Saturday, April 25, 2009

Where are your comments

I keep writing and writing ,its boring one way trip,WHERE ARE YOUR COMMENTS
Come on folks,motivate me to help you.
Tell me about your difficulties and any help u need ,lets make it both ways.

Anatomy ----what and where to study from.

Histology anat lecture 1 and usmle notes,this is more than enough entire histology is covered in 4 hrs flat .Avoid kaplan histology too vast not needed.
Head neck gross anatomy from achland video,head neck clinical anatomy usml lecture notes
Shoulder gross anatomy achland video,shoulder clinical anatomy anat video 3 ,first part,second part is lower limb not needed.
Trunk gross anatomy achland video.
Cinical anatomy contents of the mediastinum,neck ant &post triangle usml lecture notes.
Embry usml video lecture 2 and usml lecture notes.
Make flow charts for all the major arteries of head neck,trunk and upper limb in one paperAll cranial nerves esp trigeminal,facial,vagus,read about neucleus .origin supply in detail.
CNS Brs anatomy book
CNS topics
circle of willis
CSF
Meninges
Cavernus sinus to sigmoid sinus to internal jugular vein
Optic nerve from crossing over to supply
Sympathetic and parasympathetic only chapter to be studied from usml cns lecture notes
Avoid CNS from usml notes and videos too much not needed.

Sunday, April 19, 2009

THE LAST 10 DAYS.......DONT FREAK OUT

The last weeks,are the most important days,AS actually all your major studying happens only now,this is the time to push yourself as much as you can,you'v been warming upall these days,time for the kill now.Hope you have made your notes,keep the little book open,REVISE,revise revise as much you can,at least 5 hours a day ,2 hours on q banks,if u have really studied your basics you will finish decks each subject 2 hrs flat.Keep 2 hours to study something new,some thinng you have always pushed behind,now is the time.Your minds needs to stay focussed ,excited .DONT FREAK OUT even if u forget something,its okay you have enough time to do it all.The last 10 days makes us the winner or loser.Just forget the exam keep going, stick to your schedule,dont let the nerves get you.YOU know it all ,you have really studied ,its all going to come back to you.BELIEVE IN YOURSELF.The exam is a mental test ,its all about how much you can remember.

Thursday, April 2, 2009

Path Review Vascular Pathology

Studying pathology as i mentioned earlier is easy,its all about picking up the key points,one of my friends stated which are the points to be left out from Usml as it is vast,so heres doing a review on Vascular pathology the diseases and key points to remember,if you think there are few points to be added ,please do so in your comments.I would very much appreciate your feed back,lets make it both ways .
Vascular pathology
1.Polyarteritis nodosa affects any organ kidney ,git tract mucle except LUNGS this is akey point,hep b antigen is positive in most cases.
2.Wegeners granulomatosis is Bilateral pneumonitis and Renal cresenteric glomerulonephritis
3.Temporal arteritis -Giant cell arteritis-headache is a common clinical feature,visual dusturbances- lead to blindness.Elevated ESR.
4.Takayasu areteritis,affects major arteries-Arch of aorta-fibrosis.
5.Buergers disease young males-pain,thrombophlebitis,Raynauds phenomenona ,ulceration and gangrene
5.Think kawasaki think lymp nodes it affects oral mucosa ,erythema-submandibular lymph nodes, coranary artery is commonly involved
There is always a confusion between raynauds disease and raynauds phenomenon,the disease is seen young emotional women living in cold climates ,no underlying pathology ,cyanosis of
fingers and toes is the clinical feature.
Raynauds phenomenon has a underlying pathology like scleroderma,buergers .
6.Arteriosclerosis,occurs in diabetes and hypertension
7.Areteriosclerosis - hyaline or hyperplastic smooth muscle arteriosclerosis
Artherosclerosis-lipid deposition ,go through all the causes both major and minor
8.Hypertension essential and secondary leads to Concentric left ventricular hypertrophy, Congestive heart failure, Accelerated atherosclerosis, Myocardial infarction.
Aneurysm formation, rupture, and dissection, Intracerebral hemorrhage,
Chronic renal failure.IKidneys in hyprtension - pettechial heamorrhages causing flea bitten appearance.
9.Anerysms-Dilation of the vessel wall these are complications of thrombosis.
Rememeber aortic disecting anerysm which occurs in marfans syndrome,syphilitic anerysm--involves ascending aorta.Berrys anerysm -circle of willis,subarahnoid heammorhage,with a complaint of severe headache.

Finally finish the chapter with 10.Venous diseases-Deep vein thrombosis is very important detected by doppler-cause of pulmonary embolism.
Varicose veins causing edema, thrombosis,ulceration=eosophageal varices
Finishing off with 11.vascular neoplams,heamangiomas,kapsis sarcomas-spindle cell epithelial cell proliferation very imporatnt asssociated with organ tranplants,african forms lymph node spread
Angiosarcomas -liver angiosarcoma associated with vinyl chloride and arsenic poisoning.
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