AMAZING SPLEEN !

1. Most Common location of Accessory Spleen(Splenenculi) - Splenic Hilum


2. Most Common Primary benign lesion of spleen - Cavernous Hemangioma.


3. Most Common primary malignant lesion of spleen is - Lymphoma


4. Most Commonly ruptured intra-abdominal organ in the setting of trauma - Spleen
     (Why? Ans: due to its complex ligamentous attachments and spongy parenchymal consistency)


5.Most common infection involving Spleen in Immunocompromised - Candidiasis.


6. Most Common organ involved in Sickle Cell Disease - Spleen


7. Most Common cause of Splenic Vein Thrombosis - Secondary to Pancreatitis.




DV-

Most Commons : Surgery : SPINAL TUMORS

SPINAL TUMORS : MOST COMMON

Most Common Spinal Tumor - Metastasis.

MC Primary Spinal Tumor - Nerve sheath tumor.

MC Intramedullary tumor - Ependymoma

MC site of spinal tumors - Extradural

MC site of primary spinal tumors - Intradural Extramedullary.

(From AIIMS Nov '07)

pgmee notes by dv.

Most Commons Medicine

Most common finding in histopathological examination of kidney in Denys-Drash Syndrome - Diffuse Mesangial Sclerosis

MC ECG manifestation of PTE / Pulm.ThromboEmbolism : Sinus Tachcardia >> Irregular ST-T changes

MCC for Drug induced SLE : Procainamide > Hydrallazine

Most Commons : Surgery Blood Vessels Thrombosis

Most Common Cause of Lower limb gangrene : Atherosclerosis

Best Conduit for Iliac Artery Graft : KNITTED DACRON > WOVEN DACRON

Most Common site of Arterial Emboli : Saddle Thrombus - (Junction of Common Femoral, Deep Femoral and Superficial Femorals)

Most Common Cause of Raynaud's Phenomenon in a 60 yr old male : Atherosclerosis

Most Common site of False Aneurysm : Femoral Artery.

Most Common site of true aneurysm : Popliteal Artery.




Most Common Cause of Retrograde Ejaculation : Diabetic Autonomic Neuropathy > Prostatectomy

Most Commons : Renal lesion in HIV infection

** The most common renal lesion in HIV infected individuals is  : 

                              OR 

** The most common HIV Associated Nephropathy is                :

ANSWER : FSGS- Collapsing Variant.

Reference : Robbins 7/e, p.n. 984 : pgmeenotes by dv.

Most Commons Surgery contd..

Most Common source for Thromboembolism - which vessels - Calf veins

Most Common source for massive ThromboEmbolism - Ilio-Femoral veins
(Note: Gold standard treatment in the prevention of DVT : LMWH)

Most Common cause of SVC Obstruction : Lung Cancer
(Note: Treatment option for SVC syndrome in Lung Ca is Radiation)

Most Common cause of IVC Obstruction : Extension of a Thrombus

Most Common cause of Acute Lymphangitis : Streptococcus pyogenes.

Most Common cause of upper limb lymphedema : Ca Breast.

Most Common performed operation for lymphedema : Limb Reduction Surgeries

Most Commons : PUO (Medicine)

********MC - Most Common ::: MCC- Most Common Cause ::: MCS - Most Common Site***********


PUO - Pyrexia of Unknown Origin MC

MCC of PUO - Extrapulmonary Tuberculosis

MCC of PUO in Elderly - Giant Cell Arteritis

MC Infectious cause responsible for PUO in elderly : Tuberculosis

MC fungus to cause PUO - Histoplasmosis

(These 4 are from Harrison 17th, the next one is from a guide)

MC Cancer to present as PUO - Leukemia & Lymphoma.

'MOST COMMONS' : Surgery contd..

Most performed operation in GERD : Laparoscopic Fundoplication

Most Important D/D of Esophagial Varices in Barium Swallow - Candidiasis

Most Common Diaphragmatic Hernia : Hiatus Hernia

Most Common Congenital Diaphragmatic Hernia : Bochdalek's Hernia

Most common conduit used after Esophagectomy : Jejunum
(NOTE : Best Conduit after esophagectomy is STOMACH, not jejunum)

Most Common cause of Death in Esophagial Cancer : Cachexia

Most Common cause of death after Esophagectomy : Anostomotic Leak

Most Common cause of death in Cervical Cancer : Uremia

MOSt COMMONS Surgery Contd..

** MC Site of Lung abscess in supine position : 

Posterior Segment of right upper lobe > Left upper lobe > Apical Segment of Right lower lobe.

