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43-MC SYMPTOM,SIGN,COMPLICATION

SYMPTOM a/c appendicitis, a/c GI obstruction, a/c mesenteric ischemia, ca PANcr, Enterobius inf, gastrinoma, HCC, immunoproliferative SI disorder ,lymphoma stom, mesenteric lipodystrophy, Zollinger Ellison synd-abd PAiN achalasia cardia-liquid dysphagia alcohol withdrawal, Li intoxication a/c-tremor AML-blding amoebic liver abscess-fever anal fissure-tearing pain angiofibroma nose-epistaxis angiomyolipoma-flank pain aortic dissection-tearing chest pain Asherman synd-menstrual irregularity(Amenorrhea>hypomenorrhea)> infertility atrophic rhinitis-nasal obstruction AVN femur-groin pain Barrett esoph-heartburn ca adrenal gld child-mal-precocious puberty, fem-virilisation ca breast-ductular, lobular-lump ca colon-pain, rt-blding, lt-obstruction ca esoph-dysphagia ca glottis-hoarseness ca prostate-urinary retention ca rectum, solitary rectal ulcer/mucosal prolapse synd-blding P/R ca testis-testicular nodule ca UB-hematuria c/c GI obstruction, meconium ileus-abd distension c/c osteomyelitis-c/c discharging sinus c/c sinusitis-purulent nasal discharge choanal atresia, pulm HTN-dyspnoea chorioca-vag blding cryptosporiDIosis, giarDIAsis-DIArrh CYstitis-frequenCY decompression sickness-pain in jt&m deQuervain tenovaginitis-pain Dieulafoy lesion-painless hematemesis diffuse esoph spasm-retrosternal squeezing pain diverticulosis, GIST-hge duct papilloma breast-bld discharge nipple endometriosis-dysmenorrhoea essential HTN, pheochromocytoma-headache Ewing sarcoma, myeloma, PAgets ds, sickle cell anem-bone PAiN follicular lymphoma, mantle cell lymphoma-palpable LNpathy GERD infant-resp sympt

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glomus tm-pulsatile tinnitus gonorrhea mal-a/c urethritis Goodpasture synd-hemoptysis hiatus hernia-sliding-heartburn, rolling-pain>dysphagia HOCM-asympt>dyspnea horseshoe kidn-child-UTI, adult-pain HSP-Palpable Purpura hydatid cyst liver-rt hypochondria pain hypercalcemia-lethargy hyperthy-hyperactivity>irritability hypothy-weakness>tiredness hypoxic hypoxia-lassitude idiopathic retroperit fibrosis-urine obstruction inf mononucleosis-sore throat mastoiditis-ear discharge Meckel diverticulum-hge>intussusception, adult-intest obstruction mumps-pain+swelling parotid gld nasopharyngeal ca-cx LNpathy optic glioma-proptosis osteomalacia, Pott spine, spondylolisthesis-backache PCOD-infertility pediculosis capitis-itching over scalp periampullary ca-obstructive jaundice

↓ post uveitis- vision prolactinoma-mal-loss of libido>headache, fem-galactorrhoea>menstrual abnorm(amenorrhoea) prostatic abscess-a/c urine retention RCC-hematuria>flank pain rhinosporidiosis-polypoidal mass Schatzki ring-Solid dysphagia sec syphilis-rash TB larynx-weakness>change in voice varicocele-pain VIPoma-watery diarrh Wilms tm-abd mass Zenker diverticulum-intermitted dysphagia

SIGN↓ a/c fetal hypoxia- FHR

Babesia microti inf-selflimitting flulike illness ca pancr-obstructive jaundice CDH-a/c progressive resp distress COccidioidomycosis-asympt seroCOnversion cong dislocation knee-hyperextension CP angle tm-loss of Corneal reflex Cystic fibrosis-Cough diverticulitis-lt lower quadrant tenderness HCC-hepatomegaly hypera/c rejection-swelling of organ hypomagnesemia-DTR loss

