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sooo you're saying to get TSH first...so why would the answer not be thyroid function tests..?
I thought that too but the question is asking to establish the diagnosis not the next best step! just be careful on test because I have seen tricky questions like that
Not to mention this is Wilson's disease... this guy should have tons of copper lying around
Cannot a herniated lumbar disk lead to spinal stenosis? asking for a friend.
It's frustrating that they'd expect us to know prognosis at this level. I know metastatic pancreatic cancer is bad news bears, but the AAA fits criteria for repair (in a healthy person)
Would toxic megacolon only show up in one part of the bowel? Shouldn't the whole bowel be dilated in toxic megacolon and not just the transverse colon?
^I thought that too but also isn't toxic megacolon painful...? or nah?
Toxic megacolon is typically most prominent in the transverse colon. According to UpToDate, 82% of cases present with pain. I feel like they didn't need to emphasize twice that the patient had no pain, but that's NBME for you...
Bathrooms are very common areas of falling for the elderly/everyone. However, those tend to result in intracranial hematomas.
This is a very significant brain bleed. HTN is classically associated with lacunar infarcts which honestly are not as massive as shown. THis might be a ruptured berry aneurysm from HTN but we couldn't know for sure.
Not a great question but he has pre-existing HTN so I guess we'll go with it.
bruh, i straight up thought that was a tumor lol
Doesn't it take like 2-7 days for the duct to close? Why is this hour old newborn already cyanotic?
early cyanosis might be consistent with transposition of the great vessels and those can be associated with ejection murmurs and a loud S2
Following ABCs, why wouldn't you intubate first? I understand shunt doesn't get corrected, but it would seem you would still take control of airway since kid seems to be crashing.
I think that intubation wouldn't make a difference if it's transposition of the great arteries because the oxygenated blood would just end up going back to the right heart and back through its closed circuit