Analysis Basic for USMLE Move 2

27 July 02:44

GASTROENTEROLOGY

    Ulcerative colitis: analogue of a astringent aggress A STATE: Anemia beneath than 10g/dl Stool abundance greater than 6 stools/day with claret Temperature greater than 37.5 Albumin beneath than 30g/L Tachycardia greater than 90bpm ESR greater than 30mm/hr//

    Vomiting: added GI cogwheel VOMITING: Vestibular disturbance/ Vagal (reflex pain) Opiates Migrane/ Metabolic (DKA, gastroparesis, hypercalcemia) Infections Toxicity (cytotoxic, digitalis toxicity) Added ICP, Ingested booze Neurogenic, analytic Evolution ---Anil Pandit, Manipal Academy of Medical Sciences, Pokhara, Nepal//

    Pancreatitis (acute): causes GET SMASHED: Gallstones Booze Agony Steroids Mumps Autoimmune (PAN) Scorpion stings Hyperlipidemia/ Hypercalcemia ERCP Drugs (including azathioprine and diuretics) � Note: Get Burst is argot in some countries for drinking, and booze is an important pancreatitis cause. ---Chris Perry Edinburgh Medical School//

    IBD: anaplasty break I CHOP: Infection Blight Haemorrhage Obstruction Breach � Chop acceptable back anaplasty chops them open.//

    Hereditary Nonpolyposis Colorectal Blight (HNPCC) couldcause is DNA conflict adjustment DNA conflict causes a balloon in the fiber area the two nucleotides dont match. This looks like the after polyps that appear in the colon.

    IBD: extraintestinal manifestations A PIE SAC: Aphthous ulcers Pyoderma gangrenosum Iritis Erythema nodosum Sclerosing cholangitis Arthritis Clubbing of fingertips//

    Digestive disorders: pH level-With airsickness both the pH and aliment appear up. With diarrhea both the pH and aliment go down. ---Joel Topf Indiana University//

    H. Pylori analysis dieting (rough guidelines) Amuse Create Belly Better: Proton pump inhibitor Metronidazole Tetracycline Bismuth � Alternatively: TOMB: Tetracycline Omeprazole Metronidazole Bismuth ---Steven Holsenback and Leena Alexander Atone and Texas, USA//

    Bilirubin: accepted causes for added levels HOT Liver: Hemolysis Obstruction Bump Alarmist ache ---Sung H. Kim//

    Ulcerative colitis: complications Accomplished Colitis: Pyoderma gangrenosum Ankylosing spondylitis Sclerosing pericholangitis Baneful megacolon Colon carcinoma//

    Cholangitis appearance CHOLANGITITS: Charcots triad/ Conjugated bilirubin access Hepatic abscesses/ Hepatic (intra/extra) acerbity ducts/ HLA B8, DR3 Obstruction Leukocytosis Acrid phosphatase access Neoplasms Gallstones Anarchic bowel ache (ulcerative colitis) Transaminase access Infection Sclerosing ---Rinku S. Uberoi UNIBE//

    Charcots accord (gallstones) Allegation a FEE: Charcots accord is: Agitation Epigastric & RUQ affliction Emesis & nausea//

    Haemachromatosis complications HaemoChromatosis Can Couldcause Deposits Anywhere: Hypogonadism Blight (hepatocellular) Cirrhosis Cardiomyopathy Diabetes mellitus Arthropathy ---Logan Mitchell Dunedin Medical School, New Zealand//

    Pancreatitis: belief PANCREAS: PaO2 beneath 8 Age >55 Neutrophils: WCC >15 Calcium beneath 2 Renal: Urea >16 Enzymes: LDH >600; AST >200 Albumin beneath 32 Sugar: Glucose >10 (unless diabetic patient) ---Daniel Henning 4th yr Medical Student, Belfast, UK//

    Pancreatitis: Ranson belief for pancreatitis: at acceptance GA LAW (GA is abridgement for the U.S. accompaniment of Georgia): Glucose >200 AST >250 LDH >350 Age >55 y.o. WBC >16000// Pancreatitis: Ranson belief for pancreatitis: antecedent 48 hours C & HOBBS (Calvin and Hobbes): Calcium < 8 Hct bead > 10% Oxygen < 60 mm BUN > 5 Abject arrears > 4 Aloofness of aqueous > 6L// Pancreatitis: Ranson belief for pancreatitis at acceptance LEGAL: Leukocytes > 16.000 Agitator AST > 250 Glucose > 200 Age > 55 LDH > 350 ---Pedro Tulio//

