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8/17/2019 Triads & Syndromes: Notes for Pg
1/22
45 NOTES TO PG
—Dr. Ankit Yadavendra, M.B.B.S., Dr.V.M.G.M.C., Solapur
39-TRIAD SYNDROME
TRIADa/c GVHD bldy diarrh jaundice skin blister
achalasia cardia dysphagia regurgitation wt loss
acrodermatitis enteropathica diarrhoea dermatitis dwarfism
alkaptonuria homogentisic aciduria black pigmentation of cartilage,collagenous ts ochronotic arthritis
anaesthesia analgesia
amnesia m relaxation
anal fissure anal papilla fissure sentinel pile
Barrett esoph heartburn epigastric pain regurgitation
Beck(card tamponade)↓ BP↑JVP muffle HS
Bichat tripod life brain
8/17/2019 Triads & Syndromes: Notes for Pg
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heart lung
Bochdalek hernia scaphoid abdomen resp distress
dextrocardia
Borchardt pain retching inability to pass nasogastric tube
Carney GIST paraganglioma pulm enchondroma
catalytic(serine protease) Ser HiS ASp
Charcot(cholangitis) RUQ pain fever jaundice
choledochal cyst abd pain jaundice abd mass
↑Cushing reflex( ICP) HTN↓HR↑RR
dyskeratosis congenita mucosal memb leukoplasia dystrophic nail reticular hyperpigmentation
ectopic preg abd pain amenorrhoea blding
emphysematous pyelonephritis fever
8/17/2019 Triads & Syndromes: Notes for Pg
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vomiting flank pain
fat embolism↑resp sympt( RR)
neurological sympt(disorientation)
petechial rash(conjunctival petechiae) fem athlete disordered eating amenorrhoea osteoporosis Galazia Peyronie ds Dupuytren contracture Ormond ds
glomus tm↑sensitivity to cold localised tenderness severe intermittent pain
Graves ds hyperthy exophthalmos pretibial myxoedema
hemolytic anem anem unconjugated hyperbilirubinemia erythroid hyperplasia in bone marrow
Hotchkiss terrible triad elbow elbow dislocation #radial head #coronoid
Hutchinson(late onset cong syphilis) interstitial keratitis SNHL Hutchinson teeth(peg shaped upper central incisor)
LuCiani(CerebeLLar ds) atonia asthenia astasia
Mackler(Boerhaave synd) vomiting
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low chest pain subcutaneous emphysema
MacMohan&Pugh ecological agent host
environment
Marshall(explosion inj) punctate abrasion punctate contusion laceration
Meneire ds(TVS) Tinnitus Vertigo SNHL(fluctuation)
Murphy pain fever jaundice
norm pressure hydrocephalus dementia urin incontinence abnorm gait
O'Donoghue/unhappy(knee inj-abd,ER) ACL inj PCL inj medial meniscus, med collateral,med capsular lig
Ollier multifocal enchondroma
Osler pneumococcal pneum inf endocarditis meningitis osteogenesis imperfecta fragile bone blue sclera early deafness
pelagra diarrhoea dermatitis dementia
8/17/2019 Triads & Syndromes: Notes for Pg
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Phemister(TB arthritis) osteoporosis erosion jt space narrowing
poikiloderma atrophy reticulate pigmentation telangiectasia
portalhepatic a portal v bile duct
psoriasis Munro microabscess parakeratosis epidermal hyperplasia
Quinke(hemobilia) GI hge(melena>hematemesis) pain jaundice
RCC hematuria flank pain palpable mass in flank
retinitis pigmentosa waxy disc pallor arteriolar attenuation bony spicule
Riggler(GB stone) multiple air fluid level abd radio-opaque shadow in ileum air in biliary tree
Saint hiatus hernia diverticulosis GB stone
Sampter nasal polyp INtrinsic br asthma aspirIN sensitivity
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Sec syphilis non-itchy rash LNpathy mucos lesion(Snail track ulcer, condyloma lata)
thallium alopecia skin rash painful periph neuropathy
ThromboAngiitis Obliterans(TAO) claudication Raynaud phenom migrating superf thrombophlebitis
Tillaux(mesenteric cyst) fluctuant swelling near umbilicus move freely vertically dull,surrounded by zone of resonance
