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New cases in Pous 2064, HIV = 175, AIDS = 26, Death = 2. HIV rate is very high in Housewives than sex workers in Nepal ! ! ! HIV status in Nepal till 2005: Total Adult=70000, Adult Prevalence (15-49)=0.55%, Number of Women (15-49) LWHA=15,310 (22%), HIV Prevalence rate in IDUs=32.7%, HIV prevalence rate in sex worker=3.8%, HIV prevalence rate in client of SW=2.1%. The latest U.N. report shows that 65 million people have been infected with HIV since it was first identified 25 years ago. Twenty five million people have died of AIDS.

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Clincal Science Tips and tricks to survive in the Clinical Science, share your clinical rotaion and lot more

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Tutorial I - 16-01-2006, 09:31 PM

For those of you who prefer review tables

EPONYMS (Diseases with named after a person)

Addison's Disease : primary adrenocortical deficiency

Addisonian Anemia ernicious anemia

Aide’s tonic pupil: LARGE pupil. rare, always benign. Fails to constrict to both accommodation & light. After a prolonged attempt it eventually constricts but sluggishly. Pupil redilates slowly (tonic).

Albright's Syndrome : pseudohypoparathyroidism
Resistance to PTH. Hypocalemia & hyperphosphatemia + increased PTH (negative feedback).Manifestations in the genetic type (Ia): Subcutaneous ossifications, brachydactyly, obesity, round facies, and short stature.

Alport's Syndrome: X-linked hereditary nephritis with nerve deafness
hematuria, family history of males progressing to end stage renal disease.

Alzheimer's : progressive dementia.

Argyll-Robertson Pupil : small pupil. Loss of light reflex.

Arnold-Chiari Malformation: herniation of the cerebellar tonsils

Barrett's esophagus: columnar metaplasia of the esophagus due to chronic reflux esophagitis (precancerous)

Bartter's Syndrome: hyperreninemia

Becker's Muscular Dystrophy: more benign than Duchenne muscular dystrophy (pseudohypertrophy), appears in the 20s and 30s, no skeletal or heart abnormalities (deficiency in dystrophin protein)

Bell's Palsy (Facial palsy) : Inflammatory swelling of the facial nerve in the facial canal of the middle ear, leading in severe cases to an acute compression neuropathy.

Berger's Disease: IgA nephropathy.

Berry Aneurysm: aneurysm of the circle of Willis (common cause of subarachnoid hemorrhage)

Broca's Aphasia: Motor Aphasia

Brown-Sequard : hemisection of spinal cord ,contralateral loss of pain & temperature,ipsilateral LMN lesion & loss of sensation at the level of the lesion.ispilateral hemiplegia, deep sensory loss below the level of the lesion.

Bruton's Disease: X-linked agammaglobinemia

Budd-Chiari : thrombosis of the hepatic veins.

Buerger's Disease: acute inflammation of small, arteries & veins with perivascular fibrosis which blends artery, vein & nerve into one mass. Occurs in smokers 95% are males. painful ischemia progressing to gangrene.

Burkitt's Lymphoma: High grade non-Hodgkin's lymphoma. Common in children, rare in adults. Endemic in Africa.

Caisson Disease: Gas emboli due rapid decompression (diving).

Chagas' Disease : (American Trypansomiasis) infection with protozoan parasite Trypanosoma cruzi. Leads to heart affection progressing to heart failure, achlasia and megacolon.

Conn's Syndrome : primary hyperaldosteronism.

Creutzfeldt-Jakob : prion disease (Mad Cow disease in cows) is a slow virus infection of the CNS leading to cerebral degeneration (progressive dementia).

Crigler-Najjar Syndrome : Congenital neonatal jaundice Type I (Autosomal recessive - no glocuronyl transferase - leads to kernicterus)Type II (Autosomal dominant - diminished glocuronyl transferase).Unconjugated.

Crohn's disease : Inflammatory bowel disease: Deep with lymphocytic infiltrate
Skip lesions hence cobble stone appearance .Most commonly found in the terminal ileum. Can affect any area from mouth to anus.

Curling's Ulcer : Stress gastritis - associated with major trauma, burns, sepsis, shock.

Cushing's Syndrome: Hypercorticism.

