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 +2  (nbme22#13)

Yersinia thrives in cold temperatures and can be obtained from poor sanitated milk. (Check sketchy sketch)

forerofore  growth in cold temperatures seems to be the method of isolation of yersinia enterocolitica https://www.ncbi.nlm.nih.gov/pmc/articles/PMC275385/ https://jcm.asm.org/content/2/6/559

 +4  (nbme22#8)

Patient has BPH. Give alpha one antagonist to reduce smooth muscle contraction and relieve difficulty urinating.

d_holles  lol i thought it was some kind of urinary retention problem and put H.
sbryant6  How is H wrong? Oxybutinin or tolterodine treat urinary incontinence by blocking M3 muscarinic acetylcholine receptors --> urinary retention. We're just supposed to assume they are talking about BPH here because he is old?
jaxx  I agree. I picked "H" for that same logic. Does anyone know where we should have come to the conclusion that this was BPH?
forerofore  they are telling you he's having "difficulty urinating", one of the clinical criteria for BPH is reduced urinary flow rate. this is not incontinence because they are not telling you he leaks at all, just that he pees "a lot"
drzed  Even if he was urinating too much, anticholinergics are contraindicated in the elderly (Beers criteria)
pathogen7  @drzed tI mean techinically alpha-1 blockers are on the Criteria too ...

 +4  (nbme22#43)

IV drug abuse + R heart failure symptoms (congested liver): think tricuspid insufficiency

 +4  (nbme22#39)

Pregnancy can cause dilated cardiomyopathy causing systolic dysfunction.

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