Common confusions (updating)

1. Somato____:

  • somatoSTATIN = inhibitory GI peptide
  • somatoMEDIN C = IGF-1 (insulin-like GF, INCREASED in Acromegaly)

2. White plaque on tongue:

  • Oral Hairy Leukoplakia = doesn’t scrap off
    (this is a PREMALIGNANT transformation, so it won’t scrape off )
    (HIV assoc. EBV)
  • Oral Candidiasis = DOES scrap off

3. Solitary Pulmonary Nodule:

  • Coarse = Benign (popcorn)
    (popcorn is ok)
  • Spiculated = Malignant
    (small seeds at the bottom of bag – not ok)

4. _____pressin:

  • VASOpressin = natural ADH made in hypothalamus
    (water retention & SM contraction esp. all blood vessels)
  • DESMOpressin = synthetic ADH
    (Rx Central DI, Bedwetting)

5. Malignant Temperatures:

  • Malignant Hyperthermia = Any anesthetic (halothane, SUX)
    (Rx Dantrolene)
  • Neuroleptic Malignant Syndrome = Antipsychotics (haloperidol)
    (fever + RIGIDITY + cognitive changes)
    (Rx Bromocriptine or Dantrolene)→ECT

6. Urine analysis:

  • Pheochromocytoma = Urinary catecholamines and metanephrine (VMA, HVA)
  • Carcinoid tumor = Urinary 5-HIAA (serotonin)

7. Nitro____:

  • nitroPRUSSIDE = dilates BOTH arteries and veins
  • nitroGLYCERIN = dilates ONLY VEINS

8. Esophageal tears:

  • Mallory-weiss = SUPERFICIAL esophageal erosions
  • Boerhave’s = FULL THICKNESS esophageal ruptures
    (rupture with great amount of heaving)

9. Typhus:

EPIDEMIC (world-wide): (ball)
world
Rickettsia = Prowazekii Louseuntitled
Rash = starts in axilla spreads to trunk & extremities
(does not involve face, palms, soles)

ENDEMIC (local): (peripheral facial paralysis)
Rickettsia = Typhi Rat Flea
Rash = concentrated on trunk & fades rapidly

10. Measles:

  • RUBELLA = German measles (ssRNA of  TOGAviridae family)
  • RUBEOLA = Measles (Measles virus of PARAMYXOviridae family)

-Admin


Share this page!
Share this page!
  • Print
  • email
  • RSS
  • del.icio.us
  • Digg
  • Twitthis
  • Facebook
  • Mixx
  • Google Bookmarks
  • LinkedIn
  • NewsVine
  • co.mments
  • Reddit
  • StumbleUpon
  • Technorati
  • Yahoo! Buzz