    GIT affection BAD ANAL S#!T: Bleeding Belly affliction Dysphagia Belly bloating Abhorrence & airsickness Anorexia/ Appetence changes Apathy S#!ts (diarrhea) Annoyance Added bilirubin (jaundice) Temperature (fever) ---The Cashman University of Queensland, Australia//

    Crohns disease: morphology, affection CHRISTMAS: Cobblestones Top temperature Bargain lumen Abdominal fistulae Skip lesions Transmural (all layers, may ulcerate) Malabsorption Belly affliction Submucosal fibrosis ---Samuel Atom Baek-Kim//

    Dysphagia: cogwheel DISPHAGIA: Ache of aperture and tonsils/ Broadcast oesophageal spasm/ Diabetes mellitus Built-in bane Scleroderma Pharyngeal disorders/ Palsy-bulbar-MND Achalasia Heart: eft atrium amplification Goitre/ myesthenia Gravis/ mediastinal Glands Infections American trypanosomiasis (chagas disease)

    Dry mouth: cogwheel DRI: �2 of each: Drugs/ Aridity Renal failure/ Radiotherapy Immunological (Sjogrens)/ Acute affections ---Anil Pandit Manipal Academy of Medical Sciences, Pokhara, Nepal//

    Liver failure: decompensating abiding alarmist abortion cogwheel HEPATICUS: Haemorrhage Electrolyte agitation Protein load/ Paracetamol Booze affair Agony Infection Ache Uraemia Sedatives/ Shunt/ Anaplasty ---Jude McSharry University Academy Hospital Galway//

    Cirrhosis: causes of hepatic cirrhosis HEPATIC: Hemochromatosis (primary) Agitator absence (alpha-1-anti-trypsin) Column hepatic (infection + biologic induced) Alcoholic Tyrosinosis Indian adolescence (galactosemia) Cardiac/ Cholestatic (biliary)/ Cancer/ Chestnut (Wilsons) ---Dr. Chetan Wasekar//

    Hepatic encephalopathy: bottomward factors HEPATICS: Drain in GIT/ Hyperkalemia Balance protein in diet Paracentesis Acidosis/ Anemia Agony Infection Colon anaplasty Sedatives ---Dr. Chetan Wasekar//

    Diabetic ketoacidosis: bottomward factors � 5 Is: Infection Ischaemia (cardiac, mesenteric) Infarction Benightedness (poor control) Beatitude (alcohol) ---James Thomas//

    Whipples disease: analytic manifestations SHELDA: Serositis Hyperpigmentation of derma Bistro beneath (weight loss) Lymphadenopathy Diarrhea Arthritis ---Pedro Tulio Universidade Federal do Rio de Janeiro, Brazil//

    Celiac sprue gluten acute enteropathy: gluten-containing grains BROW: Barley Rye Oats Aureate � Bedfast abdominal villi of abdominals sprue are smooth, like an eyebrow. ---Jack A. Pasquale, MD St. Georges University, Academy of Medicine//

    Liver abortion (chronic): signs begin on the accoutrements CLAPS: Clubbing Leukonychia Asterixis Palmar erythema Blemish marks//

    Splenomegaly: causes CHIMP: Cysts Haematological ( eg CML, myelofibrosis) Communicable (eg viral (IM), bacterial) Metabolic/ Misc (eg amyloid, Gauchers) Aperture hypertension

    -GI- Vomiting: added GI cogwheel VOMITING: Vestibular disturbance/ Vagal (reflex pain) Opiates Migrane/ Metabolic (DKA, gastroparesis, hypercalcemia) Infections Toxicity (cytotoxic, digitalis toxicity) Added ICP, Ingested booze Neurogenic, analytic Gestation

    Pancreatitis: Ranson belief for pancreatitis at acceptance LEGAL: Leukocytes > 16.000 Agitator AST > 250 Glucose > 200 Age > 55 LDH > 350

    Whipples disease: analytic manifestations SHELDA: Serositis Hyperpigmentation of derma Bistro beneath (weight loss) Lymphadenopathy Diarrhea Arthritis

    Haemachromatosis complications HaemoChromatosis Can Couldcause Deposits Anywhere: Hypogonadism Blight (hepatocellular) Cirrhosis Cardiomyopathy Diabetes mellitus Arthropathy

    GIT affection BAD ANAL S#!T: Bleeding Belly affliction Dysphagia Belly bloating Abhorrence & airsickness Anorexia/ Appetence changes Apathy S#!ts (diarrhea) Annoyance Added bilirubin (jaundice) Temperature (fever)

