StudyXing Medicine

8.3K posts

StudyXing Medicine

@USMLEStepStudy

Study 8100+ #MedEd "flash-XCreations"- Reminders of topics to do a deeper study-dive. Zebra hoof-beats? Think Tyrannosaurus Rex 🦖Thanks 56,000!

Earth, WHO jurisdiction Katılım Kasım 2009

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StudyXing Medicine@USMLEStepStudy·22 May

B. Alcohol-related liver disease; Fixed flexion deformity of ring finger with palpable thickening of palmar fascia = Dupuytren's contracture (palmar fibromatosis); "manifestation of excess ETOH consumption rather than of cirrhosis", Men 60+ y/o northern European descent

CardiovascularCorner@TrackYourHeart

A fixed flexion deformity of the ring finger with palpable thickening of the palmar fascia is most commonly associated with: A. Viral hepatitis B. Alcohol-related liver disease C. Wilson disease D. Hemochromatosis

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StudyXing Medicine@USMLEStepStudy·22 May

Brudzinski's sign - Indicates meningeal irritation (meningitis or a subarachnoid hemorrhage MC); Neck is passively flexed, stretching inflamed meninges triggers involuntary reflex flexion of the hips to relieve tension

CardiovascularCorner@TrackYourHeart

A child shows reflex hip flexion when the neck is passively flexed. Which clinical sign is being demonstrated here?

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StudyXing Medicine@USMLEStepStudy·20 May

IV urogram & pyelogram w/ duplicated collecting system on left, with 2 separate ureters = Congenital left duplex collecting system with duplicated ureters, absent right; Can predispose to: recurrent UTIs, vesicoureteral reflux, obstruction/ureterocele and/or hydronephrosis

SAGE MEDICAL⚕️@Sage_medics

As a clinician/med student, Spot what’s happening here???

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StudyXing Medicine@USMLEStepStudy·14 May

Valproate - high teratogenic risk among antiepileptics (9–10%) associated with oral clefts, neural tube defects, cardiac defects, hypospadias, skeletal anomalies; B) Phenytoin = "fetal hydantoin syndrome" (nail/digit hypoplasia, cardiac defects); Safer: Lamotrigine, Levetiracetam

Dr. Khaled@kh505043

Which antiepileptic drug is most clearly associated with an increased risk of cleft lip? · A) Valproate · B) Phenytoin · C) Lamotrigine · D) Levetiracetam

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StudyXing Medicine@USMLEStepStudy·14 May

"bat-wing" (or "butterfly") CXR = bilateral, symmetric, perihilar alveolar opacities that spare lung periphery; MC Diff Dx: Cardiogenic pulmonary edema (PEd), volume overload / renal failure, pulmonary alveolar proteinosis, acute MI with flash PEd, acute valvular catastrophe

DR. Abdulrahman Al Nimeiry@abdulra_hman11

علامة "أجنحة الخفاش" هي علامة طبية مميزه لحالة مرضية طارئة وتستدعي التدخل السريع التشخيص هو ؟

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StudyXing Medicine@USMLEStepStudy·14 May

Vit B12 (cobalamin): Cofactor for 2 enzymes: methionine synthase and L-methylmalonyl-CoA mutase --> Required for DNA synthesis, methylation, red blood cell formation, and myelin maintenance; Deficiency: Pernicious anemia, malabsorption, veganism, bacteria overgrowth

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StudyXing Medicine@USMLEStepStudy·13 May

Hurler syndrome (Mucopolysaccharidosis type I-H), worst form of MPS I = deficiency of lysosomal enzyme α-L-iduronidase (IDUA gene mutation); s/s: Coarse facial features, Corneal clouding, Intellectual disability, Hepatosplenomegaly, Short neck, gaped teeth, Macroglossia, etc.

