Sunday, October 25, 2015

Drugs causing hemolysis in G6PD deficiency mnemonic

Mnemonic for drugs causing hemolysis in G6PD deficiency is, "PAINS"
(Cause hemolysis in g6pd deficiency PAINS ;) )

Tips on how to find vein or phlebotomy

Study: Know your anatomy, so if you can't see or feel the veins, you still know where to go.
Just the anatomy of where the veins are. Sometimes you can't see them (old people, people with dark skin) and you can't really feel them. I've done some blind insertions before successfully.

Dont panic: Initially, you will find it hard, but do not get embarrassed if you miss.

Tourniquet: Tying a torniquet often helps by making the vein more swollen and prominent.
In our hospital, the patient's relative is asked to hold with the fingers tightly around the arm instead of using torniquets.

Tuesday, October 20, 2015

Study group discussion: Carcinoid syndrome

What's carcinoid syndrome?

It's caused by serotonin. There's a GI tumor called carcinoid tumor which secretes it. So basically, the syndrome is caused by serotonin (Flushing, wheezing, etc)

What's the treatment for carcinoid?

Somatostatin analog, octreotide.

Which vitamin deficiency is associated with carcinoid syndrome?

Sunday, October 18, 2015

Study group discussion: What causes Carharts notch?

In otosclerosis, why carharts notch at 2000 Hz in PTA?

Carhart attributed this phenomenon to "mechanical factors associated with stapedial fixation."

But why the greatest dip at 2 kHz?

The ossicular chain has two basic modes of vibration. The first mode, with a peak around 1200 Hz, is the primary mode for AC stimulation. This mode is associated with a "hinging" motion of the ossicles caused by AC stimulation of the tympanic membrane at the umbo. The second mode, with a peak around 1700 Hz, is described as a "pivoting" motion of the malleus/incus, with an axis of rotation somewhat orthogonal to the axis of rotation associated with the "hinging" motion. The second mode is less robust than the primary mode for AC stimulation, but it is the dominant mode when excited by BC stimulation. A decreased mobility of the ossicular chain at 1700 Hz due to otosclerosis also affects the surrounding frequencies, but is seen most prominently as a BC loss at 2000 Hz in audiometric testing.

Thursday, October 15, 2015

Causes of carpal tunnel syndrome mnemonic

Short post for the day!

Mnemonic: CARPAL Tunnel Syndrome

Atypical carcinoid syndrome mnemonic

Happy Friday everyone!

Carcinoid tumors are neuroendocrine tumors of the GI tract. They can make high levels of neuropeptides and amines, like serotonin, which can cause brief episodes of flushing, diarrhea, cough, wheezing, shortness of breath, heart disease, and in rare cases, pellagra. (Typical carcinoid syndrome)

Atypical carcinoids have a normal plasma serotonin level. They are characterized by extended episodes of deep purple flushing, headache, shortness of breath, and in rare cases, lacrimation (tears).

Wednesday, October 14, 2015

Following Medicowesome

"I really want to read all your posts from time to time. How can I follow you?"

I feel that email is the best option.
You can follow by any RSS feed here.

As for social media, I regularly update Facebook and Twitter.
Twitter: https://twitter.com/medicowesome
Facebook: https://www.facebook.com/medicowesome

For those of you who use Whatsapp, the Broadcast list is a wonderful idea.
I add contacts to my broadcast list and send links to blog posts (new and old) on a daily basis.
Broadcast list: http://medicowesome.blogspot.in/2015/09/medicowesome-broadcast-list.html

Submissions: Anti-diarrhoeal and drugs used for constipation notes

These awesome notes were written by Kiki!

Triad of pheochromocytoma mnemonic

To remember the classic triad of pheochromocytoma, remember 3 P's.



Tuesday, October 13, 2015

Study group discussion: Pharmacology of drugs used in Parkinsons disease

Why does bradykinesia and rigidity occur in Parkinson's disease?

Bradykinesia is due to deficiency of dopamine.
Rigidity is due to uncompensated increase in acetylcholine.

Why levodopa is always given in combination with carbidopa and entacapone? 

Carbidopa is given to protect levodopa against dopa decarboxylase enzyme which causes its peripheral breakdown. Peripheral conversion of dopamine is harmful.. Can cause cardiac arrhythmias and postural hypotension.

Entacapone is given to block COMT.

Difference between entcapone and talcapone?


Study group discussion: Why are platelets low in hepatic disease?

Why are platelets low in hepatic disease?

You need cytokines to tell the marrow to synthesis platelets. They are synthesized chiefly by liver.

It is also been associated with the concept of hypersplenism leading to sequestration of thrombocytes in the enlarged spleen.

Submissions: Anti-diabetic drugs and insulin

Written by kiki <3 p="">
Anti-diabetic drugs classification

Upper segment to lower segment ratio (US:LS ratio) mnemonic

Hey!

I was asked to measure the US:LS in a child. My professor was suspecting Rickets. So let's learn the normal ratios is various age groups!