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The "Medical Street game" - Part 1

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We walk the streets almost every single day of our lives. We travel back and forth in buses, trains and taxis. Yet we fail to practice a key skill of diagnosis - "observation" during this walking and travelling. Medicine is an art and it is fun when you get the picture right the first time. This post is to help us remember to observe and hopefully get the diagnosis right the first time. Let us call this the " Medical Street game ." Today let's learn to diagnose diseases based on gait the patient exhibits. I am a fan of House MD series. Largely due to the drama (emotions) that prevails in the series that we so much lack in our everyday lives as doctors. Accompanying this drama is the kinetics in the series .i.e. the main characters in the series walk for almost 10% of an episode. This got me thinking about the gait that Dr. House has. On analysis I found that he has an atypical pathological gait because he uses the cane in the wrong side. Had he...
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Risk factors for AML (Acute Myeloid Leukemia) - silly way to remember!

Imagine an Al-Qaeda terrorist with a sheep with 3 Ps to his one side and a 65 year old man to his other. They are riding on a Benz car with the top spinning and ABCD song plays in the background. All of a sudden there is an atomic explosion . The risk factors may remembered as follows Al-Qaeda = Alkylating agents Sheep with 3 Ps = S (Smoking) H (Herbicides) E (Embalming agents) E (Ethylene oxide) P (Petroleum products) P (Paint) P (Pesticides) 65 year old man (self explanatory) Benz car = Benzene Top = Topoisomerase inhibitors ABCD = Hereditary diseases A (Ataxia telengectasia) B (Bloom’s syndrome) C (Congenital neutropenia = Konnmann syndrome) D (Down syndrome) Atomic explosion = High energy radiation prevalent after an atomic explosion. Hoping this to be helpful to those wanting to learn about AML risk factors.
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