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MEDICAL
CONSTELLATIONS
medpgnotes
MEDICAL CONSTELLATIONS
www.medpgnotes.com
1
Contents
CHROMOSOMES.................................................................................................................................................................................................................................................2
CIRCLES.................................................................................................................................................................................................................................................................6
NAMED DISEASES .............................................................................................................................................................................................................................................7
LAWS ................................................................................................................................................................................................................................................................... 12
MANEUVRER.................................................................................................................................................................................................................................................... 15
LOCATION OF RECEPTORS......................................................................................................................................................................................................................... 17
SIGNS................................................................................................................................................................................................................................................................... 20
SYNDROMES..................................................................................................................................................................................................................................................... 28
TESTS................................................................................................................................................................................................................................................................... 54
TRIADS AND PENTADS ................................................................................................................................................................................................................................ 67
TRIANGLES........................................................................................................................................................................................................................................................ 75
VERTEBRAL LEVELS..................................................................................................................................................................................................................................... 80
MEDICAL CONSTELLATIONS
www.medpgnotes.com
2CHROMOSOMES
CHROMOSOMES
CHROMOSOME 1
Alzheimer’s Disease (Presenilin 2, PS 2)
Steroid Resistant Nephrotic Syndrome NPHS2 (Podocin)
Neuroblastoma(1p Deletion)
Rh antigen
CHROMOSOME 2
Unipolar Depression
CHROMOSOME 3
Renal Cell Carcinoma
Clear Cell Carcinoma 3p deletion
CHROMOSOME 4
Huntington Chorea (Huntingtin)
CHROMOSOME 5
Familial Adenomatous Polyposis (APC Gene 5q)
MC Cytogenetic change in Myelodysplastic Syndrome – Deletion of 5q
CHROMOSOME 6
Major Histocompatibility Complex
Myelodysplastic Syndrome in Adults 6q Deletion
CHROMOSOME 7
Pendred Syndrome 7q
Cystic fibrosis (CFTR gene)
Myelodysplastic Syndrome in children (Monosomy 7)
Familial Renal Papillary Carcinoma (Trisomy 7)
CHROMOSOME 9
MEDICAL CONSTELLATIONS
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3CHROMOSOMES
SUPERFICIAL PAPILLARY BLADDER CANCER(9p DELETION)
CHROMOSOME 11
WAGR Syndrome (11p13 Deletion)
Beckwidth Wiedmann Syndrome (11p15 Deletion)
Ataxia Telangiectasia Gene AT
Gene For β-Chain of Hemoglobin
CHROMOSOME 13
Wilson’s Disease (ATP7B)
