CREST Syndrome

Calcinosis - Ca deposits under skin, esp. in fingers, elbows & kness
Raynaud's phenomenon - Purplish color change/pain/numbness in fingers after cold/stress
Esophageal dysfunction - difficult swallowing
Sclerodactyly - thick, hard, shiny, taut skin esp. in extremities
Telangiectasias - usually on face, hands, lips, intestinal lining

Hepatic Encephalopathy

 HEPATICUS

Haemorrhage,
Electrolye imbalance (↓K+ alkalosis),
protein XS (↑NH4+ XS),
Alcohol/ Analgesics,
Trauma,
Infxn,
Constipation,
Uraemia,
Surgery (post systemic shunt)

Ketoacidosis

SAD
Starvation, Alcohol, DM

Myocardial infarct, complications

ABCDE x2

Arrhythmias / Aneurysm
Bradycardia / ↓BP
Cardiac failure / cardiac tamponade
Dresslers / Death!
Embolism / Extra (VSD, pap muscle rupture)

Prenatal diagnosis with weeks of pregnancy

(shared by 'Target pg')

can any one make coffee for {me}
10-12-14-16-18




chorionic villus sampling.-10-12 [transabdominally from 10 wk to term]

amniocentesis 14-16

maternal blood 16-18

cordocentesis fetal blood 18-20

Clinical features of Tuberous Sclerosis:

(shared by Banonie Amit)

Just remember the first clinical feature, that is ash-leaf shaped macules.

ASH;

A: Ash-leaf shaped macules, Adenoma sebaceum.

S: Shagreen Patches, subungual fibromas.

H; Hypopigmented skin lesions, hemartoma i.e Retinal hamartoma.

Sign & symptoms of Thyrotoxicosis

FANTOMS PWD (shared by Ramgopal Maurya)

F: fatigue
A: appetite increasedN: nervousness , nervous excitability
T: tremor
O: oligomenorrhea, ophthalmoplegia
M: myopathies involving the girdle msls
S: sleep disturbance(insomnia), sweating, staring eye
P: palpitation, puls rate incresed
W: wt.loss, water hammer puls, weather (cold)
D: diplopia, diarrhoea, dyspnoea on exertion