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Welcome to syoung07’s page.
Contributor score: 21

Comments ...

 +2  (free120#34)

Is the correct answer Radon? If so, make sure you associate radon exposure to basements. Radon is in the soil and ya gotta dig up some soil to have a basement.

 +0  (free120#31)

my mother let me have 3 hydros after a broken femur then switched me to NSAIDs. Lemme tell ya, thats like throwing a pebble in a lake. Early post op pain management is important for many procedures despite the bad rap opioids are getting.

 +0  (nbme21#27)

This more or less relies on what you determine the definition of "family" to be. Whether the pt and her friend are in a romantic relationship or not they arguably rely on each other as family members would.

 +1  (nbme21#19)

seems this hereditary angioedema lacks well, everything that is hereditary angioedema. Thats some good family fun there eh Cotton

 +0  (nbme21#33)

if you are 68 and still dating Palmala Handerson, your libido isnt low my friends.

drdoom  amen +

 +0  (nbme23#39)

you see old farmer you think "wow much sunlight v tan"

 +0  (nbme23#40)

PTH acts on the PCT to dec Phosphate reabsorption--> more Phosphate in the urine. PTH also acts at DCT to inc Ca reabsorption. This question was focused on the Phosphate aspect of the site of action for PTH.

 +0  (nbme23#4)

How do you pick which malaria species this is? P. vivax and ovale can remain in the liver so I figured hypoglycemia was a result. But I also know that P. falciparum can cause issues with the brain, lungs, and kidneys. I was between adrenal insufficiency and hypoglycemia for that reason.

 +0  (nbme23#47)

SITS: supraspinatus- ABduction Infraspinatus- Ext rotation Teres minor- Ext rotation Subscapularis- Int rotation.

 +0  (nbme23#44)

yall seent that episode of scrubs where homie eats carrots, peppers and tomato juice? He's orange from his diet and otherwise healthy.

 +0  (nbme23#38)

YUUUUUUUGE key here- patient wife has been dead for 5 years and he has no children or close relatives. This "friend" has been taking care of our guy here like a relative would. So based on NBME that close enough.

 +0  (nbme23#34)

Gotta know that NRTIs are a mainstay of all HIV treatment. Then need to understand mech of action of NRTIs which are rev transcriptase inhibs. Therefore you cannot go from viral RNA to DNA via blockade of rev transcriptase

 +0  (nbme23#32)

In good southern terms this is a "bible cyst". You can take a book and smack it over this thing and it will go away. Its just a collection of your synovial fluid (which is why it transilluminates). A lot of these can stick around for a long time but most regress with time.

 +2  (nbme24#35)

fam I had almost convinced myself I was looking at some epicanthal folds

 +1  (nbme24#15)

EPO made in kidney, EPO tells the bone marrow to ramp up erythropoiesis.

 +5  (nbme24#1)

would have been real neato if they threw in a hyper-segmented neutrophil

 +0  (nbme24#4)

"the black and white will help them"- nbme

 +0  (nbme24#33)

The gold stippling could simply be mucosal due to injury from the inhalant that has scabbed over. For whatever reason NBME loves kids huffing, this is a classic presentation.

 +3  (nbme24#49)

Robin Williams once said "God gave men two heads and only enough blood to work one at a time". Might help yall conceptualize that the penis has a "brain" of its own. The erotic dreams, reading and viewing erotic material all require input from the brain to reach the penis whereas penile stimulation is a local reflex.

 +2  (nbme24#9)

There were 3 key things you needed to spot to lead you to Onchocerca. 1) little dude is from Congo 2) He's asymptomatic except for the skin nodules 3) the biggest key here was the presence of the microfilariae from the skin nodule

 +0  (nbme22#5)

Loperamide is a Mu opioid agonist that can be used to tx diarrhea. It doesn't cross the BBB so theres no chance of addiction but you can still see the effects of opioid overdose I believe. So tx opioid overdose with naloxone.

 +2  (nbme22#42)

Anytime I see a post-partum chica bleeding from an IV site i think DIC. You would see dec fibrinogen bc DIC is essentially this super hypercoaguable state that uses up all the factors for coagulation. Once you've used up all the coag factors ya start to bleed like a stuck pig ya feel me? In case you forgot, fibrinogen connects platelet-platelet during primary hemostasis.

 +0  (nbme22#2)

familial HyperTG is is due to overproduction of VLDL. It's familial dyslipidemia type 4. Annoying to keep all of those straight but check out FA p.94 (2018)

 +0  (nbme22#3)

Pneumoconioses get allllll the way down to our alveoli to cause fibrosis and thus restrictive lung dz. Alveoli dont have the mucociliary elevator to clear shit so they depend on macrophages to get rid of substances.

 +0  (nbme22#49)

In FA it is stated that "During end-of-life care, priority is given to improving the patient’s comfort and relieving pain (often includes opioid, sedative, or anxiolytic medications). Facilitating comfort is prioritized over potential side effects (eg, respiratory depression). This prioritization of positive effects over negative effects is known as the principle of double effect.

