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͞Faculty List of Your Legion Are Bruce, Salma, Mike and Francis͟
Faculty (group)
List ʹ Listeria
Of Your ʹ Yersinia
Legion ʹ Legionella
Are Bruce ʹ Brucella
Salma ʹ Salmonella typhi
Mike ʹ Mycobacterium
Francis ʹ Francisella tularensis
Contributed by: Jericho Robert Pineda, MD

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͞Medical Schools Let Confident People In͟
Medical ʹ Middle Thyroid
Schools ʹ Superior Thyroid
Let ʹ Lingual
Confident ʹ Common Facial
People ʹ Pharyngeal
In ʹ Inferior Petrosal Sinus
Contributed by: Rowena Grace Garcia, MD

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͞Left Hand Side͟
Left ʹ Left Gastric a.
Hand ʹ Hepatic a.
Side ʹ Splenic a.
Contributed by: Rowena Grace Garcia, MD

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͞The Duck Between 2 Gooses͟
Thoracic Duct is between the Esophagus and Azygous Vein.
Contributed by: Rowena Grace Garcia, MD

Did you know that alcohol promotes dieresis not directly (i.e. acting on the tubules) but indirectly by decreasing
ADH secretion? So as with lithium as a side effect and with demeclocycline primarily to treat SIADH.
Contributed by: Christopher George Mapa, MD

Dorsal Medulla ʹ normal breathing rhythm, inspiratory drive


Ventral Medulla ʹ active expiration
Lower Pons ʹapneustic center, responsible for deep prolonged breathing
Upper Pons ʹpneumotaxic center, inhibits inspiration causing increased respiratory rate
Contributed by: Christopher George Mapa, MD

Norepinephrine is the only neurotransmitter with documented negative feedback inhibition. Therapeutic dose
stimulates the sympathetic nervous system but increased circulating norepinephrine sends a negative feedback
signal to the brain causing general inhibitory effect. ---Katzung & Joram
Contributed by: Hyacinth Claire Tanseco, MD

"#   c$ #%%"&'    () *)!+


Crude Birth Rate
Crude Death Rate
Cause-Specific Death Rate
Age-Specific Death Rate
Contributed by: Hyacinth Claire Tanseco, MD

"#   & #,-    (.  +


Infant Mortality
Neonatal Mortality
Maternal Mortality
Post-Neonatal Mortality
Contributed by: Hyacinth Claire Tanseco, MD

Popcorn calcification ʹ Chondrosarcoma


Soap Bubble ʹ Giant Cell
Ground Glass ʹ Fibrodysplasia
Sunburst Appearance ʹ Osteosarcoma
Onion Skin Appearance ʹ Ewing͛s Sarcoma
Contributed by: Christopher Tambo, MD

Patients with Ventricular Tachycardia


When hemo-stable, use Lidocaine.
When hemo-unstable, SYNCH CARDIOVERSION 1-2.5 j/kg in Pedia
Patients with Supraventricular Tachycardia
SYNCH CARDIOVERSION 0.25-0.50 J/kg x2 if unsuccessful
---Baby Nelson
Contributed by: Christopher Tambo, MD

,  #! - !


H1 ʹ smooth muscle
H2 ʹ stomach, heart, mast cells
H3 ʹ nerve endings and CNS
Contributed by: Christopher Tambo, MD

-! !    


Phenylalanine to tyrosine ʹ thyrosine (thyroxine), dopamine (melanin, norepinephrine, epinephrine)
Tryptophan ʹ serotonin, niacin (NAD, NADP), melatonin
Arginine ʹ nitric oxide, creatinine, urea
Glutamate ʹ GABA
Histidine ʹhistamine
Glycine ʹ porphyrin (heme)
Contributed by: Christopher Tambo, MD

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Prophylaxis ʹ propranolol, valproic acid, topiramate
Acute Attack ʹ ergotamine, sumatriptan
Contributed by: Bernice Plana, MD

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͞TLC For Nadia͟
T ʹ thiamine pyrophosphate
L ʹ lipoic acid
C ʹ CoA
For ʹ FAD
Nadia ʹ NAD
Contributed by: Christopher Tambo, MD
ATROPHIC VAGINITS is the most common cause of vaginal bleeding in post-menopausal women.
Contributed by: Rochee De Leon, MD

