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Welcome to thomas’s page.
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jointaccount  Left breast & L UE drained by axillary. With the remaining choices, R kidney is the only choice outside the territory of the right lymphatic duct +

 -3  (nbme20#35)
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keoLdo leik elmypt,oaalhnesopge tub I wnte tiwh ilerv b/c the aedem cudol be ued to lvier nfyns.uoctid

 +1  (nbme20#25)
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Is't a itaholdoimnrc ae etnpesr ni vusecscies sga,oentenri awsyla hwit aeatrmnl sinni-oamss tr admega ot eihyrg-egnh stsuise - FSC cicalt ssdociai ude( to credansei bnacoeair metbmilsao ued to peiimrad aiotivedx phnlthooiap)rsoy

 +5  (nbme20#36)
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iocoppoiamLs/aLmsras rae hte ocnmsmeto ufitsstse-o orutsm ni udtasl. Teh hhgi tiiocmt edxni pm;&a iivietrlafnt ateurn etacidni taht hte smsa si g.atilmnan

rockodude  most common +

 +2  (nbme20#32)
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eyTh tlel yuo ttha teh ikd sha no sTih namse teh edfetc is ni mmobnuares t,asonificois ONT oenrlhndcoa,d so eth yglthoaop si TON onggi to eivlnvo het twdovhnoe-eharcr lcel.s csrdeadee ALK is nitceotnss thwi ooestastlb cdee.ft

pakimd  isnt increased alk phos consistent with increased osteoblastic activity? +
eacv  @pakimd Yes ! ALK phos is a measure of osteoblast work, if the are not working is LOW as in thix px. +

 +7  (nbme20#34)
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heT fsitr tecsenne eaklcgnwdsoe the nesp'tita ,menioost hwich is lasway do.go Teh ondsce nectnese si odgo bsceeua it igbnes teh ivrnitwee tihw na neenpoded- iq.esunot

 -15  (nbme20#42)
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ewsArn is tAe.orstcy ttiaenP sha tboisagllamo tieurf.mmlo htughAlo gmieinnamos amy ucorc ta teievnoxsic, nimgmsinaoe rae nnigbe and enoft aipsctyt.maom Teyh yam aecus ah/ suriezs,e ubt ouwdl be kllyneui ot auesc adhte wi/n 6m of snote fo .a/h ehT zsie of motur and cuesor of llsnise si nncisetost thwi eht crosue of MGB

masonkingcobra  Above is obviously incorrect because the answer is Meningeal lol. Here is a link to a good picture: +24
kernicterusthefrog  Obviously thomas is disagreeing with the presentation of the question, and I agreed with him! This absolutely sounds like GBM, with rapid onset leading to death, and the symptoms. The question stem leads you to GBM, and the gross image to meningioma (I guess). +2
kernicterusthefrog  Furthermore, where are the meninges on the gross image form which this (meningioma) grew?! It should at least show the tissue from whence it came! +1
nala_ula  Had the same problem, got confused since it appeared that the growth was malignant :( +
sugaplum  FA 2019 pg 514, also agree with everyone. weird presentation. Glios are malignant death within 1 year, meningioma are often asymptomatic or have focal signs. just a gross pathology question at this point +
garima  ı think she died bc of pressure or something guys, its obviously round shaped benign lesion, its also extra axial not like GBM. she had this maybe years before death +2

 +0  (nbme20#47)
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oNt uers uatbo st,hi btu it semse ot em taht iths is ereifrrng ot odceetpeasulsr"ehonis rtbhiiion ciyc.dniefe 'sIt an ezneym ecdfte htta si erdigegtr by MNJ roceslbk - enccsiuclylnioh or e.arcrs'u


usmleuser007  I believe this question was stating that AchE activity was abnormal = it was not lowering the Ach activity. Which suggests that another ligand like Ach was being used. +

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