Mr Medicine

*PSM + Bollywood + Humor* ka perfect combo hai 😄 Concepts yaad rakhne ka ye style *next-level smartness* hai! --- *📚 PSM Ko Thoda Aasan Banao — Ye Kahani Hai Dr. Manish Dr Ahmad Ki Zubaani!* --- 🎩 *'Bhore' ne 1 PHC par 40,000 ghus liya* aur bola: 🗣️ *"3 mahine me 3 million ka plan hai!"* ➤ 1 PHC per 40,000 population ➤ 3 million plan ➤ Social physician (3-month PSM posting) --- 👨‍🌾 *'Balwant Rai'* — purani filmon ka gunda, gaon ki *panchayat* karwata hai ➤ Panchayati Raj Institution ➤ Three-tier health infrastructure --- 👩 *'Renuka'* — naam se aurat, khana banana & bacchon ki dekhbhal uska janmsiddh adhikar ➤ Provision of school meals ➤ Functional school health services --- 📢 *'Mudaliar'* — health services ka *mudda* uthaya ➤ Recommended *All India Health Services* --- 🧔 *'Chadah'* — Punjabi Sardar, malaria ne kamzor kar diya 🗣️ *"10,000 se ek ladau toh Chadah kehlaun!"* ➤ 1 basic health worker per 10,000 population ➤ Linking malaria control with family planning --- 🙅‍♂️ *'Mukherji'* Chadah ki baat se *mukar gaya* ➤ Suggested *delinking malaria & family planning* ➤ Focus on *basic health services* 📌 *Final Diagnosis group ke bacche ye kabhi nahi bhoolenge!* 😄 *Concepts toh yaad hone hi hain!*

‼️ *Some important Triad's* ‼️ 📌 Classical triad of accomodation :- 👉 Accomodation 👉 Meiosis 👉 Convergence 📌 Glaucoma Triad :- 👉 High IOP 👉 Visual field defect 👉 Optic nerve damage 📌 Vgot's Triad :- 👉 Pigment's on endothelium 👉 Iris atrophy 👉 Glaucomflecken 📌 Triad in congenital glaucoma :- 👉 Blepharospasm 👉 Photophobia 👉 Lacrimation 📌 Triad in Retinitis pigmentosa :- 👉 Bony spicule(black colored) 👉 Attenuated vessels 👉 Pole disk 📌 CPC Triad :- 👉 Cynosis 👉 Petechiae 👉 Congetion 📌 Marshall Triad :- seen in 2° blast injury. 👉 Patterned abrasion 👉 Contusion 👉 Laceration 📌 Samter's Triad :- Bronchial asthma . 👉 Asthma 👉 Nasal polyp 👉 ASA intolerance 📌 Mackler's Triad :- Boerhave syndrome. 👉 Vomiting 👉 Chest pain 👉Sub-cutaneous emphysema 📌 Saint's Triad :- 👉 Gall Stone's 👉 Hiatus hernia 👉 Diverticulosis of colon 📌 Riglers Triad :- Gallstone ileus 👉 Air in GB (Pneumobilia) 👉 Multiple air flued levels 👉 Stone in intestine 📌 Cholangitis charcots Triad :- 👉 Pain 👉 Fever 👉 Jaundice 📌 Beck's Triad :- 👉 Raised jugular venous pressure 👉 Muffled heart sound 👉 Hypotension 📌 Virchow's Triad of thrombosis :- 👉 Endothelial injury 👉 Stasis / turbulence 👉 Hypercoagulability 📌 Potter's Triad :- seen in severe oligohydramnios. 👉 Pulmonary hyperplasia 👉 Renal anomalies 👉 Contracted & malfigured limbs and Fat / compressed face 📌 O'donoghues Triad :- seen in ACL injury. 👉 ACL ( anterior cruciate ligament ) 👉 MCL ( medial collateral ligament ) 👉 Medial meniscus 📌 Trotter's Triad :- seen in nasopharyngeal carcinoma 👉 CHL (conducting hearing loss ) 👉 Palatal palsy d/t 10th nerve 👉 Neuralgia in temporoparietal area d/t 5th nerve

