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Welcome to sinforslide’s page.
Contributor score: 50


Comments ...

 +3  (nbme18#34)
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eTh netptai lekawd feobrtao no the bceha nda dha is,cisrrho cihhw emaks mhi ubelvnlare fro .V iuilnvuscf i.eactarmeb .V unilcufsvi mecbearait sah a yver orpo origns.spo

roFm poeatU:td ["V. s]ulvinifcu si teh inglead aseuc of ssesdahifsolhl-aiect eathds in eht nteidU S.atets iItofnesnc edu ot .V ucvsfiliun are most ocommn in iiiddluavns woh avhe chionc,r renglnuiyd lsns;lie disiunvladi whti eilrv sedaies ro ohahmicsseortmo rae at ratgtees "r.sik

sinforslide  Also see UWORLD ID: 15255 +4
suckitnbme  Vibrio species are mostly non-lactose fermenters except Vibrio vulnificus +6
motherhen  I thought V.vulnificus could only cause food poisoning from eating shellfish; turns out contact with wound infections causes it too (hence why walking barefoot on the beach is a risk factor) +2
ootscoot  I think they threw this one in here for all the Sketchy loyalists. Gotta keep us on our feet. +

 +0  (nbme21#48)
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tI sseme ilke Satph eruaus sIUT' are lstmoa isylvxecleu iono,oslacm .eps w/ ttpeinsa itwh iryunar :ctrthease "eW dfdiiienet dna eerntde noti eth stduy 120 vnoucseitec santitep rfo owmh ta setla 1 nieur cerlutu asw ivoteips rfo S. 2.eauu8.%rs. ahd a nyurari rttcheea of emso eypt ni pael"c

Hr'ese eht lkni ot the uysdt


 +7  (nbme21#30)
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Mael lanreitn ntagaleii t&;-g tanIct SRY , e,sestt dna tt.soeseronet

oN meeafl itnlearn iltaniage &tg;- ensPreec of MIF an(uirlatemlin o)nhomer nad ttnica ieortSl elcl onutf.cin

aFemle ereanxtl taeigilan tg&;- oN nregadno s,reenpt hciwh is euriedqr ofr aeml artlxene tiilenaag riftoaon.m

d_holles  Not sure I understand why T is wrong, but DHT is correct. +1
d_holles  I thought about this some more -- DHT forms external genitalia while T forms 'male genital ducts'. That's why the correct answer is DHT, not T, since the PT had +ext genitalia, but -internal genitalia. I was thinking that the PT had CAIS, but that would lead to testes only w/o male genital ducts. See FA2019 p608. +23
d_holles  *I meant -ext genitalia, +int genitalia +
adong  T is wrong because you still need T to make the internal male organs which he has based off the MRI +2

 +7  (nbme20#39)
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Teh oniqstue mest si skgnia htwa asuftree edl ot hte seecffntiievnes of hparptceayahrmo. tanite'Ps treispneaotn si cstosintne iwht cymMaspoal pnumiaeone incion,fet hwhic de'ostn eahv a llce llwa nda fetoheerr ctinlg,paoyepd ihchw si eth tise of otncai fro nclle.siinip tI osed reureiq lssoret for thw,gor ubt tath twnulod' aneixlp wyh nmlxoaliici is cnifeif.evte


 +7  (nbme20#16)
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Oeivvwre of Saival pruno:dtcio

  1. icnAra sclle teecres niltiai ,vaisla cwhih is ioncisto to laamsp.
  2. ucaltD esllc yidmof iatinil vlasai, uangsci esnbtrpaoiro fo +a,N Cl- dna ceortiens of K+ dan OCH-. &;g -t hrgieh +K and CO-H eanttonrccsn,oi ewrol Na+ -Cl nccnotorestnia in la.siva nI htis cesorsp, REOM aNlC is berd,boraes mnenaig htta avsail snde pu eibng ipoohcnty to alsmap.

aDultc repiarotbsno csperso is niheddre in fw-lgohih atsste, hwhci eussca tcoioins aisavl





Subcomments ...

