Medical Mnemonics


Best Medical Mnemonics #1

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Best Medical Mnemonics


Anatomy


Femoral sheath structures NAVEL (lateral to medial)

Nerve
Artery
Vein
Empty Space
Lymphatics
Heart Valve Auscultation SitesAll Patients Take Medications

Starting from top left:
Aortic – 2nd intercostal space, right sternal edge
Pulmonary – 2nd intercostal space, left sternal edge
Tricuspid – 4th intercostal space, right sternal edge
Mitral – 5th intercostal space, mid-clavicular line
Position of structures passing through the diaphragmI ate ten eggs at 12

T8 – IVC
T10 – Esophagus, vagus n.
T12 – Aorta, azygous vein, Thoracic duct

Biochemistry


Amino acid cotransporter in kidney COLA

Cysteine
Ornithine
Lysine
Arginine
Branched amino acids in maple syrup disease I Love Vermont maple syrup

Isoleucine
Leucine
Valine
Fructose intolerance and galactosemia enzyme deficiencies FAB GUT

Fructose is to Aldolase B as
Galactose is to UridylTransferase
Pyruvate dehydrogenase cofactors TLC For Nancy

Thiamine – B1
Lipoic acid
CoA
FAD
NAD

Biostats and Ethics


Malpractice Claim 4 ElementsDuty
Breach of that duty
Harm
Damage

Blood Pressure


Hypertension TreatmentABCD

A – ACE inhibitors/Angiotensin-II-antagonists (sometimes Alpha-agonists also)
B – Beta-blockers
C – Calcium channel blockers
D – Diuretics (Thiazides)
Hydrochlorothiazide Side Effects“HyperGLUC”

-hyperGlycemia
-hyperLipidemia
-hyperUricemia
-hyperCalcemia

*Hypokalemic metabolic alkalosis, hyponatremia
Vasodilators safe in Pregnancy Hypertensive Moms Love Nifedipine

Hydralazine
Methyldopa
Labetalol (and other B Blockers)
Nifedipine (and other CCBs)

Cardiology


Acute CHF/Pulm Edema TreatmentsNO LIP

Nitrates
Oxygen
Loop diuretic
Inotropic drugs
Positioning – upright to pool blood in legs, not lungs
Acute MI“Hurry! Arteries Clogged! Better give Nitro Stat!”

1) Heparin
2) Aspirin
3) Clopidogrel
4) beta-Blocker
5) Nitroglycerin
6) Statin
Acute Unstable Angina PresentationSCAR

S – Sudden central pain, ʻtearingʼ in nature, may radiate to the back
C – Coronary artery occlusion can lead to chest pain, MI or angina
pectoris/Carotid obstruction can lead to hemiparesis, dysphasia or blackouts
A – Anterior spinal artery can be affected leading to paraplegia
R – Renal artery can be affected leading to anuria or renal failure
Acute Unstable Angina Management2 As and BALI

A – Admit, bed rest, high-flow oxygen
A – Analgesia
A – Aspirin and clopidogrel

B – Beta blockers
A – Angiography with or without angioplasty/CABG if symptoms fail to improve
L – Low molecular weight heparin (LMWH)
I – Infusion of nitrates
Angina Lifestyle Alterations ManagementSLEW

S Smoking cessation
L Low-fat diet
E Exercise
W Weight loss
Antiarrhythmics No Bad Boy Keeps Clean

Na+ channel blockers
B Blockers
K+ channel blockers
Ca2+ channel blockers
Na+ channel blockers – Antiarrhythmic classes 1a Double Quarter Pounder
Disopyramide, Quinidine, Procainamide

1b Mayo Lettuce Tomato
Mexilitime, Lidocaine, Tocainamide

1c Fries Please
Flecainide, Propafenone
Bacterial Endocarditis symptoms FROM JANE

Fever
Roth spots
Osler nodes
Murmur
Janeway lesions
Anemia
Nail bed hemorrhage
Emboli
Carcinoid Syndrome Symptoms Be FDR

Bronchospasm/wheezing
Flushing
Diarrhea
Right-sided heart failure/murmur
Cardiac Arrest BLS ManagementABC

A – Airway: clear and maintain with chin lift/jaw thrust/head tilt (if no spinal injury)
B – Breathing: look, listen and feel, if not breathing give two life saving breaths
immediately
C – Circulation: carotid pulse for at least 10 s, if absent give 15 chest
compressions at 100/min

Continue the cycle of 2 breaths and 30 compressions and check the circulation every
minute, proceed to more advanced life support when possible.
Cardiac Arrest ALS ManagementCDE (with A after every step)

C – Cardiac monitor and defibrillator should be attached to the patient
A – Assess rhythm and pulse
D – Defibrillate x 3 if VF or pulseless VT, CPR for 1 min
A – Assess rhythm and pulse
E – EMD (no cardiac output despite ECG showing electrical activity) or asystole
warrants CPR for 3 min
A – Assess rhythm and pulse
Chest Pain/MI TreatmentMONA

Morphine
Oxygen
Nitroglycerin
Aspirin
Dilated CardiomyopathyABCCCD

Alcohol abuse
wet Berberi
Cocaine – chronic
Chagas disease
Coxsackie B virus
Doxorubicin toxicity
also pregnancy
Emboli TypesFAT BAT

Fat
Amniotic Fluid
Thrombus
Bacterial (endocarditis)
Air
Tumor
Restrictive Cardiomyopathy Types/causesLEASH

Loffler syndrome
Endocardial fibroelastosis
Amyloidosis
Sarcoidosis
Hemochromatosis
Rheumatic Heart Disease major criteria JONES

Joints – migratory polyarthritis
Heart – pancarditis
Nodules – subcutaneous
Erythema Marginatum
Sydenham Chorea – face, tongue, upper limb

Dermatology


Contact Dermatitis AllergensCONTACT

C – Cutaneous type IV reaction
O – Ointments and cosmetics containing lanolin
N – Nickel
T – Topical antibiotics can cause it (e.g. neomycin)
A – Autosensitisation can occur (secondary spread elsewhere)
C – Chromates (cement, leather)/Colophony (plasters, glues, inks)
T – Topical antihistamines and topical anesthetics (hemorrhoid creams) can
cause it
Impetigo PresentationIMPETIGO

I – Infection with Staphylococcus aureus, Streptococcus pyogenes or both
M – Mostly in young children
P – Particularly around nose and surrounding parts of face
E – Erythematous base with honey-coloured crusts
T – Treat with Topical antibiotic such as fusidic acid for localized lesions
I – Individuals are highly contagious from skin-to-skin contact; Improve hygiene;
do not share towels
G – Gram stain and culture of swab diagnostic
O – Oral flucloxacillin required for widespread impetigo
Layers of Epidermis Californians Like Girls in String Bikinis

Stratum corneum
Stratum lucidum
Stratum granulosum
Stratum spinosum
Stratum basalis
Lichen Planus6 P’s

Pruritic
Purple
Polygonal
Planar
Papules
Plaques
Melanoma DxABCD

Asymmetry
Border irregularity
Color – dark
Diameter – large
Pemphigus Vulgaris signs DAMN is a vulgar word

Desmosomes
Acantholysis
Mouth
Nikolskys sign – skin slides off when rubbed
Skin FunctionsSKIN

S – Specialised sensory innervation/Synthesize Vitamin D/Secretes pheromones
for Sex
K – Keeps out unwanted molecules, microbes or radiation/Keeps in water,
electrolytes and solutes
I – Immunological function; contains antigen-presenting cells
N – Normalises heat regulation
Squamous Cell Carcinoma PresentationS, CELL, C

S – Sun-exposed areas are usually affected: ears, dorsum of the hands, bald
scalp
C – Crusted, firm, irregular lesion
E – Excision used as treatment
L – Lower lip can be affected in smokers
L – Less likely to metastasise
C – Associated with Chronic inflammation such as venous leg ulcers
Tuberous sclerosis symptoms HAMARTOMAS

Hamartomas
Angiofibromas
Mitral regurgitation
Ash leaf spots
Rhabdomyoma (cardiac)
T[uberous sclerosis]
autosomal dOminant
Mental retardation
Angiomyolipoma
Seizures, shagreen patches

Drug-Induced


Drug-Induced LupusSHIPP

Sulfonamides
Hydralazine
Isoniazid
Procainamide
Phenytoin
Pellagra symptoms 4 D’s

Dermatitis
Diarrhea
Dementia
Death
Photosensitivity – Drug SESAT for Fhoto

Sulfonamides
Amiodarone
Tetracycline
(+Fluoroquinolones)

Endocrinology

Addison’s DiseaseADDISON

A – Autoimmune (90% cases)
D – Degenerative (amyloid)
D – Drugs (ketoconazole)
I – Infections (TB, HIV)
S – Secondary (low ACTH); hypopituitarism
O – Others – adrenal bleeding
N – Neoplasia (secondary carcinoma)
Cortisol EffectsBIG FIB

Inc Blood pressure
Inc Insulin resistance
Inc Gluconeogenesis, lipolysis, and proteolysis

Dec Fibroblast activity
Dec Inflammatory and Immune responses
Dec Bone formation
Cushing syndrome symptoms BAM, CUSHINGOID

Buffalo hump
Amenorrhea
Moon facies

Crazy (psychosis and agitation)
Ulcers
Skin Changes (acne, purple striae)
HTN
Infection
Necrosis of the femoral head
Glaucoma
Osteoporosis
Immunosuppression
Diabetes
Diabetes Mellitus ComplicationsKEVINS

K – Kidney: Nephropathy
E – Eye disease: retinopathy and cataracts
V – Vascular: coronary artery disease, cerebrovascular disease, peripheral
vascular disease
I – Infective: TB, recurrent UTIs
N – Neuromuscular; Peripheral neuropathy
S – Skin: Necrobiosis lipoidica diabeticorum, granuloma annulare, diabetic
dermopathy
DKA Propagating Factors“8 I’s”

Infection
Infarction
Insulin non-compliance
Ischemia
Iatrogenic (i.e. change in insulin regimen)
Incision
Initial (i.e. initial presentation of diabetes)
Ingestion (e.g. medications, cocaine, and other drugs)
Hormones that use cAMP signaling pathway
Gs
FLAT ChAMP

FSH
LH
ACTH
TSH

CRH
hCG
ADH – V2
MSH
PTH
Hormones that use IP3 signaling pathway
Gq
GOAT HAG

GnRH
Oxytocin
ADH – V1
TRH

Histamine – H1
Angiotensin II
Gastrin
Hyperthyroidism PresentationSWEATING

S – Sweating
W – Weight loss
E – Emotional lability
A – Appetite is increased
T – Tremor/Tachycardia due to AF
I – Intolerance to heat/Irregular menstruation/Irritability
N – Nervousness
G – Goitre and Gastrointestinal problems (loose stools/diarrhoea)
Hypothyroidism PresentationMOMʼS SO TIRED

M – Memory loss
O – Obesity
M – Malar flush/Menorrhagia
S – Slowness

S – Skin and hair become dry
O – Onset is gradual

T – Tired
I – Intolerance to cold
R – Raised blood pressure
E – Energy levels are low
D – Depressed
Insulin independent glucose uptake sitesBRICK L

Brain
RBCs
Intestine
Cornea
Kidney
Liver
MEN1, MEN2A, MEN2BPPP, MPP, MMP

Parathyroid MEN1
Pituitary
Pancreas

Parathyroid MEN2A
Pheochromocytoma
Medullary Thyroid Cancer

Pheochromocytoma MEN2B
Medullary Thyroid Cancer
Mucosal Neuroma
Primary hyperparathyroidism symptoms Stones, Bones, Abdominal groans, Thrones, and Psychiatric overtones

Stones – renal and biliary
Bones – bone pain
Abdominal groans – abdominal pain, N/V
Thrones – polyuria
Psychiatric overtones – depression, anxiety
Sleep StagesBATS Drink Blood

Beta – awake/alert
Alpha – awake/relaxed
Theta – stage 1
Sleep Spindles and K complexes – stage 2
Delta – stage 3
Beta – REM

Gastroenterology


Abdominal Distension Causes6 Fʼs

F Fat
F Fetus
F Flatus
F Faeces
F Fluid
F Flipping great tumor
Acute Pancreatitis CausesBAD HHITS

Biliary stones
Alcohol abuse
Drugs – HIV drugs, ritonavir, sulfa drugs
Hypertriglyceridemia
Hypercalcemia
Idiopathic
Trauma
Scorpion sting
Chronic Liver Disease PresentationABCDEFGHIJ

