Professional Documents
Culture Documents
Your Answer : prakash Second Security Question : Your Answer : First Name Of Your Best Friend? bharti
ARathi Got Low Quality BCG, DPT & MMR from PHC AR- Aortic Regurgitation G=gerhard sign L=landolfis sign, lighthouse sign Q=quinckes sign B=becker sign C=corrigans neck sign G=gerhard sign
D=de mussets sign, duroziez sign P=pistol shot femorals, pulse pressure wide T=traubes sign M=muller sign M=mayne sign R=rosenbch sign P=pulsus bisferiens H=hills sign C=collapsing pulse(corrigans pulse)
2.)
Oncogenic viruses
Oncogenic viruses : DNA viruses 'HE is my PAPa' Hepatitis B virus Epstein Barr virus Pox virus Adenovirus Pappilloma virus RNA viruses 'His Salary Feeds Me' Human T cell leukemia virus Sarcoma viruses Feline Leukemia virus Mammary tumor virus
3. Differentials
We Hate PSM (or SPM) W- Wegener's granulomatosis H- Henoch schonlein purpura P- Poststreptococcal Glomerulonephritis (PSGN). Polyarteritis nodosa S- Sub acute bacterial endocarditis (SABE), SLE, Syndrome of Good Pasteur M- Malignant hypertension.
4.
Fragile X Syndrome
M's of fragile-X Syndrome: Male Mental retardation Macro orchidism Mutation in FMR1 gene (caused by Methylation of part of chromosome) Multiple CGG repeats Maxillary excess (Long face) Muscle tone decreased Mothers (females) are obligatory carriers
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To remember the adhesion molecules involved in invasion by local cancer cells rememberFeViCoL: FibronEctin
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Myocardial infarction
Definition (CAP) Evidence of myocardial necrosis with any 1 of the following: 1. Cardiac biomarkers (pref. Troponins) showing sudden rise or fall 2. Sudden unexpected cardiac death involving cardiac Arrest 3. Pathological findings of acute MI
Signs of MI (windows VISTA) 1. Vagal activation (vomiting, bradycardia) 2. Impaired myocard. Func. (s1,s2 soft; hypotension; inc. JVP; Oliguria; Cold, clammy skin) 3. Sympathetic activation (Pallor, sweating, tachycardia) 4. Tissue damage (Low grade fever) 5. A complication (MR / VSD producing pansystolic murmur Enzymes elevated in MI (TALC - talcum powder) 1. Troponin T/I 2. AST 3. LDH 4. CK-MB Complications of MI Immediate (RAILgaadi) a) RV infarction b) Arrythmias (VT, AF, VF) - may also be due to I.v. Xylocaine overdose c) LHF Early (PSVT ka MELA laga hua hai !!) a) Pericarditis b) Sudden death c) VSD d) Thromboembolic complications (Pulmonary, Arterial) e) MR (Papillary muscle dysfunction or rupture) f) LV free wall rupture (Pericardial tamponade) g) Arterial compl. (same as mentioned in d) ) Late (PADS) a) Psychological reaction (DADDA- Denial, Acceptance, Dependency, Depression, Adjustment - this is from earliest change to last) b) Arrythmias (ventricular like VF, VT)
c) Dresslers syndrome (Autoimmune phenomenon characterized by fever, pericarditis, pleuritis, pneumonitis) d) Shoulder (Frozen shoulder) Pain n stiffness of left shoulde
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Causes of Osteoporosis
Causes of osteoporosis are ACCESS : Alcohol Corticosteroids Calcium deficiancy (low intake) Eostrogen deficiency Smoking Sedentary Lifestyle
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Pain - Cholelithiasis Pain + Pyrexia - Acute Cholecystitis Pain + Jaundice - Choledocholithiasis Pain + Pyrexia + Jaundice (Charcot's triad) - Ascending Cholangitis Credit goes to Dr. Barone.
