HISTORY 1. General Information: 2. Chief complaints: Example: Lower abdominal pain X 2 daysNausea and vomiting X 1 day 3. History of Presenting Illness: “OPQRST” for each symptoms Negative history: Treatment received for the complaint Review of systems: may or may not be related to chief complaint – include only…
Blog 
Medical Blogger Ethics
Overall, blogs are the oldest, most established, and evaluated form of social media, with articles as early as 2004 noting their use in medicine and family practice.(1) Maurice Bernstein (MD, assistant clinical professor of medicine, Keck School of Medicine) was asked if physician written blogs could meet legal and ethical…
Case Reports 
Catastropic Intraventricular Hemorrhage in Preterm IUGR newborn
A 31 weeks of gestation baby was born through emergency LSCS for Severe maternal hypertension. At birth baby required resuscitation and baby was intubated and transferred to NICU for ventilation. Fluids and Inotropes were started and ABG was sent. Vitamin K was given stat. Blood gas showed severe metabolic acidosis,…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Modified Centor Criteria for Likelihood of Bacterial Infection In Sore throat
Centor Criteria Mnemonic: CENTOr 1. Cough absent or Can’t cough = +1 2. Exudates or Enlarged tonsils = +1 3. Nodes (Swollen tender anterior cervical lymph nodes) = +1 4. Temeperature >100.4 F = +1 5. Or: <15 years = +1 15-44 years = 0 ≥45 years = -1 Scoring
Emergency Medicine 
Upper GI Bleed (UGI Bleed) Scoring : Mnemonics
Blatchford Score Blatchford score is recommended by NICE for 1st assessment. Admission risk marker Score component value Blood Urea (mg/dL) 18.2-22.4 2 22.4-28 3 28-70 4 >70 6 Haemoglobin (g/L) for men 12.0-12.9 1 10.0-11.9 3 10.0 6 Haemoglobin (g/L) for women 10.0-11.9 1 10.0 6 Systolic blood pressure (mm…
Clinical Skills and Approaches 
Eliciting Smoking and Alcohol History
Smoking History Ask: Have you ever smoked? If yes – Further ask: For how long? What form? (cigarettes, cigars, pipe, chewed) How much? Quantify smoking history: A ‘pack year’ is smoking 20 cigarettes a day (1 pack for one year) (Number of cigarettes smoked per day X Number of years…
Clinical Skills and Approaches 
Fever : Definition, Mechanism and Types
Definition of Fever Studies have found that the maximum normal oral temperature is 37.2ºC (98.9ºF) at 6 A.M. and 37.7ºC (99.9ºF) at 4 P.M.; these values define the 99th percentile for healthy individuals. Hence, an A.M. temperature of >37.2ºC (>98.9ºF ) or a P.M. temperature of >37.7ºC (>99.9ºF) would define…
Blog 
Short History of HGH
Short History of HGH HGH is becoming more and more popular among the sportsmen and bodybuilders these days. However, many people still don’t have a clue about what HGH really is. The time has come to answer all the possible questions on where did HGH came from, how it developed,…