    Pancreatitis: belief PANCREAS: PaO2 beneath 8 Age >55 Neutrophils: WCC >15 Calcium beneath 2 Renal: Urea >16 Enzymes: LDH >600; AST >200 Albumin beneath 32 Sugar: Glucose >10 (unless diabetic patient)

    Cholangitis appearance CHOLANGITITS: Charcots triad/ Conjugated bilirubin access Hepatic abscesses/ Hepatic (intra/extra) acerbity ducts/ HLA B8, DR3 Obstruction Leukocytosis Acrid phosphatase access Neoplasms Gallstones Anarchic bowel ache (ulcerative colitis) Transaminase access Infection Sclerosing

    IBD: extraintestinal manifestations A PIE SAC: Aphthous ulcers Pyoderma gangrenosum Iritis Erythema nodosum Sclerosing cholangitis Arthritis Clubbing of fingertips

    Digestive disorders: pH akin With airsickness both the pH and aliment appear up. With diarrhea both the pH and aliment go down.

    Bilirubin: accepted causes for added levels HOT Liver: Hemolysis Obstruction Bump Alarmist disease

    IBD: anaplasty break I CHOP: Infection Blight Haemorrhage Obstruction Breach � Chop acceptable back anaplasty chops them open.

    H. Pylori analysis dieting (rough guidelines) Amuse Create Belly Better: Proton pump inhibitor Metronidazole Tetracycline Bismuth � Alternatively: TOMB: Tetracycline Omeprazole Metronidazole Bismuth

    Hereditary Nonpolyposis Colorectal Blight (HNPCC) couldcause is DNA conflict adjustment DNA conflict causes a balloon in the fiber area the two nucleotides dont match. This looks like the after polyps that appear in the colon. � See diagram.

    Pancreatitis (acute): causes GET SMASHED: Gallstones Booze Agony Steroids Mumps Autoimmune (PAN) Scorpion stings Hyperlipidemia/ Hypercalcemia ERCP Drugs (including azathioprine and diuretics) � Note: Get Burst is argot in some countries for drinking, and booze is an important pancreatitis cause.

    Charcots accord (gallstones) Charcots Accord is 3 Cs: Blush change (jaundice) Colic (biliary) pain, aka RUQ affliction Chills and fever

    Charcots accord (gallstones) Allegation a FEE: Charcots accord is: Agitation Epigastric & RUQ affliction Emesis & nausea

    Ulcerative colitis: complications Accomplished Colitis: Pyoderma gangrenosum Ankylosing spondylitis Sclerosing pericholangitis Baneful megacolon Colon carcinoma

    Crohns disease: morphology, affection CHRISTMAS: Cobblestones Top temperature Bargain lumen Abdominal fistulae Skip lesions Transmural (all layers, may ulcerate) Malabsorption Belly affliction Submucosal fibrosis Appearance Data / Amount It ---Samuel Atom Baek-Kim

    Celiac sprue gluten acute enteropathy: gluten-containing grains BROW: Barley Rye Oats Aureate � Bedfast abdominal villi of abdominals sprue are smooth, like an eyebrow. Appearance Data / Amount It ---Jack A. Pasquale, MD St. Georges University, Academy of Medicine

    Diabetic ketoacidosis: bottomward factors � 5 Is: Infection Ischaemia (cardiac, mesenteric) Infarction Benightedness (poor control) Beatitude (alcohol) Appearance Data / Amount It ---James Thomas

    Liver abortion (chronic): signs begin on the accoutrements CLAPS: Clubbing Leukonychia Asterixis Palmar erythema Blemish marks Appearance Data / Amount It ---Jason

    Pancreatitis: Ranson belief for pancreatitis: at acceptance GA LAW (GA is abridgement for the U.S. accompaniment of Georgia): Glucose >200 AST >250 LDH >350 Age >55 y.o. WBC >16000 Appearance Data / Amount It ---Anonymous Contributor

    Pancreatitis: Ranson belief for pancreatitis: antecedent 48 hours C & HOBBS (Calvin and Hobbes): Calcium < 8 Hct bead > 10% Oxygen < 60 mm BUN > 5 Abject arrears > 4 Aloofness of aqueous > 6L Appearance Data / Amount It ---Anonymous Contributor

    Hepatic encephalopathy: bottomward factors HEPATICS: Drain in GIT/ Hyperkalemia Balance protein in diet Paracentesis Acidosis/ Anemia Agony Infection Colon anaplasty Sedatives Appearance Data / Amount It ---Dr. Chetan Wasekar

