DR. AJAY

PSM PROGRAMME FULL FORM

PMSMA: Pradhan Mantri Surakshit Matritva Abhiyan

PMMVY: Pradhan Mantri Matru Vandana Yojana

SUMAN: Surakshit Matritva Aashwasan

JSY: Janani Suraksha Yojana

JSSK: Janani Shishu Suraksha Karyakram

IDSP: Integrated Disease Surveillance Programme

SAANS: Social Awareness and Action to Neutralize Pneumonia Successfully

NDRF: National Disaster Response Force

NITI AAYOG: National Institution for Transforming India Aayog

DOTS: Directly Observed Treatment, Short-course

AMRIT: Affordable Medicines and Reliable Implants for Treatment

AMRUT: Atal Mission for Rejuvenation and Urban Transformation

ICTC: Integrated Counselling and Testing Centres

POSHAN: National Nutrition Mission (POSHAN Abhiyaan)

1 month ago | [YT] | 5

DR. AJAY

TRIAGE

Red (Immediate): A person with rapid breathing, no radial pulse, and altered mental state after trauma requires immediate treatment and transport.

Yellow (Delayed): Someone with a broken leg but stable breathing and circulation can wait for treatment after more critical cases.

Green (Minor): A patient who can walk and has only small cuts or scrapes receives a green tag.

Black (Expectant/Deceased): Someone who is not breathing even after airway repositioning is tagged black in disaster settings.

1 month ago | [YT] | 5

DR. AJAY

PSMA PET is used for prostate cancer.


Sodium Fluoride PET is the most sensitive for bone metastases.

Dotatate PET is for neuroendocrine tumors of the pancreas.

MRI for phaeochromoctoma & DopaPET is for extra-adrenal pheochromocytoma

1 month ago | [YT] | 8

DR. AJAY

J reflex

Apnea fb rapid breath
Bradycardia
Hypotension

Bezold jarisch reflex

: bradycardia
: hypotension
: vasodilation

1 month ago | [YT] | 6

DR. AJAY

AS Zara 🦄 love cololinggg so as me 😂😅 but kind of different cololinggg....Guys u can add further to this list.... just as active recall with fun 😅 Took inspiration from Kheti 😬

Colors compiled =
🍄Triage
Green - ambulatory
Yellow - injuries requiring Rx within 24 hrs
  Red - immediate rx life threatening
  Black - dead

🍄 PM surakshit Matritv Abhiyaan = free ANC services - 9th of every month
Green = No R/F
Red = High risk pregancy
Blue = PIH
Yellow = DM , hypothyroid, STDs

🍄 STD kits
🪨 Grey = Urethral, cervical discharge , painful scrotal swelling - Rx Tab .Azithra 1gm OD stat + Tab. Cefixime 400 mg OD stat

Green = Vaginal discharge = Rx. Tab secnidazole 2g OD stat + Cap fluconazole 150 mg OD stat

white = Genital ulcer non herpetic - Inj. Benzathine penicillin ( 2.4MU) + tab Azithral 1gm SD

Blue = if allergic to penicillin = Doxy 100mg bd 15 days + Azithral 1gm SD

Red = Herpetic genital ulcer =
Tab acyclovir 400 mg tds for 7 days

Yellow = PID = Rx DCM Doxy 100 mg14days, Cefixime 400 mg od stat , Metrogyl 400mg BD 14 days

Black = inguinal bubo - Azithro 1gm OD stat + doxy 100mg bd for 21 days

🍄 BMW
yellow = Human anatomical waste, Chemical, lab, liquid, microbiological waste , vaccines , soiled linen , cytotoxic drugs , expired drugs, blood bag

Red = Recyclable - rubber, latex...Urobag, gloves , foleys, syringes , vacutainers

white = Sharps

Blue = Glass( broken, nonbroken) , implants

🍄 IV cannula =
Orange = 14G
Gray = 16 G
White = 17G
Green =  18 G
Pink = 20 G
Blue = 22G
Yellow = 24 G
Violet = 26 G

🍄Foley's (Fr)  same for NG tube too
Gory from punjab
Green = 14 fr
Orange = 16
Red= 18
Yellow = 20
Purple = 22
Blue = 24

🍄 Vapourizers =
Yellow = Sevoflurane
Purple = isoflurane
Red = Halothane
Blue = desflurane

🍄 Age of abrasion = RRRBBB
Raw red reddishbrown brown black

🍄 Age of contusion =  R VIBGYO
Red VI( blue) brown green yellow original

🍄 Lochia ( RuSiA) Rubra 4 ,serosa 12 ,alba 24 days

🍄 Stomach mucosa =
Black / blotting paper - H2so4
Yellow - HNO3
Leather / grey - phenol ( carbolic acid)
Blue green - Cu
Red velvet - Arsenic
Yellow brown - P
Slate gray - Hg

