v_chicky Posted February 21, 2005 Share Posted February 21, 2005 what doboy said except substitute broad-spectrum penicillins for vancomycin. Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 21, 2005 Share Posted February 21, 2005 As we learned it, clindamycin, cephalosporins, and broad-spectrum pencillins. The following is a quote from emedicine.com's topic, "Pseudomembanous Colitis" . Please excuse me if the question was worded kinda funky :o "Commonly implicated antibiotics include clindamycin, ampicillin and other penicillins, and third-generation cephalosporins; however, some reports implicate nearly all antibiotics, including fluoroquinolones and some antineoplastic agents that have antibacterial activity." Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 21, 2005 Author Share Posted February 21, 2005 No problem, Angel. I was just curious about what you had learned. It's funny that you looked it up on emedicine, b/c that's the resource I used! Anyways, good pimp question...thanks for sharing pahopeful Quote Link to comment Share on other sites More sharing options...
v_chicky Posted February 23, 2005 Share Posted February 23, 2005 hmmm... what type of thyroid cancer cannot be diagnosed with fine needle aspiration? Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 23, 2005 Moderator Share Posted February 23, 2005 epiglotitis (A true emergency!), coma, absence of ability to maintain a patent airway, severe airway edema, maybe severe obstruction How did i do? EPIGLOTITIS CAN ACTUALY BE AN INDICATION FOR CRICH DEPENDING ON THE CIRCUMSTANCES.......YOU DON'T WANT TO MESS WITH AN ALMOST COMPLETELY OBSTRUCTED AIRWAY IF YOU CAN AVOID IT. BETTER TO GO DOWNSTREAM..... Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 23, 2005 Author Share Posted February 23, 2005 Okay...here's a question we were asked in lecture yesterday: What is the most common organism found in osteomyelitis in kids with sickle cell disease? There are a couple of possible organisms, but one (we were told) is more common than the others and is one not to miss. pahopeful Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 23, 2005 Share Posted February 23, 2005 Salmonella cholera-suis! (OK, I admit... had to look that one up. It was in my class notes, just not in my fuzzy blonde head :p ) Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 23, 2005 Share Posted February 23, 2005 hmmm... what type of thyroid cancer cannot be diagnosed with fine needle aspiration? bump........... Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 23, 2005 Share Posted February 23, 2005 Nice to see there's a PA-C around to keep us on path... Since you are a precptor, how about a few pimping questions? I think those of us who are participating in this thread would LOVE that :D Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 23, 2005 Author Share Posted February 23, 2005 Salmonella cholera-suis! (OK, I admit... had to look that one up. It was in my class notes, just not in my fuzzy blonde head :p ) Salmonella is right...Good job Angel! Quote Link to comment Share on other sites More sharing options...
maryfran123 Posted February 23, 2005 Share Posted February 23, 2005 Here's one that may be a little too easy for the crowd that hangs around this board :p I'm posting it since it's just about the season for this: Clues: herald patch christmas tree pattern cigaretter paper appearance of lesions general exanthem typically 1-2wks after herald patch What is the disease, what seasons does it appear typically, treatment, typical course of the disease Ready, set, go................... :) Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 23, 2005 Author Share Posted February 23, 2005 Here's one that may be a little too easy for the crowd that hangs around this board :p I'm posting it since it's just about the season for this: Clues: herald patch christmas tree pattern cigaretter paper appearance of lesions general exanthem typically 1-2wks after herald patch What is the disease, what seasons does it appear typically, treatment, typical course of the disease Ready, set, go................... :) Pityriasis rosea I don't know about the season, but I'm assuming winter...It is thought to be associated with viruses, but it is not know which one (according to my research) Can also be associated with drug rxns Treatment is for pruritis...includes topical steroids, oral antihistamines, or oatmeal baths, UV-B light can also be used Rash usually resolves by 6 wks II know, I'm spending way too much time on this website!! ha ha pahopeful Quote Link to comment Share on other sites More sharing options...
