tia
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psuedomonas plays a role frequently in osteomyelitis resulting from chronic wound such as in diabetes
fibromayalgia....muskuloskeletal pains,insomnia,emotional disturbance
dermatomyositis ...gottron papule and heliotrope rash
the hypercalcemia in sarcoidosis....by macropages ....incresed extrarenal formation of 1,25 vit D
cool
bye
tia
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| tia
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hey good morining
so now i'll do 2 blocks and review them may take 3 to 4 hours...lets see how the blocks are gonna be ....so get back later
c ya
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| tia
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hey mezo where are u?
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| tia
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CNS path is my weakest area please suggest how do i improve?
thank u
tia
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| Mezo
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Hey tia,
Sorry was busy ... didn't check on u since morning ...
regarding CNS pathology .... can u told me the exact things that bother u, so i can figure a way for u to overcome ...
Actually, what is helping me in it is my Step2CK knowledge ... the guy in Kaplan was Gr8 and i solve qs only depending on his lectures ...
In general, u 1st gotta learn the key clinical clues to the cases then pathology u just need to review more and more ... the most annoying thing to me was Brain tumors, i made a table for it where i collected all of them with key clues & most common characteristics ... like that ependymoma is the only tumor that arises in the ventricles ... the mcc of 1ry brain tumor in Adults & Children and differentiate that from the mcc of Benign brain tumor and so on ...
just tell me the topics & ur problem with and i'll try to break it down for u ISA ...
take care
bbye
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| tia
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hey mezo
now i got it i wasn't good at the clinical clues u got me right....the q was almost giving the answer if i knew the clinical clues ...yup brain tumours bother me too...shall prepare a table like u did .....i will solve them again after i read it properly
btw did u start FA ?
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| Mezo
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yeh i did ... started with pathology general, just read 1 page then fall asleep yesterday  .. i actually relaxed my body thinking for about 10 minutes to woke an hour later , at the usual time of me hitting the bed ... i'll try to do more today ISA ...
I don't know y behavioral is taking that much time, i thought i can do it in just 1 day, 1.5 days maximum ... the 2nd day is about to end and i didn't reach the DSM IV section yet ... I hate that, i'm toooooooooooooooooo Slow, i can't move like that, gotta speed up, still much to review ... any ideas to speed up ?? may be i need a new engine
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| Mezo
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These r some clues might help u ...
Fever + neck stiffness = Meningitis
Fever + Altered mental status = Encephalitis => mcc HSV .. temporal lobe mostly affected
Fever + Focal neurological deficits & CT brain showing contrast enhancing lesion = Check HIV status => if +ve then either Toxoplasmosis or Lymphoma, if -ve => biopsy to differentiate infec. from cancer
Polymyositis Vs Dermatomyositis = Both Myositis i.e. Proximal ms weakness i.e. can't comb hair, can't get up from chair + elevated ms enzymes CK & Aldolase ... In Dermatomyositis as the name implies has additional skin rash ... don't bother urself what type it is .. however it is bretty characteristic ...
Fibromyalgia = pain and weknes of proximal ms too but in old pt > 60y/o and ass. with a very high ESR
Polymyalgia Rheumatica = pt. c/o Insomnia, easy fatigability & widespread musculoskeletal pain & stiffness ... Key -> up to 18 ( at least 11) symmetrical bilat. tender points that occur in the same location in all pts .... the Qs won't give u 11 ... just will tell that pt is c/o multiple pain and will mention Insomnia and Labs are NORMAL ...
MS = mutliple neurological deficits separated by space ( anatomical) and time i.e. 1 now, 1 a couple of months back and can't be explained by single lesion ... Optic never affection is very common ..
Myasthenia Gravis => Ms weakness at the end of the day while Eaton Lambert => Increase Ms strength at the end of the day ...
Remeber that both MS & MG are demylenating dses one central affecting Oligodendrocytes (MS) and the other is peripheral affecting Schwann Cells ( MG)
Guillain Barre => Ascending Flaccid Paralysis while Botulism => Descending Flaccid Paralysis
To remember GuiLLain Barre Goes from LL to Brain
Hope these points helps u
Edited by Mezo on 07/10/08 - 12:12 PM
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| doctor123
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good work mezo
BL in ur prep
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| usmlekiller
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gr8 stuff mezo thx
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| tia
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@ mezo hey mezo thanks for that dude....so how do u find FA?
hmmm
i did a block and reviewd it
i had lot of breaks while review....
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| tia
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@ mezo
oh dont ask me how to increase speed even i study at snail speed
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| tia
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polymyalgia rhuematica associated with temporal arteritis increase in ESR***
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| tia
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hi good morning
hmm
i over slept
will start in 10 min
cya
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| tia
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hmm milee is gonna blast me if i dont study...so i have toooooooooo
ok startting a block in 2 min so see you after i review it
bbye
@ mezo
hey how u doing today?
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| tia
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psoriasis ia associated with arthritis
age is an important prognostic factor in poststreptococcal glomerulonephritis
95% of children but only 60% of aduts recover.......
labs in post streptococcal glome..
inc in ASO titres
inc in anti DNAseB titres
dec in c3 and complement level and presence of cryoglobulins
and c 4 is normal...
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| tia
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ok done with the block riviewd it too...
will be back gotta have food
bye
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| tia
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hmm ok had food so i'll move on to FA will get back.....
bbye
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| tia
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god help me.......
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| tia
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FA is going on and on and on...........................................
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