2 Medical One Liners 151 - 160

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151. Sitting Duck shaped Heart is seen in Persistant Truncus Arteriosus.

152. Sherman paradox is seen in Fragile X syndrome. (It is Anticipation phenomenon in Fragile X syn)

153. Trethowans sign is positive in slipped femoral epiphysis.

Normally : If an anteroposterior view of the hip joint is taken then a line drawn along the superior surface of the neck should pass through the femoral head. ( This line is Klein's Line )
If the line remains superior to the femoral head then this is termed Trethowans sign.

154. Amrinone and Milrinone - Side effect - Thrombocytopenia.

155. In PSVT (Paroxysmal supraventricular tachycardia), QRS is normal.

156. DOC for typical absence seizures: Ethosuximide 

157. DOC for atypical absence seizures: Valproate

158. Hyperventilation provokes absence seizures.

159. Ring enhancing lesion on CECT Brain - think about NCC and Tuberculomas.

160. JME (juvenile myoclonic epilepsy) never shows complete remission.


2 comments:

  1. BUT SIR IN KD TRIPATHI, IT IS WRITTEN DAT...VALPROATE IS D DRUG OF CHOICE OF ABSENCE SEIZURES IN ADULTS AND ETHOSUXIMIDE IS DRUG OF CHOICE ONLY IN CASE OF CHILDREN...PLS CLEAR MY DOUBT

    ReplyDelete
    Replies
    1. -- Ethosuximide does not cause idiosyncratic hepatotoxicity and hence is preferred especially in children.

      -- Valproate has been shown to be more effective than ethosuximide for atypical absence seizures. (Ref: Engel J Jr. Seizures and Epilepsy. Philadelphia: F.A. Davis Company)

      -- Atypical Absence Seizures usually :
      1. occur in children.
      2. last > 10 seconds.
      3. gradually start and stop than typical.
      4. not precipitated by hyperventilation.

      -- When absence seizures are ass. with GTCS - Valproate is preferred choice.

      Delete

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