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Welcome to letsdothis’s page.
Contributor score: 3


Comments ...

 +0  (step2ck_form8#10)

Anyone else get thrown off by the laboratory abnormalities (hyponatremia, hyperkalemia, hyperchloremia, metabolic acidosis)?


 +2  (nbme18#8)
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i:Umrae atrp of LEIDUMP

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Subcomments ...

submitted by seagull(1432),

"No bruits are heard over the neck"

I swear I cannot bang my face hard enough against a wall.

letsdothis  Me too. Un-friggin-believable +  


submitted by seagull(1432),

I'm relatively sure that most people were 50:50 between bleach and drain cleaner.

letsdothis  Yeah, I spent maybe like 20 seconds on this question. I knew I wouldn't be able to reason this one out. +  


submitted by kingfriday(3),

Why would increasing fluids be incorrect?

kingfriday  nvm, someone whose kidneys dont work means they not able to get rid of fluids anyway so giving them fluids can make things worse +  
letsdothis  Yeah, I feel like increasing fluid in any chronic renal conditions is always correct, but I like the steppreps explanation. +  


submitted by seagull(1432),

I swear this changes on who you ask. I've seen it as either Isoniazid or Isoniazid + rifampin.

EDIT: 2 answers are correct here (thanks NBME!)

Per CDC

"As of 2018, there are four CDC-recommended treatment regimens for latent TB infection that use isoniazid (INH), rifapentine (RPT), and/or rifampin (RIF). All the regimens are effective."

https://www.cdc.gov/tb/topic/treatment/decideltbi.htm#:~:text=As%20of%202018%2C%20there%20are,All%20the%20regimens%20are%20effective.

letsdothis  Yes, I was going to say the same thing. Per uworld, you can do dual treatment with rifampin with isonizid for 4 months. +1