07-19-2008, 08:51 PM
********************************************************************
Manu`s Mnemonic-51.Marijuana toxicity ..
..Memory problems
.....Motivationless
.....Motor coordiantion problems
......................................................................................................
Manu`s Mneumonic-52. Hordeolum.............
. Holds Staph.aureus(pathogen)
...Hard to shut the eyelid(affected)
...Has eyelid pain
....Hot compress-Rx
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Manu`s Mnemonic-53 Chalazion......
Chronic granulomatous lesion
.........Comes back often .
........Clean the eyelids often(to prevent recurrence)
.......Compress(hot or warm Rx)
.......Corticosteroids intra-lesional -Rx
......Cut it off(if nothing else works!)
*********************************************************************
Manu`s Mnemonic “54.Free air....
"FREE AIR ? GO TO OR !"
{ If you see Free Air under the diaphragm,it is an indication for surgical Rx}
*********************************************************************
Manu`s Mnemonic-55LSD poisoning....
~~Level of perception distorted(tasting sound/hearing color)
~~LSD Flash-back(think as LCD of your camera!)
~~Long lasting psychosis (later complication)
*********************************************************************
Manu`s Mnemonic-56Pregnancy and UTI.
œShe was pregnant and Furious when she had burning micturition at Night
{treatment of UTI in pregnant patients-Nitrofuratoin}
*********************************************************************
Manu`s Mnemonic-57. Baker`s(Popliteal) Cyst-
œThat Popular Baker has a pouch in his knee pocket
~is a painless ,posterior pouch
~caused by meniscal tear and collection of synovial fluid of knee joint.
~Transillumination test is positive indicating the collection of fluid.
~Usaully it is benign and disappears without treatment even though there is limited range of motion(ROM)
~Treatment is needed only if it becomes painful or increases in size.}
*******************************************************************
Manu`s Mnemonic-58Nikolsky sign.
œChef Nikolsky,please don`t talk shallow,vulgar and hurtful things to Chef Johnson,he already scalded his skin TEN times today
{Nikolsky sign is the separation of epidermis from basal layers with slightest pressure due to the formation of autoantibodies.
~seen in Pemphigus vulgaris
~It is painful and cuased by drugs[Steven-Johnson syndrome](sulfa,phenytoin,valproic acid-life threatening!)
~When it involves more than 30% BSA(body surface area) it is called Toxic Epidermal Necrolysis(TEN)
~Staphylococcal Scalded Skin Syndrome-caused by Staphylococcus or later by pseudomonas.
~Treatment-early diagnosis and elimination of the offending agent/treatment of infection/plasmapheresis/IVIG
*********************************************************************
Manu`s Mnemonic-59Bacterial Vaginosis
œYou will be Alone and Clueless ,unless you take Metro to reach this Garden with full of Waterfalls and Fish ponds
{Bacterial Vaginosis
~ by Gardernella vaginalis which causes watery vaginal discharge with fishy odor.
~Diagnosis is by finding ˜Clue cells™ in the vaginal discharge.
~Treatment “Metronidazole/Clindamycin for 7 days -
~Sexual partner/s need NOT be treated(patient Alone is treated here
~one of the causes of premature labor)
*****************************************************************
Manu`s Mnemonic-60..Shaken Baby Syndrome.
œShake Shake Baby,Break Break B.V
{Shaken Baby Syndrome-
~It is an indication of Child Abuse !
~When a baby is shaken violently blood vessels(B.V) in the brain and retina rupture leading to Subdural and Retinal hemorrhages .
~Babies can present with lethargy,loss of appetite and coma in severe cases.
~Patient should be taken to OR to stop the bleeding.
~Prognosis is bad and those who recover suffer from permanent neurologic damage and Mental retardation}
*****************************************************************
Manu`s mnemonics-61...Prolactin and Oxytocin.
"Prolactin.....Produces
"Oxytocin...Oozes"
Prolactin induces the production of milk and Oxytocin helps with the 'Let-down'of milk}
*********************************************************************
Manu`s Mnemonic-62...Prinzmetal`s Angina....
"Prince wears a Crown"
{In Prinzmetal`s Angina we can see ST segment elevation (Crown) }
*********************************************************************
Manu`s Mnemonics “63 Breast Cancer Treatment........
œTrust HER!
