This blog is extremely useful for MBBS students.... It contains various useful articles that helps students to easily learn,understand, as a memory aid and enjoy their studies..... Many audio visuals , Medical Mnemonics and Medical mind maps are also posted which will be very helpful for students and doctors for various reference purposes..... JISHU JAYAPRAKASH
Friday, December 31, 2010
Lumbar Spine Examination
Cervical Spine Examination
Wednesday, December 29, 2010
Shoulder Examination
Monday, December 27, 2010
Secondary Causes of amenorrhea
Risk factors for endometrial cancer
RLQ pain: brief female differential
Oral contraceptive complications: warning signs
Oral contraceptives: side effects
Absolute C/I for IUCD
PLEASE DONT EVER PUT CONTRACEPTIVES
Please-Pregnancy(suspected/confirmed)
Dont-DUB
Ever-Ectopic
Put-PID
Contraceptive-Ca cervix
Post menopausal symptoms
Drugs decreasing blood loss in fibroid
ABDOMINAL PAIN: Causes during pregnancy
PID COMPLICATIONS
Monday, December 20, 2010
Examination of Breast Lump
Labels:
Surgery,
Surgery Examination Videos,
VIDEOS
Examination of Scrotal Swelling
Labels:
Surgery,
Surgery Examination Videos,
VIDEOS
Examination of Inguino Scrotal Swelling
Labels:
Surgery,
Surgery Examination Videos,
VIDEOS
Examination of THYROID SWELLING
Labels:
Surgery,
Surgery Examination Videos,
VIDEOS
Examination of VARICOSE VEINS
Labels:
Surgery,
Surgery Examination Videos,
VIDEOS
Examination of ULCER
Labels:
Surgery,
Surgery Examination Videos,
VIDEOS
Examination of An Intra-abdominal Lump
Labels:
Surgery,
Surgery Examination Videos,
VIDEOS
Friday, December 17, 2010
GI bleeding: causes
ABCDEFGHI
Angiodysplasia
Bowel cancer
Colitis
Diverticulitis/ Duodenal ulcer
Epitaxis/ Esophageal (cancer, esophagitis, varices)
Angiodysplasia
Bowel cancer
Colitis
Diverticulitis/ Duodenal ulcer
Epitaxis/ Esophageal (cancer, esophagitis, varices)
Post-operative complications (immediate)
Differential Diagnosis : scrotum swelling
Wednesday, December 15, 2010
IUGR: causes
IUGR
Inherited: chromosomal and genetic disorders
Uterus: placental insufficency
General: maternal malnutrition, smoking
Rubella and other congenital infecton
Fetus: cardinal movements of fetus
Alpha-fetoprotein: causes for increased maternal serum AFP during pregnancy
Increased Maternal Serum Alpha Feto Protein
Intestinal obstruction
Multiple gestation/ Miscalculation of gestational age/ Myeloschisis
Spina bifida cystica
Anencephaly/ Abdominal wall defect
Intestinal obstruction
Multiple gestation/ Miscalculation of gestational age/ Myeloschisis
Spina bifida cystica
Anencephaly/ Abdominal wall defect
Post-partum haemorrhage (PPH): causes
4 'T's
Tissue (retained placenta)
Tone (uterine atony)
Trauma (traumatic delivery, episiotomy)
Thrombin (coagulation disorders, DIC)
Tissue (retained placenta)
Tone (uterine atony)
Trauma (traumatic delivery, episiotomy)
Thrombin (coagulation disorders, DIC)
Oral contraceptive complications: warning signs
Tuesday, December 14, 2010
clinical features of Septic Abortion
5 P's
P- Pyrexia
P- Pain in abdomen
P- Pulse rate increase: 100-200/min
P- Purulent vaginal discharge
P- Pelvic findings: Patulous os or a boggy feel of the uterus
P- Pyrexia
P- Pain in abdomen
P- Pulse rate increase: 100-200/min
P- Purulent vaginal discharge
P- Pelvic findings: Patulous os or a boggy feel of the uterus
Monday, December 13, 2010
Causes of acute & reversible urinary incontinence
DRIP
D: Delirium
R: Restricted mobility, retention
I: Infection, inflammation, impaction (fecal)
P: Polyuria, pharmaceuticals
D: Delirium
R: Restricted mobility, retention
I: Infection, inflammation, impaction (fecal)
P: Polyuria, pharmaceuticals
Etiology of CA Tongue
Indications for stone removal
POLICE
Passive - Stone is stationary
Obstruction - Stone causes obstruction
Large - stone too large to pass
Infection
Small Bowel Obstruction
Urinary Incontinence- causes
Peutz Jeghers Syndrome
sclerosing agents
Friday, December 10, 2010
Sign of Acute Limb Ischaemia
7 Ps and 2 Ms
7 Ps
1) Pain
2) Pallor
3) Pulseless
4) Paraesthesia
5) Paralysis
6) Perishing cold
7) Pistol shot onset
7 Ps
1) Pain
2) Pallor
3) Pulseless
4) Paraesthesia
5) Paralysis
6) Perishing cold
7) Pistol shot onset
Hemobilia - Triad
Aneurysm : types
Layers of scalp
Appendicitis - findings
OH Mr Peter is Bold ,Rude and Rough
1.OBTURATOR SIGN
2.HYPERAESTHESIA IN SHERRENS TRIANGLE
3.MC-BURNEYS TENDERNESS
4.PSOAS SIGN
1.OBTURATOR SIGN
2.HYPERAESTHESIA IN SHERRENS TRIANGLE
3.MC-BURNEYS TENDERNESS
4.PSOAS SIGN
Thursday, December 9, 2010
PERFORATOR VEINS
CBD from below upwards
C- cockette perforator-ankle
B-boyd perforator-knee
D-dodd perforator- mid thigh
C- cockette perforator-ankle
B-boyd perforator-knee
D-dodd perforator- mid thigh
SARCOMAS THAT SPREAD VIA LYMPHNODES
SCREAM
SYNOVIAL CELL SARCOMA
CLEAR CELL SARCOMA
RHABDOMYO SARCOMA
EPITHELIAL SARCOMA
ANGIOSARCOMA
MALIGNANT FIBROUS HISTIOCYTOMA
SYNOVIAL CELL SARCOMA
CLEAR CELL SARCOMA
RHABDOMYO SARCOMA
EPITHELIAL SARCOMA
ANGIOSARCOMA
MALIGNANT FIBROUS HISTIOCYTOMA
Gardner syndrome : feature
DEAF
D.............Desmoid tumour
E.............Epididymal cyst
A............Ampulary carcinoma
F.............Fibroma
D.............Desmoid tumour
E.............Epididymal cyst
A............Ampulary carcinoma
F.............Fibroma
Wednesday, December 8, 2010
Causes of DVT
THROMBOSIS
Trauma,
Hormones-OCP'S
Road traffic accidents,
Operations-cholecystectomy,
Malignancy,
Blood disorders-polycythemia,
Obesity,Old age,Orthopedic surgery,
Serious illness,
Immobilisation,
Splenctomy.