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hyperthy-tachycard hypothy-dry coarse skin inf mononucleosis-LNpathy mastoiditis-mastoid tenderness mitochondrial myopathy-c/c progressive external ophthalmoplegia neuroblastoma-lytic lesion skull with suture diastasis pheochromocytoma-HTN Pott Spine-Paraspinal m Spasm retinoblastoma-leukocoria(amaurotic cat eye reflex) RF-Child-Carditis, Adult-Arthritis TB ENT-cx LNpathy TB larynx-loss of VC adduction toxoplasma-immunocompetent-cervical LNpathy, immunocompromised-encephalopathy, CHild-CHorioretinitis tuberous sclerosis-ashleaf macule vestib ScHwaNnoma-SNHL

1st SYMPTOM A/c Appendicitis-Anorexia Alz ds-memory loss BPH-frequency ca glottis-hoarseness ca stom-postprandial abd heaviness cocaine-euphoria colon obstruction-abd distension cong Syphilis-Snuffles Ewing sarcoma-bone pain familial glucocorticoid def-hyperpigmented skin,mucous memb hypercaLcemia-Lethargy hypermagnesemia-nausea lignocaine CNS toxicity-circumoral paresthesia osteoporosis-backache Pott spine-backache, cord compression-spasticity thy ophthalmopathy-lid retraction vest schwannoma-u/l deafn vitA def-night blindness

1st SIGN A/c Ant uveitis-Aqueous flare ankylosing spondylitis-sacroilitis c/c As poisoni-gradual emaciation

↑ CHF child- JVP+pedal edema DDH hip-limited abduction hip death-insensibility, loss of voluntary movement decomposition/putrefaction-greenish discolour(sulphmethHb) rt iliac fossa(under liver, caecum) Dupuytren contracture-small thick nodule in midpalm opposite base of ring finger DVT-calf Tenderness #union-mineralised callus HEpARIn tox-HEmAtuRIa

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HZV eye-eyelid vesicle IUD-gas in aorta(12h) Pb poisoni-facial pallor leprosy-temperature sensation loss ligNocaiNe CNS toxicity-Nystagmus

↑ malign hyperthermia- ETCO2 mastoiditis-ironing of mastoid multiorgan dysfn synd-ARDS neurotoxic snakebite-ptosis>diplopia P poisoni c/c-toothache papilloedema-obscuration of disc margin>v dilatation PIH-rapid wt gain Pott paraplegia-ankle clonus>plantar extensor>motor deficit>sensory>b/b disturbance Pott Spine-Paraspinal m Spasm rickets-craniotabes sepsis TPN-glu intolerance Sheehan synd-no lactation siderosis-lens stain TB larynx-hyperemia post commissure tuberous sclerosis-ashleaf macule vitA def-conjunctival xerosis

COMPLICATION abdominal hysterectomy-ureteral inj a/c MI-cardiac arrhythmia(VF>VT) a/c osteomyelitis-c/c osteomyelitis ANkylosing spondylitis extraskeletal-ANt uveitis any instrument-synechiae formation appendicectomy-ileus>inf, late-intest adhesion bld transfusion-febrile nonhemolytic transfusion rxn, massive-hypothermia cardiac catheterisation, H mole, HemanGioma, IUCD, myopia HiGh, typhoid enteritis-HGe cataract Sx-after cataract(post capsular opacification) central v catheter-catheter related inf coeliac plexus block, hemodialysis, SA-hypotension colostomy late-parastomal hernia corticaL cataract-phacoLytic glaucoma Crohn ds extraintest-erythema nodosum cryoablation-pain, long term-persist watery discharge cryotherapy-watery discharge CSOM-Mastoiditis, intracran-Meningitis>temp lobe brain abscess dislocation hip post-osteoarthritis, a/c-sciatic n inj dislocation shoulder-recur dislocat, a/c-axillary n inj DU-ant-perforat, post-hge(gastroduod a) ETT-malposition>sore throat #clavicle-malunion #Colles-stiffness of finger>malunion #lat condyle humerus-nonunion #neck femur-AVN>nonunion