Subcomments ...

submitted by lfsuarez(141),
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natetiP npessrte htwi othb taaiax nda an toineintn rtmeor on het igthr anhd sde.i It is toainmprt ot emberrem atht lrrelabece linesos ikel ew ese erhe swayal tnesrpe YIRPSTELAIALL sa pspodeo to myan hoert NCS se.sonli

syoung07  with cerebellar issues you "fall towards" the side of the lesion +  

submitted by lsmarshall(396),
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I ththgou shit aws a trikc stiuneoq scnie nski scracen rea eht smto cnmoom peyt of nccrsea l.aroelv utB lluayatc omgna VHI tipae,nts IHlaee-dVtr easncrc rae hcum mero conmmo nath nt-ea-HrelIdnVo ncrseca vn(ee knis e)crn.acs -BVueEcddin piarrym CNS ymahoplm is het nlyo tnipoo ttha is DnnAii-egdsfI cn.aerlelsnsic/

medskool123  why not hep B? i guess another whats the better answer ones... Just rem reading that it was more common with aids pts.. anyone have an idea about this? +1  
haliburton  Yes, I think CNS lymphoma as an AIDS defining illness wins the day. My thought was since SHE has AIDS it is most likely from IVDA, which has a high risk of HBV that could go undiagnosed for a long time. at 32, that might not be long enough to have HBV and get HCC (but with no immune system...?) +3  
yotsubato  God damn this is such BULLSHIT... +13  
trichotillomaniac  Why you gotta do me dirty like this NBME +2  
sars  My thought process, usually wrong all the time, was that HBV (IVDU) can occur to anyone. Acute hepatitis to Chronic occurs when HBV incorporates its DNA into host and releases mutagenic proteins. This is regardless of immunosuppresion. Primary CNS Lymphoma reappears primarily when you are immunosuppressed (organ transplant, immunodeficiency, HIV/AIDS). +  
syoung07  Hep C is far more likely to become HCC than hep B +1  
jurrutia  Even if you were thinking skin cancer is more common, that's only true for basal cell and squamous. Melanoma is rare. EBV much more likely in aids patient. Even H pylori was a better answer. +  

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I was nigrty to gifuer otu how era the ecamnasiotlhec sceua teh K fthsi iton the csl.le I saw ont giesne het incocetonn at litsl.mora rfyn in dlo NEMBs nad rwlUod uio-qtness lunnisI is uacsgni +K to tnere the el.cls eh nt I mebermre giseen eht ktcehys nbda mcpa dan ni teh rfa rghti fo hte cteskh etrhe is 2B aovtcniait = btea 2 tabu or gs.o.mhetni yt yanaeawb 2 si dnfou on pacinercta baet hat,miescoalnlecalcs atcatiev taeb 2 on acprcnatei tbea elcls hciwh lliw seacu nilsuin ot be dealrees. nilsnui eerdales uecsas K to be ervind iiedsn hte ,cslel igacnus het oplkeamhaiy


A-F 9102 gp 832 eBat 2 -g&t;- ineresac ni nlsuini seeerla adn nieascre aurllcel +K k.uepta

Ld-ain S. ooassCz'nt ygsyhilopo ta:tmeiegx hnsiwog inniuls dan eatb ioagtns ginrivd +K otni hte clels

cassdawg  FA2020 p590 lists all the stuff that causes different potassium shifts +1  
syoung07  This is correct but a lot going on. Catecholamines directly stimulate Na/K atpase just like insulin does. +1  

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its in tfirs adi 1920. Ldoiagn esod is ahcugnend ni vrlie or arnel dx. A(F 1902 p3g23)

confidenceinterval  Even if they weigh the same, won't their different body compositions give different volumes of distribution? Would that change the loading dose? +1  
syoung07  @confidenceinterval, the loading dose wouldnt change, the maintenance dose would. +  

submitted by oznefu(21),
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hwo do uoy oarrnw ownd tath seortenstoet iesdcrane emihbgonlo ?nictctanroeon tujs a arndmo ctfa to ow?nk i ptu llnkaeia ppotahesash cebesau i ifguerd indrecesa etneotesosrt iwll eencsair enbo rtwhog adn uldre out isoecrppctasft-ie ntaiegn cb st’i a .wmoan

hysitron  I guessed this one cause men have a higher hemoglobin than women. +10  
notadoctor  High levels of testosterone will result in amenorrhea. I guessed that since she's not menstruating she will not be losing blood and therefore hemoglobin. Therefore her hemoglobin levels will be higher than expected. +5  
meningitis  It kinda makes sense knowing testosterone causes catabolism so I was in between Alkaline phosphatase and hemoglobin... +1  
enbeemee  isn't testosterone anabolic? +4  
syoung07  ALK phosph is indicative of osteoclast activity. Testosterone keeps male bones strong just like estrogen does for women. Testosterone builds bone (osteoblast activity) therefore we would not see a rise in ALK phos +