tag:blogger.com,1999:blog-49453265222493240982024-03-05T16:09:02.700-08:00Medchrome ImagesMedical image gallery and Medical humanities.Unknownnoreply@blogger.comBlogger35125tag:blogger.com,1999:blog-4945326522249324098.post-76201529570954506022013-07-16T04:18:00.001-07:002013-07-16T04:22:00.691-07:00Colle's fracture: Diagnosis and Complications
It is the most common wrist fracture which usually follows a fall on outstretched hand. The fracture occurs within 1 inch of the distal end of the commonest fractures of middle and old age (common in osteoporotic bone). The fracture occurs at cortico-cancellous junction of the bone.
Clinical features:
Swelling, ecchymosis, tenderness
"Dinner fork" deformity
Assess neurovascular status (Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-69450413181675543842013-07-14T06:01:00.000-07:002013-07-14T06:01:03.478-07:00Boxer's fracture: Fracture of neck of 5th metacarpal
Boxer's fracture refers to the fracture of neck of 5th metacarpal bone (little finger) and often follows a blow with the fist. There may be local swelling, with flattening of knuckle. X-rays show an impacted transverse fracture with volar angulation of the distal fragment.
Non-Operative treatment:
A flexion deformity of up to 40 degrees can be accepted; as long as there is no rotational Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-1464395110219078682013-07-08T04:01:00.002-07:002013-07-08T04:01:38.030-07:00Barton's fracture
Barton's fracture is the intra-articular fracture of distal radius resulting from shearing force. It can be classified as dorsal or volar depending upon location of fragment. The diagnosis can be made by clinical presentation and radiologic evidence. The fracture is treated by closed reduction and the forearm is immobilized in a cast for 6 weeks. Open reduction and Internal fixation is Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-91240277804645092402013-07-02T12:05:00.000-07:002013-07-08T04:02:01.517-07:00Bimalleolar fracture: Danis Weber A
Fractures of the ankle involve ipsilateral ligamentous tears or bony avulsion and contralateral shear fractures. The pattern of fracture is determined by the mechanism of injury. Avulsion fractures are transverse and shear fractures are oblique (if pure inversion/eversion) or spiral (if rotational).
The X-ray above shows ankle joint of right lower limb. An avulsion (transverse) Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-82653157756847452112013-06-24T11:50:00.001-07:002013-06-24T11:52:05.794-07:00Median nerve: Course and Innervation
Origin: C5-T1
Course:
Axilla: Starts in axilla
Arm: Runs along with brachial artery - initially lateral to it and later medial to it
Forearm: Enters the forearm between pronator teres and biceps tendon and then travels between Flexor digitorum superficialis and Flexor digitorum profundus
Wrist: Just above wrist, the nerve lies between Flexor digitorum superficialis and Flexor carpi ulnarisUnknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-2131306414204889042013-06-24T04:32:00.001-07:002013-06-24T04:32:23.573-07:00Olecranon fracture: Tension Band Wiring
The 2 X-rays in the upper row were performed before the surgery and the lower 2 X-rays were performed after the surgery. It shows transverse displaced fracture of the olecranon process of the left upper limb. The fracture was managed with Open Reduction and Internal Fixation (ORIF) using the teachnique of Tension Band Wiring (TBW).
Distraction or tension interferes with fracture healing. Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-89682544874311447852013-06-03T09:00:00.000-07:002013-06-03T09:00:16.682-07:00Goodsall's rule
Goodsall’s rule can be used to clinically predict the course of an anorectal fistula tract. Imagine a line that bisects the anus in the coronal plane (transverse anal line). Any fistula that originates anterior to the line will course anteriorly in a direct route. Fistulae that originate posterior to the line will have a curved path. An exception to the rule are anterior fistulas lying Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-12082958437537536522013-06-01T08:59:00.001-07:002013-06-01T08:59:09.579-07:00Never Defibrillate Asystole
Almost every medical shows out there have that magical thing called "Defibrillator". One grave fallacy in such TV shows is the use of defibrillator (shock) in patients with asystole (flat ECG line). The ACLS has classified asystole as a non-shockable rhythm. This is because defibrillation in asystole is not only fruitless, but also detrimental, eliminating any possibility of recovering a Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-62044535648672233962013-05-31T06:23:00.000-07:002013-05-31T06:25:32.418-07:00Superficial Cervical Plexus: Anatomy Mnemonic
This is a visual mnemonic for the nerve arrangement of superficial cervical cutaneous branches of cervical plexus. This mnemonic was created only for the ease to remember and may not resemble exact anatomy.
