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USMLE Step 2 CK Classic Clues Classic clues seen in clinical case scenarios in USMLE Step 2 CK questions.

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Old 06-07-2011
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Arrow Neisseria infections: Quick cases


Meningococcal meningitis:
Young child with sudden onset of fever, petechiae or purpura (black and blue marks) on the skin, malaise, and stiff neck. The cerebrospinal fluid contains intracellular gram-negative diplococci.

Gonorrhea (local infection):
Sexually active man with greenish-yellow discharge from the urethra has difficulty urinating. Discharge contains gram-negative intracellular diplococci.

Disseminated gonococcal infection:
Sexually active man with painful, inflamed joint. Aspirate may contain gram-negative intracellular diplococci.

Sexually active woman develops fever, abdominal pain, cervical tenderness, and vaginal discharge following unusually severe and prolonged menstrual period. An IUD had been inserted into the patient several years ago.
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Old 06-07-2011
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aspirate may NOT contain gram negatives.. might be good way to put it.

thanks for the great pointers miss
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Infectious-Diseases, Internal-Medicine-

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