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S - silicosis, sarcoidosis C - coal worker pneumoconiosis H - histiocytosisA - allergic bronchopulmonary aspergilosis (ABPA), ankylosing spondylitis R - radiation T - tuberculosis
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Hepatic Encephalopathy
HEPATICUS Haemorrhage, Electrolye imbalance (K+ alkalosis), protein XS (NH4+ XS), Alcohol/ Analgesics, Trauma, Infxn, Constipation, Uraemia, Surgery (post systemic shunt)
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Aneurysm types
MAD SCAB: Mycotic Atherosclerotic Dissecting Syphilitic Capillary microaneurysm Arteriovenous fistula Berry
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Ascites Bleeding (haematemesis, piles) Caput medusae Diminished liver Enlarged spleen
CATEGORIES: MEDICINE, PATHOLOGY, SURGERY
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WBC Count:
"Nobody Likes My Educational Background" "60, 30, 6, 3, 1" Neutrophils 60% Lymphocytes 30%Monocytes 6% Eosinophils 3% Basophils 1%
Rheumatic Fever
MODIFIED JONES CRITERIA MAJOR CRITERIA "CASES" C- Carditis A- Arthritis (not Arthralgias i.e polyarthritis) S- Syndhem's Chorea E- Erythema Marginatum (not nodosum) S- Subcutaneous Nodules Minor Criteria "PEACH-Fever" P- Prolonged PR interval E- ESR raised A- Arthralgias (not arthritis), Acute phase reactants : leukocytosis, elevated sedimentation rate, and C -reactive protein C- C-reactive protein increased H- History of previous rheumatic fever, rheumatic heart disease & Fever
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Morphology is poly-C: Cysts Capsule thickened Cortical stromal fibrosis Clinical presentation is OVARY: Obese Virilism or hirsuitism Amenorrhoea Reproductive disorder [infertile] Young woman
Hepatic Encephalopathy
HEPATICUS Haemorrhage, Electrolye imbalance (K+ alkalosis), protein XS (NH4+ XS), Alcohol/ Analgesics, Trauma, Infxn, Constipation, Uraemia,
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THROMBOSIS
Road traffic accidents, Operations-cholecystectomy, Malignancy, Blood disorders-polycythemia, Obesity,Old age,Orthopedic surgery, Serious illness, Immobilisation, Splenctomy.
Types of Mesenteric Cysts
C = Chylolymphatic cyst (Commonest) U = Urogenital remnant cyst T = Teratomatous / Dermoid cyst E = Enterogenous Cyst
Ranson's criteria
"LEGAL" Leucocytes >16000 Enzyme AST >250 Glucose >200 Age >55
LDH >350 Ranson's criteria is used to predict the severity of acute pancreatitis.
shared by Iqbal Bashir GLAD Organ Pancreas iS Traumatised n Destroyed Very Much Glucocorticoids L-asparaginase Alcohol Diuretics Ocp's Pentamidine Sulfonamides
BBC MAN
Parkinson's disease
SMART
SHUFFLING GAIT(AKA FESTINANT GAIT), MASK LIKE FACIES, AKINESIA(OR BRADYKINESIA), RIGIDITY, TREMOR AT REST.
Cushing's syndrome
Cushing's syndrome
C - Central obesity, Cervical fat pads, Collagen fibre weakness, Comedones (acne)
U - Urinary free cortisol and glucose increase S - Striae, Suppressed immunity .H - Hypercortisolism, Hypertension, Hyperglycemia, Hypercholesterolemia, Hirsutism
I - Iatrogenic (Increased administration of corticosteroids) N - Noniatrogenic (Neoplasms) G - Glucose intolerance, Growth retardation
Causes of seizures
shared by Muhammad Nadeem
1)Bronchial asthma 2)Post nasal drip 3)Left side heart failure 4)Aspiration 5)Chronic bronchitis 6)Tropical eosinophila
Croup: symptoms
Remember the 5 Cs as Causes of Chronic diarrhoea: (there are more causes to be added)
Crohn's disease
Colitis (Ulcerative) or Ulcerative Colitis Coeliac diseases Cystic fibrosis Cow's milk intolerance
C-cushings syndrome O-osteoporosis R-retardation of growth T-thin skin n easy brusibility I-infections n immunosupression C-cataract n glaucoma O-odema S-supression of HPA axis T-thining n ulceration of gastric mucosa E-Emotional disturbance R-rise in BP I-Increase in hair growth(hirsuitism) O-otherz like fetal abnormalties n hypokalemia D-diabetes mellitus precipitation S-stria
CHAMP
SMALL FOR GESTATIONAL AGE BABY GETS FOLLOWING PROBLEMS: [CHAMP] - REMEMBER THAT SGA BABY WILL BECOME A CHAMP.
C - CONGENITAL ANOMALIES H - HYPOGLYCEMIA, HYPOCALCEMIA, A - ASPHYXIA M - MECONIUM ASPIRATION SYNDROME P - POLCYTHEMIA, PUL. HEMORRHAGE
Kawasaki Disease
My Heart
Mucosal involvement like dry chapped lips and strawberry tongue Hands and feet with edema and desquamation (late in the disease) Eyes non purulent bilateral conjunctivitis Adenopathy often cervical unilateral > 1.5 cm lymph nodes enlargement Rash usually truncal and pleomorphic Temperature non remitting fever for at least five days
Ulcerative colitis: features
ULCERATIONS: Ulcers Large intestine Carcinoma [risk] Extraintestinal manifestations Remnants of old ulcers [pseudopolyps] Abscesses in crypts Toxic megacolon [risk] Inflamed, red, granular mucosa Originates at rectum Neutrophil invasion Stools bloody