sheeezooo
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 nice.anyone can rewise here quickly...
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if u hold up your head with a smile on your face and are truely thankful,u are blessed because the majority can, but most do not..
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| sheena2005
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thanks studying.
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| sheena2005
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extra intestinal manifestations of whipple's disease.
-migratory polyarthropathy
-chronic cough
-myocardial or valvular involvemnt leading to congestive faliure
-dementia
-cns fidings
-pigmentation
-lymphadenopathy
-low grade fever.
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| sheena2005
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i am doing GIT today reading kaplan as welll as squeezing in the UW world GIT questions.plan to finish it today.do u think kaplan notes and UW are enough for step 2.
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| study_ing
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well thats what ive heard. from what ive come across the combination seems to be great.
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| study_ing
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off to UW nice summary there sheena05
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| study_ing
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NBME Q RELATED
ppl already exposed to a family member ( when pt sypmtomatic, likely that exposure has already occured)
--Immune globulin must be given within 2 weeks after exposure to hepatitis A virus for maximum protection.
--hepa vaccines shud be given to travellers to high and intermediates rates of hep a
--men who have sex with men
( this i found surprising, but has been recommended by the cdc)
http://www.cdc.gov/ncidod/diseases/hepatitis/a/fa...
Edited by study_ing on 08/29/06 - 03:18 PM
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| study_ing
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NBME Q RELATED
1. heliotropic rash ( face, eyelids, and hands, and sometimes the skin above joints, including the knuckles, knees, elbows, etc. )
2.pattern of muscle weakness--The muscles first affected tend to be proximal
eventually inability to perform tasks like climbing stairs, lifting objects, and performing other manual tasks.
one feature which wasnt mentioned but is frequently associated is CALCINOSIS (calcium deposits under the skin)
most cases of DERMATOMYOSITIS in 50 or 60 yr olds but juvenile DM also exists.
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| study_ing
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Adefovir dipivoxil, interferon alfa-2b, pegylated interferon alfa-2a, lamivudine, and entecavir are five drugs used for the treatment of persons with chronic hepatitis B.
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| study_ing
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The vaccination schedule most often used for adults and children has been three intramuscular injections,
the second and third administered 1 and 6 months after the first.
Recombivax HB® has been approved as a two dose schedule for aged 11-15 years. Engerix-B® has also been approved as a four dose accelerated schedule
If the vaccination series is interrupted after the first dose, the second dose should be administered as soon as possible. The second and third doses should be separated by an interval of at least 2 months. If only the third dose is delayed, it should be administered when convenient
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| study_ing
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acute colitis + radiological evidence of dilated colon = TOXIC MEGACOLON
most commoc cause=UC
in HIV pts, CMV colitis may cause it
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| study_ing
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physica lexamination findings of constricitve pericarditis vs cardiac tamponade?
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| tolito
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both....dyspnoea, jvp high incr with insp, distant heart sounds
constrictive p.....pericardiac knock,
cardiac tamp.....pulsus paradoxus, shock.
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| tolito
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i found this thought provoking
stop beta blocker before desensitisation in case adrenaline has to be used for anaphylactic reaction ( following desensitisation).. b blocker will block effect of adrenaline
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| tolito
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differentiate
urticaria
morbiliform rash
rash of stevens-johnson
erythema multiforme
erythema nodosum
erythema chronicum migratum
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| sheena2005
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Hi,
urticaria-caused by mast cell degranulation and histamine release(type 1 hypersensitivity reaction).presents as papular weals, intensely pruritic.most intresting feature i found was dermographism.
morbiliform rash-"measels like"small confluent papules coalasing into unusual shapes.
steven johnson-"erthyma multiforme major" when it affects mucosal surfacs and internal organs.
erthyma multiforme-erthymatous papules and bullae, target like lesion is charaterstic.
erthyma nodusum-inflammatory leison of subcutaneouse fat.erthymatous ,tendr,warm leisons usually on anterior tibia.leisons are indurated and have and apperance of indurated bruise.associated with sarcoidosis, coccidiodomycosis, histoplasmosis, strep infection and tuberculosis. i am not sure wether there is any association with normal pregnancy, please correct me if there is one.
erthyma chronicum migratum-appears at the site of tick bite inlyme disese.red macule that expands slowly to form an annular leison with central clearing.
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| sheena2005
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i am always very cofused about tetnus immunization.can u please explain?
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| sheena2005
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hepatobiliary diseases as a complication of inflammatory bowel disease.
-sclerosing cholangitis
-cholelithiasis
-autoimmune heapatitis
-cholangiocarcinoma.
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| sheena2005
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if a patient comes in with bloody vomiting(known case of hepatitis C) what do u do ?go for endoscopy stat or give octreotide while u get everything ready for the endoscopy.
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| study_ing
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VOW. thanx a lot ppl..great work here..
will brb
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| study_ing
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this is the 2006 cdc scheduele...http://www.cdc.gov/niP/recs/child-schedule-color-print.pdf#search=%22tetanus%20cdc%20schedule%22
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| sheena2005
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i was wondering how do u go about with tetnus vaccination after some body comes in with injury particularly, soiled wounds with rusty nails or somewthing like that............
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| sheena2005
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thanks for the good link studying.
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| sheena2005
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how many Hep B shots did the nurse get before the incident?
this is considered a significat exposure, because you already know the soursewas infected, so what to do next depends on the nurse immunologic status:
< 1 dose of hep B vaccine: accelerated course of hepatitis B vaccine plus HBIG x 1.
> 2 doses (anti-hbs unknown): one dose of hepatitis B vaccine followed by second dose one month later
known responder to HB vaccine: booster dose of HB vaccine
known non.responder to hepatitis B vaccine: HBIG x 1, consider booster dose of HB vaccine
PD: kaplan says: DO NOTHING.
THE ANSWER IN THE TEST, DEPENDS ON YOU, AND YOUR CRITERIA.
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i read this in another thread in this forum. I am confused now because i thought if u have documented response to immunization then reassurance is all that is needed .
can u please tell me how to go about with hep b vaccination after needle stick injury from a known hepBsAg positive patient.
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| sheena2005
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oh the question to the above answer was .nurse had a needle stick injury from HBsAg positive patient, she received hep B vaccination five years ago. what to do next?
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