Trotter(nasopharyng ca) glue ear CNV palsy CNX palsy
Virchow endoth inj stasis↑cell
Vogt pigm glaucoma concave iris reversible pupil block
Waddell(child inj by car while crossing road) #femur head inj thoracic inj
Weg granulomatosis necrotising granuloma resp tract necrotisinh granulomat vasculitis lung focal necrotising GN
Whipple(insulinoma) c/f hypoglycemia RBS
8/17/2019 Triads & Syndromes: Notes for Pg
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8/17/2019 Triads & Syndromes: Notes for Pg
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Barlow/floppy valve MVP
Beckwith Widemann(WT2 gene) organomegaly hemihypertrophy
macroglossia omphalocele adrenal cytomegaly Wilms tm
Behcet(UGO) Uveitis(recurr hypopyon, non granulom) Genital ulcer Oral ulcer
BOIleD lOBSteR BORIc acID pOISOnI
BPES Blepharochemosis(horiz aperture
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Heart defect choanal Atresia Retard growth Genitourinary abnorm Ear defect
Chediac Higashi synd rptd inf albinism neurologic deficit PLT granule release defect
Cogan interstitial keratitis deafn
Collet Sicard CNIX CNX CNXI
commotio cordis→blunt inj chest VF
contradi(warfarin tox) growth retard hypoplasia nose hypoplasia hand bone corpus cancer ca endometrium DM HTN obesity
Cotard nihilistic delusion
Couvade husband of preg fem goes in labour
Cowden ca breast facial trichilemmoma papilloma lip,oral mucosa acral keratosis GI polyp uterine fibroid
Dacosta
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cardiac neurosis
deClarambault erotomania
DenYS Drash
gonaDal DYSgenesis gonaDoblastoma early onset nephropathy Wilms tm
dialysis dementia Al poisoning
Dressler postMI pleural effusion
Eagle Barrett/prune belly def abdominal m b/l intraabd testes dilated urinary tract
Eisenmenger→systemic pulm CVS complicat→pulm a ds sever pulm HTN
cyanosis
Elsberg genital HSV(2>1) recur cauda equina neuritis
Ewan preg↓PLT(
8/17/2019 Triads & Syndromes: Notes for Pg
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floppy iris tamsulosin
FraSier mal pSeudohermaphrodite(XY)
FSGS
Ganser approximate answering(vorbieriden) confusion conversion sympt hallucination
Gerstmann(lt parietal lobe) finger agnosia rt-lt confusion acalculia alexia
Giasbock spurious polycythemia
glucagonoma anem dermatitis(necrolytic migratory erythema) stomatitis wt loss
Gradenigo CNVI palsy retroorbital pain(CNV) persistent ear discharge
Grisel(nontraumatic atlantoaxial subluxation) torticollis cervical pain neurologic complication radiculopathy Hallerman Streiff memb cataract
Hamman Rich a/c interstitial pneum
HELLP Hemolysis(PS-schistocyte, helmet cell) Elevated Liver enzyme(AST≥70IU/l) Low PLT(
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HemolyTic uremic(RAT)(5HT) Renal failure Anem(microangiopathic Coomb–ve hemolysis) Thrombocytopenia
Hermansky Pudlak granulomatous colitis ILD
hide&die/paradox undress/terminal burrowing hypothermia
holliday heart heavy alcohol consumption AF
Holt Oram absent thumb absent radius
Horner diplopia miosis anhydrosis(least common) enophthalmos ptosis heterochromia iridis loss of ciliospinal reflex
HutchiNsoN Neuroblastoma jt pain iridocorneal endoth iris atrophy abnorm corneal endoth corneal edema sec angle closure glaucoma
Irvine Gass pseudophakic cystoid macular edema
Kallman anosmia↓GnRH prim amenorrhoea
KarTagener dexTrocardia/siTus inversus
8/17/2019 Triads & Syndromes: Notes for Pg
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nasal polyp bronchiectasis
Kasabach Merritt hemangioma↓PLT
coagulopathy
KEARn SayRE synd REtinitis pigmentosa ocular myopathy hEARt defect
KerNer MorrisoN Neuroblastoma
↑diarrh( VIP)
Klippel Feil low hair line b/l neck webbing restriction of neck movement