Trauma,
Hormones-OCP'S
Road traffic accidents,
Operations-cholecystectomy,
Malignancy,
Blood disorders-polycythemia,
Obesity,Old age,Orthopedic surgery,
Serious illness,
Immobilisation,
Splenctomy.
spleen rupture
ABCDEFG
Anaemia
BP low
Cold periphery
Distended abdomen
Elevated pulse
Frenic nerve iritatio-kehr sign
Guarding rigidity
Anaemia
BP low
Cold periphery
Distended abdomen
Elevated pulse
Frenic nerve iritatio-kehr sign
Guarding rigidity
Pierre Robin Syndrome(PRS)
PRS
P- Palate cleft only
R- Respiratory obstruction(cyanotic spells), Retracted Tongue
S- Small mandible(micrognathia)
P- Palate cleft only
R- Respiratory obstruction(cyanotic spells), Retracted Tongue
S- Small mandible(micrognathia)
Indications 4 dialysis
Acute pancreatitis causes
GET SMASHeD Pancreatitis
G-Gall stone
E-Ethanol
T-Trauma
S-Steroid
M-Mumps
A-Autoimmune
S-Scorpion bite
H-Hypercalcaemia
D-Drugs like sulfa drugs
P-Post splenectomy
G-Gall stone
E-Ethanol
T-Trauma
S-Steroid
M-Mumps
A-Autoimmune
S-Scorpion bite
H-Hypercalcaemia
D-Drugs like sulfa drugs
P-Post splenectomy
lymphatic spread of sarcomas
RACE for MS
R habdomyosarcoma
A ngiosarcoma
C lear cell sarcoma
E pithelial sarcoma
M alignant histiosarcoma
S ynovial sarcoma
R habdomyosarcoma
A ngiosarcoma
C lear cell sarcoma
E pithelial sarcoma
M alignant histiosarcoma
S ynovial sarcoma
Indications for Tonsillectomy
HARMS
H : Hypertrophy with hoarseness
A : Abscess (Peritonsillar - Quinsy)
R : Recurrent sore throat
M : Malignancy is suspected
S : Seizures (Febrile seizures due to Tonsillitis)
H : Hypertrophy with hoarseness
A : Abscess (Peritonsillar - Quinsy)
R : Recurrent sore throat
M : Malignancy is suspected
S : Seizures (Febrile seizures due to Tonsillitis)
Tumors with Bone Mets
All kinds of malignant tumors probably like metastsizing to bone.
