transciption of usmle chat

[Anonymous]

20:11:57 [Neuro4u] Mucur occurs in which patients?
20:12:07 [Neuro4u] yes
20:12:30 [Neuro4u] we will go slow so we can take notes
20:12:34 [Neuro4u] ok
20:12:38 [MDdoc] not sure
20:12:58 [MDdoc] diabetes and immunosupressed?
20:13:39 [Neuro4u] yes but what type of diabetic patient
20:13:48 [Neuro4u] type 1 or 2
20:14:07 [MDdoc] ;i think both
20:15:00 [Neuro4u] occurs in ketoacidotic diabetic patients ...so what type
20:15:10 [Neuro4u] 1 or 2
20:15:32 [Neuro4u] occurs in leukemic patients also...ok
20:15:50 [MDdoc] type 1
20:16:36 [MDdoc] isnt that the fungus with 90 degree angles
20:17:42 asadxyz enters this room
20:17:43 [Neuro4u] yes type 1
20:18:00 [asadxyz] hello
20:18:01 [MDdoc] hi asad
20:18:15 [asadxyz] hi
20:18:36 [Neuro4u] hi asad
20:18:47 [MDdoc] i was saying sorry to neuro cause i was out of town. did i miss much?
20:19:09 [Neuro4u] helo
20:19:26 [asadxyz] I do not think so
20:19:26 Neuro4u exits from this room
20:19:32 a******9 enters this room
20:19:50 [MDdoc] where did neuro go
20:20:00 [MDdoc] hi a******
20:20:15 [asadxyz] Ok you peopl discuss the things I want to go for a while
20:20:30 [asadxyz] I will join you back soon
20:20:35 [MDdoc] ok, good talking to you
20:21:28 [Beaker] what is the buzzword for cryptococcus?
20:21:50 Neuro4u enters this room
20:21:58 [MDdoc] is that pigeons?
20:22:08 [MDdoc] hi neuro
20:22:21 [MDdoc] **** said he will be back in a while
20:23:53 [Beaker] yes thats right
20:24:37 [Beaker] that dz process does it cause in Hodkins and AIDS?
20:24:50 [Neuro4u] i got kicked out sorry
20:25:00 [MDdoc] no problem
20:25:08 [Neuro4u] if i disappear i will be back
20:25:17 [MDdoc] ok
20:25:45 [Neuro4u] cyptococcus....meningitis
20:26:01 [Neuro4u] pigeon breeders
20:26:29 [Beaker] yes. it is #1 meningitis in Hodkins and AIDS
20:26:34 [Neuro4u] how do we diag. c. neoformans
20:27:04 [MDdoc] latex particles agglutination
20:27:18 [Beaker] urease +
20:27:29 [Neuro4u] sample what
20:27:49 [MDdoc] capsule
20:27:54 [a******9] indian ink preparation....
20:27:58 [Neuro4u] fluid from where
20:28:06 [MDdoc] csf
20:28:19 [a******9] elisa
20:28:27 [a******9] CSF
20:28:34 [Neuro4u] yes tap...csf ....stain indian ink
20:28:39 [MDdoc] yes, i agree with a******, there is also india ink for diagnosis
20:28:50 [Neuro4u] a****** change color...so i can see u
20:29:16 [Neuro4u] indian ink yes of the CSF sediment
20:29:35 [Neuro4u] what does the yeast look like
20:29:45 [Beaker] can't u also culture for urase?
20:29:46 [Neuro4u] with india ink mount
20:29:59 [MDdoc] encapsulated yeast
20:29:59 [Neuro4u] yes beaker
20:30:04 Jeffk13057 enters this room
20:30:20 [MDdoc] hi jeff
20:30:28 [Neuro4u] ok but describe what it looks like
20:30:33 [Jeffk13057] hi guys
20:31:00 [Neuro4u] budding yeasts with capsular halos
20:31:03 [Neuro4u] ok
20:31:11 [Neuro4u] hi jeff...welcome
20:31:28 [Jeffk13057] hello everyone
20:31:42 [Beaker] hey jeff
20:31:52 [Neuro4u] tx
20:31:57 [Neuro4u] drug
20:32:15 [MDdoc] amb+5FC
20:32:29 [Neuro4u] until when
20:32:30 [Beaker] diflucan
20:32:43 [Beaker] i mean fluconazole
20:33:23 [Neuro4u] Amb and 5 fc until afebrile and culture neg. then fluconazole
20:33:25 [MDdoc] dont know
20:33:32 [Neuro4u] do u agree
20:33:47 [MDdoc] sounds good to me
20:33:51 [Neuro4u] i believe so but always double check
20:33:55 [Beaker] i agree
20:33:57 [Neuro4u] ok
20:34:11 [Neuro4u] it i am wrong let me know....
20:34:22 [Neuro4u] but i have this in m notes
20:34:40 [Beaker] i have the same thing so i think it is right
20:34:42 asadxyz enters this room
20:34:51 [Neuro4u] hi asad