C.Alberto Ortega@albertoortegana

Guess the syndrome #MedTwitter #MedX #FOAMed

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StudyXing Medicine@USMLEStepStudy·13 May

Valproic acid is most strongly associated with an increased risk of spina bifida when taken in early pregnancy; Overall major congenital malformation rate with valproic acid is approximately 9–10%, with a dose-dependent relationship

Dr. Khaled@kh505043

Which drug is associated with an increased risk of spina bifida if taken in early pregnancy? A) Paracetamol B) Valproic acid C) Amoxicillin D) Ibuprofen

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StudyXing Medicine@USMLEStepStudy·13 May

Niacinamide / nicotinic acid (niacin) / B3 = MC associated with med-induced acanthosis nigricans; Metformin is actually used to treat acanthosis nigricans by reducing insulin resistance and compensatory hyperinsulinemia

CardiovascularCorner@TrackYourHeart

Which drug is most commonly associated with medication-induced acanthosis nigricans? A. Metformin B. Niacinamide C. Isotretinoin D. Spironolactone

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StudyXing Medicine@USMLEStepStudy·13 May

Meclizine (Antivert) is not an effective treatment for BPPV... neither short-term nor long-term. The most effective treatment for BPPV is the Epley maneuver (canalith repositioning), which achieves complete symptom resolution in 88% to 98% of patients (right/left approach)

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StudyXing Medicine@USMLEStepStudy·10 May

Relaxin = primary hormone during pregnancy that contributes to weakening of collagen fibers via upregulation of collagenase, downregulation of collagen synthesis, connective tissue remodeling; Others? Estrogen, cortisol, progesterone

Dr Abdul Hameed 🩺@drabdulhameed07

Which hormone during pregnancy contributes to weakening of collagen fibers? 💥🤯

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StudyXing Medicine@USMLEStepStudy·10 May

Osteosarcoma of distal femur: Divergent spiculated ("sunburst") periosteal rxn, large soft tissue mass with mineralized osteoid matrix surrounding distal femoral metaphyseal area in distal femur; Diff Dx: Ewing sarcoma, Osteomyelitis with aggressive periostitis, Metastatic dz

Doctor Med@DoctorMed0

Diagnosis???

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StudyXing Medicine@USMLEStepStudy·10 May

Pitting Edema... Heart Kidneys Liver Lungs (via pulmonary hypertension/cor pulmonale) Lymphatic system Venous system Intestines/GI tract Endocrine system Skin/capillary endothelium (sepsis capillary leak) Multiorgan failure/critical illness

Modern Health@modernHealthMe

Which organ failure can cause this??

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StudyXing Medicine@USMLEStepStudy·5 May

In yawning, dopamine is primary modulator. Low-dose dopamine agonists (e.g., apomorphine at doses that preferentially activate presynaptic D2 autoreceptors) reliably induce yawning in both animal models and humans

Sir Payoo🥼🩺@payoo241

Q// Yawning is associated with which neurotransmitter? A. Dopamine B. Insulin C. Thyroxine D. Hemoglobin

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StudyXing Medicine@USMLEStepStudy·4 May

Hantavirus: Family of viruses; Rodent-borne virus → capillary leak → acute pulmonary edema (Hantavirus Pulmonary Syndrome) → high mortality; Inhalation of aerosolized rodent urine/feces/saliva. NOT person-to-person --> Exception: Andes virus

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StudyXing Medicine@USMLEStepStudy·2 May

Lateral lumbar spine X-ray shows anterior displacement of L5 on S1, with the arrow highlighting the region of the pars interarticularis and defect; Dx: spondylolisthesis due to a pars interarticularis defect (spondylolysis)

Dr.Haitham Hamoud | د.هيثم@hemo_shk

A patient presents with chronic lower back pain. What is your diagnosis?

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StudyXing Medicine@USMLEStepStudy·2 May

MCC = E.Coli with 75-95% prevalence

Dr Abdul Hameed 🩺@drabdulhameed07

Honeymoon cystitis is caused by?😳

English

StudyXing Medicine@USMLEStepStudy·2 May

Bronchiectasis - chronic inflammatory lung disease/ permanent, irreversible dilation of bronchi confirmed radiologically on high-res CT; s/s: chronic cough, daily sputum production, recurrent respiratory infections

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StudyXing Medicine@USMLEStepStudy·30 Nis

Rheumatoid arthritis (RA) - chronic, systemic autoimmune inflammation with symmetric synovitis leading to cartilage destruction, bone erosion, and joint deformity; Path: cell-mediated immune response, primarily targeting joints, but also extra-articular of lungs, heart & eyes

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StudyXing Medicine@USMLEStepStudy·29 Nis

Factor VII deficiency - F7 gene mutation, auto recessive, bleeding disorder; s/s: easy bruising, frequent nosebleeds, gum bleeding, prolonged bleeding after injury or surgery, heavy menstrual bleeding; MCC: consanguineous marriage; Rx: recombinant factor VIIa, transfusions

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