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+--- Thread: Group CS3BM11 -24 March, 2010 - harry206 (/showthread.php?tid=494680)
Group CS3BM11 -24 March, 2010 - harry206 - ArchivalUser - 03-24-2010
Good Morning frndz
How is everyone doing.
0 - ArchivalUser - 03-24-2010
First:-
Important download links:
(A) USMLE Step 3 notes
This file contains Duloxetine Notes and Neeraj Notes for Step 3 and CCS
http://rapidshare.com/files/367458327/USMLE_STEP_3_Notes.rar
(B) First Aid Step 3
http://rapidshare.com/files/367179143/First_aid_for_the_USMLE_STEP_3-2008_edition_WEE.pdf
0 - ArchivalUser - 03-24-2010
Now:
Summary of 23 March Posts:
(A) necrotizing fasciitis: Obtain early surgical consultation for aggressive debridement; however, surgical consultation should not wait for results of laboratory, microbiology, or radiological studies.
(B) Diagnostic criteria for cat scratch disease is :-
lymphadenopathy 10 mm or larger that persists for 3 or more weeks + 3 of 4 of the following criteria -->
(1) Contact with a cat, with or without a scratch mark or a regional inoculation lesion (skin papule, eye granuloma, mucous membrane)
(2) Laboratory and radiology findings: PPD or serology negative for other infectious causes of adenopathy; sterile pus aspirated from node; PCR assay positive for Bartonella; CT scan that reveals liver or spleen abscesses
(3) ELISA positive for serum antibody to B henselae or IFA assay serology test greater than 1:64; a 4-fold rise in titer between acute- and convalescent-phase specimens
(4) Biopsy of node, skin, liver, bone, or eye granuloma showing granulomatous inflammation compatible with catscratch disease; positive Warthin-Starry silver stain finding
For more information on Cat Scratch disease:
emedicine.medscape.com/article/214100-overview
© The varicella vaccine is effective after age 1 year. A single dose provides protection to approximately 85% of recipients. Vaccine-conferred immunity to varicella wanes over time, making more vaccine recipients susceptible to the disease. The Advisory Committee on Immunization Practices (ACIP) and the AAP now recommend 2 doses of this vaccine for all children. After the first dose at age 12-15 months, the second dose should be administered at age 4-6 years. All persons who have received one dose of the vaccine at any time in the past should be offered a second dose.
(D) HIV-associated nephropathy: This disorder presents as nephrotic syndrome with normal complement levels. These patients also may have more nephritic symptoms than membranous nephropathy and minimal change disease. The diagnosis is supported by renal biopsy. Light microscopy shows the lesions of focal segmental glomerular sclerosis. Immunoglobulin M (IgM) and C3 are seen in the sclerotic lesions on immunofluorescence. Most patients present with microscopic hematuria and significant proteinuria. The only treatment is to control the HIV disease. The family history of diabetes and hypertension is irrelevant because this patient does not have these diseases. Taking HIV medications only 70% of the time, as this patient does, will not control his HIV disease, and that is why he can have HIV-associated renal disease.
0 - ArchivalUser - 03-24-2010
My Updates till now:
Finished MKSAP nephro with 57%.
Now doing Respiratory from MTB.
0 - ArchivalUser - 03-24-2010
hey Harry.everything is fine buddy
what is the DOC in meningicoccal inf prevention, what is the alternative?
0 - ArchivalUser - 03-24-2010
Hi Manni, Gd Mrng
for Prevention:
DOC- Rifampin
ALTERNATIVE- Ciprofloxacin, Ceftriaxone, Azithromycin
** given to close contacts ideally within 24 hours of identification of patient **
0 - ArchivalUser - 03-24-2010
which condition you dont give cipro only ceftriaxone?
0 - ArchivalUser - 03-24-2010
Cipro not recommended in:-
- in North Dakota and Minnesota due to the emergence of ciprofloxacin-resistant isolates.
Don't know any other reason.
0 - ArchivalUser - 03-24-2010
in children also --> go for ceftriaxone or rifampin
0 - ArchivalUser - 03-24-2010
pregnency and children ..cipro not indicated