Cushing's Ulcer: acute gastritis associated with intracranial lesions

de Quervain's Thyroiditis : Subacute viral thyroiditis. Transient hyperthyroidism --> hypothyroidism --> normal. Exquisitely tender and woody hard and moderately enlarged.

DiGeorge's Syndrome : dysmorphogenesis of the third and fourth pharyngeal pouches, leading to hypoplasia or aplasia of the thymus and parathyroid glands --> T-cell deficiency & hypoparathyroidism

Down's Syndrome: Trisomy 21

Dressler's Syndrome : Autoimmune pericarditis following myocardial infarction. Rare.

Dubin-Johnson Syndrome : congenital hyperbilirubinemia
Autosomal recessive appears at any age. Defect in bilirubin excretion (conjugated). Liver biopsy shows melanin deposition.

Duchenne Muscular Dystrophy: (pseudohypertrophy), appears early, skeletal or heart abnormalities are common (deficiency in dystrophin protein).

Edwards' Syndrome : Trisomy 18

Ehlers-Danlos Syndrome : defective collagen.

Eisenmenger's: Complex reversing of left to right shunt in patients with ASD, VSD, patent ductus arteriosus resulting in cyanosis.

Erb-Duchenne Palsy: trauma to superior trunk of brachial plexus Waiter's Tip

Ewing Sarcoma: undifferentiated round cell tumor of bone.

Eyrthroplasia of Queyrat: carcinoma in situ on glans penis

Fabry's Disease: Rare, inherited disease in which lack of alpha-galactosidase causes lipid deposition in the organs leading to organ failure.

Fanconi's Syndrome: impaired proximal tubular reabsorption 2° to lead poisoning or Tetracycline (glycosuria, hyperphosphaturia, aminoaciduria, systemic acidosis)

Felty's Syndrome: rheumatoid arthritis, neutropenia, splenomegaly

Gardner's Syndrome : adenomatous polyps of colon plus osteomas & soft tissue tumors

Gaucher's Disease: Lysosomal Storage Disease glucocerebrosidase deficiency
hepatosplenomegaly, femoral head & long bone erosion, anemia

Gilbert's Syndrome: congenital hyperbilirubinemia
defect in glocuronidation & hepatic uptake of bilirubin. Bilirubin increases by fasting & phenobarbitone (unconjugated). Appears in young adults, prognosis is excellent.

Glanzmann's Thrombasthenia: defective glycoproteins on platelets

Goodpasture's autoimmune: ab's to glomerular & alveolar basement membranes

Grave's Disease : autoimmune hyperthyroidism (TSI).
Guillain-Barre: idiopathic polyneuritis (ascending muscle weakness & paralysis; usually self-limiting).

Hamman-Rich Syndrome : idiopathic pulmonary fibrosis

Hand-Schuller-Christian: chronic progressive histiocytosis

Hashimoto's Thyroiditis : autoimmune hypothyroidism.
Hashitoxicosis: initial hyperthyroidism in Hashimoto's Thyroiditis that precedes hypothyroidism.

Henoch-Schonlein purpura : hypersensivity vasculitis
hemmorhagic urticaria (with fever, arthralgias, GI & renal involvement) associated with upper respiratory infections

Hirschprung's Disease : aganglionic megacolon

Horner's Syndrome : ptosis, miosis, anhidrosis (lesion of cervical sympathetic nerves often 2° to a Pancoast tumor)

Huntington's: progressive degeneration of caudate nucleus, putamen & frontal cortex; AD

Jacksonian Seizures: epileptic events originating in the primary motor cortex (area 4)

***'s Syndrome immune deficiency: neutrophils fail to respond to chemotactic stimuli

Kaposi Sarcoma: malignant vascular tumor (HHV8 in homosexual men)

Kartagener's Syndrome : Autosomal Recessive. Defect in dynein arms leading to immotile cilia this in turn leads to sterility and is associated with situs inversus

Kawasaki Disease: mucocutaneous lymph node syndrome (lips, oral mucosa)

Klinefelter's Syndrome: 47, XXY

Kluver-Bucy : bilateral lesions of amygdala (hypersexuality; oral behavior)

Krukenberg Tumor: adenocarcinoma with signet-ring cells (typically originating from the stomach) metastases to the ovaries

Laennec's Cirrhosis : alcoholic cirrhosis

Lesch-Nyhan: HGPRT deficiency .gout, retardation, self-mutilation

Letterer-Siwe : acute disseminated Langerhans' cell histiocytosis

Levine sign: Clenched fist over the sternum is a telling feature of cardiac pain.
Libman-Sacks: endocarditis with small vegetations on valve leaflets
associated with SLE

Li-Fraumeni syndrome: Autosomal dominant cancer predisposition syndrome, with multiple cancers in an individual and their family.

