medcarving

CHOROID PLEXUS CYST The choroid plexus is the part of the brain that makes the fluid that bathes and nourishes the brain. A CPC is a tiny “bubble” or “pocket” of fluid inside the choroid plexus that can be seen on ultrasound. There may be one or multiple CPCs. Choroid plexus cysts are nonneoplastic cysts lined by cells that are morphologically similar to those of the epithelium in the CNS. They have various names: ependymal cysts, neuroepithelial cysts, choroidal-epithelial cysts, and subarachnoid-ependymal cysts (Czervionke CF, Daniels DL, Meyer GL, Pojunas KW, Williams AL, Haughton VM. Neuroepithelial cysts of the lateral ventricles: MR appearance. AJNR 1987;8:609-613). They are found in 1-2% (1 in 50 to 1 in 100) of pregnancies. Most CPCs will go away before delivery; however even if they do remain, they do not have any effect on the pregnancy and do not require follow up. CPCs have also been seen in imaging of healthy individuals and do not have any long term effects

                                            Drugs Of Choice List in infections (1)Penicillin G Streptococcus pneumoniae, S.Viridans,Hemolytic Streptococci group A,B,C,G,Staphylococcus (Non-Penicillinase producing) Neisseria Meningitidis,Clostridium(ABC)Bacillus Cereus,Actinomyces.Treponema Pallidum, T.Pertene (2)Ampicillin Listeria,Enterococcus faecalis. (3)Vancomycin MRSA,Coagulase negative staphylococcus,Enterococcus faecium. (4)Erythromycin Corynebacterium (5)Doxycycline Bacillus anthracis, Borelia burgdorferi, B.Recurrentis. Chalmydia & Rickettsiae. (6) Cotrimoxazole Nocardia (7) Azithromycin Hemophilus ducreyi & Mycoplasma . (8) Ceftriaxone Proteus,E.coli,Salmonella (9)Carbapenems Serratia,Enterobacter,Acinetobacter (10)(Metronidazole Bacteriocides (11)Ceftazidime Burkholderia pseudomallei Drugs Of Choice List in pregnancy (12)Choloroquine Drug of choice for malaria in pregnancy (13) Alpha-Methyldopa DoC for hypertension in pregnancy (14

                                                    Drug of choice  1. Enuresis      = imipramine 2. Rheumatic fever =penicillin 3. Paracetamol poisoning- :- - acetyl cysteine 4. acute bronchial- asthma :- salbutamol 5. acute gout :- NSAIDS 6. acute hyperkalemia:- calcium gluconate 7. severe DIGITALIS toxicity :-DIGIBIND 8. acute migraine :- sumatriptan 9. cheese reaction :- phentolamine 10. atropine poisoning :- physostigmine 11. cyanide poisoning :- amyl nitrite 12. benzodiazepine poisoning:- flumazenil 13. cholera :- tetracycline 14. KALA-AZAR :- lipozomal amphotericin- B 15. iron poisoning :- desferrioxamine 16. MRSA :- vancomycin 17. VRSA :- LINEZOLID 18. warfarin overdose :- vitamin-K (NIPER- 2009) 19. OCD -  fluoxetine 20. alcohol poisoning :- fomepizole 21. epilepsy in pregnency :- phenobarbitone 22. anaphylactic shock :- Adrenaline 23. Malaria in Pregnancy-Chloroquine 24. Whooping Cough or Perteusis- Erythromycin 25. Kawasaki disease-IV Ig 26. Hepari

Upper Limb:  Abduction of shoulder joint  from 0 - 15* - Supraspinatus muscle 15 to 90* - Acromial fibers of deltoid 90* and above - Over head abduction by Serratus anterior, Trapezius, Lateral rotation of scapula. v Paralysis of deltoid leads to flat shoulder Axillary nerve supplies to ü   Deltoid ü   Teres minor ü   Cutaneous branch – superior lateral cutaneous nerve of axillary nerve    *Regimen batch sign – if sensation is lost (Axillary N.) Structures Lying in ·         Delto-pectoral groove – Cephalic Vein ·         Ilio-psoas groove – Femoral nerve ·         Tracheo-oesophageal grove – Recurrent laryngeal nerve Cephalic vein - formed by joining of lateral end of dorsal venous arch with the 1 st metacarpal vein ·         It lies in the roof of anatomical snuff box ·         It lies in deltopectoral groove ·         It pierces the clavipectoral fascia ·         It drains into axillary vein