Donot wear High Heeled Shoes

A Fashion is not needed over Your Health ! Don't wear such High Heeled shoes. It can cause Joint dislocation,Fracture,Planter Facititis, Joint pain,Discomfort walk..X-Ray of foot in high heeled shoe! - Beyond every postural deviation/compensation that must happen above, just look at the physical stress that is placed on the metatarsophalangeal joints! It is sad to see what people do to themselves in the name of fashion.►►LIKE + SHARE + TAG◄◄

Dynamic auscultation methods of Heart Sounds

Dynamic auscultation methods of Heart Sounds:
Respiration:
Right sided murmurs are louder during inspiration
Expiration has the opposite effect

Squatting:
This increases both venous return and peripheral resistance and results in almost all murmurs becoming louder
The exception is in hypertrophic obstructive cardiomyopathy(HOCM) where the dilatation of the left ventricle partially relieves the outflow obstruction

 

A mnemonic for the respiration,

r"I"ght sided murmurs are louder during  "I"nspiration

l"E"ft sided murmurs are louder during "E"xpiration.

Treatment for INSOMNIA to medical students

Health Tip: Treatment for "Insomnia"

MILD cases : 2 pages of "Tripathi" bfore sleep.

SEVERE cases: 2 pages of "Anathanarayan" can hav sum effct.

CAUTION: "Robbins n Harrisons" over dosage can lead to severe sedation , coma,retrograde amnesia etc.

In TOLERANCE cases : 3 pages of "PARK".
take carefully......
Overdose causes convulsions,... coma & death.

Issued with respect to medicos interests!

Don't make the person/patient afraid of his own disease

When you are communicating with other medical professional in front of a patient.

Never say "patient may have leprosy", better say "patient may have hansen's"

Never say "patient may be HIV positive", better say "patient may be retro-positive"

When you are co...

When you are communicating with other medical professional in front of a patient.

Never say "patient may have leprosy", better say "patient may have hansen's"

Never say "patient may be HIV positive", better say "patient may be retro-positive"

Lichen nitidus at a glance

Lichen nitidus is a relatively rare, chronic skin eruption that is characterized clinically by asymptomatic, flat-topped, skin-colored micropapules (see image below). Lichen nitidus mainly affects children and young adults.

Pathophysiology:
The skin is the primary organ system affected. Mucous membranes and nails also might be involved. Lichen planus can clinically mimic lichen nitidus and can sometimes coexist with lichen nitidus.

Physical:
The primary lesions consist of multiple 1- to 3-mm, sharply demarcated, round or polygonal, flat-topped, skin-colored shiny papules that often appear in groups.
The most common sites of involvement are the trunk, flexor aspects of upper extremities, dorsal aspects of hands (see image below), and genitalia. Infrequently, the lower extremities, palms, soles, face, nails, and mucous membranes may be affected. Nail changes include pitting, ridging, splitting, and linear striations..

Causes:
The cause of lichen nitidus is unknown. Controversy exists regarding the relationship between lichen planus and lichen nitidus.

No therapeutic modality has been rigorously evaluated for the treatment of lichen nitidus because of the rarity, lack of significant symptomatology, and disappearance of this disease within 1 or several years. Reported therapies, mostly from isolated case reports, include topical and systemic steroids, topical tacrolimus, systemic cetirizine, levamisole,etretinate, acitretin, itraconazole, cyclosporine, topical dinitrochlorobenzene, psoralen plus UV-A light, and narrow-band UV-B light.

Normal chest xray with explanation,must see xray for every medical student