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Internal medicine

Clinical Skills and Approaches

Inverted Reflexes

Epomedicine Dec 8, 2022 No Comments Clinical examinationInternal medicineNervous systemOrthopedicsPediatrics

An inverted tendon reflex refers to the elicitation of the movement opposite to that normally seen when the reflex is elicited. Mechanism of Inverted Reflexes…

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Clinical Skills and Approaches

Hoffmann’s Sign

Epomedicine Dec 7, 2022 No Comments Clinical examinationInternal medicineNervous systemOrthopedicsPediatrics

History Method of Eliciting Hoffmann’s Reflex Mechanism of Positive Hoffmann’s Reflex Sudden stretch of the finger flexors causes involuntary finger flexor contraction due to activation…

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PGMEE, MBBS, MD/MS

Friedreich’s Ataxia : Mnemonic

Epomedicine Oct 21, 2022 No Comments Internal medicinePediatrics

Friedreich’s ataxia is a hereditary spinocerebellar degenerative disorder named after German neurologist, Professor Nicholaus Friedreich. Mnemonic: FRIEDREICH’S Ataxia 1. Foot deformity (progressive cavo-varus), Frataxin expression…

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PGMEE, MBBS, MD/MS

Swan neck deformity vs Boutonniere deformity

Epomedicine Jun 5, 2022 No Comments Internal medicineOrthopedicsRheumatology

Alterations in the relationships between the balanced extrinsic and intrinsic musculature of the hand due to trauma or secondary to the effects of systemic disease…

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PGMEE, MBBS, MD/MS

Management of Anti-tubercular therapy (ATT) induced Hepatitis

Epomedicine May 21, 2022 No Comments Infectious diseaseInternal medicinePediatricsPharmacology

Definition of ATT induced hepatitis ALT > 3 X Normal + Symptoms OR ALT > 5 X Normal without Symptoms Management of ATT induced hepatitis…

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PGMEE, MBBS, MD/MS

Temporal Arteritis : Mnemonic

Epomedicine Mar 16, 2022 No Comments Cardiovascular systemInternal medicineRheumatology

The 1990 ACR criteria for temporal arteritis can be remembered using the mnemonic: TEMPL3 T: Temporal artery abnormality (Tenderness or reduced pulse) E: Elevated ESR…

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PGMEE, MBBS, MD/MS

Atropine Induced Paradoxical Bradycardia

Epomedicine Jan 5, 2022 No Comments AnesthesiaInternal medicinePediatricsPharmacology

Atropine induced paradoxical bradycardia is the sinus bradyarrhythmia following low-dose atropine resulting from the paradoxical slowing in the sinoatrial (SA) node discharge rate. Mechanism of…

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PGMEE, MBBS, MD/MS

Pregabalin : Pharmacology

Dr. Henrique Durão Dec 5, 2021 No Comments Internal medicinePharmacology

Pharmacokinetics After oral ingestion, Pregabalin is rapidly absorbed (Tmax 1.3 hr) Bioavailability is >90% and independent of dose Pregabalin is NOT protein bound Vd is…

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