A – Asterixis (ʻliver flapʼ)/Ascites/Ankle oedema/Atrophy of testicles
B – Bruising/BP.
C – Clubbing/Colour change of nails; white (leuconychia)
D – Dupuytrenʼs contracture
E – Erythema (palmar)/Encephalopathy
F – hepatic Foetor
G – Gynaecomastia
H – Hepato splenomegaly
I – Increase in size of parotids
J – Jaundice
Crohn’s Disease a CROw SKIPS along a COBBLESTONE path while pulling a GRAin on A STRING

– CROw = Crohn’s disease
– SKIPS = skip lesions
– Cobblestone = cobblestoning
– GRAin = granulomas
– STRING = string sign

CHRIS Has Too Much Diarrhoea and Abdominal pain

C – Cobblestone appearance of mucosa
H – High temperature
R – Reduced lumen/Rose-thorn ulcers
I – Intestinal fistulae/Ileo-caecal region commonly involved (40% of cases)
S – Skip lesions
H – Hyperplasia of mesenteric lymph nodes
T – Transmural inflammation (all layers, may ulcerate)
M – Malabsorption
D – Diarrhoea (watery)
A – Abdominal pain
Gallstones 4F’sFat
Fertile
Female
over Forty
Ulcerative ColitisULCERS IN Abdomen

U – Ulcers (mucosal and submucosal)
L – Large intestine (rectum always involved. May extend proximally to involve
entire colon)
C – Clubbing
E – Extra-intestinal manifestations
R – Remnants of old ulcers (pseudopolyps)
S – Stools bloody
I – Inflamed, red, granular mucosa and sub mucosa
N – Neutrophil invasion
A – Abscesses in crypts
Ulcerative Colitis ComplicationsHow To Perform GI Colonoscopy

H – Haemorrhage
T – Toxic megacolon
P – Perforation
G – Gallstones
C – Colorectal carcinoma (in those with extensive disease for > 10 years)
Plummer Vinson syndrome triad DIE

Dysphagia
Iron deficiency anemia
Esophageal webs
Retroperitoneal Structures A DUCK PEAR

Adrenal glands
Duodenum
Ureters
Colon
Kidneys
Pancreas
Esophagus
Aorta
Rectum
Signet ring cells diseasesGastric Adenocarcinoma
Lobular Carcinoma In Situ

Genetics


Autosomal dominant disordersMARFAHN

Marfan, MEN
Acute intermittent porphyria
Retinoblastoma
Familial hypercholesterolemia, FAP
ADPKD
Huntington’s, Hereditary spherocytosis
NF type 1
Lesch Nyhan syndrome symptoms HGPRT absence

Hyperuricemia
Gout
Pissed off – agitation, self-mutilation
Retardation
dysTonia
mRNA stop codons UGA – U Go Away
UAA – U Are Away
UAG – U Are Gone
Prader Willi vs Angelman Syndrome POP

Prader Willi
Overeating and obesity
Paternal gene deletion

MAMA

Maternal gene deletion
Angelman
Mood – inappropriate laughter
Ataxia
X linked disorders Oblivious Female Will Give Her Boys Her x Linked Disorders

Ocular albinism
Fabry disease
Wiskott-Aldrich
G6PD deficiency
Hunter syndrome
Bruton agammaglobulinemia
Hemophilia A and B
Lesch-Nyhan syndrome
Duchenne muscular dystrophy

Hematology


Erythropoiesis sites Young Livers Synthesize Blood

Yolk sac
Liver
Spleen
Bone marrow
Leukemia LEUKEMIA

L – Light skin (pallor)
E – Energy decreased/Enlarged spleen, liver, lymph nodes
U – Underweight
K – Kidney failure
E – Excess heat (fever)
M – Mottled skin (hemorrhage)
I – Infections
A – Anaemia
Microcytic anemia TAILS

T = Thalassemias
A = Anemia of chronic disease (occasionally)
I = Iron deficiency
L = Lead poisoning
S = Sideroblastic anemia (e.g. copper deficiency, B6 deficiency)
Sickle Cell DiseaseSICKLE

S – Splenomegaly/Sludging
I – Infection
C – Cholelithiasis
K – Kidney – haematuria
L – Liver congestion/Leg ulcers
E – Eye changes
Target cells on Blood SmearTHAL

Thalassemia
Hemoglobin C disease
Asplenia
Liver disease
ThrombocytopeniaPLATELETS

P – Platelet disorders: TTP, ITP, DIC
L – Leukaemia
A – Anaemia
T – Trauma
E – Enlarged spleen
L – Liver disease
E – Ethanol
T – Toxins: benzene, heparin, aspirin, chemotherapy.
S – Sepsis

Immunology


DiGeorge syndrome CATCH 22

Cardiac abnormalities – tetralogy of Fallot, truncus arteriosus
Abnormal facies
Thymic hypoplasia
Cellular immune deficiency, Cleft palate
Hypoparathyroid with hypocalcemia – tetany
22q11 gene deletion
Eosinophilia CausesDNAAACP

Drugs
Neoplasm
Atopic dieseases (allergy, asthma, churg-strauss)
Addison disease
Acute interstitial nephritis
Collagen vascular disease
Parasites (Ascaris)
HLA B27 Diseases
(Seronegative spondyloarthropathies)
PAIR

Psoriatic arthritis
Ankylosing spondylitis
IBD
Reactive arthritis – Reiter syndrome
IL 1-5 functions Hot T Bone stEAk

IL 1 – fever
IL 2 – T cell stimulator
IL 3 – stimulates bone marrow stem cell growth
IL 4 – IgE production – asthma, allergy
IL 5 – IgA and eosinophil production – helminth infection
Lupus can cause what heart problem SLE causes LSE
LSE – Libman-Sacks endocarditis
T3 functions 4 Bs

Brain maturation
Bone growth
Beta-adrenergic effects – B1 in heart
BMR inc
Wiskott Aldrich Syndrome WAITER

Wiskott
Aldrich
Immunodeficiency
Thrombocytopenia and purpura
Eczema
Recurrent pyogenic infections
X Linked Immunodeficiencies WACH

Wiskott Aldrich
Bruton Agammaglobulinemia
Chronic granulomatous disease
Hyper IgM syndrome

Infectious Diseases


Aerobic Bacteria Nagging Pests Must Breathe

Nocardia
Pseudomonas
Mycobacterium Tuberculosis
Bacillus
Ampicillin and Amoxicillin Clinical Uses HEELPSS

H flu
E coli
Enterococci
Listeria
Proteus mirabilis
Salmonella
Shigella
Blastomycosis BLAS-tomycosis

Bones
Lungs
And
Skin
Cephalosporins are LAME against LAME

Listeria
Atypical pneumonia (mycoplasma, chlamydia)
MRSA
Enterococci
Culture (-) bacterial endocarditis HACEK

Haemophilus
Actinobacillus
Cardiobacterium
Eikenella
Kingella
Encapsulated organisms Even Some Pretty Nasty Killers Have Shiny Bodies

E. coli – some
S. pneumonia
P. aeruginosa
N. meningitidis
Klebsiella
H. influenza
Salmonella typhi
group B strep
+ Cryptococcus
GastroenteritisLESS GERMS

L – Listeria
E – Escherichia coli
S – Staphylococcus aureus
S – Salmonella
G – Giardia lamblia
E – Entamoeba histolytica
R – Rotavirus
M – Mushrooms
S – Shigella
Gram (-) Use
1st Generation Cephalosporins
Gram (-) PEcK

Proteus
E. coli
Klebsiella
Gram (-) Use
2nd and 3rd Generation Cephalosporins
Gram (-) HENS PEcK

H. influenza
Enterobacter
Neisseria (3rd is better)
Serratia
Proteus
E. coli
Klebsiella
(3rd add Citrobacter)
HIVHIV

H – Homosexuals (note the rising incidence in Heterosexuals too)/Haemophiliacs
IV – IV drug abusers
Lactose Fermenters – pink on MacConkey CEEK

Citrobacter
Enterobacter
Escherichia
Klebsiella
LeprosyLEProsy

L – Loss of sensation in affected skin/Loss of function (paralysis)
E – Enlargement of affected superficial nerves (tender too)
P – Positive identification of M. leprae under microscope
MalariaHeard A Mosquito (early sxs)
H – Headache
A – Anorexia
M – Myalgia/Malaise

Feel Rather Cold (later sxs)
F – Fever (peaks every third day, i.e. tertian)
R – Rigors
C – Chills
Meningitis – BacterialNHS

N – Neisseria meningitides (children and adults; meningococcus)
H – Haemophilus influenzae (children)
S – Streptococcus pneumoniae (adults and elderly)/(Streptococcus produces the
Severest meningitis)/Viral
Meningitis – Fungal2 Cʼs

C – Cryptococcus (associated with HIV infection)
C – Candida
Meningitis – ViralV MECH

V – VZV
M – Mumps
E – Enterovirus/EBV
C – Coxsackie virus types A and B
H – Haemophilus influenzae/HIV/HSV
Metronidazole susceptible organisms GET GAP on the Metro

Giardia
Entamoeba
Trichomonas
Gardnerella vaginalis
Anaerobes (Bacteroides, c.diff)
H.Pylori
Non Lactose Fermenters – White on MacConkeysShYPS

Shigella – nonmotile, non H2S producer
Yersinia – nonmotile, non H2S producer
Proteus – motile, H2S producer
Salmonella – motile, H2S producer
Obligate anaerobes Anaerobes Can’t Breathe Air

Clostridium
Bacteroides
Actinomyces

*lack catalase and/or superoxide dismutase
Painful vs painless ulcers Some Girls Love Licorice but Fellows Hate Candy

Syphilis
Granuloma Inguinale
Lymphogranuloma venereum
painLess (above)
painFul (below)
Herpes simplex
Chancroid
Reportable diseases STDs
Viral hepatitis
Vaccine-preventable infections
Diarrheal illnesses
Tuberculosis
Strep Pneumo #1 CausesMOPS

Meningitis
Otitis media
Pneumonia
Sinusitis
TORCHeS infections with assoc symptomsTORCHeS

symptoms of all:
baby = jaundice, hepatosplenomegaly, thrombocytopenia, growth retardation
mother = only mild symptoms

Toxoplasma – toxo (3) chorioretinitis, hydrocephalus, intracranial calcifications
Other – parvovirus B19 – hydrops fetalis in utero
Rubella – PDa, cataracts, deafness, blueberry muffin rash
CMV – unilateral hearing loss, seizure and toxo (3)
HIV
HSV – temporal lobe encephalitis and vesicular lesions
Syphilis

Muskuloskeletal


Hamstring muscles Boys To Men (lateral to medial)

Biceps femoris
semiTendinosus
semiMembranosus
Lateral ankle sprain ATFL

Always Tears First Ligament
Anterior TaloFibular Ligament
Rotator Cuff muscles SItS

Supraspinatus
Infraspinatus
teres minor
Subscapularis

Nephrology

Acute Interstitial Nephritis (AIN) caused by Drugs5 P’s

Pee – diuretics
Pain-free – NSAIDs
Penicillins and cephalosporins
Proton pump inhibitors
rifamPin

Pheny and Flo SAID Didi CRAPS

1) Phenytoin
2) Fluoroquinolones
3) NSAIDs
4) Diuretics
5) Cephalosporins
6) Rifampin
7) Allopurinol
8) Penicillin
9) Sulfa drugs
Normal Anion Gap acidosis (hyperchloremic) HARD ASS

Hyperalimentation
Addison disease
Renal tubular acidosis
Diarrhea
Acetazolamide
Spironolactone
Saline infusion
High Anion Gap Acidosis causesMUDPILES

Methanol
Uremia – renal failure
Diabetic ketoacidosis
Propylene glycol
Iron tablets/Isoniazid
Lactic acid
Ethylene glycol – antifreeze
Salicylates – ASA
Hypercalcemia CausesStones, Bones, Groans, Thrones and Psychiatric overtones

Stones – renal
Bones – pain
Groans – abdominal pain
Thrones – inc urinary frequency
Psychiatric overtones – anxiety, altered mental status
Hyperkalemia CausesDO Insulin LAB
Shifts K out of cell 

Digitalis
hyperOsmolarity
Insulin deficiency
Lysis of cells
Acidosis
Beta-blockers
Hypernatremia Causes6 D’s

Diuretics
Dehydration
Diabetes Insipidus
Docs (iatrogenic)
Diarrhea
Disease of the kidney
Metabolic Acidosis “GOLD MARK”

