tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
never biopsy parotid mass under LA or in doctor's office, you may do FNAB but send pt to head and neck surgeon.
dont do biopsy of suspected metast LN from sq cell ca of mouth. instead, FNAB and do triple endoscopy followed by CT scan.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
dont perform cystoscopy when you suspect bladder infection. you may precipitate septic shock
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
never circumcise a baby with hyypospadias ( the reduntant skin will be useful later for reconstruction)
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
dont bother looking for prostate cancer in an ASYMPTOMATIC man 75yr or more old. (cos asymptomatic prostate cancer in this age group is not treated)
this is an interesting one from kaplan.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
never do trans-scrotal biopsy of testis in suspected cases of malignancy
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| sheeezooo
Forum Guru
Topics: 30
Posts: 343
|
nice job tolito keep continue plz
___________________
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..
|
| mazinger
Forum Guru
Topics: 46
Posts: 917
|
yeah tolito keep it up!!!!!
___________________
original mazinger z
|
| Shaina
Forum Elite
Topics: 23
Posts: 239
|
thanka a lot tolito,really a great idea.but i have a doubt,why not biopsy in suspected case of CA,staright go fo surgical excission.
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
thanks guys.
shaina, the never do transcrotal biopsy applies for testicular cancer only cos if you do trans scrotal, you will spread the cancer thro the skin. the surgical approach is trans inguinal orchiectomy. with test ca, you are better off making a mistake by taking the testis off than to live to regret it cos it is a deadly ca. in any case, a solid tumour in a young man is cancer till proven otherwise.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
dont do virtual endoscopy to diagnose GI cancer cos it lacks specificity and sensitivity
capsule endoscopy can be done to diagnose cause of bleeding when an upper and lower gi endoscopy are negative. ( these do not visualise between lig trietz and ileocaecal valve.... endoscopy blind zone?? )
Edited by tolito on 08/31/06 - 02:52 PM
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| Shaina
Forum Elite
Topics: 23
Posts: 239
|
thanx tolito,its clear now.
|
| frank100
Forum Guru
Topics: 48
Posts: 586
|
cool tolito.
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
you are welcome guys.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
dont do bilateral carotid massage
dont do carotid massage i a pt with carotid bruit
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
never induce vomitting when caustic soda or acid is ingested
never induce vomitting in the unconscious patient
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
cathartics are not helpful in managing poisoning except when given with charcoal. ( usu the wrong answer in USMLE)
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
avoid pure beta antag in treating cocaine intox cos alpa stimu is left unopposed.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
dont pick steroid use as answer in a case of head injury cos steroids are ineffective
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
ser ADH levels are not used in the diagnosis of SIADH.
use
1. ur osm>ser osm in the px of hyponatremia
2. ur Na>40
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
when treating for hyperk in the presence of acidosis, do nto give nahco3 in same iv line as cacl cos CaCO3 will form.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
never give astemizole and terfenadine (they are no longer marketed) cos they cause potentially fatal rhythm disturbances when used tog and when used in combination with other drugs.
Edited by tolito on 08/30/06 - 07:21 AM
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
watch out....
terfenadine = antihistamine
terbinafine = antifungal
why such close names? these drug guys are druggies themselves.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
dont choose lindane in treatment of scabies cos of its toxicity. the best initial treatment is permethrin
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| study_ing
Forum Fanatic
Topics: 180
Posts: 2,511
|
Never do Bleeding time in a pt with thrombocytopenia..its gonna be prolonged any how. ( if counts normal, but bleeding time prolonged, think fxal deficit, esp?
Vonwille Brand's disease)
___________________
If you yourself are at peace, then there is at least some peace in the world.
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,164
|
good one study_ing, but spelling check...von Willebrand's disease
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
|
| |
| | | | | | | | | | | | | | | | | | | | | | | | | |