{Trastuzumab “is used to treat Breast Cancers with HER2/neu receptors.
This drug is a monoclonal antibody specific for HER2/neu receptor }
******************************************************************
Manu`s mnemonic-64. ..Rx ..Tertiary. syphilis.
......Tertiary Syphilis.......
~'T'ertiary has
~'T'abes dorsalis
~'T'ypical gumma
~a'T'axia
~'T'endon reflex loss ,needs
~'T'en million units penicillin for
~'T'en days
~'T'hrough the vein(I.V)
**************************************************
Manu`s Mnemonics-65..EKG basics..
"Ischemia(angina)(less than 20 minutes)- blood supply down(you fall down ,so is ST segment falls down)ST depression;
Infarction(more than 20 minutes)..death of [muscle tissue -going up to haevan!] ..ST segment elevation "
{Only exception:- Prinzmetal`s angina-ST elevation}
*****************************************************************
Manu`s Mnemonics-66....HIV facts.....
{T-cell count
~ Tells you the
~ True picture of HIV as of
~ Today and
~ Therapy guidance.
~ Viral load
~Verifies the
~ Velocity of disease progression and
~ Virus killer measures}
Remember BOTH are inversly proportional to each other!!!
[T-cell >< Viral load]
One goes up---The other one goes down!!
*******************************************************************
Manu`s Mnemonics-67 Actinic Keratosis...............
"Actinic Keratosis-Advances to Kancer"
{Actinic keratosis is a premalignant lesion and if not treated can progress to Squamous Cell Cancer}
********************************************************************
manu`s Mnemonics-68 Rash(Soles&Hands)....
"5 rashy fingers and toes"
{maculopapular rash involving soles and hands are the following 5:-
1)Secondary Syphilis
2)Rocky Mountain Spotted fever
3)Meningococcal meningitis
4)Kawasaki disease
5) Juvenile Rheumatoid Arthritis
********************************************************************
Manu`s mnemonics-69....Patent Ductus Arteriosus(PDA).....
"She announced Loudly that she won a Patent for her Duct cleaning Machine in India"
(Patent ductus arterioses-Continous machinery murmur and Loud S2 and seen mainly in females.
Treatment is Indomethacin)
*******************************************************************
Manu`s Mnemonics-70Mitral regurgitation
"My Regurgitation started after I ate food made in that Hollow Pan"
(Mitral regurgitation - pansystolic or holo systolic murmur)
****************************************************************
Manu`s Mnemonics-71....ECG finding in Atrial Flutter(AF)..................
~'P'eter waved at me while holding that fluttering Saw"
(Sawtooth like 'P' wave is very charecterstic ECG finding in Atrial Flutter )
*****************************************************************
Manu`s Mnemonics-72...Thalassemia..
"Alpha Asians Targeted Bold Mediterraneans in a 'Small 'battlefield with regular (Normal) Iron swords!"
~ Aplha thalassemia is seen mostly in Asian population...
~ Beta Thalassemia is seen mostly in Mediterraneans...
~ In all the Thalassemia Traits/Diseases you will see 'Target' cells ....
~ Microcytic anaemia is the picture in those who are symptomatic ...('small 'battlefield)
~ Iron studies will be normal despite the microcytic anaemia(thus differentiate it from Iron deficiency anemia)(regular Iron sword)
*********************************************************************
Manu`s mnemonics-73Drug induced SLE
............................."CHIMPs PIQ".....................
~ C...Chlorpromazine
~H...Hydralazine
~I...INH
~M...Methyldopa
~P...Penicillamine
`s
~P...Procainamide
~I...Interferons
~Q...Quinidine
******************************************************************
Manu`s Mnemonics-74....SSRI............
...SSRI side effects..
'S'exual 'S'ide effect 'R'ate 'I'ncreased
*************************************
Manu`s Mnemonics-75...Treatment of Unstable Angina and Myocardial Infarction..
"MONAA Be MIne"
~M -Morphine
~O -Oxygen
~N -Nitrates
~A -Aspirin
~A -ACE inhibitors
~B(e) Beta Blockers
~(MIne-Myocardial Infarction)
**********************************************************
Manu`s Mnemonics-76....Treatment of Hyperlipidemia..
"START THE STATIN TO SAVE THE LIFE"
Initial treatment for Hyperlipidemia is STATINS!