20:35:12 [Neuro4u] welcome
20:35:33 dua enters this room
20:35:43 [MDdoc] hi dua
20:35:44 [Neuro4u] hi dua
20:35:51 [Beaker] hey dua
20:35:59 [Neuro4u] i was wondering if u where ok...
20:36:16 [dua] :O
20:36:17 [Neuro4u] i saw on news some exposions in s.a.
20:36:29 [dua] hi
20:36:37 [Neuro4u] good to see you...i am taking notes
20:36:38 [MDdoc] really?
20:36:50 [dua] what explosions?
20:36:56 [Neuro4u] we just went through c. neoformans
20:37:16 [Neuro4u] explosions in saudi
20:37:38 [dua] i didn't check the news. let me see
20:37:43 [Neuro4u] 6 oclock news...fox
20:38:05 [Neuro4u] in a neighbor hood area
20:38:21 [Neuro4u] anyway...i am glad u are safe
20:38:37 [dua] wow
20:38:52 [Neuro4u] do u see
20:39:08 [dua] thanks neuro
20:39:28 [Neuro4u] be careful ok
20:39:52 [Neuro4u] we are doing micro tonight
20:39:58 [Beaker] what organism causes the fungus flu?
20:40:15 [MDdoc] histoplasma
20:40:43 [MDdoc] is that right?
20:40:44 [Neuro4u] fugus ball
20:40:48 [Neuro4u] or flu
20:41:00 [Neuro4u] alright
20:41:25 [Neuro4u] fungus ball is asperillus
20:41:32 [Beaker] fungus ball is aspergillis
20:41:44 [Beaker] fungus flu is histo
20:41:52 [dua] i wonder what city neuro.. i'm in riyadh
20:42:17 [dua] hey how long have you guys been here for? X( without me X(
20:42:35 [Neuro4u] lets talk awe just got here
20:42:50 [Neuro4u] about histo...
20:43:02 [MDdoc] sorry i've been missing, but i was out of town
20:43:09 [MDdoc] dua
20:43:14 [Neuro4u] was typing a sentence earlier sorry
20:43:30 [dua] oh ok, thanks neuro.. i'm here and i don't know what happened either :O
20:43:57 [dua] hi doc, did you get my message?
20:44:03 [Beaker] what is the buzz word for histo, where will you get it?
20:44:16 [dua] beakerrrrr , nice to see you at last
20:44:25 [MDdoc] i just signed in and haven't read messages yet
20:44:27 [dua] san jaun valley?
20:44:29 [Neuro4u] bird or bat feces
20:44:33 [dua] caves
20:44:52 [Beaker] yeah, i'm the shy one that likes to listen in usually
20:44:56 [Neuro4u] histo is ohio
20:45:03 [Neuro4u] mississippi
20:45:18 [Neuro4u] missouri river beds
20:45:36 [Neuro4u] Thanks for joining us beaker....
20:45:45 [Beaker] yes both right, both right and neuro good with all locations
20:46:14 [Neuro4u] caves are correct dua....don't get caught in a cave with histo...lol
20:46:20 [Beaker] thanks, but i really dont know much, just started studying really
20:46:30 [dua] please don't be shy we need qs
20:46:42 [dua] lol neuro
20:46:56 [Neuro4u] how do u make those faces dua
20:47:08 [Neuro4u] i want to do that also
20:47:11 [dua] : ( without spaces
20:47:30 [dua] : ) : D
20:47:41 [Neuro4u] thank
20:47:49 [Neuro4u] i got it
20:47:52 [dua] welcome
20:47:56 [Beaker]
20:48:07 [Neuro4u] wow
20:48:21 [dua] lol beaker.. how did she do that?
20:48:24 [Beaker] that i can help with
20:48:31 [Neuro4u] Does Histoplasmosis have a capsule?
20:48:44 [dua] no
20:48:48 [MDdoc] no
20:48:56 [dua]
20:48:59 [Beaker] well, you can get the codes from the forum
20:49:03 [a******9] no
20:49:04 [Neuro4u] No is correct
20:49:14 [a******9] misnomer....
20:49:34 [Neuro4u] what happens has the lesions heal?
20:49:50 [dua] calcification?
20:49:58 [a******9] granulomas..form...non caseating
20:49:59 [MDdoc] calcification
20:50:04 [Neuro4u] yes dua
20:50:08 [a******9] then calcification
20:50:30 [Neuro4u] when can a relapse occur? immuno
20:50:49 [dua] compromised states?
20:50:59 [MDdoc] aids
20:51:29 [Neuro4u] relapse potential increases with T cell Immunosuppression
20:51:39 [Neuro4u] ok
20:51:47 [MDdoc] ok
20:51:59 [a******9] whats the t cell count required??
