Kamran Ahmad, MD
Kamran Ahmad, MD

@drkamikhan123

22 Tweets 19 reads Jun 30, 2024
Important Medical Triads for USMLE Exams ๐Ÿฉบ๐Ÿ“š
๐Ÿงต1. Charcot's Triad (Cholangitis)
๐Ÿ‘‰ Fever ๐ŸŒก๏ธ
๐Ÿ‘‰ Right upper quadrant pain ๐Ÿฉป
๐Ÿ‘‰ Jaundice ๐ŸŸก
Explanation: Indicates acute cholangitis, an infection of the bile ducts.
2. Beck's Triad (Cardiac Tamponade)
๐Ÿ‘‰ Hypotension ๐Ÿ”ป
๐Ÿ‘‰ Distended neck veins (Jugular venous distension) ๐Ÿงˆ
๐Ÿ‘‰ Muffled heart sounds โค๏ธโ€๐Ÿฉน
Suggestive of cardiac tamponade, where fluid accumulates in the pericardium.
3. Virchow's Triad (Thrombosis)
๐Ÿ‘‰ Hypercoagulability ๐Ÿฉธ
๐Ÿ‘‰ Endothelial injury ๐Ÿฅ
๐Ÿ‘‰ Stasis of blood flow ๐Ÿ›‘
Key factors leading to the formation of a blood clot.
4. Triad of Toxoplasmosis in Congenital Infection
๐Ÿ‘‰ Chorioretinitis ๐Ÿ‘๏ธ
๐Ÿ‘‰ Intracranial calcifications ๐Ÿง 
๐Ÿ‘‰ Hydrocephalus ๐Ÿ’ง
Explanation: Common findings in congenital toxoplasmosis infection.
5. Reiter's Triad (Reactive Arthritis)
๐Ÿ‘‰ Arthritis ๐Ÿฆต
๐Ÿ‘‰ Urethritis ๐Ÿ’ง
๐Ÿ‘‰ Conjunctivitis ๐Ÿ‘๏ธ
Explanation: Symptoms associated with reactive arthritis.
6. Whipple's Triad (Insulinoma)
๐Ÿ‘‰ Symptoms of hypoglycemia (e.g., sweating, tremors, hunger) ๐Ÿฌ
๐Ÿ‘‰ Low plasma glucose level ๐Ÿ“‰
๐Ÿ‘‰ Relief of symptoms after administration of glucose ๐Ÿญ
Explanation: Diagnostic criteria for insulinoma, a pancreatic tumor.
7. Classic Triad of Pheochromocytoma
๐Ÿ‘‰ Episodic headache ๐Ÿคฏ
๐Ÿ‘‰ Sweating ๐Ÿ’ฆ
๐Ÿ‘‰ Tachycardia โค๏ธ
Explanation: Symptoms of a pheochromocytoma, a catecholamine-secreting tumor.
8. Meniere's Triad
๐Ÿ‘‰ Episodic vertigo ๐ŸŒช๏ธ
๐Ÿ‘‰ Tinnitus ๐Ÿ””
๐Ÿ‘‰ Hearing loss ๐Ÿ”‡
Explanation: Features of Meniere's disease, affecting the inner ear.
9. Triad of Wernicke's Encephalopathy
๐Ÿ‘‰ Confusion ๐Ÿค”
๐Ÿ‘‰ Ataxia ๐Ÿšถโ€โ™‚๏ธ
๐Ÿ‘‰ Ophthalmoplegia (typically nystagmus or lateral rectus palsy) ๐Ÿ‘€
Explanation: Neurological emergency due to thiamine deficiency.
10. Classic Triad of Hemolytic Uremic Syndrome (HUS)
๐Ÿ‘‰ Hemolytic anemia ๐Ÿฉธ
๐Ÿ‘‰ Acute kidney injury ๐Ÿšฝ
๐Ÿ‘‰ Thrombocytopenia ๐Ÿงช
Explanation: Often seen in children after a gastrointestinal infection.
11. Samter's Triad (Aspirin-Exacerbated Respiratory Disease)
๐Ÿ‘‰ Asthma ๐ŸŒฌ๏ธ
๐Ÿ‘‰ Nasal polyps ๐Ÿ‘ƒ
๐Ÿ‘‰ Aspirin sensitivity ๐Ÿ’Š
Explanation: Chronic condition associated with nasal and respiratory symptoms.
12. Cushing's Triad (Raised Intracranial Pressure)
