Medicine Hack

Doing annual mammograms from age 40-84 can greatly save lives. If annual mammograms are done as from the age of 40, the risk of dying from breast cancer decreases by nearly 71%. 

Studies showed that increasing the dosage of metoclopramide from 10 mg to 40 mg in cases of acute migraine attack only decreases the pain by 0.6 point with the higher dosage. The pain points refer to the subjective scoring done on a scale of 0-10.  Thus there is no significant benefit to use high doses of primperan. 10 mg stat will do...

Two vaccines (Cervarix and Gardasil) are available to protect females against the types of HPV that cause most cervical cancers. One of these vaccines (Gardasil) also protects against most genital warts.  Both vaccines are recommended for 11 and 12 year-old girls, and for females 13 through 26 years old, who did not get any or all of the three recommended doses when they were younger. These vaccines can also be given to girls beginning at age 9. It is recommended that females get the same vaccine brand for all three doses, whenever possible. One available vaccine (Gardasil) protects males against most genital warts. This vaccine is available for boys and men, 9 through 26 years of age. The best way a person can be sure to get the most benefit from HPV vaccination is to complete all three doses before beginning sexual activity. Quadrivalent human papillomavirus (HPV) vaccine may prevent infection with HPV types 6, 11, 16, and 18. The cost for this vaccination is around 90 eur

Fever that occurs on starting a drug without any other probable cause of fever is known as antibiotic fever. It may be part of an allergic reaction to the drug or a preservative of the drug. It usually occurs with beta lactam antibiotics, procainamide, alpha methyl dopa and isoniazid.

This is also a case of perforated duodenal ulcer in a 34 yr old lady. Note the rim of gas above the fundal gas.

Massive  gas under diaphragm was seen in this case of perforated duodenal ulcer. Patient was a 28 yr old male with past history of chronic gastritis. He presented to A&E with acute abdomen. O/E rigidity of abdomen was positive and bowel sound was absent.

Subtotal lobectomy : resection of part of a lobe. Total lobectomy : resection of whole of a lobe. Isthmusectomy : resection of the isthmus. Hemi thyroidectomy : total lobectomy + isthmusectomy. Subtotal thyroidectomy : 2 x subtotal lobectomy + isthmusectomy. Near total thyroidectomy : total lobectomy + isthmusectomy + subtotal lobectomy. Total thyroidectomy : 2 x total lobectomy + isthmusectomy.