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I am the Object of My Pimp's Affection

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Why does one start anticoagulation with heparin or LMWH rather than simply starting on coumadin?

 

Another billing opportunity?

 

(sorry, now back to your regularly scheduled programming.......)

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Heparin works more immediately since it is effecting antithrombin III which is already present while coumadin effects the liver and prevents making factors II,VII,IX, and X by inactivating and possibly preventing manufacturing of Vit K.

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Heparin works more immediately since it is effecting antithrombin III which is already present while coumadin effects the liver and prevents making factors II,VII,IX, and X by inactivating and possibly preventing manufacturing of Vit K.

 

You're correct about that, but not the whole picture.

 

There are some effects of coumadin which require concomitant anticoagulation.

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You're correct about that, but not the whole picture.

 

There are some effects of coumadin which require concomitant anticoagulation.

 

 

This one died off.....anyone else want to take a stab?

 

New one below->

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Can't remember what Roth Spots are but Osler's nodes I believe are raised tender lesions on the fingers and toes while Janeway Lesions are non-tender sort of macular lesions on the palms and soles of the feet? They are both indicative of bacterial endocarditis and arise due to immune complex deposition I believe.

 

What is the difference between Roth Spots, Osler Nodes, and Janeway Lesions?

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What is the difference between Roth Spots, Osler Nodes, and Janeway Lesions?

 

Roth spots are white spots around the optic disc which also indicate endocarditis

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What antibiotic should you NOT GIVE to anyone you suspect of having mono vs strep, and what side effect (if you do give this drug) can give you the diagnosis?

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What antibiotic should you NOT GIVE to anyone you suspect of having mono vs strep, and what side effect (if you do give this drug) can give you the diagnosis?

 

just asking (and i understand the point of your question, which was probably poorly stated): why give anyone with suspected mono abx at all? of course you wouldn't.

 

What you meant was " what is the common side effect of amoxicillin treated pharyngitis felt to be strept but in fact is mono"...

 

and, more interestingly,

 

why does this happen?

 

v/r

 

davis

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Guest megt
I'm game...

 

Triad of Normal Pressure Hydrocephalus is gait disturbance, incontinence, and dementia?

 

Anybody else have a pimpin' question??!

 

Not sure if anyone else has posted this, but the psychiatrist who precepted me in beh med used "wacky, wobbly and wet" to help remember the NPH triad. Hope it helps!

 

In addition, he has had several pts who presented with these symptoms, and the CT showed no ventricular enlargement. He was suspicious, so he ordered an LP anyway, and guess what...the symptoms resolved. Take note...if the NPH has been long standing without correction, often the damage is done and an LP won't help, but it's worth a shot! Moral of the story...if you see wacky, wobbly and wet pts, don't forget about NPH!

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I got pimped today, on my internal med rotation, about neuroanatomy. He wanted me to name the six nuclei of the basal ganglia system....uhhh...yea, wasn't able to pull that answer out of my butt

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.......but you looked it up, so what are they?

 

i thought the purpose of this thread is to see if my colleagues have the answer off the top of their heads...but i can post the answer if no one else will

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Guest JDCitizen
i thought the purpose of this thread is to see if my colleagues have the answer off the top of their heads...but i can post the answer if no one else will

 

Hmmm without cheating I am waiting :-) I think I have some but not all....

 

 

Let’s see if I can do this right

 

 

A patient presents with loss of sight in less than a month than during exam the patient admits to having a sore (ulcer) on the scrotum.

 

Where else might one look to help with the diagnosis??

 

What is the probable syndrome???

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Hmmm without cheating I am waiting :-) I think I have some but not all....

 

 

Let’s see if I can do this right

 

 

A patient presents with loss of sight in less than a month than during exam the patient admits to having a sore (ulcer) on the scrotum.

 

Where else might one look to help with the diagnosis??

 

What is the probable syndrome???

 

I did pretty awful in Rheum, but I remember this one. Small vessel vasculitis, and potential uveitis. Behcet's disease. I dont recall a specific test for diagnosis, but I do recall it having an affinity for certain races. Asian is all I can remember. I will not go into Rheum for fear of making pt's even more miserable.

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I did pretty awful in Rheum, but I remember this one. Small vessel vasculitis, and potential uveitis. Behcet's disease. I dont recall a specific test for diagnosis, but I do recall it having an affinity for certain races. Asian is all I can remember. I will not go into Rheum for fear of making pt's even more miserable.

 

I believe oral ulcers are one of the criteria for a Behcet's diagnosis...not sure if Behcet's is the answer to the original question, though

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Guest JDCitizen

Hmmm without cheating I am waiting :-) I think I have some but not all....

 

Let’s see if I can do this right

 

A patient presents with loss of sight in less than a month than during exam the patient admits to having a sore (ulcer) on the scrotum.

 

Where else might one look to help with the diagnosis??

 

What is the probable syndrome???

 

 

---

 

Behcet's is the correct answer... There must not be any routine tests for this between Neurologist, Ophthalmologists, Retinal Specialists (labs, x-rays, ct-scans and a spinal tap), I did submit consultation for Rheumatology but the patient’s case went to another group of providers before that went through…..

 

 

Still would like to see the answer to “the six nuclei of the basal ganglia system”

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Hmmm without cheating I am waiting :-) I think I have some but not all....

 

Let’s see if I can do this right

 

A patient presents with loss of sight in less than a month than during exam the patient admits to having a sore (ulcer) on the scrotum.

 

Where else might one look to help with the diagnosis??

 

What is the probable syndrome???

 

 

---

 

Behcet's is the correct answer... There must not be any routine tests for this between Neurologist, Ophthalmologists, Retinal Specialists (labs, x-rays, ct-scans and a spinal tap), I did submit consultation for Rheumatology but the patient’s case went to another group of providers before that went through…..

 

 

Still would like to see the answer to “the six nuclei of the basal ganglia system”

 

 

I normally do not get involved in the answering of these questions, but this question has been on too long. I believe there are : Caudate nucleus, Stratium, Pallidum, Substantia nigra and Subthalmic nucleus. (most anatomists exclude the claustrum and amygdyla as they do not have any function for movement)

 

but the anatomy and termonology is confusing dated and varies regionally amonst neuroradiologists

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