๐Ÿ‘‰ Hypertension ๐Ÿ“ˆ
๐Ÿ‘‰ Bradycardia โค๏ธโ€๐Ÿฉน
๐Ÿ‘‰ Irregular respirations ๐Ÿ˜ค
Explanation: Signs indicating increased intracranial pressure.
13. Asherman's Syndrome Triad
๐Ÿ‘‰ Secondary amenorrhea ๐Ÿšซ
๐Ÿ‘‰ History of uterine surgery or trauma ๐Ÿฅ
๐Ÿ‘‰ Infertility ๐Ÿšผ
Explanation: These signs suggest scarring inside the uterine cavity, leading to menstrual and fertility issues.
14. Triad of Tuberous Sclerosis
๐Ÿ‘‰ Seizures โšก
๐Ÿ‘‰ Intellectual disability ๐Ÿง 
๐Ÿ‘‰ Facial angiofibromas ๐Ÿ˜Š
Explanation: This triad is seen in tuberous sclerosis, a genetic disorder affecting multiple organs.
15. Leriche Syndrome Triad
๐Ÿ‘‰ Claudication ๐Ÿฆต
๐Ÿ‘‰ Impotence ๐Ÿ†
๐Ÿ‘‰ Absent or diminished femoral pulses ๐Ÿฉธ
Explanation: Triad indicating aortoiliac occlusive disease affecting lower limbs and pelvic circulation.
16. Boerhaave's Triad (Esophageal Rupture)
๐Ÿ‘‰ Vomiting ๐Ÿคฎ
๐Ÿ‘‰ Chest pain ๐Ÿซ€
๐Ÿ‘‰ Subcutaneous emphysema ๐Ÿ’จ
Explanation: Classic signs of esophageal rupture due to forceful vomiting.
17. Classic Triad of O'Donoghue's Syndrome (Terrible Triad of the Knee)
๐Ÿ‘‰ Anterior cruciate ligament (ACL) tear ๐Ÿฆต
๐Ÿ‘‰ Medial meniscus tear ๐Ÿฆต
๐Ÿ‘‰ Medial collateral ligament (MCL) tear ๐Ÿฆต
Explanation: Triad of knee injuries often seen in sports trauma.
18. Carney Triad (Rare Tumor Syndrome)
๐Ÿ‘‰ Gastric gastrointestinal stromal tumor (GIST) ๐Ÿฝ๏ธ
๐Ÿ‘‰ Pulmonary chondroma ๐Ÿซ
๐Ÿ‘‰ Extra-adrenal paraganglioma ๐Ÿซ€
Explanation: Rare syndrome involving multiple tumors without a known genetic cause.
19. Triple Test for Down Syndrome Screening
๐Ÿ‘‰ Maternal age ๐ŸŽ‚
๐Ÿ‘‰ Serum markers (e.g., AFP, hCG) ๐Ÿ’‰
๐Ÿ‘‰ Fetal nuchal translucency ๐ŸŒˆ
Explanation: Combined screening test for detecting Down syndrome in pregnancy.
20. Triad of Hutchinson's Teeth, Interstitial Keratitis, and Eighth Nerve Deafness
๐Ÿ‘‰ Hutchinson's teeth (notched incisors) ๐Ÿฆท
๐Ÿ‘‰ Interstitial keratitis ๐Ÿ‘๏ธ
๐Ÿ‘‰ Eighth nerve deafness ๐Ÿ”‡
Explanation: Classical features of congenital syphilis affecting teeth, eyes, and hearing
21. Quincke's Triad (Hereditary Angioedema)
๐Ÿ‘‰ Recurrent episodes of non-pitting edema ๐Ÿฆต
๐Ÿ‘‰ Abdominal pain ๐Ÿคข
๐Ÿ‘‰ Upper airway swelling ๐Ÿซ
Explanation: Triad of symptoms seen in hereditary angioedema due to C1 esterase inhibitor deficiency.
Memorize these triads to ace your USMLE exams! ๐Ÿง ๐Ÿ’ช

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