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Fistulas – Reasons for Non-Closure

July 1st, 2010

FETID

F – foreign body present
E – epithelization
T – tumor present
I – infection present
D – distal obstruction

Fistulas cause some FETID (i.e., soiled, foul-smelling) dressings.

Reiter’s Syndrome

December 23rd, 2009

Characteristics of Reiter’s syndrome

can’t see, can’t pee, can’t bend the knee

Polycythemia Vera – 4 Hs

December 23rd, 2009

Characteristics of polycythemia vera – 4 Hs

hypervolemia, hyperviscosity, hyperuricemiahistaminemia

or, in layman’s terms, increased blood volume, “thickened” blood, increased uric acid levels in the blood, and increase histamine levels in the blood.

Pheochromocytoma – 10% rule

December 23rd, 2009

Characteristics of pheochromocytoma

10% bilateral, 10% malignant, 10% extra-adrenal, 10% occur in children, 10% with calcifications

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Pheochromocytoma – 5 Ps

December 23rd, 2009

Signs and symptoms of pheochromocytoma – 5 Ps

palpitations, pallor, perspiration, pain, pressure (increased)

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Measles – 3 Cs

December 23rd, 2009

Signs and symptoms of measles – 3 Cs

conjunctivitis, cough, coryza (”runny nose”)

Kawasaki’s Disease – 3 Ks

December 23rd, 2009

Characteristics of Kawasaki’s disease – 3 ks

koronary, kids, konjunctiva

that is, it primarily affects the coronary arteries with developement of aneursyms and causes conjunctivitis in children

Hypercalcemia

December 23rd, 2009

Signs and symptoms of hypecalcemia

moans, bones, stones, groans

DiGeorge’s Syndrome – Catch 22

December 23rd, 2009

Characteristics of DiGeorge’s syndrome – Catch 22

cardiac defect, abnormal facies, T-cell deficiency, cleft palate, hypocalcemia, genetic defect occurs on chromosome 22

Cyanotic Congenital Heart Shunts – 5 Ts

December 23rd, 2009

The five congenital heart shunts that produce cyanosis are the 5 Ts

tetralogy of Fallot, truncus arteriosus, transposition of great vessels, tricuspid atresia, total anomalous pulmonary venous congestion

Cancer Types With Commonly Occurring Bone Metastases

December 23rd, 2009

The types of cancers with commonly occurring bone mets are breast, lung, thyroid, kidney, and prostate

BLT with a kosher pickle

Polycystic Kidney Disease – 3 Bs

December 23rd, 2009

Characteristics and associated conditions of adult patients with polycystic kidney disease – 3 Bs

bilateral, big kidneys, berry aneurysms

Acute Cholecystitis – 4 Fs

December 23rd, 2009

Characteristics of patients that coomonly develop acute cholecystitis – 4 Fs

Female, fat, fertile, and forty

Fistula Closure – Conditions Preventing

December 10th, 2009

Fistulas are abnormal pathological connections between different tissue types. The presence of any of the five conditions listed below will prevent fistulas from closing, even when being treated optimally. The mnemonic is FETID

Foreign body
Epithelialization
Tumor
Infection
Distal obstruction

It is FETID (foul, badsmelling) to have a rectal vaginal fistula

Meckel’s Diverticulum Rule of 2’s

December 6th, 2009

Meckel’s diverticulum is a congenital outpouching of the ileum that is a normal variant and is failure of obliteration of the embryological vitelline duct. It is a true diverticulum in the sense that it has all three layers of the gastrointestinal wall.

Characteristics about Meckel’s diverticula are best remembered by the classic rule of two:

2 times more common in males
2 feet proximal to the ileocecal valve
2 types of mucosa possible (small intestine and gastric)
2 percent become symptomatic
2 years of age is typical onset of symptoms