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 +5  (nbme24#27)

Couldn't be ALS b/c he had sensory involvement...ALS is distinctly only motor. Not Syringomyelia (which is upper extremities sensory then motor later on) bc I assumed by the wording that all 4 extremities were involved. Obv not Parkinsons, and not polio bc again, he has motor + sensory.

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


 +4  (nbme24#29)

Atherosclerosis is the MOST common cause of renal artery stenosis...with fibromuscular dysplasia being the SECOND most common cause (even though it is tempting to choose this option considering the patient's demographic).

xxabi  Is there a situation where you would pick fibromuscular dysplasia over atherosclerosis if given both options? Thanks for your help!
baconpies  Atherosclerosis affects PROXIMAL 1/3 of renal artery Fibromuscular dysplasia affects DISTAL 2/3 of renal artery
gonyyong  Why is there ↓ size in both kidneys? This threw me off
kateinwonderland  @gonyyong : Maybe because narrowed renal a. d/t atherosclerosis led to renal hypoperfusion and decrease in size?
drdre  Fibromuscular dysplasia occurs in young females according to Sattar Pg 67, 2018.
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




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