Cynicism: A Historical, Psychological, and Societal Perspective
Cynicism, a term rooted in ancient philosophy, has evolved significantly in its meaning and implications over centuries. From its origins...
A Clinical Guide to Acute Heart Failure: The “Warm-Wet, Cold-Wet, Warm-Dry, Cold-Dry” Approach
Below is a concise, structured table outlining the key features and initial management for each of the four acute heart failure profiles...
Heart Failure Management with ACEIs, ARBs, Beta-Blockers, Diuretics, and Digoxin
Heart failure (HF) is a complex clinical syndrome characterized by the heart’s inability to pump blood sufficiently to meet the metabolic...
Pneumonia vs. Pneumonitis: Comprehensive Guide for Diagnosis, Management, and Drug Dosing
1. Key Definitions 1.1 Pneumonia Definition : An infectious process involving the lung parenchyma (alveoli, interstitium), leading to...
OSCE: Pelvic (PV) Examination with Speculum and Bimanual Examination
Pelvic (PV) Examination OSCE Checklist Step Action Notes / Rationale 1. Preparation - Wash hands (or use alcohol gel). - Gather...
Carbamate and Organophosphate Intoxication: Understanding Cholinergic Toxicity from Organophosphate and Carbamate compounds by Mnemonics SLUDGE and DUMBBELLS with 3 Killer B's
Introduction Organophosphate and carbamate compounds are widely used as pesticides, but exposure to these substances can lead to...
Urinary tract infections (UTI) Management for OPD and IPD
1. Introduction Urinary Tract Infections (UTIs) are among the most common bacterial infections seen in clinical practice. They are...
OSCE: Nasogastric (NG) Tube Insertion: A Step-by-Step
Step Key Points 1. Indications - Enteral feeding/medication when oral route is unsafe - Gastric decompression (e.g. in bowel...
Hypertension in Pregnancy (primarily ACOG) Chronic Hypertension, Gestational Hypertension, Preeclampsia, Superimposed Preeclampsia with Severe Features, HELLP Syndrome, and Eclampsia
Introduction Hypertensive disorders of pregnancy remain a major cause of maternal and fetal morbidity and mortality worldwide. They...
ซิฟิลิสในสตรีตั้งครรภ์ (Syphilis in Pregnancy) Lab FTA-ABS or TPPA Then RPR/VDRL And Syphilis Management: Treatment with Benzathine Penicillin G
1. Etiology and Overview Causative Agent : Treponema pallidum, a spirochete transmitted primarily through sexual contact, or vertically...
Checklist for High-Risk Factors of Preeclampsia Requiring Aspirin Prophylaxis
Preeclampsia is a serious pregnancy complication that can affect both maternal and fetal health. Based on your specified focus, here is a...
Ultrasound Anomaly: Amniotic Fluid Index (AFI) vs. Deepest Vertical Pocket (DVP)
Introduction The assessment of amniotic fluid levels during pregnancy is crucial for fetal well-being. Two main methods are employed:...
การนับ GA aka. อายุครรภ์ (Gestational Age) และการปรับแก้ด้วย Ultrasound ตาม ACOG [Gestational Age (GA) Calculation and Adjustment] & Methods of Gestational Age Calculation: Naegele’s Rule
Accurately determining gestational age (GA) is a cornerstone of prenatal care. It influences clinical decisions ranging from nutritional...
ANC Checklist: Comprehensive Guide for Antenatal Care in Clinical Practice แนวทางตรวจและติดตามการฝากครรภ์
บทความ: แนวทางตรวจและติดตามการฝากครรภ์ (ANC Checklist) 1. การซักประวัติและสอบถามอาการเบื้องต้น สอบถามชื่อ-นามสกุล และกำหนดวันคลอด (EDC)...
Streamlining Daily Case Reviews: Maximizing the Use of the Obstetric Admission Form for Morning Rounds
OBSTETRIC ADMISSION FORM (แบบฟอร์มรับตัวผู้ป่วยในหอผู้ป่วยสูติกรรม) 1. Patient Information (ข้อมูลผู้ป่วย) Name (ชื่อ): Age (อายุ): HN /...
Flank Pain with Suspected Stone in the KUB System
Introduction Flank pain, particularly when severe and colicky in nature, often suggests pathology in the urinary system, with renal or...
Emergency Department - Trauma/Accident Patient Assessment Admission Form
Emergency Department - Trauma/Accident Patient Assessment Form Hospital Name: ________________________________________ General...
Stroke Admission Form
Stroke Admission Form Patient Information Provider of History: _______________________________________ Patient Name:...
Clinical Order for On ETT Endotracheal Intubation and Ventilation
On ETT No. 7.5, Mark 21 On PAC Mode PIP: 14 cmH₂O, PEEP: 5 cmH₂O, RR: 14 breaths/min, FiO₂: 0.4 , Ti: 1.0 second Keep SpO₂ ≥ 94% Patient...
OSCE: Intravenous Access (IV Access)
This guide outlines the steps for safe and effective intravenous (IV) access, adhering to proper technique and addressing potential...
OSCE: Intramuscular Injection (IM Injection)
This article is designed to guide medical students in mastering the technique of intramuscular injection (IM), adhering to proper...
OSCE: Intradermal Injection (ID)
Objectives and Key Competencies: Demonstrate correct intradermal injection technique. Identify potential errors in the procedure. Address...
OSCE: Removal of Nail or Nail Fold Aka. Nail extraction
Patient Introduction and Consent Task Done Correctly Done Incorrectly Not Done Introduce yourself and confirm the patient's name. [ ] [ ]...