 -  %  
Helper T Cells ʹ CD4, TCR, CD3, CD28, CD40L
Cytotoxic T Cells ʹ CD8, TCR, CD3
B Cells ʹ IgM, B7, CD19, CD20, CD21, CD40, MHC II
Macrophages ʹ MHC II, B7, CD40, CD14, receptors for Fc and C3b
Natural Killer Cells ʹ receptors for MHC I, CD16, CD56
All cells except mature RBCs ʹ MHC I
Contributed by: Christopher Tambo, MD

    
DOC for anaerobes ABOVE the diaphragm, use clindamycin.
DOC for anaerobes BELOW the diaphragm, use metronidazole.
---USMLE First Aid, Step 1

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Trop I ʹ 4 hours to 7 days  most specific
CK-MB ʹ 1st 24 hours  first to elevate
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LDH ʹ 2 to 7 day
Contributed by: Alain Blue Tuazon, MD

#"-
%,&/$
Strawberry tongue ʹ Scarlet fever, Kawasaki disease
Strawberry cervix ʹ Trichomoniasis
Strawberry gallbladder ʹ cholesterolosis
Cherry-red spot ʹ CRAO, Niemann-Picks disease, Tay Sachs͛ disease
Bunch of grapes ʹ Sarcoma botyroides
Apple-green birefringence ʹ amyloidosis
Currant jelly ʹ intussusceptions, Klebsiella pneumonia
Lemon sign ʹ spina bifida
Banana sign ʹ spina bifida
Banana-shaped left ventricle on ECG ʹ hypertrophic cardiomyopathy
Peau d͛ orange ʹ invasive breast CA
Bitter almond odor ʹ cyanide poisoning
Sweet garlic odor ʹ arsenic
Contributed by: Jimmy Dumlao, MD

Primary Hyperaldosteronism (Conns) ʹ low plasma rennin


Secondary Hyperaldosteronism ʹ high plasma rennin
Primary Adrenal Insufficiency (Addison͛s) ʹ hyperpigmentation
Secondary Adrenal Insufficiency (Addison͛s) ʹ without hyperpigmentation

'#-
Acute ʹ Staph aureus
Subacute ʹ Viridans strep (S. sanguis) & Group D strep (Enterococci)
In IV drug users ʹ Staph epidermidis & Candida albicans (TV endocarditis)

, %-
Hep A ʹ feco-oral ʹ Picornavirus
Hep B ʹ STD ʹ Hepadnavirus
Hep C ʹ BT ʹ Flavivirus
Hep D ʹ HbsAg ʹ Deltavirus
Hep E ʹ feco-oral ʹ Calicivirus

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Normally:
The striatum communicates with the thalamus and cerebral cortex via:
1 ʹ direct pathway (excitatory) through D1 receptors (Gs so increased adenylyl cyclase, increased cAMP); and
2 ʹ indirect pathway (inhibitory) through D2 receptors (Gi so decreased adenylyl cyclase, decreased cAMP).
Dopamine excites the direct pathway and inhibits the indirect pathway. So overall, dopamine is excitatory.
In Parkisonism:
Since dopamine inhibits the indirect (inhibitory) pathway and excites the direct (excitatory) pathway, destruction
of dopaminergic neurons is overall, inhibitory.
Contribued by: Bernice Plana, MD

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1 ʹ HAV M3 (read as ͞have me͟): H1, ɲ1, V1, M1, M3
Action: activates Gq  phospholipase C 
(1) increases IP3  increases intracellular Ca; and
(2) increases DAG  increases protein kinase C.
2 ʹ DB HBV: D1, ɴ1, H2, ɴ2, V2
Action: activates Gs  stimulates adenylyl cyclase  increases cAMP
3 ʹ MAD 2i: M2, ɲ2, D2
Action: activates Gi  inhibits adenylyl cyclase  decreases cAMP
---BRS Physiology
Contributed by: Bernice Plana, MD

%- cc  ʹ laminated, concentric, calcific spherules seen in:


P ʹ Papillary adenocarcinoma of the thyroid
S ʹ Serous papillary cystadenocarcinoma of the ovary
M ʹ Meningioma
M ʹ Malignant Mesothelioma
---USMLE First Aid, Step 1

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1 ʹ Coronary Sinus (great, middle/medium and small cardiac veins)
2 ʹ Anterior Cardiac Vein
3 ʹ Smallest Cardiac Vein or Venae Cordis Minimae
4 ʹ SVC
5 ʹ IVC

