Professional Documents
Culture Documents
Volume 1
Use for Exams Like AIPGMEE AIIMS-PG,
DNB-CET, PGI USMLE and various state
medical PG entrance exams
Author
Dr. Vinay Yadav
Rs. 350/-
A collection of most important medical topics for medical PG entrance exams like AIPGMEE,
FMGE, USMLE, all state medical PG entrance exams in India and abroad.
Online Test Series
at
mbbsdost.com
Key Features
-More than 260 tests
-Detailed Explanations and Answers
-All India ranking
-More than 10 thousand questions
1st Edition
August 2014
Disclaimer
The editors have checked the information provided in the book and to the
best of their knowledge, it is as per the standards accepted at the time of
publication. However, in view of the changes in medical knowledge and the
possibility of human error, there could be variance. Hence readers are
requested to confirm information particularly laboratory values and drug
dosages from other sources as well, the reader is also strongly urged to
consult the drug companys printed instructions before administering any of
the drugs recommended. This book is Intended only for Medical Students and
Doctors. This book cant be used as substitute for medical advice of a Medical
professional.
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This article is about 25 pages long. Hence to save space and to provide you more
articles we have included the entire list of 500 at www.mbbsdost.com/500common/
Medical FunNotes at http://www.mbbsdost.com/funnotes 01
Cerebral salt wasting
The term cerebral salt wasting (CSW) was introduced to describe an entity seen
with certain cerebral disorders that can impair the ability of the kidneys to
conserve Na+, with resultant salt wasting and polyuria. CSW is defined as the renal
loss of Na+ with intracranial disease, which leads to hyponatremia and a decrease
follows:
Urine Na : #
Increased in both CSW and SIADH
Ferrys Line = corneal epithelial iron line at the edge of filtering blebs.
Sampaoelesi line = #
Increased pigmentation anterior to Schwalbes line
in pseudoexfoliation syndrome. Hidden Content.
LASIK Iron Line = After LASIK for myopia, the central corneal curvature
is flatter than before surgery. The tear film distribution is therefore altered,
allowing some pooling centrally. This pooling can cause iron deposition in the
central epithelium. A similar effect can be seen after steeping of the cornea
Weiss ring = epipapillary glial tissue torn from the optic disc in Posterior
vitreous detachment (PVD).
Double ring sign = with the peripheral margin of the encircling ring
corresponding to the border of a normal-sized optic disc. Seen in Hypoplasia
of the Optic Disc.
on www.mbbsdost.com/funnotes
maintain corpus luteum production of progesterone until placenta
regulate steroid synthesis in placenta and fetal adrenals
stimulate testosterone production in fetal male testes
excess hCG
T - twin pregnancy
E - embryonal carcinoma Mnemonic - TECH
C - choriocarcinoma
H - hydatiform mole
Gunns dot : light reflections from internal limiting membrane around disc and
macula
Cherry red spot : Central retinal artery occlusion, Commotio retinae (Berlins
oedema),Tay-Sachs disease, Niemann-Picks disease, Gauchers disease
Biochemical Tests
Biochemical Tests For
For Proteins
Proteins
1. Biuret test Proteins
2. Ninhydrin test Amino acids, peptones, peptides, proteins give
purple due to formation of Rheumann purple
& amine acids (Proline, OH-proline) give yellow
3. Xanthoproteic acid test Aromatic amino acids
4. Millon test Phenylalanine and tyrosine
5. Pauly's Diazo test Hidden
Histidine Content.
(cherry red) & Tyrosine (orange red)
6. Hopkins Cole test Purchase the(Indole
Tryptophan Full Book
group) in Rs. 350/-
7. Sakaguchi test
on www.mbbsdost.com/funnotes
Arginine
8. Sulfur test Cysteine
9. Nitroprusside test SH group
10. Knoop test Histidine
11. Lead sulfide test Cysteine and cystine
12. Sullivan and
McCarthy test Methionine
13. Isatin test Proline
14 Medical FunNotes at http://www.mbbsdost.com/funnotes
Biochemical Tests - Carbohydrates
1. Molisch test Carbohydrates larger than tetroses
2. Iodine test Polysaccharides/Starch
3. Fehling test Reducing sugar
4. Benedict test Reducing sugar
Hidden Content.