melcal Posted February 23, 2005 Share Posted February 23, 2005 pityriasis rosea is seen in spring & fall Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 24, 2005 Share Posted February 24, 2005 Here's one that may be a little too easy for the crowd that hangs around this board :p I'm posting it since it's just about the season for this: Clues: herald patch christmas tree pattern cigaretter paper appearance of lesions general exanthem typically 1-2wks after herald patch What is the disease, what seasons does it appear typically, treatment, typical course of the disease Ready, set, go................... :) Pityriasis rosea Spring & fall self-limiting... sunlight helps, steroids & antihistamines don't (have conflicting info on that last part) lasts 6-8 weeks Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 24, 2005 Share Posted February 24, 2005 Not pimping, but studying and need help. How are primary sclerosising cholangitis and primary biliary cirrhosis different? All that is jumping out at me is the IBD connection. Both progressive diseases of cholestasis. Both are autoimmune-related. Both can be asx, or can cause fatigue, jaundice, pruritis, RUQ pain. Both associated with elevated alk phos. (AMA w/PBC) Ursodiol and/or transplant for both. :confused: Quote Link to comment Share on other sites More sharing options...
maryfran123 Posted February 24, 2005 Share Posted February 24, 2005 DIng, Ding, Ding!! I had a feeling it was a little too easy for this group! :D Quote Link to comment Share on other sites More sharing options...
v_chicky Posted February 24, 2005 Share Posted February 24, 2005 don't know if i'm allowed to answer angel... :) but, the differences i found were: PBC has anti-mitochondrial Ab, PSC doesn't PSC has "onion-skin" fibrosis, PBC doesn't PSC associated w/ cholangiosarcoma, PBC isn't happy studying! Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 24, 2005 Share Posted February 24, 2005 don't know if i'm allowed to answer angel... :)but, the differences i found were: PBC has anti-mitochondrial Ab, PSC doesn't PSC has "onion-skin" fibrosis, PBC doesn't PSC associated w/ cholangiosarcoma, PBC isn't happy studying! 'course you can! {i know what you mean, though; that's why I haven't answered the thyroid question... } I did some reading on emedicine and in Currents... PSC usually involves the larger ducts. PBC is usually the smaller-to-medium ducts... this is probably why she has ERCP as diagnostic in PSC but not listed under PBC. Thanks, friend! :) Quote Link to comment Share on other sites More sharing options...
v_chicky Posted February 24, 2005 Share Posted February 24, 2005 what is chorea and what are the 2 main disorders do you see it in? Quote Link to comment Share on other sites More sharing options...
Monica Posted February 24, 2005 Share Posted February 24, 2005 1) Huntington's chorea 2) Chronic progressive hereditary chorea chorea: irrregular, spasmodic, involuntary movements of the limbs or facial muscles, often accompanied by hypotonia. location of responsible cerebral lesion is unknown.--stedman's medical dictionary :) is the second disorder right? Mon Quote Link to comment Share on other sites More sharing options...
pahopeful Posted February 24, 2005 Author Share Posted February 24, 2005 what is chorea and what are the 2 main disorders do you see it in? In adults: 1) levodopa-induced chorea 2) Huntington's disease In kids: 1)rheumatic (syndenham) chorea 2)juvenile huntington's disease Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 24, 2005 Share Posted February 24, 2005 hmmm... what type of thyroid cancer cannot be diagnosed with fine needle aspiration? I can't answer this one, but I can point ya in the direction... see FNAB under... "eval & manangement" http://www.emedicine.com/ent/topic646.htm Quote Link to comment Share on other sites More sharing options...
v_chicky Posted February 24, 2005 Share Posted February 24, 2005 monica - i was asking about huntington's and rheumatic fever. pahopeful - thanks for jogging my memory on the L-dopa induced chorea, i couldn't remember where i'd seen chorea outside huntington's and rheumatic fever. Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted February 26, 2005 Share Posted February 26, 2005 "Sed rate" is a nonspecific test for inflammation. What exactly is it measuring? What is the pathology behind this (look for an eponym as well)? What are the normal limits? Quote Link to comment Share on other sites More sharing options...
Monica Posted February 26, 2005 Share Posted February 26, 2005 Erythrocyte Sedimentation Rate (ESR) it's measuring the rate at which red blood cells settle into anticoagulated blood...it's usually increased in inflammatory states or if someone has anemia. It increases due to the presence of fibrinogen. Normal limits: M < 15, F< 20 mm/hr hope that 's right.....don't know an eponym though, I'm sure someone will post one though, I'm interested to see the answer! thanks for the question! :) Quote Link to comment Share on other sites More sharing options...
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