
“The triad has a special beauty…”
Iamblichus
Cholangitis -RUQ pain/fever/jaundice
Thrombosis -stasis/endothelial injury/immobility
Tamponade -hypotension/raised JVP/muffled heart sounds
Appendicitis -RIF pain/fever/vomiting
Raised ICP -hypertension/bradycardia/irregular breathing
I loved triads when I was examining in surgery. The combination of an eponymous name, three specific clinical signs and a single diagnosis was a recipe for endless fun. Five related memory items to retrieve, difficult at the best of times, but all too often a disastrous moment in the pressure of a viva examination. How many of these triads can you name, before you read the hashtag below?
#charcotvirchowbeckmurphycushing #letsmakelemonade