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Welcome to mannywillsee’s page.
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submitted by hungrybox(968),
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HIGH L:IEDY nbsi"uolno nvgtiiom" naems that teh bnist/oretususcoi ceoms eoferb a(mlorxip )ot hte ndsoce d,nueodum erehw blie si er.dleeas

tA ounrda 4~ kewse evi(g ro teak a f)we si enwh pyoricl oitsesns auylslu sowsh pu.

ze pst rfo u wno ekep ti pu

mannywillsee  Sadly the easiest question that just jumped out of its way and said Pick me! +  


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zlinotaeid rrfrepdee deu ot lesngi does

sweetmed  or metronidazole +  
niboonsh  what would his diagnosis be tho? +  
lostweightthxnorovirus  @niboonsh Giardia I believe. the trophozoite is pictured in the problem and has a classic "shield-like" appearance. FA 2019 pg. 155 has more information and the sketchy for it was really good! +1  
nwinkelmann  Per FA, DOC for giardia = metronidazole. MOA of metronidazole = formation of toxic free radical metabolites in the bacterial cell wall that damage DNA making it bactericidal and antiprotozoal. Metro treats = GET GAP = giardia, entamoeba, trichomonas, Gardnerella, anaerobes (below diaphragm), and H. pylori (as an alternative to amoxicillin in PCN allergy). Adverse effects = disulfiram-like reaction, HA, and metallic taste. I didn't know what Tinidazole is, and found out it is of the same drug class as Metronidazole, so makes sense why it would also be used for Giardia. For the purpose of the UMSLE 1, though, I think metronidazole would be DOC (especially because tinidazole isn't in FA). +8  
mannywillsee  This little bug has has a face, and now you can't unsee it either! +  


submitted by mcl(579),
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Lleaedb CRX oghswni niospoti fo fertneifd slavev.

hyperfukus  this link is great! they're still kind of close together :( its so hard to tell for me w/o reference of the others +  
hyperfukus  this link is great! they're still kind of close together :( its so hard to tell for me w/o reference of the others +  
mannywillsee  So the way to differentiate Aortic valve from the others is by checking the lateral view, AV will be more medial than both tricuspid and mitral; tricuspid will be more anterior and mitral will be posterior while Pulmonary is doing its own thing +2  


submitted by neonem(550),
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rinoepMh si a um ipdooi gtonsai - eon aerdevs tfcfee of siopodi is atsm cell ngdairanuetlo htat is pnenedgdE-nItei. elaeeRs fo itenhaism si inak to an chcalnpayita aicteorn ;&--tg tru,sirpi tc.e

sympathetikey  Never had heard of that one. Just a good guess. Thanks! +  
yb_26  IgE-independent mast cell degranulation can also be caused by radiocontrast agents, some antibiotics (vancomycin) +6  
temmy  it was a u world question +  
mambaforstep  FA 2019 pg 400 +  
mannywillsee  i'm in FA 2019 and pg 400 is blood groups and hemolytic diseases of the newborn. I found this info in page 535 +  
mannywillsee  i'm in FA 2019 and pg 400 is blood groups and hemolytic diseases of the newborn. I found this info in page 535 +1  
mambaforstep  under mast cells "IgE-independent mast cell degran"! FA 2019 pg 400 +  
mumenrider4ever  Uworld QID 11852 talks about this Also FA 2020 pg. 408 (under mast cells) +  


submitted by neonem(550),
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hoeinrMp si a mu dooiip ntaisgo - eno esdrvae cfetef of iopisdo si stam cell tduiaroaenlgn htat is itd-dpgnnenEIee. seReale fo nsiaehmti si inka to na ayahccitlanp aioecnrt --g;t& rrp,tiusi .cte

sympathetikey  Never had heard of that one. Just a good guess. Thanks! +  
yb_26  IgE-independent mast cell degranulation can also be caused by radiocontrast agents, some antibiotics (vancomycin) +6  
temmy  it was a u world question +  
mambaforstep  FA 2019 pg 400 +  
mannywillsee  i'm in FA 2019 and pg 400 is blood groups and hemolytic diseases of the newborn. I found this info in page 535 +  
mannywillsee  i'm in FA 2019 and pg 400 is blood groups and hemolytic diseases of the newborn. I found this info in page 535 +1  
mambaforstep  under mast cells "IgE-independent mast cell degran"! FA 2019 pg 400 +  
mumenrider4ever  Uworld QID 11852 talks about this Also FA 2020 pg. 408 (under mast cells) +