Alimentary
Kidney
Ovarian
Malignant Melanoma
Thyroid
Prostate
Lung
Multiple Myeloma
Testis
Breast
Alimentary
Kidney
Ovarian
Malignant Melanoma
Thyroid
Prostate
Lung
Multiple Myeloma
Testis
Breast
Tuesday, December 7, 2010
Adrenal: C 21 Hydroxylase Deficiency
INK For Pen of Dean
INK - INcrease in K
For Pen - Female Pseudohermaphrodite
Dean DEcrease in Na hence fall in Blood Pressure
and 17 hydroxylase is exactly opposite
Decrease in K
Male pseudohermaphrodite
Increase in Na (Hence increase in Blood pressure too)
INK - INcrease in K
For Pen - Female Pseudohermaphrodite
Dean DEcrease in Na hence fall in Blood Pressure
and 17 hydroxylase is exactly opposite
Decrease in K
Male pseudohermaphrodite
Increase in Na (Hence increase in Blood pressure too)
drugs not given in HOCM
EDWARDS SYNDROME : Characteristics
EDWARDS
Eighteen (trisomy)
Digit overlapping flexion
Wide head
Absent intellect (mentally retarded)
Rocker-bottom feet
Diseased heart
Small lower jaw
Eighteen (trisomy)
Digit overlapping flexion
Wide head
Absent intellect (mentally retarded)
Rocker-bottom feet
Diseased heart
Small lower jaw
Monday, December 6, 2010
Sunday, December 5, 2010
Friday, December 3, 2010
Causes of Osteoperosis
ACCESS
A lcohol
C orticosteroids
C alcium (low intake)
E ostrogen deficiency
S moking
S edentary Lifestyle
A lcohol
C orticosteroids
C alcium (low intake)
E ostrogen deficiency
S moking
S edentary Lifestyle
c/f of HUNTINGTON'S DISEASE
ABCDE
A- AFFECTIVE DISORDER, ABUSE PROBLEMS, ANTI-SOCIAL
B- BEHAVIOURAL DISTURBANCES
C- CHOREA
D- DEMENTIA(late feature), DEPRESSION(schizophreniform)
E- EPILEPTIC(seizures) AND EXTRAPYRAMIDAL (parkinsonian)
A- AFFECTIVE DISORDER, ABUSE PROBLEMS, ANTI-SOCIAL
B- BEHAVIOURAL DISTURBANCES
C- CHOREA
D- DEMENTIA(late feature), DEPRESSION(schizophreniform)
E- EPILEPTIC(seizures) AND EXTRAPYRAMIDAL (parkinsonian)
Thursday, December 2, 2010
HYPERTHYROIDISM : signs and symptoms
THYROIDISM
TREMOR
HEART RATE UP
YAWNING(FATIGUED)
RESTLESSNESS
OLIGOMENORRHEA/AMENORRHEA
INTOLERANCE TO HEAT
DIARRHEA
IRRITABILITY
SWEATING
MUSCLE WASTING/WEIGHT LOSS
TREMOR
HEART RATE UP
YAWNING(FATIGUED)
RESTLESSNESS
OLIGOMENORRHEA/AMENORRHEA
INTOLERANCE TO HEAT
DIARRHEA
IRRITABILITY
SWEATING
MUSCLE WASTING/WEIGHT LOSS
CAUSES OF REDUCED INTESTINAL MOTILITY
Turners Syndrome
CLOWNS
C = Cardiac Abnormality; COARCTATION
L = Lymphedema (due to poor lymphatics)
O = Ovaries not developed = amenorrhoea/sterility
W = Webbed Neck
N =Nipples widely spaced
S=SHORT STATURE
C = Cardiac Abnormality; COARCTATION
L = Lymphedema (due to poor lymphatics)
O = Ovaries not developed = amenorrhoea/sterility
W = Webbed Neck
N =Nipples widely spaced
S=SHORT STATURE
charcot's triad of multiple sclerosis
Vomiting : Non GI causes
A, B, C, D, E, F, G, H, I
A cute renal failure
B rain (increased ICP)
C ardiac (inferior MI)
D KA
E ars (labyrinthitis)
F oreign substances (Tylenol)
G laucoma
H yperemesis gravidarum
I nfections (pyelonephritis, meningitis)
A cute renal failure
B rain (increased ICP)
C ardiac (inferior MI)
D KA
E ars (labyrinthitis)
F oreign substances (Tylenol)
G laucoma
H yperemesis gravidarum
I nfections (pyelonephritis, meningitis)
Hypercalcemia
SHAMPOO DIRT
S arcoidosis
H yperparathypoidism, Hyperthyroidism
A lkali-milk syndrome
M etastases, Myeloma
P aget disease
O steogenesis imperfecta
O steoporosis
vitamin D toxicity
I mmobility
R TA
T hiazides
S arcoidosis
H yperparathypoidism, Hyperthyroidism
A lkali-milk syndrome
M etastases, Myeloma
P aget disease
O steogenesis imperfecta
O steoporosis
vitamin D toxicity
I mmobility
R TA
T hiazides
Causes of A-Fibrillation/Flutter
HEART
H= cHf, other cardiomyopathies
E= Enlargement of the atria
A= Alcohol binge drinking
R= Rheumatic heart disease
T= hyperThyroid
H= cHf, other cardiomyopathies
E= Enlargement of the atria
A= Alcohol binge drinking
R= Rheumatic heart disease
T= hyperThyroid
Back pain causes
DISK MASS
Degeneration (DJD, osteoporosis, spondylosis)
Infection (UTI, PID, Pott's disease, osteomyelitis, prostatitis)/ Injury, fracture or compression fracture
Spondylitis (ankylosing spondyloarthropathies such as rheumatoid arthritis, Reiters, SLE)
Kidney (stones, infarction, infection)
Multiple myeloma/ Metastasis (from cancers of breast, kidney, lung, prostate, thyroid)
Abdominal pain (referred to the back)/ Aneurysm
Skin (herpes zoster)/ Strain/ Scoliosis and lordosis
Slipped disk/ Spondylolisthesis
Degeneration (DJD, osteoporosis, spondylosis)
Infection (UTI, PID, Pott's disease, osteomyelitis, prostatitis)/ Injury, fracture or compression fracture
Spondylitis (ankylosing spondyloarthropathies such as rheumatoid arthritis, Reiters, SLE)
Kidney (stones, infarction, infection)
Multiple myeloma/ Metastasis (from cancers of breast, kidney, lung, prostate, thyroid)
Abdominal pain (referred to the back)/ Aneurysm
