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Nervous system

USMLE, PGMEE, MBBS, MD/MS

Pregabalin vs Gabapentin

Epomedicine May 10, 2022 No Comments Nervous systemPharmacology

Both pregabalin and gabapentin are GABA analogues that bind to presynaptic neuron’s voltage-gated calcium channels (VGCC), specifically to the alpha-2-delta protein leading to reduced calcium…

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Emergency Medicine

Conus Medullaris Syndrome vs Cauda Equina Syndrome : Anatomical basis and Mnemonic

Epomedicine May 8, 2022 No Comments Emergency medicineNervous systemOrthopedics

Definitions Condition Vertebral level of injury Neurological level of injury ISNCI level of injury Conus Medullaris Syndrome (CMS) T12-L2 T12-S5 T11 Cauda Equina Syndrome (CES)…

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Clinical Skills and Approaches

Modified Ashworth Scale for Spasticity : Mnemonic

Dr. Sulabh Kumar Shrestha , PGY3 Orthopedics May 1, 2022 No Comments Clinical examinationNervous system

Ashworth scale tests resistance to passive motion about a joint with varying degrees of velocity. Modified Ashworth Scale (Bohannon and Smith, 1987) has 1+ grading…

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USMLE, PGMEE, MBBS, MD/MS

Dermatomes : Mnemonic

Epomedicine Sep 18, 2021 No Comments Internal medicineNervous systemPediatrics

Note: C1 doesn’t have a sensory branch For the purpose of making learning easier, we divide the remaining dermatomal segments into 4 groups which will…

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USMLE, PGMEE, MBBS, MD/MS

Nerve Conduction Study (NCS) and Electromyography (EMG) : Mnemonic Approach

Epomedicine Sep 15, 2021 No Comments Internal medicineNervous systemOrthopedics

Nerve Conduction Study (NCS) In the Nerve conduction study, assessment must be done for ABCDEFGH. Action potential Amplitude Measures the height of response in millivolts…

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USMLE, PGMEE, MBBS, MD/MS

Diagnosis of Spinal Instability (White & Panjabi) : Mnemonic

Epomedicine Apr 3, 2021 No Comments Musculoskeletal systemNervous systemOrthopedics

Mnemonic: Remember 4 D common to all + 3 D for C-spine and 1 D for L-spine Diagnosis requires: Score >4 Denis column disruption: Anterior…

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USMLE, PGMEE, MBBS, MD/MS

Paraplegia in Extension and Flexion

Epomedicine Feb 4, 2021 No Comments Clinical examinationInternal medicineNervous systemOrthopedicsPediatrics

Paraplegia in extension and paraplegia in flexion occur only after the spinal shock has ceased. Paraplegia in extension indicates an increase in the extensor muscle…

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USMLE, PGMEE, MBBS, MD/MS

Tinel Sign

Epomedicine Feb 1, 2021 No Comments Clinical examinationNervous system

Synonyms: Hoffman-Tinel test, Tinel’s sign, Nerve percussion test Definition: “pins and needle feeling” elicited by tapping on a nerve proximally, with resulting paresthesia experienced in the…

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