Saturday, December 18, 2010

Diagnostic vaginal discharge~


Candida vaginitis
  • organism: Candida albicans
  • pH <>
  • branching hyphae

Bacterial vaginosis
  • clue cells
  • amine odor

Trichomonas vaginitis
  • organism: Trichomonas vaginalis
  • unicellular flagellated organism
  • flagellar motion on a saline wet smear

Chlamydia & Syphilis
  • no diagnostic vaginal discharge

Friday, December 17, 2010

Aortic insufficiency~

  • diastolic murmur
  • Corrigan's pulse (water-hammer pulse)
  • de Musset's sign (head bobbing)
  • Traube's sign (pistol shot sound over the femoral artery)
  • Duroziez's sign (to-and-fro murmur over the femoral artery)
  • Quincke's pulse (capillary pulsation in the nail beds)
  • Hill's sign (politeal artery pressure greatly increased over brachial pressure

Thursday, December 16, 2010

Malignant Melanoma~


Remember ABCDE's:
  • A- Asymmetric shape
  • B- Borders irregular
  • C -Color variation
  • D- Diameter > 6 mm
  • E- Enlargement & Evolution of lesion

Lichen Planus~


Remember 5 P's
  • Purple
  • Polygonal
  • Pruritic
  • Planar
  • Papules

Wednesday, December 15, 2010

Erytema Infectiosum~


  • also known as Fifth disease
  • remember slapped cheek appearance!

Potter's sequence~


  • bilateral renal agenesis
  • causing mother to have oligohydramnios
  • lung hypoplasia

Picture

Howell-Jolly bodies~


  • small,spherical, nuclear remnants
  • seen in the reticulocytes and rarely, erythrocytes of persons who have no spleen (because of congenital asplenia or splenectomy) or poorly functioning spleen (eg in hyposplenism a/w sickle cell disease)

Sunday, December 12, 2010

Noonan's Syndrome~


It is a male version of Turner's Syndrome!

Friday, December 10, 2010

Pyloric Stenosis~

Pocture below shows string sign

After the string sign, there was something like a mushroom. It was called as mushroom sign = kirklin sign.
Always remember hypocloremic, hypokalemic metabolic alkalosis!