Glycols (ethylene and propylene glycol)
Oxoproline (glutathione metabolite; i.e. associated with ACETAMINOPHEN use)
L-lactate (“normal” lactate produced by human cells)
D- lactate (formed by bacteria; SHORT BOWEL SYNDROME = primary cause of D-lactic acidosis)

Methanol
Aspirin
Renal failure (uremia)
Ketoacidosis
Nephritic Syndrome“PIg ARM”

P = Post-infectious GN
Ig = IgA nephropathy
A = Alport syndrome
R = RPGN (Rapidly Progressive GN)
M = MPGN (Membranoproliferative GN)
Nephrotic Syndrome“My Feet And My Digits Swell”

M = MCD (Minimal change disease)
F = FSGS (Focal segmental glomerulosclerosis)
A = Amyloidosis
M = Membranous GN (diffuse Membranous GN)
D = Diabetic nephropathy
S = SLE nephropathy
Pheochromocytoma Rule of tens:

10% malignant
10% bilateral
10% extra-adrenal
10% calcify
10% in children
Potter Sequence POTTER

Pulmonary hypoplasia
Oligohydramnios
Twisted skin
Twisted face
Extremities
Renal agenesis
Renal clearance equation UV over Pee

UV/P
U = urine concentration of substance
V = urine flow rate
P = plasma concentration
Renal Failure ConsequenceMAD HUNGER

Metabolic Acidosis
Dyslipidemia – inc TG
Hyperkalemia
Uremia
Na/H2O retention – HF, pulm edema, HTN
Growth retardation and developmental delay
Erythropoietin failure – anemia
Renal osteodystrophy – dec Ca, inc phosphate, dec vit D
Renal papillary necrosisSAAD papa with papillary necrosis

Sickle cell disease or trait
Acute pyelonephritis
Analgesics – NSAIDs
Diabetes
Renal Tubular Defects Fanconi comes First, rest are alphabetical

Fanconi syndrome – defect of PCT – excretion of glucose, AAs, electrolytes, etc
Bartter syndrome – defect in thick ascending loop of henle – presents like loop diuretic – hypokalemia, hypercalciuria, metabolic alkalosis
Gitelman syndrome – defect of NaCl reab in DCT – presents like thiazide diuretic – hypokalemia, hypomagnesemia, hypocalciuria, metabolic alkalosis
Liddle syndrome – inc Na reab in cllecting tubule – presents like hyperaldosteronism – HTN, hypokalemia, metabolic alkalosis
Urge incontinence TxOn The Darn Toilet

Oxybutynin
Tolterodine
Darifenacin/Solifenacin
Trospium
Wilms tumor WAGR

Wilms tumor/WT1 gene deletion
Aniridia
GU malformations
mental Retardation

Neurology


AICA lesion symptoms Facial droop means aica’s pooped
Facial droop
Antiparkinson Drugs SALAD:
S – Selegiline
A – Anticholinenergics (trihexyphenidyl, benzhexol, orphenadrine)
L – L-Dopa + peripheral decarboxylase inhibitor (carbidopa, benserazide)
A – Amantadine
D – Dopamine postsynaptic receptor agonists (bromocriptine, lisuride, pergolide, pramipexole)

Benztropine (Cogentin)

Stimulates parasympathetic nervous system. Nausea, Diarrhea.
Branches of the facial nerveTo Zanzibar By Motorcar

T – Temporal nerve
Z – Zygomatic nerve
B – Buccal nerve
M – Marginal mandibular nerve
C – Cervical nerve
Cranial BonesPEST OF 6

P – Parietal
E – Ethmoidal
S – Sphenoid
T – Temporal

O – Occipital
F – Frontal

6 – This indicates the number of bones
Cranial nerves in the brainstem Rule of 4s:

4 above the pons – 1-4
4 in the pons – 5-8
4 in the medulla – 9-12
4 medial/midline nuclei – 3,4,6,12 – factors of 12
Delirium CausesI WATCH DEATH

Infection

Withdrawal
Acute metabolic/Substance Abuse
Trauma
CNS pathology
Hypoxia

Deficiencies
Endocrine
Acute vascular/MI
Toxins/drugs
Heavy metals
Hypothalamus nuclei lesions Lateral – hunger – If you zap your lateral area, you shrink laterally
Ventromedial – satiety – if you zap your ventromedial area, you will grow ventrally and medially
Anterior – cooling – A/C
Posterior – heating
Suprachiasmatic – circadian rhythm – you need sleep to be charismatic
Lateral (Side) structures (4) that start with “S” and associated deficits Spinocerebellar pathway – ipsilateral arm and leg ataxia
Spinothalamic pathway – contralateral loss of pain and temp in arm, leg, and trunk
Sensory nucleus of CN V – ipsilateral loss of pain and temp on part of face supplied by CN V
Sympathetic pathway – ipsilateral horner syndrome
Limbic System 5 Fs5 Fs

Feeding
Fleeing
Fighting
Feeling
Sex – F***ing
Midline structures(4) that start with “M” and associated deficits Motor pathway – corticospinal tract – contralateral arm and leg weakness
Medial lemniscus – contralateral loss of vibration and proprioception in arm and leg
MLF – ipsilateral internuclear ophthalmoplegia
Motor nucleus and nerve – ipsilateral defect of affected – 3,4,6,12
MigraineEAT FUN

E – Episodic
A – Aura – zigzag lines
T – Throbbing headache

F – Family history/F(p)hoto-phobia
U – Unilateral
N – Nausea and vomiting
Multiple Sclerosis Charcot TriadSIIIN

Scanning speech
Intention tremor
Incontinence
Internuclear ophthalmoplegia
Nystagmus
Nucleus Solitarius function

Nucleus aMbiguous function
S – visceral Sensory info – taste, baroreceptors

M – Motor innervation of swallowing – pharynx, larynx, upper esophagus
Neural crest cell derivatives MAGIC COPS

Melanocytes
Aorticopulmonary septum
Ganglia – pns, drg, celiac, ans
Iris stroma
Chromaffin cells
Cranial nerves
Odontoblasts/ossicles
Parafollicular (C) cells
Sclerae
Parkinson’s SxTRAPS

Tremor – pill-rolling at rest
Rigidity – cogwheel
Akinesia – bradykinesia
Postural instability
Shuffling gait
Pica lesion symptoms Don’t pick a horse that cant eat

Pick a – pica
Horse – hoarseness
Cant eat – dysphagia
Stroke – investigations4 Ps

P – Plasma: FBC, U&E, ESR, glucose, lipids
P – Pump, i.e heart (ECG, echocardiogram)
P – Pipes: carotid Doppler ultrasound
P – Picture of brain: CT/MRI; detects ischaemia or haemorrhages
Stroke – managementABCDEFGHI

A – Advice – lifestyle changes e.g. stop smoking, reduce alcohol intake, lose
weight
B – BP control
C – Cholesterol control
D – Diabetes control
E – Elastic stockings (prophylaxis for DVT, PE)
F – Fibrillation (anticoagulant, rate control and cardiovert as required)
G – Guardian drugs (aspirin, ACE inhibitors, etc)
H – Help from occupational therapy (OT), speech and language therapy (SALT)
and specialist stroke nurse
I – Incontinence care and limit Immobility (pressure sores and contractures may
develop otherwise)

Nutrition


Kwashiorkor SxFLAME

Fatty Liver
Anemia
Malnutrition of protein and energy
Edema

OBGYN


Cervical Cancer Increased RiskMILD H

M = Multiple pregnancy (i.e. multiparity)
I = Infection (e.g. HPV, HIV, chlamydia)
L = Lifestyle (e.g. smoking, multiple partners, early age at coitus, pregnancy prior to age 17)
D = Drugs (e.g. Diethylstilbestrol (DES) exposure)
H = History (e.g. family history of cervical cancer)
Endometrial Carcinoma Risk FactorsHHONDA

Hyperplasia
HTN
Obesity
Nulliparity
Diabetes
Anovulatory state
Labor – onsetReady Mom for Some Discomfort

R – Regular and painful uterine contractions
M – Membranes ruptured
S – ʻShowʼ
D – Dilatation and effacement of cervix
Labor – determine rate and outcome3 Pʼs

P – Powers: strength of the uterine contractions
P – Passages: size of the pelvic inlet and outlet
P – Passengers: fetus – is it big or small, does it have anomalies, is it alive or
dead?
Menopause symptomsHAVOCS

Hot flashes
Atrophy of the Vagina
Osteoporosis
Coronary artery disease
Sleep disturbances
Quad Screening for Trisomy 21 and 18Trisomy 21 = “2 up, 2 down”
– increased Inhibin-A
– increased beta-hCg
– decreased AFP
– decreased estriol

Trisomy 18 = “still UNDERage at 18”
– decreased AFP, estriol, beta-hCG, and inhibin A
Teratogens Clarithromycin – embryotoxic
Sulfonamides – kernicterus
Aminoglycosides – ototoxicity
Fluoroquinolones – cartilage damage
Metronidazole – mutagenesis
Tetracyclines – discolored teeth, inhibition of bone growth
Ribavirin
Griseofulvin

Oncology


Bone Tumor Xray findings osteoCHondroma -CHunk of bone
osteoCLastoma -clean, soap bubble appearance
osteoSarComa -Sunburst pattern, Codman’s triangle
Ewing sarcoma -onion rings, onion skinning
Burkitt lymphoma gene translation 8urki14 (Burkitt)
Cancers with Psammoma Bodies PSaMMoma

Papillary carcinoma of the thyroid
Serous cystadenocarcinoma of the ovary
Meningioma
Mesothelioma
EPO producing tumors Potentially Really High Hematocrit

Pheochromocytoma
RCC
HCC
Hemangioblastoma
Mets to BonePermanently Relocated Tumors Like Bone

Prostate
RCC
Testes/Thyroid
Lung
Breast
Mets to Brain Lots of Bad Stuff Kills Glia

Lung
Breast
Skin (melanoma)
Kidney (RCC)
GI tract (colon cancer)
Mets to Liver Cancer Sometimes Penetrates Benign Liver

Colon
Stomach
Pancreas
Breast
Lung
Tumor Lysis Syndrome PiKachU 45678 = 2 out of 4 for diagnosis of tumor lysis syndrome

– Phosphorus >4.5
– K >= 6.0
– Ca <= 7.0
– Uric acid >= 8.0

Orthopedics


Olecranon bursitis (and other aseptic bursitis) TreatmentC PRIME

C = Compression (typically with elastic dressings)
P = Protection of joint (with padding or braces)
R = Rest (avoid pain exacerbating movements)
I = Ice
M = Medication (NSAIDs and tylenol)
E = Elevation (above heart level)

*NOTE: injection (i.e. steroids) NOT recommended

Pediatrics


APGAR score Appearance
Pulse
Grimace
Activity
Respiration
Branchial arch derivatives 1 – Ms and Ts
2 – Ss
3 – pharyngeal
4 – cricothyroid
6 – larynx

Or

Chew, smile, swallow stylishly, then simply swallow, and speak
Kawasaki disease symptoms CRASH and burn

Conjunctival infection
Rash – desquamating
Adenopathy – cervical
Strawberry tongue
Hand and foot changes – edema
fever
Mesodermal defects VACTERL

Vertebral defects
Anal atresia
Cardiac defects
Tracheo Esophageal fistula
Renal defects
Limb defects – bone and muscle

Psychiatry


Antipsychotics The Pines, Zines, & Dones were crazy.

ClozaPINE
OlanzaPINE
QuetiaPINE
ProchlorperaZINE
FluphenaZINE
TrifluoperaZINE
ChlorpromaZINE
RisperiDONE
ZiprasiDONE

iSHADE

i – impotence
S- sedation
H – hypotension
A – Akathisia
D – Dermatological SEs
E – Extrapyramidal reactions (acute dystonias, rigidity, tremor, tachycardia)
Benzodiazepines Ben SCAMs Pam into seduction not by brain but by muscle

Medications end mostly in PAM. (Except: Poxide/Pate)

S – Sedation

C – anti-“C”onvulsant

A – anti-Anxiety

M – Muscle relaxant

Not by brain: No antipsychotic activity.