5. Barfoed test Reducing monosaccharide (vs disaccharide)
6. Seliwanoff test
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Ketoses (vs aldoses)
7. Bial test on www.mbbsdost.com/funnotes
Pentoses (vs hexoses)
8. Osazone test Needle shaped : Glucose/Fructose/Mannose
Hedgehog shaped/
Mushroom shaped : Lactose
Sunflower shaped : Maltose
on www.mbbsdost.com/funnotes
height in cm
9. Ponderial Index BMI=3
weight in kg
10. Brocas index Height in cms-100
11. Corpulence index Actual weight/desired weight
12. Milans crjteria for liver transplant in Hepatocelluar
carcinoma
13. Mayers n cottons grading Subglottic stenosis
system
14. Spaldings criteria abdominal pregnancy
18 Medical FunNotes at http://www.mbbsdost.com/funnotes
15. GCS/Ransons Pancreatitis
criteria/APACHE score
16. Ennekings staging Bone tumors
17. Mc Donald's criteria Multiple Sclerosis
18. Epworths criteria Hidden
Sleep apneaContent.
19. Purchase the Full
Framminghams criteria/ Chronic Book
heart failurein Rs. 350/-
Boston's criteria
20.
on www.mbbsdost.com/funnotes
Durie salmon system of Multiple myeloma
staging
21. Lights criteria pleural effusion
22. GOLD's criteria Chronic Obstructive Pulmonary Disease
23. OKUDA staging Hepatocellular Carcinoma
Syphilis---(serological)
1. First test to be Positive : FTA Abs (Fof first...F of FTA Abs)
2. Rapid diagnostic-RPR (R for Rapid)...hence it can also screen large samples in
small time Hidden Content.
3. Sensitive and Specific- TPPAPurchase the both
(see it has Full Book in Rs.sensiTv...and
't' from 350/- 'p' from
sPcific) on www.mbbsdost.com/funnotes
Onions of Medicine:
Onion skin appearance in kidney seen in Hyperplastic Arteriosclerosis
Onion skin like lesions due to arteritis
Hiddenseen in Lymes and Systemic lupus
Content.
Erythemaposus & Motions Purchase the Full Book in Rs. 350/-
Onion skin fibrosis aroundon
bile ducts seen in Primary Scleraring
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Onion skin pattern of deposition of reactive bone in Ewing's Sarcoma
Onion bulb appearance in sural nerves seen in CIDP due to recurrent
demyelination and remyelination
Named Fevers
Pontiac fever Legionella pneumophila
Shanghai fever Pseudomonas Brazilia
Hidden Content.
Purpuric fever Hemophilus
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Full Book in Rs. eye)
350/-
Havernhill fever on www.mbbsdost.com/funnotes
Streptobacillus monoliformis
Oroya fever Bartonella bacilliformis (Carrions disease)
Q fever Coxiella burnetti
30 Medical FunNotes at http://www.mbbsdost.com/funnotes
Colorado Tick fever Orbivirus
Trench fever Rochalimae
Hidden Content.
Yellow Fever Purchase the Full Book in Rs. 350/-
Flavivirus
on www.mbbsdost.com/funnotes
Rabbit Fever Francisella tularensis
Hay Fever Allergic rhinitis
Snowstorm appearance
1. Hydatiform mole on USG
2. Silicone granuloma breast on USG
Hidden Content.
3. Diabetic cataract Purchase the Full Book in Rs. 350/-
4. Total Anomalous Pulmonary VenusonConnection
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5. Fat embolism in X-ray chest
6. Synovial chondromatosis
Cars in medicine
Racing car sign : Corpus callosum agenesis
Honda sign : sacral insufficiency
Hidden Content.fractures
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Mercedes Benz sign : gall stone X ray
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Medical Smells
Musty/mousy phenylketonuria
Boiled cabbage tyrosinemia, hypermethioninemia
Hidden Content.
Maple syrup Purchase
maple the urine
syrup Full Book in Rs. 350/-
disease
on www.mbbsdost.com/funnotes
Rotting fish trimethylaminuria
Sweaty feet isovaleric academia, glutaric academia (type II)
Medical Soap
Medical Soap bubbles
bubbles
Soap bubble appearance in abdominal X-ray Meconium ileus
Hidden Content.
