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did anyone else think D was trying to show a lamellar body that ID's a type II pneumoyte
my bad i meant B****
Lamellar bodies are not visible in this magnification. They are viewed in Electron microscopy.
I went with my gut on this just base on the physical exam. But they did have elevated Hemoglobin in the urine as well and I know Dr. Golijan said you cant get that after a marathon. Does anyone know why hemoglobin is wrong?
hemoglobin is due to the breakdown of RBCs, not muscles.
And he was also taking codeine, a mu opiod agonist. So naloxone would be able to reverse the codeine specifically.
Flumazenil-GABA antagonist, used to treat benzodiazepine OD
Fomepizole-competitive inhibitor of alcohol dehydrogenase, used to treat ethylene glycol and methanol OD
hemodialysis-can be used for severe lithium ODs, not sure what else
propranolol-nonselective beta blocker; not sure if it treats any ODs in particular
The HR made me waste way too much time on this question. Don't think tachycardia is the norm for opoid OD.
the reason for increase HR is hypotension(and the reason for hypotension is opioid induced mast cell release- histamine-vasodilation)
anyone know how to rule out middle rectal vein thromboses?
it is just that when both are in option go for inferior rectal vein. this is more apt. or else both are correct.
even if mitral insufficiency would be the case, that would cases chronic high preload, causing eccentric hypertrophy. hence the only option is correct for concentric hypertrophy- aortic stenosis(another cause is hypertension)