What I learned today. - lazygenius

[ArchivalUser]

In a trauma patient with suspected intestinal perforation or a finding of retroperitoneal air on X-ray, the most appropriate test to order to confirm the diagnosis of perforation is Abdominal CT scan WITH oral contrast.

At first it threw me, but remember that if you suspect abdominal perforation you need to do a CT scan to confirm. However, don't use barium in an abdominal perforation, instead use gastrograffin. Why? B/c barium is very aggravating to the peritoneum. Gastrograffin is less dangerous if it leaks into the peritoneum.

[ArchivalUser]

I dont know how far its correct. I think that if only Xrays are found negative and even then u suspect perforation, only then u should go for CT.

[ArchivalUser]

Well that fact is straight from USMLE World and it is a pretty new question, so I would believe it.

[ArchivalUser]

indications to start DRMARDs in Rheumatoid arthritis
1 synovitis unresponsive to NSAIDS
2 erosive joint disease
3 synovitis that cannot be controlled without steroids

[ArchivalUser]

rats are martyred for medical research

[ArchivalUser]

asca ---antisaccharoyces----crohns
anca ----antineutrophil------ulcerative colitis

[ArchivalUser]

biliary atresia-----hida scan after one week of phenobarbital is the best test

[ArchivalUser]

pregnant + PCP- spiramycin

[ArchivalUser]

if the baby went home after birth and later was found to be cyanotic ----tetralogy
if he was blue from the moment of birth ------transposition

[ArchivalUser]

dissecting aneurysm of the thoracic aorta ------spiral ct is the best test