** MC Site of aspiration Pneumonia - Right Lower Lobe.

-- Most Common congenital neck cysts / The most common midline neck swellings in the neck - THYROGLOSSAL CYST. (AIIMS NOV' 07)

MOST COMMONS : G.I.T Final

Most Common  Tumor of Small Intestine----Leiomyoma

Most Common  Type of intussusception----Ileocecal

Most Common  Benign Tumor of the Small Intestine----Leiomyoma

Most Common  Congenital anomaly of the esophagus----Esophageal atresia

Most Common  Malignant Tumor of Small Intestine----Carcinoid

Most Common  Tumor of Large Bowel----Adenoma

Most Common  Benign Tumor of the Large Bowel----Adenoma

Most Common  Malignant Tumor of Large Bowel----Adenocarcinoma

MOST COMMONS

The Most Common cause of Drug Induced SLE is

 ::---> PROCAINAMIDE >> Hydrallazine.

Most Commons :: Medicine Contd.

MC acute complication of hemodialysis : Hypotension (Impaired Autonomic Respone)

Most Commons : Ophthalmology

MC intraorbital malignancy in children : Rhabdomyosarcoma

MC Intraocular Tumor in children : Retinoblastoma

MC manifestation of Retinoblastoma : Leucocoria

2nd MC manifestation of RB - Strabismus

Most Commons Surgery contd..

MC Soft Tissue Sarcoma in children : Rhabdomyosarcoma (Ref:Sabiston)

MCS of Extranodal Lymphoma - Stomach - B-Cell NHL

MCS site of Extranodal NK Cell Lymphoma is Nasopharynx (Midline lethal granuloma)

MCS of Neurocysticercosis - Brain Parenchyma > Meningeal >Mixed > ventricular
(Note : Ventricular involvt.is the most resistant to treatment)

MC Sign of Cerebral Metastasis : FND/Focal Neurological Deficits

MC Complication of Meckel's Diverticulum
- OVERALL and in <18yrs>
- in Adults : Obstruction

MOST COMMONS - G.I.T Part 1

1. Most Common  Benign esophageal tumor----Leiomyoma
   
2. Most Common  Cause of Small Bowel Obstruction----Adhesions
   
3. Most Common  Malignant tumor of esophagus----Squamous cell carcinoma
   
4. Most Common  Cause of Large Bowel Obstruction----Carcinoma of the colon
   
5. Most Common  Benign Tumor of Stomach----Adenomatous polyp
   
6. Most Common  Sources of Metastatic Lesions to Stomach----Melanoma and Breast ca
   
7. Most Common  Malignant Tumor of Stomach----Adenocarcinoma
   
8. Most Common  Cause of free air----Perforated ulcer
   

Most Commons : Forensic Medicine

REMEMBER

The most common finding in neck in cases of THROTTLING : Contusion of Neck Muscles ( and not HYOID bone fracture)



The most common mode of murder in which Hyoid bone is fractured is : THROTTLING

MOST COMMONS - Heart contd..

Most Common cause of death in P.D.A is - C.C.F

Most Common Congenital Cyanotic Heart disease producing cyanosis at birth : T.G.A
(NOTE : All Cong. cyanotic heart diseases will not produce cyanosis at birth eg:-T.O.F)

Most Common primary tumor of heart : Atrial Myxoma
(Note:- The site of origin of Left Atrial Myxoma is not left atrial wall - it's the InterAtrial Septum!!)

Most Common source of secondaries to heart : Bronchogenic Carcinoma.

Most Common tumor of heart in children : Rhabdomyosarcoma.

MOST COMMONS Surgery Contd..

Most common location of Bronchial Cysts - Near Carina on the right side.

To be continued.

To see all of the most commons : CLICK HERE

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MOST COMMONS Surgery : Mediastinal Tumors

MC Mediastinal tumor : Secondaries / Metastasis.

MC Primary Mediastinal tumor is : Thymoma.

MC primary tumor of Ant. Mediastinum - Thymoma.

MC primary tumor of Middle Mediastinum - Cysts.

MC primary tumor of Post. Mediastinum - Neurogenic.

MC primary tumor of Superior Mediastinum - Tumors of Thyroid.

Most Commons : Cardiology.. Continued

• Cardiac Tumor :Metastatic disease
  
• Cause of a calcified mitral valve : Rheumatic heart disease
  
• Primary cardiac tumor :Myxoma
  
• Cause of a calcified mitral annulus : Degenerative process
  
• Cardiac malignancy : Metastatic disease
  
• Cause of a calcified aortic valve :Bicuspid aortic valve
  
• Primary benign heart tumor : Myxoma
  
• Site of true left ventricular aneurysm: Anterolateral and apical walls
  
• Tumor of the heart in a child : Rhabdomyoma
  
• Site of false left ventricular aneurysm: Post-MI rupture of LV into pericardium
  
• Right Arch Associated with CHD: Mirror-image right arch
  
• Type of Coarctation of Aorta : Adult (juxtaductal) type
  
• Type of Truncus Arteriosus: Type 1-Supracardiac-Snowman Heart
  
• CHD in Down Syndrome : Atrioventricular canal defects
  
• Cause of a Pericardial Effusion :MI with left ventricular failure
  
• CHD with highest association of pericardial abnormalities : ASD
  
• Site of pulmonic stenosis :Valvular