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Mnemonics, Simplified Concepts & Thoughts

PGMEE, MRCS, USMLE, MBBS, MD/MS

Novel Coronavirus Disease (CoViD-19) – “An Old Family with a New Disease”

Dr. Vinay Kumar Parepalli, MS General Surgery, Feb 27, 2020May 23, 2020

Coronaviridae, one of the families of viruses which are known to cause diseases in mammals and birds ranging from the common cold to Severe Acute Respiratory Syndrome. A new species which belongs to this family emerged recently causing an outbreak of a respiratory disease in the eastern part of Asia….

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Emergency Medicine

LRINEC score for Necrotizing fascitis – Mnemonic

Epomedicine, Feb 22, 2020Feb 22, 2020

The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score is a tool to distinguish ordinary skin infections from necrotizing fasciitis. Mnemonic: NeC WASH Na level: <135 mmol/L: 2 points Creatinine: >1.6 mg/dl: 2 points WBC: <15,000/cu.mm: 0 points 15,000-25000/cu.mm: 1 point >25,000/cu.mm: 2 points Acute phase reactant (CRP): >/= 150:…

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Clinical Skills and Approaches cellulitis

Cellulitis vs Early Osteomyelitis – Clinical features

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Feb 22, 2020Apr 21, 2020

Often, one may find difficulty differentiating cellulitis from osteomyelitis in a patient presenting with signs of inflammation localized to an extremity. There are few points that must be kept in the back of head, that will help us to differentiate these two entities. 1. Overlying skin findings: In osteomyelitis, the…

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Clinical Skills and Approaches

Finger test for Necrotizing Fascitis

Epomedicine, Feb 22, 2020Feb 22, 2020

Synonyms: Finger sweep test Finger test can be performed under Local anesthesia or General anesthesia in: Emergency department Bedside in wards Operation theaters Procedure: Area is infiltrated with local anesthetic A 2 cm test incision down to fascia is made in the suspected area The tissues are visually examined for:…

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PGMEE, MRCS, USMLE, MBBS, MD/MS

Skeletal Traction – Pin Insertion Sites

Epomedicine, Feb 21, 2020Feb 21, 2020

Site Point of insertion Direction Indications Olecranon (K-wire) 1.25 inches (3 cm) distal to olecranon tip – deep to subcutaneous border of upper ulna (avoids ulnar joint and open epiphysis) Medial to Lateral – At right angles to longitudinal axis of ulna (Avoids ulnar nerve) Supracondylar or Distal humerus fractures…

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PGMEE, MRCS, USMLE, MBBS, MD/MS Heart Sounds - Murmurs Cover Picture

Heart Sounds – Murmurs

Dr. Vinay Kumar Parepalli, MS General Surgery, Feb 12, 2020Aug 17, 2020

Murmur is a low, indistinct sound. In terms of medicine, it is the sound produced due to turbulent flow within the heart and great vessels. They are described and named in relation to the normal heart sounds, location, and quality. Please go through these articles before reading further: Heart Sounds…

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PGMEE, MRCS, USMLE, MBBS, MD/MS

Appendix, Appendicitis and Appendicectomy

Dr. Vinay Kumar Parepalli, MS General Surgery, Feb 8, 2020May 23, 2020

Inflammation of the Appendix is one of the most common causes of Pain Abdomen presenting in the Emergency Room. Since its first description in the texts, there has been a lot of improvement in the quality of management due to the availability of resources and technology. Appendix, in the initial…

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Blog

Quality in Living, Dignity in Dying

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Dec 12, 2019Apr 23, 2020

Most of us, we fear death like the children fear ghosts and seek for utopia forgetting that death is as natural as birth. In an essay “Of Death”, David Bacon writes, “Cogita quamdiu eadem feceris; mori velle, non tantum fortis aut miser, sed etiam fastidiosus potest” which translates as –…

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