ShweHope99.9998
Forum Fanatic
Topics: 12
Posts: 2,705
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HI MDU ,
Study study as MT said . So we all are with papi for this summer studying / vacationing, pick the beach girls .  for our papi audio meeting place .
Hi .....GLYCOGEN ... long time no see , glad ur studying well .
GL 
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| Pediatrician2B
Forum Newbie
Topics: 5
Posts: 148
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Hi Medco, Good to see u r at it with full force.Just think u r so close to ur goal.Visualize.U can do it buddy
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IF U BELIEVE U CAN, U WILL!
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| kity
Certified.............
Topics: 32
Posts: 1,065
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Hi medocuk.. you are doing good ... just keep walking you are almost there..
& visualise MT's smiley with its whip is behind you.. so keep walking again
GOOD LUCK!!
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| edie
I can, and I will.
Topics: 26
Posts: 1,202
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O my, Mytime's actually got a whip smiley  Thanks for putting up the numbers in my journal, even though they didn't format. I copied them off NBME site, have them now. What did you decide for anatomy?
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| edie
I can, and I will.
Topics: 26
Posts: 1,202
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Med, I replied you in my journal for the test forms.
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| medocuk
IM-RES
Topics: 26
Posts: 1,467
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My time: Some day I wish for you to know how much of help you have been. I like your smiley. Keep it coming.
Shwe: Always a pleasure to have you around.Pappi has indeed been doing wonders for me.
P2B: Thanks for the confidence. You have no idea how much I need it.
Kity: Thanks, but I think enough walking it is time for the marathon race.
edie: Sorry about that mess I created. I will look how to convert the corrects into 3 digit socres but if you find out first please do let me know. Will be taking form one on monday come what may.
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| medocuk
IM-RES
Topics: 26
Posts: 1,467
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Ok so here are some of my questions, just simple doubts but if you guys have the time please do take time to tell me. Thanks.
USMLE scenario: Diabetic patient with wet gangrene develops infection with tetanus. I can make the diagnosis based on symptoms but is there a corelation between diabetics and tetanus infection?
Mechanism of hemolytic anaemia in chronic Lymes disease.
Hypercortisolism causing osteoporosis?
How does one differentiate osteopetrosis from Paget's disease as they are both due to increased bone turnover.
Thanks.
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| edie
I can, and I will.
Topics: 26
Posts: 1,202
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First question: diabetics get the "diabetic foot", wet gangrene due to reperfusion to that ischemic area, in comes a bug, Clostridium perfingens. He's got lecithinase that munches through the tissues, giving off a gas--> gas gangrene! His cousin, Closrtidium tetani, causes tetanus. He's the one that you get in battle/war wounds, stepping on the rusty nail, accident in an old rusty car, etc. So maybe a diabetic pt with a wet gangrene foot stepped on a rusty nail?
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| mytime
Go Marching in!
Topics: 40
Posts: 3,182
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Pagets u have Increase in both osteoblastic and osteoclastic activity., so pattern will me mosaic. Both resorptive and sclerotic areas present...... Increase in hat size and all that nonsense. S. ALP wud be increased.
Rest l8r.
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| mytime
Go Marching in!
Topics: 40
Posts: 3,182
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EDie gve u the rt. corelation that's y.coz Diabetic doesn't feel the nail, pain hence gets infected BIG BAD time!
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| edie
I can, and I will.
Topics: 26
Posts: 1,202
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Chronic Lyme disease and hemolytic anemia...I think this has something to do with an autoimmune phenomena? Sort of along the lines of Dressler's syndrome in cardiac patients? I hope I am thinking about this right, someone help me out if I am not.
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| edie
I can, and I will.
Topics: 26
Posts: 1,202
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mytime wrote:EDie gve u the rt. corelation that's y.coz Diabetic doesn't feel the nail, pain hence gets infected BIG BAD time!
Sweetie, you put the icing on that cake Thanks 
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| yuna
Forum Senior
Topics: 7
Posts: 229
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Chronic Lyme disease and hemolytic anemia.. Hmm There is co-infection with Babesia microti, because they are transmitted via the same tick (co infection in 20-30% of Lyme disease)
Just my thought...
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| edie
I can, and I will.
Topics: 26
Posts: 1,202
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yuna wrote:
Chronic Lyme disease and hemolytic anemia.. Hmm There is co-infection with Babesia microti, because they are transmitted via the same tick (co infection in 20-30% of Lyme disease)
Just my thought...
