Dr_SINBOONA_ARARSA_KENENI_SHORT_PEARLS_ON_MEDICAL_CASES_EDITION

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50.Nystagmus+ophthalmoplegia+ataxia+alchlocs+ confusion + peripheralsensory neuropathy decrease red celltransketolase is = Wernicke'sencephalopathyTreatment = give thiamineUnilateral complete Ptosis + Normal/Mydriasis ---3rd nerve PalsyUnilateral partial Ptosis + MIOSIS---HornerPtosis + NO Opthalmoplegia---Myotonic dystrophyBilateral
Bilateral Ptosis + Opthalmoplegia---Myasthenia Gravis52.vesticular schwanoma hasunilateral symptoms unlike Minnersdisease which is bilateral
Page 1 and 2: SHDr. SINBOONAARARSA (MD)2021 G.COR
Page 3 and 4: DR.SINBOONA ARARSA (MD )ADMINJIMMA
Page 5 and 6: o CCONOCONTENTS1.NEUROLOGY………
Page 7: 13.ONCOLOGY……………………
Page 10 and 11: 5. Sensor neural deafness + absentc
Page 13 and 14: 14.Young patient +lancinating paini
Page 16: 18. . 30 to 50 years + chorea(piano
Page 20 and 21: 26. Lower limb is more involve than
Page 22: 31. Cancer patient /chronic immunod
Page 26: 44. HIV patient + neck stiffness +
Page 33: 55.In prolapsed lumbar disc there i
Page 37: • RESPIRATORYPEARLS1.Gold standar
Page 41: 10. Causes of increased TLCO : Most
Page 45: Teenagers = Pseudomonas aeruginosa
Page 49: 23.CT scan of Chest is diagnostic f
Page 52: 30. Patients who are critically ill
Page 56 and 57: 35. if PH is less than 7.25 = give
Page 58 and 59: • 39
Page 60 and 61: • 40
Page 63: 51.Type1 respiratory failure = Pao2
Page 66 and 67: 57. Pigeons bird fanciers :avian pr
Page 71 and 72: GASTROENTEROLOGY&HEPATOLOGY PEARLS1
Page 74: 3.Patient taken metronidazole for 7
Page 78 and 79:
9.Investigations in Gilbert syndrom
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PEARLS
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21.Young patient +bloody Diarrhoea
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C -reactive shows disease activity
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31.With use of infliximab andazathi
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39.Investigation contraindicated in
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Intermediate:3year Colonoscopy : ex
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53.Irreversible complications of he
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59.Upper GI endoscopy is useful for
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5.Complete heart block from inferio
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14. Features of severe AS Narrow pu
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28.Useful lab test monitor treatmen
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39.1st degree block= prolong PR mor
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53.. Don't use rhythm control in as
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If proteinuria less than 3 then use
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15 .B2 macroglobulin on renal dialy
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28 . Collapse/seizure/ ecstasy /com
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38 Antibiotic for peritoneal dialys
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48.Normotension+hypokelmia+hypomagn
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HAEMATOLOGYPEARLS1.Beta 2 microglob
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6. Causes of Extravascular haemolys
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retic count more than 3 is = haemol
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yndrome 21. Haematological disorder
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ss ly
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28. Avascular necrosis of hip + han
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I) Cytogenetic Deletion chromosome
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years + marowfailure +gum infiltrat
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ymphocyt
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) CD38
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40-50 years + anaemia , weight loss
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55. Causes causing Haemolysis in G
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oided unti
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ENDOCRINOLOGYPEARLS1.High oestrogen
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syndrom
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12.Treatment of Kallman's Syndrom
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inemia .
