tolito
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ULCERATIVE COLITIS
MILD-MOD...<6 stools per day. no fever, no anemia
MOD............>6 stool/day,fever, anemia, hypoalbuminemia
SEVERE,....... high fever, severe anemia, leucocytosis
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| tolito
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Crohn's vs UC.... who is the winner??
crohn's is positive for 2x more symptoms than UC.
so here are those for UC not found in Crohn's
toxic megacolon
pyoderma gangrenosum
here are those more commonly found in UC
rectal bleeding
rectal disease
colonic disease
crypt disease,
higher risk for cancer
linear ulcers
not seen/rare/unusual in UC
abdominal mass
mouth ulceration
stricture
fissure
fistula
skip lesions
transmural lesions
granuloma
stomach-esophageal disease
AND THE WINNER IS
CROHN'S DISEASE!!!
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| sheena2005
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causes of restrictive lung disease
PAINT
Pleural--fibrosis,effusions,empyme,pneumothorax
Alveolar--edama,hemorrahage
Interstial--
Inflamatory
Idiopathic
Neuromuscular--mysasthenia,phrenic nerve palsy,myopathy
Thoracic wall--kyphoscoliosis,obesity,ascites,pregnancy,ankylosing spondylitis.
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| sheeezooo
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OBSTRUCTIVE LUNG DISEASE..
COPD..includes..chronic bronchitis ,emphysema,asthama,bronchiectasis.
-chronic bronchitis..persistant cough,sputum production atleast for 3 months each year in 2 consecutive years. highly associated with smokin(90%)
clinical findings..cough ,sputum production frequent infections,hypoxia cynosis,wt gain..
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| sheeezooo
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ASTHAMA..due to hyperactive airways, resulting in episodic bronchospasm, producing wheezing,severe dyspnea and coughing.
findings...inflammation, edema,hypertrophy of mucous glands with goblet cell hyperplasia..and mucous plugs.
hypertrophy of bronchial wall smooth muscle, thickened basement membranes
two types..
EXTRINSIC asthama....type 1 hypersensitivity reaction, allergic(atopic) most common type
childhood or young adults +ve family history...allergens..pollen,dust,food,molds,animal dander..occupational exposure..to fumes ,gases, and chemicals.
INTRINSIC asthama...unknown mechanism..respiratory infections (usually viral)..stress,excercise,cold temperatures.drug induced(aspirin)
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| sheena2005
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diagnoses of sleep pnea is made by
polysomnography.
multiple sleep latency test done if polysomnography is not conclusive
lateral cephalometry is done if patient needs surgery to releive obstruction
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| study_ing
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clue-cyanosis alleviated by cry
The other way this is asked is a baby who gets cyanotic while feeding (eg. sucking and swallowing).
think..choanal atresia
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| tolito
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good one study-ing.
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| sheeezooo
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-excecise induced asthama.....
-most appropriate treatment is..
-beta agonist and mast cell stablizers.
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| sheeezooo
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MUGA SCAN???
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| study_ing
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A MUGA scan (Multiple Gated Acquisition Scan) is a nuclear medicine test to evaluate the function of the heart. It provides a movie-like image of the beating heart, and allows the doctor to determine the health of the heart’s major pumping chambers.
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| study_ing
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- Technetium-99m-pertechne tate, labels the red blood cells in vivo.
- The patient is placed under a gamma camera
-
The resulting images show the blood pool in the chambers of the heart and the images can be analysed on a computer to calculate the ejection fraction of the heart together with other useful clinical parameters. This scan gives an accurate and reproducible means of measuring and monitoring the ejection fraction of the left ventricle.
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this scan can help pinpoint the position in the heart that has sustained damage as well as assess the degree of damage. MUGA scans are also used to evaluate heart function prior to and while receiving certain chemotherapies that have a known effect on heart function.
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| sheeezooo
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thanks studyin..nice way to explain..just to add a lill bit from lecture...
also called nuclear ventricular gram...its a most accurate way to measure the ejaction fraction.
best initial method to measure the ejaction fraction is EKG.
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| mjl1717
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Myasthenia Gravis
best initial test -Ach receptor antibody//Tensilon is only 50% sensitive in ocular Myastenia
Most accurate test-EMG
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| mjl1717
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study_ing wrote:
A MUGA scan (Multiple Gated Acquisition Scan) is a nuclear medicine test to evaluate the function of the heart. It provides a movie-like image of the beating heart, and allows the doctor to determine the health of the heart's major pumping chambers.
Is this best for valvular function?
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| study_ing
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u meant echocardigram, sheezoo, right 
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| sheeezooo
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yes
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| tolito
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myasthenia gravis is non-hereditary.
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| study_ing
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- DES--dysmotiolity disorder--uncoordinated contractions ( that are not peristaltic and not directed towards the stomach)
- Nutcracker esophagus --hypercontraction ( too large in amplitude or duration or both)
mjl, i'l try looking for the ans..will come back to it
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| study_ing
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4 Pain
2 GI
1 Sexual
1 Pseudoneurological
= somatization disorder
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| tolito
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candida vaginitis and bacterial vaginitiis in the adulescent are not STD's.
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| study_ing
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what about other age groups..can candida be regarded as an std in any??
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| mjl1717
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study_ing wrote:
A MUGA scan (Multiple Gated Acquisition Scan) is a nuclear medicine test to evaluate the function of the heart. It provides a movie-like image of the beating heart, and allows the doctor to determine the health of the heart's major pumping chambers.
I agree with the above. Quantitatively Muga measures left ventricular ejection fraction Normally its around 50-55%
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| tolito
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i was surprised that candida is not seen as STD in the adulescent. i will look up for adults.
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