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Gauchers dis- Lysosomal enzyme deficiency- acid beta glucosidase- ashkenazi jews- Ch. fatigue, easy bruisibility, bone pain, pathologic fractures. Dx- bone scan- erlenmeyer flask deformity of distal femur, bone marrow study- gauchers cells w/ wrinkled paper appearance
NPH- abnormal gait, dementia, incontinence
Cauda equina syndrome- spinal nerves involved.
vit b12+ folate def- elevated homocysteine levels but in b12 def elevated methylmalonic acid level also
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Hypothermia diffferential Dx, always think of Sepsis
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Can still give RhoGam if titers deliver, if not at term then Intrauterine transfusion if fetal Hct
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Sorry late post came out wrong when submitted:
RhoGam can be given if titers 1:6 not needed.
>1:16 check fetal bilirubin if high then: Intrauterine transfusion if not at term, if at term then deliver. Transfuse if Hct
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using Two LLegs You have to Togo(toga virus) German to get RubeLLa(german measles)
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Adrenal produce- DHEA, DHEA-S, Testosterone
Ovaries produce- DHEA, Testosterone
So DHEAS value can tell if its adrenal tumor.
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primary sclerosing cholangitis..... can progress to cholangiocarcinoma..... DO endoscopic retrograde cholangiography
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most common causes of anionic gap metabolic acidosis n their corresponding unmeasured anions that compose anion gap are (LU-KS-ME):
1. lactic acidosis
2. uremia
3. ketoacidosis
4. salicylate poisoning
5. methanol
6. ethylene glycol ingestion
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i have got the new Doctor in training 2013 and FA 2013 For step 1 and new usmle resources such as the books which is new and many dvds
and Videos of materials that help pass the exam such as :
1- all Kaplan video courses all steps (high yield- IM review- CS online - classroom anywhere ...etc)
2- Kaplan and falcon lecture notes in color and latest edition in pdfs
3- all DIT ( doctor in training ) videos and workbooks on step 1 and 2
4- all DIT (SOLID SERIES) pharm , IM , OB-GYN...ETC
5- all Qbanks and NBMEs on all steps and its Sim exam ( USMLEWORLD - KAPLAN - USMLERX - USMLECONSULT - USMLE EASY - EXAM MASTER - USMLE WEAPON ...etc)
6- new Dr Najeeb videos 2012 and dr archer full length videos and ccs videos
7- all Falcon videos step 1 ( falcon online - falcon first aid - costanzo phys )
8- first aid express videos by usmlerx first aid team
and many other materials , i am willing to resale it for a reasonable offer, all are Brand new 2012-2013.
contact me at : jordialba99
god bless and thanks....