Recent comments ...
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seagull made a comment on
step2ck_form8/block2/q#39
(A previously healthy 32-year-old woman comes to the)
welpdedelp
Same lol. A question I had was I thought lymphangitis was supposed to precede some sort of injury, obv not lol but was the lymph node the main giveaway?
+1
keyseph
I think the key distinguishing features are the red streaks leading to an area of local lymphadenopathy. Otherwise, cellulitis would be a viable option if given.
+3
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seagull made a comment on
step2ck_form8/block4/q#36
(A previously healthy 2-year-old boy is brought to...)
letsdothis
Yeah, I spent maybe like 20 seconds on this question. I knew I wouldn't be able to reason this one out.
+1
lilmonkey
Same thing. But then I remembered myself using bleach wipes with no gloves - didn't get any ulcers or even irritation. But drain cleaner is really strong shit as it can dissolve ("ulcerate") all this solid gunk.
+1
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seagull made a comment on
step2ck_form8/block3/q#10
(A previously healthy 67-year-old woman comes to the...)
cinnapie
Yo @seagull I am a huge fan. I am a huge fan. I think we gave step 1 around the same time and now Step 2 CK. Anyway, keep up the good work, we need someone like you to add some humor to this fucking shit. Not all heroes wear capes!!!!
+4
sheska
if no bruits then why should we do a carotid duplex goddd
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tinylilron
bruits probably are not sensitive or specific enough... duplex is probably a better test
+2
lindasmith462
"everything is in the question for a reason" I tell myself "not everything is a trap. how many questions have you gotten wrong because you thought something was a trap? go based whats on the question for once self!" NBME going Admiral Ackbar on my butt over here.
+1
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seagull made a comment on
step2ck_form8/block4/q#40
(A previously healthy 21-year-old man is brought to the)
seagull
I looked it up in UWORLD. THey say treatment is "Education, CBT, and Physical THerapy".
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seagull
I looked it up in UWORLD. THey say treatment is "Education, CBT, and Physical THerapy".
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bobson150
Gotta get a formal assessment before you treat I guess
+4
lindasmith462
you dont need a formal assessment though. its something that can totally be diagnosed and managed by a primary care physician and only needs psych intervention if primary methods dont work. if anything you avoid early psych intervention because being labeled as a "psych" thing makes most patients resistant.
+1
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step_prep made a comment on
step2ck_form8/block1/q#16
(A previously healthy 23-year-old man comes to the...)
lindasmith462
was anyone else thrown by the fact it only mentioned the rash on the palms and soles? (syphilis starts on the trunk and extends to extremities). Especially since RMSF can START maculopapular and doesn't become purpuric until later (probably after it spread past the hands...) LAD may be more classic in syphilis (but can occur in RMSF) but I'd say its way less likely to have a secondary syphilis to be ONLY on the palms/soles....
+1
kstudy
Linda, in reality you would test for both or ask the patient some clarifying questions. But NBME is not reality. NBME world is where you are allowed to only order one lab at a time and receive only part of the results back.
+1
A 57-year-old woman comes to the physician ...
Toxin-induced inflammation of the colonic mucosa π / πΊ / π³