Welcome to hiroshimi’s page.
Contributor score: 7
I think hyperplastic arteriosclerosis meaning that the wall of the artery is thicker, and that narrows the lumen, making it more "stiff" and reduce compliance. It's exactly what you see in patient with HTN. Think about pt with aortic stenosis, it's similar. In contrast, in aneurysm, the wall of the artery is actually thinner, the wall is weakened, that's why it's easier to rupture, think about the aortic aneurysm, it's more likely to rupture if's not treated.
According to DSM-5, with OCD, the disturbance is not better explained by the symptoms of another mental disorder such as preoccupation with having an illness, as in illness anxiety disorder.
In his case, he was previously dx with cancer, treated, then develop these anxieties that he may have missed some sign is more fitted with illness anxiety disorder.
Moreover, OCD is characterized by ego-dystonic, which is "thoughts, impulses, and behaviors that are felt to be repugnant, distressing, unacceptable or inconsistent with one's self-concept", which clearly doesn't apply to the pt case, as checking the temperature is actually meaningful and goal-directed.
why couldnt it be the maxillary artery? doesnt that run through the jaw as well
@j44n: Maxillary artery give a branch called inferior alveolar artery that travels with the inferior alveolar nerve. The maxillary artery itself will travel up and give branches other including the middle meningeal artery around the temporal. So saying maxillary is too broad I think.
This shit is so fucking annoying LMAO its so fucking shitty how they ask questions on shit you can find or FA
Even though legally the wife has the right to make the decision first, then the adult children. However, it's still best the wife and children come to a consensus that reflects pt's wish. If there is a disagreement between them that can't be resolved, then the doctor will need to follow what the wife said. In these difficult situations, you are not only treating the patient, but also the whole family so you would try to integrated the family into the process.
In short, i feel like the point of this question is don't be an asshole, and don't choose answer that have absolute words in it like "only"
I believe this is correct--assuming that active transport of solutes at the thick ascending limb and active transport of solutes (secondary to Na/K pump) at the PCT consumes O2 at highest rate b/c of ATP use. Since tubular reabsorption always happening...very high use of O2 relative to the other answer choices that occur sporadically in response to body homeostatic changes? Note: glomerular filtration is always happening, but that's passive movement through fenestrated capillaries (i.e. no ATP used).
Also, PCT and thick ascending tubule are the two areas that are most susceptible to hypoxic injury in the kidneys.
How do you know that the "increased hCG" is actually lower than what you expect, since the stem did not say anything else???
I was between ectopic pregnancy and hydatidiform mold since the partial mole can have partial fetus as well. But I guess it's just partial, not the full fetus like we see in the picture. Also, hydatidiform associate with irregular bleeding and/or hyperemesis than acute pain.
Also to add to the partial vs ectopic, the presence of leukocytosis fits better with ectopic since she’s in pain which means the fallopian tube ruptured and now you need immune system to go work. But FA mentions nothing about leukocytosis associated with ectopic pregnancy so I am conjecturing.
For a 7 month old baby, the normal SBP is between 67-104 (the number is varies depending on the sources but generally around <105. So this baby BP is actually high normal. Another sign for coarctation is the decrease in the femoral pulse, and that tell you the differential.
Imp complications of COA: ↑ risk of Cerebral hemorrhage, HF, aortic rupture, and endocarditis.
Coarctation of the aorta often occurs distal to where the left subclavian artery branches off the aorta. The coarctation causes a decreased blood flow only to the lower body (so you'll see decreased femoral pulses, as in this case). If coarctation is located before the left subclavian branches off, then you could see lowered brachial pulse.
Edit to my subcomment: decreased left brachial pulse**
Have a card in Zanki saying this using abx with salmonella can cause HUS so may be it's linked?
Alpha 2 agonists do not cause vasoconstriction b/c they lead to negative feedback of norepi and thus decrease sympathetic response
why is decreasing cAMP wrong?
@sarahs: you want to increase cAMP because it would lead to vasodilation and help to decrease his blood pressure. Decreasing cAMP would make his BP worse.