study_ing
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febrile seizures
They most commonly and should not be diagnosed in children under the age of 6 months.
or over the age of 6 years.
In many cases, the first sign of fever is the onset of the seizure.
It has been theorized that the seizure is triggered by the rapidity of the rise in temperature, rather than the actual temperature reached.
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| study_ing
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dx of achalsia..
REQUIRED Features
--Esophageal body –lack of peristalsis
sometimes present
Incomplete LES relaxation
Elevated LES pressure
(>45 mmHg)
Elevated intraesophageal
pressure
reference canadian guidelines
Edited by study_ing on 08/29/06 - 09:45 AM
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| sheena2005
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Hi studying, these r some really good pearls that u rposting here. i am sure these must be very helpful to all of us doctors living in the world of USMLE.I am also preparing for step 2, i hope udon't mind if i also join u in ur prep, i would like to discuss the materials .this is a healthy way of preparation. i hope u don't mind.
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| study_ing
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nasal cytology showing eosinophils is highly specific for allergic rhinitis.
to identify allergen-->skin testing
competitive radioimmunosorbent technique gives more quantitative results than radiodiffusion techniques
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| study_ing
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sure ur most welcome to..the more the better.. do post any dificulties u have..since ive just taken step 1 recently, will be able help u out on those topics than a month later ( when i wud have forgotten it  )
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| sheeezooo
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nice.anyone can rewise here quickly...
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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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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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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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