Soap bubble appearance in head CT:Purchase
cryptococcal meningitis
the Full Book in Rs. 350/-
on www.mbbsdost.com/funnotes
Soap bubble calcification Osteoclastoma
Soap bubble cerebral calcification in head CT -Toxoplasmosis
19. blocked degradation of branched chain amino acids maple syrup urine
disease
Important Ducts
Bellinis duct : Straight collecting tubules of the kidney.
Mullerian duct : bilateral ducts in the embryo that form the uterus, vagina
and fallopian tubes.
CD Markers
Cd1a, Cd207 Langerhan cell histiocytosis cells
CD2, CD3, CD4, CD5, CD7, Cd8 T cells
Cd10 Early pre-B cells (immature B cells)
CD11c, CD25, CD103, Cd123 Hairy cell leukemia cells
CD13, CD33, Cd117 Myeloid cells
CD14, Cd64 Monocytic cells (positive in AML-M4 &
AML-M5)
Cd15 Reed-Sternberg cells, neutrophils
CD16, Cd56 Natural killer cells
CD19, CD20, CD21, Cd22 B cells
CD23 and Cd5 Chronic lymphocytic leukemia/small
lymphocytic lymphoma
Hidden Content.
CD23 negative and CD5 positive Mantle cell lymphoma cells
CD30 and Cd15 Reed-Sternberg cells
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CD30 positive and CD15 negative Anaplastic large cell lymphoma cells
Cd31 on www.mbbsdost.com/funnotes
Endothelial cells (positive in angiosarcoma)
Cd33 Myeloid cells and precursors
Cd34 Stem cells (also positive in angiosarcoma)
CD41, Cd61 Megakaryocytes and platelets (positive in
AML-M7)
Cd45 All leukocytes (except Reed-Sternberg
cells!)
CD45 RO Memory T cells
CD45 RA Naive T cells
Cd68 Histiocytes (positive in malignant fibrous
histiocytosis)
Cd99 Ewings sarcoma cells
Cd117 Gastrointestinal stromal tumor (GIST) cells,
mast cells (positive in mastocytosis),
myeloid cells
Medical FunNotes at http://www.mbbsdost.com/funnotes 35
Operations in Ophtha
Fucalas operation: Removal of clear crystalline lens for unilateral very high
myopia
McReynolds operation: Transplantation of pterygium in the lower fornix,
not performed now.
Cicatricial entropion.
1. Resection of skin and muscle
2. Resection of skin, muscle and tarsus
3. Modified Burows operation
4. Jaesche-Arlts operation
5. Modified Ketsseys operation
Senile entropion. Commonly used surgical techniques are as follows:
I. Modified Wheelers operation:
ii. Bicks procedure with Reehs modification:
iii. Weiss operation.
iv. Tucking of inferior lid retractors (Jones, Reeh and Wobig operation):
Hidden Content.
Mechanical ectropion. It is corrected by treating the underlying cause.
i. V-Y operation.
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ii. on www.mbbsdost.com/funnotes
Z-plasty (Elschnigs operation)
iii. Excision of scar tissue and full thickness skin grafting.
Congenital ptosis. It almost always needs surgical correction. In severe ptosis,
surgery should be performed at the earliest to prevent stimulus deprivation
amblyopia. However, in mild and moderate ptosis, surgery should be delayed
until the age of 34 years, when accurate measurements are possible.
Congenital ptosis can be treated by any of the following operations :
1. Fasanella-Servat operation. ( ans: Horners Syndrome)
2. Levator resection. (A)Conjunctival approach (Blaskowics operation):
(B)Skin approach (Everbuschs operation):
The classical technique of lateral orbitotomy using S-shaped brow skin
incision is called Kronleins operation, done for AXIAL PROPTOSIS.
Seton operation: In this operation, a valvular synthetic tube is implanted
which drains the aqueous humour from the anterior chamber into the
subconjunctival space. It is performed for neovascular glaucoma and
intractable cases of primary and other secondary glaucomas where medical
treatment and conventional filtration surgery fail.
TRIPPLE SNIP operation for Punctum Block.
