chemamr
Moderator and PGY1
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nice topic 
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| tolito
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chest xrays are not routine tests. so the gen populace is not screened using it. ( we should let the embassies know this. they always screen with a CXR )
it may be done if PPD is positive.
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| tolito
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thanks chemamr. your input will be appreciated.
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| study_ing
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DONT think of Vit b12 diet in a vegetarian of one year...takes atleast 3-4 years..think more of pernicious anemia ..
hey im taking the exam mid oct too
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| tolito
Forum Fanatic
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so let's do it again even better!!!
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| study_ing
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DONT think seminoma in the young adult with suspected testicular tumor with HIGH AFP. its never produced in a seminoma. ( emryonal ca more likely)
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| tolito
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never use topical steroids to reduce inflammation when thinking of viral keratitis. this will act like a virus fertilizer.
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| tolito
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act charcoal is ineffective in
metal
cyanide
acid
base
alcohol
na, k, cl poisoning
( if given, it is cos multi drug ingestion is common.)
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| tolito
Forum Fanatic
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never use tongue blade to examine pharynx in a suspected case of epiglotitis cos you may provoke a laryngospasm.
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| study_ing
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dont do Vascular surgery in the neck to treat a stroke.
??
yes duplex scanning is important but vascular surgery = Prevention, not treatment
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| study_ing
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NEVER do MRI to look for intraocular foreign body. it is containdicated ( in case object affected by magnetic field of MRI)
the sequence is gross exam---> fluorescein/slit lamp-->ultrasound or CT if high suspicion
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| just do it
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Never give aminoglycosides in infant botulism ( Reason:as aminoglycosides kill the bacteria and subsequent release of toxin can worsen the condition).
Never give Rubella vaccine to a pregnant woman. ( However, if a pregnant woman had an inadvertent rubella vaccine during her pregnancy---Mx: Reassurance and this is not an indication for abortion)
In occult bacteremia in children age 3mths-3 yrs: No need to repeat the antibiotics if the child is non-toxic and has a normal physical exam, even if the blood culture is positive.
Don't use doxycycline/tetracycline in children < 8 yrs & pregnant women. ( exception: In rocky mountain spotted fever, doxycycline can be used even in children < 8 yrs, as it used for short courses)
Never give blood transfusion/blood products to IgA deficiency pts. without proper precautions----like proper screening and irradiation of blood products, in case of a real need for transfusion in such pts.) Reason: high risk of anaphylactic reactions.
Never use Aspirin in children ( exception: kawasaki's disease and juvenile rheumatoid arthritis). Reason: risk of reye's syndrome.
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| just do it
Forum Senior
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Posts: 139
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Never repeat rectal exams in acute bacterial prostatitis. Even the first (the only one time P/R exam ) rectal exam should be done gently with care, as vigorous manipulation may lead to septic shock.
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| sheeezooo
Forum Guru
Topics: 30
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never give steroids in Guillan Barre Syndrome it makes the condition worse.
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