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#pelvis-rupture memb urethra, serious-hypovolemic shock #shaft humerus-inj radial n #supracondylar humerus-malunion(cubitus varus/gunstock deformity) Fuch heterochromic iridocyclitis-cataract H influenzae meningitis-subdural effusion hemorrhoidectomy-a/c urinary retention hyperprolactinemia-infertility hypospadias Sx-urethral fistula ileoanal anastomosis-pouchitis inf Mononucleosis-Meningitis>encephalitis IUCD-PV bld>pain Pb poisoni child-encephalopathy lens extract in PHPV, PHPV-vitreous hge lumbar puncture, myelograph-headache measles-ASOM

→ monochorionic twin-twin twin transfusion synd Morgagnian cataract-inf subluxation Mumps-child-Meningoencephalitis, adult-orchitis myopia-macular degeneration>RD nasal septum hematoma-perforation neurocysticercosis-new onset partial sz nuclear cataract-lens subluxation osteoporosis-# pathologic panic disorder-dependence&substance abuse paraesoph hernia-gastric volvulus peritoneal dialysis-peritonitis periventricular leukomalacia-spastic diplegia pterygium Sx-recurrence RA-lung-pleuritis, heart-pericarditis Sheehan synd-failure to lactate Sjogren synd kidn-tubulointerstitial nephritis SLE-CNS-cognitive dysfn, lung-pleuritis, heart-pericarditis, bld-normocytic normochromic anem Str pneum pneum, thoracic inj-empyema suction evacuation-uterine perforation TB eye-uveitis, allergic-phlyct conjunctivitis TB spondylitis-bony ankylosis thyroidectomy-hypocalcemia tracheostomy-hge(thy v>a), physiologic-central apnea, child-difficult decanulation transvag chorioscentesis-cord vess hge>fetomaternal hge triple arthrodesis in CTEV-talonavicular pseudoarthrosis TURP-hge fr Badenoch a, late-retrograde ejaculation undescended testes-indirect ing hernia uveitis-sec glaucoma vagotomy-diarrh varicella-skin inf(Str pyogenes>Sta aureus) Zenker diverticulum-aspiration pneumonitis>lung abscess

Abbreviations a-artery, AA-amino acid, abtc-antibiotic, AI-autoimmune

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bef-before, bel-below, b/l-bilateral, bld-blood, b/n-between, bn-benign, br-branch, Bx-biopsy ca-carcinoma, carb-carbohydrate, c/i-contraindication, c/l-contralateral, conc-concentration, cong-congenital, Cx-cervix d-day, def-deficient, ds-disease, d/t-due to, Dx-diagnosis E-estrogen fem-female, fr-from gld-gland, glu-glucose h-hormone idiop-idiopathic, i/l-ipsilateral, inf-infection, inj-injury lig-ligament, LL-lower limb, l/t-leading to m-muscle, maj-major, mal-male, MC-most common, met-metastasis, min-minor, mtx-methotrexate, Mx-management n-nerve, norm-normal P-progesterone, pl-plasma, prot-protein, pt-patient Rx-treatment SCC-squamous cell carcinoma, sr-serum, Sx-surgery, sz-seizure tm-tumour, ts-tissue UL-upper limb, u/l-unilateral vag-vagina, VC-vocal cord, vel-velocity, vert-vertebra, vit-vitamin, vol-volume w-week, wt-weight Xr-X ray y-year #-fracture °-degree

THESE NOTES ARE ONLY FOR THE PURPOSE OF GUIDANCE AND HELP TO PG ASPIRANTS, NOT FOR COMMERCIAL OR OTHER PURPOSE. REFERENCE HAS BEEN TAKEN FROM VARIOUS STANDARD TEXTBOOKS.

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