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Welcome to sne’s page.
Contributor score: 46


Comments ...

 +7  (nbme24#30)
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RO t&;g1 tsaecniid raecdenis coececrurn of .neevt heT lnoy RO eeartgr atnh 1 swa in hte tabel ahtt danicdeit atth eht ctubejs aet ieoscok utb nidtd' rnidk .klim su,hT thta is het ynol one hitw a iigafnitscn nrcucercoe


 +34  (nbme23#3)
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coAicholl = etrcaanicp iniyuic.nfescf ,oicielLn oilce, nad pamiclit ciad nca be sebrbdao twuoiht aepactnric psalies inesc 'eyhtre ujst feer yttfa das.ci Tryeslirigdec dene to eb boerkn ndwo yb isespla refboe ointb.rsopa

Bile idsca are het iamn eomdht rfo glnemiiinat oeoltrs,clhe tno nprteiacac myseezn

rina  also palmitic acids are fats that are synthesized de novo in the human body for storage so it wouldn't make sense to poop them out +2

 +1  (nbme23#47)
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I ohhttug fo ti keli wenh hes tesg up frmo a onrpe tnipoo,is hes is cgediearsn eth ldboo gniog to erh a,ther os so hte eth aomxym aucsse remo cosobuttr.in oAsl sxoymma caues nyit eblm,oi hwcih nca go to het tyimcses iuoaccritln nugasic nmii ihmbtro ni the nabir adn bms.li

bigjimbo  Left atrial myxoma can mimic mitral stenosis (thus diastolic murmur) +1
btl_nyc  RVOT obstruction would cause a systolic murmur that gets louder when standing, not diastolic. +2
snripper  RVOT obstruction = Hypertrophic Obstructive Cardiomyopathy which causes diastolic dysfunction (S3) not a systolic murmur. +

 -8  (nbme22#42)
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Scein esh sha aeclic crspeu -t-g;& fat mvitnai tpralamoniob,s htus Vti. D is c doaewsredeL .vit D = lwo oiltaci,rlc wol ibtsoorpan fo thpsapeoh ofrm ti,eetsnni adn owl tsornoiabp of a+C2 sngcuai an rceaisne HPT


 +1  (nbme23#23)
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uAcet hmtaas rebxcanat o1.ie tr lue.bA2lo orssid3r.Ci octeot optiraprumI

youssefa  I guess they described a COPD exacerbation here since she's a smoker and Xray showed a wide AP diameter. Either ways Ipratropium would make the best answer since its used in both cases. +3




Subcomments ...

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hTe tginh is, hte noitcasmiplha cartt ossrces 2 rbaervelt esevll up nad hetn sdeseusact ta the rtinroea hwtie rmomceussi ot tge omrf eht grhit to the tl,fe os who od I konw ciwhh beelrarvt ellve d'I eb ikwngor on isht gu?y

chris07  I think the assumption here is that we are dealing with the cord section at the level of the problem. The picture is incredibly misleading. You have to orient yourself. The dorsal columns F, E, A, B are facing the patient's posterior. Once you properly orient it in 3D space, you know that what's labeled "right" is actually the patient's left, and what's labeled "left" is his right side. Super confusing. +2  
sne  The input arises in a limb/part of body at the level of lesion, enters through the dorsal root (pictured between A and B), decussates and ascends at the anterior commissure, and finally synapses on the second order neuron in the lateral spinothalamic tract. So the spinothalamic tract is responsible for contralateral pain and temperature sensation. So AT THE LEVEL technically would be in the dorsal column +11  
nwinkelmann  also, @chris07, I think you're wrong about the labels being wrong on the image. Becuase the spinothalamic tract = contralateral pain and temperature, and the patient's pain is on the right side, you would want to target the left spinothalamic tract for pain relief, i.e. the area labeled H. The area labeled D would be the right spinothalamic, purely because that is how the image is labeled. If you assume the label is different, you will get it wrong. +11  
kpjk  @sne I don't think entering from the dorsal root would be between A and B. It would be part of the gray matter so, lateral to B and F +2