Kluver Bucy(temporal lobe/amygdala inj) visual agnosia hypermetamorphosia hypersexuality
Koro death of pt due to extreme anxiety of receding penis LANdau Kleffner sz in child LANguage defect
Laron GH receptor mutation(GH resistance)
Lennox Gestaut atypical absence sz child
Leriche aortoiliac obstruction b/l gluteal claudication impotence(L1 palsy)
LeRMoyez(Reverse of Meniere ds) SNHL Vertigo Tinnitus
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liFraumeni(p53) ca adrenal gld ca breast leukemia osteosarcoma soft ts sarcoma
LOBSTEin OSTEogenesis imperfecta(Brittle Bone ds)
Loeys Dietz bifid uvula
Lowe(oculocerebrorenal) cong cataract,glaucoma microcephaly, mental retardation PCT defect(Fanconi synd), RTA2
Lutembacher ASD(cong ostium secondum) MS(RHD)
Lynch ca endometrium ca colon ca ovary
MaffuCCi Multiple enChondromatosis(Ollier ds) Cavernous hemangioma
Magnan(cocaine poisoni) cocaine bug/formication delusion of persecution Manchausen pseudologia fantastica
Marchifava Bingami corpus callosum necrosis alcoholism
May Thurner lt comm iliac v compression b/n rt comm iliac a&LS spine
Mazabraud polyostotic fibrous dysplasia intraMural MyxoMa
McCune Albright
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polyostotic fibrous dysplasia precocious puberty cáfe-au-lait spot
MEDNIK Mental retardation
Enteropathy Deafness Neuropathy Ichthyosis Keratoderma
Meig ovarian fibroma ascites pleural effusion(rt)
MEN1/Werner hyperParathy(parathy hyperplasia) endocrine Pancr tm(gastrinoma>insulinoma) Pituitary adenoma(prolactinoma)
MEN2A/Sipple hyperParathy ca thy medullary adrenal adenoma(pheochromocytoma)
MEN2B ca thy medullary adrenal adenoma(pheochromocytoma) neuroma
Mendelson aspiration in preg pH25ml
Miller Fisher ataxia opthalmoplegia areflexia
miserabl malalignm femoral neck anteversion↑Q angle tibia vera genu valgum
morning glory lamina cribrosa absent
8/17/2019 Triads & Syndromes: Notes for Pg
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Muir ca breast BCC GI tm
Muir Torre multiple cutaneous sebaceous adenoma
nutcracker lt ren v compression b/n aorta&SMA
obesity hypoventilation BMI>30kg/m² sleep disordered breathing pCO2>45mmHg
Oldfield sebaceous cyst colon polyp adenoca colon
Ortner/cardiovocal MS LA dilatation RLN compression
Osler Weber Rendue hereditary hgic telangiectasia portWine stain face encephalotrigeminal angiomatosis
Othelloalcoholic delusional jealousy/infedility
Parinaud/dorsal midbrain supranuclear verticle gaze palsy downward ocular deviation lid retraction
Parsonage Turner(a/c brachial plexitis, neuralgica myotrophy) immune mediated brachial plexus neuropathy
patulous Eustachian tube absent Ostmann fatpad
Pendred SNHL PrePubertal goitre
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Pepper neuroblastoma hepatomegaly
Peutz Jeghers
multiple hamartomatous polyp pigmentation of lip&buccal mucosa ca breast
POEMS/Crow Fukase/Takatsuki Polyneuropathy(periph n damage) Organomegaly Endocrinopathy M protein Skin abnorm(hyperpigmentation, hypertrichosis)
propofol infusion metab acidosis skeletal myopathy a/c cardiomyopathy
pseudoMeig ovarian tm ascites pleural effusion
purple toe warfarin toxicity
Ramsay Hunt LMN CNVII palsy anesthetic face giddiness
REfsum REtinitis pigmentosa periph neuropathy cerebellar ataxia
Reiter(RUC)(keratoderma blenorrhagicum) Reactive arthritis Urethritis Conjunctivitis
Ross pupil involved loss of knee jerk
rubella(oculoauricularcardiac)
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SNHL total cataract(pearly white) PDA
RuvalCAba Myhre Smith CA Colon
Schwartz rhegmatogenous retinal detachment uveitis glaucoma
Sezary Sezary cell in bld erythroderma generalised skin involvement
Sheehan Sec amenorrhea
