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A/A dear no time to get booooooooor so getup. My today's plan try to finish pedis (inshallah).


I dont know what's wrong with my memory !! every time I review something I feel like its my first reading !!! 

Cant remember most of them !!! this is really disappointing !!  

what can I do !!!!madmad


If u read the post , u will see fasting states required because we also asses Vldl/ TG level which differs a lot after fasting

this is the appropriate way to test. But, serum cholesterol or LDL will never change whether fasting or nonfasting. Why we need another test to asses his risk.


Usually when searching for such infos , I just read abstracts not to confuse myself with un-needed discussions . The authors already run searches to come up with guidelines to be applied.

Yet you made me go back and read it carefully , they say in the article : 


Basically fasting state is essential for triglycerides estimation because as mentioned above it remains high for several hours after meal and the Friedewald equation, used for calculation of LDL cholesterol (LDL cholesterol = total cholesterol − HDL cholesterol − [triglycerides/5]), uses fasting triglycerides value. If non-fasting triglycerides value is used in this equation the LDL cholesterol, the primary target of lipid lowering therapy, will be underestimated. However, this problem can be overcome to some extent by using direct LDL cholesterol estimation as this can be done in non-fasting specimen. Unfortunately, this method for direct measurement sometimes also gives underestimation of LDL cholesterol


I think this clarify why fasting test is recommended for TOTAL cholesterol.



A 42-year-old woman comes for a follow-up examination.
Two weeks ago,
her blood pressure was 152/94 mm Hg during a routine
visit. Her blood
pressure today is 150/94 mm Hg, pulse is 76/min, and
respirations are
14/min. Examination shows no other abnormalities.
Serum studies show:

Na+ 142 mEq/L
Cl– 105 mEq/L
K+ 4 mEq/L
HCO3– 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Glucose 101 mg/dL
Creatinine 0.8 mg/dL

An ECG shows no abnormalities. Which of the following
is the most
appropriate next step in management?

) Measurement of plasma renin activity

) Serum lipid studies

) 24-Hour urine collection for measurement of
metanephrine level

) Echocardiography

) Captopril renal scan

what would be the answer


I think the answer is E cause , only renovascular hypertension can explain the finding


U wave of hypokalemia : 

As emphasized above — U waves are not specific for hypokalemia.  They may also be found in patients with LVH and/or bradycardia, or occasionally as a normal variant.  However, the setting and ECG findings in this case (given the history of alcohol use with diffuse ST-T wave flattening and relatively large amplitude U waves in multiple leads) strongly suggests the possibility of electrolyte disturbance.pp
  • Final PEARL:  Hypomagnesemia produces virtually identical ECG changes as hypokalemia.  Low body magnesium is often encountered in association with other electrolyte abnormalities (ielow sodium, potassium, calcium or phosphorus); acute MI; cardiac arrest; digoxin/diuretic use; alcohol use and abuse; renal impairment.

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Edited by Ango on Jun 27, 2013 - 5:32 AM


Doing the rest of  Neurology blocks today.  

wanna go over MTB 3 Gynecological cancers . 

Wish me luck and patience !!

I need to be verrrrryyyy patient !!!!

rolling eyes


u did not say anything about the qs I posted. thats a q from nbme 2

On Jun 25, 2013 - 12:24 PM, Ango responded:
Im sorry for that , but I thought its from nbme 1 or 2 . I sent you a pm for delaying the discussion until we I took them . Sorry for the misunderstanding.


Yesterday I studied half day and took the rest off. 

So didn't finish Neurology blocks.



Today's plan : 

rest of Neurology blocks : DONE !!! FINALLY DONE !!!nod

Review surgery notes : only one block DONE .

Edited by Ango on Jun 26, 2013 - 10:34 PM


Today : 

Rest of surgery notes. DONE!!

Reading MTB 2 GYn Cancers  and some of OBS.

Edited by Ango on Jun 27, 2013 - 11:05 AM


Ulnar nerve injury : claw hand :


Erb's palsy C5-6-7



Popeye Sign : rupture of long head of bicepes


nice pics...
how many blocks u r doin per day??

On Jun 27, 2013 - 10:51 AM, Ango responded:
Starting from tomorrow I will read each chapter from MTB 2 and 3 and review correlated blocks . I will do all questions and read explanation of wrong and marked ones. 

how many are you doing ?


Winged scapula : long thoracic nerve injury after auxiliary lymph node dissection 

The classic cause of winging scapula is the dysfunction of a muscle called the serratus anterior muscle. This is an uncommon condition which arises out of damage to the long thoracic nerve which supplies the serratus anterior muscle



sorry for replying late, well, i did 2 blocks /mixed.
the only mistake am making is doin them in tutor, so from tomm ...i will do in time mode.
Time management is important=)

are u doing MTB 2 and MTB 3 both for IM??

On Jun 27, 2013 - 11:14 PM, Ango responded:

Actually Im using MTB 2 for IM and 3 for the rest of materials. 

Should I read MTB for IM as well ?


Integrated should I read MTB3 for IM ?


Today's plan : 

Reading ER . 

Neurology MTB2 . 

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