20:52:11 [a******9] any thing specific??
20:52:28 [Neuro4u] sorry i do not have the # in my notes
20:52:40 [dua] no idea
20:52:41 [MDdoc] not sure about that one
20:53:03 [Neuro4u] Aids patients are also at risk
20:53:39 [Neuro4u] facultative intracelular parasite found in ?
20:53:44 [dua] 2000 ?
20:53:49 [Neuro4u] cells?
20:54:02 [MDdoc] reticulo something cells
20:54:04 [dua] dendritic cells
20:54:24 [MDdoc] cant remember the name
20:54:31 [Neuro4u] Reticuloendothelial cells RES
20:54:39 [Neuro4u] ok
20:54:46 [MDdoc] yes that was it
20:55:01 [MDdoc] sounds better than reticulo something
20:55:16 [Neuro4u] mult choice...is great
20:55:31 [MDdoc] yes it is
20:55:38 [Neuro4u] environmental form of histoplasma
20:56:07 [MDdoc] hyphae
20:56:12 [dua] no its not.. imagine having all the answers right in front of you and still having no idea what the question is about .
20:56:17 [Neuro4u] i always forget this so i am asking U....but i have it in my notes
20:56:29 [a******9] yes yeast form in humans
20:56:54 [Neuro4u] hyphae with microconidia and tuberculate macroconidia
20:56:58 [a******9] is it??
20:57:09 [a******9] yupppp
20:57:14 [Neuro4u] any ideas how to remember this....i am open
20:57:20 [MDdoc] i never would have gotten that even with mult choice!
20:57:40 [a******9] all dimorphic fungus exist this way...
20:57:46 [Neuro4u] they would describe in the matter...right ...dua
20:57:48 [dua] lol me neither doc
20:58:06 [Neuro4u] Dimorphic fungus
20:58:08 [MDdoc] i think it is more important to know that it is found in soil with birds and bat feces
20:58:11 [Neuro4u] yes
20:58:19 [MDdoc] like in caves
20:59:06 [Neuro4u] ok i think we covered histoplasmosis....anybody want to add anything to this topic.
20:59:38 [MDdoc] yes. these are narrow neck vs something else thats not
20:59:54 [Neuro4u] ok tissue form
20:59:55 [dua] blastomyces
21:00:09 [a******9] YEAST...
21:00:17 [MDdoc] i think the other that is similar in presentation is blastomyces but has broad based buds
21:00:22 [Neuro4u] is small intracellular yeast with narrow neck on bud, no capsule
21:00:32 [Neuro4u] how is that
21:00:55 [Neuro4u] that is imp to know...thanks MDdoc
21:01:19 [MDdoc] no prob
21:01:31 [Neuro4u] Human RES cell...
21:02:11 [Neuro4u] Dua do you want to add anything
21:02:57 [Neuro4u] maybe she is away from computer
21:03:08 [Beaker] i think i just found a mneumonic with blaso being broad based buds, notice all the Bs
21:03:24 [dua] no this is complete about this. yes was watching the news too... it happened here yes in riyadh.
21:03:27 [Neuro4u] very good....beaker
21:03:36 [MDdoc] good point beaker
21:04:17 [Neuro4u] do you want to go over blastomyces
21:04:51 [MDdoc] sure
21:04:58 [Beaker] yes
21:05:19 [Neuro4u] what is common about histo and blasto?
21:05:53 [Beaker] dimorphic
21:06:14 [Neuro4u] yes and
21:06:29 [a******9] amphotericn doesnt cross blood brain barrier...so how can it be use in crypto meningitis
21:06:31 [a******9] ??
21:06:32 [Neuro4u] what about endemic region
21:06:39 [a******9] sorry..
21:06:48 [a******9] i was thinking about this...
21:07:00 [Neuro4u] ok
21:07:05 [MDdoc] o and miss
21:07:08 [MDdoc] ohio
21:07:11 [Neuro4u] Dua are you here
21:07:33 [Neuro4u] locations simular right
21:07:36 [dua] yes
21:07:44 medicine4life enters this room
21:07:57 [Neuro4u] ok
21:08:19 [MDdoc] hi medicine
21:08:27 [medicine4life] hello all
21:08:28 [Beaker] hey medicine
21:08:46 [Neuro4u] association with blasto...an animal?
21:09:00 [Neuro4u] hey medicine
21:09:07 [MDdoc] beavers
21:09:19 [Beaker] hey another B
21:09:28 [Neuro4u] it is also a b....beaver dams