"POET vs DOCTOR
Jhuki jhuki Palkein Kapkapate hath
(Ptosis) (Parkinson's)
Gulabi Gaal
(Plethora)
Congenital Syphilis
Hepatomegaly, Splenomegaly, Hutchinsons Teeth,
Mulberry Molars, Snuffles, Saddle Nose, Seizures,
Interstitial Keratitis, Pseudo Paralysis, Frontal Bossing
Beckwith-Wiedemann Syndrome
Hidden Content.
Macroglossia Macrosomia Midline Abdominal defect
Purchase the Full Book in Rs. 350/-
(ompholocele) WILMS TUMOR!!! check Alpha Fetoprotein
and look for heamaturia Nevus Flammus Ear Creases / Pits
on www.mbbsdost.com/funnotes
Hypoglycemia
Wolf Hirschhorn
Greek helmet head
Mental Retardation
severe growth defect
Autosomal deletion defect
Turner Syndrome
XO, Shield Chest, Hyopgonadism, Ammenorrhea, Webbed
neck, Coartation Aorta, Bicuspid Aortic valve, Micrognathia,
HYPOTHYROIDISM IS COMMON IN ADOLESCENCE Cubitus
valgus (turned out elbows) Treatment with Growth
hormone +/- Androgen for height, and Estrogen for 2nd
sexual characteristic development Dignosis= FSH/LH,
karyotype, TSH
Downs Syndrome
Trisomy 21, microgenia, round face, macroglossia, almond
eyes 2nd to epicanthic fold of the eyelid, upslanting
palpebral fissures , short limbs, (a single instead of a double
crease across one or both palms (Simian crease), poor
Hidden Content.
muscle tone, and a larger than normal space between the
big and second toe, short neck, White spots on Iris
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(brushfield spots) Ventricular Septal Defects,
Gastroesophageal Reflux Disease recurrent ear infections,
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Obstructive sleep apnoea, and thyroid dysfunctions. Life
Expectancy 40-50, increased. risk neoplasm, and certain
Alzheimers. HIRSHPRUNGS / DUDENAL ATRESIA
Cri Du Chat
5p deletion syndrome, 1/20,000 - 50,000
Usually spontaneous, (80% fathers mutation)
* Cry that is high-pitched and sounds like a cat
* Downward slant to the eyes
* Low birth weight and slow growth
* Low-set or abnormally shaped ears
* Mental retardation, Severe
* Partial webbing or fusing of fingers or toes
* Single line in the palm of the hand (simian crease)
* Skin tags just in front of the ear
* Slow or incomplete development of motor skills
* Small head (microcephaly)
* Small jaw (micrognathia)
* Wide-set eyes
Medical FunNotes at http://www.mbbsdost.com/funnotes 41
Williams Syndrome
Deletion 26 genes from chromosome 7, 1/10,000 Cocktail
Party Personality, Ellfin face, Love Music, Perfect Pitch!,
Mental Retardation, but excellent language skills.
supravalvular aortic stenosis, pulmonary stenosis, and
pulmonary artery stenosis
* Farsightedness
* High blood calcium level (hypercalcemia)
* High blood pressure
* Hypermobile joints --> Ossify
* Unusual pattern ("stellate" or star-like) in iris of the eye
Prader-Willi Syndrome
Paternal Chromosome 15 deletion
* Infant Failure to Thrive
* Speech delay / Mental Retardation
* Poor physical coordination
* Hyperphagia (over-eating)
* Excessive weight gain / Obesity
* Sleep disorders
* Scoliosis
Rett Syndrome
Only in females (x-linked males die)
normal until 6-18 months, then regress. MECP2 gene defect
Hidden Content.
Chorea, Bruxism
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# screaming fits
# panic attack
on www.mbbsdost.com/funnotes
# inconsolable crying
# avoidance of eye contact
# lack of social/emotional reciprocity
# general lack of interest
# loss of speech
Smith-Lemli-Opitz Syndrome
Microcephaly, Polydactyly, Hypotonia, Syndactaly, 7-
dehydrocholesterol reductase deficiency, Pale Mentally
Retarded
Lethargy Respiratory failure
Hearing loss Visual loss
Vomiting Feeding difficulties
Failure to thrive Constipation
Cyanosis Congestive heart failure
Photosensitivity
Hidden Content.