Benzodiazepines: antidote “Ben is off with the flu”:
Flumazenil

The nonbenzo got on the bus and left the group.
BUSpirone

Enhances Inhibitory GABA Effects
Lithium Lithium: side effects LITH
Therapeutic Range ( 0.6 – 1.2)

L – Leukocytosis ( Less than 3000)
I – Insipidus [diabetes insipidus, tied to polyuria]
T – Tremor/ Teratogenesis
H – Hypothyroidism
Major Depressive Disorder CriteriaSIGDECAPS

Sleep
Interest
Guilt
Depression
Energy
Concentration
Appetite
Psychomotor
Suicide – thoughts of death
Manic or Hypomanic episode CriteriaDIG FAST

1 week or more = Manic
4-7 days = hypomanic

Distractibility
Impulsivity
Grandiosity
Flight of ideas
Activities/psychomotor agitation
Sleep – reduced need
Talkativeness
MAOIs HAHA, Ma owes “Phenel” & “Isocar” a “Tranny”

(PIT – Pit of despair)
“P”henelizine
“I”socarboxazid
“T”ranylcypromine

H – Hypertension/Hypertensive Crisis
A – Anticholinergic Side Effects
H – Hepatocellular Jaundice
A – Arrhythmia/Anorexia
Serotonin Syndrome They were HARMED

H – Hyperthermia
A – Autonomic Instability (Delirium)
R – Rigidity
M – Myoclonis (spasmodic jerky contraction of groups of muscles.)
E – Encephalopathy
D -Diaphoresis
SSRI’s Ser Ox Pram BAD SSRI

SERtraline
ParOXetine
FLUOXamine
FLUOXetine
CitaloPRAM
EscitaloPRAM

B – Body weight increase
A – Anxiety
D – Dizziness

S – Serotonin Syndrome
S – Stimulated CNS
R – Reproductive/Sexual dysfunction
I – Insomnia
TCA’s Mean (mine) & depressed They Cried Antidepressants (TCAs).

ImipraMINE
desipraMINE
TrimipraMINE
PratriptylINE
AmitriptylINE
ClomipraMINE

T – Thrombocytopenia
C – Cardiac (Arrhythmia, MI, Stroke)
A – Anticholinergic (Tachycardia, Urinary Retention Blurred vision, Constipation/Confusion)
S – Seizures
Valproic Acid Side Effectsside effects VALPROATE:

V – Vomiting
A – Alopecia
L – Liver toxicity
P – Pancreatitis/ Pancytopenia
R – Retention of fats (weight gain)
O – Oedema (peripheral edema)
A – Appetite increase
T – Tremor
E – Enzyme inducer (liver)

(Anticonvulsant) called Depakote
Carbamazepine – Tegretol

Pulmonology

ARDS CausesSPARTAS

Sepsis
Pancreatitis, pneumonia
Aspiration
uRemia
Trauma
Amniotic fluid embolism
Shock
Oxygen-Hemoglobin dissociation curve – Right shift (decreased affinity for O2) Inc BAT ACE

BPG (2,3-BPG)
Altitude
Temperature
Acid
CO2
Exercise
Relation of Pulmonary Artery to Bronchus at each hilus RALS

Right
Anterior
Left
Superior
Tuberculosis TreatmentRIPE

Rifampin
Isoniazid
Pyrazinamide
Ethambutol

Rheumatology


Sarcoidosis symptoms A GRaUELING Disease
inc ACE


Gammaglobulinemia
Rheumatoid arthritis
Uveitis – eye
Erythema nodosum – skin nodules
Lymphadenopathy – hilar is common
Idiopathic
Non-caseating
Granulomas
inc vitamin D
also inc Ca2+
Scleroderma/CREST syndrome CREST

Calcinosis
Raynauds phenomenon
Esophageal dysmotility
Sclerodactyly
Telangiectasia
Sjogrens syndrome symptoms Cant see, cant spit, cant climb up shit
Cant see – dry eyes
Cant spit – xerostomia – dry mouth
Cant climb up shit – arthritis

Substance Abuse


Alcohol/Drug screening in childrenCRAFFT

– Car = have you ridden in a CAR driven by someone who was intoxicated or high?
– Relax = do you use alcohol or other substances to RELAX or fit in?
– Alone = do you use drugs or alcohol while ALONE?
– Forget = do you ever FORGET what you did while using drugs or alcohol?
– Friends = do your FRIENDS or family ever recommend that you cut down on drugs or alcohol use?
– Trouble = have you ever been in TROUBLE while using drugs or alcohol?

*NOTE: each question is 1 point and anything >1 is concerning for possible substance dependence
Alcohol Use AssessmentCAGE

Cut back
Annoyance
Guilt
Eye opener
Alcohol – Korsakoff Psychosis RACK

R = Retrograde amnesia
A = Anterograde amnesia
C = Confabulations
K = Korsakoff psychosis
Aspirin Overdose PresentationDAFT HID (early symptoms)

D – Deafness
A – Appear flushed
F – Fever
T – Tinnitus
H – Hyperventilation
I – Increased sweating
D – Dizziness
OPIOIDs Side Effects Opioids: effects BAD AMERICANS

B – Bradycardia & hypotension
A – Anorexia
D – Diminished pupillary size

A – Analgesics
M – Miosis
E – Euphoria
R – Respiratory depression
I – Increased smooth muscle activity (biliary tract constriction)
C – Constipation
A – Ameliorate cough reflex
N – Nausea and vomiting
S – Sedation
Paracetamol OverdoseCOMAH

C – Chronic alcohol abusers
O – On drugs that increase cytochrome P450 activity, anti-TB drugs
M – Malnourished individuals
A – Anorexic patients
H – HIV patients
Pupil dilation COwLA

Cocaine
Opiate withdrawal
LSD
Amphetamines
Wernicke EncephalopathyCOAT

C = Confusion
O = Ophthalmoplegia
A = Ataxic gait
T = Thiamine deficiency

Toxicology


Lead poisoning symptoms LEADS

Lead lines – burton lines
Encephalopathy and erythrocyte basophilic stippling
Abdominal colic and sideroblastic Anemia
Drops – wrist and foot. Dimercaprol and EDTA are treatment.
Succimer used in kids

Vascular


Classic pathway activation GM makes Classic cars

IgG and IgM bound to antigen binds C1 and activates the classical pathway of complement
DIC causesSTOP Making Thrombi

Sepsis
Trauma
Obstetric complications
acute Pancreatitis
Malignancy
Transfusion
Factors affected by a Vit K deficiency diSCo started in 1972
Proteins S and C
Factors X, IX, VII, II
HIT probability“4 T’s”

Thrombocytopenia
Timing
Thrombosis
oTher causes of thrombocytopenia
Immune Thrombocytopenic Purpura (ITP) CausesMAID

M – Malignancy
A – Autoimmune diseases: SLE, thyroid disease, RA
I – Infections: malaria, EBV, HIV/Idiopathic (commonest cause)
D – Drugs, e.g. quinine
Immune Thrombocytopenic Purpura (ITP) PresentationBBC

B – Bruising
B – Bleeding: mucosal and nasal
C – Cycles heavy; menorrhagia
TTP sx
(Thrombotic Thrombocytopenic Purpura)
FAT RN (Pentad)

Fever
Anemia
Thrombocytopenia
Renal Failure
Neurological symptoms

Urology


Sperm Pathway during EjaculationStEVE

Seminiferous tubules
Epididymis
Vas deferens
Ejaculatory duct
Testicular Cancer TreatmentEradicate Ball Cancer

Etoposide
Bleomycin
Cisplatin

Pharmaceuticals


Adrenergic receptor – G protein (s, i, q) Kiss (qiss) and Kick (qiq) until you are Sick (siq) of Super Kinky Sex (sqs)

A1 – q M1 – q D1 – s
A2 – i M2 – i D2 – i
B1 – s M3 – q H1 – q
B2 – s H2 – s
V1 – q
V2 – s
Gq receptors Cutesies HAVe 1 M&M
QCs
H1 A1 V1
M1 M3

Gq – Phospholipase C – PIP2 -> IP3 -inc Ca2+
-> DAG – Protein Kinase C
Gs and Gi receptors Gi – MAD 2s
M2 A2 D2

Gs – the rest
B1 B2 D1 H2 V2

Gs (+)
–> Adenylyl Cyclase –
Gi (-) ATP -> cAMP – Protein Kinase A
Aminogylcoside toxicity NOT

Nephro
Oto
Teratogenic
Antibiotics to avoid in pregnancy Colored educations seek killer atlases once focused conditioned doorbells meet meticulous technical twigs respectful tonsils get truths

Clarithromycin – embryotoxic
Sulfonamides – kernicterus
Aminoglycosides – ototoxic
Fluoroquinolones – cartilage damage
Metronidazole – mutagenesis – 1st trimester
Tetracyclines – yellow teeth, inhibits bone growth
Ribavirin – teratogenic
Griseofulvin – teratogenic
Anticholinergic Side Effects ABCs

A – Anorexia
B – Blurred vision
C – Constipation
‘S – Stasis of Urine
Antihistamines HISTory of Water

hydroxyzine
hydrochloride
hydroxyzine
Cholinergic Agonist toxicity DUMBBELSS

Diarrhea
Urination
Miosis
Bronchospasm
Bradycardia
Excitation of skeletal muscle + CNS
Lacrimation
Salivation
Sweating
Corticosteroids Side EffectBAM CUSHINGOID

Buffalo hump
Amenorrhea
Moon facies

Crazy (psychosis, agitation)
Ulcers
Skin changes
Hypertension
Infection
Necrosis of femoral head
Glaucoma and cataracts
Osteoporosis
Immunosuppression
Diabetes
Disulfiram-like reactions Metronidazole
Certain cephalosporins
Procarbazine
1st gen sulfonylureas
Drugs that act on microtubules Microtubules Get Constructed Very Poorly

Mebendazole
Griseofulvin
Colchicine
Vincristine/Vinblastine
Paclitaxel
Drugs that prolong QT and risk Torsades Some Risky Meds Can Prolong QT

Sotalol
Risperidone
Macrolides
Chloroquine
Protease inhibitors
Quinidine
Thiazides
Gynecomastia causing drugs Some Dope Drugs Easily Create Awkward Hairy DD Knockers

Spironolactone
Dope (marijuana)
Digoxin
Estrogens
Cimetidine
Alcohol (chronic)
Heroin
Dopamine D2 antagonists
Ketoconazole
Macrolide uses PUS

Pneumonia – atypical
URI
STDs – chlamydia, gonorrhea
Parasympathetic Inhibition (Antimusc/antichol)Hot as a Hare – hyperpyrexia
Red as a Beet – flushing
Blind as a Bat – mydriasis, cycloplegia
Dry as a Bone – lack of salivation/sweating
Mad as a Hatter – confusion/delerium
Bloated as a Toad – constipation and urinary retention
+Tachycardia
Drugs that exhibit zero-order kinetic elimination PEA

Phenytoin
Ethanol
Aspirin
P450 inducers Guinness, Coronas, and PBRS induce chronic alcoholism

Griseofulvin
Carbamazepine
Phenytoin
Barbiturates
Rifampin
St. Johns Wort
Chronic Alcoholism
P450 inhibitors CRACK AMIGOS

Cimetidine
Ritonavir (protease inhibitors)
Amiodarone
Ciprofloxacin
Ketoconazole
Acute alcohol use
Macrolides
Isoniazid
Grapefruit juice
Omeprazole
Sulfonamides
Parkinsons drugs BALSA

Bromocriptine
Amantadine
Levodopa/Carbidopa
Selegiline
Antimuscarinics – Benztropine
Potassium-sparing diuretics Potassium, please have a SEAT

Spironolactone aldosterone antagonist
Eplerenone aldosterone antagonist
Amiloride Na+ channel blocker
Triamterene Na+ channel blocker
Protein synthesis inhibitorsBuy AT 30, CCELL at 50

30S:
Aminoglycosides
Tetracycline

50S:
Chloramphenicol
Clindamycin
Erythromycin (all Macrolides)
Lincomycin
Linezolid
R’s of Rifampin 4 R’s

RNA polymerase inhibitor
Revs up microsomal P450
Red-orange body fluids
Rapid Resistance if used alone
Serotonin Syndrome MADAMS TIPS

Mental status changes
Agitation
Diarrhea
Ataxia
Myoclonus
Shivering
Tremor
Inc reflex
Pyrexia
Sweating

3 A’s

1) Autonomic instability
2) Altered mental status/agitation
3) Neuromuscular activity (e.g. hyperreflexia)
Sulfa pills – allergies Sulfa Pills Frequently Cause Terrible Acute Symptoms

Sulfasalazine
Probenecid
Furosemide
Celecoxib
Thiazides/TMP-SMX
Acetazolamide
Sulfonylureas
Tetracycline uses VACUUM THe BedRoom