21:09:38 [dua] beaver
21:09:46 [Neuro4u] associated with rotting wood...right
21:11:16 [Beaker] so its Blasto, Beavers, Broad Based Buds, and presented by Beaker, all Bscalcification
21:11:21 [Neuro4u] anybody want to join in
21:11:32 [Beaker] sorry i meant all Bs
21:11:54 [a******9]
21:11:55 [dua] lets all bring out our qs and ask simultaneusly please.
21:12:09 [MDdoc] yes i agree rotting wood in beaver dams
21:12:37 [dua] like a cross fire round.. we can cover a lot more that way
21:12:37 [MDdoc] what is the treatment?
21:13:00 [Beaker] ketoconazole
21:13:57 [dua] keto
21:14:10 [Neuro4u] ketoconazole because less likely to resolve than histo or coccidioides.....need a top gun
21:14:12 [MDdoc] yes thats right
21:14:53 [Beaker] what type of dz process will it cause? which organ will it effect?
21:15:16 [Neuro4u] lungs
21:15:31 [MDdoc] i think that its pulmonary infection so the lungs
21:15:37 [Neuro4u] acute and chronic pulm disease
21:15:51 [Neuro4u] disseminated disease
21:15:53 [Beaker] good job neuro and MD
21:16:16 [Neuro4u] what about tissue form?
21:16:51 [MDdoc] not sure about that
21:17:00 [Neuro4u] broad based budding yeasts and a....describe cell wall
21:17:15 [Neuro4u] first is there a capsule
21:17:21 [MDdoc] its a double layer i think
21:17:27 [dua] double cell wall
21:17:40 [medicine4life] Cryptococcus and Aspergillus
21:17:57 [Neuro4u] double refractile cell wal....very good....what about a capsule
21:18:44 [Neuro4u] double second letter in alphabet...for all the B's what do you think
21:19:30 [Neuro4u] no capsule....ok
21:19:49 [MDdoc] wasn't sure about that
21:19:52 [Neuro4u] did we talk about the enviro form
21:20:28 [MDdoc] no
21:21:36 [Neuro4u] hyphae with nondescript condidia
21:22:34 [Neuro4u] anything else to add
21:22:46 [MDdoc] i think we got it all
21:23:17 [Beaker] how about that fungus ball from earlier
21:23:41 [dua] fungus flu? histo?
21:23:43 [Beaker] what is the organism called?
21:23:47 [Neuro4u] Aspergillus
21:24:04 [Neuro4u] fungus flu for histo
21:24:08 [Beaker] fungus flu is histo and fungus ball is aspergillus
21:24:18 [Neuro4u] fungus ball for aspergilus
21:24:24 [Neuro4u] yes
21:24:37 [Beaker] ok
21:24:40 [Beaker] thanks
21:24:45 [Neuro4u] easy to confuse....
21:25:01 [MDdoc] what angles for aspergillis?
21:25:20 [Neuro4u] how do u treat a funguss ball?
21:25:32 [Neuro4u] angles acute
21:25:46 [dua] amp b
21:25:48 [Neuro4u] 45
21:25:54 [dua] or itrocono
21:26:12 [MDdoc] angles are 45 degrees vs 90 degrees for mucor
21:26:14 [dua] yes 45 degree angles
21:26:19 [Neuro4u] not a drug ....
21:26:40 [dua] did we talk about cocidio?
21:26:41 [Neuro4u] if you do this it will reduce coughing
21:26:55 [MDdoc] pot
21:27:04 [Neuro4u] you tx with drugs yes....but
21:27:19 [dua] oh i thought fungus ball . sorry guys i just woke up, i'm a little disoriented here
21:27:26 [Neuro4u] i was talking specifically about the fungus ball
21:27:57 [Neuro4u] itaconazole or amp b....is drug tx
21:28:05 [Neuro4u] ok
21:28:19 [Neuro4u] but you can call a surgeon
21:28:19 [MDdoc] ok
21:28:35 [dua] to remove the calcifications?
21:28:51 [MDdoc] we have not talked about cocidio dua, we can do that next if you want
21:29:15 [Neuro4u] dr surgeon....removal to reduce coughing which may incuce pulonary hemorrhage....
21:29:34 [dua] i just wanted to put histo, blasto and cocci together... as a comparitive study
21:29:37 [Neuro4u] remove fungus ball if severe
21:29:48 [Neuro4u] oh
21:30:25 [dua] first all are domorphic.. meaning they have environmental and yeast forms
21:30:59 [dua] histo and blasto are comparitive in narrow and broad based buds with single and double walls
