Meckel's diverticulum- rule of 2's

Discussion in 'Step 3' started by Kadar., Sep 10, 2008.

  1. Kadar.

    Kadar. Guest

    Meckel's diverticulum- rule of 2's

    2 inches long, 2 feet from the ileocecal valve, 2% of the population commonlly presents in the first 2 years of life may contain 2 types of epithelial tissue

    Pheochromocytoma-rule of 10s:

    10% malignant 10% Bilateral 10% extraadrenal 10% calcified 10% children 10% familial * discussed 10 times more often than actually seen

    Aphasia "BROKen aphasia" (Broca's aphasia-broken speech) "Wordys aphasia" (Wernicke's aphasia- wordy, but making no sense)

    GET SMASH'D--Causes of Acute pancreatitis

    Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)

    (Multiple endocrine neoplasia) Each of the MENs is a

    disease of three or two letters plus a feature. "MEN I" is a disease of the 3 Ps (pituitary, parathyroid and pancreas) plus adrenal cortex.

    "MEN II " is a disease of the two Cs (carcinoma of the thyroid and catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or mucocutaneous neuromas for MEN IIb (aka MEN III).

    Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate

    Acute pneumonia caused by Miscellaneous microbes --Mononuclear infiltrate

    Takayasu's diz = pulseless diz, therefore when you have

    Takayasu's, I can't Tak'a yu pulse.

    Argyll-Robertson Pupil--syphilitic pupil (AKA "Prostitute's pupil" - Accommodates, but doesn't react )

    Accommodation reflex present, Pupillary reflex absent

    CAGE--alcohol use screening

    1. Have you ever felt it necessary to CUT DOWN on your drinking?

    2. Has anyone ever told you they were ANNOYED by your drinking?

    3. Have you ever felt GUILTY about your drinking?

    4. Have you ever felt the need to have a drink in the morning for an EYE OPENER?

    P-Q-R-S-T--eliciting and HPI and exploring symptoms

    P--palliative or provocative factors for the pain

    Q--quality of pain(burning, stabbing, aching, etc.)

    R--region of body affected

    S--severity of pain(usually 1-10 scale)

    T--timing of pain(eg.-after meals, in the morning, etc.)

    The five W's--post-operative fever

    Wind--pneumonia, atelectasis

    Water--urinary tract infection

    Wound--wound infections

    Wonderdrugs--especially anesthesia

    Walking--walking can help reduce deep vein thromboses and pulmonary embolus

    ACID or "Anna Cycled Immediately Downhill"

    classification of hypersensitivity reactions

    Type I - Anaphylaxis

    Type II - Cytotoxic-mediated

    Type III - Immune-complex

    Type IV - Delayed hypersensitivity

    WBC Count:

    "Never Let Momma Eat Beans(60, 30, 6, 3, 1)

    Neutrophils 60%
    Lymphocytes 30%
    Monocytes 6%
    Eosinophils 3%
    Basophils 1%

    A-P-G-A-R:

    A - appearance (color)

    P - pulse (heart rate)

    G - grimmace (reflex, irritability)

    A - activity (muscle tone)

    R - respiratory effort

    Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER

    T--trauma

    O--obesity

    M--malignancy

    S--surgery

    C--cardiac disease

    H--hospitalization

    R--rest (bed-bound)

    E--estrogen, pregnancy, post-partum

    P--past hx

    F--fracture

    E--elderly

    R--road trip

    The 4 P's of arterial Occlusion: pain pallor pulselessness paresthesias

    The 4 T's of Anterior Mediastinal Mass:Thyroid tumor,Thymoma,Teratoma, Terrible Lymphoma
  2. Karl

    Karl Guest

    Pancreatitis

    If you want the extra "E" for "GET SMASH'D", you can add ERCP (endoscopic retrograde cholangiopancreatography). Probably a more common cause of pancreatitis aggravation than scorpion bites anyway :)

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