Thyroid

Follicular cancer = FNAC 

Can't differenciate between adenoma and cancer 

Radical neck dissection 

1)lymph nodes 

2)sternocleidomastoid muscle

3)internal jugular vein 

4)spinal accessory nerve removal 

CML

CML 

Myeloid =myeloproliferative 

massive spenomegaly 

cellular bone marrow 

>20%blast =AML 

<10%blast =chronic 

Measles

Measles 0.5ml sc right triceps (JE)

2 doses @ 9 and 16 to months 

+4&-4 After rash 

incubation period is 2 weeks 

vit A deficiency =  Keratomalacia 

otitis media 

mc cause of death pneumonia 

(measles never cause meningitis, 

mumps never cause pneumonia )

3 day measles = Rubella =German measles

13 day measles = Rubeola=Real Measles 

BNP

Nesiritide 

3P

3P

EHEC

HUS

EHEC O157:H7 (developed)

Shigella  (developing )

Secrete toxin 

HELLPR  syndrome 

R=severe renal failure 

elevated urea 

Antibiotics are contraindicated as they cause more toxin release ,more damage 

TTP 

Upshaw schulmann syndrome 

ADAMTS13 

Rotator cuff