********************************************
Manu`s Mnemonics-78..Normal Grief Reaction...
"D A B S A"
~D -Denial
~A -Anger
~B -Bereavement
~S -Sad
~A - Acceptence
****************************************************************
Manu`s Mnemonic-79......Teratogenicity of Phenytoin.....
"Phenytoin Rhymes with Hydantoin"
~ Teratogenic side effect of Phenytoin is Fetal Hydantoin Syndrome
*********************************************************************
Manu`s Mnemonic-80.. .Cold agglutinin Induced Hemolytic Anemia.
~CCold agglutinin is nothing but IgM
~C- Develop Cyanosis when exposed to Cold
~C- Rx Chlorambucil and Cyclophophamide
~C- and prevent exposure to Cold!
********************************************************************
Manu`s Mnemonic-81.General Age distribution in Leukemia
~ALL. A cute Little Lad ( below 15 years of age)
~ AML.(Acute) Mid Life ( 15-60 years of age)
~ CML.(chronic) Mid Life (15-60 years of age)
~ CLL .(chronic) Late Life (after 60 years of age)
******************************************************************
Manu`s Mnemonic-82.Diagnostic marker for ALL.
œ cALLa antigen is positive in ALL
****************************************************************
Manu`s Mnemonic-83.. Diagnosis and treatment of AML.
~™ A™ML .so think of ˜A™
~A.Auer Rods ( M3 type)
~A.Rx Arabinoside(AraC)+
dAurorubicin+
All-trans-retinoic “acid derivative(Vit.A)
*********************************************************************
Manu`s mnemonic-84.....Vitamins low in Cow`s milk....
~ Think as 'C'ow 'D'ung!
{ Now easy to remember that Vitamins deficient in Cow`s milk are Vit.C and Vit.D}
*********************************************************************
Manu`s mnemonic-85....Vitamin deficient in Goat`s Milk....
~ Goat is NO Fool!
{Folic acid is low in Goat`s Milk}
*********************************************************************
Manu`s Mnemonic-86.Neonatal Vit.D deficiency causes...
~ Vit.'D',so think it as a 3-D picture(D,D,D)
~Dark skinned
~Dark room(not enough exposure to Sun light)
~Deficiency in the Mother
********************************************************************
Manu`s Mnemonic-87Another CML clue!
~™C™ for Chromosome association with Philadelphia Chromosome(t 9;22)
~™M™ ..Myeloid series increased
~™L™Leukocyte Alkaline Phosphatase level decreased
****************************************************************
Manu`s Mnemonic-88What are ˜B™ symptoms in HL and NHL?.
~ The symptoms are similar to œT.B so these are Night sweats,10% weight loss and fever
*************************************************************
Manu`s Mnemonic-89HL & NHL clues to diagnosis.
~ Lymphadenopathy in HL is œHigher Level(Cervical ,Supraclavicular and Axillary)
~ Lymphadenopathy in NHL is Not Higher Level (but systemic involvement)
*********************************************************************
Manu`s Mnemonic-90.Howell-Jolly bodies.
œDo you know ,How well I felt without that nasty SPLEEN?"- "Oh, Jolly Good!
~Spleen removes the nucleus of RBCs before releasing them to circulation,so any condtion that causes damage to the Spleen(physical or functional absence)
is seen with inclusion RBCs(Howell-Jolly bodies)
~ seen in trauma,sickle cell disease(autosplenectomy),hemolytic anemia or radiation damage to the spleen
**************************************************
Manu`s Mnemonic-91..Subdural Hematoma..
~'S'....Slowly progressing....
~'S'....Shifting of midline structures...
~'S'...Symptomatic ONLY need Surgical evacuation....
~'S'...Seen in chronic alcoholics with repeated head truama/in Senior citizens too..
~'S'...Sponataneous regression if left alone...
************************************************************
Manu`s Mnemonic-92Epidural Hematoma..
~'E'pidural is an 'E'mergency!(requires Immediate surgical evacuation)
*******************************************************************
Manu`s Mnemonic-93Endocarditis associated with SLE..
~Rearrange the letters of ˜S™™L™ and ˜E™ to make it L S E- Liebman - Sacks Endocarditis
~ seen in acute disseminated Lupus and is of Atypical variety
*************************************************************
Manu`s Mnemonic “94...Lyme diease and it`s Cardiac complication..