Vibrio cholera
Acne
Chlamydia
Ureaplasma urealyticum
Mycoplasma
Tularemia
H. pylori
Borrelia
Rickettsia
Vaccines – Live AttenuatedMR. VaZ MAPSY

Measles
Rubella
Varicella-Zoster
Measles
Adenovirus
Polio (Sabin)
Yellow fever
Vaccines – KilledRIP Always

Rabies
Influenza (injected)
Polio (Salk) – SalK=Killed
hep A virus
Vancomycin toxicity NOT

Nephro
Oto
Thrombophlebitis

Diseases


Type the disease in the search box ->

DiseasesMnemonics
1st generation Cephalosporins gram (-) useGram (-) PEcK
Proteus
E. coli
Klebsiella
2nd and 3rd generation Cephalosporins gram (-) useGram (-) HENS PEcK
H. influenza
Enterobacter
Neisseria (3rd is better)
Serratia
Proteus
E. coli
Klebsiella
(3rd add Citrobacter)
4 elements of malpractice claimDuty
Breach of that duty
Harm
Damage
4 lateral (Side) structures that start with "S" and associated deficitsSpinocerebellar pathway - ipsilateral arm and leg ataxia
Spinothalamic pathway - contralateral loss of pain and temp in arm, leg, and trunk
Sensory nucleus of CN V - ipsilateral loss of pain and temp on part of face supplied by CN V
Sympathetic pathway - ipsilateral horner syndrome
4 Midline structures that start with "M" and associated deficitsMotor pathway - corticospinal tract - contralateral arm and leg weakness
Medial lemniscus - contralateral loss of vibration and proprioception in arm and leg
MLF - ipsilateral internuclear ophthalmoplegia
Motor nucleus and nerve - ipsilateral defect of affected - 3,4,6,12
5 Fs of the limbic system5 Fs
Feeding
Fleeing
Fighting
Feeling
Sex - F***ing
6 P's of Lichen PlanusPruritic
Purple
Polygonal
Planar
Papules
Plaques
68/95/99 RuleStandard Deviations
1=68%
2=95%
3=99.7%
"buy AT 30, CCELL at 50"30S:
Aminoglycosides
Tetracycline

50S:
Chloramphenicol
Clindamycin
Erythromycin (all Macrolides)
Lincomycin
Linezolid
"Navir tease a SRINA protease S/E"-Saquinavir: HyperG, LipoD
-Ritonavir: Pancreatitis
-Indinavir: HyperG, LipoD, Nephrolithiasis, Hyperbilirubinemia
-Nelfinavir: ?
-Amprenavir: HyperG, LipoD
"VACUUM THe BedRoom"Vibrio cholrae
Acne
Chlamydia
Ureaplasma Urealyticum
Mycoplasma
Tularemia
H. pylori
Borrelia
Rickettsia
AA with Three Titratable Curves: CHAGLATCysteine, Histidine, Aspartic Acid, Glutamic Acid, Lysine, Arginine, Tyrosine
ABC for CarboxylasesATP, Biotin, & CO2
Adrenergic receptor - G protein (s, i, q)Kiss (qiss) and Kick (qiq) until you are Sick (siq) of Super Kinky Sex (sqs)
A1 - q M1 - q D1 - s
A2 - i M2 - i D2 - i
B1 - s M3 - q H1 - q
B2 - s H2 - s
V1 - q
V2 - s
Aerobic BacteriaNagging Pests Must Breathe
Nocardia
Pseudomonas
Mycobacterium Tuberculosis
Bacillus
Aggressive Hunter with eagle visionHunter's Syndrome- mild Hurler's but with aggression and no corneal clouding
Aica lesion symptomsFacial droop means aica's pooped
Facial droop
Amino acid cotransporter in kidneyCOLA
Cysteine
Ornithine
Lysine
Arginine
Aminoglycosides: GNATSGentomycin, Neomycin, Amikicin, Tobramycin, Streptomycin
Aminogylcoside toxicityNOT
Nephro
Oto
Teratogenic
Ampicillin & Amoxicillin HELPSHiB, E coli/Enterococci, Listeria, Proteus, Salmonella
(Also Gram + from penicillin)
Angelman's Syndrome- SAMI the happy puppetSeizures, Ataxia, Mental Retardation, Inappropriate laughter
AntiarrythmicsNo Bad Boy Keeps Clean
Na+ channel blockers
B Blockers
K+ channel blockers
Ca2+ channel blockers
Antibiotics to avoid in pregnancy (no mnemonic)Clarithromycin - embryotoxic
Sulfonamides - kernicterus
Aminoglycosides - ototoxic
Fluoroquinolones - cartilage damage
Metronidazole - mutagenisis - 1st trimester
Tetracyclines - yellow teeth, inhibits bone growth
Ribavirin - teratogenic
Griseofulvin - teratogenic
Aortic Arch Derivatives
1 is Maximal, second=S, 3=C, 4=4 limbs (systemic), 6=P
1- Maxillary Artery
2- Stapedial & Hyoid Artery
3- Common Carotid (& prox ICA)
4- Aortic Arch (left) and Prox Subclavian (right)
6- Pulmonary Artery (DA)
APGAR scoreAppearance
Pulse
Grimace
Activity
Respiration
Assessment of alcohol useCAGE
Cut back
Annoyance
Guilt
Eye opener
Autosomal dominant disordersMARFAHN
Marfan, MEN
Acute intermittent porphyria
Retinoblastoma
Familial hypercholesterolemia, FAP
ADPKD
Huntingtons, Hereditary spherocytosis
NF type 1
AVRPAccuracy=Valid
Reliable=Precision
Aztreonam kills PESKy bugs when the kidney can't handle aminoglycosidesProteus, E coli, Serratia, Pseudomonas
Bacterial Endocarditis symptomsFROM JANE
Fever
Roth spots
Osler nodes
Murmur
Janeway lesions
Anemia
Nail bed hemorrhage
Emboli
Blind galactic Crabs come to eat the peripheral nerves of children with their globoid* gobletsKrabbe's Disease, Optic atrophy, Galactocerebrosidase, Peripheral Neuropathy, Developmental Delay, Globoid Cells
Blotting- SNoW DRoPSouthern- DNA
Northern- RNA
Western- Protein
Bone Tumor Xray findingsosteoCHondroma
-CHunk of bone
osteoCLastoma
-clean - soap bubble appearance
osteoSarComa
-Sunburst pattern
-Codmans triangle
eWING sarcoma
-onion rings - onion skinning
Branched amino acids in maple syrup diseaseI Love Vermont maple syrup
Isoleucine
Leucine
Valine
Branchial Apparatus- CAPCleft- Ectoderm
Arch- Mesoderm
Pouch- Endoderm
Branchial arch derivatives1 - Ms and Ts
2 - Ss
3 - pharyngeal
4 - cricothyroid
6 - larynx
Or
Chew, smile, swallow stylishly, then simply swallow, and speak
Burkitt lymphoma gene translation8urki14 (Burkitt)
Buzz. Delayed separation of umbilical cord (>30 days)Leukocyte Adhesion deficiency