Skin (herpes zoster)/ Strain/ Scoliosis and lordosis
Slipped disk/ Spondylolisthesis
Wednesday, December 1, 2010
Apex beat: differential for impalpable apex beat
DOPES
Dextrocardia
Obesity
Pericarditis or pericardial tamponade
Emphysema
Sinus inversus/ Student incompetence
Dextrocardia
Obesity
Pericarditis or pericardial tamponade
Emphysema
Sinus inversus/ Student incompetence
Atrial fibrillation: causes
PIRATES
Pulmonary: PE, COPD
Iatrogenic
Rheumatic heart: mirtral regurgitation
Atherosclerotic: MI, CAD
Thyroid: hyperthyroid
Endocarditis
Sick sinus syndrome
Pulmonary: PE, COPD
Iatrogenic
Rheumatic heart: mirtral regurgitation
Atherosclerotic: MI, CAD
Thyroid: hyperthyroid
Endocarditis
Sick sinus syndrome
ECG: T wave inversion causes
INVERT
Ischemia
Normality [esp. young, black]
Ventricular hypertrophy
Ectopic foci [eg calcified plaques]
RBBB, LBBB
Treatments [digoxin]
Ischemia
Normality [esp. young, black]
Ventricular hypertrophy
Ectopic foci [eg calcified plaques]
RBBB, LBBB
Treatments [digoxin]
Murmurs: innocent murmur
8 S
Soft
Systolic
Short
Sounds (S1 & S2) normal
Symptomless
Special tests normal (X-ray, EKG)
Standing/ Sitting (vary with position)
Sternal depression
Soft
Systolic
Short
Sounds (S1 & S2) normal
Symptomless
Special tests normal (X-ray, EKG)
Standing/ Sitting (vary with position)
Sternal depression
Depressed ST-segment: causes
DEPRESSED ST
Drooping valve (MVP)
Enlargement of LV with strain
Potassium loss (hypokalemia)
Reciprocal ST- depression (in I/W AMI)
Embolism in lungs (pulmonary embolism)
Subendocardial ischemia
Subendocardial infarct
Encephalon haemorrhage (intracranial haemorrhage)
Dilated cardiomyopathy
Shock
Toxicity of digitalis, quinidine
Drooping valve (MVP)
Enlargement of LV with strain
Potassium loss (hypokalemia)
Reciprocal ST- depression (in I/W AMI)
Embolism in lungs (pulmonary embolism)
Subendocardial ischemia
Subendocardial infarct
Encephalon haemorrhage (intracranial haemorrhage)
Dilated cardiomyopathy
Shock
Toxicity of digitalis, quinidine
Jugular venous pressure (JVP) elevation: causes
HOLI
Heart failure
Obstruction of venea cava
Lymphatic enlargement - supraclavicular
Intra-Thoracic pressure increase
Heart failure
Obstruction of venea cava
Lymphatic enlargement - supraclavicular
Intra-Thoracic pressure increase
CHF: Causes of exacerbation
FAILURE
Forgot medication
Arrhythmia/ Anaemia
Ischemia/ Infarction/ Infection
Lifestyle: taken too much salt
Upregulation of CO: pregnancy, hyperthyroidism
Renal failure
Embolism: pulmonary
Forgot medication
Arrhythmia/ Anaemia
Ischemia/ Infarction/ Infection
Lifestyle: taken too much salt
Upregulation of CO: pregnancy, hyperthyroidism
Renal failure
Embolism: pulmonary
ST elevation causes in ECG
ELEVATION
Electrolytes
LBBB
Early repolarization
Ventricular hypertrophy
Aneurysm
Treatment (eg pericardiocentesis)
Injury (AMI, contusion)
Osborne waves (hypothermia)
Non-occlusive vasospasm
Electrolytes
LBBB
Early repolarization
Ventricular hypertrophy
Aneurysm
Treatment (eg pericardiocentesis)
Injury (AMI, contusion)
Osborne waves (hypothermia)
Non-occlusive vasospasm
Pericarditis: Causes
CARDIAC RIND
Collagen vascular disease
Aortic aneurysm
Radiation
Drugs (such as hydralazine)
Infections
Acute renal failure
Cardiac infarction
Rheumatic fever
Injury
Neoplasms
Dressler's syndrome
Collagen vascular disease
Aortic aneurysm
Radiation
Drugs (such as hydralazine)
Infections
Acute renal failure
Cardiac infarction
Rheumatic fever
Injury
Neoplasms
Dressler's syndrome
Fanconis anemia
FANCONIS
F facial microcephaly
A abnormal testis n kidneys
N neutropenia
C cafe au lait
O ocular abnormality
N no thumbs n radius
I increased risk of AML
S skin abnormality
F facial microcephaly
A abnormal testis n kidneys
N neutropenia
C cafe au lait
O ocular abnormality
N no thumbs n radius
I increased risk of AML
S skin abnormality
Tuesday, November 30, 2010
Causes of upper lobe fibrosis
Pin point pupils
ACUTE PANCREATITIS
GET SMASHED
Gall stone
Ethanol
Trauma
Steroid
Mumps
Autoimmunenodosa, ascaris infection
Scorpionvenom
Hypertriglyceridemia (hyperchylomicronaemia, hypercalcaemia)
ERCP
Drugs ( azathioprime, mesalazine, bendroflumethiazide, frusemide, sodium valproate )
Gall stone
Ethanol
Trauma
Steroid
Mumps
Autoimmunenodosa, ascaris infection
Scorpionvenom
Hypertriglyceridemia (hyperchylomicronaemia, hypercalcaemia)
ERCP
Drugs ( azathioprime, mesalazine, bendroflumethiazide, frusemide, sodium valproate )
Causes of moderate splenomegaly
SPLEEN
Subacute bacterial endocarditis
Portal hypertension
Lupus and other autoimmune
EBV + other viruses (HIV, CMV)
Endemic fever (typhoid) and typhus
Non-treponemal spirochaetes (leptospirosis, borreliosis), syphilis, and trypanosomiasis (a bit of a weak grouping I know, but they look vaguely similar!)