~ Rearrange the œM of LyMe - sideways ,so it becomes ˜3™
~ So it is 3rd Degree heart block!
********************************************************
Manu`s Mnemonic “95..Curling`s Ulcer.
~Curling Iron can burn you badly if you are not careful!
~Curling's ulcer is an acute peptic ulcer of the duodenum resulting as a complication from severe burns when reduced plasma volume leads to sloughing of the gastric mucosa.
******************************************************************
Manu`s Mnemonic “96..Bruton's agammaglobulinemia.
œBrutally and repeatedly beaten boys in that ˜B™ cell had many infections on X-ray!
~Reapeated infections
~X-linked diease(so seen only in Boys)
~ B-cells low
~Repeated infections,if not treated Fatal!
~Rx..Antibiotics and IVIG
********************************************************
Manu`s Mnemonic “97..Fetoscopy
œFetoscopy is more Fatal to the Fetus..
(......than other procedures like CV sampling,Amniocentesis or Percutaneous Umbilical Blood Sampling!)
~ There is a 12% chances of featl loss
*******************************************************************
Manu`s Mnemonic “98..Target Cells
œHALT the TARGET!
{Target cells seen in these following conditions:-
~H Hemolytic anemia/Hemoglobin C disease
~A.Asplenia(Functional/physical)
~LLiver diseases(Obstructive types)
~TThalassemias(disease/trait}
*************************************************
Manu`s Mnemonic “99....ACE Inhibitors (side effects)
~AAngioedema
~CCough/Contraindicated in Hyperkalemia
~EEnalapril (induces Acute Renal Failure)
*************************************************************
Manu`s Mnemonic “100.Difference between Fanconi`s anemia and Fanconi`s Syndrome..
~Fanconi`s ANEMIA..Think of Anemia + decreased number of all other blood cells
~Fanconi`s SYNDROME..
{ Just look at sY ndrome “œY looks like two ureters converging in to join the
Bladder (so KIDNEY related)
It is due to mutation which causes the kidney to lose Amino
acids,glucose,magnesium,phosphate,Bicarbonates and other nutrients.}
*********************************************************
Manu`s Mnemonic-101.. Oral Rehydration solutions with Na+(Sodium) content..
Alphabetical order helps!
~Pedialyte.45 mM
~Rehydralyte..75 mM
~WHO rehydrating solution90mM
****************************************************
Manu`s Mnemonic-102..Major Depression.
~~~~~Remember the number™6™!
~ 6 months of symptoms needed for diagnosis.
~6 weeks of treatment(antidepressants) to take action.
~6 months of treatment needed.
~6-12 sessions of ECT is needed for remote cases.
********************************************************
Manu`s Mnemonic-103..Parkinson`s Disease.
~~~~~~In a PARK drink COLA and sit DOWN~~~~~~
~Parkinson`s Disease has High Cholinergic and Low Dopaminergic level
*****************continued.........>
Manu`s Mnemonic-104..Treatment Age-wise.
~™L™ess than 60..™L™evodopa/Carbidopa
~™A™fter 60 .™A™mantidine
**************continued..............>
Manu`s Mnemonic-105..Treatment of Severe Bradykinesia.
~If person can not walk at all,you need 2 people [Carbidopa/Levodopa] to help!
***************************************************************
Manu`s Mnemonic-106..Craniopharyngioma..
~C hild`s
~C ystic
~C holesterol filled
~C alcified
~C ell of Squamous origin
~C ranial mass on
~C T/MRI is
~C raniopharyngioma
~ deC ompress surgically(Rx)
*********************************************************************
Manu`s Mnemonic-107 .Pyromania.
œ Fire-o-mania ......... Pyromania!
{It is a disorder in which the person gets pleasure in setting things on fire }
*********************************************************
Manu`s Mnemonic-108Euthyroid sick syndrome..
œE turned sideways(reverse it!) becomes œ3,so think of rT3 level increased
(T4,TSH and other values will be normal here)
********************************************************
Manu`s Mnemonic-109..Genetic Anticipation.
œFragile Triplets Hunt in Anticipation
Fragile-X syndrome and Huntington`s disease have Triplet repeats and show Genetic Anticipation(successive generation develps the disease much earlier than their parents)
******************************************************************
Manu`s Mnemonic-110Capsule Endoscopy
œIt`s a Small Capsule,swallow it man!