‼️‼️ SOME IMPORTANT BUZZ WORD'S FOR STUDY DESIGN'S ‼️‼️ 💊 Cross Sectional = Burden , load , prevalence 💊 Ecological study = Population study 💊 Case control = Multiple exposure 💊 Case control = Rare d/s 💊 Case control = matching 💊 Case control = Cheapest study design to evaluate exposure and outcomes 💊 Cohort study = Best study to evaluate exposure and outcomes 💊 Cohort study = Multiple outcome 💊 Cohort study = Incidence study 💊 Cohort study = Rare Exposure 💊 RCT = Best study to evaluate intervention and outcome 💊 Meta-analysis ( Gold standard) = Maximum evidence to establish Causality 💊 Nested case control = Rare investigation

📚 Hereditary Hyperbilirubinemias – Detailed Summary (For NEET PG / FMGE / INI-CET) 👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇 🧪 🫵,UNCONJUGATED HYPERBILRUBINEMIA 🙏 thora hindi mai type Kiya hu samjhene kai liy hope understand it's important isliye 👇👇Problem in conjugating (processing) bilirubin in liver. 👇👇👇👇 1️⃣ Crigler-Najjar Syndrome Type I 🔧 Defect: Complete absence of UGT1A1 enzyme 💉 Type: Autosomal recessive ⚠️ Clinical: Severe jaundice, kernicterus, usually fatal in infancy,,⚠️ जन्म के बाद से ही गंभीर jaundice होता है, जो kernicterus (दिमाग में बिलीरुबिन जमा होना) का कारण बन सकता है और यह स्थिति अक्सर शिशु अवस्था में घातक होती है 🧠 Note: No response to phenobarbital 2️⃣ Crigler-Najjar Syndrome Type II 🔧 Defect: Partial deficiency of UGT1A1 💉 Type: Autosomal recessive ⚠️ Clinical: Milder jaundice, may have kernicterus 💊 Treatment: Responds to phenobarbital 3️⃣ Gilbert Syndrome 🔧 Defect: Mild ↓ activity of UGT1A1 💉 Type: Autosomal recessive 😊 Clinical: Benign, may have mild jaundice during stress, fasting, illness,,,,: यह एक सामान्य और सुरक्षित स्थिति होती है, जिसमें हल्का jaundice केवल तनाव, उपवास या बीमारी के दौरान दिखाई देता है 🧠 Note: Most common hereditary cause of jaundice,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,👇👇👇👇👇👇,,,,,,,,,,,,,,,,,,,,,,,,,,,,👇👇👇👇👇👇👇👇👇👇👇👇 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,, 👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇 💧CONJUGATED,HYPERBILRUBINEMIA (> 🚪 PROBLEMS. in excreting conjugated bilirubin from liver),,,,,,, 4️⃣ Dubin-Johnson Syndrome 🔧 Defect: Impaired MRP2 transporter (excretion defect) 💉 Type: Autosomal recessive 🖤 Clinical: Liver appears black, but no major symptoms 😊 Benign – Normal life expectancy Cerebellum code XRAY 5️⃣ Rotor Syndrome 🔧 Defect: Unknown – likely storage/uptake/excretion defect 💉 Type: Autosomal recessive ✅ Clinical: Mild jaundice, no black liver 🧠 Note: Benign, liver histology normal

_#Mnemonics of the day_ *Vector borne diseases:* *Diseases transmitted by mite: PSM* P - Pox rickettsial S - Scrub typhus M - Mite *Diseases transmitted by soft tick: QRST* Q - Q Fever R - Relapsing fever ST - soft tick *Diseases transmitted by hard tick: Rocky LICK* Rocky - Rocky Mountain Spotted Fever L - Lyme disease I - Indian tick typhus C - Colorado tick typhus K - KFD

