2nd year buzzwords Flashcards
cherry red spot at the macula
CRAO
“tear drop” or “blood level in sinus”
blow out fracture
failure to adduct
internuclear ophthalmoplegia
what is the issue in internuclear ophthalmoplegia
medial longitudinal fasciculus
pain on eye movement
optic neuritis
what most commonly causes optic neuritis
MS
painful loss of vision over 1-2 weeks
optic neuritis
curtain coming down < 5 mins
amaurosis fugax
curtain coming down (partial) > 5 mins
retinal detachment
flashes and floaters
retinal detachment
photophobia
anterior uveitis
gritty feeling in eye
bacterial conjunctivitis or subtarsal foreign body
watery eye and pain and pre-auricular lymph nodes
viral conjunctivitis
silver/copper wiring
HTN eye disease
loss of red reflex / eye red on ophthalmoscopy
haemorrhage
new vessels and haemorrhage
wet ARMD
follicular conjunctivitis
chlamydia
pin point pupils
pontine issue
dilated pupils
trans-calcarine fracture
different sized pupil
damage to CN III (or sympathetic chain as in horners)
down out dilated pupil
CN III palsy
down and out not dilated
diabetes
roth spots
infective endocarditis
brushfield spots
downs syndrome
scrambled egg / egg yolk appearance of macula
Best disease
fluid level behind ear drun
retracted ear drum
dull colour
OME
difficulty at school and have to shout loudly to hear
hearing loss
OME?
feeling of fullness in the ear
menieres
loss of corneal reflex (+ SNHL, vertigo, tinnitus)
acoustic neuroma (vestibular schwannoma)
vestibular schwannoma/acoustic neuroma assoc with
NF II
vertigo on rotation of the head
BPPV
battle sign
mastoid process of temporal bone fracture
pearly white on otoscopy
cholesteatoma
foul cheesy discharge
cholesteatoma
saddle nose
wegeners granulomatosis (GPA)
Edwards
chromosome 18
Patau
chromosome 13
downs syndrome
chromosome 21
ADHD triad
hyperactive
inattentive
impulsive
tx ADHD
methylphenidate or atomoxetine
autism triad
social communication
social interaction
flexibility of thought/imagination
was is aspergers
form of autism where there is no problem with social communication
stuck on appearance
Basal cell papilloma (seborrhaeic keratoses)
picket fence pearly border
BCC
coeliac disease assoc with…
dermatitis herpetiformis
erythema nodosum
sarcoidosis
UC
TB
erythematous bullseye lesion (erythema migrans)
lyme disease
ash leaf macule
tuberous sclerosis
shagreen patches
tuberous sclerosis
honey crust
impetigo
causes of impetigo
staph aureus
group A strep
cafe au lait spots
neurofibromatosis 1 or 2
silver scales extensor surfaces
psoriasis
cauliflower appearance
warts
kaposi sarcoma
HIV / immunosuppressed (transplant)
intense erythema on cheeks and proximal limbs
slapped cheek syndrome/fifth disease/erythema infectiosum
slapped cheek syndrome cause
parovirus B19
small umbilicated translucent papules that look fluid filled but are solid
molluscum contagiosum
flaccid blisters that can be burst easily to form erythematous erosions
pemphigus vulgaris
large tense bullae that are itchy and cannot be burst
bullous pemphigoid
helitrope rash and scaly knuckles
dermatomyositis
fish scale skin
ichthyosis
velvety thickened lesions in axillae
acanthosis nigricans
target lesion
erythema multiforme
catecholamines in urine
headaches
hypertension
palpitations
phaeochromocytoma
tanned skin but not on holiday
addisions
increased shoe size
spade hands
wedding ring too tight
acromegaly
signs of hyperthyroid plus eye changes, gritty eyes, smooth velvety skin
graves
moon face proximal weakness purple abdo straie buffalo hump central obesity
cushings
ketones on breath (sweat, pear drop scent)
DKA
deep laboured breathing
kussmaul breathing
kussmaul breathing seen in
metabolic acidosis esp DKA
orphan annie nuclei
papillary thyroid carcinoma
bone pain
stones
abdo pain
psychiatric problems
hypercalcaemia (hyperparathyroidism)
psammoma bodies
papillary thyroid carcinoma
butterfly rash/malar rash
SLE
heat intolerance/palpitations