Can't See, Can't Hear, Can't PeeAlport's Syndrome (Type IV Collagen defect)
Cancers that metastasize to bonePermanently Relocated Tumors Like Bone
Prostate
RCC
Testes/Thyroid
Lung
Breast
Cancers that metastasize to brainLots of Bad Stuff Kills Glia
Lung
Breast
Skin (melanoma)
Kidney (RCC)
GI tract (colon cancer)
Cancers that metastasize to liverCancer Sometimes Penetrates Benign Liver
Colon
Stomach
Pancreas
Breast
Lung
Cancers with psammoma bodiesPSaMMoma
Papillary carcinoma of the thyroid
Serous cystadenocarcinoma of the ovary
Meningioma
Mesothelioma
Carcinoid Syndrome SymptomsBe FDR
Bronchospasm/wheezing
Flushing
Diarrhea
Right sided heart failure/murmur
CATCH22: 22q11Cleft palate, Abnormal facies, Thymus aplasia, Cardiac defects, Hypocalcemia
Causes of Acute PancreatitisBAD HHITS
Biliary stones
Alcohol abuse
Drugs - HIV drugs, ritonavir, sulfa drugs
Hypertriglyceridemia
Hypercalcemia
Idiopathic
Trauma
Scorpion sting
Causes of ARDSSPARTAS
Sepsis
Pancreatitis, pneumonia
Aspiration
uRemia
Trauma
Amniotic fluid embolism
Shock
Causes of dilated cardiomyopathyABCCCD
Alcohol abuse
wet Berberi
Cocaine - chronic
Chagas disease
Coxsackie B virus
Doxorubicin toxicity
also pregnancy
Causes of EosinophiliaDNAAACP
Drugs
Neoplasm
Atopic dieseases (allergy, asthma, churg-strauss)
Addison disease
Acute interstitial nephritis
Collagen vascular disease
Parasites (Ascaris)
Causes of HyperkalemiaDO Insulin LAB
Digitalis
hyperOsmolarity
Insulin deficiency
Lysis of cells
Acidosis
Beta blockers
Causes of Hypernatremia6 D's
Diuretics
Dehydration
Diabetes Insipidus
Docs (iatrogenic)
Diarrhea
Disease of the kidney
Causes of restrictive cardiomyopathyLEASH
Loffler syndrome
Endocardial fibroelastosis
Amyloidosis
Sarcoidosis
Hemochromatosis
Causes of target cells on blood smearTHAL
Thalassemia
Hemoglobin C disease
Asplenia
Liver disease
Cell Cycle:
D4-E2
A2-B1
CyclinD binds CDK4 & CyclinE binds CDK2-> initiates S Phase (Phosphorylate Rb--> free E2F T.Factor)
CyclinA binds CDK2 & CyclinB binds CDK1 --> cdc25 initiates mitosis
Cephalosporins are LAME against:LAME
Listeria
Atypical pneumonias (mycoplasma, chlamydia)
MRSA
Enterococci
Cerebellar Deep Nuclei: Don't Eat Greasy FoodDentate, Emboliform, Globose, Fastigial (L->M)
Charcot triad of multiple sclerosisSIIIN
Scanning speech
Intention tremor
Incontinence
Internuclear ophthalmoplegia
Nystagmus
Charcot's Triad (MS)Scanning Speech
Nystagmus
Intention Tremor
Chlamydia trachomatis serotypesTypes A, B, C: Africa/Blindness/Chronic Infection
Types D-K: STD diseases
Types L1-3: Lymphogranuloma venereum & primary ulcers/rectal disease (mistaken for IBD)
Cholesterol
ABCDE
A-I Activates Lcat
B-100-Binds to LDL receptor mediates VLDL secretion
C-II -cofactor for lipoprotein lipase.
b-48- mediates chylomicrone secretion.
E- mediates Extra - remnant- uptake
Cholinergic Agonist toxicityDUMBBELSS "wet"
Diarrhea
Urination
Miosis
Bronchospasm
Bradycardia
Excitation of skeletal muscle + CNS
Lacrimation
Salivation
Sweating
Cholinergic intoxication: (SLUDGE)Salivation
Lacrimation
Urination
Diaphoresis and defecation
GI upset
Excessive brady- or tachycardia (muscarinic or nicotinic)
Classic pathway activationGM makes Classic cars
IgG and IgM bound to antigen binds C1 and activates the classical pathway of complement
Clinical uses for ampicillin and amoxicillinHEELPSS
H flu
E coli
Enterococci
Listeria
Proteus mirabilis
Salmonella
Shigella
Consequences of renal failureMAD HUNGER
Metabolic Acidosis
Dyslipidemia - inc TG
Hyperkalemia
Uremia
Na/H2O retention - HF, pulm edema, HTN
Growth retardation and developmental delay
Erythropoietin failure - anemia
Renal osteodystrophy - dec Ca, inc phosphate, dec vit D
Corynebacterium diphtheria (ABCDEFGH)ADP-Ribosylation
Beta-Prophage
C
Diphtheria
Elongation Factor-2
Granules (metachromic)
Heart (myocarditis/arrhythmia)
Cranial nerves in the brainstem - rule of 4s4 above the pons - 1-4
4 in the pons - 5-8
4 in the medulla - 9-12
4 medial/midline nuclei - 3,4,6,12 - factors of 12
Criteria for Manic or Hypomanic episodeDIGFAST
1 week or more = Manic
4-7 days = hypomanic
Distractibility
Impulsivity
Grandiosity
Flight of ideas
Activities/psychomotor agitation
Sleep - reduced need
Talkativeness
Criteria of diagnosis of MDE - major depressive episodeSIGDECAPS
Sleep
Interest
Guilt
Depression
Energy
Concentration
Appetite
Psychomotor
Suicide - thoughts of death
Culture (-) bacterial endocarditisHACEK
Haemophilus
Actinobacillus
Cardiobacterium
Eikenella
Kingella
Cushing syndrome symptomsBAM, CUSHINGOID
Buffalo hump
Amenorrhea
Moon facies
Crazy (psychosis and agitation)
Ulcers
Skin Changes (acne, purple striae)
HTN
Infection
Necrosis of the femoral head
Glaucoma
Osteoporosis
Immunosuppression
Diabetes
Cystic Fibrosis: CFPANCREASChronic bronchitis/bronchiectasis
Failure to thrive
Pancreatic Insufficiency (steatorrhea & low ADEK)
Alkalosis
Neonatal GI obstruction (meconium ileus)
Clubbing of fingeRs
Elevated electrolytes in sweat (Cl>60)
Atresia of vas deferens (infertility)
Staph/Pseudomonas in sputum
Cystinuria AA- COLACysteine, Ornithine, Lsyine, Arginine
-Hereditary defect of renal tubular AA transporter
-can lead to Cystine stones (staghorn)
DEP 21, 18, 13Down Syndrome
Edward's Syndrome
Patau's Syndrome
Diabetic Retinopathy-Background retinopathy: no neovascularization, cotton wool spots; hemorrhages, exudates, microaneurysms, venous dilatation, & macular edema
-Proliferative retinopathy: neovascularization with risk of vitreal hemorrhage (fragile) & retinal detachment (Laser photocoagulation)
DiGeorge syndromeCATCH 22
Cardiac abnormalities - tetralogy of fallot, truncus arteriosus
Abnormal facies
Thymic hypoplasia
Cellular immune deficiency, Cleft palate
Hypoparathyroid with hypocalcemia - tetany
22q11 gene deletion
Diseases associated with HLA B27
(Seronegative sponyloarthropathies)
PAIR
Psoriatic arthritis
Ankylosing spondylitis
IBD
Reactive arthritis - Reiter syndrome
Diseases with Signet ring cellsGastric Adenocarcinoma
Lobular Carcinoma In Situ
Disulfiram-like reactionsMetronidazole
Certain cephalosporins
Procarbazine
1st gen sulfonylureas
DM AntibodiesAnti-Insulin Ab
Anti-Islet Cell cytoplasm Ab
Anti-glutamic acid decarboxylase Ab (GAD)
Anti-Tyrosine phosphatase Ab
Drug Induced LupusSHIPP
Sulfonamides
Hydralazine
Isoniazid
Procainamide
Phenytoin
Drugs that act on microtubulesMicrotubules Get Constructed Very Poorly
Mebendazole
Griseofulvin
Colchicine
Vincristine/Vinblastine
Paclitaxel
Drugs that cause Acute Interstitial Nephritis (AIN)5 P's
Pee - diuretics
Pain free - NSAIDs
Penicillins and cephalosporins
Proton pump inhibitors
rifamPin
Drugs that cause agranulocytosis: CCCClozapine, Carbomezapine, Colchicine (propylthiouracil & methimazole)
Drugs that exhibit zero order kinetic eliminationPEA
Phenytoin
Ethanol
Aspirin
Drugs that Induce PancreatitisFurosemide, Thiazides, sulfasalazine, 5-ASA, Azathioprine, L, Asparginase, Valproid Acid, Didanosine, Pentamidine, Metronidazole, Tetracyclines
Drugs that prolong QT and risk TorsadesSome Risky Meds Can Prolong QT
Sotalol
Risperidone
Macrolides
Chloroquine
Protease inhibitors
Quinidine
Thiazides
Effects of cortisolBIG FIB
Inc Blood pressure
Inc Insulin resistance
Inc Gluconeogenesis, lipolysis, and proteolysis
Dec Fibroblast activity
Dec Inflammatory and Immune responses
Dec Bone formation
Encapsulated organismsEven Some Pretty Nasty Killers Have Shiny Bodies
E. coli - some
S. pneumo
P. aeruginosa
N. meningitidis
Klebsiella
H. influenza
Salmonella typhi
group B strep
+ Cryptococcus
EPO producing tumorsPotentially Really High Hematocrit
Pheochromocytoma
RCC
HCC
Hemagioblastoma
Erythropoiesis sitesYoung Livers Synthesize Blood
Yolk sac
Liver
Spleen
Bone marrow
Essential AA: PVT TIM HALLPhenylalanine, Valine, Threonine, Tryptophan, Isoleucine, Methionine, Histidine, Arginine, Leucine, & Lysine
Fabulous gay Fabry has a hand/foot fetish, fabulous shades, raised red-purple skin blemishes, ceramic tiles*, and enjoys creamy cum from Alpha malesFabry's Disease, Peripheral Neuropathy, Cloudy Cornea, Angiokeratomas, Ceramide Trihexoside, Alpha-Galactosidase A
Factors affected by a vit K deficiencydiSCo started in 1972
Proteins S and C
Factors X, IX, VII, II
Facultative Anaerobes- Some Nasty Bugs May Live FacultativeLySalmonella, Neisseria, Brucella, Mycobacterium, Listeria, Francisella, Legionella
Femoral sheath structuresNAVEL (lateral to medial)
Nerve
Artery
Vein
Empty Space
Lymphatics
Fetal Erythropoiesis- Young Liver Synthesizes BloodYolk sac (3-8wk)
Liver (6-30wk)
Spleen (9-28wk)
BM (28wk onward)
Fever in Post-Op Period
Wind
Water
Wound
Walking
Wein
Wonder Drugs
Wind: Atelectasis (1-2)
Water: UTI (3-5)
Wound: Infection (5-7)
Walking: DVT
Wein: Thrombophlebitis
Wonder Drugs: Antibiotic
Fragile X SyndromeXtra large ears, jaw, and testes
French legionnaire with his silver helmet, sitting around campfire with his iron dagger; he's not sissyLegionella pneumophilia
Silver stain
Charcoal yeast extract (Iron & Cysteine)
Fructose intolerance and galactosemia enzyme deficienciesFAB GUT
Fructose is to Aldolase B as
Galactose is to UridylTransferase
Gallstones (4 F's)Fat
Fertile
Female
over Forty
Glucogenic AA- His Valentine Met Arg
Ketogenic AA- Key to Loosing is Lying
G- Histidine, Valine, Methionine, Arginine
K- Leucine & Lysine
Gluconeogenesis Irreversible Enzymes: Pathway Produces Fresh GlucosePyruvate Carboxylase (M): Pyruvate -> Oxaloacetate
PEP Carboxykinase (C): Oxaloacetate -> PEP
Fructose-1,6-BPase (C; RLS): F-1,6-BP -> F6P
Glucose-6-Phosphatase (ER): G6P -> Glucose
Glycogen Storage Diseases- Very Poor Carb Metabolismvon Gierke's (I)- Glycogen-6-phosphate
Pompe's (II)- Lysosomal a-1,4- glucosidase (acid maltase)
Cori's (III)- a-1,6-glucosidase (debranching enzyme)
McArdle's (V)- Glycogen Phosphorylase
Golgi Transport- COPI goes back to get COPIICOPI- Retrograde
COPII- Anterograde
Got SANDDy drugs for my epilepsySedation
Ataxia
Nystagmus
Diplopia
Dizziness
Gq receptorsCutesies HAVe 1 M&M
QCs
H1 A1 V1
M1 M3

Gq - Phospholipase C - PIP2 -> IP3 -inc Ca2+
-> DAG - Protein Kinase C
Gs and Gi receptorsGi - MAD 2s
M2 A2 D2

Gs - the rest
B1 B2 D1 H2 V2

Gs (+)
--> Adenylyl Cyclase -
Gi (-) ATP -> cAMP - Protein Kinase A
Gynecomastia causing drugsSome Dope Drugs Easily Create Awkward Hairy DD Knockers
Spironolactone
Dope (marijuana)
Digoxin
Estrogens
Cimetidine
Alcohol (chronic)
Heroin
Dopamine D2 antagonists
Ketoconazole
Gynecomastia: Some Drugs Create Awesome KnockersSpironolactone, Digitalis, Cimetidine, Alcohol, Ketoconazole
Hairy Cell Leukemia is TRAP +
Trapped in red pulp
Trapped in fibrosed BM
& Can't enter lymph nodes
HCL: TRAP+, Splenomegaly, Dry Tap, & absent lymphadenopathy
Hamstring musclesBoys To Men (lateral to medial)
Biceps femoris
semiTendinosus
semiMembranosus
Hardy Weinberg and Maggie May Do Not SmokeNo: Mutation, Migration, Drift, Non-Random Mating, Selection of Locus
Hemolysis in G6PD Deficiency: hemolysis IS PAINIsoniazid, Sulfonamides, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin (Dapsone)
HHAPPPPy VirusHerpesvirus, Hepadnavirus, Adenovirus, Parvovirus (B19), Papillomavirus (HPV), Polyomavirus (JC), Poxvirus
High Anion gap Acidosis causesMUDPILES
Methanol
Uremia - renal failure
Diabetic ketoacidosis
Propylene glycol
Iron tablets/Isoniazid
Lactic acid
Ethylene glycol - anti freeze
Salicylates - ASA
HIV NNRTI: NED is noncompetitive (& S/E)-Nevirapine, Efavirenz, Declaviridine
-Same as NRTI + Rash
HIV NRTI: ZDZ SLATEr is competitive (& S/E)-Zidovudine: BM suppression, Megaloblastic Anemia & GI intolerance
-Didanosine: Peripheral Neuropathy, Pancreatitis, Hepatic Steatosis
-Zalcitabine: "
-Stavudine: "
-Lamivudine, Abacavir, Tenofovir, Emtricitabine
-Most: Lactic acidosis (not abacavir)
Hormones that use cAMP signalling pathway
Gs
FLAT ChAMP
FSH
LH
ACTH
TSH
CRH
hCG
ADH - V2
MSH
PTH
Hormones that use IP3 signalling pathway
Gq
GOAT HAG
GnRH
Oxytocin
ADH - V1
TRH
Histamine - H1
Angiotensin II
Gastrin
How is acromegaly diagnosed?-Increase in GH 1-2hrs after 100g glucose load (normally d/t insulin)
-IGF-1 is also elevated
Huntington Disease 6 CsCh4, CAG, Low ACh/GABA, Caudate Nucleus atrophy, Chorea, Crazy
Hurler's Syndrome- HURLERHSM
Ugly gargoyle faces
Recessive
L-idouronidase (a)
Eyes clouded
Retardation
Short stubby fingers
Hypothalamus (TALE)
Limbic System (5 F's)
-Temp, Appetite, Libido, Emotions
-Feeding, Fleeing, Fighting, Feeling, Sex
Hypothalamus nuclei lesions
Lateral area
Ventromedial area
Anterior hypothalamus
Posterior hypothalamus
Suprachiasmatic
Lateral - hunger - If you zap your lateral area, you shrink laterally
Ventromedial - satiety - if you zap your ventromedial area, you will grow ventrally and medially
Anterior - cooling - A/C
Posterior - heating
Suprachiasmatic - circadian rythym - you need sleep to be charismatic
IL 1-5 functionsHot T Bone stEAk
IL 1 - fever
IL 2 - T cell stimulator
IL 3 - stimulates bone marrow stem cell growth
IL 4 - IgE production - asthma, allergy
IL 5 - IgA and eosinophil production - helminth infection
Influenza: Oh Shift vs Drift-Genetic Shift (pandemic) due to reassortment (deadly)
-Genetic Drift (epidemic) due to random mutation
Inhaled Anesthetics: MSHINEMethoxyflurane
Sevoflurane
Halothane
Isoflurane
N2O
Enflurane
Insulin independent glucose uptake sitesBRICK L
Brain
RBCs
Intestine
Cornea
Kidney
Liver
Kawasaki disease symptomsCRASH and burn
Conjunctival infection
Rash - desquamating
Adenopathy - cervical
Strawberry tongue
Hand and foot changes - edema
fever
Killed vaccinesRIP Always
Killed:
Rabies
Influenza (injected)
salk Polio - SalK=Killed
hep A virus
Lactose Fermenters - pink on MacConkeyCEEK
Citrobacter
Enterobacter
Escherichia
Klebsiella
Layers of EpidermisCalifornians Like Girls in String Bikinis
Stratum corneum
" lucidum
" granulosum
" spinosum
" basalis
Lead poisoning symptomsLEAD
Lead lines - burton lines
Encephalopathy and erythrocyte basophilic stippling
Abdominal colic and sideroblastic Anemia
Drops - wrist and foot. Dimercaprol and eDta are treatment.
Succimer used in kids
Lesch nyhan syndrome symptomsHGPRT absence
Hyperuricemia
Gout
Pissed off - agitation, self mutilation
Retardation
dysTonia
Leukemia ages0-14: ALL
15-39: AML
40-59: AML (30% Blasts)/CML
60+: CLL
Live, attenuated vaccinesMR. VZ MAPSY
Live:
Measles
Rubella
Varicella Zoster
Measles
Adenovirus
Polio (Sabin)
Yellow fever
Lupus can cause what heart problem?SLE causes LSE
LSE - Libman-Sacks endocarditis
Macrolide usesPUS
Pneumonia - atypical
URI
STDs - chlamydia, gonorrhea
MAOi- TIPSTranylcypromine
Isocarboxacid
Phenelzine
Selegiline (MAO-B)
Maple Syrup Urine Disease- I Love Vermont maple syrup from Branched treesIsoleucine, Leucine, Valine (branched AA)
MARFANMVP, Aneurysm (Aortic/Berry), Retinal detachment/lens subluxation, Fibrillin, Arachnodactyly, Negative Nitroprusside test (diff. from homocystinuria)
MC Brain Tumors in Adults (MGM-Studios) & Kids (AMEy)Adults: Mets, GM, Meningioma, Schwannoma
Kids: Astrocytoma, Medulloblastoma, Ependymoma
MC causes of DICSTOP Making Thrombi
Sepsis
Trauma
Obstetric complications
acute Pancreatitis
Malignancy
Transfusion
Melanoma dxABCD
Assymetry
Border irregularity
Color - dark
Diameter - large
MEN1, MEN2A, MEN2BPPP, MPP, MMP