Purchase the Full Book in Rs. 350/-
on www.mbbsdost.com/funnotes
Leuokdystrophy
N-acetly-aspartic acid
Metachromatic Leukodystropy
arylsulfatase A
Hiccough in Utero
Non-Ketotic hyperglyceinenemia,
seizure first hour of life
Argininosuccinic aciduria
trichorrexis nodosa
(short breakable hair)
Acrodermatitis enteropathica
Hidden Content.
Purchase
alopecia the Full Book in Rs. 350/-
(zinc deficiency)
on www.mbbsdost.com/funnotes
Argininosuccinic aciduria trichorrexis nodosa
(short breakable hair)
Metachromatic Leukodystropy
Neonatal Hypotonia
Congenital Hypothyroidism Urea cycle defect, amino acid,
organic acid defect Maple Syruph Vrine disease Glycogen
storage disease (type II pompe's, type III debrancher)
Mitorchondria encephalomyopathies Menkes syndrome
Peroxisomal disorder (Zellweger syndrome)
Cataracts in neonate
Galactosemia
Lowe's syndrome
Hidden Content.
Purchase the Full Book in Rs. 350/-
on www.mbbsdost.com/funnotes
Non-Ketotic Hyperglycinemia
Apneic / Bradycardic episodes +/- Seizures
(may have hiccough in utero!!!)
elevated GLYEINE IN URINE and CSF!
EEG=hips arrythmia
Tyrosinemia II
Occulocutaneous tyrosinemia
Keratosis soles of feet
GSD IIa
Pompe's Disease, massive QRS, Autosomal recessive
NORMAL GLUCOSE
LARGE HEART!!!
DEATH BY AGE 2
GSD3
Skeletal / Cardio myopathy
hyperlipidemia
Hidden Content.
Purchase the Full Book in Rs. 350/-
on www.mbbsdost.com/funnotes
GSD4
Severe Failure to thrive
Cirrhosis
Death by age 5
Crouzon Syndrome
cranial synostosis, brachycephaly Exophthalmos
hypertelorism (greater than normal distance between the
eyes) psittichorhina (beak-like nose)
strabismus hypoplastic maxilla
CHOANAL ATRESIA
CHARGE syndrome
* C - Coloboma of the eye, CNS anomalies
* H - Heart defects
* A - Atresia of the choanae
* R - Retardation of growth and/or development
* G - Genital and/or urinary defects (Hypogonadism)
* E - Ear anomalies and/or deafness
Bardet-Biedl syndrome
evere Prader-Will-like Obesity
Retinitis pigmentosa
Hidden Content.
Polydactyly
mental retardation
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hypogonadism, and renal failure.
on www.mbbsdost.com/funnotes
PHACE Syndrome
P - Posterior fossa abnormalities
H - Hemangioma(s) of the cervical facial region
A - Arterial cerebrovascular anomalies
C - Cardiac defects / aortic coarctation
E - Eye anomalies
Apert Syndrome
acrocephalosyndactyly also Craniosynostosis with resultant
midface hypoplasia
Patau's Syndrome
Trisomy 13 PUNCHED OUT
SCALP LESIONS
congenital methotrexate exposure mimics this
Pena-shokeir
autosomal recessive
IUGR
arthogyroposis
Hidden Content.
pulm hypoplasia
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CNS anomalies
on www.mbbsdost.com/funnotes
Bloom Syndrome
don't repair DNA well
defect in DNA helcase
BIRD LIKE FACE
Fanconi Anemia
dont repair DNA well
Autosomal Recessive
Abnormal thumb/radial defects
short
microcephaly
Hidden Content.
Purchase the Full Book in Rs. 350/-
on www.mbbsdost.com/funnotes
7. Mouse facies = chronic renal failure (crf)
Hidden Content.
Purchase the Full Book in Rs. 350/-
on www.mbbsdost.com/funnotes
Skills in history-taking
1. Several skills are important in obtaining a useful and accurate history
Establish rapport and understanding.
Ask questions in a logical sequence. Start with open-ended questions.
Listen to the answers and adjust your interview accordingly.
