Reshaping medical education has been an interest of mine beginning from my 1st year in medical school. Being very visually oriented, I found many text heavy boards review books ineffective. I spent more time translated texted based information into a visual language that I could best absorb. I created this visual mnemonic series on tumblr as a way to combine my interest in medical education and graphic design. This is a small collection of the larger 50 day project. I've attempted to show my thought process in the translations, however most of these are so specific to my thinking that they are indecipherable.
SIAHD (syndrome of inappropriate antidiuretic hormone secretion) causes euvolemic hyponatremia resulting from increased AHD release independent of serum osmolality. It is associated with CNS disease, pulmonary disease (pneumonia, sarcoid), and small cell carcinoma. Diagnosis is based of a urine osmolality >50-100 with a urinary sodium > 20 (demonstrating patient is not hypovolemic). Treatment is fluid restriction and demeclocycline.
SIADH is represented by "sighing" and increased fluid retention by the "glass of alcohol." the 100 proof (50%) alcohol represents the urinary sodium retention range.
Bullous pemphigoid is an acquired blistering disease leading to separation at the epidermal basement membrane. It is usually seen in patients 60-80 years old. Unlike pemphigus vulgaris, Bullous Pemphigoid has a negative Nikolsky’s sign and therefore has stable blisters. The Nikolsky’s sign is the ability to produce a blister by rubbing the skin adjacent to a natural blister.
Bullous pemphigoid is represented by the "Bull" which doesn't react unlike phemphigus vulgaris
Multiple Endocrine Neoplasia 2B is an autosomal dominant inherited group of disorders associated with various tumors of the endocrine system. In MEN 2B individuals are at risk for pheochromocytomas (pharaoh), medullary carcinomas of the thyroid, intestinal ganglioneuromias, and a marfanoid habitus.
Individuals with Multiple Endocrine Neoplasia 2B (MEN 2B) are at risk for ganglioneuromias "A Gang", Marfanoid habitus "Giants", pheochromocytoms "Pharaohs", and Medullary Carcinomas (Medium Sized Car).
Scleroderma is also called systemic sclerosis and is characterized by inflammation that leads to progressive tissue fibrosis through excessive deposition of type I and type III colla- gen. It commonly manifests as CREST syndrome (limited form) and anticentromere antibodies are specific for the syndrome. RF and ANA can also be positive.
CREST syndrome (Calcinosis, Raynaud's, Esophageal dysmotility, Sclerodactyly, and Telagiestasia) shown by the CREST toothpaste can be tested for by anticentromere antibodies (represented by the centromere shape of the toothpaste)
Mengingitis is cause by N. meningitidis, E. coli, and S. pneumoniae. Enteroviruses are the most common in viral meningitis. Head CT to rule out increased inter cranial pressure and LP are warranted. Empiric antibtiocs (ceftriazone, vancomycin, and ampicillin) should be given until bacterial meningitis can be ruled out. Give acyclovir is there are concerns for HSV.
The three bacteria, N. meningitidis, E. coli, and S. pneumoniae or N.E.S. are depicted as the Nintendo remote making the #3 (3 years old).
I have trouble keeping adenosine and atropine straight in terms of their actions. Adenosine transiently causes heart block by block the A.V. node.
A DENosine shown as a living room den causes heart block via the AV node (shown by the AV system)
Lyme disease causes migratory poly–arthropathies.
This one is more straight forward—lyme disease causes mobile polyarthropaties, thus the running lime.