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  1. USMLE Step 3 Forum
    A 38-year-old woman is evaluated for elevated transaminase levels that were identified during routine laboratory testing for life insurance. She is originally from Thailand and immigrated to the United States 10 years pre-viously. She has been married to an American for the past 12 years, having...
  2. USMLE Step 2 CK Forum
    Getting mixed information on this if anyone can help me out. Bleed Scan would be a better answer choice than angio with any degree of bleeding above 1/2cc? Less than 1/2cc colonoscopy to be done (if not found then can use either Bleed scan > capsule colonoscopy?) Would this be correct?
  3. USMLE Step 2 CK Forum
    If any one can correct me: (Liver Disease orAlcoholic cause of Variceal Bleed): Fluids -> CBC -> NG -> Endo If active bleeding: Fluids -> CBC -> Skip Endo and go with Octreotide (Alcoholic, Mallory ): Endo -> Tx depending on severity
  4. USMLE Step 2 CK Forum
    Was wondering if a pt a has difficulty swallowing and if asked best initial test to do would Barium Swallow be the choice or endoscopy? Same with a pt you suspect with cancer - Barium or endoscopy as best initial test? Thou endoscopy will have to be ultimately done, but to decrease the change...
  5. USMLE Step 2 CK Forum
    A 45 YR old man from Mexico presents with recurrent great toe pain for which he has been taking medication for it. He is obese and consumes red meat with red wine on a regular basis. he now presents with flank pain; burning micturation; vomiting; constipation; abdominal pain. The most likely...
  6. USMLE Step 2 CK Forum
    This is confused me so wanted to make sure if I have the concept down: - If disease is causing mucosa changes - scope (Esophageal cancer) - Barium swallow (Achalasia, DES/Nutcracker, Webs, Rings, Zenkers) - do this as best initial Dx test. Confirmation with scope or manometry (avoid scope in...
  7. USMLE Step 2 CK Forum
    Why analgesics as meperidine and fentanyl are preferred over morphine in acute pancreatitis ? Why we do not give antibiotics in patient of acute pancreatitis with elevated leukocytes ?:confused:
  8. USMLE Step 2 CK Forum
    Can Candida albicans cause esophigitis in absence of oral thrush ? :confused:
  9. USMLE Step 2 CK Forum
    A 78-year-old woman in otherwise good health schedules a visit with her primary care physician because she has been experiencing blood in her stool that she describes as “maroon.” Her past medical history is significant for psoriasis and mild degenerative joint disease. In thinking about the...
  10. USMLE Step 2 CK Forum
    If LFTs are normal, should we go for a biopsy or just follow ups? Would you treat a patient if liver enzymes are normal but viral load is high? I'll be really grateful if someone could help me out.
  11. USMLE Step 2 CK Forum
    A 62-year-old woman presents to the emergency department complaining of intense abdominal pain, nausea, and vomiting for the past 48 hours. On physical examination, the patient is visibly uncomfortable, with a low-grade fever, mild tachycardia, and normal blood pressure; her upper abdomen is...
  12. USMLE Step 2 CK Forum
    A 38-year-old woman is being evaluated for abdominal pain, which has been present for 2 months. Her medical history and physical examination are unremarkable, and she takes no medications. An abdominal CT scan reveals a 5 cm cystic structure in the pancreas. Which of the following is the most...
  13. USMLE Step 2 CK Forum
    An obese 33-year-old woman has had four 12-hour episodes of severe, sharp, penetrating pain in the right upper quadrant of the abdomen associated with vomiting but no fever. She has no diarrhea, dysuria, or jaundice and is asymptomatic between episodes. There is slight tenderness to deep...
  14. USMLE Step 2 CK Forum
    is it just necrosis on CT scan or 30 % necrosis ? IMO, just necrosis. and when > 30 %, CT guided bx is done. thoughts?
  15. USMLE Step 2 CK Forum
    what will be next step ? surigcal myotomy botox
  16. USMLE Step 2 CK Forum
    what will be ans here frnz ? CT with contrast or CT without contrast...any reason fro same ?
  17. USMLE Step 2 CK Forum
    Hey guys, do we need to perform band ligation on esophageal varices before they bleed?do we need to do survelliance endoscopy looking for them?or is propranolol enough? Thanks I am confused and I cant find the answer!:notsure:
  18. USMLE Step 2 CK Forum
    patient presents with small bowel obstruction but passes flatus, TLC raised...NG Tube>suction & IV saline started ....what to do next ? and when to ans. laparotomy in such a q ?
  19. USMLE Step 2 CK Forum
    is it CT scan or angio ? [patient is stable but in grave pain, high LDH,TLC] * for chronic mesenteric ischemia, it is CT scan
  20. USMLE Step 2 CK Forum
    A 45-year-old Asian-American female comes to the physician due to bloating; flatulence, abdominal cramps and explosive watery diarrhea. These symptoms occur after ingesting dairy products. She has not had any weight loss. She has not had bone pain or easy bruising. Physical examination shows...
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