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Thursday, May 26, 2011

Types of Tongues in Various Medical Conditions

HUNTERS TONGUE/MOELLERS TONGUE------ PERNICIOUS ANAEMIA

BALD TONGUEOF SANDWITH-----------NIACIN DEFICIENCY(PELLAGRA)

MAGENTA OR BEEFY RED TONGUE-----------RIBOFLAVIN DEFICIENCY

STRAW BERRY(EARLY)AND RASBERRY(LATE)------SCARLET FEVER

SCROTAL TONGUE-----FISSUREE TONGUE

BLACK HAIRY TONGUE------PROLONGED ORAL USE OF ANTIBIOTICS.

CEREBRIFORM TONGUE-----A FEATURE OF PEMPHIGUS VEGETANS.
 

Named fevers in microbiology

Pontiac fever---Legionella pneumophila

Shanghai fever---Pseudomonas

Brazilian purpuric fever---Hemophilus aegyptius
(pink eye)

Havernhill fever---Streptobacillus monoliformis

Oroya fever---Bartonella bacilliformis
(Carrion's d/s)

Q fever---Coxiella burnetti

Colorado tick fever---Orbivirus

Trench fever---Rochalimaea quintana
(five day fever)
 

Monday, May 23, 2011

RADIOLOGY SIGNS:


Signs in Radiology

1. Rabbit Ear Sign : Bilateral Subdural Hematomas in CT (Both frontal horns pointing poateriorly).

2. Dawson's Fingers : Multiple Sclerosis - MRI Brain (the result of inflammation around long axis of medularry veins)

3. Light Bulb sign - In posterior dislocation of shoulder.

4. Golden-S-Sign : Right upper lobe collapse in Chest X Ray.

5. 'Bat Wing Deformity of cerebral ventricles on CT/MRI - Agenesis of Corpus Callosum.
(AIIMS Nov'07 Expln)

6. 'Moth Eaten appearance' in V/Q Scan - Lung ----> Seen in BRONCHIOLITIS OBLITERANS.
(AIIMS Nov'07 Expln)

7. 'Reticular Pattern' in Chest CT ---> Follicular Bronchitis. (AIIMS Nov'07 Expln)

8. 'Sandstorm Appearance' or sand like appearance in Chest Radiography --> Seen in Pulmonary Alveolar Microlithiasis (P.A.M).
(AIIMS Nov'07 Expln)

9. Deep white matter lesion with bilateral bright thalami on C.T.--> KRABBE's Disease (Globoid Leukodystrophy).
(AIIMS NOV'07 Q)

10. Looser's Zones or Pseudofractures : Classically seen in Osteomalacia. (Also seen in Paget's, Fibrous Dysplasia, and osteoporosis)

11. Protusio Acetabuli and Triradiate Pelvis - Osteomalacia.

12. Rugger Jersey Spine - Osteopetrosis / Albers-Schonberg Disease /Marble Bone Disease and in Renal Osteodystrophy.
----------------------Congential Cardiac Diseases : Chest Radiography--------------------------------

13. Boot shaped heart / Cor en Sabot --- Tetralogy of Fallot.

14. Box Shaped Heart --- Ebstein's Anomaly.

15. Snowman Appearance / Figure of 8 Appearance - TAPVC (Asked 2 times in May 08 AIIMS)

16. Figure of 3 / Reverse Figure of 3 --- Coarctation of Aorta.

17. Goose Neck Sign --- Endocardial Cushion Defects.

18. Sitting Duck Sign --- Patent Truncus Arteriosus.

19. Scimitar Sign --- PAPVC - Partial Anomalous Pulm Venous Return.

-----------------------------------------------------------------------------------------------------------
20. Scimitar Sacrum ---- Presacral Meningomyelocole.

