Myerson sign: persistent blinking with repeated glabellar tapping due to failure of habituation. A useful bedside clue, but not diagnostic of Parkinson disease—always interpret it with the full neurological examination.
Child-Pugh score estimates hepatic functional reserve and prognosis in cirrhosis using bilirubin, albumin, INR, ascites, and hepatic encephalopathy.
Higher Child-Pugh class indicates more advanced liver dysfunction and poorer prognosis.
सुलभ फार्मेसी सञ्चालन !
बालेन सरकारले सरकारी अस्पतालमा सहुलियत दरमा गुणस्तरीय औषधि उपलब्ध गराई बिरामीको उपचार खर्च घटाउने उद्देश्यले वीर अस्पताल र राष्ट्रिय ट्रमा सेन्टरमा सुलभ फार्मेसी सञ्चालनमा ल्याएको छ।
छिट्टै सरकारले देशभरिका सरकारी अस्पतालमा यस्ता फार्मेसी सुरु गर्दैछ ।
Hepatitis B vaccination is more than completing a schedule.
The key is to first identify who is infected, who is immune, and who is still susceptible. When feasible, use the triple panel: HBsAg, anti-HBs, and total anti-HBc.
Sarcoidosis is pattern recognition with exclusion of mimics.
Löfgren suggests acute disease with good prognosis, Heerfordt gives the uveoparotid pattern, and lupus pernio points toward chronic sarcoid with more persistent systemic involvement.
🚨 A patient struggles to perform this seemingly simple task despite being able to move the limb. What neurological sign is demonstrated in this video?
#MedX
Vaccination in COPD is not optional prevention — it is part of standard care.
Think beyond inhalers: influenza annually, pneumococcal by current schedule, COVID-19 updated, RSV when indicated, plus routine adult Tdap and zoster vaccination.
#COPD#Vaccination#InternalMedicine
Edema Mechanisms Made Easy
Edema is often mixed. Learn the dominant mechanism behind common diseases to improve clinical reasoning, ward discussion, and exam
🚨BREAKING NEWS:
Lionel Messi has donated $5 million & sent three private planes filled with various medical supplies to the earthquake victims in Venezuela.
A great human being both on and off the field.