Subacute bacterial endocarditis
Portal hypertension
Lupus and other autoimmune
EBV + other viruses (HIV, CMV)
Endemic fever (typhoid) and typhus
Non-treponemal spirochaetes (leptospirosis, borreliosis), syphilis, and trypanosomiasis (a bit of a weak grouping I know, but they look vaguely similar!)
Causes of massive splenomegaly
MASSIVE
Myelofibrosis/myeloproliferative (CML, PRV)/CLL
Amyloidosis + other infiltrative (Gaucher's, sarcoid)
Splenic hydatid cyst
Schistosomiasis
Immune haemolysis/other haemolysis/haemoglobinopathies
Visceral Leishmaniasis
Endemic malaria (hyperreactive malarial splenomegaly)
Myelofibrosis/myeloproliferative (CML, PRV)/CLL
Amyloidosis + other infiltrative (Gaucher's, sarcoid)
Splenic hydatid cyst
Schistosomiasis
Immune haemolysis/other haemolysis/haemoglobinopathies
Visceral Leishmaniasis
Endemic malaria (hyperreactive malarial splenomegaly)
Neurofibromatosis type 1
TB- Conditions favoring reactivation
CM Hates HIS MD
Chronic renal failure
Malnutrition
HIV infection
Hemophilia
Immunosuppression
Silicosis
Malignancies
Diabetes
Chronic renal failure
Malnutrition
HIV infection
Hemophilia
Immunosuppression
Silicosis
Malignancies
Diabetes
ARDS Aetiology
Narcotic SIDED PAM
Narcotics
Shock
Inhalation- ammonia, chlorine smoke
Drugs- Barbiturates, thiazides
Emboli- fat, air, amniotic fluid
DIC
Pulmonary infection
Aspiration- water, vomitus
Misc- acute pancreatitis, trauma, sle, raised ICP
Narcotics
Shock
Inhalation- ammonia, chlorine smoke
Drugs- Barbiturates, thiazides
Emboli- fat, air, amniotic fluid
DIC
Pulmonary infection
Aspiration- water, vomitus
Misc- acute pancreatitis, trauma, sle, raised ICP
Causes of Transudative plural fluid
Super Nova is Pulling My congested Cirrhotic Liver
Superier vana caval syndrome
Nephrotic syndrome
Pul. emboli
Myxedema
CCF(MC)
Cirrosis liver
Superier vana caval syndrome
Nephrotic syndrome
Pul. emboli
Myxedema
CCF(MC)
Cirrosis liver
Anaphylaxis treatments
ACH{ACETYLCHONE}
A-ADRENALINE[O.5MG IM]
C-CHLORPHENAMINE[0.5 times20=10mg iv]
H-HYDROCORTISONE[10times20=200mg iv]
A-ADRENALINE[O.5MG IM]
C-CHLORPHENAMINE[0.5 times20=10mg iv]
H-HYDROCORTISONE[10times20=200mg iv]
Monday, November 29, 2010
UMN LMN Lesions
UMN lesion - WISE
W Weakness
I Increased tendon reflexes
S Spasticity
E Extensor plantar response
LMN lesion - "World Federation of Waste Land Hikers"
Weakness
Fasciculation
Wasting
Loss/diminished reflexes
Hypotonia
W Weakness
I Increased tendon reflexes
S Spasticity
E Extensor plantar response
LMN lesion - "World Federation of Waste Land Hikers"
Weakness
Fasciculation
Wasting
Loss/diminished reflexes
Hypotonia
Causes of splenomegaly
CHICAGO
Causes of splenomegaly: Cancer
Haematological malignancy
Infection
Congestion (portal hypertension)
Autoimmune
Glycogen storage disease
Other (amyloidosis)
Causes of splenomegaly: Cancer
Haematological malignancy
Infection
Congestion (portal hypertension)
Autoimmune
Glycogen storage disease
Other (amyloidosis)
SLE Criteria
SOAP BRAIN MD
( 4 or more of the 11 required for diagnosis )
Serositis
Oral ulcers
Arthritis: non- erosive, peripheral polyarthritis
Photophobia
Blood dyscrasias: haemolytic anaemia, picture of bone marrow suppression
Renal involvement: proteinuria, red cell casts
ANA positive
Immunological abnormalities: anti- DNA,anti-Sm, Anti- phopholipid ab
Neurological involvement
Malar rash
Discoid rash
( 4 or more of the 11 required for diagnosis )
Serositis
Oral ulcers
Arthritis: non- erosive, peripheral polyarthritis
Photophobia
Blood dyscrasias: haemolytic anaemia, picture of bone marrow suppression
Renal involvement: proteinuria, red cell casts
ANA positive
Immunological abnormalities: anti- DNA,anti-Sm, Anti- phopholipid ab
Neurological involvement
Malar rash
Discoid rash
HORNER'S SYNDROME
HYPOGLYCEMIC DRUGS
ISSPR ( Pak. Army's)
I: Insulin
S: Sulphonylureases
S: Salicylates
P: Propranolol
R: Sodium valpRoate
I: Insulin
S: Sulphonylureases
S: Salicylates
P: Propranolol
R: Sodium valpRoate
Hyperglycemic Drugs
BITE CD
B: Beta-2 agonists
I: Iron
T: Theophylline
E: Caffeine
C: Corticosteroids
D: Diuretics (thiazide)
B: Beta-2 agonists
I: Iron
T: Theophylline
E: Caffeine
C: Corticosteroids
D: Diuretics (thiazide)
Wernicke's triad
Aortic regurgitation - causes
CREAM
Congenital
Rheumatic damage
Endocarditis
Aortic dissection/ Aortic root dilatation
Marfan’s syndrome
Congenital
Rheumatic damage
Endocarditis
Aortic dissection/ Aortic root dilatation
Marfan’s syndrome
Friday, November 19, 2010
Anion gap metabolic acidosis: causes
A MUDPILE CAT
Alcohol
Methanol
Uremia
Diabetic ketoacidosis
Paraldehyde
Iron/ Isoniazid
Lactic acidosis
Ethylene glycol
Carbamazepine
Aspirin
Toluene
Alcohol
Methanol
Uremia
Diabetic ketoacidosis
Paraldehyde
Iron/ Isoniazid
Lactic acidosis
Ethylene glycol
Carbamazepine
Aspirin
Toluene
History taking question
COMPLAINS
C-Complain:What is the problem?
