Saturday, December 9, 2017
Thursday, December 7, 2017
USMLE Step 3 CCS: Rape
These are my CCS steps for a case of rape. Lemme know if I missed out on anything!
Consent
Rape evidence kit
Complete physical examination
CBC
BMP
Vaginal fluid analysis
Vaginal, cervical, rectal cultures
BHCG
UA
Urine culture
HIV test, P24 antigen
VDRL
HbSAg
Gonococcal tests
Chlamydial tests
Emergency contraception (ulipristal / levonogestrol)
Ceftriaxone
Azithromycin
Metronidazole
Tenofovoir + emtricitabine + raltegravir
HBIG (if unvaccinated)
Psych consult
Drug screen
Colposcopy (for injuries)
That's all!
-IkaN
USMLE Step 3 CCS: Kawasaki disease
Let me know if I missed something out!
Physical examination (PE)
CBC
BMP
ESR
CRP
Blood culture (to rule out infection)
Urinanlysis (to rule out infection)
Urine culture (to rule out infection)
CXR (to rule out infection)
LFT
ASO
Strep pharyngitis culture
EKG
Echocardiogram
IVIG
Aspirin
That's all!
-IkaN
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)