this is with host... your we have a bleeder!

This

is

With

Host...

Your

We have a Bleeder!

Scores and Criteria

Rheum with a View

The Doctor is “in”

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500

We have aBleeder!

Rheum with a View

The Doctor is “in”

Scores and Criteria

100

200

300

400

500

100

200

100

200

300300

400400

500500

Spiral-shaped, gram negative bacteria in

majority of duodenal ulcers

What is Helicobacter pylori?

Ulcer in the sac of a hiatal hernia

What is Cameron lesion?

Esophageal perforation—not laceration!—from repeated,

protracted vomiting

What is Boerhaave’s syndrome?

Bleeding submucosal artery in the absence of a

primary ulcer

What is Dieulafoy’s lesion?

Telangiectasia occurring throughout the GI tract, but also with AV malformations in the lungs and brain; or Sir

William _______

What is the Osler-Weber-Rendu syndrome?

(Hereditary Hemorrhagic

Telangiectasia)

Widely-used estimate of 10-year coronary heart

disease risk

What is the Framingham risk

score?

7-item model to assess probability of

pulmonary embolism

What is the Well’s criteria?

A risk stratification method predictive of outcomes in

unstable angina, NSTEMI and STEMI from the prominent

Harvard-based group with the same name

What is TIMI (Thrombolysis in

Myocardial Infarction) risk score?

5-item score for Atrial Fibrillation Stroke risk

What is CHADS2?

Predicts prognosis in chronic liver disease using 3 simple

blood tests: bilirubin, creatinine and INR

What is the MELD (Model for End-stage Liver Disease)

score?

E 100

What are Heberden’s nodes?

(Osteoarthritis)

What is a Bamboo spine?

(Ankylosing Spondylitis)

What is a Heliotrope rash?

(Dermatomyositis)

What are Gottron’s papules?

(Dermatomyositis)

What is chondrocalcinosis?

(Pseudogout)

Involuntary urine leakage with sneezing or

coughing

What is stress incontinence ?

A possible component of MEN type 1 causing

fasting hypoglycemia

What is insulinoma ?

Widely prescribed neurologic drug that can

make your gums and red cells look big!

What is phenytoin (Dilantin) ?

Pheochromocytoma, benign adenoma or

carcinoma: you’ve got a 1 in 3 “chance” of the

right diagnosis

What is an adrenal incidentaloma ?

Rare but fatal triad of autonomic, neuromuscular

and mental status instability, from SSRI-drug interaction,

usually confused with neuroleptic malignant

syndrome

What is serotonin syndrome?

Around the World

Get Physical

Know your Syndromes

Antibodies

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Around the World

Know your Syndromes

AntibodiesGet Physical

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A “mega”-common cause of cardiomegaly, megacolon and

megaesophagus in Latin America

What is Chagas disease?

When in Africa, keep your eyes open for the tsetse fly—or you may never wake up again

What is African Trypanosomiasis?

(Sleeping sickness)

A zoonotic infection named after an outbreak in

Queensland, Australia, it is caused by the gram-negative

bacterium C. burnetti

What is Q fever?

Don’t be mad if you can’t pronounce the name of this

lethal prion-related CNS disease initially recognized in

cattle in the UK

What is Creutzfeldt-Jakob disease?

(Mad cow disease)

Commonly seen in women with stress-induced chest pain, it is

named after the Japanese octopus trap that resembles the shape of the left ventricle in this

transient cardiomyopathy

What is Tako-tsubo cardiomyopathy?

If you’re suspecting meningitis, flex the patient’s neck but watch the hip and knee. By the way, it is not

Kernig!

What is Brudzinski's sign?

Tapping the wrist sends pins and needles to the finger tips—

this sign can help diagnose carpal tunnel syndrome

What is Tinel’s sign?

This test is used to detect rupture of the anterior cruciate ligament

(ACL)

What is Anterior Drawer test?

Listen, here’s a test to distinguish between conductive and sensorineural hearing loss

What is Weber test?

This test measures the degree of lumbar forward flexion as the patient bends over as though touching their toes—a useful test to diagnose ankylosing

spondilitis

What is Shober Test?

Associated with deafness, this is the 2nd most common inherited cause of kidney failure

What is Alport syndrome?

A rare complication of pregnancy, this syndrome is

caused by necrosis of the pituitary; you may also call it

“Cevik” syndrome

What is Sheehan syndrome?

Situs inversus, bronchiectasis,

chronic sinusitis, male infertility

What is Kartagener syndrome?

A disorder marked by developmental delay, hand-flapping,

frequent laughter or smiling, it is caused by deletion of maternal

genes on chromosome 15; Prader-Willi syndrome is caused by a similar loss of paternal genes

What is Angelman syndrome?

Paraneoplastic syndrome characterized by progressive

muscle weakness

What is Eaton Lambert syndrome?

Hashimoto’s thyroiditis

What is anti-TPO (thyroid peroxidase)

antibody?

Specific for rheumatoid arthritis

What is anti-CCP (cyclic citrullinated peptide) antibody?

Primary biliary cirrhosis

What is anti-mitochondrial antibody?

Specific for autoimmune hepatitis type 1

What is anti-smooth muscle antibody?

Pernicious anemia

What is anti-IF (anti-intrinsic factor)

antibody?

Fathers of Medicine

World-renowned innovator, educator and Father of modern open heart

surgery, he performed the first CABG, successful carotid endarterectomy and developed a procedure to treat aortic

dissection—a surgery he himself underwent; he died a week ago at the

age of 99

Michael E. DeBakey, MD

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