O-Onset:what did it start?
M-Magnitude:is it mild,sever?
P-Pattern:Episodic,intermittent,constant?
L-Location:where it is?
A-Associated symptoms?
I-Improvement:what make it better?
N-Negetive Stimuli:What makes worse?
S-Specific Episode:In past.
C-Complain:What is the problem?
O-Onset:what did it start?
M-Magnitude:is it mild,sever?
P-Pattern:Episodic,intermittent,constant?
L-Location:where it is?
A-Associated symptoms?
I-Improvement:what make it better?
N-Negetive Stimuli:What makes worse?
S-Specific Episode:In past.
CAUSES OF CLUBBING
CLUBBING
Cyanotic heart diseases and cystic fibrosis;
Lung cancer and lung abscess;
Ulcerative colitis;
Bronchiectasis;
Benign mesothelioma;
Infective endocarditis, idiopathic pulmonary
fibrosis, idiopathic, and inherited;
Neurogenic tumors; and
Gastrointestinal diseases (e.g., cirrhosis and regional enteritis).
Cyanotic heart diseases and cystic fibrosis;
Lung cancer and lung abscess;
Ulcerative colitis;
Bronchiectasis;
Benign mesothelioma;
Infective endocarditis, idiopathic pulmonary
fibrosis, idiopathic, and inherited;
Neurogenic tumors; and
Gastrointestinal diseases (e.g., cirrhosis and regional enteritis).
D/D HYPOGLYCAEMIA
HIPOGLICEMIA.
H-Headtrauma/Hepatic failure (Fulminant)
I-Insulinomas
P-Physhosis
O-Overdose of insulin
G-Glycogen storage Disease/glucogan Deficiency
L-Lymphomas
I-Isolated ACTH deficiency
C-Carcinomas
E-Excess Exercise/Eating problem(starvation)
M-Medications (drugs)
I-Intoxication Of alcohol
A-Addision disease.
H-Headtrauma/Hepatic failure (Fulminant)
I-Insulinomas
P-Physhosis
O-Overdose of insulin
G-Glycogen storage Disease/glucogan Deficiency
L-Lymphomas
I-Isolated ACTH deficiency
C-Carcinomas
E-Excess Exercise/Eating problem(starvation)
M-Medications (drugs)
I-Intoxication Of alcohol
A-Addision disease.
Aortic stenosis - symptom
Causes of epilepsy
ANKLE REFLEX ABSENT & EXTENSOR PLANTOR
FACTS
F-Friedrich Ataxia
A-Amyotropic lateral Sclerosis
C-conus lesions of spinal cord
T- tabes dorsalis
S-sub acute combined degeneration of spinal cord
F-Friedrich Ataxia
A-Amyotropic lateral Sclerosis
C-conus lesions of spinal cord
T- tabes dorsalis
S-sub acute combined degeneration of spinal cord
Severe Hypertension - treatment
Hypertensive Patientsshould have their BP reduced to Safe Not Normal Levels
Hydralazine
Phentolamine
Sodium Nitroprusside
Nitrate
Labetalol
Hydralazine
Phentolamine
Sodium Nitroprusside
Nitrate
Labetalol
Causes of Mitral Stenosis other than RHD/Congenital
BEHCETS SYNDROME
HAVE A SUPERB GAIT
H-HLA B5
A-Arthritis
V-Venous thromboembolism
E-Elevated ESR
A-Autoantibodies
S-Skin lesions
U-Ulcers that recur in oral cavity
P-Pathergy test
E-Eye lesions
R-Recurrent genital ulcers
B-Bain stem involvement(CNS-Behcets syndrome)
G-Glucocorticoids
A-Azathioprine
I-Interferon
T-Thalidomide
H-HLA B5
A-Arthritis
V-Venous thromboembolism
E-Elevated ESR
A-Autoantibodies
S-Skin lesions
U-Ulcers that recur in oral cavity
P-Pathergy test
E-Eye lesions
R-Recurrent genital ulcers
B-Bain stem involvement(CNS-Behcets syndrome)
G-Glucocorticoids
A-Azathioprine
I-Interferon
T-Thalidomide
Budd chiari syndrome -causes
"5 Ps"
Polycythemia
Pills(OCPs)
Paroxysmal Nocturnal Hemoglobinuria
Protein C, Protein S deficiency
Pregnancy
Polycythemia
Pills(OCPs)
Paroxysmal Nocturnal Hemoglobinuria
Protein C, Protein S deficiency
Pregnancy
Heart failure-Major criteria
RP PANICS
R-Rales
P-Positive hepatojugular reflex
P-Paroxysmal nocturnal dyspnea
A-Acute pulmonary edema
N-Neck veins
I-Increased venous pressure
C-Cardiomegaly
S-S3
R-Rales
P-Positive hepatojugular reflex
P-Paroxysmal nocturnal dyspnea
A-Acute pulmonary edema
N-Neck veins
I-Increased venous pressure
C-Cardiomegaly
S-S3
IDIOPATHIC PULMONARY HEMOSIDEROSIS- TRIAD
Idiopathic pulmonary hemosiderosis ie IPH
charac. Triad is
I - Iron def. Anemia
P - Pulmonary alveolar infiltrates on chest X-ray!
