Why in Medicine?
Search the clinical “why” behind fluids, drugs, electrolytes, ventilation, emergencies and bedside medicine.
Explore Why in Medicine →Medicine
The existing Student’s Corner learning library now lives under Medicine — bedside examination, history, clinical reasoning, investigations, pharmacology, emergencies, viva preparation, Spot Diagnosis, Virtual ER and practical tools.
🔬 Spot Diagnosis
Study the image and clue, guess the diagnosis, then reveal the answer and clinical pearl.
Spot Diagnosis — 50 Cases
Dermatology, bedside signs, ophthalmology, rheumatology, X-rays, ECGs, blood films and endocrine clues.
Start Spot Diagnosis →Virtual ER
You are the doctor on duty. Stabilize the patient, choose investigations, make time-critical decisions and see the consequences.
ENTER VIRTUAL ER →🚑Emergency Cases & Management
A4-style emergency management sheets with ABCDE, first-line treatment, doses, key points, common mistakes and escalation.
OPEN EMERGENCY LIBRARY →Clinical Examination
General Physical Examination
Vitals, pallor, icterus, cyanosis, clubbing, lymph nodes and edema.
Pulse Examination
Rate, rhythm, volume, character and clinically useful delays.
Blood Pressure
Correct technique, cuff selection, postural BP and common errors.
JVP
Identification, measurement and bedside interpretation.
Cardiovascular Examination
Inspection, palpation, auscultation and a systematic murmur approach.
Respiratory Examination
Inspection, palpation, percussion and auscultation.
Abdominal Examination
Organomegaly, ascites, masses and a reproducible sequence.
Neurological Examination
Higher functions, cranial nerves, motor, sensory, reflexes and coordination.
History Taking
Fever
Duration, pattern, chills, localizing symptoms, exposures, drugs and red flags.
Chest Pain
OPQRST plus ischemic, pleuritic, aortic, GI and musculoskeletal clues.
Breathlessness
Onset, orthopnea, PND, wheeze, cough and cardiopulmonary clues.
Abdominal Pain
Site, radiation, meals, bowel/urinary symptoms and danger signs.
Headache
Primary versus secondary headache clues and red flags.
Weakness
Focal versus generalized weakness, onset, progression and localization.
Clinical Reasoning
Approach to Anaemia
Confirm → classify by MCV → reticulocyte response → targeted cause evaluation.
Approach to Jaundice
Pre-hepatic, hepatocellular and cholestatic patterns.
Approach to Edema
Cardiac, renal, hepatic, venous and drug-related causes.
Approach to Altered Sensorium
ABCDE, glucose, then metabolic, toxic, infectious and structural causes.
Approach to Hyponatraemia
Tonicity → volume status → urine studies → cause.
Approach to Fever
Syndromic localization before indiscriminate testing.
Investigation Interpretation
CBC
Hb, indices, WBC differential and platelets as one clinical story.
Liver Function Tests
Hepatocellular versus cholestatic patterns and synthetic function.
Kidney Function & Electrolytes
Creatinine trends, sodium, potassium and clinical context.
ABG
pH → primary process → compensation → oxygenation → mixed disorders.
ECG Basics
Rate, rhythm, axis, intervals, chamber changes and ischemia.
Chest X-ray
Quality → airway → breathing → circulation → diaphragm → everything else.
Bedside Pharmacology
Antihypertensives
Major classes, indications, contraindications and monitoring.
Insulin
Basal, prandial and correction concepts with hypoglycaemia safety.
Antibiotics
Choose by source, likely organism, severity and local resistance.
Diuretics
Loop, thiazide and potassium-sparing agents with monitoring.
Corticosteroids
Indications, adverse effects, tapering principles and infection risk.
Emergency Medicine
ABCDE Approach
A repeatable first assessment for every critically ill patient.
Acute Coronary Syndrome
Recognize, ECG early, risk-stratify and initiate time-sensitive care.
Stroke
FAST recognition, glucose, imaging and reperfusion-window thinking.
Anaphylaxis
Recognize rapidly; IM adrenaline is the key first-line treatment.
DKA
Fluids, insulin, potassium, precipitant and resolution criteria.
Seizure
Immediate safety, benzodiazepine-first approach and reversible causes.
Acute Pulmonary Edema
Oxygenation/ventilation, BP, diuresis and precipitant assessment.
BLS / CPR
Recognition, high-quality compressions, AED and team response.
📝 Practical & Viva Corner
🧮 Clinical Calculators
🧩 Case of the Week
A 62-year-old man presents with sudden breathlessness, orthopnoea, sweating, BP 190/110 mmHg, SpO₂ 82% on room air and bilateral diffuse crepitations.
1. What is the immediate clinical problem?
Acute hypoxaemic respiratory distress with a hypertensive presentation strongly suggesting acute cardiogenic pulmonary edema.
2. What should you assess first?
ABCDE: airway, breathing/oxygenation, circulation and BP/perfusion, neurological status and rapid bedside glucose; obtain ECG and focused cardiopulmonary assessment early.
3. Take-home principle
Recognize the physiological threat before pursuing an exhaustive etiological differential. Treat immediate threats while identifying the precipitating cause.
Quiz of the Week
A clinical reasoning question that rotates every week.
Loading this week’s question…
ECG / X-ray / Image Challenge
Look first. Commit to an interpretation. Then reveal the teaching answer.
What are the key findings and the most likely interpretation?