🍄 PM lividity / hypostasis/ suggilation =
CO = Cherry red
CN = brick red
KCHLORATE = chocolate brown
Phosp = dark brown
Nitrite = red brown
Opium = greyish black
Asphyxia = Dark purple
Hypothermia = bright pink
Septic abortion = Pale bronze

🍄
Red man = Vancomycin
Blue man = Amiodarone ( ceruloderma)
Grey baby = Chloramphenicol
Black thyroid ( black Aunty too😅) = Minocycline


🍄woods lamp
Vitiligo = milky white
Erythrasma = coral red
Tinea capitis = Blue
Pitiriyasis versicolor = yellow

🥝 All culture medias which are fermenters shows yellow colonies except MacConkey LF - pink colonies

🥝 Cylinders =
Black top white shoulder = Oxygen
Blue = N20
Blue + white = Entonox
Grey + black + white = Air
Grey = CO2

🥝 Pipelines =
White = O2
Blue = N20
Black = Air
Yellow = Vaccum

🍒 Cherry red spots = NP , tay sachs, CRAO , Gaucher, MLD

Orange tonsils = Tangiers disease

🍁URINE =
green = Carboluria
Black = alkaptonuria
Orange = Rifampicin

🎄Purple toe = warfarin
    Purple glove = phenytoin
    Yellow vision = digoxin

🍁 Vacutainers =
Blue = 3.2% Na citrate = Coagulation studies ( PT , aptt, d dimer)
Gold = SSG ( serum seperating gel) = for serum studies
Red = same as gold + silica clot activator
Light green = Li heparin = ABG, OFT
Dark green = Na Heparin
Lavender = EDTA = hemogram , plt count
Pink = EDTA = blood bank
Royal blue = EDTA = Rare elements Cu, arsenic
Gray = K oxalate ( anticoagulant) + NaF ( which inhibit enolase) = glucose estimation

1 month ago | [YT] | 4

DR. AJAY

*Disease names and their respective triads:*
👇👇

*Genetic Disorders*

1. *Alport's Syndrome*
- Sensorineural deafness
- Progressive renal failure
- Ocular anomalies

2. *Bartter's Syndrome*
- Metabolic alkalosis
- Hypokalemia
- Normal or decreased blood pressure

3. *Kartagener's Syndrome*
- Bronchiectasis
- Recurrent sinusitis
- Situs inversus


*Neurological Disorders*

1. *Beck's Triad* (Cardiac Tamponade)
- Muffled heart sound
- Distended neck veins
- Hypotension

2. *Charcot's Triad* (Cholangitis)
- Pain
- Fever
- Jaundice

3. *Hutchinson's Triad* (Congenital Syphilis)
- Hutchinson's teeth
- Interstitial keratitis
- Nerve deafness

4. *Miller Fisher Syndrome* (Variant of GBS)
- Ophthalmoplegia
- Ataxia
- Areflexia


*Infectious Diseases*

1. *Weil's Disease* (Leptospirosis)
- Hepatorenal damage
- Bleeding diathesis
- Pyrexia


*Gastrointestinal Disorders*

1. *Gradenigo's Triad* (Petrous Apicitis)
- Sixth cranial nerve palsy
- Persistent ear discharge
- Deep-seated retro-orbital pain

2. *Murphy's Triad* (Cholecystitis)
- Pain
- Vomiting
- Fever


*Renal Disorders*

1. *Triad of Hypernephroma* (Renal Cell Carcinoma)
- Pain
- Hematuria
- Renal mass

2. *Triad of Wilm's Tumor*
- Fever
- Mass
- Hematuria


*Hematological Disorders*

1. *Hemobilia (Triad of Sandblom)*
- Malena
- Obstructive jaundice
- Biliary colic

2. *Triad of HUS* (Hemolytic-Uremic Syndrome)
- Hemolytic anemia
- Acute renal failure
- Thrombocytopenia


*Endocrine Disorders*

1. *Cushing's Triad* (Increased Intracranial Pressure)
- Bradycardia
- Hypertension
- Irregular respirations

2. *Whipple's Triad* (Insulinoma)
- Hypoglycemia during attacks
- Serum glucose <40 mg%
- Prompt relief on glucose administration


*Other Conditions*

1. *Adams Triad* or *Hakim's Triad* (Normal Pressure Hydrocephalus)
- Urinary incontinence
- Gait disturbance
- Dementia

