antidepressant
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thank you MJ, i know i can rely on you guys, even though, i havent met anyone of you, but I feel you are closer to me than my classmates. Yes, we sure will get done soon, one my one! Yes, we can!  
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| antidepressant
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Miculicz syndrome is also early menifestation of Hodgkins disease(pubmed), i rather not know it, then i will confuse it with Burkitts.
Lymphadenopathies:
Edited by antidepressant on 10/17/08 - 10:02 PM
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| antidepressant
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Etiologies of Lymphadenopathy
I. Generalized lymphadenopathy
Infections
Viral
Common upper respiratory infections Infectious mononucleosis CMV Acquired immunodeficiency syndrome Rubella Varicella Measles Bacterial
Septicemia Typhoid fever Tuberculosis Syphilis Plague Protozoal - Toxoplasmosis
Fungal - Coccidioidomycosis
Autoimmune disorders and hypersensitivity states
Juvenile rheumatoid arthritis Systemic lupus erythematosus Drug reactions (eg, phenytoin, allopurinol) Serum sickness Storage Diseases
Gaucher disease Niemann-Pick disease Neoplastic and proliferative disorders
Acute leukemias Lymphomas (Hodgkin, non-Hodgkin) Neuroblastoma Histiocytoses
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| antidepressant
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II. Regional lymphadenopathy
Cervical :Viral upper respiratory infection ,Infectious mononucleosis, Rubella, Catscratch disease ,Streptococcal pharyngitis ,Acute bacterial lymphadenitis, Toxoplasmosis ,Tuberculosis/atypical mycobacterial infection ,Acute leukemia Lymphoma ,Neuroblastoma Rhabdomyosarcoma ,Kawasaki disease
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| doctor123
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Hai Antidepressant
Diagrams are awesome.How you Post/Paste them here.
DR.123
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ALLAH; guide me to the Path of Success.
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| antidepressant
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Thanks doc,ok, then i have to write you a private message like KG did, lol. give me a second.
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| antidepressant
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Preauricular: catscratch disease
Mediastinal
Acute lymphoblastic leukemia, Lymphoma, Sarcoidosis, Cystic fibrosis, Tuberculosis , Histoplasmosis , Coccidioidomycosis, Supraclavicular
Lymphoma, Tuberculosis , Histoplasmosis, Coccidioidomycosis
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| antidepressant
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Axillary
Local infection, Catscratch disease , Brucellosis, Reactions to immunizations, Lymphoma, Juvenile rheumatoid arthritis, Abdominal
Acute mesenteric adenitis, Lymphoma Inguinal
Local infection, Diaper dermatitis , Insect bites , Syphilis, Lymphogranuloma venereum
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| keepgoing
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 awesome work AD, 
keep it up
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One important key to success is self-confidence. An important key to self-confidence is preparation”.Dear God!be my mentor all through"
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| doctor123
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Keepgoing
Awesome post doc marvellous
DR.123
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| Karime
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Good, Good AD, c'mon lets get pace and spped and all good things through this prep
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"I am my father's daughter"
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| Karime
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Good, Good AD, c'mon lets get pace and speed and all good things through this prep
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"I am my father's daughter"
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| pursuit
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hi ad loved the tortoise pic u put up in saima's post...
really needed that...
am very slow...
have to remember always...
PROGRESS HAS MUCH TO WITH DIRECTION AND CONSISTENCY , RATHER THAN SPEED...
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| Melu
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Hi Ad,I never had time to read anybody's journal as I am always behind in my schedule.Today I took few minutes ,(though I have lots to do) just to slow down and to look around.I was going thro' your journal and belive it or not I too am going thro' same feelings, unable to restablish with my med school classmates.They all are one click away, but I am waiting for the day I get back to being what I had planned for myself.As you said it is intimidating.I don't regret what I am today or anything , it is just that .....you know that feeling.
Listen to this Celine Dion song "THAT'S THE WAY IT IS ", she sings about love, our love now is our goal!
http://www.youtube.com/watch?v=aETZqx2QpQM&fe...
Ad nothing has changed much, in the long run these things are not going to count much. Don't worry,just follow your dreams!
Antidepressant, you go girl!
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| usmlekiller
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keep it going AD......u got thisssss
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| pursuit
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hi AD...
sunday eve 7:15 my end... weekends are tough... i totally agree... we just have to deal with it in our own way... but i have learnt one thing... if im studying atleast half day i feel i enjoy the break better... times wen i just dont touch my bks full weekend ... i feel quite sick and its a horrible task getting back momentum...
today ive been studyin like 90 mins fllowed by almost 1 hr breaks... but atleast i am keepin in touch with the books... mind is atleast at peace...
hope u did not misread.. i did not finish pharm!! i meant i fin the ANS section... but yep its hi yield and deserves some time and understanding...
just know the concepts really well... dont skip anythin u dont understand in the ANS section...
well so lets have a great week ahead now... study well girl!
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| antidepressant
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Thank KG, melu, pursuit, killer, karime and doc, for dropping by. Melu, thanks, yes, that song is for us, perfect for our situation, you have a great spirit, like that, everything you lost, you gain something, great! and 5 girl cheering for me! which one is dear Melu , third one seems like the cheerleader, thanks, you have so many cool stuff!