21:31:06 [Neuro4u] you can remove fungus ball if severe....CAN but u do not have to do so...ok
21:31:46 [MDdoc] ok
21:31:50 [Neuro4u] septate for this one dua
21:31:52 [dua] cocci is hyphae( like tenia ones) and have anthrococonidia and tissue forms have sphrerules with endospores
21:32:31 sundancekid701 enters this room
21:32:48 [MDdoc] hi sundance
21:32:57 [dua] neuro i'm talking only about histo, cocci and blasto ( as a review)
21:33:00 [sundancekid701] sup folks
21:33:08 [Beaker] hey sundance
21:33:26 [Neuro4u] yes dua
21:33:44 [dua] all cause some kind of fever
21:34:03 [dua] histo and cocci in AIDS
21:34:14 [Neuro4u] recurennt?
21:34:17 [dua] and cause mucocutaneous lesions
21:34:28 [dua] histo will also affect the liver
21:34:39 [Neuro4u] i do not know about the fever
21:34:52 [Neuro4u] mucocutaneous lesions with histo
21:35:05 [Neuro4u] can effect liver...
21:35:12 [Neuro4u] i believe
21:35:17 [dua] locations histo( caves) , cocci( valleys( valley fever) ), blasto( wood and dams
21:35:25 [dua] yes neuro
21:35:57 [Neuro4u] hepatosplenomegaly may be presint
21:36:14 [sundancekid701] histo capsulatum... so macrophages filled with fungal yeast
21:36:32 [sundancekid701] whereas cocci... funal spherules/endospores
21:36:54 [dua] yes right
21:37:26 [MDdoc] i agree
21:37:27 [Neuro4u] calf
21:38:18 [sundancekid701] why exactly is histo found in caves/bats?
21:38:25 [sundancekid701] i've heard of that correlation before.. but why?
21:38:26 [Neuro4u] everybody here
21:38:43 [Neuro4u] soil dust
21:38:53 [MDdoc] it is in the feces of birds and bats
21:39:02 [Neuro4u] enriches with feces
21:39:04 [MDdoc] and that is where you will find them
21:39:06 [sundancekid701] oh okay
21:39:19 [Neuro4u] soil dust enriched with feces
21:39:24 [Neuro4u] ok
21:40:11 [MDdoc] how about candida, wanna talk about that while we'r eon the subject
21:40:42 [MDdoc] what is the treatment
21:41:09 [Beaker] imidazoles
21:41:14 [Neuro4u] but we did not finish aspergillus
21:41:30 [MDdoc] oh sorry
21:41:52 [MDdoc] ok let go on with apergillus
21:42:15 [Neuro4u] yeast for candida is endogenous....to our mucous memebranes normal flora....correct
21:42:55 [MDdoc] yes thats correct
21:43:16 [Neuro4u] lets go ahead with candida...i did not want us to confuse these...so one at a time...may be best
21:43:25 [MDdoc] causes what typically?
21:43:32 [Neuro4u] unless you already know it very well
21:43:55 [MDdoc] i agree, thought we were done with apergillus...sorry
21:44:11 [Neuro4u] vaginitis
21:44:40 [MDdoc] yes, what else
21:44:53 [Neuro4u] i will be back in minute...so continue
21:44:55 [Beaker] oral thrush
21:45:03 [MDdoc] ok
21:45:20 [MDdoc] good, anything else?
21:45:38 bhavani enters this room
21:45:52 [MDdoc] hi bhavani
21:46:22 [bhavani] hi
21:46:50 [Beaker] hey there
21:47:09 [Neuro4u] i am back
21:47:28 [Beaker] endocarditis?
21:47:30 [dua] wb surg
21:47:43 [dua] hey bhavani
21:48:07 [Neuro4u] You guys all need to get yahoo and we can type and talk...ok
21:48:16 [bhavani] is micro going on
21:48:24 [Neuro4u] endocarditis...yes
21:48:46 [Neuro4u] micro...fungi...topic is candida
21:48:47 [MDdoc] yes we are studying micro bhavani
21:48:53 [bhavani] ok
21:48:59 [Neuro4u] ok bhavani
21:49:24 [MDdoc] can you change color of font bhavani so we can see it better please?
21:49:39 [Neuro4u] gastritis
21:49:43 [Neuro4u] why
21:49:57 [dua] bhavani please change the colour...there are colour options on the right. click on any
21:50:08 [dua] antibiotic use
21:50:47 [MDdoc] yes there is also gastritis, septicemia, esphagitis
