雜七雜八triad part 4

Carney's triad: (罕見,可見於年輕女性)

-Functioning adrenal para ganglioma (nonfamilial)

-Gastric leiomyosarcoma (GIST)

-Pulmonary chondroma

(目前被認為是一種特別的multiple endocrine neoplasia, MEN,致病原因不明)

※和Carney complex不完全一樣,雖然它也是機轉不確定,且懷疑和MEN類似,Carney complex又稱為NAME syndrome(N- nevi:痣;A- atrial myxoma:心房黏液瘤;M- myxoid neurofibroma:黏液樣神經纖維瘤;E- ephelide:雀斑)LAMB syndrome(L- lentigines:斑;A- atrial myxoma:心房黏液瘤;M- mucocutaneous myxoma:黏膜及表皮的黏液瘤;B- blue nevi:藍痣)

※和Carney–Stratakis syndrome不完全一樣,在討論由germline mutations in the mitochondrial tumor suppressor gene造成的GIST

 

Triad of Ohashi: (可見於ERCP看到的胰臟乳頭狀病變)

尤其是胰管內乳頭狀粘液性腫瘤Intraductal papillary mucinous neoplasm (IPMN)

-A bulging ampulla of Vater

-Mucin secretion

-Dilated main pancreatic duct

 

Haimovici triad of revascularization of an acutely ischemic limb

-Muscle infarction

-Myoglobinuria

-Acute renal failure

 

Triad of small bowel obstruction in X-ray

-Dilated small bowel loops >3 cm

-Multiple air fluid levels in erect X-ray

-Paucity of air in the colon

 

Gilroy Bevan triad of adhesive pain:

-Pain may get aggravated or relieved on change of posture.

-Pain in the region of old abdominal scar

-Tenderness is induced by pressure over the scar.


arrow
arrow

    TeachingCenter. 發表在 痞客邦 留言(0) 人氣()