Welcome to macrohphage95’s page.
Contributor score: 7
Yes, good point to remember.
In the category of FA stimulants, 2 agents has sympathetic activity: 1)MDMA; 2)PCP
Basically how I solved it, all the other drugs are downers
Even tho ketamine has sympathomemetic effects, they would be widly tripping, they dont call it falling into a K-hole for nothing.
I knew your last sentence and suspected Kwashiorkor. It's just everything else I did not know. I have not heard or thought of muscle/protein changes in terms of "nitrogen balance" before... and that's why I got this wrong. Nice explanation!
I agree with you in first part but i dont think it has any relation to kwashirkor.
It is simply due to cachexia which causes muscle destruction through the proteasome pathway ..
also, it says that his albumin is low.
thanks for this explanation!
can any one explain to me why not lens ?
@macrophage95 Lens are an interal part of the refractive power of the eye. Without the lens the image would not be formed on the retina, thus leading to visual loss
Do anyone know why not choroid?
@qfever, no choroid would also be more detrimental to vision since it supplies blood to the retina
That random zanki card with colobomas associated with a failure of the choroid fissure to close messed me up
Seems like the key to this question is in what is omitted from the question stem: there is no mention of vision loss. If we assume there is no vision loss, then we can eliminate things associated with visual acuity (weird to think of in 2 week old but whatever): C, D, E, F. Also, by @hayayah 's reasoning, we eliminate E & F. If you reconsider the "asymmetric left pupil" then the only likely answer between A & B is B, Iris because the iris' central opening forms the pupil. I mistakenly put A because I was thinking of the choroid fissure and I read the question incorrectly - but it's a poorly worded question IMO.
Key here is that it doesn't affect vision- the only thing would be the iris. All others are used in vision. Don't have to know what a coloboma actually is.
The extra section of that Zanki card specifically says that a coloboma "can be seen in the iris, retina, choroid, or optic disc." Don't you dare talk trash about Zanki!
Everyones choice A is different.
they mean- Diffuse neutrophil infiltration
what does stellate necrotizng granuloma means ?
always with the details! losing dumb points :(
@sympathetikey Doesn't the biopsy finding vary with the biopsy location:
Lymph nodes have stellate granulomas
Bacillary Angiomatosis (skin lesion) has neutrophilic inflammation.
What do you think?
@sympathetikey Pathoma chapter 2 says cat scratch disease forms non-caseating granulomas
@ chextra Same with FA 2019 pg. 218
Immunocompetent: regional LN in axilla in one arm (like our pt here)
Immunocompromised: bacillary angiomatsis is transmitted by cat scratches