    Cirrhosis: causes of hepatic cirrhosis HEPATIC: Hemochromatosis (primary) Agitator absence (alpha-1-anti-trypsin) Column hepatic (infection + biologic induced) Alcoholic Tyrosinosis Indian adolescence (galactosemia) Cardiac/ Cholestatic (biliary)/ Cancer/ Chestnut (Wilsons)

    Pediatrics

    Measles: complications MEASLES Atone (complications): Myocarditis Encephalitis Appendicitis Subacute sclerosing panencephalitis Laryngitis Aboriginal afterlife Sh!ts (diarrhoea) Corneal abscess Otis media Mesenteric lymphadenitis Pneumonia and accompanying (bronchiolitis-bronchitis-croup)

    Sturge-Weber syndrome: authentication appearance Sturge-Weber: 1. Seizures 2. PortWine stain

    Guthrie card: diseases articular with it Guthrie Cards Can Advice Adumbrate Bad Metabolism: Galactosaemia Cystic fibrosis Complete adrenal hyperplasia Hypothyroidism Phenylketonuria Biotidinase absence Maple abstract urine disease

    Croup: affection 3 Ss: Stridor Subglottic abscess Seal-bark cough

    Ataxia-Telangiectasia (AT): accepted assurance AT: Absent Thymus

    Cerebral attached (CP): alotof acceptable couldcause CP: Bookish Attached Adolescent Abortive � The abortive academician is added decumbent to all the accessible insults.

    Vacterl syndrome: apparatus VACTERL: Vertebral anomalies Anorectal aberancy Cardiac aberration Tracheo-esophageal fistula Exomphalos (aka omphalocele) Renal anomalies Limb anomalies

    Guthrie card: diseases articular with it GUTHRIE: Galactosaemia Urine [maple abstract urine disease] THyRoid [hypothyroidism] Congenital Errors of metabolism [eg: PKU]

    Duodenal atresia vs. Pyloric stenosis: website of obstruction Belly Atresia: Distal to Alembic of vater. Pyloric stenosis: Adjacent to it.

    Bilirubin: phototherapy BiLirUbin absorbs ablaze maximally in the Dejected range.

    11

    Williams syndrome: appearance WILLIAMS: Weight (low at birth, apathetic to gain) Iris (stellate iris) Continued philtrum Ample aperture Added Ca++ Aortic binding (and additional stenoses) Brainy amentia Abscess about eyes (periorbital puffiness)

    Russell Argent syndrome: appearance ABCDEF: Agee limb (hemihypertrophy) Bossing (frontal) Clinodactyly/ Bistro au lait spots Dwarf (short stature) Elimination (GU malformation) Face (triangular face, micrognathia)

    Dentition: access times of abiding dentition Astronomic Is In Pain, Ancestor Can Create Medicine: 1st Molar: 6 years 1st Incisor: 7 years 2nd Incisor: 8 years 1st Premolar: 9 years 2nd Premolar: 10 years Canine: 11 years 2nd Molar: 12 years 3rd Molar: 18-25 years

    Cyanotic affection diseases: 5 types � Use your 5 fingers: 1 feel up: Truncus Arteriosus (1 vessel) 2 fingers up: Dextroposition of the Abundant Arteries (2 argosy transposed) 3 fingers up: Tricuspid Atresia (3=Tri) 4 fingers up: Tetralogy of Fallot (4=Tetra) 5 fingers up: Absolute Aberrant Pulmonary Venous Acknowledgment (5=5 words)

    Cyanotic complete affection diseases 5 Ts: Truncus arteriosus Barter of the abundant arteries Tricuspid atresia Tetrology of Fallot Absolute aberrant pulmonary venous return

    Head ambit with age � Bethink 3, 9, and multiples of 5: Bairn 35 cm 3 mos 40 cm 9 mos 45 cm 3 yrs 50 cm 9 yrs 55 cm

    Weights of accouchement with age Bairn 3 kg 6 mos 6 kg (2x bearing wt at 6 mos) 1 yr 10 kg (3x bearing wt at 1 yr) 3 yrs 15 kg (odd yrs, add 5 kg until 11 yrs) 5 yrs 20 kg 7 yrs 25 kg 9 yrs 30 kg 11 yrs 35 kg (add 10 kg thereafter) 13 yrs 45 kg 15 yrs 55 kg 17 yrs 65 kg

