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VACTERL association
V - Vertebral anomalies
A - Anal atresia
C - Cardiovascular anomalies
TE - Tracheoesophageal fistula
R - Renal (Kidney)and/or radialanomalies
L - Limb defects
Trousseau's sign is migratory superficial thrombophlebitis in patients with carcinoma of the pancreas.
Causes of hyperamylasaemia- Acute pancreatitis, Pancreatic pseudocyst, Mesenteric infarct, Perforated viscus, Acute cholecystitis, Diabetic ketoacidosis.
'Bolam test'  considers whether a doctor's decision matches the opinion of a responsible body of doctors skilled in the same practice.

World Health Organisation definitions

*Diarrhoea: > 3 loose or watery stool per day
*Acute diarrhoea < 14 days
*Chronic diarrhoea > 14 days
Lugols iodine is 5% iodine in 10% potassium iodide.

288

Adverse effects of Propylthiouracil (anti thyroid drug) - Agranulocytosis, Hepatotoxicity, Antineutrophillic cytoplasmic antibody (ANCA).

287. LIVER

The most common malignant swelling in liver is metastases.

286. Riedel's lobe of liver

Extension of right lobe of liver along anterior axillary line below costal margin, mistaken for pathological enlargement of liver or gall bladder.

285. Thyroid hormones

Only 0.3% of total T3 and 0.03% of total T4 thyroid hormones are free and physiologically active.

284. THYROID ACROPACHY

Pretibial myxedema with clubbing of toes and fingers in Graves disease.

283. Acanthosis Nigricans Maligna

Acanthosis nigricans in the context of a malignant disease,  is a paraneoplastic syndrome and is then commonly referred to as acanthosis nigricans maligna. Involvement of mucous membranes is rare and suggests a coexisting malignant condition

282.acanthosis nigricans

The most common cause of acanthosis nigricans is insulin resistance, which leads to increased circulating insulin levels. Insulin spillover into the skin results in its abnormal increase in growth (hyperplasia of the skin).

And.279

The most common cause of painless massive GI bleeding requiring a transfusion in children between 1 and 2 years is Meckels diverticulum.

Qn.279

What is the most common cause of painless massive GI bleeding requiring a transfusion in children between 1 and 2 years ?