Saturday 17 August 2013

IMP Points

“Most radiosensitive cell of body is lymphocyte”
“Most radiosensitive ovarian tumour or of wholebody is dysgerminoma”
“Most common radiosensitive lung tumor is smallcell carcinoma of lung”
“Most common radiosensitive testicular tumor is seminoma”
“Most common radiosensitive bone tumours are multiple myeloma and Ewings sarcoma”
“Most common radiosensitive brain tumor medulloblastoma”
“Most common radiosensitive renal tumor willms tumor”
“Thumbprint sign is seen in ischaemic colitis”
“Mercedes Benz sign is sign is seen in radiopaque gall stones”
“Double bubble sign s seen in duodenal atresia single in pyloric and multiple bubble sign is seen in ileal`jejanal atresia”
“Driven snow sign is seen in pindborgs tumor”
“Flower vase sign is seen in Horse shoe kidney”
“Vertebra plana is seen in eosinophillic granuloma”
“Rat tail esophagus is seen in oesophagal carcinoma”
“Cork screw esophagus is seen in diffuse oesophagal spasm”
“Thimble bladder is seen in tb bladder”
“Sand patches in bladder are seen in schistosomiasis”
“Chain of lakes is seen in chronic pancreatitis”
“Golfhole ureter is seen in tb ureter”
“Soap bubble app is seen in osteoclastoma”
“Snowmans sign is seen in TAPVC”
“Boot shaped heart is seen in TOF”
“Tram track calcification is seen in sturge weber syndrome”
“Bilateral spider leg appearance is seen in polycystic kidneys”
“Air bronchograms are seen in consolidation”
“String of kantor is seen in crohns disease”
“Apple core sign is seen in left colon cancer”
“Snow storm appearance is seen in hydatiform mole”
“Camaleotes sign is seen in hydatid disease of liver”
“Colon cut off sign is seen in acute pancreatitis”
“Saw tooth sign is seen in diverticulosis”
“Egg in cup appearance is seen in renal papillary necrosis”
“Codmans traingle and sunray app is seen in osteosarcoma”
“Coffee bean sign is seen in sigmoid volvulus”
“Bamboo shaped spine in ankylosing spondylitis”
“Salt and pepper skull in hyperparathyroidism”
“Strawberry gingiva is seen in wagners granulomatosis”
“Strawberry tounge is seen in scarlet fever,toxic shock syndrome and kawasakis disease"
“Strawberry cervix is seen in trachomoniasis”
“Strawberry nose is seen in rhinosporidosis”
“Strawberry skin and nasal mucosa is seen in sarcoidosis”
“Calots triangle is made superiorly by inferior border of liver,medially by common hepatic duct and inferiorly by cystic duct”
“Contents of calots triangle are lymph node of lund, right hepatic artery, cystic artery"
“Billing method of contraception is a behavioural method”
“Hasses rule is used for calculation of gestational age based on length of fetus”
“Hellens rule says twins as
1 in 80,2 in (80*80),3 in (80*80*80)
“In Mayer Rokintansky kuster Hausers syndrome ovary is normal because it develops from genital ridge”
“Most common cause of perinatal death in multi fetal pregnancy is prematurity”
“Most common cause of maternal death in India is hemorrhage>anemia>sepsis”
“Intersitial ectopic pregnancy ruptures later because of closer endometrial support”
“Progesterone is common harmone in both Arias stella and decidual reaction”
“Pentoxifyline has proved to b best for treating hepatorenal syndrome”
“Amoebic ulcers are flask shaped”
“Typhoid ulcers are longitudinal”
“Tubercular ulcers are tranverse”
“Tubercular enteritis cause strictures of gut”
“Dementia is a late feature of whipples disease but bad prognostic feature”
“Ito cells containg vitamin A are present in space of disse”
“Most common site of gastrinoma is duodeneum pasaros triangle”
“D xylose test is used to mark difference between malabsorption due to intestine and pancreas”
“D xylose will be negative in pancreatic malabsorption, malnutrition, gastrectomy”
“D xylose wl b false positive in ascites,pleural effusion,blind loop syn,renal failure”
“Alpha feto protein in normal in hepatolammelar tumour of liver but increased in hcc”
“In mallory weiss mucosa n submucosa are involved however Boerhaave is transmural”
“In proximal short bowel syndrome symptoms wl b malabsorption,iron deficiency and calcium malabsorption”
“In terminal ileum short gut syndrom sx wl b megaloblasticanemia,malabsorption,cholesterol gall stones and oxalate kidney stones”
“Potential of malignancy is highest in UC as compared to CD”
“5-ASA is drug of choice in IBD however sulfinpyradine moeity is responsible for side effects and use in rheumatoid arthritis”