Pursuit, i had similar pattern, i studied 6 to 7, then again 8.30 to 9.30, then again 10 to 11 pm. after that long break,
Having drive through shrimp fried rice: 6 dollars,buying calling card to call home 10 dollars,2 hours of raking leaves in back yard: 0 dollar, Being in the fresh air and burning calories: Priceless
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| antidepressant
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1. 2 reasons for malabsorption in alcoholics – a lipase deficiency related to chronic pancreatitis, or bile salt deficiency due to cirrhosis, or both in an alcoholic).
2. Common bile duct surrounded by fibrous tissue, producing jaundice – dx? - Primary sclerosing cholangitis. MCC of primary sclerosing cholangitis = UC
3. Primary Biliary cirrhosis: generalized itching, find enlarged liver on PE, normal bilirubin (no jaundice), alk phos and gamma glutamyl transferase are huge (obstructive type of enzymes), transaminases are elevated. why doesn’t she have jaundice? Let’s say you have 1 million triads, have the dz and knock off 250,000 of them. Still have 75% that can handle the bilirubin load.
4. The OCP and anabolic steroids both produce intrahepatic cholestasis. Ex. wt lifter (assume he’on steroids) develops jaundice, and viral serology is negative, high alk phos and gamma glutamyl = due to steroids (not hepatitis), same thing with OCP. Both of these drugs also predispose to a benign liver tumor, called liver cell adenoma aka hepatic adenoma. It has a nasty habit – it likes to rupture, leading to intraperitoneal hemorrhage (which can kill you). Example: wt lifter (assume he’s on anabolic steroids) who is lifting and suddenly becomes hypotensive and collapses. Find abnormal liver/cavity – what is most likely cause? - Ruptured liver cell adenoma b/c pt is on anabolic steroids.
5. Hemochromatosis ; Target organ is the liver. Whenever Fe is absorbed into cells, it produces hydroxyl free radicals. If you are damaging liver cells, will lead to fibrosis and cirrhosis. They ALL have cirrhosis in Fe overload, either by hemosiderosis or hemochromatosis. Has a VERY HIGH incidence of hepatocellular carcinoma. Can also go elsewhere–pancreas–therefore can have EXOcrine and ENDOcrine dysfunction, leading to malabsorption. Destruction of islet cells leads to type I diabetes. Can go into joints and lead to polyarthritis, can go to pituitary, leading to hypopituitarism, can go to heart and produce restrictive cardiomyopathy.
6. Wilson’s disease: Kayser Fleischer ring – brown ring around cornea. What is degeneration called? -Hepatolenticular degeneration. Lenticular nucleus messed up; it’s located in tail of caudate nucleus (caudate nucleus in HD).
7. Adults with ascites and spontaneous peritonitis = E coli, while kid with ascites and spontaneous peritonitis (spontaneously occur, no rupture or anything) = Strep pneumoniae.
8. Hepatocellular carcinoma: almost always develops in the background of cirrhosis. MCC’s hepatocellular carcinoma are hepatitis B and C. Metastasis to liver, is MC from primary cancer of lung, if mentioned non-smoker, then its colon cancer.
9. small bowel obstruction, the MCC is adhesion from previous surgery, but if the pt did not have any surgeries then it’s due to indirect inguinal hernia.
10. Anything that causes bile salt def (cirrhosis, obstruction, Cholestyramine, Crohn’s dz) can lead to gallstones b/c too lil bile salts.
11. Can cystic fibrosis also lead to diabetes? Yes – b/c eventually fibrose off the islet cells, leading to type I diabetes, too.
12. MCC death in cystic fibrosis is pseudomonas aeruginosa infection.
13. Acute pancreatitis: MC due to alcohol; 2nd MCC = stone caught in accessory ducts of the pancreas. It can lead to Steatorrhea (one of the causes of malabsorption), hemorrhagic diathesis (yes, Vit K def related to malabsorption) but not bile salt def (no, b/c pancreas has nothing to do with bile salts). acute pancreatitis stop the peristalsis of that duodenum next to it, called Sentinel sign. This is localized ileus. Appendicitis can cause sentinel sign to cecum next to it.
14. Carcinoma of the head of the pancreas – MCC = smoker, 2nd MCC = chronic pancreatitis.
Edited by antidepressant on 10/19/08 - 10:08 PM
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| antidepressant
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By the way, those are from Goljans note, i listened today, word for word, looks cluttered.
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CSF value of Glucose 50-75 mg/dl,pressure: 70-180 mm H2O,protein: < 40 mg/dl.alpha1 agonist: phynelephrine, methoxamine.Non selective alpha blocker: Phentolamine, phenoxybenzamine. alpha 2 blocker: yohimbine, mirtazapine
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| match2010
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HI AD
whoa girl i sud visit this journal more often now ...these are real high yield points....ur doing gr8 !!! how did u post these pics here , i have been trying to but i dont know how to ...
whenz ur exam ?? keeep swimmming ,,,
happy studying
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Rather the pain of discipline than the pain of regret.
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