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Showing posts with label image. Show all posts

Thursday, August 31, 2017

Mnemonics: Breast Cancer causes

Risk Factors for Development of Breast Cancer (A to G Guide)

For easy remembrance of the risk factors that can cause breast cancer, it is grouped into 7 major titles that start from A to G, and under each heading both protective factors or factors that has least causative effect and factors that has strong risk are classified and described.
Risk Factors for development of Breast Carcinoma




Risk
Protective
A
Age
Old age
>90 years (~20%)
Rare <20 years
B
Benign Breast Conditions
Hyperplasia (1.5-3 fold)
Papilloma (1.5-3 fold)
Ductal / Lobular Atypical hyperplasia (5 fold)

C
Cancer
Cancer of contralateral Breast (3-4 fold)
Cervix
Ovary
Colon
Prostate
Radiation Therapy for Hodgkin's Lymphoma

D
Diet
Alcohol
Phytoestrogen Deficiency
Vitamin C
E
Estrogen
(Conversion of Steroid hormone to estradiol in the body fat)
Nulliparous
Obese Postmenopausal Women
Exogenous Estrogen (OCP, Mixed prep HRT)
Breast feeding
Late Menarche
Early Menopause
Early age at 1st child birth
F
Familial History
2-10 fold risk in family history of Breast, Colon, Ovarian and Prostate Carcinoma

G
Genetics
BRCA 1 (Breast Ovarian, prostate and Colorectal Ca )
BRCA2 (Male Breast Ca)
p53
HER 2

G
Geography
African american
(Western world 1-3 % of all death of women )
Rare in Japan and Taiwan
Source: Bailey and Love’s Short Practice of Surgery.

Sunday, September 4, 2016

Paediatrics: Head Examination: Differential Diagnoses

Delayed Dentition
Constitutional Delay •Protein Energy Malnutrition •Rickets •Hypothyroidism •Hypopituitarism
Causes of Delayed Dentition 
>>Various Anthrometric values at various ages and methods to calculate them.

Delayed Closure of Sutures
Protein Energy Malnutrition  Pituitary Dwarf Rickets Hydrocephalus Cretinism Trisomy 13, 18, 21  Congenital Rubella Syndrome Thalassemia Major Achondroplasia Apert Syndrome Osteogenesis Imperfecta
Causes of Delayed Closure of suture

Bossing of Skull
Rickets Thalassemia Major Ehler Danlos Syndrome Congenital Syphillis Lowes Syndrome Achondroplasia
Causes Of  Bossing Of Skull
Bulging Anterior Fontanelles
Crying Infant  Hyperparathyroidism Raised ICP Hydrocephalus Galactosemia Tetracycline Vitamin D therapy Vitamin A therapy Nalidixic Acid Overdose Flouroquinolones
Causes of Bulging Anterior Fontanelle
Craniotabe (Ping Pong Ball)
Physiological Osteogenesis Imperfecta Rickets Hydrocephalus Congenital Syphillis Hypervitaminosis A
Causes Of Craniotabes
Microcephaly (<-3SD for Age, Sex, Height and Weight)
Familial Trisomy 13, 21 Intrauterine TORCH infection Cerebral Dysgenesis/CP Cri du Chat Syndrome Fetal Alcohol/Hydrantoin/Cocaine Syndrome Craniosynostosis Neuronal Migration Defect
Causes of Microcephaly

>>Know the normal head circumference and its rate of growth.


Macrocephaly (> 2 SD or > 2.5cm of mean for age)
Hydrocephalus Thick skull Bone : Achondroplasia, Osteoporosis, Rickets, Oro-digito dysplasia Cerebral Gigantism Sub dural Hematoma / Effusion Hydrancephaly Intracranial Tumors Fragile X Syndrome Mucopolysaccharidosis
Causes of Macrocephaly

Macroglossia
Cretinism Downs Syndrome Duchene Muscular Dystrophy Glycogen Storage Disease (Pompes) Primary Amyloidosis
Causes of Macroglossia
Hyperplasia of Gums
Poor Oral Hygiene Phenytoin Scurvy Xanthomatosis Epulis
Causes of Gum Hyperplasia