Retinoblastoma (13q14 deletion)
Osteosarcoma
Patau Syndrome
Friedrich’s Ataxia (Frataxin)
Multiple Myeloma 13q Deletion
BRCA 2
CHROMOSOME 14
Alzemier’s Disease (Presenilin 1,PS 1)
Chromosome affected in Ataxia Telangiectasia (Breaks)
Multiple Myeloma (14q Translocation)
CHROMOSOME 15
Development of Diaphragm 15q
Prader Will Syndrome (15q deletion)
Angelmann syndrome
Marfan’s syndrome
CHROMOSOME 16
MEDICAL CONSTELLATIONS
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4CHROMOSOMES
Gene For α-Chain of Hemoglobin
Adult Polycystic Kidney disease APKD gene
CHROMOSOME 17
BRCA 1
P53
NF1
Medulloblastoma 17q Duplication
Invasive Bladder Cancer(17p Deletion)
CHROMOSOME 18
Bipolar Disorder 18q
Edward Syndrome
CHROMOSOME 19
Alzheimer’s Disease (apo E4)
Nephrotic Syndrome (Finnish) NPHS 1(Nephrin)
CHROMOSOME 21
Alzheimer’s Disease (APP-Amyloid Precursor Protein)
Down’s syndrome
Folate Cofactor Biosynthesis
CHROMOSOME 22
MEDICAL CONSTELLATIONS
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5CHROMOSOMES
DIGEORGE SYNDROME (22q11 deletion)
Bipolar Disorder 22q
NF2
Cat’s eye Syndrome
Meningioma 22q12 deletion (MC)
CHROMOSOME X
Androgen Receptors (Long arm)
CHROMOSOME Y
SRY GENE (SHORT ARM)
MEDICAL CONSTELLATIONS
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6CIRCLES
CIRCLES
CIRCLE OF PAIN (CORONA MORTIS)
Vascular ring formed by Common Iliac artery, External Iliac artery, Obturator artery, Aberrant Obturator artery,
Inferior Epigastric Artery
CIRCLE OF WILLIS
ANTERIOR CEREBRAL ARTERY
ANTERIR COMMUNICATING ARTERY
INTERNAL CAROTID ARTERY
POSTERIOR CEREBRAL ARTERY
POSTERIOR COMMUNICATING ARTERY
CIRCLE OF HEBRA
ANATOMICAL CIRCLE ENCOMPASSING AXIAL,ELBOW FLEXURES,WRISTS,HANDS,GENITAL REGION
SITE OF PREDILECTION FOR SCABIES
CIRCLE OF IRIS
GREATER ARTERIAL CIRCLE OF IRIS – ROOT OF IRIS
LESSER ARTERIAL CIRCLE OF IRIS – PUPILLARY MARGIN OF IRIS
MEDICAL CONSTELLATIONS
www.medpgnotes.com
7
NAMED DISEASES
Hartnup disease
Defect in Membrane transpot mechanism of aminoacids like tryptophan
Leiner’s disease
Deficiency of Biotin
Burning foot disease
Deficiency of Pantothenic acid
Keshan disease
Endemic Cardiomyopathy
Deficiency of Selenium
Kaschinbeck disease
Endemic Degenerative Osteoarthropathy
Selenium Deficiency
Vagabond Disease
Pediculosis Corporis
Treatment of choice
Disinfection of clothes with 1% GBHC
DOC – 1-5% Permethrin/0.5% Malathion
MEDICAL CONSTELLATIONS
www.medpgnotes.com
8NAMED DISEASES
Dowling dego’s disease
Asymptomatic post pubertal symmetric progressive reticular pigmentation involving flexural areas with scattered
comedone like lesion (dark dot follicles)
Coat’s disease
Retinal telangiectasia
Exudative RD
Boys, unilateral
Eales disease
Perivasculitis of retina
Donot cause optic neuritis
Idiopathic inflammation of peripheral retinal vein
Bilateral
Young males
Recurrent vitreous hemorrhage
Sudden appearance of floaters
Still’s disease
Systemic juvenile chronic arthritis
Juvenile rheumatoid arthritis
Blount disease (tibia vara)
Varus
Internal Rotation of Tibia
Genu recurvatum (Backward Bending)
MEDICAL CONSTELLATIONS
www.medpgnotes.com
9NAMED DISEASES
Caffey’s Disease
Infantile Cortical Hyperostosis
Periosteal New Bone Formation
Cotical Thickening of Underlying bone
MC site Mandible
Before 5 months of age
Jod Basedow Disease
Iodine Induced Hyperthyroidism
Wolman Disease
Lipid Storage disorder
Failure to Thrive
Vomiting, Diarrhoea, Hepatomegaly, Adrenal Calcification
Shone Complex
Coarctation of aorta
Left Sided Heart Lesions
Canavan Disease
Associated with Macrocephaly
Milroy disease
Familial version of congenital lymphedema
Meige’s disease
Familial version of precox primary lymphedema (1-35 years)
MEDICAL CONSTELLATIONS
www.medpgnotes.com
10NAMED DISEASES
Mondor’s disease
Thrombophlebitis of superficial veins of anterior chest wall and breast
Cord like appearance of subcutaneous veins
Marion’s disease
Muscular hypertrophy of internal sphincter of urinary bladder
Peyronie’s disease
Penile fibromatosis
Fibrous plaques in corpora cavernosa
Pain & curvature of penis
Associated with palmar & plantar fibromatosis
Van buchem disease
Progressive osteosclerosis in skull & mandible
Facial distorsions
Compression of cranial nerves
Lou Gehrig disease
Amyotrophic lateral sclerosis
Atrophic weakness of hands & forearm
Slight spasticity of legs
