Monday, 30 December 2019

MC in Orthopedics

MCC of B/L genu valgum in children - idiopathic > rickets
MCC of B/L genu varum in children - rickets > idiopathic
MCC of B/L genu valgum in adults - RA > OA
MCC of B/L genu varum in adults - OA> RA
MCC of windswept def in children- rickets
MCC of windswept def in adults - RA

Tuesday, 17 December 2019

Anatomy Actions

1) FLEXION, ADDUCTION, INTERNAL ROTATION OF ARM – PECT MAJOR
2) EXTENSION, ADDUCTION, INTERNAL ROTATION OF ARM – LATTISMUS DORSI
3) INVERSION, DORSIFLEXION OF ANKLE – TIB ANT
4) INVERSION, PLANTAR FLEXION – TIB POSTERIOR
5) FLEXION OF HIP, EXTENSION OF KNEE – RECTUS FEMORIS
6) EXTENSION OF HIP, FLEXION OF KNEE – HAMSTRING MUSCLES
7) FLEXION AND ADDUCTION OF HIP – PECTINEUS
8) ADDUCTION AND EXTENSION OF HIP – ADDUCTOR MAGNUS
9) PROTRACTION OF SCAPULA AND OVER HEAD ABDUCTION OF SHOULDER JT –SERATTUS ANTERIOR
10) FLEXION OF SHOULDER, ELBOW AND SUPINATION – BICEPS
11) FLEXION OF DISTAL INTERPHALANGEAL JOINT OF MEDIAL FOUR FINGERS DONE BY – FDP
12) FLEXION OF MCP, EXTENSION OF IP JOINT, ADDUCTION OF FINGERS – PALMAR INTEROSSEUS
13) FLEXION OF MCP, EXTENSION OF IP JOINT, ABDUCTION OF FINGERS – DORSAL INTEROSSEUS
14) EXTENSION OF HIP, LATERAL ROTATION OF HIP – GLUT MAXIMUS
15) MEDIAL ROTATION, ABDUCTION OF HIP – GLU MEDIUS, MINIMUS
16) ABDUCTION OF SHOULDER JOINT DONE BY
i. 0-150 :SUPRASPINATUS
ii. 15-90 :DELTOID
iii. 90-180 :TRAPEZIUS AND SERATTUS ANTERIOR

Monday, 18 November 2019

Respiratory System One liners

Respi system oneliners

[1] Creola bodies
In Bronchial asthma, air way epithelium is sloughed into bronchial lumen in form of CREOLA BODIES

[2] Asteroid body or Schaumann body
Nonspecific birefringent crystalline bodies in sarcoid granulomas.

[3] PULMONARY HEMORRHAGE primary causes:
[A] Good pasture syndrome
[2] Microscopic polyangitis
[C] Idiopathic pulmonary hemosiderosis

[4] Hypersensitivity pneumonitis : Important examples :-
[A] Bagassosis =  due to T actinomycetes from moldy bagasse (sugarcane)
[B] Bird fancier,s , breeder's , handler's lung = bird proteins from avian droppings.
[C] Farmers lung = T actinomycetes from moldy hey
[D] Malt workers lung = Aspergillus fumigatus from moldy barley

[5] Hypersensitivity pneumonits = Both type III and type IV hypersensivity reaction

[6] Caplan syndrome = Seropositive rheumatoid arthiritis + Progressive massive fibrosis
Initially it was described in coal workers but subsequebntly found in variety of pneumoconioses

[7] Byssinosis = (typical description to identify q) = is charecterised clinically by occasional in early stage and then regular (late stage) chest tightness toward the end of the first day of workweek (" MONDAY CHEST TIGHTNESS")

[8] Asbestosis usually affects lower lobe first then spreads upwards as disease becomes more severe whereas silocosis coal workers pneumoconiosis usually affects upper lobe.

[9] Presence of hilar lymphedenopathy or calcified hilar lymphnode " egg shell calcification" in a pneumoconioses is more suggestive of SILICOSIS among all other pneumoconiosis

[10] The single most useful clinical sign of the severity of pneumonia is ?
Ans = respiratory rate >30 /min [ref : hson]
Other scoring methods for severity of pneumonia= [a] CURB score [b] PORT risk class

[11] Guessing most likely etiological agent of pneumonia by radiological finding
[A] upper lobe cavity = tb
[B] pneumatocoele = s pneumoniae
[C] air fluid level = abscess = polymicrobial
[D] ***  CRESCENT SIGN in lung = Aspergillosis

[12] Pneumonia + hyponatremia = legionella pneumonia
[13] Hecht's pneumonia= interstitial giant cell pneumonia = measeles

[14] Triads 
SAMTER TRIAD = asthma + allergy + nasal polyposis
KARTARGENERS SYNDROME = situs inversus + bronchiectasis + sinusitis

[15] Friedlanders pneumonia = kleibsiella pneumonia = bulging fissure sign

INDIA NEWBORN ACTION PLAN

INDIA NEWBORN ACTION PLAN

🔹 Peri conceptional folic acid
🔹Administer corticosteroids in preterm labour and Antibiotics for PROM
🔹Delayed cord clamping and vit K at birth
🔹 care of healthy newborn by ASHA for 6 wks (42 days)
🔹 care of small/sick Newborn (like inj. Gentamicin to prevent sepsis to be given by ANM)
🔹 care beyond Newborn survival

- Screen for 4 Ds  i.e. Defects or birth defects, development delays, deficiency, diseases
- Follow up of SNCU babies by ASHA for 1 year and LBW babies for 2 year

Kindly correct previous one - LBW for 2 years

Ischaemic time

Neuron 3-5 min
Cardiac musc 20 min
Peripheral nerve 8 hrs
Skeletal musc 24 hrs
Bone 72 hrs

Age in days and development

Age in days and development events : 

1. 2 days – Embryo at 2 cell stage

2. 3 days – Morula is formed

3. 4 days – Blastocyst is formed

4. 8 days – Bilaminar disc is formed

5. 14 days – Prochordal plate & primitive streak seen

6. 16 days - Intra-embryonic mesoderm is formed / Disc is three germ layers

DOC Cancers

* DOC for CLL-- Fludarabin
* DOC for Brain Tumors- Temozolamide
* DOC for Pancreatic Carcinoma-- Gemcitabine
* DOC for Choriocarcinoma- Methotrexate
* DOC for Colorectal cancer-- 5-FU
*DOC for Hairy Cell Leukemia- Cladribine
*Drugs of choice for Wenger's granulomatosis-- Cyclophosphamide
*DOC for Multiple Myloma-- Bortezomib