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Gout major features:

Great toe
One joint (75% monoarticular)
Uric acid increased (hence urolithiasis)
Tophi

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Pneumothorax presentation:


Pleuretic pain
Trachea deviation
Hyperresonance
Onset sudden
Reduced breath sounds (& dypsnea)
Absent fremitus
X-ray shows collapse

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Thrombotic thrombocytopenic purpura: signs:

Fever
Anemia
Thrombocytopenia
Renal problems
Neurologic dysfunction

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Gout vs. pseudo-gout


crystal lab findings:
In Pseduogout, crystals are positive birefringent.

In Gout, crystals are negative needle shaped crystals.

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Multiple endocrine neoplasia III:
It is a disease of 3 M's:

Medullary thyroid carcinoma
Medulla of adrenal (pheochromocytoma)
Mucosal neuroma

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Emphysem types and most important feature of each

- Types:

Centrilobular
Irregular
Pancinar
Paraseptal


- Most important feature for each type (in order as above):

Cigarrettes
Inflammation healed to scar
Protease inhibitor deficiency (a1-antitrypsin)
Pneumothorax

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Wernicke-Korsakoff's psychosis findings:


Wernicke's encephalopathy (acute phase):
Confusion
Ophthalmoplegia
Ataxia
Thiamine tx


Korsakoff's psychosis (chronic phase):
Retrograde amnesia
Anterograde amnesia
Confabulation
Korsakoff's psychosis

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Lung cancer main sites for distant metastases:

Bone
Liver
Adrenals
Brain

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Signs of trouble mole:

Asymmetry
Border irregular
Colour irregular
Diameter usually > 0.5cm
Elevation irregular

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Female pelvis shapes in order from most to least common:

Gynecoid
Android /Anthropoid
Platypelloid

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Post-partum haemorrhage (PPH) causes:
4 'T's

Tissue (retained placenta)
Tone (uterine atony)
Trauma (traumatic delivery, episiotomy)
Thrombin (coagulation disorders, DIC)

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Broca's vs Wernicke's:


Broca's area: Expressive dysphasia.

Wernicke's Area: Receptive dysphasia

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Constipation causes:
Drugs (eg opiates)
Obstruction (eg IBD, cancer)
Pain
Endocrine (eg hypothyroid)
Depression

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Respiratory disease hand signs:

Clubbing
Asterixis
Small muscle wasting
HPOA

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Marfan syndrome features MARFAN'S:


Mitral valve prolapse
Aortic Aneurysm
Retinal detachment
Fibrillin
Arachnodactyly
Negative Nitroprusside test (differentiates from homocystinuria)
Subluxated lens

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Diabetic ketoacidosis precipitating factors 5 I’s:


Infection
Ischaemia (cardiac, mesenteric)
Infarction
Ignorance (poor control)
Intoxication (alcohol)

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Catalase positive organims:

Staphylococcus aureus
Pseudomonas
Aspergillus
Candida
Enterobacter

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B19 virus affects 3 B's:

Babies (5th disease, infectiousum erythematosa)
Black Bleeders (sickle cell anemics - anaplastic anemic crisis)
Bearing Babies [pregnant women] (hydrops fetalis)

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Pericarditis findings:

Pulsus paradoxus
ECG changes
Rub
Increased JVP
Chest pain [worse on inspiration, better when lean forward]

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Beck’s triad of acute cardiac tamponade (3 D’s):


Distant heart sounds
Decreased arterial BP
Distended neck veins