Hyperreflexia
Normal sensory system

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Medical constellations sample

  • 2. MEDICAL CONSTELLATIONS www.medpgnotes.com 1 Contents CHROMOSOMES.................................................................................................................................................................................................................................................2 CIRCLES.................................................................................................................................................................................................................................................................6 NAMED DISEASES .............................................................................................................................................................................................................................................7 LAWS ................................................................................................................................................................................................................................................................... 12 MANEUVRER.................................................................................................................................................................................................................................................... 15 LOCATION OF RECEPTORS......................................................................................................................................................................................................................... 17 SIGNS................................................................................................................................................................................................................................................................... 20 SYNDROMES..................................................................................................................................................................................................................................................... 28 TESTS................................................................................................................................................................................................................................................................... 54 TRIADS AND PENTADS ................................................................................................................................................................................................................................ 67 TRIANGLES........................................................................................................................................................................................................................................................ 75 VERTEBRAL LEVELS..................................................................................................................................................................................................................................... 80
  • 3. MEDICAL CONSTELLATIONS www.medpgnotes.com 2CHROMOSOMES CHROMOSOMES CHROMOSOME 1 Alzheimer’s Disease (Presenilin 2, PS 2) Steroid Resistant Nephrotic Syndrome NPHS2 (Podocin) Neuroblastoma(1p Deletion) Rh antigen CHROMOSOME 2 Unipolar Depression CHROMOSOME 3 Renal Cell Carcinoma Clear Cell Carcinoma 3p deletion CHROMOSOME 4 Huntington Chorea (Huntingtin) CHROMOSOME 5 Familial Adenomatous Polyposis (APC Gene 5q) MC Cytogenetic change in Myelodysplastic Syndrome – Deletion of 5q CHROMOSOME 6 Major Histocompatibility Complex Myelodysplastic Syndrome in Adults 6q Deletion CHROMOSOME 7 Pendred Syndrome 7q Cystic fibrosis (CFTR gene) Myelodysplastic Syndrome in children (Monosomy 7) Familial Renal Papillary Carcinoma (Trisomy 7) CHROMOSOME 9