📌Rickettsial Diseases Vector and Agent in a mnemonic version 🫠 1) Sun Meri tsu su💦 ScrubTyphus-Mite-Orientia tsutsugamushi 2) FlEnT💃🏻 EndemicTyphus-Flea-R.Typhi 3)aaEp Lo iphone Pro📲 EpidemicTyphus-Louse-R.Prowazaki 4) India's Time for Corona😡 IndianTickTyphus-Tick- R.Conorii 5) Quality Not Check Bro🤮 Qfever Vector -none Agent - Coxiella Burnetii(sheep,goat&other domestic animals shed agent in faeces and urine)

HLA allele & Disease Association👇🏻 ✅HLA A3 : Hemochromatosis ✅HLA B8 : Myasthenia Gravis ,Graves disease ✅HLA B16 : Multiple sclerosis ✅HLA B27: Ankylosing spondylitis, Acute anterior uveitis Reactive arthritis,Psoriatic arthritis ✅HLA B47: Congenital adrenal hyperplasia ✅HLA B51 : Behcet's disease ✅HLA B57: Abacavir Hypersensitivity ✅HLA CW6 : Psoriasis ✅HLA DQ1: Narcolepsy ✅HLA DQ 2 : Celiac disease ✅HLA DR2 : SLE(Japanese) & Sjogren Syndrome ✅HLA DR3 : Type I diabetes mellitus,Dermatitis herpetiformis, Chronic active hepatitis, Sjogren's syndrome ,SLE (white) ✅HLA DR4 : Rhematiod Arthritis ✅HLA DR5 : Pernicious Anemia , Hasimoto's Thyroiditis ✅HLA DR8 ,DR5 : juvenile arthritis ( pauci articular)

Medical Conditions with "Chicken Wire" Patterns 👇🏻 1. *Chicken wire calcification*: Chondroblastoma (a type of bone tumor) 2. *Chicken wire vessels*: Oligodendroglioma (a type of brain tumor) 3. *Chicken wire fibrosis*: Alcoholic liver disease (cirrhosis) 4. *Chicken wire trabeculae*: Fibrous dysplasia (a bone disorder) 5. *Chicken wire appearance of skin lesion*: Erythema marginatum (a skin condition) 6. *Chicken wire immunofluorescence*: Pemphigus vulgaris (an autoimmune disease) 7. *Chicken wire appearance in FNAC*: Mucinous carcinoma of the breast (a type of breast cancer) 8. *Chicken wire appearance in retina*: Cystoid macular edema (a retinal condition)

Types of Diuretics 👆🏻

Few important sign 👇🏻 Rat tail appearance-  Carcinoma esophagus Bird beak appearance- Achalasia Beak sign/double track/ tram track - Hypertrophic pyloric stenosis Medusa head colonies on CT - Round worm Pincer/claw/coiled spring/target/meniscus sign - Intussception  Coffee bean sign - Sigmoid volvulous Lead pipe appearance - Ulcerative colitis String of kantor/bull's eye - Chron's disease Thumb printing sign - Ischemic colitis Saw tooth appeance on barium enema - Diverticulosis Apple core sign - Carcinoma colon

Full Biochem is uploaded now use above link 👆🏻👆🏻👆🏻👆🏻

After taking copyright and lots of risk to loose YT channel again i m giving u guys biochem videos share with your friends 😊🙏🏻 All Parts are uploaded pls watch and pass your exams with flying colours,share with your friends and these videos are only played using these links only Biochemistry Part-1 https://youtu.be/Q5iqfgORFmE Biochemistry Part-2 https://youtu.be/5lMbXJfWcpw

After taking copyright and lots of risk to loose YT channel again i m giving u guys biochem videos share with your friends and remaining videos will be uploaded tomorrow 😊🙏🏻 Biochemistry Part-1 https://youtu.be/tZU6aOUc4Ds Biochemistry Part-2 https://youtu.be/ZWa1EVurFWM

Hyperglycaemic crisis 👆🏻

Skin Assessment 👆🏻

CPAP Vs BIPAP 👆🏻

Drugs safe in pregnancy 👆🏻

Paediatric Dosing 👆🏻

MSE(Mental State Examination)👆🏻