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I am the Object of My Pimp's Affection


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Fine, if no one else wants it:

1. It happened during a hard stop/brake.

2. They felt/heard a snap?

3. I'm not gonna add BS

4. I'm all out

I'll give you the first 2. Good job!

1) non-contact injury (similar to what you describe) it can also happen with rotation. Usually I've heard people say they were "juking," as in run straight and then planted foot out to quickly change direction left or right.

 

2) felt/heard a pop. Right on!

 

3) effusion (swelling following injury)

 

4) could not return to play (or whatever activity they were doing)

 

Further, you can usually see bone edema of the lateral epicondyle of the femur and lateral plateau of tibia on MRI as these slam together.

 

Bonus question: what other structure is torn about 60% of the time with the ACL?

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I start clinical rotations in 4 months.....last didactic semester begins tomorrow! So I'm planning on being pretty active in this thread from now until then!

 

I'll start off with this one that I found last night while doing PANCE review:

 

What drug is contraindicated in Tx of anorexia ?

Wellbutrin/Zyban. Increases the seizure threshold if I'm not mistaken..

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Wellbutrin/Zyban. Increases the seizure threshold if I'm not mistaken..

buproprion causes decreased appetite as well. And not to sound like a smart ass, just trying to save you some trouble in front of an attending, it's decreases seizure threshold. I know that you were trying to say it makes your more like to seize, but the way to say it is it decreases the threshold. Just FYI
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All of the above is correct!

 

MAOIs can cause severe hypertension if eaten with tyramine foods (wine, cheese, beer etc).

 

 

Zyban/Wellbutrin lowers the seizure threshold in a patient with AN

 

 

A patient presents with chronic, unremitting hiccups....what is the most likely cause?

 

Additionally, in hiccups (acute) what nerve(s) are being pinched/aggravated?

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buproprion causes decreased appetite as well. And not to sound like a smart ass, just trying to save you some trouble in front of an attending, it's decreases seizure threshold. I know that you were trying to say it makes your more like to seize, but the way to say it is it decreases the threshold. Just FYI

Thanks for the heads-up. Brain fart by me.

 

Also, on the hiccups question: vagus or phrenic nerve. I've heard it could be either? Obviously the phrenic innervates the diaphragm which is involved in the jerking reflex of a hiccup. Going back to gross anatomy, I can visually see the vagus nerve has the esophageal plexus and can induce hiccups if aggravated as well. 

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on average how many alcoholic beverages per day does someone need to drink over what period of time to develop alcoholic cardiomyopathy?

( X drinks/day x Y years)?

just realizzed no one answer this. the magic # of drinks is 7 day x 5 yrs to be at significant risk for etoh cardiomyopathy. seems like a lot, but I had a 22 yr old frat kid the other day admit to 20 beers/day for 5 years...

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