medlitupstate - new forum posts

Re: Thanksgiving break

Thu, 15 Nov 2007 02:25:08 +0000

It was apparently decided in curriculum committees that these decisions are made as joint MS1/MS2 faculty decisions and not everyone was in agreement.

Forum category: Forum Discussion / General Comments
Forum thread: Thanksgiving break

Thanksgiving break

Fri, 02 Nov 2007 19:24:37 +0000

As you've probably seen, the vote for MLC2 was 54% for moving class to Tuesday and 46% was for keeping class on Wednesday, and for some reason, the class was not moved, even though the majority (however slim) decided that it didn't want that. Several individuals now have to travel more than 6 hours on Wednesday afternoon (which, reminding you that its the day before Thanksgiving, will be awful). I understand that most people probably don't want to do all of that vasculitis workbook a day earlier than needed, and neither do I, but traveling is a pain, and I'd prefer to drive in the day and not with the rest of America as they travel to be with loved ones. Hopefully someone will read this and allow the majority vote to actually happen.

Forum category: Forum Discussion / General Comments
Forum thread: Thanksgiving break

Re: MLC quiz 3 - question 13

Fri, 12 Oct 2007 02:34:24 +0000

I put C too, thinking malignancy just meant something that could lead to death.

Forum category: Forum Discussion / Questions
Forum thread: MLC quiz 3 - question 13

Re: MLC I quiz on CF case

Fri, 12 Oct 2007 02:32:47 +0000

Yeah, it said in the case (about halfway down page 3) that elevated sweat chloride was one aspect of celiac disease without the gluten free diet. I thought it was C, too.

Forum category: Forum Discussion / Questions
Forum thread: MLC I quiz on CF case

MLC quiz 3 - question 13

Fri, 12 Oct 2007 01:15:38 +0000

Malignancy often refers to a deathly condition as well as to tumors specifically. Considering poorly managed CF can lead to pneumonia and FTT, among other things, would it not be appropriate to include in the answer of 13 A and B, making the answer C? I understand Celiac's includes an increased chance of malignant tumors but the term malignancy itself is not strictly confined to tumors, right?

Forum category: Forum Discussion / Questions
Forum thread: MLC quiz 3 - question 13

MLC I quiz on CF case

Thu, 11 Oct 2007 23:57:27 +0000

I read somewhere that there is an increase in sweat Cl- in celiac disease until the patient is put on a gluten free diet. Why is this wrong and if it's not then shouldn't question 4 on the quiz be "C"?
ude.etatspu|mlednem#ude.etatspu|mlednem

Forum category: Forum Discussion / Questions
Forum thread: MLC I quiz on CF case

Re: Polycythemia Vera?

Thu, 11 Oct 2007 20:43:24 +0000

please CC me russel

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Polycythemia Vera?

Re: Polycythemia Vera?

Thu, 11 Oct 2007 20:26:16 +0000

based on what the case itself says and what Dr. Shanley put as the answer to quiz question #10… i'd have to go with no. the patient has a myeloproliferative disorder, just not one that fits any specific criteria to be named.

-russel

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Polycythemia Vera?

Polycythemia Vera?

Thu, 11 Oct 2007 19:46:53 +0000

What's the deal? Does this pt have PV or not?

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Polycythemia Vera?

Budd-Chiari syndrome

Wed, 10 Oct 2007 00:37:43 +0000

http://content.nejm.org/cgi/reprint/350/6/578.pdf

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Budd-Chiari syndrome

Sorry, ignore the last thread

Fri, 28 Sep 2007 00:55:55 +0000

http://www.sim.org.tw/journal/jour17-2/05.PDF

Forum category: Forum Discussion / Shared References
Forum thread: Sorry, ignore the last thread

Cmap and grading

Fri, 28 Sep 2007 00:05:03 +0000

Hi everyone,

Two things I thought everyone should know…

First: Cmap has an organizing feature that can untangle all your arrows and concepts instantly, saving valuable time, and making things easier to read. Go to 'Format' then 'Autolayout' and select 'Generate New Layout.' Play with the options there to get the kind of formation you like. Striking 'Generate New Layout' again gives you an alternative arrangement with the same settings.

Second: The rumor that this is a 1.5 credit per term, pass/fail class is false. Check the policy. According to Karen it is an eleven credit class, and all the grades for the first two years are applied at the end of our second year- seriously impacting our GPA then if we slack off now.