21:50:58 [Neuro4u] Endocarditis with transient septicemias in IV dru user
21:51:16 [MDdoc] it is normal flora but will come out in IC and IV users
21:51:37 [Neuro4u] yes...antibiotics chemo, HIV
21:51:38 [MDdoc] diagnosis with what?
21:51:51 [Neuro4u] KOH
21:52:00 [Beaker] KOH
21:52:14 [Neuro4u] yes
21:52:19 [bhavani] is it visible now
21:52:21 [MDdoc] yes KOH
21:52:26 [Neuro4u] disseminated tx
21:52:35 [MDdoc] yes much better bhavani
21:52:55 [bhavani] ok
21:53:00 [Beaker] amphoB and fluconazole
21:53:20 [Neuro4u] yes beaker
21:53:52 [MDdoc] so when do you use imidazoles?
21:53:55 [Neuro4u] topical imidazoles or oral imidazoles also mentioned earlier
21:54:16 [MDdoc] which one when?
21:54:20 [Neuro4u] nystatin swish and swallow
21:55:12 [Neuro4u] septicemia...give the top guns of course
21:55:34 [Neuro4u] pt presentation depends on DOC
21:55:37 [Neuro4u] ok
21:55:44 [MDdoc] ok
21:56:24 [MDdoc] anything else for candida?
21:57:01 [dua] which form of it infects tissues?
21:57:08 [bhavani] another fungus that is a complication in IVabusers
21:57:58 [Neuro4u] dua...pseudohyphae and true hyphae
21:58:11 [dua] yes right
21:58:13 [Neuro4u] when it invades tissues
21:58:27 [Beaker] i know of a bacteria for IV drug abusers, but not another fungus
21:58:38 [Neuro4u] nonpathogenic candida do not....ok
21:59:21 asadxyz enters this room
21:59:21 [Neuro4u] c. albicans yeast form germ tubes at ....Cdegrees in serum
21:59:34 [Neuro4u] hi asad
21:59:41 [Beaker] hi ****, welcome back
21:59:44 [asadxyz] hi
21:59:50 [MDdoc] hi asad
21:59:59 [asadxyz] hi all of you
22:00:07 [dua] bhavani whats the answer?
22:00:12 [Neuro4u] **** please change color...so i can see you
22:00:20 [MDdoc] what was the answer bhavani?
22:00:55 [asadxyz] is it ok
22:00:57 [bhavani] if anyone know the answer please tell me
22:01:23 [asadxyz] hi
22:01:24 [dua] hi asad
22:01:49 [bhavani] hi asad
22:02:19 [Neuro4u] i know bacterias but not any other fungus..off hand
22:02:29 [MDdoc] i dont think there is another fungus that is commonly seen with IV drugs
22:02:36 [asadxyz] feeling trouble in connecting
22:02:53 [bhavani] ok
22:03:06 jnewdoc2b enters this room
22:03:10 [Neuro4u] candida is on skin...so that is easy
22:03:29 [Neuro4u] but what was the other bhavani
22:04:01 [MDdoc] he was asking if there was another
22:04:08 [MDdoc] but i dont think there is
22:04:37 [Neuro4u] ok...i got a little confused
22:04:50 [MDdoc] which bacteria is often associated with IV drugs?
22:05:11 [bhavani] <a target=new href=http://click.linksynergy.com/fs-bin/click?id=c97WUMRO5hY&offerid=47491.10000052&type=4 &subid=0>Kaplan</a> micro material it was given ,what two fungi complicate IV lines
22:05:54 [MDdoc] cant write Kap lan because it shows up as a link
22:06:11 [bhavani] ok
22:06:23 [MDdoc] oh so there is another fungus?
22:07:22 [Neuro4u] i will look in book
22:09:12 [MDdoc] which bacteria is often associated with IV drugs?
22:09:12 [Neuro4u] what are the choices...that will help us
22:09:28 [MDdoc] staph or strep?
22:09:42 [bhavani] staph
22:10:04 [jnewdoc2b] Are these <a target=new href=http://click.linksynergy.com/fs-bin/click?id=c97WUMRO5hY&offerid=47491.10000052&type=4 &subid=0>Kaplan</a> questions you guys are go over?
22:10:21 [MDdoc] yes it is staph
22:10:26 [Neuro4u] bacteria...i thought u were talking fungus...continue
22:11:09 [Neuro4u] <a target=new href=http://click.linksynergy.com/fs-bin/click?id=c97WUMRO5hY&offerid=47491.10000052&type=4 &subid=0>Kaplan</a> sometimes has wrong questions...
22:11:25 [MDdoc] i know, i just brought it up b/c a couple of ppl said they know some bacteria but not any other fungi that caused by IV drugs
