Monday, August 1, 2016
Secondary focal segmental glomerulosclerosis mnemonic
Hodgkins lymphoma and minimal change disease
Complications of nephrotic syndrome
Complications of nephrotic syndrome:
Infection with encapsulated bacteria, varicella (Vaccinate before or during treatment with high dose steroids)
Thromboembolism due to decreased antithrombin III (Prophylactic anticoagulation is not recommended unless patient has had a thromboembolic event, albumin < 2 g/dL, fibrinogen > 6 g/L, antithrombin < 70%)
Hypovolemia, anascara, renal insufficiency.
Increased risk of early atherosclerosis due to hyperlipidemia.
Sunday, July 31, 2016
Multiple Endocrine Neoplasia
They are classified as-
1. MEN 1 ( Wermer syndrome)
Pituitary, pancreas & Parathyroid adenomas.
2. MEN 2
a) 2A (Sipple syndrome)
Hyperparathyroidism, medullary carcinoma of the thyroid and pheochromocytoma.
b) 2B
Medullary carcinoma of the thyroid, pheochromocytoma, and mucosal ganglioneuromatosis.
Related post: MEN syndrome mnemonic
Friday, July 29, 2016
Step 2 CK: Types of incontinence mnemonic
Local anaesthetics - What's in a name?
Personally I am very bad at remembering weird names. I feel like I am being bullied, horribly tortured for the sins I have committed whenever I have to deal with learning names.
Anyways chuck remembering stupid names, we will be smart and figure out a way to remember them..without trying too hard. Like using Google maps to reach a place through shortcuts :D
So Aminoesters and aminoamides are the two types of local anaesthetic in use.
You just need to remember that the esters has only one letter "I" and the amides has two letter "I"
Also that the esters can be effectively neutralised by the cholinesterase in plasma, that's pretty nice cause these substances are known to cause allergic reactions.
Just for the sake of naming.
The highly unstable esters are..
Procaine
Chlorprocaine
Tetracaine
Benzocaine
Cocaine
And again just for the sake of completing this post-
Lidocaine
Mepivacaine
Prilocaine
Bupivacaine
Etidocaine
Ropivacaine
They are dreadful I agree..but "I" will save the day :D
Laughing gas aka Nitrous oxide
Some random facts about nitrous oxide
1. Discovered by preistly
2. Cylinder colour blue
3. Stored as a liquid ( critical temp 36.5 C )
4. Aka laughing gas
5. Not metabolised in the body
6. In anaesthesia it acts as a carrier to other agents..used in conc of 33%O2 + 66%N20 + 1% inhalational agent
7. For every one mole of nitrogen removed, 35 moles of N2O enters..that means compliant spaces in our body take in more gas with increased in pressure..therefore nitrous oxide is constraindicated in these situations.
Pneumothorax
Pneumoperitoneum
Tympanaplasty
Posterior fossa surgeries ( high risk of air embolism)
Intestinal obstruction
Microlaryngeal surgeries ( N2O diffuses through the tube cuff and double or triple the volume of the cuff leading to laryngospasm)
8. Side effects - it can lead
Bone marrow aplasia
Sub acute degeneration of spinal cord
Megaloblastic anaemia
( It inactivates B12 if used for more than 6 hrs in a surgery )
- happy studying
Sakkan :)
Thursday, July 28, 2016
Edward syndrome notes and mnemonic
So here's how Yeshwanth remembers the features of Edwards syndrome.. He thinks of Accelerate from Ben 10!
Here are his notes:
Gout and pseudogout mnemonic
Remember N for Gout:
N for Na urate crystals
N for Negative refringent crystals on polarised microscopy
N for Needle shaped crystals
Montegia and galezzia fractures mnemonic
Monday, July 25, 2016
Ketamine- A new antidepressant!
Remember those conventional classes of drugs used for treating major depressive disorders?? Well, now I have a better one. Ketamine!
Haha yea trust me... this commonly used anaesthetic, analgesic, hallucinogenic drug has got its place in another class of drugs- The anti-depressants. :D