fancy upgrades later tonight!
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❤️the webmaster --9.22.2019, 12:35am
to snoo-finity ... and beyond!
NBME 24 Answers
An 11-year-old boy is brought to the emergency ...
Intracellular and extracellular dehydration
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?
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.
Can somebody please explain why 'Inability of neurons to perform glycolysis' is wrong?
Probably because they're sustained on ketones.
@snafull glucose is very high in the blood, why would neurons not be able to use it?
@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?