On a pre-employment check up the patient was found having the following profile.
Anti-HAV (IgG) Positive
Anti-HAV (IgM) Negative
Anti-HBc (IgG) Positive
Anti-HBc (IgM) Negative
Which of the following is true?
A- Acute Hepatitis A infection
During class in kaplan , paediatric prof asked this ques to get some idea ...
In winter season a 20 months baby presents with high fever for 7 days with bilateral conjunctivitis without exudate with erythema in hand and feet , strawberry tongue , trunk rash and inflammation of cervical node ...
The bacteria mentioned in this thread are important microbiologically. In other words, the list is important for Step 1.
But for Step 2 CK there are other urease producing bugs that are far more important clinically.
Staphylococcus, Klebsiella, Ureaplasma urealyticum, Pseudomonas...
A 32 year old HIV positive woman has been doing well on a combination of Didanosine, Lamivudine, and Efavirenz. She's visiting her physician because she missed her menstrual period 6 weeks ago.
Lab results showed the following:
Pregnancy Test: Positive
Total WBC count: 7500/uL (60% neutrophils...
It's important to memorize the risk of developing various infections and oppertunistic diseases at different CD4 counts landmarks in HIV infected patients.
CD4 count above 700 --->Normal
CD4 count 200-500 ---> Oral thrush, Kaposi sarcoma, TB, Zoster, and lymphoma
CD4 count 100-200 ---> PCP...
Remembering the most common infectious microorganism that cause a particular infective endocarditis can be a hassle at times.
Here's a mnemonic that can help
natiVe valve ---> Streptococcus Viridans
Prosthetic valve ---> Staphylococcus ePidermidis
Drug Addicts ---> Staphylococcus Aureus
A 44 year old man presented with generalised crusted itchy rash that involves wide areas of the body. He's a know diabetic and has been serving in prison for the last two years. Skin rash is showed below (click image to enlarge).
The physician is suspecting scabies. What is the most...
Here's a number of buzzwords that can help trigger the cause of pneumonia:
Young, healthy patient ---> Mycoplasma
HIV patient with CD count less than 200 ---> Pneumocystis jiroveci
Alcoholic patient, diabetics, chronic lung disease ---> Klebsiella or lung abscess
Southwest desert exposure --->...
Although the ring enhancement seen in contrast Brain CT scan is a frequent buzzword leading to the diagnosis of brain abscess, one should not forget the other possible causes that the USMLE may play with us.
Here's a list of possible causes:
Brain tumors (primary or secondary mets)...
Malabsorption syndromes are commonly seen entities in USMLE exams. One of the most interesting of these is Whipple Disease. Boards would like to tease us with the strange combination of clinical features that we get in Whipple disease.
In addition to the classic findings of malabsorption such...
Following a boating injury a 35 year old man presented with fever and tackycardia. Examination revealed a wide erythema around a blistering and draining wound in the flank. X ray shows gas in the soft tissues.
Which of the following measures is most appropriate?
a- give antifungal
Once you these think of Infectious Mononucleousis right away. They may say palatal enanthem sometimes.
They may also give another strange sign which is periorbital edema or facial edema.
I know no other disease that cause palatal petichiae :cool:
Here's a question
A long typical case of Pyelonephritis in 21 year old female previously healthy
you started IV ceftriaxone and the patient fever still spiking and patient did not improve after 2 days of therapy
What's the next stap in management
a- Wait another 24 hours
b- Repeat blood and...