(Capsule Endoscopy is the only technique that is available right now to detect Small bowel pathology)
*********************************************************************
Manu`s Mnemonic-51.Marijuana toxicity ..
..Memory problems
.....Motivationless
.....Motor coordiantion problems
......................................................................................................
Manu`s Mneumonic-52. Hordeolum.............
. Holds Staph.aureus(pathogen)
...Hard to shut the eyelid(affected)
...Has eyelid pain
....Hot compress-Rx
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Manu`s Mnemonic-53 Chalazion......
Chronic granulomatous lesion
.........Comes back often .
........Clean the eyelids often(to prevent recurrence)
.......Compress(hot or warm Rx)
.......Corticosteroids intra-lesional -Rx
......Cut it off(if nothing else works!)
*********************************************************************
Manu`s Mnemonic “54.Free air....
"FREE AIR ? GO TO OR !"
{ If you see Free Air under the diaphragm,it is an indication for surgical Rx}
*********************************************************************
Manu`s Mnemonic-55LSD poisoning....
~~Level of perception distorted(tasting sound/hearing color)
~~LSD Flash-back(think as LCD of your camera!)
~~Long lasting psychosis (later complication)
*********************************************************************
Manu`s Mnemonic-56Pregnancy and UTI.
œShe was pregnant and Furious when she had burning micturition at Night
{treatment of UTI in pregnant patients-Nitrofuratoin}
*********************************************************************
Manu`s Mnemonic-57. Baker`s(Popliteal) Cyst-
œThat Popular Baker has a pouch in his knee pocket
~is a painless ,posterior pouch
~caused by meniscal tear and collection of synovial fluid of knee joint.
~Transillumination test is positive indicating the collection of fluid.
~Usaully it is benign and disappears without treatment even though there is limited range of motion(ROM)
~Treatment is needed only if it becomes painful or increases in size.}
*******************************************************************
Manu`s Mnemonic-58Nikolsky sign.
œChef Nikolsky,please don`t talk shallow,vulgar and hurtful things to Chef Johnson,he already scalded his skin TEN times today
{Nikolsky sign is the separation of epidermis from basal layers with slightest pressure due to the formation of autoantibodies.
~seen in Pemphigus vulgaris
~It is painful and cuased by drugs[Steven-Johnson syndrome](sulfa,phenytoin,valproic acid-life threatening!)
~When it involves more than 30% BSA(body surface area) it is called Toxic Epidermal Necrolysis(TEN)
~Staphylococcal Scalded Skin Syndrome-caused by Staphylococcus or later by pseudomonas.
~Treatment-early diagnosis and elimination of the offending agent/treatment of infection/plasmapheresis/IVIG
*********************************************************************
Manu`s Mnemonic-59Bacterial Vaginosis
œYou will be Alone and Clueless ,unless you take Metro to reach this Garden with full of Waterfalls and Fish ponds
{Bacterial Vaginosis
~ by Gardernella vaginalis which causes watery vaginal discharge with fishy odor.
~Diagnosis is by finding ˜Clue cells™ in the vaginal discharge.
~Treatment “Metronidazole/Clindamycin for 7 days -
~Sexual partner/s need NOT be treated(patient Alone is treated here
~one of the causes of premature labor)
*****************************************************************
Manu`s Mnemonic-60..Shaken Baby Syndrome.
œShake Shake Baby,Break Break B.V
{Shaken Baby Syndrome-
~It is an indication of Child Abuse !
~When a baby is shaken violently blood vessels(B.V) in the brain and retina rupture leading to Subdural and Retinal hemorrhages .
~Babies can present with lethargy,loss of appetite and coma in severe cases.
~Patient should be taken to OR to stop the bleeding.
~Prognosis is bad and those who recover suffer from permanent neurologic damage and Mental retardation}
*****************************************************************
Manu`s mnemonics-61...Prolactin and Oxytocin.
"Prolactin.....Produces
"Oxytocin...Oozes"
Prolactin induces the production of milk and Oxytocin helps with the 'Let-down'of milk}
*********************************************************************
Manu`s Mnemonic-62...Prinzmetal`s Angina....
"Prince wears a Crown"
{In Prinzmetal`s Angina we can see ST segment elevation (Crown) }
*********************************************************************
Manu`s Mnemonics “63 Breast Cancer Treatment........
