Welcome to cbay0509’s page.
Contributor score: 4
I really wanted to pick GBM/astrocytoma here
APD--> swinging flashlight test, light in the AFFECTED eye will result in dilation of both pupils inappropriately
Can someone please explain why it cant be the Right Edinger Westphal nucleus?
there are several UWorld questions about psychogenic ED with the answer being normal libido and normal nocturnal erections, idgi
Yeah NBME says its C, but I still think with a recent stroke you can't bank on normal nocturnal erections...
fatigue, difficulty sleeping and concentrating could be depression or hypothyroidism both of which can cause decreased libido
@djeffs1 when you say NBME say's it's C, how do you know that's the official answer? Did NBME post the answers somewhere?
in the versions I purchased from them they highlight the correct answer in the test review
For me the keyword in the stem is "maintain"; he can maintain an erection, therefore nocturnal erections must be normal. Libido, on the other hand, is psychologically driven, so if he is depressed (trouble sleeping, concentrating, fatigue, recent major health problem) then the strength towards any kind of desire, including sexual, will be low
I think her 60 pack-year history suggests possible PAD and therefore loss of proprioception in the lower extremities, leading to an unfortunate distractor
I don't understand why you would consider the propioceptive deficit a distractor... doesn't the DCML (which carries propioceptive information) project to the primary somatosensory cortex (via the VPL?). In this case, a lesion to the right anterior cerebral artery, which supplies both motor and sensory information to the lower limb would lead to somatosensory, propioceptive, and motor deficits.
Why It's unreadable..
unfortunately you have to have an account to unscramble most responses
I would say this is Lynch Syndrome (APC is usually thousands of polyps) but lynch syndrome would generally have a family history of other cancers as well, so you might be right. Either way, both autosomal dominant so win win.
uptodate states: Classic FAP is characterized by the presence of 100 or more adenomatous colorectal polyps
@sympathetikey Lynch Syndrome is literally called "Hereditary NON-POLYPOSIS colorectal cancer"
I think this actually is Lynch syndrome. Lynch syndrome can also develop colonic polyps but not nearly as bad as FAP. FAP has so many polyps you can't even see the normal mucosa. If you Google Lynch colonoscopy you can see that they develop a few polyps.
I forgot it was AD inheritance but regardless at the time I was confused because APC is a tumor suppressor so it needs two hits. I guess AD inheritance and then you need another hit to develop CRC kind of like familial retinoblastoma or li fraumeni syndrome