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mitral valve would only have 2 cusps even if it were replaced though right?...
After staring at this for awhile, I wanted to elaborate on this to make it even clearer. The 3 areas that meet at a point would be the 3 cusps. These 3 flaps are going to get blown open. Means flow is from down to up.
i dont think its RA, because they said xray shows new bone formation, where as RA would have erosion
@step1soon were you upset when you wrote this comment? lol
it's saying upper vs lower lip. this pt has it on the nose
Will TB be the answer if they'd mentioned the patient from developing world?
Autoimmune adrenalitis aka addisons disease → adrenals atrophy
1. developing world: TB
2. Western world:autoimmunne
FA 2019 page 334
I think the cancer reference (C) was with respect to an ACTH secreting tumor, which would symmetrically and bilaterally HYPERTROPHY the adrenals
^Just kidding, it says metastatic. My bad!
I feel you my friend! same stupid mistake over here -.-
This sounds like a case of acute endometritis. In any case, uterus is supplied by uterine artery (branch of internal iliac artery) with collateral flow from ovarian artery (comes right off aorta). I don't think there are any branches of external iliac artery into the pelvis; it becomes femoral artery once it passes under inguinal ligament.
Here's a picture that I found helpful [Female Reproductive Tract arterial supply] (https://teachmeanatomy.info/wp-content/uploads/Blood-Supply-to-Female-Reproductive-Tract.jpg)
My issue was the stem said no skin damage (I would think pulling out your hair damages your scalp)
[Turns out it does not](http://onlinelibrary.wiley.com/doi/full/10.1111/j.1529-8019.2008.00165.x)
FA 2019, pg 551
Compulsively pulling out one’s own hair. Causes significant distress and persists despite attempts to
stop. Presents with areas of thinning hair or baldness on any area of the body, most commonly the
scalp. Incidence highest in childhood but spans all ages. Treatment: psychotherapy is first line;
medications (eg, clomipramine) may be considered.
damn its in FA and Ive never ocne read it XO
I spent so long looking at that picture and thinking what the heck are they trying to show me here. I couldn't see any diverticuli, didn't see any cobblestoning, figured the dark patch in between the white patches was necrosis in the end.
Answer is not avoidant personality because these people actually desire relationships whereas schizoid personalities do not (they are content with being loners-like this pt)
i think i saw this on a @DirtyMedicine youtube video but i always think schiZOOOOid wants to be/is happy to be a lOOOOOOner
Or perhaps schizoid wants to avoid :)
how can you differentiate the symptoms of cretinism from Down syndrome?
@whossayin Down Syndrome: upslanting palpebral fissures, atlantoaxial instability, bent little finger, congenital heart disease, displacement of the tongue, excess skin on the back of the neck, flaccid muscles, hearing loss, immune deficiency, low-set ears, mouth breathing, obesity, obstructive sleep apnea, polycythemia, seborrheic dermatitis, single line on palm, thickening of the skin of the palms and soles, thyroid disease, or vision disorder
it's just bronchogenic ca, type of adenoca, which is classically associated with 'hypertrophic osteoarthropathy'
To get it for the test, remember that lung adenocarcinoma is associated with clubbing.
Mechanistically, this woman probably had RA. Then she was exposed to asbestos. The asbestos in the context of RA lead to caplan syndrome. The asbestos also triggered her bronchogenic carcinoma.
Then why isnt Rheumatoid Arthritis right? what comes first? bronchogenic carcinoma or rheumatoid arthritis?
Obviously not the BEST option in this scenario, but seems like it could work unless I'm missing something.
Its primariy driven by PCO2! only when O2 levels drop <50 mmhg is when the body responds to low O2 pressures
I was thinking the same!
Several genetics questions on NBME20 appear to be trying to throw us off by changing the descriptions of inheritance, leaving us to assume incomplete penetrance, smh.