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Welcome to mattnatomy’s page.
Contributor score: 41


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 +0  (nbme22#7)
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rnsAew = dsereecaD idlo;bi anlorm lrotaucnn ecsitenor

I eebievl whta thye erew gyrnti ot dtcniiea ni this qsoientu was gclcaiPyshool xlSuea noDnsycufit aka( - rcPeefrmano nAyie.)xt

In shit ca,es it sntwa' so hucm teh apocrefnrem htat odwrire het mna, tbu he aym be os usodfce on shi lhetah isesus s(opt ,srkt)oe tath eh si euabnl to rompfre .etaleqduya ,fehreeTor shi lruntaa diiobl ouldw be esradeedc. ewrHvoe, saeubec s'it ignoscpceyh ;ap&m ont hopoyicglis, he ouhlsd llsit eavh rnolam htteniigm .isrenteco

b1ackcoffee  Wouldn't pshychological SD have normal libido and just performance anxiety? +

 +3  (nbme22#11)
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I ibeeelv eyr'eht ngirrefer ot onripeomscs fo behancsr fo eht nIlaoiigunil vreNe lbi(spoys het ertAionr tcSloar eNserv.

r:Souce kc_evwhsat/ir/ereorA_nspitegi:oinn.owi.ipte//rksarltd

armymed88  Ilioingual covers part of the medial thigh, base of penis and anterior scrotum Posterior scrotal nerves are a branch of pudendal and cover said area Doral nerves cover the dorsum of the penis which are also from the pudendal +1
meningitis  I thought it was the Genitofemoral nerve because the genital branch supplies the cremaster and scrotal skin, but I looked it up and: The genital branch passes through the *deep inguinal ring* and enters the inguinal canal; also, Ilioinguinal wraps around the spermatic cord just like the question stem says. +1
jean_young2019  "The structures which pass through the canals differ between males and females: in males: the spermatic cord[6] and its coverings + the ilioinguinal nerve." from wiki "Inguinal canal", which means the ilioinguinal nerve lies on the external surface of spermatic cord. https://en.wikipedia.org/wiki/Inguinal_canal The contents of spermatic cord includes, "nerve to cremaster (genital branch of the genitofemoral nerve) and testicular nerves (sympathetic nerves). It is worth noting that the ilio-inguinal nerve is not actually located inside the spermatic cord, but runs along the outside of it, in the inguinal canal." from wiki spermatic cord. https://en.wikipedia.org/wiki/Spermatic_cord +1

 +5  (nbme22#29)
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A emcPraake si the corretc rttmaneet fro 3rd rgeeed VA .lcbok esakM ti so hte tarai nda inecrslvet ebta ni ysnc.

leaf_house  Why wouldn't you do a transesophageal echo, just to establish what you're dealing with? +
greentea733  I think since you already did an ECG and you know it's for sure 3rd degree AV block, TEE probably wouldn't change the management at all, so you wouldn't want to expose pt to extra risk of a procedure (however minor it may be). I feel like more invasive testing typically is not the correct answer when you can avoid it, as a general theme. +4
orthonerd  @leaf_house - Whenever two imaging tests that are similar with advanced clinical decision making tools being used to decide which one to do (TEE vs TTE)- I generally assume that I can eliminate both as a choice- especially in this case where the definitive Tx is a choice. +2

 +2  (nbme22#10)
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oodG uirctpe aadirgm to anlpie:x tm.:emdopptlp/gusod/s1.uot_mpiidyvhFuopaue/sl.osl__ceotl/acpte/a.eiilng2ce/amlnujatvpcshee


 +6  (nbme22#9)
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gasonsDii: utAce cliyetomH rasioTsnfun Raoctine

teosPngiea:sh

Tpey II tyyieershsianpncirt.ote vi scalsslavynorihru eItam B(AO oo rlgoubdp nom)ltipyiabiitc xtcrularsraeavo oislymseh n( hatosobdity ontiecra gnstrgaa infeio nagniet on B)oR.orCsd n

otPnrnesta:ie

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 +7  (nbme22#1)
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I elveieb tshi si erfrngire ot gmtdui manltootiar. eDu to ipreoprm siiptnoigon fo welob o(n eht gthir si.e)d Lsdad nbdas nccoetn teh eralg iinttnees to eth lvi.re

aCn dela t:o

  1. ouslVlvu

  2. Deuadoln sunrtbooict

.3 SAM soclincOu -- Im' gssgeniu edbsa on eth swrean ot hte isqnteou

meningitis  Yes, the question clicked for me when I realized the ligament was on the RT side instead of LT so I thought of Volvulus. Image of ligament of treitz: https://media.springernature.com/original/springer-static/image/chp:10.1007/978-3-642-13327-5_17/MediaObjects/978-3-642-13327-5_17_Fig3_HTML.gif +3
hyperfukus  So Volvulus regardless in baby or adult is gonna cause SMA prob + Duodenal Obstruction: d/t Ladd bands im gonna go back and remember those associations :) +1
pg32  Yeah, recall that the midgut rotates AROUND THE SMA in development. If you can recognize that the ligament of Treitz is on the wrong side (right) then you know you have a malrotation issue. Then you recall the midgut rotates around the SMA and you pick that answer out of pure association recall and get it right. Nice. +1