H - Hemoptysis
charac. Triad is
I - Iron def. Anemia
P - Pulmonary alveolar infiltrates on chest X-ray!
H - Hemoptysis
Tuberous sclerosis TRIAD
Characteristic triad of tuberous sclerosis..
3 S
tuberous Sclerosis
S - SEIZURES
S - SUBNORMAL
INTELLIGENCE
S- SEBACEUM adenoma
apart frm ths triad it s asso. wit another S!
Its SHAGREEN PATCH!!
3 S
tuberous Sclerosis
S - SEIZURES
S - SUBNORMAL
INTELLIGENCE
S- SEBACEUM adenoma
apart frm ths triad it s asso. wit another S!
Its SHAGREEN PATCH!!
FANCONI anemia
AXONAL DEGENERATION OF PERIPHERAL NERVE
MI:clinical features
PULSE
P:persistent chest pain
U:upset stomach
L:light headedness
S:shortness of breath
E:excesive sweating
P:persistent chest pain
U:upset stomach
L:light headedness
S:shortness of breath
E:excesive sweating
Autosomal Dominant Diseases
FEW Hereditory Problems HAVE AUTOSOMAL DOMINANT Character
•F - Familial Hypercholestrolemia (LDL receptor defect Type IIa)
Familial Adenomatous Polyposis
Fibrodysplasia Ossificans Progressiva
•E - Ehlor's Danlos (vascular type)
•W - Waardenburg Syndrome
•Hereditory - Hereditory Spherocytosis
•Problems - Peutz Jeghers Syndrome
Polydactyly
Pfeiffer Syndrome
•H - Huntington's Disease
Hypokalemic Periodic Paralysis
Hypertrophic Obstructive Cardiomyopathy (HOCM)
•A - Alexander Disease
Antithrombin Deficiency
•V - Von Willebrand Disease
Von Hippel Lindau
•E - Ectrodactyly
•Adult Polycystic Kidney Disease
•Uroporphyrinogen Decarboxylase Deficiency (Inherited Porphyria Cutanea Tarda)
•Tuberous Sclerosis
•Osteogenesis Imperfecta (Except Type VII)
•Superoxide Dismutase Deficient (Amyotrophic Lateral Sclerosis)
•Osteopetrosis Type II (Adult type)
•Marfan Syndrome
•Achondroplasia
•Li-Fraumeni Syndrome
•Dystrophia Myotonica
•Osler-Weber-Rendu Syndrome
•Multiple Endocrine Neoplasia
•Insomnia (Fatal Familial)
•Noonan Syndrome
•Acute Intermittent Porphyria
•Neurofibromatosis
•Treacher Collins Syndrome
•Character - Charcot-Marie-Tooth Syndrome
•F - Familial Hypercholestrolemia (LDL receptor defect Type IIa)
Familial Adenomatous Polyposis
Fibrodysplasia Ossificans Progressiva
•E - Ehlor's Danlos (vascular type)
•W - Waardenburg Syndrome
•Hereditory - Hereditory Spherocytosis
•Problems - Peutz Jeghers Syndrome
Polydactyly
Pfeiffer Syndrome
•H - Huntington's Disease
Hypokalemic Periodic Paralysis
Hypertrophic Obstructive Cardiomyopathy (HOCM)
•A - Alexander Disease
Antithrombin Deficiency
•V - Von Willebrand Disease
Von Hippel Lindau
•E - Ectrodactyly
•Adult Polycystic Kidney Disease
•Uroporphyrinogen Decarboxylase Deficiency (Inherited Porphyria Cutanea Tarda)
•Tuberous Sclerosis
•Osteogenesis Imperfecta (Except Type VII)
•Superoxide Dismutase Deficient (Amyotrophic Lateral Sclerosis)
•Osteopetrosis Type II (Adult type)
•Marfan Syndrome
•Achondroplasia
•Li-Fraumeni Syndrome
•Dystrophia Myotonica
•Osler-Weber-Rendu Syndrome
•Multiple Endocrine Neoplasia
•Insomnia (Fatal Familial)
•Noonan Syndrome
•Acute Intermittent Porphyria
•Neurofibromatosis
•Treacher Collins Syndrome
•Character - Charcot-Marie-Tooth Syndrome
Causes of Pseudotumor cerebrii
WASH A Outdated Quilt
W-withdrawl of steroid
A-addison's ds
S-sle
H-hypoparathyroidism
A-vit A overdose
Outdated-Outdated tetracyclines
Quilt-quinolones.
W-withdrawl of steroid
A-addison's ds
S-sle
H-hypoparathyroidism
A-vit A overdose
Outdated-Outdated tetracyclines
Quilt-quinolones.
