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Wouldn't pshychological SD have normal libido and just performance anxiety?
Ilioingual covers part of the medial thigh, base of penis and anterior scrotum
Posterior scrotal nerves are a branch of pudendal and cover said area
Doral nerves cover the dorsum of the penis which are also from the pudendal
I thought it was the Genitofemoral nerve because the genital branch supplies the cremaster and scrotal skin, but I looked it up and: The genital branch passes through the *deep inguinal ring* and enters the inguinal canal; also, Ilioinguinal wraps around the spermatic cord just like the question stem says.
"The structures which pass through the canals differ between males and females:
in males: the spermatic cord and its coverings + the ilioinguinal nerve." from wiki "Inguinal canal", which means the ilioinguinal nerve lies on the external surface of spermatic cord. https://en.wikipedia.org/wiki/Inguinal_canal
The contents of spermatic cord includes, "nerve to cremaster (genital branch of the genitofemoral nerve) and testicular nerves (sympathetic nerves). It is worth noting that the ilio-inguinal nerve is not actually located inside the spermatic cord, but runs along the outside of it, in the inguinal canal." from wiki spermatic cord.
Why wouldn't you do a transesophageal echo, just to establish what you're dealing with?
I think since you already did an ECG and you know it's for sure 3rd degree AV block, TEE probably wouldn't change the management at all, so you wouldn't want to expose pt to extra risk of a procedure (however minor it may be).
I feel like more invasive testing typically is not the correct answer when you can avoid it, as a general theme.
@leaf_house - Whenever two imaging tests that are similar with advanced clinical decision making tools being used to decide which one to do (TEE vs TTE)- I generally assume that I can eliminate both as a choice- especially in this case where the definitive Tx is a choice.
Yes, the question clicked for me when I realized the ligament was on the RT side instead of LT so I thought of Volvulus.
Image of ligament of treitz: https://media.springernature.com/original/springer-static/image/chp:10.1007/978-3-642-13327-5_17/MediaObjects/978-3-642-13327-5_17_Fig3_HTML.gif
So Volvulus regardless in baby or adult is gonna cause SMA prob
+ Duodenal Obstruction: d/t Ladd bands
im gonna go back and remember those associations :)
Yeah, recall that the midgut rotates AROUND THE SMA in development. If you can recognize that the ligament of Treitz is on the wrong side (right) then you know you have a malrotation issue. Then you recall the midgut rotates around the SMA and you pick that answer out of pure association recall and get it right. Nice.
Well color me surprised. I was completely thrown off here.
@almondbreeze go to the cardiovascular pharmacology you will see a draw of lipid lowering agents and you will find niacin en two places ++one on the adipose tissue and the second one in the liver by the vldl production. in the text in the same page is also mention it FA 2018 pg 313.
I still don't quite see how C corresponds to those 2 processes...
and explains the flame hemorrhages (Goljan) caused by malignant HTN
The flame hemmorhages are also a good buzz word for recognizing he has hypertensive retinopathy 2e chronic, uncontrolled HTN. Pt's with hypertensive retinopathy can also present with "cotton wool spots" and "macular star". Pics on FA 2019, p. 299
great link! helps answer other qs too thank you :)
Patient has CHF from the S3 heart sound and has MR. You hear fine crackles in early congestive heart failure.
No Infection - normal temps ; Q-fever presents with A patient with exposure to waste from farm animals who develops:
a. nonspecific illness (myalgias, fatigue, fever [>10 days],
b. retroorbital headache)
c. normal leukocyte count
e. increased liver enzymes
This patient has CHF. But it kind of sort of seems like he's presenting with a PE.