Advice to young doctors

It is okay to disagree with another physician and acknowledge differences in the style of practicing medicine. Medicine is not black and white. Develop your own preferences based on evidence and experience.

A truly experienced physician understands the intricacies of medicine and will not criticize another physician for a decision they made under a different clinical circumstance with the information they had available.

A physician who second guesses themselves and critically analyzes their decisions retrospectively and prospectively are better than those who are over-confident about their diagnosis and management. Think about the decisions you make.

If you ever come across a bad patient outcome, yourself or your colleagues, do not jump to conclusions. There may be other factors, that you do not have knowledge of, which may have played a role.

When feedback is given, don't take it personally. Learn from the experience objectively and detach yourself from it. This way, you will learn more instead of getting offended and defensive about it.

To not get emotionally involved takes time. Give yourself time. Change the voice of the conversation in your head.

I am still learning.

Sincerely,
A young doctor.

Facebook: Wolffian duct

Q1) Ejaculatory duct in males develops from 

A) Ureteric bud

B) Mesonephric duct

C) Wolffian duct

D) Paramesonephric duct

#Medicowesome

#Gynaecology

Answer to this question is Option C) Wolffian duct.

But isn't Wolffian duct also called as Mesonephric duct ? So can you pick option B instead of option C?

Well, unless your exam allows multiple answers to be correct, do not pick 'Mesonephric duct'. Here is why?

The mesonephros gives mesonephric duct which opens in the Urogenital Sinus and forms trigone of the bladder. Mesonephric duct also gives ureteric bud to the Metanephros to form Renal system.

Now after this has happened, the Mesonephric duct will be called as Wolffian Duct which forms the internal genital organs and in females, disappears.

That's it!

Demotional bloke

Mnemonic for head posture in A-V pattern squints

Chin up in what? Chin down in what? The vexing never ends. Well, as it turns out, the word 'vex' itself is here to save the day.

Chin up- V exotropia (VEx). Remember that squint is very 'vexing'. So you stare in the sky to remember at least a fraction of what you stuffed in your brain the day before. 

Other will be A esotropia. By exclusion, it's easy to remember. 

Chin down- V esotropia or A exotropia. Again, by exclusion, these get placed naturally under this heading.

So, just remember 'VEX' and you won't be vexed anymore! 

-Sushrut 

Mnemonic for Drug induced Cardiomyopathy

Hello everyone ....

Aunty is cycling 🚴‍♀️ on paved trails to protect her heart 💓 

Aunty = Anthracycline = Doxorubicin, Daunorubicin , Mitoxantrone 

Cycling = Cyclophosphamide 

paVEd = VEGF Inhibitors = Bevacizumab 

Trails = Trastuzumab

Facebook: PFT-1

Q1) Which of the following is/are not a contraindications of performing PFT(Pulmonary function test)? 

A) MI within one year

B) Unstable angina

C) Recent thoraco-abdominal surgery

D) Recent ophthalmic surgery

E) Past history of pneumothorax

So correct options are - A and E

Following are contraindications to perform pulmonary function test. 

Mnemonic: UR IRcTC

U- Unstable angina

R- Recent thoracoabdominal surgery

I- Myocardial infarction within the last month

R- Recent ophthalmic surgery

T- Thoracic or abdominal surgery 

C- Current pneumothorax

That's it! 

-Demotional bloke. 

Parasitic infections and Asthma

In parasitic infection, polyclonal IgE produced by body occupies the receptor produced by mast cells. This leads to decrease action of specific IgE required for asthma. 

This mechanism is probably the cause of decrease prevalence of asthma in tropical population. 

That's it 

-Demotional bloke

Choristomas Vs Hamartomas

I get super confused with both the following terms, so I made a lame technique to remember both of them. 

Choristomas:

It sounds more like a Christmas. So Christmas tree is usually not grown in India but we do keep it as a sign of Christmas. 

So Christmas tree is normal, but the site (India or any other habitat) is not the usual site of tree, so let's say abnormal. 

So Choristomas is normal tissue at abnormal anatomical sites.

Example - Normal pancreatic cells under the small bowel mucosa.

They are not considered as neoplasm.

Hamartomas:w

'Hamara' in Hindi means 'mine'. 

Remember: this place is mine. So here, place is normal and tissue is abnormal!

That is, abnormal tissue at normal anatomical sites.

Example - Lung hamartomas exhibit cartilage, bronchi, and blood vessels. 

They are considered as neoplasm.

That's it! 

-Demotional bloke

Areas devoid of pain fibres

Areas devoid of pain fibers 

Mnemonic: BED PACK

B- Brain parenchyma

E- Ependyma

D- Duramater (Neither covering blood vessel or forming dural venous sinus) 

P- Pia mater

A- Arachnoid mater

C-Choroid plexus

That's it 

-Demotional bloke

Areas devoid of BBB

Area devoid of BBB 

Mnemonic: MAP SNOW
M- Median eminence
A- Area postrema
P- Pineal gland
S- Subfornical organ
N- Neurohypophysis
O- OVLT- Organum vasculosum laminer terminalis 

That's it 

- Demotional bloke

Egg shell calcification

Following are the cases in which we get eggshell calcification of lympho nodes on radiography. 

Mnemonic:

SSRI Love Hitting BAT

(Lame? I know!) 

S-Silicosis

S-Sarcoidosis

R- After Radiotherapy

I L- Post irradiation lymphoma

H- Histoplasmosis

A- Amyloidosis

T- Tuberculosis

That's it ! 

- Demotional bloke

Ocular Alzheimer's disease

A paper published in 2003 has dubbed glaucoma as 'ocular Alzheimer's disease' because some of the pathophysiological elements are similar.

Cataract in Rubella- interesting fact

The progressive nuclear cataract in Rubella may harbor live virus particles.

Psychiatry MCQ-1

So here are two multiple choice questions, whose answer changes with options. 

Q1)Most common psychiatric disorder is :-

A) Anxiety

B) Depression

C) Phobia

D) Schizophrenia

Here answer is A) Anxiety

Most common psychiatric disorder is 

A) General Anxiety disorder

B) Panic anxiety disorder 

C) Phobia anxiety disorder 

D) Depression

Here answer is D) Depression. 

Reason for such variation is that Anxiety is not just a single disease like depression.

Infact it is group of disorders. 

So Depression is the single most common psychiatric disease whereas Anxiety is the most common psychiatric disease.