Lou Gehrig's : Amyotrophic Lateral Sclerosis degeneration of upper & lower motor neurons.

Mallory-Weis Syndrome: bleeding from esophagogastric lacerations 2° to wretching (alcoholics)

Marcus-Gunn Pupil : (Afferent pupillary defect) here repeated swinging of light from one eye to the other shows constriction of both eyes and dilatation of the affected eye.

Marfan's : connective tissue defect

McArdle's Disease : glycogen storage disease (muscle phosphorylase deficiency)

Meckel's Diverticulum rule of 2's: 2 inches long, 2 feet from the ileocecum, in 2% of the population embryonic duct origin; may contain ectopic tissue (gastric, pancreatic, etc.)

Meig's Syndrome Triad: ovarian fibroma, ascites, hydrothorax

Menetrier's Disease : giant hypertrophic gastritis (enlarged rugae; plasma protein loss)
Monckeberg's Arteriosclerosis : calcification of the media (usually radial & ulnar aa.)
Munchausen Syndrome : factitious disorder (consciously creates symptoms, but doesn't know why)
Nelson's Syndrome : 1° Adrenal Cushings ----> surgical removal of adrenals ----> loss of negative feedback to pituitary ® Pituitary Adenoma

Niemann-Pick: Lysosomal Storage Disease sphingomyelinase deficiency
"foamy histiocytes"

Osler-Weber-Rendu Syndrome : Hereditary Hemorrhagic Telangiectasia

Paget's Disease : abnormal bone architecture (thickened, numerous fractures ----> pain)

Pancoast Tumor : bronchogenic tumor with superior sulcus involvement ----> Horner's Syndrome

Parinaud's syndrome : preauricular lymph node enlargement on the same side as conjunctivitis.
Parkinson's : dopamine depletion in nigrostriatal tracts

Peutz-Jegher's Syndrome: melanin pigmentation of lips, mouth, hand, genitalia plus hamartomatous polyps of small intestine

Peyronie's Disease: subcutaneous fibrosis of dorsum of penis

Pick's Disease: progressive dementia similar to Alzheimer's
Plummer's Syndrome: hyperthyroidism, nodular goiter, absence of eye signs (Plummer's = Grave's - eye signs)

Plummer-Vinson: esophageal webs & iron-deficiency anemia, - SCCA of esophagus

Pompe's Disease: glycogen storage disease ----> cardiomegaly

Pott's Disease : tuberculous osteomyelitis of the vertebrae

Potter's Complex: renal agenesis ----> oligohydramnios ----> hypoplastic lungs, defects in extremities

Ramsay-Hunt's Syndrome: Varicella Zoster infection of the geniculate ganglion. This results in unilateral lower motor neuron lesions of the facial nerve.

Raynaud's Disease: recurrent vasospasm in extremities
Phenomenon: 2° to underlying disease (SLE or scleroderma)

Reiter's Syndrome: urethritis, conjunctivitis, arthritis non-infectious (but often follows infections), HLA-B27, polyarticular

Reye's Syndrome : microvesicular fatty liver change & encephalopathy
2° to aspirin ingestion in children following viral illness

Riedel's Thyroiditis : idiopathic fibrous replacement of thyroid

Rotor Syndrome: congenital hyperbilirubinemia (conjugated) similar to Dubin-Johnson, but no discoloration of the liver

Schatzki's ring : Lower esophageal ring at the junction between squamous and columnar epithelium causing dysphagia to solids & liquids every 3-4 months after a bolus of meat or bread.

