Friday, August 28, 2009

4 random names of syndromes

1. Gradenigo syndrome

Triad: abducens nerve palsy, pain in distribution of trigeminal nerve, otitis media.

The syndrome must be suspected in patients with suppurative otitis media presents with orbital or retro-orbital pain and or cranial nerve palsy. This syndrome normally presents as a complication of another disease, i.e. acute suppurative otitis media. It takes time to develop before it really cause serious major complication. Treatment has to be started immediately.

2. Vernet syndrome

Paresis of 9th–11th (with or without 12th) cranial nerves together.

Also known as jugular foramen syndrome. Make sense. If you love long articles, like me, do read this. Read this also: http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T06-4SF9CFC-1&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=993765207&_rerunOrigin=google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=9e52d751ce6f397a23719b0a362ac454.

3. Villaret syndrome

This syndrome is characterized by an ipsilateral paralysis of cranial nerves numbers IX ,X, XI, XII, and sometimes cranial nerve number VII, and it can also involve the cervical ganglia of the sympathetic trunk. Paralysis is caused by a lesion in the posterior retroparotid space, e.g. glomus tumors (most frequently).

P/S: Looks like the V syndromes concern more on the jugular foramen nerve thingy...

4. Foix-Jefferson syndrome ( also known as Also known as: Godtfredsen's disease, Foix’ syndrome II)

Syndrome of trigeminal neuralgia, oculomotor paralysis, XIIth nerve paralysis and ophthalmoplegia, due to invasion of nasopharyngeal tumours into the base of the skull and adjacent structures, and compression of the hypoglossal nerve by enlarged retropharyngeal lymph nodes. Generally similar to the Jacod’s syndrome (retrosphenoidal syndrome). From http://www.whonamedit.com/synd.cfm/1525.html

Foix-Jefferson syndrome: Formation of a blood clot composed of platelets and fibrin in the CAVERNOUS SINUS of the brain. Infections of the paranasal sinuses and adjacent structures, CRANIOCEREBRAL TRAUMA, and THROMBOPHILIA are associated conditions. Clinical manifestations include dysfunction of cranial nerves III, IV, V, and VI, marked periorbital swelling, chemosis, fever, and visual loss. (From Adams et al., Principles of Neurology, 6th ed, p711)

Sounds like: cavernous sinus thrombosis? http://www.wrongdiagnosis.com/medical/foix_jefferson_syndrome.htm

So that's all for the weirdo names. One thing interesting are that they concern on neurology. Though some names can be quite confusing.

Atrioventricular Septal Defect

Two types, namely partial and complete. Important point here is that this condition is most related to Down syndrome.

Partial: Primum atrial septal defect combined with cleft mitral valve. I can't find any good source related to this, but I do find this.

http://www.med.yale.edu/intmed/cardio/chd/e_cleft_mv/index.html


Well, I can't differentiate which is what. (where the hell is the cleft mitral valve? ==) I found this from: http://www.mayoclinic.org/atrial-septal-defect/types.html

A mitral valve cleft is a slit-like or elongated hole in one of the leaflets (anterior leaflet) that form the mitral valve.

Check out some cool pictures from there ya?

Complete: Common atrioventricular canal. How about this in http://en.wikipedia.org/wiki/Atrioventricular_septal_defect Look at the picture there. I think it's self explanatory.

Thursday, August 27, 2009

Short cases for MRCP

http://www.mrcophth.com/commonshortcases/commonshortcasesindex1.html

I was looking at this part of the case: http://www.mrcophth.com/ptosis/ptosiscommoncases.html#mgjw

Maybe I didn't tell everything. Lolz. I was checking out the "down-and-out" phenomenon of the CN III palsy. http://www.mrcophth.com/ptosis/thirdnerveplasy.html

Play odds. What is the cause of CN III palsy? Uncal herniation...(lolz, play odds)

Saturday, August 22, 2009

FAQ

http://www2.courses.vcu.edu/ptxed/pmc537/faq.htm

Check out this cool faq...

Adjustment Disorders

Source from: http://www.athealth.com/consumer/disorders/adjustment.html

Adjustment disorder

According to DSM-IV-TR subtypes, are divided into:
1) With depressed mood
2) With anxiety
3) With mixed anxiety and depressed mood
4) With disturbance of conduct
5) With mixed disturbance of emotion and conduct

Listed below are some of the characteristics associated with adjustment disorders:

A person with an adjustment disorder with depressed mood may have mostly a depressed mood, hopeless feelings, and crying spells.

A person with an adjustment disorder with anxiety would experience anxious feelings, nervousness, and worry.

Someone with an adjustment disorder with mixed anxiety and depressed mood would, obviously, have a mixture of anxious and depressed feelings.

An individual with an adjustment disorder with disturbance of conduct may act out inappropriately. This person may act out against society, skip school, or begin to have trouble with the police.

A person with an adjustment disorder with mixed disturbance of emotions and conduct would have a mixture of emotional and conduct problems.

Hope that's helpful. Anyways it's a problem of anxiety, depressed mood and disturbance of conduct. 3 stuffs. Despite the word anxiety, it's not categorized as an anxiety disorder, rather it's put in other psychiatric disorder. Just a small comment by me, correction anyone? And oh yeah, it can bring impact to one's social life. So it does have an impact on psychological well being of the person.

Friday, August 14, 2009

HMO vs PPO

http://healthinsurance.about.com/od/jobbasedcoverage/a/hmovsppo.htm

In case, you come across this stuff. You know, the highly debated American health care system. No, it's just a difference between HMO and PPO. You don't know what it is? Go wiki it. I know it's kinda long winded, but it gives you at least some idea on the health care insurance type.

Quote from my friend: these stuffs are extremely low yield. No need to spend too much time on this stuffs? Sounds rational to me...

Contaminant on culture dish?

http://faculty.mc3.edu/jearl/ML/ml-9.htm

Well, just a picture about contaminants found on culture dish.

Monday, August 3, 2009

Brainstem Anatomy

http://www.medicalgeek.com/mnemonics/21971-brainstem-anatomy-mnemonics.html

Well I found it hard to understand this stuff. But erm, just go and check out this cool mnemonics, ya?