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Kaplan Qbank USMLE



Author8 Posts
  #1

hi all

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  #2

Lyme's Disease

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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #3

A

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I can't change the direction of the wind, but I can adjust my sails to always reach my destination.

  #4

A, Lyme's disease

  #5

coolnod

  #6

Lyme disease is a systemic infection caused by the spirochete Borrelia burgdorferi.

Cardiovascular involvement occurs in fewer than 10% of patients with untreated Lyme disease and is more common in male patients than in female patients.

Palpitations, lightheadedness, and syncope may be a manifestation of varying degrees of heart block, including complete heart block, which occurs in 50% of patients with cardiac involvement.

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  #7

umm...the tiCK the HARD TICK...which has higher percentage of the organism 35-50%...Borrelia burgdorferi...
cardiovascular involvment usually in 2nd stage of disease
most commonly MYOCARDITIS ....neurological symptoms also present (bells palsy) most common
stage 3.... arthritis usually of knees ...
chronic progressive CNS disease also occurs...

MAJOR DISEASE CAUSED BY TICK in US

  #8

usually on east coast...
IgG should be checked...

severe form like this should be treated with ceftriaxone/penicillin G
otherwise in stage 1 which was 3 months earlier...doxy/ amoxi were the choice







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