Types of glare and mnemonic

There are 4 different types of glare-

1. Direct glare- When the source of light is placed in the same or nearly the same direction as the object of fixation.

2. Discomfort glare- Glare which produces discomfort without interfering with vision. One experiences it when the overall illumination of the surroundings is too bright. 

3.Indirect glare- When an intense light source is placed in a direction other than the object of fixation.

4. Disability glare- Glare which reduces visual performance without necessarily causing discomfort. It refers to the reduced visibility of a target due to the presence of light elsewhere in the visual field. Contrast is reduced, and thus the visibility of the target. 

Now. How to remember all four? 

You are familiar with direct and indirect ophthalmoscopes. 

Suppose an ophthalmologist begins with direct ophthalmoscopy, which causes discomfort, both, to the patient as well as himself, because it involves going too close to the face. The ophthalmologist then starts using an indirect ophthalmoscope with the patient in a supine position, but after a while ends up having cervical spondylosis. Thus, getting a disability.

That's all!

-Sushrut 

Mnemonic for GOLD classification for COPD severity

Hello,

In this video, Drashtant talks about the GOLD classification for COPD.

Draw the human heart with me

Hi everyone!

I just created a spontaneous draw with me video.

NEET - THE EXAM. THE MYSTERY. THE CLOWN

Mnemonic for ocular axes and angles

This one is for the PGs. The 4 axes and 3 angles are pretty confusing to remember plainly. Here's how I do it.

Authors' diary: Mercy

Today, when I walked into a patients room to talk to him, he said, "Mercy."

I wasn't sure if this 90 year old male with dementia said what he said.

I asked him, "Did you just say mercy?"

He said yes and nodded. It broke my heart. 

It's sad that aggressive treatments have come to this. When families want "Everything done" they don't see what we actually do.

There comes a point in life when it is okay to refuse treatments, not because you're negligient and ignorant about your health, but because it is the right thing to do.

With all our technological advancements in medicine, we can keep a body alive. We can have a ventilator with tracheostomy breathe for the patient, we can feed through a PEG tube, we can replace the kidney with dialysis, we can keep the blood pressure up with pressors. Sometimes, we can even bypass the heart and lungs through extra corporeal membrane oxygenation (ECMO). But just because we can do it, doesn't mean we should do it. What about quality of life? 

Medicine can only do so much. There comes a point in the natural course of human life when the body can't heal anymore. That's when it's okay to say, "No more." It's time for comfort care and hospice. 

Fortunately, for my patient, the physician explained about end of life to the decision makers and the family understood the goals of care. The patient was discharged to hospice. 

Contents page for Medicowesome secret project on Depression: Let's talk

Secret projects on Let's talk about depression - WHO day theme

What is the "Let's talk" project? How can I talk about mental illnesses?

Whatsapp group for medical professionals struggling with mental health issues

Hello, medicowesomites!

The Medicowesome admins had a recent discussion on depression and anxiety among health care professionals. We decided to create something like a support group on Whatsapp for those interested.

Pressure half time in aortic regurgitation notes

Hello! This post may be relevant to IM residents and cardiology fellows.

Olanzapine dose in CINV

Hi!

Olanzapine, an anti-psychotic, has been used in the patients of cancer for its beneficial effects on chemotherapy-induced nausea and vomiting (CINV) at a dose of 10 mg due to its anti-emetic action (neurotransmitter blockade at serotonin and dopamine receptors).

But due to its major adverse impact of daytime sedation, recent studies and randomized controlled trials have concluded its revised dose to be 5 mg for CINV.

To be noted here that the anti-emetic use of olanzapine is still off label, an unlicensed drug used for this purpose.

That's all

- Jaskunwar Singh

Mnemonic for Cherry 🍒 Red spots in Eye

Hello everyone….

" Story of Cherry 🍒 from farm to crowd "

From Farmer ( Mr.Tay Sachs ) 

Quintal of GM Cherry 🍒 storage (GM = Genetically modified ) 

Picked up 

By Dapper Gentleman (Mr.Sandhoff ) 

for selling to 

Crowd 

In Berlin 

(Like Cherry blossoms in Berlin... Google it.. ) 

Mnemonic for Antibodies in SLE & it's Clinical Importance

Hi everyone!

Here is a hack.

ANA = All Negative Absent = All Positive identified = Highest Sensitivity ( So best Screening Test ) 

Anti dsDNA = Disease Severity 

Anti Sm = Specific Most

Anti RNP = Raynaud & Polymyositis ( MCTD )

Mnemonic for Dawn & Somogyi phenomenon

Hello everyone....

A diabetic patient who is taking NPH insulin regularly at early evening time presents with early morning headache. He also feels very stressed & tiredness. 

I have checked that he is hyperglycemic.

Suddenly I think about Dawn & Somogyi phenomenon. But I have a confusion between that 2 terms.

So I make a mnemonic…

Here it is ..

Dawn & Somogyi phenomenon

In both Early Morning High Glucose 

= Due to ⬆️ GH & Cortisol Surge 

What is the difference ??