Sunday, December 8, 2013

Saturday, December 7, 2013

Pheochromocytoma-rule of 10s

Pheochromocytoma-rule of 10s


10% malignant
10% Bilateral
10% extraadrenal
10% calcified
10% children
10% familial
* discussed 10 times more often than actually seen   

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(Multiple endocrine neoplasia)

(Multiple endocrine neoplasia) Each of the MENs is a
disease of three or two letters plus a feature.



"MEN I" is a disease of the 3 Ps (pituitary, parathyroid and pancreas)
plus adrenal cortex.
"MEN II " is a disease of the two Cs (carcinoma of the thyroid and
catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or
mucocutaneous neuromas for MEN IIb (aka MEN III).


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Acute Pneumonia


Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate


Acute pneumonia caused by Miscellaneous microbes --Mononuclear infiltrate


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Argyll-Robertson Pupil--syphilitic pupil


Argyll-Robertson Pupil--syphilitic pupil

(AKA "Prostitute's pupil" - Accommodates, but doesn't react )


Accommodation reflex present, Pupillary reflex absent


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