21. Floating water Lily sign ---- Hydatid Cyst of Liver.

------------ Pulmonary Thromboembolism------------------------------------------------------------

22. Westermark's Sign --- Focal area of oligemia d/t vasoconstriction distal to embolus.

23. Palla's Sign -- Enlarged Right Descending Pulmonary Artery.

24. Hampton's Hump --- Peripheral Wedge shaped opacity in CXR d/t pulmonary infarct.

25. Fleischner Sign -- Local widening of artery d/t impaction.

26. Knuckle Sign -- Abrupt tapering of Occluded vessel distally.


COLLECTION BY DR.DV

Saturday, May 21, 2011

PATHOGNOMONIC SIGNS of diseases

Pathognomonic signs 
1. COPD             -    Barrel-Chested 
2. Pneumonia        -    Greenish Rusty Sputum 
3. Pernicious Anemia - Beefy Red Tongue (Schilling’s Test) 
4. Kawasaki Dse.         - Strawberry Tongue 
5. Malaria          -    Stepladder Fever 
6. Typhoid          -    Rose Spot 
7. Tetany           -    Chvostek Sign (Muscle Twitching Face) 
                    -   Trosseau’s Sign (Jerky Mov’ts) 
8. Pancreatitis     -    Cullen Sign     (Bluish discoloration preumbilical area) 
9. Appendicitis     -    McBurney’s Point (rebound tenderness) 
                    -    Rovsing Sign (RLQ pain w/ palpation in LLQ)  
                    -    Psoas Sign(pain on lying down putting pressure on MB pt) 
10. Thrombophlebitis - Homan’s Sign 
11. Hepatitis       -    Icteric Sclera (yellowish discoloration of sclera) 

12. Meningitis         -    Burdzinski Sign (Pain on nape) 
                       -    Karnig Sign (pain on leg/ knee area) 
13. Pyloric Stenosis - Olive-Shaped Mass 
14. Hyperthyroidism - Exopthalmus 
15. Addison’s Dse. - Bronze-like skin 
16. Cushing Syndrome- Bu falo Hump 
17. Cholera            -    Rice Watery Stool 
18. SLE                -    Butterfly Rashes 
19. Leprosy            -    Leoning Face (contracted face) 
20. Bulimia Nervosa - Chipmunk Face 
21. Liver Cirrhosis - Spider Angioma 
22. Asthma             -    Wheezing Inspiration 
23. Hyperpituitarism - CAROTENEMIA (Discoloration of skin) 
                              - XANTHAMIA 
24. Down Syndrome- Single Crease on Palm 
25.TOF               -   Clubbing of Fingernails 
                             Ventricular Septal Defect 
                             Pulmonary Stenosis 
                             Overriding of Aorta 
                             Right Ventricular Hypertrophy 
26.Cataract          -   Blurry Vision / Hizzy Vision 
27.Glucoma           -   Tunnel-like Vision 
28. PTB              -   Low grade fever in a ternoon 
29. Cholecystitis-       Murphy’s Sign (pain RUQ) 
30. Myasthemia Gravis (MG) – Ptosis (inability to open upper eyelids) 
31. Dengue           -   Petechiae 
32. Parkinson’s Dse. - Pill Rolling Tremors 
33. MI               -   Levine’s Sign (Clutching of the chest) 
34. Measles          -   Koplick’s Spot 


PATHOLOGICAL BODIES extensive collection

PATHOLOGICAL BODIES    A to Z :

  • Aschoff Bodies - rheumatic fever
  • Asteroid body - sporotrichosis
  • BABES - ERNST Bodies - metachromatic granules
  • BALBIANI'S Bodies – yolk nucleus
  • Bamboo bodies - asbestosis
  • Bodies OF ARANTIUS - aortic valve nodules
  • BODY OF HIGHMORE - mediastinum testis
  • Bollinger bodies - fowlpox
  • Brassy body – dark shrunken blood corpuscle found in malaria
  • Call exners bodies – granulosa theca cell tumour
  • Chromatid bodies - entamoeba histolytica precyst
  • Citron bodies - cl. Septicum
  • Civatte bodies – lichen planus
  • Councilman bodies – hepatitis B
  • Coccoid X bodies – psittacosis
  • Creola bodies - asthma
  • Cystoid bodies – in degenerated retinal nerve fibers ( seen in Cotton wool spots)
  • Donnes bodies – colostrums corpuscles
  • Donovan bodies – granulose inguinale (LGV)
  • Ferruginous bodies – asbestosis
  • Gamma gandy bodies – congestive splenomegaly
  • Guarnieri bodies - inclusion bodies of vaccinia
  • Henderson Peterson bodies - molluscum contagiosum
  • Harting bodies – calcospheritis in the cerebral capillaries
  • Heinz bodies – G 6 PD deficiency
  • Herring bodies – neurohypophysis
  • Heterophil antibodies – infectious mononucleosis
  • Hirano bodies – alzheimer’s disease
  • Lewy bodies – parkinsonism
  • Levinthal coles lille bodies - psittacosis
  • Mallory bodies – alcoholic hepatitis
  • Masson bodies – rheumatic pneumonia
  • Michelis guttman bodies – malakoplakia
  • Mooser bodies – endemic typhus
  • Moot bodies – multiple myeloma
  • Negri bodies – rabies
  • Odland body – keratinosome
  • Oken’s body - mesonephros
  • Paschen bodies – vaccinia / variola
  • Pick bodies – picks disease
  • Psamomma bodies –
    • 1. papillary carcinoma of thyroid
    • 2. serous papillary carcinoma of ovary
    • 3. meningioma
    • 4. mesothelioma
  • Reilly bodies – hurler’s syndrome
  • Rokitansky bodies - teratoma
  • Ross’s bodies – syphilis
  • Rushton bodies – odontogenic cyst
  • Sclerotic bodies - chromoblastomycosis
  • Sandstorm bodies – parathyroid glands
  • Schillar dual bodies - yolk sac tumour
  • Schaumann bodies - sarcoidosis
  • Verocay bodies – schwanoma
  • Winkler bodies – syphilis
  • Zebra bodies – metachromatic leukodystrophy