Parathyroid MEN1
Pituitary
Pancreas

Parathyroid MEN2A
Pheochromocytoma
Medullary Thyroid Cancer

Pheochromocytoma MEN2B
Medullary Thyroid Cancer
Mucosal Neuroma
Menopause symptomsHAVOCS
Hot flashes
Atophy of the Vagina
Osteoporosis
Coronary artery disease
Sleep disturbances
Mesodermal defectsVACTERL
Vertebral defects
Anal atresia
Cardiac defects
Tracheo Esophageal fistula
Renal defects
Limb defects - bone and muscle
Metabolic Syndrome (3/5)Abdominal Obesity
Triglycerides >150
HDL <40 (<50)
Fasting Glucose >100
BP >135/85
Metronidazole susceptible organismsGET GAP on the Metro
Giardia
Entamoeba
Trichomonas
Gardnerella vaginalis
Anaerobes (bacteroidies, c.diff)
H.Pylori
Mets to BrainLots of Bad Stuff Kills Glia
Lung
Breast
Skin
Kidney
GI tract
Mets to LiverCancer Sometimes Penetrates Benign Liver
Colon
Stomach
Pancreas
Breast
Lung
Micro- No SPACE for KatsNocardia, Staph aureus/Serratia Marscencans, Pseudomonas capecia, Aspergillus/Actinomyces, Candida, E. coli, & Klebsiella
Micro- PUNCH KProteus, Ureaplasma, Nocardia, Cryptococcus, H pylori, Klebsiella
Micro: Nagging Pests Must Breath O2 &
Anaerobes Can't Breathe Air
-Nocardia, Pseudomonas, Mycobacterium (TB), Bacillus
-Clostridium, Bacteroides, Actinomyces
mRNA stop codonsUGA - U Go Away
UAA - U Are Away
UAG - U Are Gone
My homie ty is fuming and is going to bust a cap in your bonesDeficiency in Homogentisic Acid Oxidase in pathway of Tyrosine to Fumurate. AR/Benign.
-Dark CT, Brown sclera, urine darkens, debilitating arthlagias
Na+ channel blockers - Antiarrythmic classes1a Double Quarter Pounder
Disopyramide, Quinidine, Procainamide
1b Mayo Lettuce Tomato
Mexilitime, Lidocaine, Tocainamide
1c Fries Please
Flecainide, Propafenone
Neimann Marcus is having a swinging sale, all neurons cut at half price. You buy a cherry-red foam* sofa for HSMNeimann Pick Disease, Sphingomyelinase, Progressive Neurodegeneration, Cherry-Red spot on macula, Foam Cells, Hepatosplenomegaly
Nematodes EATSANd (roundworms)(Ingested)
Enterobius vermicularis
Ascaris lumbricoides
Trichinella spiralis
(Cutaneous)
Strongyloides stercoralis
Ancylostoma duodenale
Necator americanus
Nephrotoxicity/Ototoxicity: CLAVCisplatin, Loop Diuretics, Aminoglycosides, Vancomycin
Neural crest cell derivativesMAGIC COPS
Melanocytes
Aorticopulmonary septum
Ganglia - pns, drg, celiac, ans
Iris stroma
Chromaffin cells
Cranial nerves
Odontoblasts/ossicles
Parafollicular (C) cells
Sclerae
Neurofibromatosis 1 (CH17): CAFESPOTCafe-au-lait spots, Axillary/Inguinal freckles, Fibromas, Eye (Lisch nodules), Scoliosis, Pheochromocytoma, Optic gliomas
Non Lactose Fermenters - White on MacConkeysShYPS
Shigella - nonmotile, non H2S producer
Yersinia - " "
Proteus - motile, H2S producer
Salmonella- " "
Normal Anion Gap acidosis (hyperchloremic)HARD ASS
Hyperalimentation
Addison disease
Renal tubular acidosis
Diarrhea
Acetazolamide
Spirinolactone
Saline infusion
Nucleus Solitarius function
Nucleus aMbiguous function
S - visceral Sensory info - taste, baroreceptors
M - Motor innervation of swallowing - pharynx, larynx, upper esophagus
Obligate anaerobesAnaerobes Can't Breathe Air
Clostridium
Bacteroides
Actinomyces

*lack catalase and/or superoxide dismutase
P450 inducersGuiness, Coronas, and PBRS induce chronic alcoholism
Griseofulvin
Carbamazepine
Phenytoin
Barbiturates
Rifampin
St. Johns Wort
Chronic Alcoholism
P450 inhibitorsCRACK AMIGOS
Cimetidine
Ritonavir (protease inhibitors)
Amiodarone
Ciprofloxacin
Ketoconazole
Acute alcohol use
Macrolides
Isoniazid
Grapefruit juice
Omeprazole
Sulfonamides
P-450 Inducers: BCG PQRSTBarbiturates
Carbamezapine/Chronic Alcohol
Griseofulvin
Phenytoin
Quinidine
Rifampin
St. John's Wort
P-450 Inhibitors: ICA KEGSIsoniazid
Cimetidine
Alcohol (acute)
Ketoconazole
Erythromycin
Grapefruit Juice/Gemfibrozil
Sulfonamides
Pader-Willi Syndrome- MOHHH the fattyMental Retardation, Obesity, Hyperphagia, Hypotonia, Hypogonadism
Painful vs painless ulcersSome Girls Love Licorice but Fellows Hate Candy
Syphilis
Granuloma Inguinale
Lymphogranuloma venereum
painLess (above)
painFul (below)
Herpes simplex
Chancroid
Papez Circuit: MATCHMammillary Bodies
Anterior Thalamic Nucleus
Cingulate Gyrus
Hippocampus
PaRaMyxovirusParainfluenza (Croup)
RSV (Bronchiolotis)
Rubeola (Measles)
Mumps
Parasympathetic Inhibition (Antimusc/antichol)Hot as a Hare - hyperpyrexia
Red as a Beet - flushing
Blind as a Bat - mydriasis, cycloplegia
Dry as a Bone - lack of salivation/sweating
Mad as a Hatter - confusion/delerium
Bloated as a Toad - constipation and urinary retention
+Tachycardia
Parasympathetic: DUMBELSSDiarrhea
Urination
Miosis
Bradycardia/Bronchospasm
Emesis
Lacrimation
Salivation/Sweating
Parkinsons drugsBALSA
Bromocriptine
Amantidine
Levodopa/Carvidopa
Selegiline
Antimuscarinics - Benztropine
Pathway of sperm during ejaculationStEVE
Seminiferous tubules
Epididymis
Vas deferens
Ejaculatory duct
PEA drugs have zero-order eliminationPhenytoin
Ethanol
Aspirin
Pellagra symptoms4 D's
Dermatitis
Diarrhea
Dementia
Death
Pemphigus vulgaris signsDAMN is a vulgar word
Desmosomes
Acantholysis
Mouth
Nikolskys sign - skin slides off when rubbed
Pentad of sx of TTP (Thrombotic Thrombocytopenic Purpura)FAT RN
Fever
Anemia
Thrombocytopenia
Renal Failure
Neurological symptoms
Phenytoin Side EffectsP-450 activation
Hirsutism
Enlarged gums
Neuropathy (peripheral)
Yellow-browining of skin
Teratogen (fetal hydantoin syndrome)
Osteomalacia
Interferes B12 metabolism
Nystagmus
Photosensitivity - Drug SESAT for Photo
Sulfonamides
Amiodarone
Tetracycline
(+fluoroquinolones)
Pica lesion symptomsDont pick a horse that cant eat
Pick a - pica
Horse - hoarseness
Cant eat - dysphagia
Picornavirus- PERCHPolioV, EchoV, RhinoV, CoxsackieV, HAV)
Plummer Vinson syndrome triadIron deficiency anemia
Esophageal webs
Atrophic glossitis
Position of structures passing through diaphragmI ate ten eggs at 12
T8 - IVC
T10 - Esophagus, vagus n.
T12 - Aorta, azygous vein, Thoracic duct
Positive Strand RNA: Pico Called Flavio To Return Renzo's CoronaPicorna
Calici
Flavi
Toga
Retro
Reo
Corona
Possible Types of EmboliFAT BAT
Fat
Amniotic Fluid
Thrombus
Bacterial (endocarditis)
Air
Tumor
Potassum sparing diuretics"Potassium, please have a SEAT"
Spirinolactone aldosterone antagonist
Eplerenone aldosterone antagonist
Amiloride Na+ channel blocker
Triamterene Na+ channel blocker
Potter Sequence
POTTER
Pulmonary hypoplasia
Oligohydramnios
Twisted skin
Twisted face
Extremities
Renal agenesis
Prader Willi vs Angelman SyndromeMAMA
Maternal gene deletion
Angelman
Mood - inappropriate laughter
Ataxia

POP
Prader Willi
Overeating and obesity
Paternal gene deletion
Primary hyperparathyroidism symptomsStones, Bones, Abdominal groans, Thrones, and Psychiatric overtones
Stones - renal and biliary
Bones - bone pain
Abdominal groans - abdominal pain, N/V
Thrones - polyuria
Pyschiatric overtones - depression, anxiety
Protein synthesis inhibitors(30S vs 50S)"buy AT 30, CCELL at 50"
30S:
Aminoglycosides
Tetracycline

