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Welcome to ilikecheese’s page.
Contributor score: 45

Comments ...

 +4  (nbme22#44)
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eThre si a ihgh rdinitec brbiulini ncicnnatroteo (8 m/gld uot of eth oattl 10 l/d)mg so reeht tusm be a pblrome hwit onuctni.ogaj eht eymzen eeeddn rof acitojoungn is -.lateoeuasfsnrUrynlPDrogs

nI sith esa,c ihts si iihcsloaolpgy tnnaaelo dnuaecji. edu ot umarimet zemney ahtt reelssov uihtwto rttmenaet ni -12 ew 837 AF 9012

 +15  (nbme22#14)
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fI ouy wnta ot itnkh fo hits liypms, teh bisr are ncceeondt ortoerpysli ot the tveelrbar ucoml.n dna eth raetsiotncl niesv unr eetebnw het,m os etyh rea eth letsocs ot the aerbltrev lnmuoc.

 +3  (nbme22#13)
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ortdcioitscreso - tiid dnberos ot eetocrrp dtaelco ni uencslu ro ltmspcoya t--g&; frtrtaioamnson of pcroetre to xepseo gdnADiN-inb tpirneo pgte c 233 AF 1029

 +0  (nbme20#41)
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higH X is udnbo wehn owl Y is e,ddda nad lwo X is unobd nweh Y is Se d.oadd MEABY eyht ear ngtoecimp ofr het emas bidgnin tso/pepoeitp ude ot this neslritpioah (=oippeet odtnyabi bigdnni t???s?i?e?? ?)??

Subcomments ...

submitted by radshopeful(19),
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ehT silsacc eisd ectfef fo eatnchcysrlian is dtldeai darmi.opytchyao Tshi sinuotqe uocld veha eogntt yriktc if uoy hugthot eht aonmlpyur mpsomtsy erwe ude to eht gdru chhiw cdolu vhea edl yuo to mbyciloen asue(cs oapyrlunm sbisr)iof ubt sehte olranpuym oyspmsmt ewer ostm leylik a uetslr fo ltdadei rhiytcaypdoamo gadelin ot HF dna mayplorun e.adme

nwinkelmann  What is the clue that this is not pulmonary fibrosis? How do I decide between Doxorubicin and Bleomycin? +  
ilikecheese  Also both bleomycin and methotrexate cause pulmonary fibrosis, so that helped me rule both those out and focus on the HF instead of the pulmonary symptoms +6  
adisdiadochokinetic  The S3 gallop and enlarged heart together are very strong evidence for heart failure. It's much more likely for heart failure to cause interstitial edema than for pulmonary fibrosis to directly cause heart failure. +9  
jurrutia  Also pulmonary fibrosis would more likely cause right-sided HF. This patient has left-sided HF (orthopnea, crackles, pulm edema.) +  

submitted by yotsubato(1041),
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"PPTM 3-thh-eyl1mtey,yr-o,erdn)yip6e4n2la(p1t,--hdri si a uoprgrd to eth noxniotrue PMP,+ hchiw uceass rnempeant otpmsmys of Pikssonra'n idsesae by entysdriog piiamncgdore uenrosn in eht snasiatubt gairn fo eth ra.ibn tI hsa eneb desu ot dystu esadsie olesmd ni avuiros aialnm s.tseu"di Wiki

ilikecheese  pg 508 FA 2019 +17  
sbryant6  I thought this was testing "lead pipe rigidity" aka Neuroleptic Malignant Syndrome and its connection to dopamine. Had no clue what MPTP was and got it right still. Probably wrong train of thought though. +