Parkinson’s disease: symptoms PQRST:
Paucity of expression parQinson Rigidity (cogwheel)
Tremor at rest · If can’t remember that Parkinson’s tremor is the one that is “resting tremor”, look at the last 3 letters: RST.
features Disease name: a Kawasaki motorcycle. Usually young children, epidemic in Japan: Japanese child rides the motorcycle. Conjunctival, oral erythema: red eyes, mouth. Fev er: thermometer. Ery thema of palms, soles: red palms, soles.
Generalized rash: rash dots. Cervical lymphadenitis: enlarged cervical nodes with inflammation arrows.
Vasculitis of arteries: inflammation arrows on arteries. Cardiovascular sequelae [20%]: inflammation arrows on cardiac arteries.
Treat with aspirin: aspirin headlight.
Interstitial lung disease: causes SARCOIDI:
Connective tissue disease
Herpes I and II: lab findings. She’s an odd chick: whenever
she’s in a restaurant, she always orders Her Peas and Cow dry.
Herpes I and II have CowdryType A inclusion bodies
Emphysema: types, most important feature of each “Cigarettes Is Primary Problem”: · Ty pes:
Paraseptal · Most important feature for each type (in order as above):
Inflammation healed to scar
Protease inhibitor deficiency (a1antitrypsin)
· “Cigarettes is primary problem” used since cigarettes is most common cause of emphysema.
· Keeping P’s straight: Pan is antitrypsin.
Calcification: metastatic vs. dystrophic Metastatic:
Dy strophic: Damaged tissue.
Haemochromatosis definition, classic triad “Iron man triathalon”: Iron man: deposition of iron in many body tissues.
· Triathalon has 3 components, which match triad: Swimming: Skin pigmentation
Biking: Bronze diabetes Marathon: Micronodular pigment cirrhosis
COPD: 4 types and hallmark ABCDE: Asthma
Dy spnea [hallmark of group]
· Alternatively: replace Dyspnea with Decreased FEV1/FVC ratio.
MEN I (Multiple Endocrine Neoplasia) syndrome: components “Please
Please Pay Attention To peptic ulceration, y ou worms“: · Adenomas of: Pituatary
Adrenal cortex Thyroid, associated with peptic ulceration · Sy ndrome is called “Wermer’s sy ndrome”.
Lung cancer: presentation ABCDE: Snowball turned to Avalanche
Distruption to airway in bronchus–
>pneumonia whEEzing Deep venous thrombosis: diagnosis DVT:
Dilated superficial v eins/ Discoloration/ Doppler ultrasound Venography is gold standard
Tenderness of Thigh and calf
Addison’s disease: features ADDISON:
Destruction by cancer, infection, v ascular insufficiency
Sarcoidosis, granulomatous such as TB histiomycosis hy pOtension/ hypOnatermia Nelson’s sy ndrome [post adrelectomy, increased ACTH]
Breast cancer: risk assessment “Risk can be assessed by
History (family, previous episode)
Abortion/ Age (old)
McArdle’s syndrome MCARDLES:
Cramping after exercise
Deficiency of muscle phosphorylase
Lactate levels fail to rise
Elev ated creatine kinase
Skeletal muscle only
Respiratory distress syndrome in infants: major risk factors PCD (Primary Ciliary Dyskinesia, a cause of Respiratory distress sy ndrome): Prematurity
Cesarean section Diabetic mother Deep venous thrombosis: genetic causes ALASCA:
Leiden (Factor V)
APC (Activated Protein C)
Carcinomas having tendency to metastasize to bone “Particular
Tumours Lov e Killing Bone”:
Central obesity/ Cervical fat pads/ Collagen fiber weakness/ Comedones (acne) Urinary free corisol and glucose increase Striae/ Suppressed immunity Hy percortisolism/ Hypertension/ Hyp erglycemia/ Hirsutism Iatrogenic (Increased administration of corticosteroids) Noniatrogenic (Neoplasms) Glucose intolerance/ Growth retardation
necrosis “LIFELESS” (since cells are dead):
· Differences are in:
Swell or shrink Stimulus
Diabetic ketoacidosis: I vs. II ketONEbodies are seen in type ONEdiabetes.
Baldness risk factors “Daddy Doesn’t Deny Getting Hair Implants”:
Injury to the scalp
Tabes Dorsalis morphology DORSALIS:
Dorsal column degeneration
Orthopedic pain (Charcot joints)
Reflexes decreased (deep tendon)
Buerger’s disease features “burger SCRAPS“: Segmenting thrombosing vasculitis
Ray naud’s phenomenon
Associated with smoking
Pain, even at rest
Superficial nodular phlebitis · Alternatively, if hungry for more detail [sic], “CRISP PIG burgers“: Chronic ulceration
Ray naud’s phenomenon
Segmenting, thrombosing vasculitis
Pain, even at rest
Phlebitis (superficial nodular)
PKU findings PKU:
Pale hair, skin
Krazy (neurological abnormalities) Unpleasant smell
Atherosclerosis risk factors SHIFT MAID: Smoking
Triglycerdides & fats
Diet / Drink