Observe and provide nonverbal clues carefully. Encouraging, sympathetic
gestures and concentration on the patient that make it clear he or she has
your undivided attention are most important and helpful, but are really a
form of normal politeness.
Proper interpretation of the history
Hidden is crucial.
Content.
2. A good grounding in history taking will stand you in good stead for the rest of
Purchase the Full Book in Rs. 350/-
your career in medicine.
on www.mbbsdost.com/funnotes
3. A successful consultation with a patient, based on a good history-taking
manner, is satisfying and even enjoyable for both parties.
4. Repeated practice in history taking makes it an accurate and quite rapid
process (usually).
5. Not taking a proper history (a regrettably common event) can lead to an
incorrect differential diagnosis, the wrong tests and often the wrong
treatment.
6. No test is accurate enough (sensitive and specific enough) to be useful if it is
ordered for the wrong reason (e.g. as a result of poor history taking).
7. Screen for alcohol and drug use routinely using standard questions.
the ribs in the lateral parts of the chest are nearly horizontal, the intercostal
space is narrow, the shoulder blades closely fit to the chest, the thoracic part
of the trunk is smaller than the abdominal one.
Respiration Rhythm
Respiration of a healthy person is rhythmic, of uniform depth and equal length of
the inspiration and expiration phases. Rhythm of the respiratory centre can be
inhibited, in some types of oedema. Derangement of the respiratory function can
(pause oedema in which a series of respiratory
Hiddenmovements
Content. alternates with a
pronounced (readily detectable)Purchase
elongationthe
of the respiratory pause
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a few seconds to a minute) or toona temporary arrest of respiration (apnoea). This
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respiration is known as periodic.
Biot's respiration is characterized by rhythmic but deep respiration movements
which alternate (at approximately regular intervals) with 1ong| respiratory
Classification of Conjunctivitis
INFLAMMATIONS OF CONJUNCTIVA
Inflammation of the conjunctiva (conjunctivitis) is classically defined as
conjunctival hyperaemia associated with a discharge which may be watery,
mucoid, mucopurulent or purulent.
Etiological classification
1. Infective conjunctivitis: bacterial,Hidden Content.
chlamydial, viral, fungal, rickettsial,
spirochaetal, protozoal, parasitic etc.
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2. Allergic conjunctivitis.
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3. Irritative conjunctivitis.
4. Keratoconjunctivitis associated with diseases of skin and mucous membrane.
5. Traumatic conjunctivitis.
6. Keratoconjunctivitis of unknown etiology.
Clinical classification Depending upon clinical presentation, conjunctivitis can be
Vocal Fremitus
Palpation is used for determining the strength of voice conduction to chest
surface (fremitus vocalis s. pectoralis). Vocal fremitus depends on the conduction
of voice sounds through the respiratory tract.
The palms of the hands placed on the symmetrical parts of the chest and the
patient is asked to i loudly a few words (with the letter 'r' in them to intensify
Hidden Content.
vibration). The doctor can ask the patient to repeat words, such as "ninety-nine",
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"one, two, three," "eee-eee". The patient should speak the words with a voice of
on should
uniform intensity. The voice www.mbbsdost.com/funnotes
be as low as possible since voice vibrations are
better transmitted by the air column in the trachea and the bronchi to the chest
wall in this case. Vibrations are felt as the hands move symmetrically on either side
of the sternum and vertebral column.
Fremitus vocalis can also be determined by one hand as well: the palm of the
examining hand should be placed alternately on the symmetrical parts of the
chest.
Percussion Tones
ORGANS
INTENSITY PITCH DURATION DUALITY
PERCUSSED
bone and
sofe HighHidden Content.
Short Extremelydul
muscle
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spleen and Medium
Mediumon www.mbbsdost.com/funnotes
Medium Thudlike
liver borders high
stomach and
gas bubbles - Loud High Medium Drumlike
intestines
air trapped
in lung Very loud Very low Longer Booming
(emph-ysema)
Reaction of IgE antibody on mast cells with antigen, which results in release of
mediators
TYPE II : CYTOTOXIC
Reaction of IgG with host cell membrane or antigen adsorbed by host cell
membrane
TYPE IV : DELAYED
TYPE V : STIMULATED
Hidden
Establish and maintain a patent airway. Content.