œTrust HER!
{Trastuzumab “is used to treat Breast Cancers with HER2/neu receptors.
This drug is a monoclonal antibody specific for HER2/neu receptor }
******************************************************************
Manu`s mnemonic-64. ..Rx ..Tertiary. syphilis.
......Tertiary Syphilis.......
~'T'ertiary has
~'T'abes dorsalis
~'T'ypical gumma
~a'T'axia
~'T'endon reflex loss ,needs
~'T'en million units penicillin for
~'T'en days
~'T'hrough the vein(I.V)
**************************************************
Manu`s Mnemonics-65..EKG basics..
"Ischemia(angina)(less than 20 minutes)- blood supply down(you fall down ,so is ST segment falls down)ST depression;
Infarction(more than 20 minutes)..death of [muscle tissue -going up to haevan!] ..ST segment elevation "
{Only exception:- Prinzmetal`s angina-ST elevation}
*****************************************************************
Manu`s Mnemonics-66....HIV facts.....
{T-cell count
~ Tells you the
~ True picture of HIV as of
~ Today and
~ Therapy guidance.
~ Viral load
~Verifies the
~ Velocity of disease progression and
~ Virus killer measures}
Remember BOTH are inversly proportional to each other!!!
[T-cell >< Viral load]
One goes up---The other one goes down!!
*******************************************************************
Manu`s Mnemonics-67 Actinic Keratosis...............
"Actinic Keratosis-Advances to Kancer"
{Actinic keratosis is a premalignant lesion and if not treated can progress to Squamous Cell Cancer}
********************************************************************
manu`s Mnemonics-68 Rash(Soles&Hands)....
"5 rashy fingers and toes"
{maculopapular rash involving soles and hands are the following 5:-
1)Secondary Syphilis
2)Rocky Mountain Spotted fever
3)Meningococcal meningitis
4)Kawasaki disease
5) Juvenile Rheumatoid Arthritis
********************************************************************
Manu`s mnemonics-69....Patent Ductus Arteriosus(PDA).....
"She announced Loudly that she won a Patent for her Duct cleaning Machine in India"
(Patent ductus arterioses-Continous machinery murmur and Loud S2 and seen mainly in females.
Treatment is Indomethacin)
*******************************************************************
Manu`s Mnemonics-70Mitral regurgitation
"My Regurgitation started after I ate food made in that Hollow Pan"
(Mitral regurgitation - pansystolic or holo systolic murmur)
****************************************************************
Manu`s Mnemonics-71....ECG finding in Atrial Flutter(AF)..................
~'P'eter waved at me while holding that fluttering Saw"
(Sawtooth like 'P' wave is very charecterstic ECG finding in Atrial Flutter )
*****************************************************************
Manu`s Mnemonics-72...Thalassemia..
"Alpha Asians Targeted Bold Mediterraneans in a 'Small 'battlefield with regular (Normal) Iron swords!"
~ Aplha thalassemia is seen mostly in Asian population...
~ Beta Thalassemia is seen mostly in Mediterraneans...
~ In all the Thalassemia Traits/Diseases you will see 'Target' cells ....
~ Microcytic anaemia is the picture in those who are symptomatic ...('small 'battlefield)
~ Iron studies will be normal despite the microcytic anaemia(thus differentiate it from Iron deficiency anemia)(regular Iron sword)
*********************************************************************
Manu`s mnemonics-73Drug induced SLE
............................."CHIMPs PIQ".....................
~ C...Chlorpromazine
~H...Hydralazine
~I...INH
~M...Methyldopa
~P...Penicillamine
`s
~P...Procainamide
~I...Interferons
~Q...Quinidine
******************************************************************
Manu`s Mnemonics-74....SSRI............
...SSRI side effects..
'S'exual 'S'ide effect 'R'ate 'I'ncreased
*************************************
Manu`s Mnemonics-75...Treatment of Unstable Angina and Myocardial Infarction..
"MONAA Be MIne"
~M -Morphine
~O -Oxygen
~N -Nitrates
~A -Aspirin
~A -ACE inhibitors
~B(e) Beta Blockers
~(MIne-Myocardial Infarction)
**********************************************************
Manu`s Mnemonics-76....Treatment of Hyperlipidemia..
