MEN syndrome Mnemonics

MEN syndrome is an autosomal dominant (AD) predisposition to developing multiple endocrine tumors. Points to remember: Parathyroid hyperplasia is common to Men I and Men IIa syndrome. Medullary carcinoma of thyroid is common to MEN IIa and MEN IIb syndrome. MEN I occurs due to… Read More

Rib Notching

Normal Rib Notching A small notch near the costo-vertebral joint is normal, so pathologic rib notching is more likely if the notching is more lateral. Types of Pathological Rib Notching 1. Superior rib notching 2. Inferior rib notching (more common) Inferior Rib Notching (Roesler’s sign)… Read More

Hemolytic Anemia – Quick review

Although, we classify as intravascular and extravascular hemolysis, “diseases” don’t read the book. These disorders may be described as causing extravascular hemolysis, but your case may be the uncommon exception with intravascular hemolysis that was not mentioned. Diseases may cause anemia by both intravascular and… Read More

Percussion of Spleen

Traube’s semilunar space Borders: Superiorly: Left 6th rib superiorly Laterally: Left midaxillary line or Left anterior axillary line Inferiorly: Left costal margin Method: Patient’s position: supine with left arm slightly abducted. Percuss: from medial to lateral Interpretation: Resonance (Normal) and Dullness (Splenomegaly) Also: Pleural effusion… Read More