22:11:34 [Neuro4u] i had to email them regarding some on the <a target=new href=http://click.linksynergy.com/fs-bin/click?id=c97WUMRO5hY&offerid=47491.10001429&type=3 &subid=0>QBank</a>...because they were incorrect
22:11:34 [jnewdoc2b] What were the choices again?
22:11:46 [bhavani] ok
22:11:58 [MDdoc] dont write the word KAP LAN b/c it will automatically put the link
22:12:00 [dua] doc change your colour please
22:12:02 [Neuro4u] i can not write the K word forgot...sorry
22:12:05 [MDdoc] call it kaplin
22:12:34 [jnewdoc2b] is that better? Sorry.
22:13:02 [MDdoc] yes, much better
22:13:25 [Neuro4u] that is good for me...because i can not spell half the time anyway
22:13:44 [MDdoc] lol neuro
22:13:57 [MDdoc] anything else on candida?
22:14:06 [jnewdoc2b] Does anyone know the most common cause of neonatal meningitis?
22:14:42 [MDdoc] group B strep
22:14:52 [bhavani] strep.agalactiae
22:14:58 [Beaker] strep algacans
22:15:30 [Neuro4u] slisteria
22:15:34 [jnewdoc2b] So E. Coli, Strep agalactiae and E. coli are all causative agents, but Strep is number 1?
22:15:46 [Neuro4u] spelling off
22:15:57 [MDdoc] E. coli is number 2
22:16:34 [jnewdoc2b] very well, thanks!
22:17:56 [MDdoc] what are we talking about neuro?
22:18:03 [MDdoc] whats next?
22:18:43 [MDdoc] how about pneumocystis carnii since some classify as fungus
22:19:15 [Neuro4u] well we went from fungus to endocardistis...to neonatal meningitis...so we can do PCP if you guys want too
22:19:52 [MDdoc] i just figured that its in the same subject of fungi?
22:20:21 [MDdoc] your call
22:20:41 [jnewdoc2b] Sorry I got you guys side tracked. It is my first time in this chat room and I'm unfamilar with how things are run here. Can someone explain quickly the layout?
22:21:57 [Neuro4u] that is ok...we usually do random....but tonight we are trying to stay in a system
22:22:08 [MDdoc] basically we pick a subject for the following day and ask question or expand on different important things about it, but i wasn't here the past couple of times so correct me if i'm wrong
22:22:27 [Neuro4u] so we do not get things confused....but if u like random we can do that too
22:23:00 [jnewdoc2b] No whatever is the norm is fine with me. What's the topic for tonight, then?
22:23:18 [jnewdoc2b] Do you guys meet at a regular time each night?
22:23:57 [dua] since all of us are here.. lets pick a time
22:24:02 [MDdoc] it is now scheduled for 8 PM EST, but we can pick something better if since there are more here
22:24:07 [bhavani] have uguys finished virology
22:24:48 [Neuro4u] **** please check davidson for neonatal meningitis....i thought listeria was also a cause and i want to make sure strep b is #1...ok
22:24:55 [jnewdoc2b] I have finished Micro, but honestly don't feel prepared well in the course at all. So any topic is fair game for my review.
22:25:32 [MDdoc] yes listeria is #3 cause
22:25:51 [Neuro4u] ok...i thought it was also a cause..thank you
22:26:11 [Neuro4u] what do u what to talk about now...
22:26:59 [MDdoc] i was also just studying micro so it is fresh in my mind, but i'll give anything you guys want a shot
22:27:22 [jnewdoc2b] Virology is cool with me....
22:27:55 [MDdoc] that sounds good to me too, did u guys go over this yet?
22:29:06 [Neuro4u] i just started reviewing micro
22:29:19 [jnewdoc2b] Ok, could some briefly describe the differences between RNA & DNA viruses?
22:29:29 [Beaker] you guys want me to clear the board so that things run quicker?
22:29:52 [jnewdoc2b] yes
22:30:07 [MDdoc] good idea beaker, does anyone need to copy this first?

