Portal Vein Anatomy 5-7-11

Portal Vein Pressure     5 mmHg
Portal Vein Length       7 cm
Portal Vein Diameter   11 mm

Most popular posts of all time- 4 years

Here are the most popular posts of this blog in the past four years. These 5 posts together account for more than 50% of the blog traffic. Click right away!

1. Android MBBS Apps
2. Reasons why you should date a doctor
3. Mitral Stenosis X-Ray findings
4. Kronig's isthmus and Traube's space
5. Post- operative complications of cataract

Complications of Pulmonary Tuberculosis Mnemonic

@ABCDEFGH

Atypical mycobacterial infection/ Amyloidosis/ Aspergilloma
Bronchiectasis/ Bronchopleural fistula
Calcification/ Cor pulmonale
Dissemination
Emphysema/ Empyema necessitans
Fibrosis
Gastroenteritis
Hemoptysis

Pulmonary Edema X- Ray Findings

A - Alveolar edema (giving it a ground glass appearance)
B - Kerley B lines
C - Cardiomegaly
D - Upper lobe diversion ( increased blood vessels in upper lobe)
E - Enlarged hilar vessels giving a bat- wing appearance

Bye med school

Today was my last day of rotations as a med student. The next time I see a patient (except for during exams this January) it won’t be as med student, it’ll be as Doctor. That thought both terrifies and excites me. 

Also, this blog is now almost 4 years old. Yayyy!

Horner's Syndrome and other causes of miosis mnemonics

Horner's syndrome- MAPLE

Miosis
Anhidrosis
Ptosis
Loss of ciliospinal reflex
Enophthalmous

Other causes of miosis- POOH

Pontine Hemorrhage
Organophosphate poisoning
Opioid poisoning
Horner's syndrome

Kronig's isthmus and Traube's space

Kronig's Isthmus is a band of resonance representing lung apex. It may also be remembered as the supraclavicular region.
Boundaries: Medially: Scalene
                    Laterally: Acromion process
                    Anteriorly: Clavicle
                    Posteriorly: Trapezius

Impaired dullness: Fibrosis, Upper Lobe Collapse and Mass
Hyperresonant: Emphysema, Hydropneumothorax

Traube's Space boundaries:
Superiorly: 6th rib
Laterally: Mid axillary line
Medially: Left costal margin

Dullness: Splenomegaly, Full stomach, Left Pleural Effusion, Carcinoma involving gastric fundus, Enlarged left lobe of liver, Achalasia cardia

Percussion myokymia

In a chronically wasted individual as in pulmonary tuberculosis, a percussion stroke close to sternum on the front of the chest, may cause a transient twitching of the muscle which is more marked on the side of the pulmoary affection.

Coin Test

Coin test:
Ask an assistant to put a coin on the anterior chest wall and strike the coin by another coin. Simultaneously auscultate using your stethoscope on the posterior chest wall. If you hear a bell like sound, it's due to pneumothorax.

Youtube video here.

A day to learn

I am currently on my medicine rotation and we have a fixed routine. Every morning we have a case discussion by first year residents, then ward rounds and then an evening class where we take a case by rotation. There are many things that I have learnt in these past two weeks and my recent posts have been about what I have gained from these classes and not found in textbooks. It's like my personal way of bookmarking and access it from wherever I want to and you guys can benefit from it too.

Today, instead of the usual history taking and examination we just looked at some findings in different patients, We finally palpated a liver and a spleen and again a liver (but this time by dipping method). It just bounces right back at your fingers. YES!

We also palpated a supraclavicular lymph node. And we saw swan neck deformity. And. And. We saw spider nevi. It's not as big as it looks in the books. It looked like a small red papule.

Today was one of the days where I wanted to see more. Feel more. Know more. Not read. But experience. Aah! I love such days.