Yes!!! Totally forgot that point, the babe causes the blood problem
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| mytime
Go Marching in!
Topics: 40
Posts: 3,182
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edie wrote:
Chronic Lyme disease and hemolytic anemia...I think this has something to do with an autoimmune phenomena? Sort of along the lines of Dressler's syndrome in cardiac patients? I hope I am thinking about this right, someone help me out if I am not.
That's all I cud gather too. So lets review autoimmune anemia.
Idiopathic autoimmune hemolytic anemia is an acquired disease that occurs when antibodies form against a person's own red blood cells. In the idiopathic form of this disease, the cause is unknown.
Antigens are large molecules (usually proteins) on the surface of cells, viruses, fungi, bacteria, and some non-living substances such as toxins, chemicals, drugs, and foreign particles. The immune system recognizes antigens and produces antibodies that destroy substances containing antigens.
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| mytime
Go Marching in!
Topics: 40
Posts: 3,182
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Hence in trying to kill The STUPID BUG It ends up destroying the RBCs...
And Yuna is rt, abt what she said too bUt chronic lymes ds. is as above...... Cause unknown. How i love those!!!!! 
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| mytime
Go Marching in!
Topics: 40
Posts: 3,182
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AND TO MAKE UR BONES STRONGER  gO over this.
http://www.pathology.vcu.edu/education/musculo/Bo...
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| medocuk
IM-RES
Topics: 26
Posts: 1,467
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Oh wow you guys. Thanks for all your input.
I agree Mytime and Edie regarding tetanus due to peripheral neuropathy.
Thanks Yuna I found that co-infection with Babesia microti which is transmitted by the same tick as Lymes Ds causes hemolytic anaemia.
Thanks for clarifying about Pagets and osteopetrosis also I figure the epidemiology of the 2 will differ.
Thanks thanks thanks to all
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| ShweHope99.9998
Forum Fanatic
Topics: 12
Posts: 2,705
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Check Dr. B pagets pic histopatho bone pink slide too , he said Q will be like pic shown & ask , should know as pagets.
GL
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| study499
Forum Guru
Topics: 4
Posts: 523
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good things going on here...
Medocuk r u keep rocking? i'm sure u r
have a good day tom
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| acintya
FOCUS on your Goal!
Topics: 7
Posts: 758
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Thank you Medoc for your questions and thanks to Mytime, Edie and Yuna for the discussion.... I learned something new!! AND IT WILL SIT in my brain now!
Have a great study day medoc!!
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| medocuk
IM-RES
Topics: 26
Posts: 1,467
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My question for the day:
A new acetyl choline receptor inhibitor has just been approved by the FDA. You consider the possible therapeutic implications of this agent and want to review the Autonomic Nervous supply of various organs. Which of the following nervous outputs is nor adrenergic.
1. Sympathetic output to adrenals.
2. Sympathetic output to sweat glands.
3. Sympathetic output to Bladder
4. Parasympathetic output to heart
5. Parasympathetic output to bronchi
Please do explain what the question wants to know and why is your answer the correct one. Many thanks for your help.
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| medocuk
IM-RES
Topics: 26
Posts: 1,467
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Shwe: Yeah I remember the pink slide discussion. He he he but I wanted more than pinky pinks.
Study499: Thanks for your wishes. I am only getting real with myself. I have many doubts and loop holes. I have decided to reach out for help.
Acintya: Yeah the people out here are wonderful. I can never thank them enough myself. I am happy the discussion helped you.
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| edie
I can, and I will.
Topics: 26
Posts: 1,202
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Good morning to you Medoc. Looks like you are off to a good morning of learning and review! I'd like to give a go to your q. I pick choice 3. smooth muscle to bladder.
I memorized page 213 of FA (2007), so used POE. Norepi only on sympathetics, so get rid of 4 and 5. Cross out 1 because adrenal uses nicotinic. Cross out 2 because sweat glands is that exception to the rule: sympathetic, but uses muscarinic, and is the only one outside parasympathetic to have muscarinic. Only one left is 3. But I memorized that sympathetic norepi outout via alpha, betas to cardiac and smooth muscle, glands and nerves. GO FA!!!
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| edie
I can, and I will.
Topics: 26
Posts: 1,202
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Here's one to follow yours: Name the smooth muscle of the bladder that is responsible for mictruition. Weakness to this muscle may result in what? What drug can we give to help this condition?
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