50S:
Chloramphenicol
Clindamycin
Erythromycin (all Macrolides)
Lincomycin
Linezolid
PSaMMomaPapillary carcinoma of the thyroid/RCC/Prolactinoma
Serous cystadenocarcinoma of the ovary/endometrium
Meningioma
Mesothelioma
PSEUDOmonasPneumonia (cystic fibrosis)
Sepsis (black lesion on skin)
External otitis (swimmer's ear)
UTI (catheter)
Druggie/Diabetics- Osteomyelitis
Hot Tub Folliculitis
Pulmonary Fibrosis: GO BAN ME
What do pneumocytes release that causes fibrosis?
Gold, Bleomycin/Busulfan, Amiodarone/Acyclovir/Azathioprine, Nitrofurantoin, Melphalan/MTX
(TFG-B)
Pupil dilationCOwLA
Cocaine
Opiate withdrawal
LSD
Amphetamines
Pyruvate dehydrogenase cofactorsTLC For Nancy
Thiamine - B1
Lipoic acid
CoA
FAD
NAD
R's of RifampinRNA polymerase inhibition
Revs up CYP450
Red/Orange urine & secretions
Resistance increased if used alone
R's of Rifampin4 R's
RNA polymerase inhibitor
Revs up microsomal P450
Red-orange body fluids
Rapid Resistance if used alone
Radial nerve innervates the BEST musclesBrachioradialis
Extensors of wrist/fingers
Supinator
Triceps
Relation of pulm artery to bronchus at each hilusRALS
Right
Anterior
Left
Superior
Renal clearance equationUV over Pee
UV/P
U = urine concentration of substance
V = urine flow rate
P = plasma concentration
Renal papillary necrosisSAAD papa with papillary necrosis
Sickle cell disease or trait
Acute pyelonephritis
Analgesics - NSAIDs
Diabetes
Renal Tubular DefectsFanconi comes First, rest are alphabetical
Fanconi syndrome - defect of PCT - excretion of glucose, AAs, electrolytes, etc
Bartter syndrome - defect in thick ascending loop of henle - presents like loop diuretic - hypokalemia, hypercalciuria, metabolic alkalosis
Gitelman syndrome - defect of NaCl reab in DCT - presents like thiazide diuretic - hypokalemia, hypomagnesemia, hypocalciuria, metabolic alkalosis
Liddle syndrome - inc Na reab in cllecting tubule - presents like hyperaldosteronism - HTN, hypokalemia, metabolic alkalosis
Reportable diseasesSTDs
Viral hepatitis
Vaccine-preventable infections
Diarrheal illnesses
Tuberculosis
Restrictive Cardiomyopathy Types/causesLEASH
Loffler
Endocardial fibroelastosis
Amyloidosis
Sarcoidosis
Hemochromatosis
Retroperitoneal StructuresA DUCK PEAR
Adrenal glands
Duodeum
Ureters
Colon
Kidneys
Pancreas
Esophagus
Aorta
Rectum
Rheumatic Heart Disease major criteriaJONES
Joints - migratory polyarthritis
Heart - pancarditis
Nodules - subcutaneous
Erythema Marginatum
Sydenham Chorea - face, tongue, upper limb
Riboflavin (B2, 2ATP, 2C's)
Niacin (B3, 3ATP, 3D's for Pellagra)
R- Cheilosis & Corneal vascularization
N- Diarrhea, Dermatitis, Dementia
Right shift (decreased affinity for O2) on Oxygen-Hemoglobin dissociation curveInc BAT ACE
BPG (2,3-BPG)
Altitude
Temperature
Acid
CO2
Exercise
Risk factors for endometrial carcinomaHHONDA
Hyperplasia
HTN
Obesity
Nulliparity
Diabetes
Anovulatory state
Rotator Cuff musclesSItS
Supraspinatus
Infraspinatus
teres minor
Subscapularis
Rule of tens of PheochromocytomaRule of tens:
10% malignant
10% bilateral
10% extra adrenal
10% calcify
10% in children
Sarcoidosis symptomsA GRaUELING Disease
inc ACE
Gammaglobulinemia
Rheumatoid arthritis
Uveitis - eye
Erythema nodosum - skin nodules
Lymphadenopathy - hilar is common
Idiopathic
Non-caseating
Granulomas
inc vitamin D
also inc Ca2+
Scleroderma/CREST syndromeCREST
Calcinosis
Raynauds phenomenon
Esophageal dysmotility
Sclerodactyly
Telangiectasia
SE of corticosteroidsBAM CUSHINGOID
Buffalo hump
Amenorrhea
Moon facies
Crazy (psychosis, agitation)
Ulcers
Skin changes
Hypertension
Infection
Necrosis of femoral head
Glaucoma and cataracts
Osteoporosis
Immunosuppression
Diabetes
Serotonin SyndromeMADAMS TIPS
Mental status changes
Agitation
Diarrhea
Ataxia
Myoclonus
Shivering
Tremor
Inc reflex
Pyrexia
Sweating
Serotonin Syndrome may cause HARMHyperthermia
Autonomic instability
Rigidity
Myoclonus
(antidote: cyproheptadine- 5HT2 antagonist)
Shifts K out of cell - causing hyperkalemiaDO LAbS on person with hyperkalemia
Digitalis
hyperOsmolarity
Lysis of cells
Acidosis
b blocker
high blood Sugar - insulin deficiency
Sjogrens syndrome symptomsCant see, cant spit, cant climb up shit
Cant see - dry eyes
Cant spit - xerostomia - dry mouth
Cant climb up shit - arthritis
SSRI's: Effective For Sadness, Panic, & CompulsionsEscitalopram, Fluoxetine/Fluvoxamine, Sertraline, Paroxetine, & Citalopram
Stages of SleepBATS Drink Blood
Beta - awake/alert
Alpha - awake/relaxed
Theta - stage 1
Sleep Spindles and K complexes - stage 2
Delta - stage 3
Beta - REM
Standard test for diagnosing Chronic Adrenal InsufficiencyCosyntropin test
Strep pneumo - #1 cause of MOPSMOPS
Meningitis
Otitis media
Pneumonia
Sinusitis
Sulfa pills - allergiesSulfa Pills Frequently Cause Terrible Acute Symptoms
Sulfasalazine
Probenecid
Furosemide
Celecoxib
Thiazides/TMP-SMX
Acetazolamide
Sulfonylureas
Sx of Kwashiorkor (distinguishing it from marasmus)FLAME
Fatty Liver
Anemia
Malnutrition of protein and energy
Edema

Symptoms of hypercalcemiaStones - renal
Bones - pain
Groans - abdominal pain
Thrones - inc urinary frequency
Psychiatric overtones - anxiety, altered mental status
Symptoms of parkinsonsTRAPS
Tremor - pill rolling at rest
Rigidity - ccogwheel
Akinesia - bradykinesia
Postural instability
Shuffling gait
T3 functions4 Bs
Brain maturation
Bone growth
Beta adrenergic effects - B1 in heart
BMR inc
T-ALL, Teenagers, Thymic MassT-ALL common in teenagers as a mediastinal (thymic) mass
Taysach's Disease- TAYSACHSTesting Recommended
Amaurosis Fugax/Cherry-red spot on macula
Young death (<4)
Slow development delays
Ashkenazi Jews
CNS Degeneration
Hexosaminidase A
Storage of GM2 ganglioside in lysosomes with onion skinning (and no HSM)
TB treatmentRIPE
Rifampin
Isoniazid
Pyrazinamide
Ethambutol
TCA's: AACIDD-NAmoxapine
Amitriptyline
Clomipramine
Imipramine
Desipramine
Doxepin
Nortriptyline
TeratogensClarithromycin - embryotoxic
Sulfonamides - kernicterus
Aminoglycosides - ototoxicity
Fluoroquinolones - cartilage damage
Metronidazole - mutagenesis
Tetracyclines - discolored teeth, inhibition of bone growth
Ribavirin
Griseofulvin
Tetracyclines VACUUM the BedRoom but Stones stop itVibrio cholera, Acne, Chlamydia, Ureaplasma, Tularemia, Mycoplasma pneumonia, H. pylori, Borrelia burgdorferi, Rickettsia
(milk, antacids, & iron ingestion prevent absorption)
Therapeutic Index- TILETI=LD50/ED50
TORCHeS infections-TOxoplasmosis: Chorioretinitis, Hydrocephalus, Intracranial calcifications
-Rubella: PDA, Cataracts, Deafness (+blueberry muffin rash)
-CMV: Unilateral deafness, seizures, petechial rash
-HSV: Temporal encephalitis, vesicular lesions
-HIV: recurrent infections, chronic diarrhea (zidovudine for mom)
-Syphilis
TORCHeS infections with assoc syptomsTORCHeS
symptoms of all:
baby = jaundice, hepatosplenomegaly, thrombocytopenia, growth retardation
mother = only mild symptoms
Toxoplasma - toxo (3) chorioretinitis, hydrocephalus, intracranial calcifications
Other - parvovirus B19 - hydrops fetalis in utero
Rubella - PDa, cataracts, deafness, blueberry muffin rash
CMV - unilateral hearing loss, seizure and toxo (3)
HIV
HSV - temporal lobe encephalitis and vesicular lesions
Syphilis
Treatment for Acute CHF/Pulm EdemaNO LIP
Nitrates
Oxygen
Loop diuretic
Inotropic drugs
Positioning - upright to pool blood in legs, not lungs
Treatment for Chest Pain/MIMONA
Morphine
Oxygen
Nitroglycerin
Aspirin
Treatment for hypoglycemiaDiazoxide

Trinucleotide Repeats: CAG, CTG, CGG, GAAHuntington's Disease
MyoTonic Dystrophy
FraGile X Syndrome
Friedreich's Ataxia
Tuberous sclerosis symptomsHAMARTOMAS
Hamartomas
Angiofibromas
Mitral regurgitation
Ash leaf spots
Rhabdomyoma (cardiac)
T[uberous sclerosis]
autosomal dOminant
Mental retardation
Angiomyolipoma
Seizures, shagreen patches
Tuberous Sclerosis: TUBEROUSTUberocalcification in the perivent & astrocytomas
Blood in urine (Renal cysts & angiomyolipomas)
Eye (retinal hamartomas)
Rhabdomyosarcoma/Retardation
Off-white skin (Ash Leaf Spots)
sUb-Ungual fibromas
Shagreen Patches & Sebaceous Adenomas
Tx of testicular cancerEradicate Ball Cancer
Etoposide
Bleomycin
Cisplatin
Tx of urge incontinenceOn The Darn Toilet
Oxybutinyn
Tolterodine
Darifenacin/Solfenacin
Trospium
Urea Cycle: Coffee And Alcohol For Aggressive Urine OverloadCitrulline, Aspartate, Arginosuccinate, Fumurate, Arginine, Urea, & Ornithine
Vancomycin is bad to G+, but NOT good for our histamineNephrotoxicity, Ototoxicity, Thrombophlebitis
Red Man Syndrome (Histamine; give antihistamines)
Vancomycin toxicityNOT
Nephro
Oto
Thrombophlebitis
Vasodilators safe in PregnancyHypertensive Moms Love Nifedipine
Hydralazine
Methyldopa
Labetalol (and other B Blockers)
Nifedipine (and other CCBs)
Viruses a/w DM 1Rubella, Coxsackie, Mumps
von Hippel Landau (CH3): HIPPELHemangioma (retina, cerebellum, & medulla)
Increased RCC (bilaterally)
Pheochromocytoma
Pancreatic serous cystadenoma
Eye dysfunction
Liver, Pancreas, & Kidney Cysts
WAGR complex associated with Wilms tumorWAGR
Wilms tumor
Aniridia
GU malformation
Retardation
Wallenberg's Horny ADVICeHorner's Syndrome (Descending Symp. Tract)
Ataxia (ICP)
Dysphagia (Nucleus Ambiguus)
Vertigo, Nystagmus, N/V (Vestibular Nuclei)
Ipsilateral pain/temp loss of face (TTT)
Contralateral pain/temp loss of body (STT)
Which ligament [generally] always tears in a lateral ankle sprain?ATFL
Always Tears First Ligament
Anterior TaloFibular Ligament
Which toxins are carried on specialized lysogenic phages (transduction)? (ABCDE)shigA-like toxin
Botulinum Toxin
Cholera Toxin
Diphtheria Toxin
Erythrogenic Toxin (S pyogenes)
Wilms tumor - WAGR complexWAGR
Wilms tumor
Aniridia
GU malformations
mental Retardation
WT1 gene deletion
Wiskott Aldrich SyndromeWAITER
Wiskott
Aldrich
Immunodeficiency
Thrombocytopenia and purpura
Eczema
Recurrent pyogenic infections
Wrinkly old Gaucher sitting in a wheel chair & eating sweet brain candy* + has HSMGaucher's Disease, wrinkly looking G cells, aseptic necrosis of femur/bone crisis, B-glucocerebrosidase
X linked disordersOblivious Female Will Give Her Boys Her x Linked Disorders
Ocular albinism
Fabry disease
Wiskott-Aldrich
G6PD deficiency
Hunter syndrome
Bruton agammaglobulinemia
Hemophilia A and B
Lesch-Nyhan syndrome
Duchenne muscular dystrophy
X Linked ImmunodeficienciesWACH
Wiskott aldrich
bruton Agammaglobulinemia
Chronic granulomatous disease
Hyper IgM syndrome
X-linked recessive disorders- Be Wise, Fool's GOLD Heeds, Silly HopesBruton's Agammaglobulinemia, Wiskott-Aldrich Syndrome, Fabry's Disease, G6PD Deficiency, Ocular Albinism, Lesch-Nyhan Syndrome, Duchenne (&Becker's) Muscular Dystrophy, Hunter's Syndrome, Hemophilia A/B

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