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23. Investigation in Addison diseas
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of 250ug normally there increase co
Page 207:
ache syndrome Metastasis (bronchial
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31.Cortisol curve can be used to as
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c disc
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35. Thyrotoxicosis + goitre + autoa
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of thyr
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activ
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40.Indications for Surgery total Th
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urgery If not fit for surgery : Di
Page 231 and 232:
45.Investigation in Insulinoma:Supe
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weakness + diminished knee reflex (
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severe case like fits Slowly correc
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us diff
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Rheumatology pearls1. Poorly contro
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is + r
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lbow and
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11. +Tightening of skin in upper li
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ter human
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Erlenmeyer
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22. Pauci articular still disease h
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limbs +
Page 269 and 270:
33.⛹♂Sitting down..... relieve
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down..... aggravate the disc prolap
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l CRP unless an infection
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to prevent
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45. Painting/playing tennis +pain a
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Elastic fragile skin + recurrent jo
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53. NICE They now recommend disease
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ridging prednisolone. In the past d
Page 293 and 294:
ctivity in
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INFECTIOUS DISEASE PEARLS1.. Patien
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ingitis 4.Ataxia + seizures + heada
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migratory po
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Epidymitis
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16. HIV patient + Cottage cheese an
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ess = Cefuroxime + metronidazole
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) Treat
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27.Nemtodes which causes anaemia is
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wing Treatment : Diethylcarbamzine
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Schistoma
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38. Cholangiocarcinoma = clonirchis
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mprove in prone position
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ver(or no
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50. Lab of Q fever: Confirmation Q
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sistant =Foscarnet 55.HSV encephali
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ardless of
Page 343:
DERMATOLOGYPEARLS1.Symetrical + bro
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HLADrugs causing Erythema nodsum :O
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crofulodermacrofulodermaVerrucosa c
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ch lesion should be excited
Page 357 and 358:
idered
Page 361 and 362:
21.Complications of Psoriasis are :
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30.Pyrexia + tachycardia + niklosky
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hardened +ABPI 0.9+ venous ulcer Tr
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41.1 to 3 month after viral illness
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53 Lower limb small red papule deep
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PHARMACOLOGY &TOXICOLOGY1. Overdose
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8.Nsaids:COX-2 selective inhibitor
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10.Drug causing Hypertension are :S
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82 16.Treatment of cyclophosphamide
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17.Phases of drugs Phase I =studies
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21.Drugs altering absorption or cle
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depwhen Cr>130 Stop when >150 or GF
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33.Dry cough + dilated pupil + agit
Page 401:
41.Treatment of methanol poisoning
Page 405 and 406:
45.Protamine sulphate is antidote f
Page 407:
49. 3-7 days after cessation of alc
Page 410 and 411:
58.Precipating factors for digoxin
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PSYCHITARYpearls1..Flight of ideas
Page 415:
6.Depression +high mood is =cycloth
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ia prominent hallucinations and del
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25.He said he is Jesus because God
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34.Alzheimer's + psychic features l
Page 428 and 429:
42.Aggressive behaviour + sweating
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55.Psychiatric (anxiety, mood liabi
Page 436 and 437:
ONCOLOGY PEARLS1. Testicular lump +
Page 439:
12.Horseness+odynophagia + ulcerate
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21.Treatment of small cell lung car
Page 447 and 448:
28.Management of breast cancer: Dru
Page 450 and 451:
33.AFP + beta HCG + PLAP(placental
Page 454 and 455:
37.Cancer pain management WHO analg
Page 457:
50.Side effects of opioids : Consti
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OPHTHALMOLOGY pearls1. MS/DM/ syphi
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12.Sudden deterioration in vision a
Page 469 and 470:
23.Optic neuropathy +proptosis + ch
Page 472 and 473:
27.Optic neuritis ispainful visual
Page 475:
30.Homonymoushemianopia with macula
Page 478:
detachment is = vitreousdetachment
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45.Left homonymous hemianopia+ affe
Page 485 and 486:
48.Eye deviated down and out + ptos
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ia,Antiemetictopicalpilocarpine
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carpine
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198199200201202203
Page 494 and 495:
206 182granules in neutrophils and
Page 496 and 497:
Hypocalcaemia + recurrentviral/fung
Page 498 and 499:
10.Treatment of hereditaryangioedem
Page 501:
13.Low IgG low igA + respiratory an
Page 505:
15.recurrent bacterial infections (
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d. NK cells are CD16 and CD56, and
Page 511 and 512:
llary hair ab
Page 515 and 516:
Treatme5.Pigmented sclera + urine t
Page 517 and 518:
dose of vitamin C Dietary restricti
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oprusside test 10 .Homocytinuria is
Page 522:
enzyme analysis high tarateresistan
Page 526 and 527:
ed Muscle
Page 530 and 531:
17.Vitamin D resistant rickets is x
Page 532:
re increased in liver, plasma, urin
Page 535 and 536:
uses of Re
Page 537 and 538:
3.Causes of HIGH anion gap acidosis
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recepto
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ent
Page 547 and 548:
4.Thyroid Hormones - alter Gene Tra
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uctose. Lactose - isMaltose - isGal
Page 553 and 554:
okinin (duoden
Page 555 and 556:
as) inhibits sec
Page 558:
ANATOMY1.Weakness of shoulder abduc
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sensory los
Page 566 and 567:
7.Foot drop + dorsiflexion of foot
Page 568:
-L4. 10.Ankle inversion + hip abduc
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Nerve
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17.Phrenic Nerve - which innervates
Page 579 and 580:
rgic, musc
Page 583 and 584:
6. Uroporphyrinogen Synthase - is a
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nt cells will have low number of p2
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blastomaWT1=Wilm'stumourMultiple tu
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BIOSTATICS1. 0dds - remember a rati
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7. What is the correct formula to c
Page 597:
hypertension and assessment for pos
Page 601 and 602:
Post transfusion few days after dev
Page 603 and 604:
16.Pseudomonasin
Page 605 and 606:
17.HIV patient + painless lesion on
Page 608 and 609:
23.Antipyschotic/slower onset + low
Page 610 and 611:
29.Manic episode + risk to herself
Page 613 and 614:
41.Alzheimer's + psychic features l
Page 616 and 617:
55.Best evidence with respect to vi
Page 619:
ENDDr.SINBOONAARARSA(MD)
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Dr_SINBOONA_ARARSA_KENENI_SHORT_PEARLS_ON_MEDICAL_CASES_EDITION

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