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Yep. I didn't even look at the X-ray.
loonies love lunate
she landed on her "right hand", but the X-ray is showing a left hand??
i legit have no idea whats going on in that xray lol
X-ray confused the hell out of me, I was going to put lunate based on Q stem but ended up putting Pisiform because it looks like that's what's messed up in the photo? Should have ignored the picture haha.
for @dr.xx, love your mnemonic. I added to it, or at least found an explanation on why it works. "loonies love lunate" and "loonies" are "dislocated" from reality.
She Looks Too Pretty, Try To Catch Her is a mnemonic that works for me.
Some Lovers Try Positions That They Cant Handle
ngl if scaphoid was an option - would've sprung at that real quick -> thanks for teaching me the importance of knowing to look for dislocation vs fracture :D
Ahh, the classic "left hand" x-ray but actual fracture of "right hand" NBME tactic
I think the x-ray is showing the lunate protruding out of the palmar side. Imagine the situation where you are falling and using your hand to stop the fall. Your lunate will dislocate forward as the rest of the carpal bones recoil back, hence why it protrudes through the palmar side. Thats why it causes an acute carpal tunnel syndrome.
Isn't the brush border still part of the intestinal lumen? Don't the amino acids enter into the intestinal cell (the "intestinal mucosa")?
@regularstudent No, the lumen is literally the cavity—the empty space.
Agreed. This is so fucking stupid.
"Aspirin inhibits platelet aggregation and produces a mild bleeding defect by inhibiting cyclooxygenase, a platelet enzyme that is required for TXA2 synthesis." literally straight from Big Robbins
Im gonna upvote this bc i love to be right
It's always a horrible, horrible feeling to pick the wrong answer that you know they think is right. Amazing job NBME...
oh my source was big robbins btw
I love this lmao. I said stop bickering because I thought it would be fucked up to ask the parents about how their kid's diabetes has impacted their family.
Me :"So how has this kid's disease impacted your family?"
Parents"Oh! we're about to divorce because of this fucking kid. She's a constant stress, and that's why we constantly fight, even during dinner and at the doctor's office!"
I was under the impression that African-Americans did not respond well to ACE inhibitors and ARBS. Our school taught us this pretty early on, and made sure we didn't forget. That's why I chose amlodipine. Bummer!
^Yes, I believe African-Americans may respond to other treatments more so than ACEI/ARB (because they are relatively lower renin producers, if I remember correctly) such as calcium blockers and hydralazine (per Sketchy) for simple hypertension; HOWEVER, since the patient also has diabetic nephropathy, ACEI/ARB also decrease intraglomerular pressure in addition to addressing the hypertension.
FA2019 pg 596 for ACEI, pg312 for table on hypertension treatments.