This is a mnemonic for some (not all) prognostic factors for schizophrenia.
Thursday, December 7, 2017
Poor prognostic factors for schizophrenia mnemonic
This is a mnemonic for some (not all) prognostic factors for schizophrenia.
Likelihood ratio mnemonic
Mnemonic on viral structures
As the title suggests this post will help you remember the different viral structures in a way that is fun and easier.
Tuesday, December 5, 2017
Puerperal sepsis
PUERPERAL SEPSIS
Puerperal sepsis is any bacterial infection of the genital tract which occurs after the birth of a baby. It is usually more than 24 hours after delivery before the symptoms and signs appear.
Some of the most common bacteria are:
Streptococci
Staphylococci
Escherichia coli (E.coli)
Clostridium tetani
Clostridium welchii
Chlamydia
Gonococci
SYMPTOMS AND SIGNS
Fever (temperature of 38°C or more) Chills and general malaise
Lower abdominal pain
Tender uterus
Subinvolution of the uterus
Purulent, foul-smelling lochia.
Slight vaginal bleeding
Shock.
RISK FACTORS
Some women are more vulnerable to puerperal sepsis, including anaemia and/or malnourished, protracted labour, prolonged rupture of the membranes, frequent vaginal examinations, a traumatic delivery, caesarean section and retained placental fragments, PPH, diabetes all predispose to puerperal infection.
SITES
The most common site of infection in puerperal sepsis is the placental site.
Other sites of infection are abdominal and perineal wounds following surgery and lacerations of the genital tract, e.g. cervix, vagina and perineum.
Following delivery, puerperal sepsis may be localized in the perineum, vagina, cervix or uterus.
Infection of the uterus can spread rapidly if due to virulent organisms, or if the mother’s resistance is impaired.
It can extend beyond the uterus to involve the fallopian tubes and ovaries, to the pelvic cellular tissue causing parametritis , to the pelvic peritoneum, causing peritonitis , and into the blood stream causing septicaemia
DIFFERENTIAL DIAGNOSIS
Fever in the puerperium can also be caused by: urinary tract infection (acute pyelonephritis) wound infection (e.g. scar of caesarean section) mastitis or breast abscess thrombo-embolic disorders, e.g. thrombophlebitis or deep vein thrombosis respiratory tract infections.
-Md Mobarak Hussain (Maahii)
Adrenaline : Dosage
Dose of Adrenaline :
Anaphylaxis :- 0.5mg 1:1000 IM
Anaphylactic Shock :- 1mg 1:10000 IV
Cardiac Arrest :- 1:10000 IV
CPR :- 1:10000 IV/IO, if not accessible 1:1000 ET
With LA :- 1:200000 SC
-Md Mobarak Hussain (Maahii)
Sunday, December 3, 2017
Saturday, December 2, 2017
Cryoprecipitate constituents mnemonic
This is a post on the constituents of Cryoprecipitate :)
Thursday, November 30, 2017
Guidelines for treatment of drug-susceptible tuberculosis 2017 UPDATE
This is to inform you the updated guidelines.
I was overwhelmed with the data in the book. I tried to simplify it.
1.The name given to this scheme is "99 DOTS"
99 means that 99% benefits should reach to all the people who are enrolled under this programme.
2.INTRODUCTION OF FDC (fixed dose combination)
(Please make a correction in the following diagram :- ETHAMBUTOL=275mg)
Tuesday, November 28, 2017
USMLE Step 3 CCS: Asthma exacerbation
Pulse oximetery (every 1-2 hours to access response)
Oxygen
Physical examination
Albuterol nebulizer
Intravenous methylprednisone
Peak flow (every 1-2 hours to access response)
EKG (is this cardiac?)
CXR (to find out cause of asthma excerbation - infection)
CBC (to find out cause of asthma excerbation - infection)
BMP
Other stuff:
Cardiac monitor
Head elevation
Ipratropium for severe exacerbations
ABG
Admit
NSS 0.9%
NPO
Discharge on oral prednisone for 5-7 days
Uptodate:
- Use inhaled short-acting beta agonists early and frequently, and consider concomitant use of ipratropium for severe exacerbations
- Start systemic glucocorticoids if there is not an immediate and marked response to the inhaled short-acting beta agonists
- Make frequent (every one to two hours) objective assessments of the response to therapy until definite, sustained improvement is documented
-IkaN
Wednesday, November 22, 2017
Mapelson circuits in anaesthesia mnemonic
-an inlet for fresh gases
-an outlet valve for exhalation
-the patient end
-the distal end usually with a bag to control rise and fall of the chest.
The only circuit where fresh gases come in from the distal end. The exhaling valve is near the patient. It is suitable for spontaneous ventilation so rate of flow of gases = minute volume.
Remember, B for both. So both inlet and outlet are together at the patient end. Otherwise it's the same as A.
C for closed and C for corrugationless. It's a closed circuit and the only one which has no corrugations.
It is the exact opposite of A. Inlet for fresh gases is near the pt, outlet is far away. It is suitable for controlled ventilation.
This is a valveless circuit and also has no bag (the only one without a bag). Since the arrangement is in the form of a T, it is also called Ayre's T piece.
It is the same as E, valveless, but it has a bag to control the rise and fall of chest. It is mainly used in infants and neonates.
Monday, November 20, 2017
Sunday, November 12, 2017
DD of white membrane over tonsil
DD of white membrane over tonsil -
" MALA VIT DC"
M- Membranous tonsillitis
A - Aphthous ulcers
L - Leukocytosis
A - Agranulocytosis
V - Vincent Angina
I - Infectious mononucleosis
T - Traumatic ulcers
D- Diphtheria
C - Candidia infection
Thank you :)
~Pratheek Prabhu