ddoorn_04 Posted September 22, 2005 Share Posted September 22, 2005 I'll give it a shot... This will probably be pretty easy for experienced PAs and PA-S also, but what the heck. What is the Tetrology of Fallot? Extra: What piece of history can be linked with this? Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted September 22, 2005 Share Posted September 22, 2005 I'll give it a shot... This will probably be pretty easy for experienced PAs and PA-S also, but what the heck. What is the Tetrology of Fallot? Extra: What piece of history can be linked with this? One pathology: an inferior/anterior displacement of the ventricular outflow part of the septum. Four resulting abnormalities: VSD, pulmonic stenosis, overriding aorta, RVH. Hx: "blue baby" ?? Quote Link to comment Share on other sites More sharing options...
Marlene G Posted September 22, 2005 Share Posted September 22, 2005 Laughing angel - not to worry - you will pass the PANCE with flying colors. You are good! Way to go! Quote Link to comment Share on other sites More sharing options...
ddoorn_04 Posted September 22, 2005 Share Posted September 22, 2005 One pathology: an inferior/anterior displacement of the ventricular outflow part of the septum. Four resulting abnormalities: VSD, pulmonic stenosis, overriding aorta, RVH. Hx: "blue baby" ?? Yep! 100% Laughing Angel! Here are a couple of interesting links about the Blue Baby surgeries. I watched the movie on HBO and really enjoyed it. http://www.jhu.edu/~gazette/2004/17may04/17hbo.html http://www.jhu.edu/~gazette/aprjun95/may3095/30blue.html Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted September 22, 2005 Share Posted September 22, 2005 Very cool links! Thank you! {And thak you, too, M :) } Here's one from my current rotation... what's the most common opportunistic infection in an HIV-infected pt? Quote Link to comment Share on other sites More sharing options...
ddoorn_04 Posted September 22, 2005 Share Posted September 22, 2005 Very cool links! Thank you! {And thak you, too, M :) } Here's one from my current rotation... what's the most common opportunistic infection in an HIV-infected pt? Glad you enjoyed the links! Is it candidiasis? We just went over this in Derm class and I remember our prof saying it was a common opportunistic infection in HIV pts, though she didn't say it was the most common. If it isn't I'll be interested in seeing what is! Quote Link to comment Share on other sites More sharing options...
Guest khatereh Posted September 23, 2005 Share Posted September 23, 2005 Pnuomocystis carinii? It is a fungal pneumonia. At least way back when I was in grad school it was mentioned as the most common, not sure if things have changed??? Quote Link to comment Share on other sites More sharing options...
Marlene G Posted September 23, 2005 Share Posted September 23, 2005 But my understanding is that the prophylaxis treatment for it in AIDS patients is bactram. Quote Link to comment Share on other sites More sharing options...
v_chicky Posted September 23, 2005 Share Posted September 23, 2005 hmmm, trying to think back to micro, i'll go with pneumocystis carinii Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted September 23, 2005 Share Posted September 23, 2005 Good job, people! It is Pneumocystis carinii pneumonia (actually renamed Pneumocystis jirovechi, but no one here calls it that). And in an AIDS pt with a CD 4 count >200, recommended prophylaxis is Bactrim! Candida is also high on the list, but I'm not sure where... Here's one I got today... what are the three top bugs in bacterial meningitis? The prevalence of one bug has decreased over the last decade or so - why? Quote Link to comment Share on other sites More sharing options...
ajnelson Posted September 23, 2005 Share Posted September 23, 2005 Neiserria Meningitidis H.flu - decreased because there is now a vaccine & I can't remember the 3rd for sure...maybe Strept pneumo? Quote Link to comment Share on other sites More sharing options...
Guest khatereh Posted September 23, 2005 Share Posted September 23, 2005 Ok, so you are making me think, I took micro about 6 or 7 years ago in chiropractic school! These are the pathogens that I recall (with help from the hubby :), not sure if the top ones! Streptococcus pneumoniae Neiseria meningitidis Group B streptococci Listeria monocytogenes Haemophilus influenza Is the decrese due to a new vaccine?? Quote Link to comment Share on other sites More sharing options...
Guest khatereh Posted September 23, 2005 Share Posted September 23, 2005 ooops, sorry ajn, didnt see your response Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted September 23, 2005 Share Posted September 23, 2005 Neiserria MeningitidisH.flu - decreased because there is now a vaccine & I can't remember the 3rd for sure...maybe Strept pneumo? those are the three, and H flu b is less prevalent because of the vaccine. good job to you, too k! Quote Link to comment Share on other sites More sharing options...
ajnelson Posted September 25, 2005 Share Posted September 25, 2005 It amazes me that I actually remember some of this micro stuff! Ok guys, since I'm in a surgery rotation, I'll throw out one of the questions I was pimped on: What types of bacterial infections (what general grouping of bacteria) do you need to worry about with a patient that has had a splenectomy. What immunizations would you want to give this patient before they are discharged from the hospital? Quote Link to comment Share on other sites More sharing options...
Contrarian Posted September 25, 2005 Share Posted September 25, 2005 pneumococcal pneumonia (I had a speenectomy...:rolleyes: ) Quote Link to comment Share on other sites More sharing options...
ajnelson Posted September 25, 2005 Share Posted September 25, 2005 pneumococcal pneumonia that's one...there are 2 more Quote Link to comment Share on other sites More sharing options...
melcal Posted September 25, 2005 Share Posted September 25, 2005 pneumonia, bacteremia & meningitis due to s. pneumo, n. meningitides, & h. influ? vaccinations: pneumococcal, meningococcal, & hib (h influ type b) Quote Link to comment Share on other sites More sharing options...
ajnelson Posted September 26, 2005 Share Posted September 26, 2005 vaccinations: pneumococcal, meningococcal, & hib (h influ type b) good job! now - can anyone tell me what these bacteria have in common & what that has to do with not having a spleen? Quote Link to comment Share on other sites More sharing options...
melcal Posted September 26, 2005 Share Posted September 26, 2005 hmm... they're encapsulated bacteria.....and the spleen helps to get rid of bacteria...... i'm sure i'm missing something else here.... Quote Link to comment Share on other sites More sharing options...
ajnelson Posted September 26, 2005 Share Posted September 26, 2005 hmm... they're encapsulated bacteria.....and the spleen helps to get rid of bacteria...... i'm sure i'm missing something else here.... Not missing anything - the spleen helps get rid of encapsulated bacteria, so when a person has a splenectomy, they need to get vaccinated against these organisms to help prevent infection. If I remember correctly usually you do it about 2 weeks post-op, but since 98% of the pts I take care of right now don't have insurance or are even legal US citizens, we make sure they are immunized before they leave the hospital. Quote Link to comment Share on other sites More sharing options...
pahopeful Posted September 29, 2005 Author Share Posted September 29, 2005 New Question...asked of me today on internal med rounds: What are 4 signs of CHF seen on CXR? Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted September 29, 2005 Share Posted September 29, 2005 Cardiomegaly, congestion of the pulmonary veins, Kurley B lines, & pleural effusion ?? Quote Link to comment Share on other sites More sharing options...
pahopeful Posted September 29, 2005 Author Share Posted September 29, 2005 Cardiomegaly, congestion of the pulmonary veins, Kurley B lines, & pleural effusion ?? Exactly...Too easy for you Angel! Good job. pahopeful Quote Link to comment Share on other sites More sharing options...
ajnelson Posted September 29, 2005 Share Posted September 29, 2005 Ok - here's another! What are the 5 reasons for post-operative fever & in what time frame do they usually appear post-op? Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.