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 43-MC SYMPTOM,SIGN,COMPLICATION

SYMPTOM
a/c appendicitis, a/c GI obstruction, a/c mesenteric ischemia, ca PANcr, Enterobius

in
inf, gastrinoma, HCC, immunoproliferative SI disorder ,lymphoma stom, mesenteric
lipodystrophy, Zollinger Ellison synd-abd PAiN
achalasia cardia-liquid dysphagia
alcohol withdrawal, Li intoxication a/c-tremor
AML-blding

s.
amoebic liver abscess-fever
anal fissure-tearing pain
angiofibroma nose-epistaxis
angiomyolipoma-flank pain
aortic dissection-tearing chest pain
Asherman synd-menstrual irregularity(Amenorrhea>hypomenorrhea)> infertility

Barrett esoph-heartburn
iim
atrophic rhinitis-nasal obstruction
AVN femur-groin pain

ca adrenal gld child-mal-precocious puberty, fem-virilisation

ca breast-ductular, lobular-lump
ca colon-pain, rt-blding, lt-obstruction
ca esoph-dysphagia
ca glottis-hoarseness
4a
ca prostate-urinary retention
ca rectum, solitary rectal ulcer/mucosal prolapse synd-blding P/R
ca testis-testicular nodule
ca UB-hematuria
c/c GI obstruction, meconium ileus-abd distension
c/c osteomyelitis-c/c discharging sinus
c/c sinusitis-purulent nasal discharge
m

choanal atresia, pulm HTN-dyspnoea

chorioca-vag blding
cryptosporiDIosis, giarDIAsis-DIArrh
CYstitis-frequenCY
decompression sickness-pain in jt&m
deQuervain tenovaginitis-pain
Ai

Dieulafoy lesion-painless hematemesis

diffuse esoph spasm-retrosternal squeezing pain
diverticulosis, GIST-hge
duct papilloma breast-bld discharge nipple
endometriosis-dysmenorrhoea
essential HTN, pheochromocytoma-headache
Ewing sarcoma, myeloma, PAgets ds, sickle cell anem-bone PAiN
follicular lymphoma, mantle cell lymphoma-palpable LNpathy
GERD infant-resp sympt
 glomus tm-pulsatile tinnitus
gonorrhea mal-a/c urethritis
Goodpasture synd-hemoptysis
hiatus hernia-sliding-heartburn, rolling-pain>dysphagia
HOCM-asympt>dyspnea
horseshoe kidn-child-UTI, adult-pain
HSP-Palpable Purpura
hydatid cyst liver-rt hypochondria pain
hypercalcemia-lethargy

in
hyperthy-hyperactivity>irritability
hypothy-weakness>tiredness
hypoxic hypoxia-lassitude
idiopathic retroperit fibrosis-urine obstruction
inf mononucleosis-sore throat

s.
mastoiditis-ear discharge
Meckel diverticulum-hge>intussusception, adult-intest obstruction
mumps-pain+swelling parotid gld
nasopharyngeal ca-cx LNpathy
optic glioma-proptosis
iim
osteomalacia, Pott spine, spondylolisthesis-backache
PCOD-infertility
pediculosis capitis-itching over scalp
periampullary ca-obstructive jaundice
post uveitis-↓vision
prolactinoma-mal-loss of libido>headache, fem-galactorrhoea>menstrual
abnorm(amenorrhoea)
prostatic abscess-a/c urine retention
RCC-hematuria>flank pain
4a
rhinosporidiosis-polypoidal mass
Schatzki ring-Solid dysphagia
sec syphilis-rash
TB larynx-weakness>change in voice
varicocele-pain
VIPoma-watery diarrh
Wilms tm-abd mass
m

Zenker diverticulum-intermitted dysphagia

SIGN
a/c fetal hypoxia-↓FHR
Babesia microti inf-selflimitting flulike illness
ca pancr-obstructive jaundice
Ai

