Marlene G Posted January 14, 2005 Share Posted January 14, 2005 There is nothing like actual practice. It is so true. One actual clinical case speaks volumes of text work. I am quite grateful for our practicing PAs, here. Quote Link to comment Share on other sites More sharing options...
doboy Posted January 15, 2005 Share Posted January 15, 2005 30-35% are misdiagnosed... polynephritis is the condition that it is confused with. I was asked that same question earlier today.... Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted January 15, 2005 Share Posted January 15, 2005 "Answer: The misdiagnosis rate of appendicitis is 30-35% overall in pregnancy; the most common condition confused with appendicitis is pyelonephritis (Rosen's Emergency Medicine, 5th. Ed., pg. 2431). " Kinda scary to think about... add that to the list of "things that I'd better be careful about or else I'll kill my patient" :eek: Quote Link to comment Share on other sites More sharing options...
Guest rdennisjr Posted January 16, 2005 Share Posted January 16, 2005 A bit late to the conversation but one question back....Augmentin is also a grand choice for foot puncture wounds....as it is for prophylaxis in cat bites of any type. Dog bites less concern due to the much much lower rate of infection... Dennis Quote Link to comment Share on other sites More sharing options...
doboy Posted February 3, 2005 Share Posted February 3, 2005 Ok Gang!! Time to be Pimped once again. This question comes from my physical dx course this morning, it should be an easy one. In allergic rhinitis, what color will the nasal mucosa be upon examination?? Quote Link to comment Share on other sites More sharing options...
Monica Posted February 3, 2005 Share Posted February 3, 2005 pale or violaceous because of venous engorgement.... as opposed to erythema with viral rhinitis ;) M Quote Link to comment Share on other sites More sharing options...
Marlene G Posted February 4, 2005 Share Posted February 4, 2005 Pale to bluish in appearance. Quote Link to comment Share on other sites More sharing options...
doboy Posted February 4, 2005 Share Posted February 4, 2005 You are correct. Good Job. Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 10, 2005 Author Share Posted February 10, 2005 Hey Everyone, I finally came across some trivia worthy of pimping. Here goes... What signs (note: NOT symptoms) do liver failure and pregnancy have in common? Saw this while I was studying tonight and thought you guys might like to have a go at it. pahopeful Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 10, 2005 Share Posted February 10, 2005 Fatty liver of pregnancy has the same symtoms of preeclampsia - hypertension, edema, proteinuria. It also presents in the third trimester, like preeclamsia. Is that what you were asking about? Quote Link to comment Share on other sites More sharing options...
Guest Negeen Posted February 10, 2005 Share Posted February 10, 2005 Hey Everyone! This is a great thread---i'm lovin it. I used to get on this site everyday before PA school started (how easy life was...)-- i'm in my second semester now and its so encouraging to be able to read these questions and actually know what you guys are talking about--give me some time, i'll be able to throw and answer a couple too! (yes..without cheating!) jk CDT has become my best friend. :) Negeen Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 10, 2005 Author Share Posted February 10, 2005 Fatty liver of pregnancy has the same symtoms of preeclampsia - hypertension, edema, proteinuria. It also presents in the third trimester, like preeclamsia. Is that what you were asking about? Actually, I was looking for sometihng that liver failure (not associated with pregnancy) has in common with pregnancy in terms of what signs you would see on physical exam. Sorry if the question was confusing! Thanks for guessing Angel. Anybody else have a guess?? pahopeful Quote Link to comment Share on other sites More sharing options...
merseur Posted February 10, 2005 Share Posted February 10, 2005 edema on extremeties maybe jaundice? Not really sure Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 10, 2005 Share Posted February 10, 2005 Enlarging abdomen? Thinking of the 7 F's... :confused: Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 11, 2005 Author Share Posted February 11, 2005 This is kind of an obscure question so please don't retaliate in the future!! :D ha ha I think that both of yall's guesses are good, but they weren't what I was looking for. Hint: one of the signs has to do with (micro)vasculature and one has to do with fluid accumulation (but not in the abdomen!) Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 11, 2005 Share Posted February 11, 2005 Hemorrhoids?? Spider angiomas? No plan to retaliate here... I love being stumped... I usually remember the learning point longer :p Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 11, 2005 Author Share Posted February 11, 2005 Well Angel, I like being stumped too so thanks for playing along. The answer is: spider telangiectasias and palmar erythema Sorry that I put on the hint that one of the commonalities had to do with fluid accumulation...I think that my brain is bewildered with so much studying today and I was thinking palmar edema, not erythema (duh)...sorry! Good job though Angel on figuring out the spider telangiectasias. Like I said, obscure question, but definitely pimp-worthy! ;) I just found it interesting how much pregnancy can do to your body. Anybody else got a question for us to figure out?? pahopeful Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 11, 2005 Share Posted February 11, 2005 Name the disease/process that these findings are characteristic/ pathognomonic for... 1. Potato Nodes 2. Cheese and ketchup 3. Anchovy paste abscesses 4. Currant jelly (2 different ones) 5. Strawberry tongue Quote Link to comment Share on other sites More sharing options...
Marlene G Posted February 11, 2005 Share Posted February 11, 2005 Name the disease/process that these findings are characteristic/ pathognomonic for... 1. Potato Nodes 2. Cheese and ketchup 3. Anchovy paste abscesses 4. Currant jelly (2 different ones) 5. Strawberry tongue 1. Sarcoidosis 2. AIDS - cottage cheese and ketchup appearance of retina 3. Amebiasis 4. Stool appearance in intussusception & Klebsiella mucous (sputum) 5. Particularly in scarlet fever and Kawasaki disease 1 Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 12, 2005 Share Posted February 12, 2005 Good job, Marlene! Only thing missing that I was hoping to see was the name of the bug involved in the AIDS-associated retinitis and the amebiasis. Dig deep in the micro notes in your brain... :p Quote Link to comment Share on other sites More sharing options...
Marlene G Posted February 12, 2005 Share Posted February 12, 2005 CMV (cytomegalovirus) can cause retinitis in AIDS. Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 16, 2005 Share Posted February 16, 2005 Please excuse my tardiness... I'm trying to have a life while studying for a final and making room for all the fun here ;) 1. Potato Nodes = sarcoidosis 2. Cheese and ketchup = CMV retinits 3. Anchovy paste abscesses = Entamoeba histolytica liver abscesses 4. Currant jelly (2 different ones) = sputum in Klebsiella pnuemonia, intussussception 5. Strawberry tongue = Strep pyogenes pharyngitis, Kawasaki disease Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 21, 2005 Share Posted February 21, 2005 Name three abx (and their respective classes) that cause C diff colitis. Quote Link to comment Share on other sites More sharing options...
doboy Posted February 21, 2005 Share Posted February 21, 2005 Angel, Did you want cause, or tx is resistant to??? Resistant to: Cephalosproins- keflex - inhibitor of cell wall synthesis Clindamcin- cleocin- protein synthesis inhibitor Vancomycin- inhibitor of cell wall synthesis ok time to get back to class.... have a good day :) Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 21, 2005 Author Share Posted February 21, 2005 Name three abx (and their respective classes) that cause C diff colitis. I had thought that all abx can cause pseudomembranous (C. difficile) colitis...is that not true? That said, my guesses are: ampicillin (penicillin) cephalosporins tetracyclines I had only heard of ampicillin/penicillin, but I looked up the other 2 from various websites. (I know, cheating ;) ) pahopeful Quote Link to comment Share on other sites More sharing options...
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