Jonathan Adrian, MD Profile picture
Jan 20 β€’ 12 tweets β€’ 4 min read
10 HIGH YIELD mnemonics to help you memorise concepts for board exams and clinical practice – A thread 🧡

#MedTwitter
#MedEd
1. Tetralogy of Fallot ➑️ PROVe

⛽️ Pulmonary infundibular stenosis
πŸ“ˆ Right ventricular hypertrophy
🎒 Overriding aorta
πŸ•³ Ventricular septal defect

πŸ«€ Most common cyanotic heart disease, causes R-L shunt
πŸ”ͺ Tx: Surgical repair
2. Acute rheumatic fever ➑️ Jβ™₯NES criteria

πŸš— Joints (migratory polyarthritis)
πŸ«€ β™₯ (carditis)
🧴 Nodules (subcutaneous)
⭐️ Erythema marginatum
πŸ‘‹πŸ½ Sydenham chorea

πŸ’Š Tx: Antibiotics, supportive care for other symptoms, 2˚ prophylaxis for RHD
3. Infectious endocarditis ➑️ FROM JANE

🦷 RF: Poor dentition, IV drug use, IV catheters, heart disease
🦠 Most common: viridans Streptococci
πŸ”‰ Dx: TEE is gold standard + culture

πŸ’Š Tx: Initially with vancomycin, subsequent Tx based on culture (S.viridans β†’ Pen G / Ceftri)
4. Multiple myeloma ➑️ CRAB

πŸ¦€ hyperCalcemia (>11)
πŸ’¦ Renal insufficiency (CCl <40)
🩸 Anemia (HB <10)
🦴 Bone lytic lesion / Back pain

πŸ‘‰πŸ½ Most common cause of isolated ↑ALP in elderly
πŸ’‰ Clonal bone marrow plasma cells β‰₯10%
5. Acute dialysis ➑️ AEIOU

🧬 Acidosis (pH <7.1)
🍌 Electrolytes (refractory hyperkalemia/>6.5)
πŸ’‰ Intoxication (methanol, ethylene glycol, salicylate, Li, valproate)
🐳 Overload (πŸ’§overload refractory to diuretics)
⚠️ Uremia (pericarditis, encephalopathy)
6. Medullary respiratory centre ➑️ DIVE

πŸ‘‰πŸ½ Dorsal: Inspiration
πŸ‘ˆπŸ½ Ventral: Expiration
7. Vestibulo-ocular reflex ➑️ COWS

πŸ₯Ά Cold β†’ Opposite
πŸ₯΅ Warm β†’ Same
8. Menopause wreaks HAVOCS

πŸ§”πŸ»β€β™€οΈ Hirsutism
🧴 Atrophy of Vagina
🦴 Osteoporosis
πŸ«€ Coronary artery disease
πŸ’€ Sleep disturbance
9. Depression ➑️ SIG E CAPS

πŸ‘‰πŸ½ This mnemonic makes no logical sense (what is a SIG E CAP?) but is one of the ones that really stick to me I’m not so sure why…
πŸƒ Dx: depressed mood + anhedonia + β‰₯4/7 criteria
πŸ’Š Tx: CBT + SSRI
10. Mania ➑️ DIG FAST

1️⃣ Bipolar 1: β‰₯1 manic episode + causing marked impairment
2️⃣ Bipolar 2: β‰₯1 hypomanic episode + β‰₯1 major depressive episode
πŸ’Š Tx: CBT + mood stabiliser Β± antipsychotics
I’m a doctor based in Bali, Indonesia riding the wave of the wonderful medical community on Twitter to talk about my IMG journey to the UK.

πŸ‘‰πŸ½ Sitting for the PLAB 1 on August 2023
πŸ‘‰πŸ½ Connect with me for more of these

I hope you all have a wonderful weekend ✨

β€’ β€’ β€’

Missing some Tweet in this thread? You can try to force a refresh
γ€€

Keep Current with Jonathan Adrian, MD

Jonathan Adrian, MD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @adrnjonathan

Nov 13, 2022
10 HIGH YIELD clinical associations for PLAB/UKMLA/USMLE/board exams – A thread 🧡

#MedTwitter
#MedEd
1. Thymoma ↔️ Myasthenia Gravis

πŸ‘‰πŸ½ MG β†’ autoimmune disorder involving neuromuscular junction
πŸ‘‰πŸ½ Once diagnosis is established, patients should receive chest CT / MRI to evaluate for thymoma
πŸ‘‰πŸ½ 15% of Px with MG have concomitant thymoma

Source: ncbi.nlm.nih.gov/pmc/articles/P…
2. Autoimmune hepatitis type 1 ↔️ anti smooth muscle antibodies

πŸ‘‰πŸ½ Chronic ds of unknown cause, characterised by continuing hepatocellular inflammation & necrosis β†’ risk of cirrhosis
πŸ‘‰πŸ½ Dx: (+) ANA (+) ASMA
πŸ‘‰πŸ½ Tx: oral glucocorticoids

Source: ncbi.nlm.nih.gov/pmc/articles/P… Image
Read 12 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(