The site of injection for superior cervical plexus nerve block is the midpoint of posterior border of sternocleidomastoid. Assuming this as a center point, the various position of nerves,Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-36284510943660627352013-05-30T01:53:00.001-07:002013-05-30T01:53:35.204-07:006 A's of Premedication
Anxiolysis:
Temazepam 20-30 mg
Diazepam 10-20 mg
Lorazepam 2-4 mg
Amnesia:
Lorazepam 2-4 mg
Antiemetic:
Metoclopramide 10 mg oral or iv
Ondanetron 4-8 mg oral or iv
Cyclizine 50 mg im or iv
Hysocine 1mg transdermal patch
Antacid:
Oral sodium citrate 30 ml immediately preinduction
Ranitidine 150 mg orally 12 hourly and 2 hour preoperatively
Metoclopramide 10 mg orally Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-8083970656269499122013-05-29T22:30:00.000-07:002013-05-29T22:30:02.589-07:00Minimal Change Disease (MCD): Morphology
Synonyms:
Lipoid necrosis
Foot process disease
Nil disease
Gross appearance:
Kidneys are of normal size and shape
Microscopic appearance:
Light microscopy: Normal glomeruli, Lipid in tubules
Electron microscopy: Podocyte foot process effacement, No deposits
Fluorescence microscopy: Negative (no complement/Ig deposits)
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-50576402741098927962013-05-26T18:40:00.000-07:002013-05-26T18:40:40.157-07:00Risk factors of Diabetes Mellitus (DM) Type 2
Alcohol > 42 units/week
Age >/= 45 yrs
BMI > 25 kg/m2
Prediabetes = Impaired Fasting Glucose or Impaired Glucose Tolerance
Impaired fasting glucose = Fasting plasma glucose 100 mg/dL to 125 mg/dL
Impaired glucose tolerance = Two-hour plasma glucose 140 mg/dL to 199 mg/dL
Drugs causing DM: Tacrolimus, B-antagonists, Glucocorticoids, Thiazide diuretics
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-18827942953556728962013-05-24T07:50:00.002-07:002013-05-24T07:50:50.877-07:00Hippocratic Oath
Hippocratic Oath is an oath which is believed to have written by
Hippocrates, often regarded as "The Father of Medicine" that is taken by
the medical professionals before they begin to practice medicine as a
swear to practice medicine honestly. The oath is written in Ionic Greek
(late 5th century BC).
Lately, The Hippocratic Oath has been modified and revised in different countries.
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-90317090966285125372013-05-17T02:10:00.000-07:002013-05-17T02:10:29.451-07:00Ulcer examination: Made Easy
An ulcer is defined as an area of discontinuity of the surface epithelium. You can remember the mnemonic "DRESSINGS" to record the various findings of clinical examination of an ulcer.
D: Discharge and Depth of ulcer
R: Relation to underlying structure
E: Edge and Margin
S: Site, Size, Shape, Surface, Surrounding area
S: Solitary or multiple?
