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Welcome to ameanolacid’s page.
Contributor score: 19

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 +6  (nbme24#27)
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dtlCo'nu eb LSA cb/ he dha srnyose molti.nLn.Av.eveS is intidyclts yoln rtoo.m Not mlnairoiygSye wc(hhi si epurp rtxtsieeeim ornessy nteh toomr trale )no cb I mseauds by eth winrgdo thta lla 4 meetteixirs wree bOv not aiss,Prnnok nad not lioop cb a,gani he sha rmtoo + sy.nosre

sympathetikey  Probably in part due to early age presentation, but I hear you +2
wowo  FA2019 p518 - process of elim for other spinal cord lesions +

 +8  (nbme24#21)
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Gaert image oghisnw eth naitaomacl pni:teslhrsoia


gubernaculum  also just an FYI, her achilles reflex symptom is called Woltman Sign and can be seen in many cases of hypothyroidism +2
ruready4this  got the right answer but does anyone know why a lingual thyroid would cause hypothyroidism instead of hyperthyroidism? because I know patients who have a lingual thyroid removed are at risk of hypothyroidism +1
therealslimshady  Probably not scientifically accurate, but the body is like, hey, lingual thyroid, you're in the wrong place, you don't get to grow! Hypothyroidism ensues. Plus I don't think you'd be able to swallow if you had a normal-sized thyroid literally inside your throat. +
qiss  @ruready4this, she probably has hypothyroidism because her lingual thyroid isn't functioning enough like a normal sized thyroid. The question mentioned no palpable thyroid gland, as in the lingual thyroid is doing all of the work due to an absent thyroid gland in the neck. This is actually the reason why patients who have a lingual thyroid removed are at risk for hypothyroidism- once you remove it, you have zero tissue producing thyroxine. +

 +5  (nbme24#29)
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lschetiAsroroes is teh TSMO moomnc caseu of erlna eatryr .winetsot.ihs.s ubufrlaormics dsayalpis bgeni hte NDSCOE toms oommnc seacu (enev tguhoh ti is pntgietm to oeohsc hsit iotnpo giidcrsnone eth ta'niestp .gce)adhrimpo

xxabi  Is there a situation where you would pick fibromuscular dysplasia over atherosclerosis if given both options? Thanks for your help! +5
baconpies  Atherosclerosis affects PROXIMAL 1/3 of renal artery Fibromuscular dysplasia affects DISTAL 2/3 of renal artery +34
gonyyong  Why is there ↓ size in both kidneys? This threw me off +2
kateinwonderland  @gonyyong : Maybe because narrowed renal a. d/t atherosclerosis led to renal hypoperfusion and decrease in size? +1
drdre  Fibromuscular dysplasia occurs in young females according to Sattar Pg 67, 2018. +6
davidw  Normally you will see Fibromuscular dysplasia in a young female 18-35 with high or resistant hypertension. She is older has a history type II DM predispose you to vascular disease and normal to moderate elevation in BP +5
suckitnbme  @gonyyong there's bilateral renal artery stenosis. The decrease in size of both kidneys should be from atrophy due to lack of renal blood flow. +2
tyrionwill  1 year ago, she did not present any physical or Lab abnormalities. This means she must not suffer fibromuscular dysplasia, otherwise she must have presented renal abnormalities for a long long time, or even before DM-2. +

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