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Kaplan Qbank USMLE



Author17 Posts
  #1

pruritic creeping violaceous rash on the hands of fish packing plant employeee?

a. Nocardiosis

b. Erysipelothrix

c. actinomyces

d. sporothrix

e.yersinia sp.


  #2

b. Erysipelothrix ???

atleast the others listed wud'nt cause it ; i think raised eyebrow


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  #3

itīs B


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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #4

correct

  #5

http://pathmicro.med.sc.edu/ghaffar/Erysipeloid22...

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  #6

[left]ERYSIPELOID[/left] [left]This is an occupational disease of butchers, meat processors, farmers, poultry workers, fish handlers: swine and fish handlers are particularly at risk. The causative agent, Erysipelothrix rhusiopathiae, is a Gram-positive anaerobic rod which infects through skin abrasion while handling contaminated animal products or soil. Generally, the organism produces an inflammatory skin lesion, on fingers or hand, which is violaceus and has a raised edge. It spreads peripherally, as the discoloration in the central area fades. The painful lesion is pruritic and causes a burning or throbbing sensation. It lacks suppuration and thus is distinguishable from staphylococcal erysipelas. Diffuse cutaneous infection and septicemia are rare. The organism can be cultured easily on most laboratory media. It is easily treatable with penicillin[/left] [left] [/left]

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  #7

It can indeed be easily cultured, but I have only ever seen in on CAP unknowns. They send it out from time to time to keep us on our toes. Key test is H2S production on TSI slant.

It is NOT an anaerobe, however. What was the source of your quote, ureterpolyp (ureterpolyp??? what kind of handle is that :-))


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Clinical Microbiology since 1974

  #8

I got this from Emedicine

http://www.emedicine.com



As for my Handle, I got it for a rare case I saw when I worked in the Dept, of Urology, I should have written a Case Report, about 20cm come from ureter, a really striking image on IVP






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your life is in your hands

  #9

Are U heading towards urology, perhaps? smiling face

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Clinical Microbiology since 1974

  #10

it's like mission impossible, right


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your life is in your hands

  #11

hey bactitech, how old are you, are you microbiologist or did you study infectology after internal medicine or what?

iīm sorry, just curious. smiling face. Itīs obvious you know a lot of about microbiology, but are you preparing for some step or what do you do?. Again, just curiousity. grin


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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #12

I've been a clinical microbiology technologist for over 30 years. I am currently working in a large micro lab that does the micro work for four hospitals, doctor's offices, nursing homes, and other outreach sites, so we're very busy. I always thought medicine was interesting and have done lots of reading, but only for the stuff that interests me. I have huge gaps in my knowledge of medicine when it comes to things non-microbiological. I always thought the course-work for medicine was interesting, but all the biochemistry/pharmacology courses helped to scare me off, as undergrad chemistry was always a struggle for me, as well as the fact that I am totally non-functional on sleep deprivation.

At the age of 56, I'm perfectly happy with my choice. I'm working three evenings a week now; the younger techs ask me lots of questions, I am chairman of our internal CE committee, I have an online microbiology CE group in Yahoo,

http://groups.yahoo.com/group/C_E_Clinical_Microb...

and I read lots of mystery novels. If any of you want to join my group (it's not real chatty, but there are lots of CE links posted), just say you found the address on the USMLE forum and I'll approve your membership right away (I screen all members because spammers tried to take it over a couple of years ago).

I stumbled on this group a year or so ago. Book-learned micro is a lot different than real medical micro, so thought I could help sometimes.

Hope that answers your questions.smiling face




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Clinical Microbiology since 1974

  #13

yes, thank you so much. You have had a very good life and very interesting. Congratulations!




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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #14

Why thank you for the kind thoughts smiling face.

My niece just emailed me tonight. She is starting med school in a week or so and I just referred her to this site. When she gets into her studies more I hope she finds some of the forums interesting, too.


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Clinical Microbiology since 1974

  #15

Thx alot, I will joinnod

  #16

Definitively yes, this is a great forum. Itīs good to review some topics, clear some concepts or doubts, advices about books, etc, etc, etc. Itīs a good advice of you for your niece.

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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #17

B is the answer... that one is common in my country







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