Bitten by a spider - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-02-2012
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 15
Threads: 5
Thanked 1 Time in 1 Post
Reputation: 11
Cockroach Bitten by a spider

A question asks about someone being bitten by spider,
What changes are to be seen within the next few hours?

a- Coagulative necrosis
b- Pseudomonal Infection

What do you think guys what is the answer ?
Reply With Quote Quick reply to this message



  #2  
Old 04-02-2012
d_wiqed's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 861
Threads: 19
Thanked 887 Times in 432 Posts
Reputation: 904
Default

I think a similar question appeared in uworld, I remember the answer to be coagulative necrosis.
Reply With Quote Quick reply to this message
  #3  
Old 04-02-2012
DocSikorski's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,353
Threads: 94
Thanked 873 Times in 506 Posts
Reputation: 886
Default

In UW it was coagulative necrosis...

But lets say the patient was wearing same tennis shoes for the entire season and got bitten into a toe, there is a great chance that the site of a bite might be infected with pseudomonas which can be cultured from shoes.
__________________
Ambition is a dream with a V8 engine. EP
Reply With Quote Quick reply to this message
  #4  
Old 04-02-2012
d_wiqed's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 861
Threads: 19
Thanked 887 Times in 432 Posts
Reputation: 904
Default

Quote:
Originally Posted by DocSikorski View Post
In UW it was coagulative necrosis...

But lets say the patient was wearing same tennis shoes for the entire season and got bitten into a toe, there is a great chance that the site of a bite might be infected with pseudomonas which can be cultured from shoes.
True... Or maybe the patient was in a hot tub when he was bitten by a spider...

That can also result to a pseudomonas infection.
Reply With Quote Quick reply to this message
  #5  
Old 04-02-2012
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 15
Threads: 5
Thanked 1 Time in 1 Post
Reputation: 11
Default

Well yes, coagulative necrosis is the answer given by UW.

But isn't necrosis supposed to happen only a couple of days after the injury and not a couple of hours ??????

An infection is more logical to set in within a couple of hours !!!!! even though pseudomonas is a long shot and doesn't quite fit in this setting !!!!

has nobody though about this, it is a misleading header or what ????
Reply With Quote Quick reply to this message
  #6  
Old 04-02-2012
MedicalExaminer's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 824
Threads: 66
Thanked 463 Times in 298 Posts
Reputation: 473
Default

Quote:
Originally Posted by Joe85 View Post
Well yes, coagulative necrosis is the answer given by UW.

But isn't necrosis supposed to happen only a couple of days after the injury and not a couple of hours ??????

An infection is more logical to set in within a couple of hours !!!!! even though pseudomonas is a long shot and doesn't quite fit in this setting !!!!

has nobody though about this, it is a misleading header or what ????
If injury is extensive it can cause necrosis right away but for necrotic changes to be appearent time is required


---
I am here: http://tapatalk.com/map.php?dg1lht
__________________
Everything is possible for him who believes (MARK 9:23)
245/247/passed on 1st attempt/223/2mos Obsie /3 US LORS/visa not needed/2008 grad
Reply With Quote Quick reply to this message
The above post was thanked by:
Joe85 (04-03-2012)
  #7  
Old 04-02-2012
DocSikorski's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,353
Threads: 94
Thanked 873 Times in 506 Posts
Reputation: 886
Default

Quote:
Originally Posted by d_wiqed View Post
True... Or maybe the patient was in a hot tub when he was bitten by a spider...

That can also result to a pseudomonas infection.
Or, bitten by a spider, burned from the flamethrower, put on a ventilator and given flowers =)
__________________
Ambition is a dream with a V8 engine. EP
Reply With Quote Quick reply to this message
The above post was thanked by:
d_wiqed (04-02-2012)
  #8  
Old 04-03-2012
USMLE Forums Scout
 
Steps History: Not yet
Posts: 39
Threads: 11
Thanked 6 Times in 6 Posts
Reputation: 4
Default

Quote:
Originally Posted by Joe85 View Post
Well yes, coagulative necrosis is the answer given by UW.

But isn't necrosis supposed to happen only a couple of days after the injury and not a couple of hours ??????

An infection is more logical to set in within a couple of hours !!!!! even though pseudomonas is a long shot and doesn't quite fit in this setting !!!!

has nobody though about this, it is a misleading header or what ????

can u give us the ID of the question ,
Reply With Quote Quick reply to this message
  #9  
Old 04-03-2012
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 15
Threads: 5
Thanked 1 Time in 1 Post
Reputation: 11
Default

Quote:
Originally Posted by flowerlady1 View Post
can u give us the ID of the question ,
yeah sure, It is 0338 (I hope this is not against USMLE FORUMS policies or something )

look into the phrasing of the question header, you will see what I mean !!!
Reply With Quote Quick reply to this message



Reply

Tags
Pathology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Spider veins and this eye picture scopusmount USMLE Step 1 Forum 8 11-07-2011 09:32 AM
Spider Bite in a Summer Camp! YoramFishke USMLE Step 2 CK Forum 7 08-04-2011 12:57 AM
Flea Bitten Kidneys samingo USMLE Step 1 Forum 1 08-16-2009 11:08 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)