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Showing posts from April, 2021

How can I treat a disease

Medical textbook doest tell much how to treat a disease stepwise and doesn't tell also considering comorbidity in details. Then what to do? Medical textbook vs guidelines: Medical textbooks discuss a disease, it's pathology, signs, symptoms, investigation, treatment in a general manner. It usually discuss  a single disease at a time. Simultaneous other diseases are not considered . Wheres guidelines discuss a condition or disease, it's simultaneous other diseases, methodical investigation in a logical way, treatment steps considering other conditions also. Guidelines are usually changed according to updated evidence based medicine, where textbook is usually not changed. So which one I would prefer ? For learning a disease, it's evolution, pathology, natural history textbook is must. But for treatment, approaching step by step for investigations and drug choice , guidelines are must. In other words, for beginners textbook is must to know a disease, but for advanced learn...

How can I know doses and choice of drugs

Drugs choice and dose for a disease Pharmacology and formulary- Medical pharmacology taught in medical school contains drug's pharmacokinetics and pharmacodynamics. These contain drugs absorption, metabolism, excretion, action, side effects, toxic effects, drugs classification,mechanism of action, interactions. They usually don't say a drug's route of administration, dose, formulations, choices in different diseases, duration of treatment etc. This is described in formulary books. There are many formulary available. Among them BRITISH NATIONAL FORMULARY (BNF) is mentionable. There are lots of formulary. They are updated time to time according to large scale data analysis, whereas medical books are almost constant. For this reason, classical text book or treatment guidelines don't mention exact dose, duration, choice of drug etc usually. So, before prescribing a medicine just know the name of drug from current guidelines, then follow the FORMULARY BOOK for dose ,duration...

MRCP UK part 1& part 2 Written difference

MRCP UK part 1 and Part 2 Written exam are both Written exam. They are both BEST OF FIVE pattern answer. Both part contain 2 paper(1&2),each paper contain 100 questions ( total 200 questions in each part 1 and part 2 Written). There are a few differences in between them. 1. Part 1 has basic science questions but part 2 doesn't have. 2. Part 1 doesn't have pictures, part 2 questions contain picture (about 30 questions have pictures) 3. Part 1 is more knowledge based, part 2 is more clinical. 4. Part 1 directs more to pathology of disease, but part 2 Written directs more to diagnosis, management, investigation and data interpretation . 5. Subjects for part 1 Specialty - Number of questions* Cardiology 14 Clinical Pharmacology and Therapeutics 15 Clinical sciences** 25 Dermatology 8 Endocrinology, diabetes and metabolic medicine 14 Gastroenterology and Hepatology 14 Geriatric medicine 8 Haematology 10 Infectious diseases 14 Neurology 14 Oncology 5 Medical ophthalmology 4 Palli...