For my medical reblogs

I am a student preparing for USMLE. This blog is a haphazard of posts I feel are important for studying. It's a messy, one sided, medical blog but I'm keeping it public for whoever the info helps =)

[mynotes4usmle]

Disconnect Syndromes

[mynotes4usmle]

[nakimedicalblog]

Risk factors for cervical incompetence

Dilation and curettage Loop electrocautery excisional procedure (LEEP) Cervical conization Congenital abnormality of the cervix due to DES

[nakimedicalblog]

Patients with a history of incompetent cervix should be offered an elective, prophylactic cerclage at 12 to 14 weeks’ gestational age.

[nakimedicalblog]

When is transvaginal cervical length screening done?

16-24 weeks

[nakimedicalblog]

Risk factors for cervical incompetence

Dilation and curettage Loop electrocautery excisional procedure (LEEP) Cervical conization Congenital abnormality of the cervix due to DES

[mymedlife]

Signs and symptoms of opioid overdose

MORPHINE-ABC

Miosis Out of it (sedated) Respiratory depression aspiration Pneumonia Hypotension, Hypothermia Infrequent bowel sounds, bowel movements, urination Nausea Emesis, Euphoria Analgesic Bradycardia Coma/altered mental status 

Source: Case Files Family Medicine  

[nakimedicalblog]

Here are another 5 F’s to keep in mind while screening newborns for DDH:

(DDH is a congenital dysplasia of the hip joint in which 1 or both of the baby’s hips are dislocated or subluxed (partially dislocated). It is important to diagnose and treat because, left untreated, the patient will develop arthritis and difficulty ambulating).

DDH Risk factors (5 F’s):

First born

Female

Family history of DDH

Feet (breech position)

Fluid (oligohydramnios)

Whether on a USMLE test question or on your pediatrics rotation, a baby with these risk factors may have DDH!

Exam maneuvers to do: Barlow and Ortolani tests

Next test: order an Ultrasound (US) if the patient is 6 m old or younger (after that, order XR’s).

Treatment: for most: non-operative: Pavlik harness if < 6 months old, spica cast if > 6 m – 1 ½ yrs old, surgery if these fail or if patient is > 1 ½ yrs old

[nakimedicalblog]

[nakimedicalblog]

In Which Dr. Baffled is Over It

Dr. B: His rapid strep came back positive so he has strep throat. His flu is negative so at least he doesn't have all the things.

Mom: Wow. Positive. That's surprising. He's only been sick for 4 days.

Dr. B: Is he allergic to any medication?

Mom: No.

Dr. B: Can he swallow pills?

Patient: Yeah.

Dr. B: Excellent. We're gonna start him on penicillin. He's gonna take 1 pill twice a day for 10 days.

Mom: Is there something natural he can take to get rid of Strep Throat instead?

Dr. B: Penicillin is natural. Certain kinds of molds make it to protect themselves from bacteria.

[wayfaringmd]

En-cycle-opathy

Patient: Has hepatic encephalopathy. Is very confused all the time. Requires Lactulose to decrease the high ammonia levels that cause the confusion. 

Lactulose: Tastes nasty. Makes you poop like whoa. 

Patient: Refuses Lactulose.

Nurse: Dr. Wayfaring, Ms. P is refusing her lactulose again. She’s all confused. What to do?

Wayfaring: Patient does not have decision-making capacity. She cannot refuse meds. Her decision maker says give her the lactulose. Give her the lactulose.

Nursing home: Doesn’t give the lactulose.

Patient: Gets more confused. Gets sleepy. 

Patient’s family: Dr. Wayfaring, why don’t you force her to take the lactulose?

Wayfaring: I would love to, but this is a nursing home not a prison. I can’t shove it down her throat.

Wayfaring to patient: Please take your medicine. If you don’t you will eventually go to sleep and wake up dead. 

Patient: I don’t like the medicine. Please fix my shaking and my confusion.

Wayfaring: Coincidentally, this lactulose fixes the shaking and the confusion!

Patient: I don’t like the medicine. Now fix my shaking and confusion I say!

Patient’s family to patient: Take your medicine!