Administer oxygen byPurchase
mask. the Full Book in Rs. 350/-
Start an IV infusion on www.mbbsdost.com/funnotes
of normal saline, lactated Ringer's, or a plasma volume
expander, as appropriate.
Wife : When I hear your lovely words they stimulate the bundle branches of the
circulation system of my heart, it starts beating faster & increased output is
Hidden Content.
transmitted to adrenals which Purchase
start secreting glucagon
the Full Bookto
inincrease blood glucose
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level & to combat this emergency, Pituitary output also increases which raises
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blood estrogen level, Causing vasodilation & I look PINK.
Uses of mineralcorticosteroids
Mnemonic CORTICOSTEROID
C-Cushing syndrome S-Serum sickness
O-Optic neuritis T-Tenosynovitis
Hidden Content.
R-Rheumatoid arthritis E-Edema
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T-Tenosynovitis on www.mbbsdost.com/funnotes
R-Renal disorder
I-Inflammatory condition O-Optic neuritis
C-Conjunctivitis I-Infection
O-Organ transplant D-Dermatitis
Operations in Surgery
Jones operation tendon transfer for radial nerve palsy
Swenson's operation hirschprungs disease
Soave and parks operation hirschprungs disease
( coloanal anastomosis)
Delormes operation rectal prolapse
Billroth 1 operation fractal prolapse
Hidden Content.
Milligon Morgan operation haemorrhoidectomy
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Mayos operation hiatus hernia
Nesovics operation
on www.mbbsdost.com/funnotes
sports hernia
Cheatle henry operation obturater hernia
Sebrocks operation parotid duct fistula
Bentails operation aortic roots aneurysum repairs
Belsey mark IV operation hiatus hernia
Hills operation hiatus hernia
Psoas hitch operation little loss of length in ureteric injury
Nephrotic Syndrome
Mnemonic - "NEPHROTIC
Na+ water retention
Edema
Proteinuria>3.5/24hrs Hidden Content.
Hyperlipidemia Purchase the Full Book in Rs. 350/-
Renal vein thrOmbosis on www.mbbsdost.com/funnotes
Thrombotic &thrombo embolic complications
Infection with staph.N pneumococci
hyper coagulable state
Prostaglandin In Obstetrics
Mnemonic- Govt Medical College Delhi
44. Injury
83. Act of a child above seven and under twelve of immature understanding
87. on and
Act not intended www.mbbsdost.com/funnotes
not known to be likely to cause death or grievous
hurt, done by consent
88. Act not intended to cause death, done by consent in good faith
89. Act done in good faith for benefit of child or insane person, by or by
consent of guardian
92. Act done in good faith for benefit of a person without consent
201. on www.mbbsdost.com/funnotes
Causing disappearance of evidence of offence, or giving false information
to screen offender
homicide
319. Hurt.
328. Causing hurt by means of poison, etc. with intent to commit an offence
345. Wrongful confinement of person for whose liberation writ has been issued
351. Assault
353. Assault or criminal force to deter public servant from discharge of his duty
354. Assault or criminal force to woman with intent to outrage her modesty
355. Assault or criminal force with intent to dishonour person, otherwise than
on grave provocation
359. Kidnaping
362. Abduction
369. Kidnaping or abducting child under ten years with intent to steal from its
person
495. Same offence with concealment of former marriage from person with
whom subsequent marriage is contracted
497. Adultery
498. Enticing or taking away or detaining with criminal intent a married woman
Banana Sign:
Chadwicks Sign:
Bluish hue to the vestibule and anterior vaginal wall. Seen in first trimester of
pregnancy. Cause is increased blood flow to the pelvic organs. Also known as
jacquemiers Sign.
Cullen Sign:
Bluish discoloration of skin around umbilicus. Occurs due to intra peritoneal
hemorrhage. Seen in ruptured ectopic pregnancy.
Goodell Sign:
Marked softening of the cervix in contrast to non pregnant state. Also due
toincreased blood flow.
Hegar Sign:
An indication of Pregnancy. Softening of the lower parts of the uterus enables
approximation of vaginal and abdominal fingers in bimanual pelvic examination.
Vaginal fingers are placed in the posterior fornix and abdominal hand pressed
down behind theuterus.
