limited time: blossoming deals SAVE up to 40% NOW

Jonathan Shared "Created" - 14 Picmonics

With Picmonic, facts become pictures. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, interesting audio stories, and built-in quizzing. Whether you're studying for your classes or getting ready for a big exam, we're here to help.


Disease Modifying Antirheumatic Drugs (DMARDs)
Response to therapy takes weeks
First Line
Second Line
TNF-alpha inhibtors
Rheumatoid arthritis
picmonic thumbnail
Porphyria cutanea tarda
#1 most common porphyria in adults
Autosomal dominant mutation in uroporphyrinogen decarboxylase
Symptoms and Complications
Skin manifestations: blisters and bullae, hypo and hyperpigmented lesions due to photosensitivity effect of porphyrins
Tea-colored urine due to build-up of uroporphyrin
Urine fluoresces red/pink under wood's lamp
Low-dose hydroxychloroquine is an alternative tx
picmonic thumbnail
Acute Intermittent Porphyria (AIP)
Mechanism and Characteristics
Autosomal dominant
Defect in porphobilinogen deaminase (PD)
Signs and Symptoms
Worsened by alcohol and p450 inducers
6 P's
Glucose loading and IV hemin
picmonic thumbnail
Rett syndrome
Neurodevelopmental disorder that occurs mainly in girls
Characterized by normal development until 5-18 months old
Signs and symptoms
Loss of motor and language skills
Stereotypic hand movements (wringing of the hands)
Deceleration of head growth
Other features include seizures, intellectual disability, autistic features, and breathing abnormalities
Caused by de novo mutations in X-linked MECP2 gene
picmonic thumbnail
Riedel's thyroiditis
Riedel's thyroiditis overview info
Average age affected is ~40
FIbrous tissue replaces thyroid parenchyma
Signs and Symptoms
Hard-as-wood (rock-like)
Fibrosis that extends beyond the thyroid capsule
Lymphoplasmacytic infiltrate with abundant IgG4 producing plasma cells
Do not confuse with Anaplastic carcinoma of the thyroid (painless, hard as wood thyroid in OLDER patients)
picmonic thumbnail
Legg-Calve-Perthes disease
Idiopathic avascular necrosis of the proximal femoral epiphysis
Most commonly seen in children ages 4-8
Males affected 5X more than females
Signs and symptoms
Insidious onset of painless limp followed by intermittent pain in knee, hip, groin, or thigh
Radiographic findings of asymmetric hips
Containment of the hip within the acetabulum
picmonic thumbnail
McCune-Albright syndrome
Defined by the 4 P's
Polyostotic fibrous dysplasia
Pigmented skin lesions (cafe-au-lait spots/"Coast of Maine" spots)
Precocious puberty (and other endocrine abnormalities)
Displays mosaicism
Caused by a non-inherited, somatic, gain-of-function mutation of the GNAS gene of chromosome 20
Well-circumscribed, radiolucent lesion with "ground glass" appearance
picmonic thumbnail
GnRH agonist
Continuous use inhibits FSH and LH secretion
Treatment uses
Prostate cancer
ER-positive breast cancer
picmonic thumbnail
Central Pontine Myelinolysis
Known as "Locked in Syndrome"
Too rapid correction of hyponatremia
Demyelination at the base of the pons
Damages corticobulbar and corticospinal tracts
Trochlear and Oculomotor nerves spared
picmonic thumbnail
Widespread musculoskeletal pain
Impaired concentration and attention
Depression and anxiety
Duration >3 months
Most common in females age 20-55
Exam findings
Absence of joint or muscle inflammation
Normal acute phase reactants (ESR and CRP)
picmonic thumbnail
Fanconi Anemia
Most common form of inherited aplastic anemia
Caused by inherited defects in non-homologous end-joining
Signs and Symptoms
Hypopigmented Areas of Skin
Cafe au lait spots
Thumb abnormalities
Elevated serum AFP in 50% of cases
Increased HbF (Fetal Hemoglobin)
Culturing lymphocytes and observing extensive chromosomal breakage in the presence of DNA cross-linking agents
Risk of developing
Acute myelogenous leukemia (AML)
Myelodysplastic syndrome
Squamous cell carcinoma of head, neck, or vulva
picmonic thumbnail
Mechanism of Action
Increases membrane permeability to Calcium ions
picmonic thumbnail
Frontal lobe lesions
R-sided lesion
Disinhibited Behavior
L-sided lesion
Apathy and depression
picmonic thumbnail
I-cell disease
Inherited lysosomal storage disorder
Defect in NAG-1 phosphotransferase enzyme
Lysosomal enzymes fail to be tagged for lysosomes
Increased lysosomal enzymes in the plasma
Signs and Symptoms
Coarse facial features
Corneal Clouding
Restricted joint movements
Often fatal in childhood
picmonic thumbnail

Ace Your Medicine (MD/DO) Classes & Exams with Picmonic:

Over 1,870,000 students use Picmonic’s picture mnemonics to improve knowledge, retention, and exam performance.

Choose the #1 Medicine (MD/DO) student study app.

Picmonic for Medicine (MD/DO) covers information that is relevant to your entire Medicine (MD/DO) education. Whether you’re studying for your classes or getting ready to conquer the USMLE Step 1, USMLE Step 2 CK, COMLEX Level 1, or COMLEX Level 2, we’re here to help.

Works better than traditional Medicine (MD/DO) flashcards.

Research shows that students who use Picmonic see a 331% improvement in memory retention and a 50% improvement in test scores.

It's worth every penny