according to the Cerebral Palsy Alliance. While significantly less data is available pertaining to the incidence of CP in Nepal, the symptoms, causes, and…

Tips to help you cope with the pain of Multiple Sclerosis
People with multiple sclerosis (MS) will inevitably face pain at some time in their journey. Unfortunately, there is no one relief that works for all. However, there are a variety of things you can try to help. Continue reading for our top tips which we hope will help you to…

Antibiotic Spectrums : Cheat sheet
Gram positive and Gram negative Amoxicillin-clavulanate Tazobactam-piperacillin Carbapenem: Ertapenen, Imipenem, Meropenem Cefuroxime Cefotaxime Ceftriaxone Anaerobes Amoxicillin-clavulanate Tazobactam-piperacillin Carbapenems Clindamycin Metronidazole Pseudomonas Tazobactam-piperacillin Carbapenems (except Ertapenem) Ceftazidime, Cefoperazone, Cefepime Gentamicin, Amikacin, Tobramycin Ciprofloxacin Colistin Aztreonam Only gram positive Vancomycin Teicoplanin Linezolid Daptomycin Only gram negative Ceftazidime Colistin Aztreonam “Non-culturable” bacteria Macrolides:…

Hernia – The Others
Hernia is classically defined as a protrusion of the contents of a cavity through its walls. It is a condition which occurs not only in the abdomen but also other regions of the body such as in the thorax and cranium. In this article one can find the description of…

Finger Extensor Apparatus – Simplified
Synonyms: Extensor expansion, Extensor hood, Dorsal expansion, Dorsal hood, Dorsal aponeurosis Components: Extrinsic tendons Intrinsic tendons Soft-tissue stabilizing structures Extrinsic tendon Extensor Digitorum Communis (EDC; may be absent in little fingers) ± Extensor Indicis Proprius (EIP; usually ulnar to EDC) ± Extensor Digiti Minimi (EDM; ulnar to EDC) passes dorsally…

Intrinsic Muscles of Hand : Mnemonics
Hand comprises of 10 compartments: Thenar Adductor Hypothenar Palmar interosseous (3) Dorsal interosseous (4) Thenar and Adductor Muscles Thenar and Adductor muscles can be remembered using following technique: Additionally, thenar, adductor and hypothenar muscles of hand can be remembered in their relative position in palm using the mnemonics given below….

Intrinsic thumb muscles : Tricks to Remember
The muscles of thumb will make 2 compartments – thenar compartment and adductor compartment. Mnemonic: Do it yourself as shown in the image below. Put your left hand with curled in middle/long finger above the palm of right hand. There are 2 muscle layers in this side of the hand….