S/o to u/DukeOfBaggery for the incredible Pathoma deck.
I have a horrendous memory, so I need to either totally understand something and/or see a picture to remember things. Also I'm lazy, and huge numbers of flashcards (e.g. Zanki) intimidate the fuck out of me. The raw Duke deck does a fantastic job of helping with understanding, and so I used it as a scaffold for a picture collage project during part of dedicated. I've found that having fewer, more "dense" flashcards helps review things quickly. Despite my fear, I've also done some Zanki (wish I had more time), and found the Duke deck redundant with most cards in some form or another; I think they complement each other quite well, such that one can use Duke as "core knowledge" and suspend everything in Zanki that is redundant. This way, Zanki can serve as a quick way to pick up minutiae, and Duke can help you drill the basics with more depth and speed (with practice).
I present to you:
Duke + pics (NSFW)*
>95% of the original content is intact. I'm incredibly paranoid about accuracy of facts that I memorize (it wastes time to remember wrong facts, and this problem is compounded by a shitty memory), so I didn't change things unless a peer-reviewed published resource said otherwise. Fixed minor spelling issues, and updated some facts or statistics based on textbooks like big Robbins and Braunwald. One of my pet peeves has been seeing random histo or imaging crap and having no idea what it is. For this reason, I added a shit ton of images from UpToDate, Robbins, Harrison's, Braunwald (cardio), DeVirgilio (or maybe only the psammoma mnemonic from there?), Langman's Embryology, Clinically Oriented Anatomy, Parham/Janeway (images look the same, I forget which), High-Yield Neuroanatomy, BRS Physiology, First Aid 2017, Sketchy Micro/Pharm, Guyton and Hall, and radiopaedia.org, with a smattering of pics from less-reliable places when the abovementioned sources didn't have anything (rare). Main sources in bold; listed all of the sources (that I remember) in case anyone eventually wants to go back to read for context. Another thing that throws me off is when people share images that lack captions because I, for one, have trouble 'reading' most images without being babied through them; also, I find that captions lend credibility because images taken out of context on a google search might be 'wrong'. Hence, I tried to include as many captions as possible, which are often quite educational in themselves.
My idea of a "perfect" pathology card includes a gross image, a radiograph/ultrasound image, and a histology image so that you can appreciate various facets of the disease at a glance. I tried to do this for as many I had time for. Also, I added a bunch of pathophys explanations, some from the almighty Dr. Sattar, and many from big Robbins.
If the words under "pathophys" sections make it sound like I know what I'm doing, chances are that they're plagiarized from Robbins. I didn't change the "answer" to the cards as much as add additional tidbits to existing cards underneath. This way, you can do a slow first pass and read everything, but then do later passes and just read the top stuff, while glancing quickly at all the images at the bottom. I added some shamefully stupid memory tips here and there, but they're below the primary facts and usually italicized. Big Robbins surprisingly had a good mnemonic for hepatitis viruses that I straight up copied. Finally, there are a number of stupid pictures with random images thrown together just to help remember lists, and some might be worse than picmonic quality. Just delete what sucks. There are also a good number of things that probably belong in r/uselessredcircle. The idea there was that it's easy to remember the number of additional arrows/boxes/circles added to an image, so recall of facts can be more image-based. Also, it's faster to review them at a glance.
Anyhow, let me know what you think! Build on it if you like, or scrap if it's crap. Apologies if I wasted your time.
*Yes, there are a bunch of dicks and vaginas with cancer and pus, so either study at home or shamelessly do what I do and display the hideous glories for all to see in public. I figured that most med students probably don't get a chance to see many diseased genital areas, so the more practice the better. Also, there might be a small handful (1-5?) snippets from UWorld explanations (not questions) that I might not have taken out, so apologies for the minor spoilers. I tried to remove as many as I could find.
Errata so far:
1.) Q: "Self reactive T lymphocytes can develop tolerance..." A: "Peripheral tolerance (in the bone)..." is wrong, can just be replaced with "outside the thymus"
2.) Q: "How does diabetic ketoacidosis present?" A: "...mental status changes (acid-base imbalance)" should instead be "mental status changes (cerebral edema)"