hyperthyroidism
cold intolerance/weight gain
hypothyroidism
anosmia and elevated GnRH deficiency
Kallmans
Trosseau sign
Chovstek sign
QT prolongation
hypocalcaemia
acute management of hypocalcaemia
IV calcium gluconate
10ml of 10% calcium gluconate over 10 mins in 50% dextrose or saline
brachydactyly of 4th metacarpal
pseudohypoparathyroidism
pencil in cup X ray appearance
sausage fingers
psoriatic arthritis
wrist drop
radial nerve palsy
swinging fever
abscess
dinner fork or swan neck deformity in wrist
displaced colles fracture
pain/tenderness in anatomical snuffbox
scaphoid fracture
feels like walking on pebbles
advanced rheumatoid arthritis in the feet - subluxation of the MTPJs
reiters syndrome
cant see cant pee cant bend the knee
- uveitis
- urethritis
- arthritis
foot drop
common fibular nerve (common peroneal nerve)
hanging rope sign
AVN
AVN
proximal scaphoid intracapsular femoral femoral condyles humeral head capitellum proximal talus
negatively birefringent needle shaped crystals
gout
urate crystals
envelope shaped rhomboid mildly positively birefringent crystals
ca pyrophosphate crystals
pseudogout
positive anterior drawer test
ACL tear rupture
what is a positive anterior drawer test
tibia can be pulled forward easily on the femur when knee flexed
pain in internal rotation and extension of the knee at 90 degrees
lateral meniscal tear
painful arc
damaged supraspinatus tendon (rotator cuff)
frozen shoulder
dry eyes mouth and skin
+ve schirmer’s test
often with RA
with infiltration
sjogren’s syndrome
dry eyes mouth vagina
bronchitis
no RA
no infiltration
sicca syndrome
locked knee
bucket handle meniscal tear
bamboo spine on xray
sacroilitis and question mark posture
ankylosing spondylitis
shortened leg and externally rotated
displaced fracture neck of femur
shortened leg
internally rotated
dislocated femoral head
onion peel sign
ewings sarcoma
sunray spiculation
oesteosarcoma
popcorn calcification on xray
chondrosarcoma
soap bubble appearance on xray
giant cell tumour
scalp tenderness and jaw claudication
temporal arteritis
gowers sign positive
DMD
swollen woody calves
DMD or Becker MD
Hatchet-like face
myotonic dystrophy
cannon ball mets on CXR
renal mets
loin to groin pain
renal colic
sea anemone on cystoscopy
transitional cell carcinoma
UTI and travel to india
carbapenase-producing klebsiella - resistant to all antibiotics
UTI with foul smelling urine and renal calculi
proteus sp.
beading of the renal artery
fibromuscular dysplasia
RBC casts in urine
proves haemturia is glomerular
muddy brown casts of epithelial cells
acute tubular necrosis
potato appearance
testicular seminoma
blue dot sign
torsion of testicular appendix (cremasteric reflex still present
TB drugs
2 RIPE 4 RI
2 months rifampicin isoniaside pyrazinamide ethambutol
4 months rifampicin isoniazide
DRS ABCDE
danger response shout for help airways breathing circulation disability exposure
melanoma ABCDE
asymmetry border colour diameter evolution/elevation
BUFALO sepsis 6
bloods/all other relevant cultures urine fluids antibiotics lactate oxygen
GET SMASHED pancreatitis
gall stones ethanol trauma steroids mumps autoimmune scorpion stings hyperlipidaemia/hypercalcaemia ERCP drugs
bones of the hand starting from thumb in anatomical position top line
then back to thumb top line
Some -scaphoid Lovers - lunate Try - triquetrum Positions - pisiform top line: That - trapezium They - trapeziod Cannot - capitate Handle - hamate
Microcytic anaemia
Fe deficiency
Megaloblastic anaemia
Cant Be Fucked
Cytotoxic drugs e.g. methotrexate
B12 deficiency
Folate deficiency
Schilling test
B12 deficiency
bence jones protein
multiple myeloma
congo red staining
amyloid deposition of biopsied tissue in myeloma and Al amyloidosis
atypical lymphocytes
EBV (mononucleosis)
fractured neck of humerus
axillary nerve damage
badge patch numbness
axillary nerve palsy
malar rash
SLE
mitral stenosis