Happy grading-

Irony

Forum category: Forum Discussion / MLC I Case Specific Threads
Forum thread: Cmap and grading

Hypokalemia in SLE

Fri, 28 Sep 2007 00:01:46 +0000

http://medind.nic.in/iav/t05/i3/iavt05i3p98.pdf

Forum category: Forum Discussion / Shared References
Forum thread: Hypokalemia in SLE

Re: Renal Complications of C. Burnetii Infection

Wed, 19 Sep 2007 02:34:52 +0000

Without involvement of the glomeruli, how is the high serum creatinine explainable. Creatinine is filtered and very little or non is reabsorbed by the tubules, so tubular damage alone doesn't seem to cut it, unless there's another explanation out there for the high serum creatinine levels.

Nicolette

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Renal Complications of C. Burnetii Infection

general process article

Tue, 18 Sep 2007 20:53:38 +0000

Here is a general article on the whole process in general-it may be useful.
http://cmr.asm.org/cgi/content/full/12/4/518

Sukaina

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: general process article

Re: Renal Complications of C. Burnetii Infection

Tue, 18 Sep 2007 14:35:47 +0000

Yeah, he specifically said he didn't think this was glomerunephritis.

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Renal Complications of C. Burnetii Infection

Re: Renal Complications of C. Burnetii Infection

Tue, 18 Sep 2007 14:18:34 +0000

Hey all,
I think in class he hinted at the fact that kidney disease can present in several ways, and that this patient did not present as a glomerulonephritis, but rather a tubularnephritis symptomatically. Therefore, regaurdless of whether it CAN happen in Q fever, I feel like given the patient presentation, what was more likely to happen is direct infection of the tubules.

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Renal Complications of C. Burnetii Infection

Re: low hematocrit

Tue, 18 Sep 2007 14:02:32 +0000

I still think his hematocrit is unremarkable. It's on the low side of normal. Probably not a big deal.

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: low hematocrit

Pathogenesis of granuloma formation

Tue, 18 Sep 2007 13:59:22 +0000

Seeing as it's up in the air how this person had kidney issues, here's a granuloma article seems pretty helpful. Probably good to double check it with what you have already seeing as it isn't C. Burnettii specific.

Sneller, MC. Granuloma formation, implications for the pathogenesis of vasculitis. Cleveland Clinic Journal of Medicine, 69(2): 40-43.

Here's the link:
http://www.ccjm.org/pdffiles/SNELLER.PDF

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Pathogenesis of granuloma formation

Re: low hematocrit

Tue, 18 Sep 2007 13:03:22 +0000

check out the acute-phase reaction article, the shan-man has a link in the "sepsis terminology" section. you should find your answer there.

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: low hematocrit

Renal Complications of C. Burnetii Infection

Tue, 18 Sep 2007 12:04:57 +0000

I have found an article that argues in favor of the renal pathology being caused by a glomerular process and not a tubular process.

The name of the article is:

Acute Glomerulonephritis Associated with Acute Q Fever: Case Report and
Review of the Renal Complications of Coxiella burnetii Infection

It can be accesed via ScienceDirect through the library website.

Alternatively, here's a link that may work:
http://www.journals.uchicago.edu/CID/journal/issues/v26n2/fe31_359/fe31_359.web.pdf

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Renal Complications of C. Burnetii Infection

low hematocrit

Tue, 18 Sep 2007 05:28:34 +0000

Anyone have a suggested mechanism for why this 71 yr. old man came in with a slightly low hematocrit?

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: low hematocrit

Phase 1 vs Phase 2 in Q fever diagnosis

Tue, 18 Sep 2007 02:17:03 +0000

useful article about seriologic testing of Q-fever:

http://www.virion-serion.de/uploads/mit_download/product_information_Coxiella.pdf

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Phase 1 vs Phase 2 in Q fever diagnosis

Kidney and Blood problems - Ring around the Diagnosis

Tue, 18 Sep 2007 01:51:13 +0000

Hey everyone, I'm really having a hard time putting together what is causing the alteration in blood profile and renal dysfunction in this case. I can hypothesize about Cytokines and Kidney-based Macrophages…but i've found very little in the literature to support these things directly. Also, it seams that chronic Q-Fever is usually associated with the renal symptoms (the article Joe sent out), but not acute. It seams that everything I find lists these dysfunctions as common occurrences in Q-Fever, but never mentions that pathophysiology. Has anyone found anything really good?

Forum category: Forum Discussion / MLC II Case Specific Threads
Forum thread: Kidney and Blood problems - Ring around the Diagnosis