& -
Tricuspid Valve ʹ 3 cusps (anterior, septal, inferior)
Mitral Valve ʹ 2 cusps (anterior, posterior)
Pulmonary Valve ʹ 3 semilunar cusps (1 posterior, 2 anterior)
Aortic Valve ʹ 3 semilunar cusps (1 anterior, 2 posterior)
AORTIC SINUSES (bulge from 3 semilunar cusps):
1 anterior ʹ becomes Right coronary artery
2 posterior ʹ Left posterior becomes Left coronary artery
Contributed by: Bernice Plana, MD

MRH ʹ mitral regurgitation, holosystolic


VSDH ʹ VSD, holosystolic
PDAH ʹ PDA, holosystolic
ASS ʹ aortic stenosis, systolic
MPM ʹ mitral prolapsed, midsystolic
ARD ʹ aortic regurgitation, diastolic
MSD ʹ mitral stenosis, diastolic
TSD ʹ tricuspid stenosis, diastolic
Contributed by: Caryl De Guzman, MD

# %-
Simpsons, Tuckers ʹ for traction, with pelvic curve
Kiellands ʹ for fetal rotation, without pelvic curve
Bartons ʹ for transverse arrest
Pipers ʹ for after coming head in breech

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1 to 6 months ʹ ͞Randy Santiago Trying Hard Raw Talaga͟
7 to 12th months ʹ ͞Sharon Cuneta Pa Ctue With Snookie͟
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1 Randy ʹ regard
2 Santiago ʹ social smile
3 Trying ʹ turns head
4 Hard ʹ holds head
5 Raw ʹ rolls over
6 Talaga ʹ transfers objects
7 Sharon ʹ sites briefly
8 Cuneta ʹ creeps
9 Pa ʹ pulls up
10 Cute ʹ cruises
11 With ʹ walks with support
12 Snookie ʹ stands
Contributed by: Ma. Raissa Paje, MD

Breastmilk Jaundice ʹ occurs after 7th day; may be d/t glucoronidase, responsible for jaundice; STOP breastfeeding
for 1-2- days.
th
Breastfeeding Jaundice ʹ occurs after 7 day; d/t decreased milk intake; increase breastfeeding.
Contributed by: Rochee De Leon, MD

,
UTZ ʹ 8 weeks AOG
Doppler ʹ 10-12 weeks AOG
Stethoscope ʹ 18 weeks AOG
Contributed by: Ma. Nenita Flor Consolacion, MD

Most common ASD ʹ ostium secundum


Most common COA anomaly ʹ bicuspid aortic valve
͞Tet͟ spells (extreme hypoxia) ʹ found in TOF
Most cmoon VSD ʹ perimembranous
Contributed by: Ma. Nenita Flor Consolacion, MD

      ʹ dilated submucosal veins of superios rectal plexus


3 sites:
L lateral ʹ 3 o͛ clock
R posterior lateral ʹ 7 o͛ clock
R anterolateral ʹ 11 o͛ clock
2    ʹ inferior hemorrhoidal plexus dilation below dentate line
Contributed by: Caryl De Guzman, MD

-3 !4"   2 ʹ number of death 50 years and above divided by total deaths in the same year
multiplied by 100  high result means people get old first before they die
Contributed by: Marianne Mananghaya-Alonzo, MD

-  5 c   
RBCs
Leukocytes
Lens
Cornea
Kidney medulla
Testes
Contributed by: Marita Deang, MD

Duodenal Ulcers ʹ pain Decrease with food intake  weight gain


Gastric Ulcers ʹ pain Greater with food intake  weight loss
Contributed by: Marita Deang, MD

Aliskiren (Rasilez) ʹ direct rennin inhibitor that blocks the conversion of angiotensinogen to angiotensin I thus
decreaseing angiotensin II which is a potent blood pressure elevating enzyme.
Contributed by: Donna Cruz-Segador, MD

PANCREATIC CA
Surgical dictum: Vague abdominal pain with weight loss, with or without jaundice, in an older patient (50 y/o and
above) is pancreatic CA until proven otherwise. Cigarette smoking is the most clearly established risk factor.
Contributed by: Marita Deang, MD
rd
3 NSD is still covered by Philhealth, according to the 2006 pamphlet.
Contributed by: Joseph Ilao, MD