 +12  (nbme22#35)
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nsAwer = C. (ecDeareds pteachi DVLL tsnsyiehs)

cNciionit ciad = Ncinia. niNcai rowsk :yb

  1. tnhbIniiig lsipylosi m(rnoeoh svisieent e)lasip ni odaiesp )stisue

  2. neciugdR thaiepc VLDL hnystises

johnthurtjr  Well color me surprised. I was completely thrown off here. +32
miriamp3  @almondbreeze go to the cardiovascular pharmacology you will see a draw of lipid lowering agents and you will find niacin en two places ++one on the adipose tissue and the second one in the liver by the vldl production. in the text in the same page is also mention it FA 2018 pg 313. +
djeffs1  I still don't quite see how C corresponds to those 2 processes... +

 +5  (nbme22#11)
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I hghotut lyiiltian we reew idngela ihwt patsprmuo-t chssipyso, tub no nage,err-di tish solko oerm ilke etiher eraleeGzidn Antieyx reidosrD ro ODC or ht.ob iEtehr yaw, retmetnta uoslhd eb na ISSR r.ineSlar(t)e

seagull  OCD for sure +15

 +3  (nbme22#22)
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reSeev insertphneyo fetno edsal to pepatlrsiyhc otrilslrooiseracse isnoi-non(k )ppenc.raaea solA ese fnoerlirptaoi fo somtho mulesc eslcl.

meningitis  and explains the flame hemorrhages (Goljan) caused by malignant HTN +5
taediggity  FA 2020 pg. 537 +
dentist  FA 2020 pg 301* +
ally123  The flame hemmorhages are also a good buzz word for recognizing he has hypertensive retinopathy 2e chronic, uncontrolled HTN. Pt's with hypertensive retinopathy can also present with "cotton wool spots" and "macular star". Pics on FA 2019, p. 299 +2
surfacegomd  Pathoma (2018) p. 69 +

 +4  (nbme22#28)
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tsoM moomcn aeucs fo eslcnpi nive thorsismob si ncciorh itepritnsaac, escaud by ievsnupero ialtmiof.nnma

Screou: gd//ilpu5o0b5w.:s2.whm/1thimwt4..bnvnc0/4nep

hyperfukus  great link! helps answer other qs too thank you :) +

 -21  (nbme22#31)
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Ckrsacle hereti diaestnci ciohcnr siohbctrin ro ooiinaclosntd (orfm mionanepu ro oyulnprma mde)ae.

vniGe thta rth'ese ynlo a 1 ayd iorytsh fo ,OBS 'Im liannge orem rdawots lorab nn.apimoue yeabM 'athts alos w'hsat anscgui hte 3S ta teh ?LBLS If ts'i apSth euAr,su I suesg we luocd eb okolgin ta euact oseidratcndi + inmp?ueona rO Q e?verF tuB athts' jtsu oce.islunpta Codul aols just be taht the gunl nilnsdtoicoao si itnglaer ldoob folw, ngiadle ot het bkca pu itno eht tigRh muirAt a;p&m lVirnec.te

brise  Patient has CHF from the S3 heart sound and has MR. You hear fine crackles in early congestive heart failure. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518345/ +15
usmleuser007  No Infection - normal temps ; Q-fever presents with A patient with exposure to waste from farm animals who develops: a. nonspecific illness (myalgias, fatigue, fever [>10 days], b. retroorbital headache) c. normal leukocyte count d. Thrombocytopenia e. increased liver enzymes +
saulgoodman  This patient has CHF. But it kind of sort of seems like he's presenting with a PE. +

 +6  (nbme22#44)
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You can clyabilas tnkhi fo Dciulmaro sa aMw. ariAOn:rf elDtsepe amnivti K crosetinSes miintaV K is odveilnv ni agamm onaarbxytolic of sforcta ,2 ,7 ,9 &;map 0,1 yuo cna esu the onPtbmrhroi iTem ot marsuee eht spe.nsoer Pnhmrtorobi emti uaresmes eth niserticx wtyaahp of acnu,itogaol ihhcw si manily eeatimdd iva crtoFa 7.


 +9  (nbme22#38)
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l-lIec iasedes iclso(unni lcle s/oimsdoidpseaseicliu ytpe Iihedtirn)e—I sollmaosy stgaore or;irsded teedfc ni c1ucgeo-ieoatha-hr-astmsynpaosllfelNsynpr ; eulrafi of the giolG to sapehyhloropt ; eannsmo esdiurse -o6(phehen-)satomansp no rpiocnlsygtoe gt;--& entospri rae scerdete rllcteareulxlya raterh nhta vddeeilre ot sss.meooly seRustl ni aesrco fialac tfereu,as igigalnv yspiha,aprle deuclod orcesa,n treicestdr iojnt oe,vmtsnme cawl adhn riiestedomf, lkossyhiospco,i adn high maspla evlels fo smayollos eny.mzse nfetO lfata in ohclddoi.h





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