Jacquemiers sign:
Refer Chadwick
SignKustners Sign:
Sign of placental separation. On pushing the uterus upwards does not move the
Ladins Sign:
Softening in the midline of the uterus anteriorly at the junction of the uterus
and cervix. It occurs at about 6 weeks gestation
Lambda Sign:
Ultrasonographic sign seen in dichorionic pregnancies. Due to the chorionic
tissue in between the two layers of the membrane between the twins.
Lemon Sign:
Ultrasound sign in open spina bifida. Shows abnormal anterior curvature of
cerebellum. Due to the associated Arnold-Chiari malformation.
Osianders Sign:
Pulsations in the lateral fornix due to the increased vascularity.
Palmers Sign:
Regular rhythmic contractions of uterusHidden Content.
felt as early as 6-8 weeks . It is a sign of
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Piskaceks Sign:
Asymmetric growth occurs to the uterus in initial stages of pregnancy due to the
lateral implantation of the blastocyst. The area of implantation feels soft
compared to the other parts.
Roberts Sign:
Radiological sign of intrauterine fetal death. X-ray shows presence of gas in the
fetal great vessels. Earliest radiological sign of intrauterine fetal death
Schroders Sign:
A sign of placental separation. Uterus rises up when the separated placenta
is passed downwards.
Spalding Sign:
Sign of intrauterine fetal death. Overlapping of skull bones after fetal demise.
Observed by ultrasonogram.
Stallworthys Sign:
T Sign:
Ultrasonographic sign seen in monochromic twins. As the intertwin membrane
does not have any chorionic tissue it gives rise to T sign in ultrasound
no latency seen
Bad smells
Musty/mousy : phenylketonuria
SHOULDER JOINT
ABDUCTION
initiator : supraspinatus
next : middle deltoid fibers
upto120 :
infraspinatus
subscapularis
t.minor Hidden Content.
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serratus anterior
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ADDUCTORS AND MEDIAL ROTATORS:
T.major
P.major
L.dorsi ant deltoid fibers
LATERAL ROTATORS:
infraspinatus
T.minor
Strawberrys in Medicine
Strawberry tongue kawasaki disease,scarletfever
Strawberry gums wegener's granulomatosis
Strawberry hemangioma Hidden Content.
capillary hemangioma
Strawberry vagina in Purchase the Full Book in Rs. 350/-
trichomoniasis.
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Strawberry skin n nasal mucosa sarcoidosis
Strawberry nasal mass rhinosporidiosis
Strawberry shaped skull edward syndrome
Strawberry gallbladder cholestrolosis
Medical HUTCHINSONS
1. HUTCHINSONS FRECKLES : Lentigo maligna.
Hidden Content.
2. HUTCHINSONS PUPIL : Blown pupil
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Congenital syphilis.
4. HUTCHINSONS SIGN : Herpes Zoster Opthalmicus.
5. HUTCHINSONS TRIAD : Congenital Syphilis
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Assist with allergy testing, as appropriate.
Administer allergy injections, as needed.
Instruct client to avoid allergic substances, as appropriate.
Instruct client to avoid further use of substances causing allergic responses.
Discuss methods to control environmental allergens (e.g., dust, mold, and
pollen).
Instruct client and care giver(s) on how to avoid situations that put them at
risk and how to respond if an ana phylactic reaction should occur.
Instruct client and care giver on use of epinephrine pen.
Postmortem Staining
CO poisoning : Cherry red
HCN, Burn : Bright red
Nitrites, Aniline, Potassium bicarbonate : Hidden
Chocolate brown
Content.
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: Bluish violet or purple
Septic abortion : Bronze
Refrigerated body : Bright pink
Mummification : turns from Brown to Black
Lobes of lungs
Key points of projection of the lungs low borders on the anterior and posterior
chest include the following:
Topographic line The right lung The left lung
Parasternal The Vth intercostal space -
Midclavicular The VIth rib Hidden Content.-
Anterior axillary
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Midaxillary The VIIIth rib The VIIIth rib
Posterior axillary The IXth rib The IXth rib
Scapular The Xth rib The Xth rib
Paravertebral At the level of the 11th At the level of the 11th
thoracic spinous processus thoracic spinous processus
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Hidden Content.
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