
Severity Grading of Appendicitis: Mastering the ASS and CTSI Methods
Understanding the Severity of Acute Appendicitis: A Guide to ASS and CTSI Grading Systems

Understanding the Child-Pugh Score: A Vital Tool in Managing Chronic Liver Disease
The Child-Pugh score components, scoring system, and implications: Child-Pugh Score Classification Summary Class A (5-6 points): Mild...

Hepatic Encephalopathy: Grading, Management, and Mnemonic "BIG SCALP"
The West Haven criteria for grading Hepatic Encephalopathy (HE) and the corresponding management strategies: Precipitating Factors and...

Modified Hinchey Classification Acute Diverticulitis Grading and Management: A Comprehensive Guide for Physicians
Modified Hinchey Classification and Management Summary Table Introduction Acute diverticulitis, a common complication of diverticular...

Understanding Blood Pressure Categories and Managing Hypertensive Crises: A Guide for Medical Practitioners
Blood pressure management is crucial in preventing cardiovascular diseases and ensuring patient health. This comprehensive guide covers...

Post-Trauma Lab Findings: Understanding Common Abnormalities
Post-trauma patients can present with a variety of abnormal laboratory findings. Here’s a comprehensive examination of these...

Post-Trauma Management in Neurosurgery: Causes of Declining GCS Scores in Post-Trauma Patients.
In the field of neurosurgery, the management of post-trauma patients is critical, particularly when they present with symptoms such as...

Reporting a New Patient Case to the Surgery Resident
"สวัสดีครับ/ค่ะ พี่ [ชื่อ Resident] ผม/ดิฉัน [ชื่อของคุณ] นักศึกษาแพทย์ ปี [ปีการศึกษา] ครับ/ค่ะ มีผู้ป่วยชายไทย/หญิงไทย อายุ [อายุ] ปี...

Delirium and Alcohol Withdrawal: Comprehensive Guide and How to use AWS score for Medical Professionals
Introduction Delirium is a common but serious medical condition characterized by acute confusion, fluctuating consciousness, and...

Hemorrhoids: Types, Features, and Management
Hemorrhoids: Types Internal hemorrhoids Originate above the dentate line (from the superior rectal venous plexus). Covered by columnar...

Why do we on Omeprazole in Patients who do on Dexamethasone?
Rational for Omeprazole Use in Patients on Dexamethasone: Background: Dexamethasone is a potent corticosteroid commonly used in...

Distinguishing Cerebellar Hemorrhage from Vestibular Problems: Why patients close eyes in Cerebellum hemorrhage and open eyes in Vestibular Vertigo problems.
Why Patients Keep Their Eyes Open in Peripheral Vestibular Disorders When patients present with headache, dizziness, and vertigo,...

Orders After Intubation and Initiation of Mechanical Ventilation
Order Summary ETT Size: 7.5, Mark: 21 cm Ventilator Mode and Settings: [Specify Mode and Settings] CXR Portable: After ETT insertion...

Why Hold Nicardipine and Other Antihypertensive Drugs in Some Patients: Understanding the Cushing's Triad
Holding Nicardipine in Cushing's Triad: Ensuring Brain Perfusion When Cushing's triad (hypertension, bradycardia, and irregular...

Optimizing Seizure Management in the Neurosurgery Ward: A Comprehensive Guide to Dilantin, Keppra, and Gabapentin
In the dynamic environment of a neurosurgery ward, effective seizure management is crucial for patient safety and recovery. This guide...

Comprehensive Guide to Diabetic Foot Infections and Critical Limb Ischemia: Diagnosis and Management
Introduction Diabetic foot infections (DFIs) and critical limb ischemia (CLI) are serious complications in patients with diabetes....

Physical Examination in Acute Appendicitis: Key Findings and Their Significance
Acute appendicitis, a common cause of acute abdominal pain, requires a thorough clinical evaluation, including a detailed physical...

The Role of Ultrasound and CT in Diagnosing Acute Appendicitis
Introduction While clinical scoring systems like the Alvarado Score and the Adult Appendicitis Score (AAS) are valuable tools in...

Comparing the Adult Appendicitis Score (AAS) and the Alvarado Score in Diagnosing Acute Appendicitis
Comparison Table Introduction Acute appendicitis is a common yet challenging diagnosis in patients presenting with abdominal pain. To aid...

Medications Commonly Used to Treat Persistent or Intractable Hiccups by Plasil (Metoclopramide), Domperidone, Baclofen, and Chlorpromazine (Thorazine)
Medications for Treating Hiccups in Adults Note: Extrapyramidal symptoms are a potential side effect for Plasil and Chlorpromazine and...


Pearly Penile Papules vs Genital Warts: Diagnosis, Features, and Reassurance
Introduction Pearly Penile Papules (PPP) are a common anatomical variant that frequently alarms patients due to their resemblance to...

Anti-emetic drugs aka. Anti-nausea and vomiting drugs: Ondansetron, Plasil(Metoclopramide), and Dramamine(Dimenhydrinate)
How to Order Ondansetron, Metoclopramide, and Dimenhydrinate Comprehensive Guide to Anti-Emetic Drugs Antiemetic drugs are crucial in...

