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USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


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  #1  
Old 06-07-2012
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what to do first

cord compression (tumor/infection) :Steroids, then xray
SAH : CT
stroke : CT
GBS : peak inspiratory pressure
temporal arteritis : steroids







i will be adding to this list, i am doing this because sometimes i get confused.
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  #2  
Old 06-08-2012
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Originally Posted by nativedoc2 View Post
what to do first

cord compression (tumor/infection) :Steroids, then xray
SAH : CT
stroke : CT
GBS : peak inspiratory pressure
temporal arteritis : steroids







i will be adding to this list, i am doing this because sometimes i get confused.
sorry but this may be false in some situations. for eg, if patient comes what u think as TA, and they ask next step. ans may not be steroids...it may simply be ESR. so it depends on options.
for cord compression, it is true. but after steroids pick MRI instead if both in options.
r u sure for GBS ? i was not knowing that...we do at some time, but i never knew that it stands at forefront. it may be LP if diagnosis is in question . lolz.
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  #3  
Old 06-08-2012
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Originally Posted by tyagee View Post
sorry but this may be false in some situations. for eg, if patient comes what u think as TA, and they ask next step. ans may not be steroids...it may simply be ESR. so it depends on options.
for cord compression, it is true. but after steroids pick MRI instead if both in options.
r u sure for GBS ? i was not knowing that...we do at some time, but i never knew that it stands at forefront. it may be LP if diagnosis is in question . lolz.

thanks for the correction on TA
i agree that mri is the most accurate but mtb 2 says that xray spine is the best initial test, steroids should be given first.
about GBS, mtb 3 says peak inspiratory pressure is the most urgent step. in the options LP and immunoglobulin were part of the options. says we should do pip urgently to determine which patient will have resp failure.
thanks
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tyagee (06-08-2012)
 
  #4  
Old 06-08-2012
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Quote:
Originally Posted by nativedoc2 View Post
what to do first

cord compression (tumor/infection) :Steroids, then xray
SAH : CT
stroke : CT
GBS : peak inspiratory pressure
temporal arteritis : steroids







i will be adding to this list, i am doing this because sometimes i get confused.
well, steroids or ESR may be the next most appropriate step for temporal arteritis.
About cord compression, i and a forum member have been hoding a discussion about xray or mri being the next step after steroids.
Guys please what do you think, thanks
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