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USMLE high yield point For the day - md2012la
lupus like side effects: procainamide(class IA antiarrythmic drug), isoniazid, hydralazine
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to add...phenytoin toxicity..lead to SLE like syndrome
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A newborn is diagnosed with either trisomy 18 or 13 with TE (tracheoesophageal) fistula which requires surgery. Mother request surgeon to repair the TE-fistula. What should a surgeon do? (Important)

Answer: surgeon should refuse to do the repairative surgery because these conditions (trisomy 18 or 13) are nonviable. If the patient survives, surgeon can put a gastrostomy feeding tube for nutrition. However, please remember that a patient with trisomy 21 (Down syndrome) with TE fistula should be operated on.
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toyotacorolla, could you please clarify. Do you operate or not on the pt? You initial and final sentences seem to contradict each other.

Thx
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surgeon should refuse to do the repairative surgery because these conditions (trisomy 18 or 13) are nonviable.
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to add to lupus like effects: complement C1,C3,C4 deficiency
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High yield observership /USCE list: applicantguide
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