Infographic on "Fruits inspired signs"


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Patients in the ICU need "FAST HUGS IN BED P"lease

Here's something that might help you in your daily rounds in the Intensive Care Unit. While examining the patients in the ICU, one may use the following mneumonic to be sure that nothing is missed out. FAST HUGS IN BED P lease F -  Fluids/Feeding A -  Analgesics S  - Sedation T  - Thromboprophylaxis H  - Head up position U  - Ulcer prophylaxis G  - Glycemic control S  - Spontaneous breathing trial I  - Indwelling catheter N -  Nasogastric tube B  - Bowel care E  - Environment (eg Temperature) D  - De-escalation (Stopping a particular treatment) P  - Psychosocial support
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The "Medical Street game" - Part 1

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We walk the streets almost every single day of our lives. We travel back and forth in buses, trains and taxis. Yet we fail to practice a key skill of diagnosis - "observation" during this walking and travelling. Medicine is an art and it is fun when you get the picture right the first time. This post is to help us remember to observe and hopefully get the diagnosis right the first time. Let us call this the " Medical Street game ." Today let's learn to diagnose diseases based on gait the patient exhibits. I am a fan of House MD series. Largely due to the drama (emotions) that prevails in the series that we so much lack in our everyday lives as doctors. Accompanying this drama is the kinetics in the series .i.e. the main characters in the series walk for almost 10% of an episode. This got me thinking about the gait that Dr. House has. On analysis I found that he has an atypical pathological gait because he uses the cane in the wrong side. Had he...
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What is a stomach with a leather bottle and signet ring called?

A man wearing a Signet ring and drinking from a leather bottle would probably be a man from medieval era. However the same cannot be told about stomach having a leather bottle appearance and Signet ring cells . Such a stomach is said to be cancerous, most commonly of the adenocarcinoma type. In order to diagnose the diffuse type of adeno gastic carcinoma an endoscopy followed by microscopic examination of the sample are performed. During endoscopy the stomach looks like a leather bottle and under the microscope signet ring cells make an appearance.  What could possibly be the reason behind these characteristic features? The leather bottle appearance is due to the thick and rigid stomach wall due to tumor infiltrating the submucosa. The Signet ring like appearance of the cells is due to mucin filled vacuoles pushing the nucleus to one side. (FYI - the other type of gastric Ca is the Intestinal type which has better prognosis and does not show the above m...
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