The tyranny of triads

“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

Leave a comment

search previous next tag category expand menu location phone mail time cart zoom edit close