shoulder no abduction>90° pain in shoulder drooping,abduction,external rotation shoulder
shoulder hand INH
Shwachman pancr malabsorption, steatorrhoea failure to thrive metaphyseal dysplasia neutropenia
slipping clutch frontal gait disorder
Steel Richardson(progressive supranuclear palsy) extended posture defective downward gaze h/o fall dementia
straight back loss of norm kyphosis MVP
Streakhouse Schatzki(B) ring(lumen diam
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Sturge Weber cerebral atrophy cong glaucoma portwine stain leptomeningeal meningioma
superior orbital fissure proptosis total external ophthalmoplegia
Swyer(pure gonadal dysgenesis) XY karyotype uterus,FT present, norm fem external genital ovary, testis, seminal vesicle, prostate absent
TAR(thrombocytopenia absent radius)↓PLT Absent radius
3rd&4th pouch/Digeorge/CATCH synd Cardiac anomalies Absent thymus T cell def Coarse dysmorphic feature Hypocalcemic tetany
Tietz costochondritis 2nd costal cartilage
Tolosa Hunt/orbital apex(idiop) proptosis painful total external ophthalmoplegia blindness cavernous sinus dilatation
transient hypopyon Behcet ds recurr hypopyon
tumour lysis hypocalcemia hyperphosphatemia hyperkalemia hyperuricemia
Turcot polyposis medulloblastoma
Urrets Zavalia
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sec glaucoma iris atrophy fixed dilated pupil
van der Hoeve osteogenesis imperfecta
blue sclera conductive deafness
Verner Morrison/WDHA(VIPoma) Watery Diarrhoea Hypokalemia Achlorhydria
vitreous touch glaucoma uveitis hyphema
von Hippel Lindau cerebellar hemangioblastoma retinal angioma RCC pheochromocytoma
WAGR(WT1 gene) Wilms tm Aniridia Genital anomaly mental Retardation
Weil Marchesani Microspherophakia
Wilkie/SMA/CAST 3rd part duod compression b/n aorta&SMA
William short stature Elfin facies hypercalcemia supravalvular AS learning difficult
Wiscott Aldrich(TIA) Thrombocytopenia(blding) Immunodef(recur bact inf) Atopic dermatitis(eczema)
Woolf
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piebaldism deafn
Wunderlich angiomyolipoma massive retroperitoneal hge
yellow nail yellow nail bronchiectasis chylous pleural effusion
YOung azOOspermia nasal polyp bronchiectasis
Zellweger(cerebrohepatorenal) inherited absence peroxisome
Zieve alc liver cirrhosis hemolytic anem deep jaundice
Zollinger Ellison(gastrinoma) nonβ islet cell tm pancr gastric acid hypersecretion GI ulcer
Zuska c/c recurr periductal mastitis(retroareolar abscess) smoking
Abbreviations a-artery, AA-amino acid, abtc-antibiotic, AI-autoimmune bef-before, bel-below, b/l-bilateral, bld-blood, b/n-between, bn-benign, br-branch,Bx-biopsy ca-carcinoma, carb-carbohydrate, c/i-contraindication, c/l-contralateral,conc-concentration, cong-congenital, Cx-cervix d-day, def-deficient, ds-disease, d/t-due to, Dx-diagnosis
E-estrogen fem-female, fr-from gld-gland, glu-glucose h-hormone idiop-idiopathic, i/l-ipsilateral, inf-infection, inj-injury lig-ligament, LL-lower limb, l/t-leading to m-muscle, maj-major, mal-male, MC-most common, met-metastasis, min-minor,mtx-methotrexate, Mx-management n-nerve, norm-normal
8/17/2019 Triads & Syndromes: Notes for Pg
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P-progesterone, pl-plasma, prot-protein, pt-patient Rx-treatment SCC-squamous cell carcinoma, sr-serum, Sx-surgery, sz-seizure tm-tumour, ts-tissue UL-upper limb, u/l-unilateral vag-vagina, VC-vocal cord, vel-velocity, vert-vertebra, vit-vitamin, vol-volume
w-week, wt-weight Xr-X ray y-year #-fracture °-degree
-(N.B.-THESE NOTES ARE ONLY FOR THE PURPOSE OF GUIDANCE AND HELP
TO PG ASPIRANTS, NOT FOR COMMERCIAL OR OTHER PURPOSE. REFERENCE
HAS BEEN TAKEN FROM VARIOUS STANDARD TEXTBOOKS. FOR ANY
FEEDBACK/QUERY PLEASE CONTACT- [email protected] or