BILATERAL PAROTID ENLARGEMENT
papillary necrosis
POST CARD
P Pyelonephritis
O Obstructive uropathy
S Sickle cell ds
T Tuberculosis
C Cirrhosis
A Analgesic nephropathy
R Renal artery thrombosis
D Diabetic nephropathy
P Pyelonephritis
O Obstructive uropathy
S Sickle cell ds
T Tuberculosis
C Cirrhosis
A Analgesic nephropathy
R Renal artery thrombosis
D Diabetic nephropathy
Wednesday, November 17, 2010
Causes of Cramps
Causes of Cramps are "CRAMP"-
Calcium level low
Respiratory Alkalosis
Metabolic acidosis
Magnesium level low
Porphyria
Calcium level low
Respiratory Alkalosis
Metabolic acidosis
Magnesium level low
Porphyria
Tuesday, November 16, 2010
Cranial nerves - Sensory, motor and mixed
1. Olfactory
2. Optic
3. Occulomotor
4. Trochlear
5. Trigeminal
6. Abducens
7. Facial
8. Auditory
9. Glossopharangeal
10. Vagus
11. Accessory spinal
12. Hypoglossal
Some Say Money Matters, But My Brother Says Big Brains Matter More
S = Sensory, M = Motor, B = Both (sensory + motor)
Posterior relations of the kidney
Lateral arcuate ligament,
Medial arcuate lig,
(NOthing - Take a break :-)),
Psoas major,
Quadratus lumborum,
Rocky means diaphragm as diaphragm is like rock,
Subcoastal vessels,
Transverse abdominis.
MAO-A and MAO-B Isoenzyme locations
MAO-A is located in Alimentary tract (intestine) and Adrenergic peripheral structures.
MAO-B is located in Brain and Blood platelets.
Henoch–Schönlein purpura
P's of HS Purpura:
Palpable Purpura
Pressure (Blanches on pressure)
Pruritis
Pain abdomen and joints
Positive Guaiac sign in faeces
Proteinuria
Prednisolone given in treatment
Platlet count may be raised but not low (DD: ITP)
Palpable Purpura
Pressure (Blanches on pressure)
Pruritis
Pain abdomen and joints
Positive Guaiac sign in faeces
Proteinuria
Prednisolone given in treatment
Platlet count may be raised but not low (DD: ITP)
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
Drugs causing hepatic necrosis
MBBS
Bachelor of Medicine, Bachelor of surgery, or in Latin Medicinae Baccalaureus, Baccalaureus Chirurgiae (abbreviated in various ways, viz. "BMBS", MB BChir, BM BCh, MB BCh, MB ChB, MBBS, BM, BMed, M.B.B.S. etc.), are the two first professional degrees awarded upon graduation from medical school in medicine and surgery by universities in various countries that follow the tradition of the United Kingdom. The naming suggests that they are two separate degrees; however, in practice, they are usually treated as one and awarded together. Usually, students who have graduated with a "Bachelor of Medicine" degree may also practice surgery, because it is equivalent to the "Bachelor of Medicine, Bachelor of Surgery" degree.
Bachelor of Medicine and Bachelor of Surgery or MBBS, as it is known in some countries, is the degree that is required to become a doctor in allopathic medicine. Thus MBBS is not the universal degree that is offered after completion of undergraduate medical courses in all the countries as there are various branches of medicine and medical degrees in different countries are known differently. For example, while most medical schools in Australia offer MBBS degree after completion of undergraduate medical courses, the University of New Castle offers B.Med after five years of undergraduate studies. In England also MBBS is only one of variants of range of medical degrees that are offered by different universities.
MB ChB, BM BCh, BM BS, BM, MB Bchir are some of the other degrees that are offered in UK. The system of medical education in USA, on the other hand, is very different and one needs to complete first a bachelor degree before undertaking medical studies.
MBBS is most popularly known as the degree required for becoming a doctor in India, Pakistan and Bangladesh. Therefore in this article we will discuss in brief the method of obtaining the MBBS degree in these countries.
MBBS in India:
Although MBBS is not the only degree for becoming a doctor in India, as there are other branches of medicine like Ayurveda and Homeopathy, it is still the most coveted of all the medical degrees in India. For pursuing an MBBS degree in India one needs to complete 12 years of study and admission to most medical colleges in India are done on the basis of medical entrance test of various medial colleges. The Central board of Secondary education also conducts an All India Pre Medical Entrance Test for admission to 15% of the total seats for medical and dental courses in all medical and dental colleges run by the Union of India. For pursuing MBBS course in India, one needs to pass the higher secondary examination or its equivalent in the science stream with biology as a subject.
Bachelor of Medicine and Bachelor of Surgery or MBBS, as it is known in some countries, is the degree that is required to become a doctor in allopathic medicine. Thus MBBS is not the universal degree that is offered after completion of undergraduate medical courses in all the countries as there are various branches of medicine and medical degrees in different countries are known differently. For example, while most medical schools in Australia offer MBBS degree after completion of undergraduate medical courses, the University of New Castle offers B.Med after five years of undergraduate studies. In England also MBBS is only one of variants of range of medical degrees that are offered by different universities.
MB ChB, BM BCh, BM BS, BM, MB Bchir are some of the other degrees that are offered in UK. The system of medical education in USA, on the other hand, is very different and one needs to complete first a bachelor degree before undertaking medical studies.
MBBS is most popularly known as the degree required for becoming a doctor in India, Pakistan and Bangladesh. Therefore in this article we will discuss in brief the method of obtaining the MBBS degree in these countries.
MBBS in India:
Although MBBS is not the only degree for becoming a doctor in India, as there are other branches of medicine like Ayurveda and Homeopathy, it is still the most coveted of all the medical degrees in India. For pursuing an MBBS degree in India one needs to complete 12 years of study and admission to most medical colleges in India are done on the basis of medical entrance test of various medial colleges. The Central board of Secondary education also conducts an All India Pre Medical Entrance Test for admission to 15% of the total seats for medical and dental courses in all medical and dental colleges run by the Union of India. For pursuing MBBS course in India, one needs to pass the higher secondary examination or its equivalent in the science stream with biology as a subject.
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