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I don't think it's worded that weirdly. The guide wire should be advanced superiorly just beyond the testicular artery to approach the right renal artery.
SCHIZOTYPAL = Included on the schizophrenia spectrum.
Pronounce schizO-TYPE-al: Odd-TYPE thoughts.
Bulimia comes from Greek "ravenous hunger"; the term is a literal concatenation of the words for ox (bous) + hunger (limos). So, in Greek, bou-limia is literally "ox hunger", which is a nod to how the word is used in medicine = perpetual and insatiable appetite for food (the very "opposite" of vomiting).
I agree with your reasoning but the classic case description of Bulima lists electrolyte disturbance of HypOkalemia, HypOchloremia, and Metabolic Alkalosis, along with other things like parotid hypertrophy and dorsal hand calluses due to the induced vomiting. I tripped up there. :/
FA 20 Pg 567
Take home lesson: reasoning > memorizing
And even if it was Wilson disease, it would have the exact same consequence leading to Fanconi syndrome.
Fanconi syndrome Generalized
reabsorption defect in
PCT = Increased excretion of
amino acids, glucose,
HCO 3 – , and PO 4 3– ,
and all substances
reabsorbed by the
May lead to
(eg, Wilson disease,
Polyuria, renal tubular acidosis type II, growth failure,
electrolyte imbalances, hypophosphatemic rickets =
Fanconi syndrome (multiple combined dysfunction of the
proximal convoluted tubule).
At birth, immature UDP-glucuronosyltransferase = unconjugated hyperbilirubinemia = jaundice/
kernicterus (deposition of unconjugated, lipid-soluble bilirubin in the brain, particularly basal
Occurs after first 24 hours of life and usually resolves without treatment in 1–2 weeks.
Treatment: phototherapy (non-UV) isomerizes unconjugated bilirubin to water-soluble form.
that was my reasoning as well. guess not.
Shitty NBME grammar strikes again.
No. No guys. Bundle of his located below AV node and it can generate impulse. it calls junction escape rhythm and narrow complex. Below this is purkinje, bundle branch & ventricular muscle. those are wide complex
The atria and ventricles beat independently of each other. P waves
and QRS complexes not rhythmically associated. Atrial rate >
ventricular rate. Usually treated with pacemaker. Can be caused
by Lym3 disease
Just in case anyone is wondering like I did, the low platelet count explains thethose multinucleated cells. They are Megakaryocytes in Bone Marrow Biopsy.
Also, don't forget that autoimmune thrombocytopenia purpura has 2 demographics: young kids, which generally resolves spontaneously fairly quickly, and then young adult females which is a true autoimmune condition that doesn't resolve. Patient's age + thrombocytopenia + essentially normal rest of heme pannel = autoimmune thrombocytopenia purprua in child.
That is exactly how I approached this question. Normal heme panel and a decreased Platelet count in a young boy after an infection just made me intuitively select ITP.
LOL. Achey Granpa Meynert. I'm gonna steal this from you.
Achey grandpa Meynert = ACh / Basal Nucleus of Meynert
Dope Cousin VT = Dopamine / Ventral tegmentum, SNc
Uncle and aunt Raphe and Sara = Serotonin / Raphe nuclei(medulla, pons)
Cousin Gabby always screaming NA-NA-NA = GABA / Nucleus Accumbens
Norepi = Locus ceruleus.
Allergic contact dermatitis because of contact with poison ivy.
Urushiol-induced contact dermatitis (also called Toxicodendron dermatitis or Rhus dermatitis is a type of allergic contact dermatitis caused by the oil urushiol found in various plants, most notably species of the genus Toxicodendron: poison ivy, poison oak, poison sumac, and the Chinese lacquer tree.
Every morning: "I think i'll go over glycogen storage diseases, lysosomal storage diseases, and dyslipidemias after questions this afternoon."
Every afternoon: Nah
oh my god are you me
I recently found a program called Pixorize. It's pretty much Sketchy for biochem. Wish I discovered it sooner cuz it has helped for a lot of the painful things like this!
Cherry red spot basically means niemann-pick or tay sachs. Two differences between is:
1- No HSM in Tay Sachs, HSM in niemann-pick.
2- Both of them has muscle weakness but there is hyperreflexia in Tay Sachs, but areflexia in niemann pick disease.
In stem cell HSM is not described and hyperreflexia noted.
HSM - HepatoSplenoMegaly.
Cherry red spots think of
Tay Sachs, deficient enzyme - HeXosaminidase A, accumulated substrate GM2 ganglioside.
Niemann-Pick - Spingomyelinase, Spingomyelin <- which is not even a choice.
FA18 Pg 88