CDH-a/c progressive resp distress

COccidioidomycosis-asympt seroCOnversion
cong dislocation knee-hyperextension
CP angle tm-loss of Corneal reflex
Cystic fibrosis-Cough
diverticulitis-lt lower quadrant tenderness
HCC-hepatomegaly
hypera/c rejection-swelling of organ
hypomagnesemia-DTR loss
 hyperthy-tachycard
hypothy-dry coarse skin
inf mononucleosis-LNpathy
mastoiditis-mastoid tenderness
mitochondrial myopathy-c/c progressive external ophthalmoplegia
neuroblastoma-lytic lesion skull with suture diastasis
pheochromocytoma-HTN
Pott Spine-Paraspinal m Spasm
retinoblastoma-leukocoria(amaurotic cat eye reflex)

in
RF-Child-Carditis, Adult-Arthritis
TB ENT-cx LNpathy
TB larynx-loss of VC adduction
toxoplasma-immunocompetent-cervical LNpathy,
immunocompromised-encephalopathy, CHild-CHorioretinitis

s.
tuberous sclerosis-ashleaf macule
vestib ScHwaNnoma-SNHL

1st SYMPTOM
A/c Appendicitis-Anorexia
Alz ds-memory loss
BPH-frequency
ca glottis-hoarseness
iim
ca stom-postprandial abd heaviness
cocaine-euphoria
colon obstruction-abd distension
cong Syphilis-Snuffles
Ewing sarcoma-bone pain
familial glucocorticoid def-hyperpigmented skin,mucous memb
4a
hypercaLcemia-Lethargy
hypermagnesemia-nausea
lignocaine CNS toxicity-circumoral paresthesia
osteoporosis-backache
Pott spine-backache, cord compression-spasticity
thy ophthalmopathy-lid retraction
vest schwannoma-u/l deafn
m

vitA def-night blindness

1st SIGN
A/c Ant uveitis-Aqueous flare
ankylosing spondylitis-sacroilitis
c/c As poisoni-gradual emaciation
Ai

CHF child-↑JVP+pedal edema

DDH hip-limited abduction hip
death-insensibility, loss of voluntary movement
decomposition/putrefaction-greenish discolour(sulphmethHb) rt iliac fossa(under
liver, caecum)
Dupuytren contracture-small thick nodule in midpalm opposite base of ring finger
DVT-calf Tenderness
#union-mineralised callus
HEpARIn tox-HEmAtuRIa
 HZV eye-eyelid vesicle
IUD-gas in aorta(12h)
Pb poisoni-facial pallor
leprosy-temperature sensation loss
ligNocaiNe CNS toxicity-Nystagmus
malign hyperthermia-↑ETCO2
mastoiditis-ironing of mastoid
multiorgan dysfn synd-ARDS
neurotoxic snakebite-ptosis>diplopia

in
P poisoni c/c-toothache
papilloedema-obscuration of disc margin>v dilatation
PIH-rapid wt gain
Pott paraplegia-ankle clonus>plantar extensor>motor deficit>sensory>b/b
disturbance

s.
Pott Spine-Paraspinal m Spasm
rickets-craniotabes
sepsis TPN-glu intolerance
Sheehan synd-no lactation
siderosis-lens stain
iim
TB larynx-hyperemia post commissure
tuberous sclerosis-ashleaf macule
vitA def-conjunctival xerosis

COMPLICATION
abdominal hysterectomy-ureteral inj
a/c MI-cardiac arrhythmia(VF>VT)
a/c osteomyelitis-c/c osteomyelitis
ANkylosing spondylitis extraskeletal-ANt uveitis
4a
any instrument-synechiae formation
appendicectomy-ileus>inf, late-intest adhesion
bld transfusion-febrile nonhemolytic transfusion rxn, massive-hypothermia
cardiac catheterisation, H mole, HemanGioma, IUCD, myopia HiGh, typhoid
enteritis-HGe
cataract Sx-after cataract(post capsular opacification)
central v catheter-catheter related inf
m

coeliac plexus block, hemodialysis, SA-hypotension

colostomy late-parastomal hernia
corticaL cataract-phacoLytic glaucoma
Crohn ds extraintest-erythema nodosum
cryoablation-pain, long term-persist watery discharge
cryotherapy-watery discharge
Ai

