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aejinkim
@mgemge: the patient's BP is still up there, and for me, she doesn't have a crazy fever that i associated with when i think of TSS
+1
cheesetouch
also TSS they would have to give you tampon use or nasal packing left in for a day. And it wouldn't cause schistocytes.
+1
beltorres23
TTP pentad
FAT RN: Fever, Anemia, Thrombocytopenia, Renal, Neuro symptoms
+2
aakb
The big hint for me was schistocyte formation
+1
meja2
WOW- I must have had a brain fart...completely missed the Schistocyte !!!!
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catacholamine16
Transposition is when a segment of DNA (in this case, coding for resistance) jumps onto a plasmid within the same bacterial cell. That plasmid might then transfer to another nearby bacterial cell via conjugation. Transposition is happening WITHIN the bacterium. Conjugation is how that resistance gene gets transferred.
+14
lsmarshall
Also, E. coli is the classic example of a bug tat uses conjugation. ^but explanation above is correct^
+3
seagull
I think he might have did what I did. I got Transformation mixed up with transposition. FML
+3
luciana
I still can't understand why it can't be transduction. Is it just because of bacterial types?
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thotcandy
@luciana
Yes, I believe so. You have to remember which bacteria have a conjugation pilus - E. coli is the most popular one because of its F sex factor (remember the F+ x F0 thing in FA?)
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mgemge
I was also confused why it's not transduction...but simply as a crappy memory pneumonic TranNsduction TraNSfers ToxiNs FA 2020 p130
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TTP has a classic pentad: microangiopathic hemolytic anemia, thrombotic purpura, fever, renal failure, neurologic abnormalities (AMS). Whenever you see a question where the patient suddenly has a lot going on, consider TTP.