"START THE STATIN TO SAVE THE LIFE"
Initial treatment for Hyperlipidemia is STATINS!
********************************************
Manu`s Mnemonics-78..Normal Grief Reaction...
"D A B S A"
~D -Denial
~A -Anger
~B -Bereavement
~S -Sad
~A - Acceptence
****************************************************************
Manu`s Mnemonic-79......Teratogenicity of Phenytoin.....
"Phenytoin Rhymes with Hydantoin"
~ Teratogenic side effect of Phenytoin is Fetal Hydantoin Syndrome
*********************************************************************
Manu`s Mnemonic-80.. .Cold agglutinin Induced Hemolytic Anemia.
~CCold agglutinin is nothing but IgM
~C- Develop Cyanosis when exposed to Cold
~C- Rx Chlorambucil and Cyclophophamide
~C- and prevent exposure to Cold!
********************************************************************
Manu`s Mnemonic-81.General Age distribution in Leukemia
~ALL. A cute Little Lad ( below 15 years of age)
~ AML.(Acute) Mid Life ( 15-60 years of age)
~ CML.(chronic) Mid Life (15-60 years of age)
~ CLL .(chronic) Late Life (after 60 years of age)
******************************************************************
Manu`s Mnemonic-82.Diagnostic marker for ALL.
œ cALLa antigen is positive in ALL
****************************************************************
Manu`s Mnemonic-83.. Diagnosis and treatment of AML.
~™ A™ML .so think of ˜A™
~A.Auer Rods ( M3 type)
~A.Rx Arabinoside(AraC)+
dAurorubicin+
All-trans-retinoic “acid derivative(Vit.A)
*********************************************************************
Manu`s mnemonic-84.....Vitamins low in Cow`s milk....
~ Think as 'C'ow 'D'ung!
{ Now easy to remember that Vitamins deficient in Cow`s milk are Vit.C and Vit.D}
*********************************************************************
Manu`s mnemonic-85....Vitamin deficient in Goat`s Milk....
~ Goat is NO Fool!
{Folic acid is low in Goat`s Milk}
*********************************************************************
Manu`s Mnemonic-86.Neonatal Vit.D deficiency causes...
~ Vit.'D',so think it as a 3-D picture(D,D,D)
~Dark skinned
~Dark room(not enough exposure to Sun light)
~Deficiency in the Mother
********************************************************************
Manu`s Mnemonic-87Another CML clue!
~™C™ for Chromosome association with Philadelphia Chromosome(t 9;22)
~™M™ ..Myeloid series increased
~™L™Leukocyte Alkaline Phosphatase level decreased
****************************************************************
Manu`s Mnemonic-88What are ˜B™ symptoms in HL and NHL?.
~ The symptoms are similar to œT.B so these are Night sweats,10% weight loss and fever
*************************************************************
Manu`s Mnemonic-89HL & NHL clues to diagnosis.
~ Lymphadenopathy in HL is œHigher Level(Cervical ,Supraclavicular and Axillary)
~ Lymphadenopathy in NHL is Not Higher Level (but systemic involvement)
*********************************************************************
Manu`s Mnemonic-90.Howell-Jolly bodies.
œDo you know ,How well I felt without that nasty SPLEEN?"- "Oh, Jolly Good!
~Spleen removes the nucleus of RBCs before releasing them to circulation,so any condtion that causes damage to the Spleen(physical or functional absence)
is seen with inclusion RBCs(Howell-Jolly bodies)
~ seen in trauma,sickle cell disease(autosplenectomy),hemolytic anemia or radiation damage to the spleen
**************************************************
Manu`s Mnemonic-91..Subdural Hematoma..
~'S'....Slowly progressing....
~'S'....Shifting of midline structures...
~'S'...Symptomatic ONLY need Surgical evacuation....
~'S'...Seen in chronic alcoholics with repeated head truama/in Senior citizens too..
~'S'...Sponataneous regression if left alone...
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Manu`s Mnemonic-92Epidural Hematoma..
~'E'pidural is an 'E'mergency!(requires Immediate surgical evacuation)
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Manu`s Mnemonic-93Endocarditis associated with SLE..
~Rearrange the letters of ˜S™™L™ and ˜E™ to make it L S E- Liebman - Sacks Endocarditis
~ seen in acute disseminated Lupus and is of Atypical variety
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Manu`s Mnemonic “94...Lyme diease and it`s Cardiac complication..
