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Comments ...

 +1  (nbme19#13)

fecal fat excretion is excessive:: KADE deficiency!





Subcomments ...

submitted by ajguard26(41),
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ishT tintape espstnre ihtw lasiscc eppur mtoro nronue onelis sp:omytms sweenka,s lefixrpary,hee nad reddceaes ns.istnoea eew,Hvro eht esnqitou setsat hes ann"oct etll ewrethh rhe left eatgr oet is risade or espee"rsdd nehw erh ysee are dseoc,l whhci yma akem ouy nsidreorce and hnkit ehret mya eb mseo coeitprervopip essisu etyh are rygnit to hint .at iTsh is tno eht sae.c Eecplyisla coen hyet enntomi ether rae no oreth mnsiriltaaobe ,i(.e. on rpeup limb ieibsrlatmnao ro rthig didse stlbmoi)naeri.a fI itsh si eht esc,a etreh si no gadaem to the srtatc at all hh(wic rae istll ciedsrdoen .UM)N

hoTerfeer, the aedgma si ulyepr ootmr nad syoresn ni eht telf lge, ihchw is no eht adeilm stpeca of eht aonfltr dna ialraetp oselb erieycvpetsl. sihT eaar is dilpsepu yb het airtoern breacrle earr.ty

issamd1221  contralateral deficits +  
cbay0509  thank you +  
flapjacks  I think her 60 pack-year history suggests possible PAD and therefore loss of proprioception in the lower extremities, leading to an unfortunate distractor +  
an_improved_me  I don't understand why you would consider the propioceptive deficit a distractor... doesn't the DCML (which carries propioceptive information) project to the primary somatosensory cortex (via the VPL?). In this case, a lesion to the right anterior cerebral artery, which supplies both motor and sensory information to the lower limb would lead to somatosensory, propioceptive, and motor deficits. +  


submitted by seagull(1583),
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out fo cioui,rtys woh yma eoeplp kewn sti?h otnd( be hys ot yas oyu ddi or ?n)ddit

My ovyetpr dnitceuao 'tdidn anignri iths in em.

johnthurtjr  I did not +3  
nlkrueger  i did not lol +  
ht3  you're definitely not alone lol +  
yotsubato  no idea +  
yotsubato  And its not in FA, so fuck it IMO +1  
niboonsh  i didnt +  
imnotarobotbut  Nope +  
epr94  did not +  
link981  I guessed it because the names sounded similar :D +14  
d_holles  i did not +  
yb_26  I also guessed because both words start with "glu"))) +27  
impostersyndromel1000  same as person above me. also bc arginine carbamoyl phosphate and nag are all related through urea cycle. +1  
jaxx  Not a clue. This was so random. +  
ls3076  no way +  
hyperfukus  no clue +  
mkreamy  this made me feel a lot better. also, no fucking clue +1  
amirmullick3  My immediate thought after reading this was "why would i know this and how does this make me a better doctor?" +8  
mrglass  Generally speaking Glutamine is often used to aminate things. Think brain nitrogen metabolism. You know that F-6-P isn't an amine, and that Glucosamine is, so Glutamine isn't an unrealistic guess. +4  
djtallahassee  yea, I mature 30k anki cards to see this bs +4  
taediggity  I literally shouted wtf in quiet library at this question. +1  
bend_nbme_over  Lol def didn't know it. Looks like I'm not going to be a competent doctor because I don't know the hexosamine pathway lol +21  
drschmoctor  Is it biochemistry? Then I do not know it. +5  
snoochi95  hell no brother +1  
roro17  I didn’t +  
bodanese  I did not +  
hatethisshit  nope +  
jesusisking  I Ctrl+F'd glucosamine in FA and it's not even there lol +  
batmane  i definitely guessed, for some reason got it down to arginine and glutamine +2  
waterloo  Nope. +  
monique  I did not +  
issamd1221  didnt +  
baja_blast  Narrowed it down to Arginine and Glutamine figuring the Nitrogen would have to come from one of these two but of course I picked the wrong one. Classic. +1  
amy  +1 no idea! +  
mumenrider4ever  Had no idea what glucosamine was +  
feeeeeever  Ahhh yes the classic Glucosamine from fructose 6-phosphate question....Missed this question harder than the Misoprostol missed swing +1  
surfacegomd  no clue +  
schep  no idea. i could only safely eliminate carbamoyl phosphate because that's urea cycle +  
kernicteruscandycorn  NOPE! +  
chediakhigashi  nurp +  
kidokick  just adding in to say, nope. +  
flvent2120  Lol I didn't either. I think this is just critical thinking though. The amine has to come from somewhere. Glutamine/glutamate is known to transfer amines at the least +1