“Chronic gastritis caused by h-pylori involves fundus body and antrum but autoimmune involves fundus ,body only”
“Barrets metaplasia cause adenocarcinoma always”
"paracussis willlisi is better hearing in noisy environtment seen in otospongosis"
"Tulio phenomenom is associated with endolymphatic hydropis"
"pulsatile tinnitus is seen in glomus jugalare"
"pulsatile ottorhea is associated with Asom"
"effect of local anesthetics on nerve fibers is Type C>B>A
                                                                        Hypoxia B>A>C 
                                                                        Pressure A>B>C"
"life span of Mirena iucd is 5 yrs
                        Cu T 380 A 10 years
                               Nova T 5 yrs,,, 
                           progestert 1 year,,,
                           CU T 200 3 years,, 
                          cu T 200B 4 yrs "
"incision in tubectomy is given at isthumus"
"Bupivacaine is most cardio toxic local anesthetic"
"lermoyz syndrome is a variant of Meneries in wich sx occurs in reverse fashion"
"carraths notch in otosclerosis occurs at 2 kHz however dip in barotrauma occurs at 4 khz"
"dribbling of saliva from angle of mouth is sure sign of death due to hanging"
"Hyoid fracture is mostly seen in throttling"
"potts puffy tumor and mucocele occurs mostly in frontal sinus"
"max dose of lignocaine is 300 and 500 mg with adrenaline"
"death in drowning occurs due to ventricullar fibrillation or cardiac arrest"
"Heneberts sign is associated with Meneries disease"
"AC>BC and weber lateralised owards normal ear means normal or sensoneural deaffness or presbyccusis"
"contraceptiv of choice in emergent conditions is levonorgestral"
"lucio phenomenom is seen in LL type leprosy"
"type 1 lepra reaction type 4 type and type 2 is type 3 type hypersenstive rxn as per comb and gel classification"
"otoverrugurth fold and pseudodementia is associated with depression"
"la belle indifference is seen in conversion disorder"
"quinsy is peritonsillar abscess and citteli is in posterior digastric belly"
"sphenopalatine artery is called artery of epistaxis"
"ipc 320 defines grievous hurt"
"stockers line is seen in pterygium"
"x rays are produced by linear and beta accelerators"
"concentration of ethinyl estradiol in Mala N and Mala D is 30 microgrm
“Investigation of choice for early renal tb is IVP”
“Inv of choice in advanced renal tb is CT”
“Inv of choice for blunt abd trauma is CT”
“Inv of choice for avascular necrosis is MRI”
“Inv of choice for cholecystitis n gall stones is ultrasound”
“Investigation of choice for bone density and osteoporosiiis DEXA bone test”
“Inv of choice for GERD is 24 hour ph metry”
“Inv of choice for VUR and posterior valves is MCU”
“Inv of choice for cytotoxic drug induced cardiotoxicity Is endomyocardial biopsy”
“Inv of choice for obstetric probs is USG”
“Inv of choice for PE is CECT>angiography>v/Q scan”
“Inv of choice for acute cerebral hemorrhage CT”
“Inv of choice for chronic cerebral hemorrhage is MRi”
“Inv of choice for posterior med tumor,pancoasts tumor,posterior cranial fossa is MRI”
“Inv of choice for subarachnoid hemmorhage diagnosis unenhanced CT”
“Inv of choice for subarachnoid hemorrhage etiology is 4vessel MR angiography”
“Inv of choice for interstitial lung disease and bronchectasis is HRCT”“
“Inv of choice for stable dissecting aneurysm is MRI”
“Inv of choice for dissecting aneurysm unstable is transoesophagal usg”
“Inv of choice for traumatic paraplegia is MRI”
“Celiac sprue is malabsorption syndrome caused by gliadin protein in wheat diagnosis is based on”

1.Relief of sx on restriction of gliadin diet
2.Serology that is antiendomyseal,antireticulin,anti tissue transglutaminase,and antigliadin antibodies.antiendo and anti tissue trans are specific antibodies
3.Non specific lesion on biopsy that is absence of villi
“Specific fndings on intestinal biopsy
are seen in three malabsorption syndromes only”
Abetalipoproteinemia,Whipples disease and Agammaglobunemia
“Antisaccaromyces antibodes are seen in chrons disease”
“Anti mitochondrial in primary billiary cirrhosis”
“Anti histone in drug induced lupus”
“Anti smooth muscle in autoimmune hepatitis”
“Biopsy finding in whipples syndrome is PAS positive macrophages in lamina propria”
“IBS is associated with abdominal pain,alternate contipative n diarrhoic episodes with stress aggarvation of symptoms”

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