Wayfaring to patient: Take your medicine!

Patient: I will take my medicine. 

Patient: Does not take her medicine.

Patient: Gets more confused. Falls. Hits her head. 

Nursing home: Off to the ER you go!

ER: Gives lactulose enema.

Patient: 

Patient: Gets better. Goes back to nursing home.

Patient: I will take my medicine! I’m better!

Patient: Refuses medicine. 

Wayfaring: 

[medicowesome]

Hello! This post focuses only on boundaries of various triangles in the neck. Let’s do this!

Anterior triangle -

Submental triangle mnemonic: “CHIN” C: Chin is the apex H: Hyoid bone is the base IN: In between digastrics (Sides)

Digastric triangle mnemonic: “MANDible” M: Mastoid and mandible is base. A: Anterior N: N (And) posterior belly of D: Digastric

Carotid triangle mnemonic: “SO PDFS” SO: Superior belly of Omohyoid PD: Posterior belly of Digastric FS: Front of Sternocleidomastoid

Muscular triangle mnemonic: “MuSCular” M: Median line of the neck S: Superior belly of omohyoid SC: Sternocleidomastoid

Posterior triangle -

Occipital triangle mnemonic: “OCcipital Triangle” O: Omohyoid C: sternoCleidomastoid T: Trapezius

Supraclavicular triangle mnemonic: “SupraClavicular-o!” S: Sternocleidomastoid C: Clavicle O: Omohyoid

That’s all! -IkaN

[medicowesome]

Evaluating axis from ECG (Mnemonic)

Hi everyone! We are going to learn how to determine the axis from an electrocardiogram =D

First of all, do you know which two leads should be looked at to determine whether axis is in the normal quadrant or if it is Left Axis Deviation (LAD) or Right Axis Deviation (RAD)?

Look at lead I and lead II. Sounds simple! ^__^

An upright (positive) QRS in leads I and II is normal (–30 degrees to +105 degrees). In left-axis deviation, there is an upright QRS in lead I and a downward (negative) QRS in lead II ( +105 degrees).

How do I remember this? @_@

Thumbs up method: Lead I = Left thumb, Lead II = Right thumb.

Wait, why lead I is left thumb and lead II is the right thumb? Because left is a smaller word and it gets the smaller number, that is, one! Right has more alphabets and it gets the bigger number, that is, two.

Left thumb up (I) + Right thumb up (II) = Normal. Left thumb up (I) + Right thumb down (II) = LAD. Left thumb down (I) + Right thumb up (II) = RAD.

Mnemonic method: Left leaves, right returns.

That’s all! Have a splendid week everyone

[medicowesome]

I know it isn’t Valentine’s day, but hey, do we need a day to be all lovey dovey and flirty? xD If we were parts of the ECG, you’d be the QT segment. This one is for my cutie, who is a cute med student and a cardiology lover < 3

-IkaN Wanna gift this to someone? Buy the card here! Related posts: If we were T lymphocytes, you’d be a natural killer.

[mj-md]

For my last test, Sweetheart was quizzing me on the flashcards I made. He’s an engineer, so not at all versed in medicalese, and every time I missed QT prolongation as a side effect he would say, “You forgot one! It’s what I think you are! A QT!”

[nakimedicalblog]

Haha this is so cute.

[ndusmle]

AML Cytogenetics

[nakimedicalblog]

Normal lab values mnemonics

Normal AST, ALT and ALP values mnemonic

http://www.medicowesome.com/2016/07/normal-ast-alt-and-alp-values-mnemonic.html

Normal arterial blood gas values mnemonic

http://www.medicowesome.com/2014/07/normal-arterial-blood-gas-values-and.html

Normal sodium, potassium and serum osmolality values mnemonic

http://www.medicowesome.com/2016/06/normal-sodium-potassium-and-serum.html

Normal values of Calcium, Phosphate, PTH and Alkaline phosphate mnemonic

http://www.medicowesome.com/2015/09/normal-values-of-calcium-phosphate-pth.html

[nakimedicalblog]

Identify

[nakimedicalblog]

A hospitalized patient with no symptoms