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How is this differentiated from Strep Virdans which is Optochin Resistant? Because Strep Pneumo would also be inhibited by optochin*
its strep viridans. Strep viridans has a "protected chin mask" and strep pneumo is "exposed" in the sketchy.
However, given the stain and some of the features I now see that this is most likely Crypto. THey like similar. my bad
oh what a catch! I also thought this was Blasto until you explained otherwise
Azithromycin is a macrolide, not an aminoglycoside FYI, and its use in HIV is primarily as prophylaxis at very low CD4 counts for, among other things, the mycobacterium avium complex.
How would we have known to choose Zidovudine over Lamivudine tho
@nbmehelp the sketchy with Princess Izolde (Zidovudine) eating bone marrow was my only tip off
thats actually really funny
Because I said so, applies here... :-/
Standard lab values are incorrect, way to go NBME.
I think they mean to put mm Hg. Normal CSF pressure is about 100-180 mm H20 which equates to about 8-15 mm Hg.
I lost a bit of time wondering about that ugh lol
I thought there must be an obstruction in the ventricles somewhere preventing csf from getting to the spine. so pressure is low in spinal tap but in the head it must be really high.
They are just asking about side effect of statins, not about treatment of hypothyroidism
Hypothyroidism is just a red herring.
statins cause both hepatotoxic and mypopathy so I want for hepatotoxic:( I thought usmle expects different stuff