  • 4. MEDICAL CONSTELLATIONS www.medpgnotes.com 3CHROMOSOMES SUPERFICIAL PAPILLARY BLADDER CANCER(9p DELETION) CHROMOSOME 11 WAGR Syndrome (11p13 Deletion) Beckwidth Wiedmann Syndrome (11p15 Deletion) Ataxia Telangiectasia Gene AT Gene For β-Chain of Hemoglobin CHROMOSOME 13 Wilson’s Disease (ATP7B) Retinoblastoma (13q14 deletion) Osteosarcoma Patau Syndrome Friedrich’s Ataxia (Frataxin) Multiple Myeloma 13q Deletion BRCA 2 CHROMOSOME 14 Alzemier’s Disease (Presenilin 1,PS 1) Chromosome affected in Ataxia Telangiectasia (Breaks) Multiple Myeloma (14q Translocation) CHROMOSOME 15 Development of Diaphragm 15q Prader Will Syndrome (15q deletion) Angelmann syndrome Marfan’s syndrome CHROMOSOME 16
  • 5. MEDICAL CONSTELLATIONS www.medpgnotes.com 4CHROMOSOMES Gene For α-Chain of Hemoglobin Adult Polycystic Kidney disease APKD gene CHROMOSOME 17 BRCA 1 P53 NF1 Medulloblastoma 17q Duplication Invasive Bladder Cancer(17p Deletion) CHROMOSOME 18 Bipolar Disorder 18q Edward Syndrome CHROMOSOME 19 Alzheimer’s Disease (apo E4) Nephrotic Syndrome (Finnish) NPHS 1(Nephrin) CHROMOSOME 21 Alzheimer’s Disease (APP-Amyloid Precursor Protein) Down’s syndrome Folate Cofactor Biosynthesis CHROMOSOME 22
  • 6. MEDICAL CONSTELLATIONS www.medpgnotes.com 5CHROMOSOMES DIGEORGE SYNDROME (22q11 deletion) Bipolar Disorder 22q NF2 Cat’s eye Syndrome Meningioma 22q12 deletion (MC) CHROMOSOME X Androgen Receptors (Long arm) CHROMOSOME Y SRY GENE (SHORT ARM)
  • 7. MEDICAL CONSTELLATIONS www.medpgnotes.com 6CIRCLES CIRCLES CIRCLE OF PAIN (CORONA MORTIS) Vascular ring formed by Common Iliac artery, External Iliac artery, Obturator artery, Aberrant Obturator artery, Inferior Epigastric Artery CIRCLE OF WILLIS ANTERIOR CEREBRAL ARTERY ANTERIR COMMUNICATING ARTERY INTERNAL CAROTID ARTERY POSTERIOR CEREBRAL ARTERY POSTERIOR COMMUNICATING ARTERY CIRCLE OF HEBRA ANATOMICAL CIRCLE ENCOMPASSING AXIAL,ELBOW FLEXURES,WRISTS,HANDS,GENITAL REGION SITE OF PREDILECTION FOR SCABIES CIRCLE OF IRIS GREATER ARTERIAL CIRCLE OF IRIS – ROOT OF IRIS LESSER ARTERIAL CIRCLE OF IRIS – PUPILLARY MARGIN OF IRIS
  • 8. MEDICAL CONSTELLATIONS www.medpgnotes.com 7 NAMED DISEASES Hartnup disease Defect in Membrane transpot mechanism of aminoacids like tryptophan Leiner’s disease Deficiency of Biotin Burning foot disease Deficiency of Pantothenic acid Keshan disease Endemic Cardiomyopathy Deficiency of Selenium Kaschinbeck disease Endemic Degenerative Osteoarthropathy Selenium Deficiency Vagabond Disease Pediculosis Corporis Treatment of choice Disinfection of clothes with 1% GBHC DOC – 1-5% Permethrin/0.5% Malathion
  • 9. MEDICAL CONSTELLATIONS www.medpgnotes.com 8NAMED DISEASES Dowling dego’s disease Asymptomatic post pubertal symmetric progressive reticular pigmentation involving flexural areas with scattered comedone like lesion (dark dot follicles) Coat’s disease Retinal telangiectasia Exudative RD Boys, unilateral Eales disease Perivasculitis of retina Donot cause optic neuritis Idiopathic inflammation of peripheral retinal vein Bilateral Young males Recurrent vitreous hemorrhage Sudden appearance of floaters Still’s disease Systemic juvenile chronic arthritis Juvenile rheumatoid arthritis Blount disease (tibia vara) Varus Internal Rotation of Tibia Genu recurvatum (Backward Bending)
  • 10. MEDICAL CONSTELLATIONS www.medpgnotes.com 9NAMED DISEASES Caffey’s Disease Infantile Cortical Hyperostosis Periosteal New Bone Formation Cotical Thickening of Underlying bone MC site Mandible Before 5 months of age Jod Basedow Disease Iodine Induced Hyperthyroidism Wolman Disease Lipid Storage disorder Failure to Thrive Vomiting, Diarrhoea, Hepatomegaly, Adrenal Calcification Shone Complex Coarctation of aorta Left Sided Heart Lesions Canavan Disease Associated with Macrocephaly Milroy disease Familial version of congenital lymphedema Meige’s disease Familial version of precox primary lymphedema (1-35 years)
  • 11. MEDICAL CONSTELLATIONS www.medpgnotes.com 10NAMED DISEASES Mondor’s disease Thrombophlebitis of superficial veins of anterior chest wall and breast Cord like appearance of subcutaneous veins Marion’s disease Muscular hypertrophy of internal sphincter of urinary bladder Peyronie’s disease Penile fibromatosis Fibrous plaques in corpora cavernosa Pain & curvature of penis Associated with palmar & plantar fibromatosis Van buchem disease Progressive osteosclerosis in skull & mandible Facial distorsions Compression of cranial nerves Lou Gehrig disease Amyotrophic lateral sclerosis Atrophic weakness of hands & forearm Slight spasticity of legs Hyperreflexia Normal sensory system