I: Induration at the base and Impairment of Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-32544059504989316082013-05-15T05:09:00.001-07:002013-05-15T05:09:31.559-07:00Training Dummy for Dummies
Most of you must have heard about the "For Dummies" series of books which provides knowledge to the readers who are new to the topic. Training dummies are a great source of learning for such newbie dummies especially in the medical course where you can practice several skills before performing it on real situations. However, these can only imitate and not replicate the real life situations Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-66811722088147041312013-05-13T05:54:00.001-07:002013-05-13T05:54:11.079-07:00Perceived Image of Anesthesiologists
Anesthetists or Anesthesiologists are thought to be the doctors behind the masks who puts you to sleep before the surgery and wakes you up when its done. But what do they do between these two events? Are all those jokes about them being lazy, dozing off or spilling coffee on their OT dress true? Anesthesiology is more than just putting you to sleep and waking you up. They care for breathing, Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-36471292783777609912013-05-12T07:42:00.001-07:002013-05-12T07:45:32.563-07:00Nasotracheal intubation
The patient underwent nasotracheal intubation before the surgical repair of mandibular fracture. Nasotracheal intubation is indicated in patients undergong procedures inside the mouth. Compare with orally placed tracheal tubes, the maximum diameter is usually smaller and the tubes longer, leading to increased resistance.
The contraindications to the use of a nasal tube include:
Fracture Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-10587103778488923052013-05-11T10:01:00.000-07:002013-05-23T19:00:14.556-07:00Logo Designs : Soch
Computer translates "Thoughts" into Digital images. These were our thoughts that came as a logo design for KIST Medical College's upcoming annual magazine titled "Soch" which means "Thoughts".
Contributor: Jemesh Maharjan and Sulabh Shrestha
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-47486292786899584172013-05-03T23:37:00.001-07:002013-05-04T05:44:46.491-07:00Evolution and Regression of Medicine
This picture is based on a joke and shows the history of development of medicine. The history repeats itself. The cure for the disease evolved from the herbs and soon the advancement were very rapid and immense. And once again, we have come to a situation where we have started doubting the medicines and we have started believing on alternatives.
Contributor: Sulabh Shrestha
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-28021200819519502642013-05-03T22:06:00.000-07:002013-05-03T22:06:31.510-07:00Trust me I'm a Doctor - To Be
I found this on the web and this art was supposed to be a T-shirt design for a conference of Asian Medical Students' Association.
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-35119514168641897472013-05-03T20:47:00.000-07:002013-05-03T20:47:07.240-07:00Pedchrome: Pediatrics Magazine of Medchrome
"Pedchrome : Child Health Magazine" is an Online Pediatric and Child Health Resource. It comprises of 2 sections:
For ParentsA section of "easy to understand" articles dedicated to parents and non-medics.
For MedicsA section of "well-researched" articles dedicated to pediatricians & medics.
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-5553030289507721332013-04-29T06:49:00.002-07:002013-04-29T06:49:41.946-07:00Histology: All looks the same
Histology is the study of abstract art painted on a piece of tissue with hematoxylin and eosin. Under the microscope, everything looks almost the same: bit of pink and bit of purple.
Contributor: Sulabh Shrestha
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-11861355994803702312013-04-26T22:12:00.002-07:002013-04-27T02:25:00.971-07:00Medical Course: Is it frustrating?
The journey of becoming a competent doctor is not just long but difficult and expensive as well. With the advancement of time, the priority and preference has shifted towards specialization in narrower fields. So, think before you leap into this career, so much glorified by the society.
Contributor: Sulabh Shrestha
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-4313185538049079042013-04-26T19:10:00.002-07:002013-04-26T19:10:28.554-07:00Malformation of Pinna
A child born with malformation of pinna
Contributor: Dr. Sujit Shrestha
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4945326522249324098.post-91228803543307570482013-04-25T10:22:00.004-07:002013-05-03T22:08:07.010-07:00Thought block in Viva Examination
The events depicted in the picture is based on a popular joke among medical students which is said to have occurred during osteology viva-voce. The bottom line is that exam stress can severely impair your performance. This implication is not just limited to the medical students. Even the toughest of the students have gone blank, messed up viva exam and have led to failure.
And one more Unknownnoreply@blogger.com