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993 posts on clinical medicine, epidemiology, research methodology, statistics and code — in English and Thai. Filter by category and language, or search.
Impacted Cerumen (Earwax Blockage): Clinical Management and Safe Removal Guide
Introduction Impacted cerumen is one of the most common and easily treatable conditions encountered in outpatient practice. Despite its simplicity, improper management can lead to complications such as ear injury or infection. This guide provides a clear, guideline-based approach suitable for both clinical practice and medical education. 👂 What is Impacted Cerumen? Cerumen (earwax) is a natural substance produced by glands in the ear canal. It serves to: Protect the ear from dust and...
Epstein–Barr Virus (EBV): Pathophysiology, Infectious Mononucleosis, and Management
Introduction Epstein–Barr Virus (EBV) is a double-stranded DNA virus from the Herpesviridae family (HHV-4). It is one of the most common human viruses worldwide and is the primary cause of infectious mononucleosis (IM). 💡 High-yield fact (exam): EBV = “Kissing disease” → transmitted via saliva → infects B cells → triggers reactive CD8+ T cells (atypical lymphocytes) EBV is normally found in which patients? ✅ 1. Age group (MOST IMPORTANT) Adolescents & young adults (15–25 years)👉 This group...
Tonsillitis Management: Practical Step-Up Approach from OPD to Emergency
Tonsillitis Management Sheet Situation Setting Key findings Treatment Follow-up / next step Likely viral tonsillitis OPD mild sore throat, cough/rhinorrhea present, able to swallow, no red flags No antibiotic . Supportive care: Paracetamol (500 mg), 1–2 tab po q6h prn , warm saline gargle, hydration, rest Return if worse, high fever, cannot swallow, unilateral swelling Likely bacterial tonsillitis (GAS pattern) OPD fever, tonsillar exudate, tender anterior cervical nodes, no cough, able to...