    
*Michaelis Gutmann bodies-Malakoplakia
*Verocay bodies- Neurilemmoma
*Civatte ( colloid ) bodies- Lichen Planus
*Hireno bodies- Alzhiemer’s disease
*Cell Exner bodies- Granulosa Cell Tumour
*Russell’s bodies ( cytoplasmic inclusions )- Multiple Myeloma
*Moot bodies- Multiple Myeloma
*Aschoff bodies- Rheumatic Fever ( acute Stage )
*Torres bodies- Yellow Fever
*Gamma Gandy bodies- Sickle call Anaemia & Congestive Splenomegaly
*Negri bodies- Rabies
*Asteroid bodies- Sporotrichosis
*Odland bodies- Keratinosome
*Mooser bodies- Endemic Typhus
*Heinz bodies- G 6 P D Deficiency
*Zebra bodies- Metachromatic Leukodystrophy
*Lewy bodies- Parkinsonism
*Sandstorm bodies- Parathyroid Gland
*Harting Bodies- Calcospheritis ( in cerebral capillaries )
*Dhole bodies- Myelodysplasia
*Henderson Peterson bodies- Molluscum Contagiosum
*Citron bodies- Clostridium welchi infection
*Bollinger bodies- Fowlpox infection
*Parchon bodies- Small Pox infection
*Sclerotic bodies- Chromoblastomycosis
*Guarnieri bodies- Vaccinia virus ( inclusion bodies )
*Councilman bodies- Acute Hepatitis B
*Leishman Donovan bodies- Kala Azar
*Schaurman bodies- Sarcoidosis
*Virchow Hassall’s bodies- Thymus
*Halberstaedter-Prowazek’s bodies- Trachoma
*Weibal-Palade bodies- EM finding in Tumour Of Vascular Origin
*Rokitansky bodies- Teratoma
*Schiller Duval bodies- Endodermal Sinus Tumour ( Yolk Sac T. )
*Levinthal-Cole Lillie (LCL) Bodies- Psitticosis
*Coccoid X bodies- Psitticosis
*Balbiani’S bodies- Yolk nucleus
*Bamboo Bodies- Asbestosis
*Ferruginous bodies- Asbestosis
*Mallory bodies- Alcoholic Hepatitis
*Chromatid bodies- Entamoeba histolytica precyst
*Donnes bodies- Colostrum carpuscles
*Ross bodies- Syphillis
*Winkler bodies- Syphillis
*Rushton bodies- Odantogenic cyst
*Herring bodies- Neurohypophysis
*Pick bodies- Pick’s disease
*Oken’s bodies- Mesonephros
*Reilly bodies- Hurler’s Syndrome
*Cystoid bodies- in Degenerated Retinal Nerve Fiber ( seen in cotton wool spot )
*Body of ARANTIUS- Aortic Valve Nodule
*Psammoma bodies- 1-Meningioma, 2-Papillary Ca of Thyroid, 3-Renal Cell Ca, 4-Papillary Serous Cystadeno Ca. of OVary