~ Rearrange the œM of LyMe - sideways ,so it becomes ˜3™
~ So it is 3rd Degree heart block!
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Manu`s Mnemonic “95..Curling`s Ulcer.
~Curling Iron can burn you badly if you are not careful!
~Curling's ulcer is an acute peptic ulcer of the duodenum resulting as a complication from severe burns when reduced plasma volume leads to sloughing of the gastric mucosa.
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Manu`s Mnemonic “96..Bruton's agammaglobulinemia.
œBrutally and repeatedly beaten boys in that ˜B™ cell had many infections on X-ray!
~Reapeated infections
~X-linked diease(so seen only in Boys)
~ B-cells low
~Repeated infections,if not treated Fatal!
~Rx..Antibiotics and IVIG
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Manu`s Mnemonic “97..Fetoscopy
œFetoscopy is more Fatal to the Fetus..
(......than other procedures like CV sampling,Amniocentesis or Percutaneous Umbilical Blood Sampling!)
~ There is a 12% chances of featl loss
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Manu`s Mnemonic “98..Target Cells
œHALT the TARGET!
{Target cells seen in these following conditions:-
~H Hemolytic anemia/Hemoglobin C disease
~A.Asplenia(Functional/physical)
~LLiver diseases(Obstructive types)
~TThalassemias(disease/trait}
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Manu`s Mnemonic “99....ACE Inhibitors (side effects)
~AAngioedema
~CCough/Contraindicated in Hyperkalemia
~EEnalapril (induces Acute Renal Failure)
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Manu`s Mnemonic “100.Difference between Fanconi`s anemia and Fanconi`s Syndrome..
~Fanconi`s ANEMIA..Think of Anemia + decreased number of all other blood cells
~Fanconi`s SYNDROME..
{ Just look at sY ndrome “œY looks like two ureters converging in to join the
Bladder (so KIDNEY related)
It is due to mutation which causes the kidney to lose Amino
acids,glucose,magnesium,phosphate,Bicarbonates and other nutrients.}
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Manu`s Mnemonic-101.. Oral Rehydration solutions with Na+(Sodium) content..
Alphabetical order helps!
~Pedialyte.45 mM
~Rehydralyte..75 mM
~WHO rehydrating solution90mM
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Manu`s Mnemonic-102..Major Depression.
~~~~~Remember the number™6™!
~ 6 months of symptoms needed for diagnosis.
~6 weeks of treatment(antidepressants) to take action.
~6 months of treatment needed.
~6-12 sessions of ECT is needed for remote cases.
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Manu`s Mnemonic-103..Parkinson`s Disease.
~~~~~~In a PARK drink COLA and sit DOWN~~~~~~
~Parkinson`s Disease has High Cholinergic and Low Dopaminergic level
*****************continued.........>
Manu`s Mnemonic-104..Treatment Age-wise.
~™L™ess than 60..™L™evodopa/Carbidopa
~™A™fter 60 .™A™mantidine
**************continued..............>
Manu`s Mnemonic-105..Treatment of Severe Bradykinesia.
~If person can not walk at all,you need 2 people [Carbidopa/Levodopa] to help!
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Manu`s Mnemonic-106..Craniopharyngioma..
~C hild`s
~C ystic
~C holesterol filled
~C alcified
~C ell of Squamous origin
~C ranial mass on
~C T/MRI is
~C raniopharyngioma
~ deC ompress surgically(Rx)
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Manu`s Mnemonic-107 .Pyromania.
œ Fire-o-mania ......... Pyromania!
{It is a disorder in which the person gets pleasure in setting things on fire }
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Manu`s Mnemonic-108Euthyroid sick syndrome..
œE turned sideways(reverse it!) becomes œ3,so think of rT3 level increased
(T4,TSH and other values will be normal here)
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Manu`s Mnemonic-109..Genetic Anticipation.
œFragile Triplets Hunt in Anticipation
Fragile-X syndrome and Huntington`s disease have Triplet repeats and show Genetic Anticipation(successive generation develps the disease much earlier than their parents)
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Manu`s Mnemonic-110Capsule Endoscopy
œIt`s a Small Capsule,swallow it man!
(Capsule Endoscopy is the only technique that is available right now to detect Small bowel pathology)
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