Pathology Mnemonics part 6

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Pathology Mnemonics



Parkinsonism: essential features TRAPS: Tremor (resting tremor) Rigidity
Akinesia
Postural changes (stooped)
Stare (serpentine stare) · To remember what kind of tremor and postural change, can look at letter that follows in TRAPS: Tremor is Resting, Posture is Stooped.


Thrombus: possible fates DOPE:
Dissolution
Organization & repair
Propagation
Embolization


Turner syndrome: components CLOWNS:
Cardiac abnormalities
(specifically Coartication)
Ly mphoedema
Ov aries underdeveloped (causing sterility, amenorrhea)
Webbed neck
Nipples widely spaced Short


MI: sequence of elevated enzymes after MI "Time to  CALL 911":
· From first to appear to last:
Troponin
CK-MB
AST
LDH1


Wiskott-Aldrich syndrome: symptom triad "PET WASP":
Py rogenic infections
Eczema
Thrombocytopenia
· WASP is the name of the causitive agent: Wiskott-Aldrich Syndrome Protein.
· Alternatively: Wiskott=Hot, Aldrich=Itch, Syndrom=Throm.


Sarcoidosis summarized SARCOIDOISIS:
Schaumann calcifications Asteroid bodies/ [ACE] increase/ Anergy Respiratory complications/ Renal calculi/ Restrictive lung disease/ Restrictive cardiomyopathy Calcium increase in serum and urine/ CD4 helper cells Ocular lesions
Immune mediated noncaseating granulomas/ [Ig] increase Diabetes insipidus/ [D v it.] increase/ Dyspnea Osteopathy
Skin (Subcutaneous nodules, ery thema nodosum)
Interstitial lung fibrosis/ IL-1 Sev enth CN palsy


Blood disorders: commoner sex HE (male) gets: HEmophilia (X-linked)
HEinz bodies (G6PD deficiency, causing HEmolytic anemia: X-linked) HEmochromatosis (male predominance) HEart attacks (male predominance) HEnoch-Schonlein purpura (male predominance) SHE (female) gets:
SHEehan's sy ndrome


Thyroid storm characteristics "Storm HITS girls cAMP":
Thyroid storm due to:
Hy perthyroidism
Infection or Illness at childbirth
Trauma Surgery
· girls: Thyroid storm more common in females. · cAMP: Tx involves high dose of beta
blockers (beta receptors work via cAMP)
· Alternatively: "S#IT storm": Surgery, Hyperthyroidism,  Infection/ Illness, Trauma.


Hypothyroidism/thyroiditis: maifestations and morphology "A SCHISM among the Axis during WWII":
Addison disease
Subacute thyroiditis Cretinism/ Cold intolerance/ Constipation Hashimoto's disease
Infectious-subacute thyroiditis
Silent thyroiditis
My xedema coma
· The Axis: Schimidt syndrome (when other endocrinology disorders
accompany
Hashimoto's disease) and "Hitler cells"
(Hurthle cells, which are follicular epithelial cells with basophilic inculsions)


Pheochromocytoma: 3 most common symptoms "PHEochromocytoma":
Palpitations
Headache
Edisodic sweating (diaphoresis)


Necrosis: the 4 types "Life Can Get  Complicated": Liquifactive Coagulation
Gangrene
Caseous
· 'Life' used since necrosis is 'death'.


Thyroid carcinoma: features, prognosis of most popular Most Popular is Papillary. · Clinical features:
Papillae (branching)
Palpable lymph nodes
"Pupil" nuclei (Orphan Annie)
Psammoma bodies within lesion
(often)
· Also, has a Positive Prognosis (10 y ear survival rate: 98%).


Inflammatory Bowel Disease: which has cobblestones Crohn's has Cobblestones on endoscopy.


Gout: factors that can precipitate an attack of acute gouty arthritis
DARK:
Diuretics
Alcohol
Renal disease
Kicked (trauma)
· And, the attack occurs most often at night [thus "dark"].


Paget's disease of bone: signs and symptoms Four L's:
Larger hat size
Loss of hearing: due to compression of nerve
Leontiasis ossea (lion-like face)
Light-headed (Paget's steal) Wernicke-Korsakoff
triad Syndrome in alchoholics, who lov e to "drink CANs of beer":
Confusion
Ataxia
Ny stagmus


Wernicke-Korsakoff's psychosis: findings COAT RACK:
· Wernicke's encephalopathy (acute phase): Confusion
Ophthalmoplegia Ataxia Thiamine tx. · Korsakoff's psy chosis (chronic phase):
Retrograde amnesia
Anterograde amnesia
Confabulation
Korsakoff's psy chosis


Atherosclerosis risk factors "You're a SAD BET with these risk factors":
Sex: male
Age: middle-aged, elderly
Diabetes mellitus
BP high: hypertension
Elev ated cholesterol Tobacco


Duchenne vs. Becker Muscular
Dystrophy Duchenne Muscular Dy strophy (DMD) : Doesn't Make Dy strophin.
Becker Muscular Dystrophy (BMD): Badly Made
Dy strophin (a truncated protein).


Multiple Endocrine Neoplasia
(MEN) subtype classification Each subtype has 2 or 3 causes, plus something 1 or 2 more items.
MEN I is disease of 3 P's: [Pituitary, Parathyroid, Pancreas] plus one more: adrenal cortex. MEN II is disease of 2 C's: [Carcinoma of thyroid, Catacholamines (pheochromocytoma)] plus two more: parathyroid for MEN IIa or mucocutaneous neuromas for MEN IIB (also called MEN III).


Takayasu's disease is Pulseless disease "Can't Tak'a ya pulse" (Can't take your pulse): Takayasu's disease known as Pulseless disease, since pulse is weakened in the upper extremities.


Hypercalcemia: symptoms of elevated serum levels "Bones, Stones, Groans, Moans":
Bones: pain in bones
Stones: renal
Groans: pain
Psy chic moans/ Psy chological overtones: confused state


Acute ischemia: signs [especially limbs] 6 P's: Pain
Pallor
Pulselessness
Paralysis
Paraesthesia
Perishingly cold


Hodgkin's lymphoma
classification A: Asymptomatic B: Bad


Lichen planus characteristics Planus has 4 P's:
Peripheral
Poly gonal
Pruritus Purple


Hypertension: secondary hypertension causes CHAPS: Cushing's sy ndrome
Hy peraldosteronism [aka Conn's sy ndrome]
Aorta coarctation
Phaeochromocytoma
Stenosis of renal arteries
· Note: only 5% of hy pertension cases are secondary, rest are primary.


Hepatomegaly: 3 common causes, 3 rarer causes Common are
3 C's:
Cirrhosis
Carcinoma Cardiac failure
Rarer are 3 C's:
Cholestasis
Cy sts
Cellular infiltration


MI: sequence of elevated enzymes after MI "C-AST-Le"
(castle):
CK-MB first
AST second LDH third
· Also: can use the last 'E' for ESR.


Pulmonary embolism: risk factors TOM SCHREPFER:
Trauma
Obesity
Malignancy
Surgery
Cardiac disease
Hospitalization
Rest [bed-ridden]
Elderly
Past history
Fracture
Estrogen [pregnancy, post-partum] Road trip 

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