Thursday, October 30, 2014

Tuesday, October 28, 2014

Unilateral and bilateral causes of hydronephrosis






Status Epilepticus mnemonic

The drugs and the order in which they are used.
"Pam is funny and has a barbie."

Extraintestinal manifestations of inflammatory bowel disease mnemonic

I got this mnemonic online and found it very helpful.

I added some more information to it, my theory being, if I forget one manifestation; I have another one for backup.

Treatment of carcinoma penis mnemonic

When total scrotectomy with orchidectomy is done along with total amputation of the penis - it is known as "Sir Piersey Gold" operation.
I remember, "Scrotum Penis Gone" to remember the initials of this eponymous surgery. It prevents frequent dermatitis of the scrotal skin due to perineal urethrostomy and reduces sexual desire.
Young's radical operation for carcinoma penis is another name you have to remember:
The ilioinguinal lymph nodes bilaterally form a Y with the penis. (See image) Y for young's operation, that's how I remember!

Monday, October 27, 2014

Layers of hydatid cyst mnemonic and diagram

I somehow think of ALGae and PEE when I imagine the hydatid cyst, maybe because the cyst is fluid filled and algae grow in contaminated water. (My cue to write idk I am just weird!)

Anyway, that's your mnemonic.
Adventitia (Pseudocyst)
Laminated membrane (Ectocyst)
Germinal epithelium (Endocyst)

Differentials of inguinoscrotal swelling

Thought you might wanna know

Wednesday, October 22, 2014

Treatment of MDR tuberculosis mnemonic

Hi everyone! 

This is a complicated mnemonic. Too many drugs but hopefully it will help you write a SAQ on it :)

Before I get to the mnemonic, here are some general principles. 

4 drugs to which the mycobacteria are susceptible should be used. 

6 months intensive phase is followed by a continuation phase for 18-24 months.
An injectable drug like kanamycin or streptomycin is dropped in the continuation phase.

1st group:
High-dose isoniazid, pyrazinamide, and ethambutol are thought of as an adjunct for the treatment of MDR and XDR tuberculosis.

2nd group: Fluoroquinolones, of which the first choice is high-dose levofloxacin.

3rd group are the injectable drugs:
Capreomycin, amikacin, kanamycin.
Mnemonic: CAKe

4th group:
Cycloserine, aminosalicylic acid (PAS), thioamides (Ethionamide).
Mnemonic: CAT

If susceptibility to drugs is not available:
Give KEEPQ for 6 months and then PEEQ for 18 months (Drop the injectable, remember?)
Kanamycin
Ethionamide
Ethambutol
Pyrazinamide
Quinolone

If resistant to Rifampin and Isoniazid:
Give PEQS for 6 months and then PEEQ for 18 months.
Pyrazinamide
Ethambutol
Quinolone
Streptomycin
And then replace injectable Streptomycin with Ethionamide

If resistant to all first line drugs:
Quinolone + any one from CAKe + any two from CAT

That's all! 

-IkaN

Updated on 16th February, 2015:

Mnemonic for drug resistance in MDR TB:
HeR multi drug resistance. 
Resistance to H (Isoniazid) and R (Rifampin) is defined as MDR TB. 

Mnemonic for XDR TB:
Her extra fluorescent cake. 
Resistance to H (Isoniazid), R (Rifampin), any fluoroquinolone and one of the three second line injectable drugs (Capreomycin, Amikacin & Kanamycin) is defined as XDR or extensive drug resistance. 

Related post:

Tuesday, October 21, 2014

Choledochal cyst types mnemonic

This was asked in my prelims.
Here's the text. Mnemonic in the picture.
Type-I cysts have been subclassified into 3 types.
Type IA shows marked cystic dilation of the entire extrahepatic biliary tree, with sparing of the intrahepatic ducts.
Type IB is defined by focal, segmental dilation of the extrahepatic bile duct.
Type-IC cysts are smooth fusiform dilations of the entire extrahepatic bile duct, usually extending from the pancreaticobiliary junction to the intrahepatic biliary tree.
Type-II cysts are discrete diverticuli of the extrahepatic duct with a narrow stalk connection to the CBD
Type-III cysts are also called choledochocele. They consist of dilation of the distal CBD that is confined to the wall of the duodenum, and often bulge into the duodenal lumen.
Type-IV cysts are multiple in nature and are further subdivided based on intrahepatic duct development.
Type-IVA cysts are multiple intrahepatic and extrahepatic dilations.
Type-IVB cysts refer to multiple dilations of the extrahepatic biliary tree only.
Type-V CCs refer to Caroli disease, also known as communicating cavernous ectasia, which is multiple saccular or cystic dilations of the intrahepatic bile ducts.
Classification of choledochal cysts mnemonic 

Monday, October 20, 2014

Foot drop (Notes)

Hi everyone!
These notes are messier than usual because I wasn't planning to upload them at first.
Lemme know in the comments if you don't understand something, I'll type it out for ya!
Related post: Peroneal nerve branches anatomy mnemonic

Sunday, October 19, 2014

Peripheral neuropathy definition and causes (MBBS notes)

Sundays are so good :)
Definition of mononeuropathy, polyneuropathy and mononeuritis multiplex
Various causes of peripheral neuropathy (I wrote the ones I found easy to remember ^_^ ) 


Updated on 19th October, 2014
Errata: Spelling of separate is wrong. 
And according to a reader, Azaz Patel, the definition isn't exactly appropriate because discrete anatomical delineation doesn't occur in neuropathy, especially the piamater part.

Haven't found any other definition on Google so I don't know :/
Lemme know if you guys have a good definition ^_^

That's all! 
-IkaN