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Wallenberg's Syndrome

Wallenberg's Syndrome  (shared by Saurav Jain)

aka PICASa (picasa) = Posterior Inferior Cerebellar Artery Syndrome

characterized by: " my DAD is Very Loving & Honest "

D ~ Dysphagia
A ~ Ataxia (wid tendency to fall to the involved side)
D ~ Dysphonia

V ~ Vertigo,Nausea, Vomiting

L ~ Loss of pain & temperature sensation on same side of face & contralateral side of limbs.

H ~ Horner's syndrome.

Posterior dislocation of hip joint. .clinical features

Posterior dislocation of hip joint. .clinical features (shared by Govind Madhaw)

'FIRSt Add'

F-flexion

IR-internal rotation
St-shortening of limb
Add- adduction

"DWARF" for describing Nystagmus

Direction=plane of movement-horizontal,vertical
Waveform= Pendular or Jerky
Amplitude= fine or coarse
Rest=At primary position or gaze evoked
Frequency= How often the eye moves

Features of nephritic syndrome

Features of nephritic syndrome ( shared by Govind Madhaw)

HERO CUP

H-hypertension
E-edema
R-RBC in urine
O-oliguria
C-cast rbc in urine
U-uremia
P-protienuria

AMA's which should be avoided in Liver Diseases:

AMA's which should be avoided in Liver Diseases: ( shared by Gajanan)

{Plz Never Take The Erythromycin}

P: Pyrazinamide, Pefloxacin.
N: Nalidixic Acid.
T: Tetracyclines.
T: Talampicillin. and
Erythromycin.
.

Dose should be reduced:

{Reduction Is Must to Cure}

R: Rifampin.
I: Isoniazid.
M: Metronidazol.
C: Chloramphenicol, Clindamycin..

Conservative treatment in acute pancreatitis

Conservative treatment in acute pancreatitis :

PANCREAS

Pain relief (pethidine, meperidine)
Protease inhibitors (aprotinin), Plasma

Antibiotics (ceftazidime, cefaperazone)
Anticholinergics (to reduce sphincter pressure)

Nasogastric aspiration, Nasal O2, Nutritional support

Calcium gluconate
Calcitonin
CVP line

Rehydration by IV fluids, plasma
Ranitidine IV 50 mg 8th hourly
Respiratory support
Resuscitation when required

Endotracheal intubation
Electrolyte managment

Antacids

Swan - Ganz catheter for CVP and TPN
Somatostatin and its analogue (Octreotide)

Complications of Block dissection (Neck)

Complications of Block dissection (shared by Asoora, Calicut Medical College)

Dr.HIL,FRCS

Dr-Drooping of shoulder
H-Haemorrhage
I-Infection
L-Lymph ooze
F-Frozen shoulder(common)
R-Rarely pneumothorax &chylous fistula
C-Carotid blow out
S-Seroma & Flap necrosis..
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