Wednesday 4 December 2013

Triads in Surgery


Opthalmology Mnemonics –Part-3

SCLERA

Features of posterior scleritis: POST SCLER

Quote:
Proptosis 
Ophthalmoplegia 
Swelling of disc
Thickening of sclera (US/CT) & T sign (fluid in sub-Tenon’s space) 
Subretinal exudates 
Choroidal foLds 
Exudative RD 
Ring choroidal detachment

RETINA

Differential Diagnosis of Drusen: AGEING

Quote:
Alports Syndrome 
Glomerulonephritis 
Exudate (Hard) 
Inherited (Familial Dominant Drusen) 
North Carolina Dystrophy 
starGardts and fundus flavimaculatus

TUMOURS

Suspicious Choroidal Naevi: To Find Small Ocular Melanoma 

Thickness >2mm
Fluid (subretinal) 
Symptoms 
Orange pigment (lipofuscin) 
Margin at optic disc

Tuesday 3 December 2013

Opthalmology Mnemonics –Part-2

Iridocorneal Endothelial (ICE) Syndrome subtypes: ICE

Quote:
Iris Naevus 
Chandler Syndrome
Essential Iris Atrophy

UVEITIS

Systemic Features of Sarcoid: FILLED BAGEL

Facial nerve palsy 
Infiltrates of lung parenchyma, Insufficiency of pituitary 
Lymphadenopathy (esp lung hilae)
Liver & spleen enlargement 
Elevated ACE & calcium 
Dilated cardiomyopathy 
Bone cysts 
Arthralgia Granulomata of skin 
Erythema nodosum Lupus pernio

Features of Behcet's Disease: ORAL UPSET

Occlusive periphlebitis 
Retinitis 
Anterior uveitis 
Leakage from retinal vessels 
Ulceration (aphthous/genital) 
Pustules after skin trauma (Pathergy test) 
Scratching leaves lines (dermatographism) 
Erythema nodosum 
Thrombophlebitis

Monday 2 December 2013

Opthalmology Mnemonics –Part-1

EYELID & LACRIMAL APPRATUS


Dacryocystitis, dacryoadenitis:  apparatus affected

Quote:

Dacryocystitis, dacryadenitis: ·

Cry, so affects lacrimal gland. ·

Infection and inflammation, respectively.

Features of Post Enucleation Socket Syndrome (PESS)

Quote:

Ptosis

Enophthalmos

Deep upper Sulcus

Slack lower lid


 CORNEA
Associations of Vortex Keratopathy: ABCD

Quote:

Arthritis (diclofenac)

Breast Cancer (Tamoxifen)

Cardiac (amiodarone)

Dementia / Depression (Chlorpromazine)

Enzyme deficiency

Fabry's Disease

Disease and syndrome

                                                      DISEASE'S  AND SYNDROME'S 
                           

1)Addison’s Disease
 ·  primary adrenocortical deficiency

2)Addisonian Anemia
 ·  pernicious anemia  (antibodies to intrinsic factor or parietal cells ® ¯IF ® ¯Vit B12 ® megaloblastic anemia)

3)Albright’s Syndrome
 ·  polyostotic fibrous dysplasia, precocious puberty, café au lait spots, short stature, young girls

4)Alport’s Syndrome
 ·  hereditary nephritis with nerve deafness

5)Alzheimer’s
 ·  progressive dementia

6)Argyll-Robertson Pupil
  ·  loss of light reflex constriction  (contralateral or bilateral)
·  “Prostitute’s Eye” - accommodates but does not react
·  Pathognomonic for 3°Syphilis

7)Arnold-Chiari Malformation
 ·  cerebellar tonsil herniation

8)Barrett’s
 ·  columnar metaplasia of lower esophagus (  risk of adenocarcinoma)

9)Bartter’s Syndrome
 ·  hyperreninemia

10)Becker’s Muscular Dystrophy
 ·  similar to Duchenne, but less severe (deficiency in dystrophin protein)

11)Bell’s Palsy
 ·  CNVII palsy   (entire face; recall that UMN lesion only affects lower face)

12)Berger’s Disease
 ·  IgA nephropathy

13)Bernard-Soulier Disease
 ·  defect in platelet adhesion (abnormally large platelets & lack of platelet-surface glycoprotein)

14)Berry Aneurysm
 ·  circle of Willis (subarachnoid bleed)
·  often associated with ADPKD

15)Bowen’s Disease
 ·  carcinoma in situ on shaft of penis (  risk of visceral ca)

16)Briquet’sSyndrome 
 ·  somatization disorder
·  psychological: multiple physical complaints without physical pathology

17)Broca’s Aphasia
 ·  Motor Aphasia intact comprehension

18)Brown-Sequard
 ·  hemisection of cord  (contralateral loss of pain & temp / ipsilateral loss of fine touch, UMN)

19)Bruton’s Disease
 ·  X-linked agammaglobinemia

20)Budd-Chiari
 ·  post-hepatic venous thrombosis