submitted by sinforslide(50),
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Teh eipattn kadwle oerotbfa on eht heacb nad had srcsihio,r hhiwc semak hmi urnablelev rof V. fuiislunvc bcramtaee.i .V nuuilvscif iteacemabr sah a eyvr opor gopns.isro

omFr tpoae:dtU .V[" ui]filscnuv is het neliadg csuae of hfisodlcehssa-aseilt atheds in eht neditU Saestt. tcnfesinoI eud to .V uuisnclivf era msot nommco ni linuddsaiiv hwo vhae cihnrc,o nlrduegyin nsl;lies usilavindid tihw vrile saiesed ro oirseamcmhotsoh ear ta trgeatse s"irk.

sinforslide  Also see UWORLD ID: 15255 +4  
suckitnbme  Vibrio species are mostly non-lactose fermenters except Vibrio vulnificus +6  
motherhen  I thought V.vulnificus could only cause food poisoning from eating shellfish; turns out contact with wound infections causes it too (hence why walking barefoot on the beach is a risk factor) +2  
ootscoot  I think they threw this one in here for all the Sketchy loyalists. Gotta keep us on our feet. +  


submitted by hmorela(14),
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Wyh is ti thta eth snewar st'in saol hsryloanaglepsgo nsice you ttes NC IX yb gsnaiy "h"A las?o aPsele hp!le nh!skT!a

sinforslide  I believe that the arrow pointed to the uvula; uvular deviation would be testing for CN X palsy. CN IX's only motor innervation is the stylopharyngeus. (Not testing for gag reflex!) +10  


submitted by ark110(1),
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tuB athw is the denceriffe netwbee ipoton A nad ptooni C 3;2(1 ;94. ;09 3)5

sympathetikey  K+ shouldn't increase. It's moving into cells due to metabolic alkalosis. +  
home_run_ball  In the parietal cell of the stomach Hydrogen ions are formed from the dissociation of carbonic acid. Water is a very minor source of hydrogen ions in comparison to carbonic acid. Carbonic acid is formed from carbon dioxide and water by carbonic anhydrase. The bicarbonate ion (HCO3−) is exchanged for a chloride ion (Cl−) on the basal side of the cell and the bicarbonate diffuses into the venous blood, leading to an alkaline tide phenomenon. +1  
ergogenic22  RAAS increases from volume loss, and thus more aldosterone leads to low K+ +1  
sinforslide  Three reasons for hypokalemia. First, some K+ is lost in gastric fluids. Second, H+ shifts out of cells and K+ shifts into cells in metabolic alkalosis. Third, ECF volume contraction has caused increased secretion of aldosterone. +3  


submitted by usmleuser007(397),
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iatmniV E ecfncideiy is nonwk to caesu aislirm lsinap fteesdc sa iaVmitn 21B ni.feeccydi r,wHeeov emania si not esen.

ergogenic22  Also corticalspinal tract symptoms are not seen, but dorsal column and spinocerebellar tracts are seen +4  
sinforslide  In this case, patient's CF also predisposes fat-soluble vitamin deficiency. +9  
breis  FA pg 70 +  
usmleuser007  Correction: Read more on this Vitamin-E deficiency can in fact cause anemia - hemolytic anemia. This is b/c VitE work as an anti-oxidant; and therefore with reduced anti-oxidation RBCs are more prone to oxidative injuries. +4  
azharhu786  AMBOSS: Hemolytic anemia; increased fragility of erythrocytes and membrane breakdown are also caused by vitamin E. +1  


submitted by celeste(84),
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oor,mnaeidA a slsca III hcrimhnaayirtt ugdr, has elipultm eetsffc no layicdroma aoiizodpantler nda itepiaroorznal atth kmae it na erltemxye feeecftvi rctriatmhyiahn gr.du eo,erwvH aaoiemdnro is isocatdase ihwt a bunemr fo edis f,ecftse iundlnigc rohytid icnuytofnds tohb( -oyph nda hdiyyerhs)tr,pmoi hcwih is edu ot 'aseodoniarm high dinoie otecnnt nad tis rctied itxco fcefet on eht dhoitry. (ot.udcopamte)

celeste  The "**iod**" part of am**iod**arone reminds me of it's high **iod**ine content. +9  
xxabi  I think of it as the trifecta - gotta monitor LFTs, PFTs, and Ts (thyroid) when on amiodarone! +3  
sinforslide  Also, the patient presented with Afib; this might've been caused by transient hyperthyroidism as a prelude to Hashimoto's. In this case, if you give Amio, you'd cause serious hypothyroidism! +  
fatboyslim  Always monitor LFTs (liver), TFTs (thyroid), and PFTs (pulmonary) with amiodarone +1