2. *Bezold's Triad* (Otosclerosis)
- Diminished aural perception of low-frequency tones
- Retarded bone conduction
- Negative Rinne test

3. *Dieulafoy's Triad* (Acute Appendicitis)
- Hyperesthesia of the skin
- Exquisite tenderness
- Guarding over McBurney's point

4. *Hand-Schüller-Christian Disease Triad*
- Exophthalmos
- Lytic bone lesions
- Diabetes insipidus

5. *Osler's Triad* (Hereditary Hemorrhagic Telangiectasia)
- Telangiectasis
- Capillary fragility
- Hereditary hemorrhagic diathesis

6. *Samter's Triad* (Aspirin Sensitivity)
- Aspirin sensitivity
- Bronchial asthma
- Nasal polyp

7. *Trotter's Triad* (Lateral Sinus Thrombosis)
- Conductive deafness
- Immobility of homolateral soft palate
- Trigeminal neuralgia

8. *Unhappy Triad* (Knee Injury)
- Anterior cruciate ligament tear
- Medial collateral ligament tear
- Meniscus tear

9. *Vogt Triad* (Tuberous Sclerosis)
- Mental retardation
- Adenoma sebaceum
- Seizures

10. *Virchow's Triad* (Thrombosis)
- Stasis
- Hypercoagulability
- Vessel injury

1 month ago | [YT] | 7

DR. AJAY

Mnemonic

DUAL MARKER: "HP laptop" (HCG and PAPP-A) 1st trimester

TRIPLE MARKER: "HAE" (HCG, AFP, ESTRIOL UNCONJUGATE)

QUADRUPLE MARKER: "HAE I Am" (HCG, AFP, ESTRIOL UNCONJUGATE, INHIBIN A)

1 month ago | [YT] | 5

DR. AJAY

Important chromosomes to remember
Imp chromosomes:

*Chr 1*- Rh factor
*Chr 2*- Cystinuria
*Chr 3*-VHL, RCC
*Chr 4*- Huntington's chorea, Achondroplasia
*Chr 5*- FAP (APC), Cri-du-chat
*Chr 6*- HLA, IgA nephropathy (Berger's dis.), Hemochromatosis
*Chr 7*- Cystic fibrosis
*Ch 8*- Osteopetrosis, Burkitt's lymphoma [translocn t(8,14), t(8,2), t(8,22)]
*Chr 9*- Tuberous sclerosis
*Chr 10*- Cowden dis., MTC(RET), PTEN
*Chr 11*- MEN Sx, Wilms tumor
*Chr 12-* VWF
*Chr 13*- Wilson dis (ATP7B), Trisomy 13(Patau Sx), Retinoblastoma (Rb), Osteosarcoma, BRCA2
*Chr 14*- t(11,14), t(4,14)- multiple myeloma
*Chr 15*- Marfan Sx
*Chr 17*- NF1, Li fraumeni Sx, BRCA1
*Chr 18*- Trisomy(Edward Sx)
*Chr 21*- Trisomy(Down's Sx)
*Chr 22*- CATCH22 (Digeorge Sx), NF2

1 month ago | [YT] | 6

DR. AJAY

So I have a really silly mnemonic for the urine odours.
See if it helps you guys:
1) Imagine a cabbage 🥬 wearing a Tie (cabbage- Tyrosinemia 1)
2) Swimming pool 🏊‍♂ me float karta hua Hawkins ka cooker🎛 (Swimming pool- Hawkinsinuria)
3) Tom cat 😼 sitting in a car ( Tomcat urine- Carboxylase deficiency)
4) Meth k nashe karne k baad stale/sadi hui/rotting fish 🎣 kha li (Rotting fish- TriMETHyl aminuria)
5) Mausi PK hain (Mousy- PKU)
6) Maple syrup 🍁 jal gaya to Burnt sugar (Burnt sugar- MSUD)
Or Mera personal favourite...
7) Imagine one Ova that is very nervous about ovulation, so it's sweating (Sweaty feet- IsOVAleric acidemia)
😂

URINE ODOURS

1 month ago | [YT] | 10

DR. AJAY

Drug of Choice

Focal seizure: Carbamazepine.

Focal seizure in elderly: Lamotrigine.

Trigeminal neuralgia: Carbamazepine.

Typical absence seizure: Ethosuximide.

Atypical absence seizure: Valproate.

Infantile spasm: Ethosuximide

Infantile spasm in TSC: Vigabatrin

West syndrome:- adrenocorticotropic hormone (ACTH), oral corticosteroids (prednisolone/prednisone)

1 month ago | [YT] | 7