peter90036
Forum Elite
Topics: 24
Posts: 219
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this is from qbank step 3
correct answer is E
the septal hematoma
can become infected,
it impedes septal blood flow/nutrition --> ischemia, necrosis --> septal perforation
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| inkspot
Forum Guru
Topics: 23
Posts: 542
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thanks peter !
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| bcell
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A 67-year-old man is brought to the emergency department because of a 3-day history of fever and headache. Five years ago, he underwent placement of a mechanical aortic valve for treatment of sequelae of rheumatic fever. He appears ill. His temperature is 40 C (104 F), blood pressure is 110/65 mm Hg, pulse is 110/min, and respirations are 22/min. A grade 3/6, systolic ejection murmur is heard. Neurologic examination shows mild left hemiparesis. Babinski's sign is present on the left. There is no nuchal rigidity. This patient is at greatest risk for which of the following complications? A ) Brain abscess B ) Carotid artery occlusion C ) Encephalitis D ) Hydrocephalus E ) Venous sinus thrombosis
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| bcell
Forum Junior
Topics: 9
Posts: 58
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please help with this qs
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| peter90036
Forum Elite
Topics: 24
Posts: 219
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if its not something sneaky, quick thought would be brain abscess.
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| bcell
Forum Junior
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thanks peter.
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| bcell
Forum Junior
Topics: 9
Posts: 58
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A ) α1-Antitrypsin deficiency B ) Cystic fibrosis C ) Pneumothorax D ) Pulmonary alveolar proteinosis E ) Pulmonary aspergillosis F ) Pulmonary hemorrhage G ) Pulmonary tuberculosis 37. A 20-month-old girl is brought to the physician because of fever and cough for 2 days. She has had several similar episodes since the age of 4 months. Three months ago, she and her family visited her grandmother in Finland for 2 weeks. She is at the 25th percentile for length and 5th percentile for weight. She appears thin and pale. Her temperature is 38 C (100.4 F), pulse is 150/min, and respirations are 40/min. Examination shows mild clubbing. Wheezing and bilateral crackles are heard at the lung bases. An x-ray film of the chest shows streaky densities bilaterally with mild hyperinflation.
is it a or b?
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| peter90036
Forum Elite
Topics: 24
Posts: 219
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this has been on before - try to use the search button at the top of the screen,
then please make NEW THREADS for NEW QUESTIONS.
there's no mention of anything related to liver,
white, finland, recurr resp infxn, cxr of bronchiectasis(or whatever that streaky densities means)
= CF
Edited by peter90036 on 04/28/08 - 02:44 PM
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| RX 135
Forum Elite
Topics: 21
Posts: 486
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c...antibiotic enough
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| chemamr
Moderator and PGY1
Topics: 703
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[quote=peter90036]this has been on before - try to use the search button at the top of the screen,
then please make NEW THREADS for NEW QUESTIONS.
PLEASE CREATE NEW THREAD FOR NEW QUESTIONS, THANKS.
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| peter90036
Forum Elite
Topics: 24
Posts: 219
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exactly 
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| HKM07
Forum Newbie
Topics: 0
Posts: 9
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A. Is the correct answer as the patient has a history of general Anasth. Before one day and no urgent indication for the drainage of hematoma on the second day so observation and managemet accordingly
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