Sezary Syndrome : leukemic form of cutaneous T-cell lymphoma (mycosis fungoides)
Shaver's Disease : aluminum inhalation ----> lung fibrosis

Sheehan's Syndrome: postpartum pituitary necrosis

Schilling's test : used to diagnose pernicious anemia
Shy-Drager : parkinsonism with autonomic dysfunction & orthostatic hypotension
Simmond's Disease: pituitary cachexia

Sipple's Syndrome: MEN type IIa (pheochromocytoma, thyroid medulla, parathyroid)

Sjogren's Syndrome triad: dry eyes, dry mouth, arthritis - risk of B-cell lymphoma
Spitz Nevus juvenile melanoma (always benign)
Stein-Leventhal polycystic ovary

Stevens-Johnson Syndrome : erythema multiforme, fever, malaise, mucosal ulceration (often 2° to infection or sulfa drugs)
Still's Disease juvenile rheumatoid arthritis (absence of rheumatoid factor)
Takayasu's arteritis aortic arch syndrome
loss of carotid, radial or ulnar pulses

Tay-Sachs gangliosidosis hexosaminidase A deficiency ----> GM2 ganglioside)

Tetralogy of Fallot: VSD, overriding aorta, pulmonary artery stenosis, right ventricular hypertrophy
Tietze's syndrome: self limiting costochondritis characterized by chest pain associated with tenderness.

Tourette's Syndrome : involuntary actions, both motor and vocal
Turcot's Syndrome : adenomatous polyps of colon plus CNS tumors

Turner's Syndrome : 45, XO

Vincent's Infection :"trench mouth" - acute necrotizing ulcerative gingivitis

von Gierke's Disease : glycogen storage disease (G6Pase deficiency)
von Hippel-Lindau : hemangioma (or hemangioblastoma) adenomas of the viscera, especially renal cell carcinoma

von Recklinghausen's: neurofibromatosis & café au lait spots

von Recklinghausen's : Disease of Bone osteitis fibrosa cystica ("brown tumor") 2° to hyperparathyroidism

von Willebrand's: Disease defect in platelet adhesion 2° to deficiency in vWF

Waldenstrom's macroglobinemia : proliferation of IgM-producing lymphoid cells

Wallenberg's Syndrome: Posterior Inferior Cerebellar Artery (PICA) thrombosis "Medullary Syndrome" Ipsilateral: ataxia, facial pain & temp; Contralateral: body pain & temp

Waterhouse-Friderichsen : catastrophic adrenal insufficiency 2° to hemorrhagic necrosis (eg, DIC) often 2° to meningiococcemia

Weber's Syndrome : Paramedian Infarct of Midbrain Ipsilateral: mydriasis; Contralateral: UMN paralysis (lower face & body)

Wegener's Granulomatosis: necrotizing granulomatous vasculitis of paranasal sinuses, lungs, kidneys, etc.

Weil's Disease: leptospirosis
Wermer's Syndrome: MEN type I (thyroid, parathyroid, adrenal cortex, pancreatic islets, pituitary)

Wernicke's Aphasia : Sensory Aphasia impaired comprehension

Wernicke-Korsakoff Syndrome : thiamine deficiency in alcoholics; bilateral mamillary bodies (confusion, ataxia, ophthalmoplegia)

Whipple's Disease: malabsorption syndrome (with bacteria-laden macrophages) & polyarthritis

Wilson's Disease: hepatolenticular degeneration (copper accumulation & decrease in ceruloplasmin)

Wiskott-Aldrich Syndrome : immunodeficiency: combined B- &T-cell deficiency (thrombocytopenia & eczema)

Wolff-Chaikoff : Effect high iodine level (--)'s thyroid hormone synthesis

Zenker's Diverticulum :esophageal; cricopharyngeal muscles above UES

Zollinger-Ellison : gastrin-secreting tumor of pancreas (or intestine) ----> - acid ----> intractable ulcers

Last edited by GUNNER; 16-01-2006 at 09:38 PM.
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16-01-2006, 10:12 PM

Thanks Gunner..
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28-01-2006, 02:59 PM

gunner, your posts are so helpful. thanks buddy


Living, really living, is an exciting, chancy business.
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hi - 30-01-2006, 01:03 AM

its great gunner...
you have always been here and this is yet another example of your dedication towards xenomed...hats off to you...
keep it up...

i am sure these long list of the eponyms willl be of much help to we all...
thanks....a lot..


Dr. Suvash Shrestha, Intern
Kathmandu Medical College
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27-04-2006, 12:53 AM

keep it up


mirage the junior
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Smile nice post!!!! - 27-04-2006, 03:24 AM

thank for ur effort....really its useful for we all.....




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27-04-2006, 04:42 AM

thanks gunner. add some more eponyms.. and others too .


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