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Tag: Internal medicine

orthopnea
PGMEE, USMLE or MBBS

Respiratory Examination – Dyspnea

Epomedicine Mar 26, 2015 No Comments Internal medicinePediatricsRespiratory system

Definition: Breathlessness inappropriate to the level of physical exertion or even occurring at rest (subjective and not a sign) Mechanisms: Chemoreceptors: Peripheral: Carotid and aortic…

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hand examination
Clinical Skills and Approaches

Examination of Hands

Epomedicine Mar 18, 2015 No Comments Clinical examinationInternal medicine

History: Hand dominance and occupation? Injury? Pain? Paresthesia? Impaired function? Swelling? Position: Place the patient’s hands on pillow Look: SEATS a. Shape or Deformity: –…

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CSF analysis neonates
Clinical Skills and Approaches

Practical Procedures : Lumbar Puncture (LP)

Epomedicine Aug 17, 2014 No Comments Internal medicinePediatricsProcedures

Synonyms: Spinal tap Definition: Puncture of subarachnoid space in the lumbar region of the spinal cord to withdraw cerebrospinal fluid (CSF) for diagnostic or therapeutic…

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Dix hallpike maneuver
Clinical Skills and Approaches

Vestibular examination : Dix-Hallpike Maneuver for BPPV

Epomedicine May 26, 2014 No Comments Clinical examinationInternal medicineOtorhinolaryngology

Benign Paroxysmal Positional Vertigo (BPPV) is the commonest cause of episodic vertigo and is characterized by acute attacks of transient vertigo initiated by certain head…

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gait abnormalities patterns
Clinical Skills and Approaches

Physical Examination: Gait

Epomedicine May 26, 2014 No Comments Clinical examinationInternal medicineOrthopedics

Definition: Gait is the manner or style of walking. It is dependent upon muscles, joints, nervous system and labyrinthine functions. Normal Gait Cycle: The gait…

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facial nerve examination
Clinical Skills and Approaches

Examination of Facial Nerve (7th Cranial Nerve)

Epomedicine May 25, 2014 15 Comments Clinical examinationInternal medicineOtorhinolaryngology

The anatomy of facial nerve has already been discussed in detail earlier. It is essential to have proper knowledge of anatomy to understand this section…

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Tuning fork parts
Clinical Skills and Approaches

Hearing tests with Tuning fork

Epomedicine May 24, 2014 No Comments Internal medicineOtorhinolaryngologyPhysiology

Tuning fork Parts of a tuning fork 1. Foot piece 2. Stem 3. Prongs How to use tuning fork? Hold the stem of the tuning fork…

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Water deprivation test
Grand Rounds

Case Discussion on Central Diabetes Insipidus

Dr. Sujit Kumar Shrestha, MD, Neonatology Fellowship Apr 5, 2014 No Comments Endocrine systemInternal medicine

A 12 year old female patient came to OPD with the chief complaints of increased thirst and increased frequency of urination for last 1 year.…

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