    Hemolytic-Uremic Affection (HUS): components

    Remember to abatement the Amount of IV fluids in these patients:

    Renal abortion Anemia (microangiopathic, hemolytic) Thrombocytopenia Encephalopathy (TTP)

    Cough (chronic): cogwheel If ahem in nursery, bedrock the CRADLE: Cystic fibrosis Rings, slings, and airway things (tracheal rings)/ Respiratory infections Aspiration (swallowing dysfunction, TE fistula, gastroesphageal reflux) Dyskinetic cilia Lung, airway, and vascular malformations (tracheomalacia, articulate bond dysfunction) Edema (heart failure)

    Cystic fibrosis: presenting signs CF PANCREAS: Abiding ahem and asthmatic Abortion to advance Pancreatic dearth (symptoms of malabsorption like steatorrhea) Alkalosis and hypotonic aridity Neonatal abdominal obstruction (meconium ileus)/ Nasal polyps Clubbing of fingers/ Chest radiograph with appropriate changes Abdominal alight Electrolyte acclivity in sweat, acrid derma Absence or complete atresia of vas deferens Sputum with Staph or Pseudomonas (mucoid)

    21

    Cystic fibrosis: deepening of pulmonary infection CF PANCREAS: Ahem (increase in acuteness and common spells) Agitation (usually low grade, unless astringent bronchopneumonia is present) Pulmonary action abasement Appetence abatement Nutrition, weight accident CBC (leukocytosis with larboard shift) Radiograph (increase overaeration, peribronchial thickening, fungus plugging) Assay (rales or asthmatic in ahead bright areas, tachypnea, retractions) Action (decreased, broken exercise intolerance, added absenteeism) Sputum (becomes darker, thicker, and added abundant, basic plugs)

    Pyloric binding (congential): presentation Pyloric binding is 3 Ps: Apparent accumulation Paristalsis arresting Projectile airsickness (2-4 weeks afterwards birth)

    Cyanotic affection diseases: 5 types � 5 Ts: Tetralogy of Fallot Barter of the abundant arteries Truncus arteriosus Tricuspid atresia, pulmonary aTresia Absolute aberrant pulmonary venous drainage

    Breast feeding: allowances ABCDEFGH: � Infant: Allergic action bargain Best aliment for baby Abutting accord with mother Development of IQ, jaws, aperture � Mother: Econmical Fitness: quick acknowledgment to pre-pregnancy physique appearance Guards adjoin cancer: breast, ovary, uterus Drain (postpartum) reduced

    Perez reflex Eliciting the PErEz reflex will create the babyish PEE.

    WAGR syndrome: apparatus WAGR: Wilms bump Aniridia Gential abnormalities Brainy retardation

    Haematuria: cogwheel in accouchement ABCDEFGHIJK: Analysis (cysts, etc) Float (cystitis) Blight (Wilms tumour) Biologic accompanying (cyclophosphamide) Exercise induced Bogus (Munchausen by proxy) Glomerulonephritis Haematology (bleeding disorder, sickle cell) Infection (UTI) In Board (trauma) Branch stones (hypercalciuria)

    Vitamin toxicities: neonatal Balance vitamin A: Anomalies (teratogenic) Balance vitamin E: Enterocolitis (necrotizing enterocolitis) Balance vitamin K: Kernicterus (hemolysis)

    Rubella: complete signs Elastic Ducky, Im so blue! (like the Elastic Adequate song): Rubber: Rubella Ducky: Apparent Autography Arteriosus, VSD and pulmonary avenue stenosis. Im: Eyes (cataracts, retinopathy, micropthalmia, glaucoma). Blue: Blueberry Muffin adventurous (extramedullary hematopoesis in derma +purpura) � Also, deafness, advance retardation, and some more.

    Pediatric milestones in development 1 year: -single words 2 years: -2 chat sentences -understands 2 move commands 3 years: -3 chat combos -repeats 3 digits -rides bike 4 years: -draws aboveboard -counts 4 objects

    31

    Gastroschisis: accepted area GasTRoscHIsis usually occurs on the Appropriate ancillary of the umbilicus. (Unscramble the letters).

    Milk protein: women vs. beasts Woman: Whey (mostly) Cow: Casein (mostly)

    Short stature: cogwheel ABCDEFG: Abandoned (neglected infant) Cartilage dysplasias (rickets, scoliosis, mucopolysaccharidoses) Chromosomal (Turners, Downs) Delayed advance Endocrine (low advance hormone, Cushings, hypothyroid) Familial GI malabsorption (celiac, Crohns)

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