okay, now we mean it! the site will experience some interruptions within the next hour or so! just a headsup! --the webmaster (1:17am EST) ♡
Welcome to toupvote's page.
Contributor score: 3
School:


Comments ...




Subcomments ...

submitted by lsmarshall(181),

Flexor digitorum profundus is responsible for flexion of DIP. Medial aspect of the muscle (which flexes the 4th and 5th digit) is supplied by the ulnar nerve (C8, T1). The lateral aspect (which flexes the 2nd and 3rd digit) is innervated by the median nerve specifically the anterior interosseous branch (C8, T1). So the question is describing a laceration damaging the nerve supply to the DIP flexor of the 2nd digit (index finger). This is saying the medial nerve is being damaged (C8 and T1; lower trunk roots).

Lumbricals (1st/2nd, median; 3rd/4th, ulnar) are a group of muscles that flex at the MCP joint, and extend PIP and DIP joints.

Could remember as 'flexor digitorum profundus is profoundly long' since tendons insert on DIPs. Compared to flexor digitorum superficialis whose tendon wraps around profundus' superficially but inserts on PIPs.

toupvote  This is dumb but I remember FDP is needed for picking while FDS is need for scratching the superficial layer of the skin +2  


submitted by vshummy(44),

So the best i could find was in First Aid 2019 pg 346 under Diabetic Ketoacidosis. The hyperglycemia and hyperkalemia cause an osmotic diuresis so the entire body gets depleted of fluids. Hence why part of the treatment for DKA is IV fluids. You might even rely on that piece of information alone to answer this question, that DKA is treated with IV fluids.

fulminant_life  I just dont understand how that is the cause of his altered state of consciousness. Why wouldnt altered affinity of oxygen from HbA1c be correct? A1C has a higher affinity for oxygen so wouldnt that be a better reason for him being unconscious? +3  
toupvote  HbA1c is more of a chronic process. It is a snapshot of three months. Also, people can have elevated A1c without much impact on their mental status. Other organs are affected sooner and to a greater degree than the brain. DKA is an acute issue. +1  
snafull  Can somebody please explain why 'Inability of neurons to perform glycolysis' is wrong? +1  
johnson  Probably because they're sustained on ketones. +  
doodimoodi  @snafull glucose is very high in the blood, why would neurons not be able to use it? +1  
soph  @snafull maybe u are confusing bc DK tissues are unable to use the high glucose as it is unable to enter cells but I dont think thats the case in the neurons? +