CSOM-Mastoiditis, intracran-Meningitis>temp lobe brain abscess

dislocation hip post-osteoarthritis, a/c-sciatic n inj
dislocation shoulder-recur dislocat, a/c-axillary n inj
DU-ant-perforat, post-hge(gastroduod a)
ETT-malposition>sore throat
#clavicle-malunion
#Colles-stiffness of finger>malunion
#lat condyle humerus-nonunion
#neck femur-AVN>nonunion
 #pelvis-rupture memb urethra, serious-hypovolemic shock
#shaft humerus-inj radial n
#supracondylar humerus-malunion(cubitus varus/gunstock deformity)
Fuch heterochromic iridocyclitis-cataract
H influenzae meningitis-subdural effusion
hemorrhoidectomy-a/c urinary retention
hyperprolactinemia-infertility
hypospadias Sx-urethral fistula
ileoanal anastomosis-pouchitis

in
inf Mononucleosis-Meningitis>encephalitis
IUCD-PV bld>pain
Pb poisoni child-encephalopathy
lens extract in PHPV, PHPV-vitreous hge
lumbar puncture, myelograph-headache

s.
measles-ASOM
monochorionic twin-twin→ twin transfusion synd
Morgagnian cataract-inf subluxation
Mumps-child-Meningoencephalitis, adult-orchitis
myopia-macular degeneration>RD
iim
nasal septum hematoma-perforation
neurocysticercosis-new onset partial sz
nuclear cataract-lens subluxation
osteoporosis-# pathologic
panic disorder-dependence&substance abuse
paraesoph hernia-gastric volvulus
peritoneal dialysis-peritonitis
periventricular leukomalacia-spastic diplegia
pterygium Sx-recurrence
4a
RA-lung-pleuritis, heart-pericarditis
Sheehan synd-failure to lactate
Sjogren synd kidn-tubulointerstitial nephritis
SLE-CNS-cognitive dysfn, lung-pleuritis, heart-pericarditis, bld-normocytic
normochromic anem
Str pneum pneum, thoracic inj-empyema
suction evacuation-uterine perforation
m

TB eye-uveitis, allergic-phlyct conjunctivitis

TB spondylitis-bony ankylosis
thyroidectomy-hypocalcemia
tracheostomy-hge(thy v>a), physiologic-central apnea, child-difficult decanulation
transvag chorioscentesis-cord vess hge>fetomaternal hge
triple arthrodesis in CTEV-talonavicular pseudoarthrosis
Ai

TURP-hge fr Badenoch a, late-retrograde ejaculation

undescended testes-indirect ing hernia
uveitis-sec glaucoma
vagotomy-diarrh
varicella-skin inf(Str pyogenes>Sta aureus)
Zenker diverticulum-aspiration pneumonitis>lung abscess

Abbreviations
a-artery, AA-amino acid, abtc-antibiotic, AI-autoimmune
 bef-before, bel-below, b/l-bilateral, bld-blood, b/n-between, bn-benign, br-branch,
Bx-biopsy
ca-carcinoma, carb-carbohydrate, c/i-contraindication, c/l-contralateral,
conc-concentration, cong-congenital, Cx-cervix
d-day, def-deficient, ds-disease, d/t-due to, Dx-diagnosis
E-estrogen
fem-female, fr-from
gld-gland, glu-glucose
h-hormone

in
idiop-idiopathic, i/l-ipsilateral, inf-infection, inj-injury
lig-ligament, LL-lower limb, l/t-leading to
m-muscle, maj-major, mal-male, MC-most common, met-metastasis, min-minor,
mtx-methotrexate, Mx-management
n-nerve, norm-normal
P-progesterone, pl-plasma, prot-protein, pt-patient

s.
Rx-treatment
SCC-squamous cell carcinoma, sr-serum, Sx-surgery, sz-seizure
tm-tumour, ts-tissue
UL-upper limb, u/l-unilateral
vag-vagina, VC-vocal cord, vel-velocity, vert-vertebra, vit-vitamin, vol-volume
w-week, wt-weight
Xr-X ray
y-year
#-fracture
°-degree
iim
THESE NOTES ARE ONLY FOR THE PURPOSE OF GUIDANCE AND HELP TO PG
ASPIRANTS, NOT FOR COMMERCIAL OR OTHER PURPOSE. REFERENCE HAS
BEEN TAKEN FROM VARIOUS STANDARD TEXTBOOKS.
4a
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