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Comments ...

 +1  (nbme21#18)

Bullous pemphigoid "Bull House" bulls are tough (BP do not rupture easily) and house reminds us of hemidesmosomes

Pemphigus vulgaris "Demphigus" for desmosomes


 +2  (nbme21#29)

Page 506 FA 2019 describes headaches.

Cluster

  • Unilateral
  • 15 mins to 3 hours
  • Periorbital pain with lacrimation and rhinorrhea
  • Tx: Sumatriptan

Migraine

  • Unilateral
  • 4 to 72 hours
  • Pulsating pain with nausea, photophobia, phonophobia, may have "aura"
  • CN V, meninges or blood vessel irritation
  • Tx: NSAIDS, triptans, dihydroergotamine

Tension

  • Bilateral
  • 4 to 6 hours
  • Band-like pain
  • Tx: analgesics, NSAIDS, acetaminophen

drdre  yay formatting fail
drdoom  @drdre, next time try hitting enter twice ("start a new paragraph") before beginning a list.
temmy  cluster mostly seen in men




Subcomments ...

submitted by ameanolacid(12),

Atherosclerosis is the MOST common cause of renal artery stenosis...with fibromuscular dysplasia being the SECOND most common cause (even though it is tempting to choose this option considering the patient's demographic).

xxabi  Is there a situation where you would pick fibromuscular dysplasia over atherosclerosis if given both options? Thanks for your help! +2  
baconpies  Atherosclerosis affects PROXIMAL 1/3 of renal artery Fibromuscular dysplasia affects DISTAL 2/3 of renal artery +7  
gonyyong  Why is there ↓ size in both kidneys? This threw me off +  
kateinwonderland  @gonyyong : Maybe because narrowed renal a. d/t atherosclerosis led to renal hypoperfusion and decrease in size? +  
drdre  Fibromuscular dysplasia occurs in young females according to Sattar Pg 67, 2018. +1  
davidw  Normally you will see Fibromuscular dysplasia in a young female 18-35 with high or resistant hypertension. She is older has a history type II DM predispose you to vascular disease and normal to moderate elevation in BP +1  


submitted by drdre(4),

Page 506 FA 2019 describes headaches.

Cluster

  • Unilateral
  • 15 mins to 3 hours
  • Periorbital pain with lacrimation and rhinorrhea
  • Tx: Sumatriptan

Migraine

  • Unilateral
  • 4 to 72 hours
  • Pulsating pain with nausea, photophobia, phonophobia, may have "aura"
  • CN V, meninges or blood vessel irritation
  • Tx: NSAIDS, triptans, dihydroergotamine

Tension

  • Bilateral
  • 4 to 6 hours
  • Band-like pain
  • Tx: analgesics, NSAIDS, acetaminophen

drdre  yay formatting fail +  
drdoom  @drdre, next time try hitting enter twice ("start a new paragraph") before beginning a list. +  
temmy  cluster mostly seen in men +