to snoo-finity ... and beyond!
to snoo-finity ... and beyond!
If the abnormality was something more life threatening, wouldn't the first action be to call the pediatrician? I was thinking, limb extremity might mean something else more serious was happening too --> need pediatrician right away to dx.
Did anyone else go down the: she's hypotensive so maybe she'll get waterhouse friderichsen syndrome because nothing else is making sense to me at this point??? route -
Turns out, severe malaria can cause cardiovascular collapse and hypotension.
Key words: "at this time" and "can be helpful"
The answer to this question isn't: great - now we're going to take him off the vent because you told us that's what he wanted.
The patient has a prior history of hysterectomy with bilateral salpingo-oophorectomy, and received external beam radiation to the pelvis. The patient now displays hydronephrosis and hydroureter, with distal ureteral narrowing bilaterally. The likeliest option is that we are seeing adhesions from previous surgery constrict the ureters, causing this.
E) Urothelial carcinoma (also called transitional cell carcinoma) is also a possibility. What makes this unlikely is the location: bilateral. The prior hysterectomy and bilateral salpingo-oophorectomy would leave scar tissue on both sides of the body, but the odds of urothelial carcinoma arising bilaterally are very slim.
A) The patient had a hysterectomy, so the odds of recurrent cervical carcinoma are also incredibly low. C) and D) Urethral condyloma and urethral transitional cell papilloma are in the wrong location to account for bilateral urethral narrowing with hydroureter.
She just completed the course of rituximab, which targets CD20 receptors. B-cell deficiency can predispose to bacterial infections.
b) BM failure is not associated with rituximab c) wrong d) wrong e) this occurs w/in 7-10 days of starting treatment, and would not occur after completing a 4-month course of rituximab.
Even if you didn't which one vector was Anaplasma, I believe choice A was the only one in which both organisms shared the same vector.
Visceral leishmaniasis causes hepatosplenomegaly and most importantly, pancytopenia. It is often found in people who visit the Middle East and is transmitted by the Sandfly. Why did NBME put 2 Leishmania questions on this form lol
Informed consent should be obtained by a provider who has sufficient knowledge to give an accurate description of the intervention, the risk and benefits, alternative treatments and to answer all of the patient's questions
Episiotomy is cut from vagina to the perineal body for child birth
Me reading this question stem: .....do you mean which of the following ENZYMES?