[Anonymous]

20:34:19 [Neuro4u] Kuru

20:34:27 [Neuro4u] host is

20:34:37 Jeffk13057 enters this room

20:34:47 [MDdoc] people i think

20:34:48 [Neuro4u] hi Jeff

20:34:53 [MDdoc] hi jeff

20:34:58 [Jeffk13057] hey guys how is everyone

20:34:59 [Neuro4u] Human host...yes

20:35:16 [Neuro4u] good...we are talking about prion disease

20:35:20 [Neuro4u] Kuru

20:35:25 [Jeffk13057] excellent

20:35:27 [Neuro4u] location

20:35:42 [Neuro4u] region in world

20:35:43 [Jeffk13057] me?

20:36:00 [Neuro4u] New Guinea

20:36:06 [MDdoc] far, far away

20:36:10 [Jeffk13057] syracuse

20:36:36 [Neuro4u] Fore Tribe....they consume infected brains...

20:36:49 [Neuro4u] brain for dinnner

20:36:51 [MDdoc] neuro meant location of Kuru

20:37:17 [MDdoc] that doesn't sound tempting

20:37:33 [Neuro4u] sorry ....I am not good typist or spelling

20:37:37 [MDdoc] thats the one that causes SSE...right

20:37:57 [Neuro4u] thanks...Kuru......

20:38:04 [Neuro4u] yes

20:38:28 [Neuro4u] Subacute Spongiform Encephalolpathy SSE

20:38:40 [MDdoc] CJD also causes it if i remember correctly

20:38:58 [Neuro4u] so if the person is from New Guinea...

20:39:09 [Neuro4u] yes CJD

20:39:28 [Neuro4u] what doctor is at risk for getting CJD

20:40:03 [MDdoc] neurosurgeon??

20:40:10 [Neuro4u] CJD also has genetic predisposition

20:40:21 [Neuro4u] yes...neurosurgeon...

20:40:37 [Jeffk13057] autosomal dominant

20:40:43 [MDdoc] really genetics?

20:40:58 [Neuro4u] thanks jeff...

20:41:08 [Jeffk13057] yup

20:41:28 [Neuro4u] anything else about CJD

20:41:58 [Jeffk13057] life expectancy <1 year after dx

20:42:02 bhavani enters this room

20:42:15 [Neuro4u] very good to know

20:42:18 [MDdoc] hi bhavani

20:42:36 [bhavani] hi doc

20:42:43 [Neuro4u] the only other prion we might be tested on is Scrapie

20:42:56 [Neuro4u] hi bhavani

20:43:09 [Jeffk13057] hi bhavani

20:43:24 [bhavani] hi neuro

20:43:34 [bhavani] hi jeff

20:43:53 [MDdoc] dont know much about scrapie except i think that it also causes SSE

20:44:00 [Neuro4u] Host of Scrapie?

20:44:07 [Jeffk13057] hello...

20:44:15 [Neuro4u] yes all SSE

20:44:24 [Jeffk13057] sheep of course my favorite

20:44:35 [Neuro4u] yes

20:44:53 [Neuro4u] Scrapie from Sheep

20:45:07 [MDdoc] ok

20:46:42 [MDdoc] how does HIV mutate, antigenic shift or drift?

20:46:48 [Neuro4u] Progressive multifocal leuk

20:47:14 [Jeffk13057] i forget

20:47:22 [Neuro4u] drift

20:47:36 [Jeffk13057] ok

20:47:45 [MDdoc] yes that the drift

20:48:54 [MDdoc] PML is caused by JC ...right?

20:49:06 [Neuro4u] yes

20:49:32 [Neuro4u] Hand foot and mouth disease? children

20:49:44 [Neuro4u] I saw this alot in Peds.

20:49:49 [MDdoc] coxsackie

20:50:09 [Neuro4u] I was surprised to see so many....yes coxsackie

20:50:33 [Neuro4u] which.....causes heart problems?

20:50:34 [Jeffk13057] gotta go guys...see yah all later

20:50:40 [Neuro4u] A or B

20:50:53 [Neuro4u] Bye Jeff...

20:51:05 [Neuro4u] Bhavani...are u there

20:51:06 [MDdoc] see ya Jeff

20:51:21 [MDdoc] A

20:51:33 [bhavani] yes

20:51:51 [Neuro4u] I think it is B

20:51:51 [bhavani] coxb

20:52:17 [Neuro4u] I was taliking off the top of my head....

20:52:21 [MDdoc] hand foot and mouth i thought was A

20:52:35 [Neuro4u] yes

20:52:40 [MDdoc] off top of my head too so not sure

20:52:56 [Neuro4u] B damages the heart...but double check ok

20:53:16 [MDdoc] that's part of Picorna, mneumonic is PEE Co Rn A, Polio, Echo, Entero, Coxsackie, Rhino, hep A

20:54:43 [Neuro4u] B for Myocarditis

20:54:53 [Neuro4u] I confirmed

20:55:00 [Neuro4u] A HFM