Chat transcript - Micro (bacteria, fungi)

[Anonymous]

21:04:56 [Step_1] ok, so tonight is micro. we can start off with some bacteria

21:05:03 [crusher] sure start firing Q,s plz

21:05:16 [AoneDr] i will be silent this time if its ok

21:05:30 [Hmmmmmm] ok i prepared this one (not in any chorno order)

21:05:55 [Step_1] ok, if you see a cell described as having an outer membrane, is this Gr + or -?

21:06:15 [Hmmmmmm] ok a patient comes to u with an very large open wound on his leg, the organism is gram +ve and catalase -ve whats the organism

21:06:24 [hutals] no problem Aone, jump in whenever you feel comfortable

21:06:26 [Hmmmmmm] gr -ve step 1

21:06:34 [crusher] gram -ve,,with the LPS

21:07:01 [hutals] clostidium perfingens

21:07:08 [crusher] clostridium perfirenges

21:07:12 [hutals] gram neg for step 1

21:07:14 ash enters this room

21:07:20 [Hmmmmmm] yeah hutals good one

21:07:22 [Step_1] hi ash

21:07:26 [ash] hi everyone!!

21:07:34 [Hmmmmmm] hi ash

21:07:35 [Step_1] clostridium perfrengens

21:07:50 [Hmmmmmm] yes step 1

21:08:07 [ash] hey step_1 i have your questions ,can i ask some of them?>

21:08:11 [Step_1] yes, gram - are the only ones with outer membrane, especially neisseria

21:08:14 [Hmmmmmm] more pili means more?

21:08:16 [AoneDr] hi ash

21:08:21 [Step_1] sure, go for it

21:08:30 [ash] hi

21:08:55 erum enters this room

21:09:04 [ash] what are the effects of exotoxin secreted by e.coli?

21:09:06 [hutals] pili are gram neg. virulence

21:09:17 [Step_1] hi erum

21:09:28 Lorena enters this room

21:09:30 [ash] hi erum

21:09:32 [Hmmmmmm] diarrhea? which ecoli?

21:09:40 [Hmmmmmm] hi erum and lorena

21:09:41 [ash] hi lorena

21:09:42 sicca enters this room

21:10:02 [Hmmmmmm] wow a lot of ppl 2day hi sicca

21:10:06 [Lorena] hi guys, step 1, hutals , crusher, and all

21:10:09 [ash] the mechanism of action of exotoxin of e.coli

21:10:19 [Lorena] i misssed you a lot

21:10:19 [Step_1] hi lorena

21:10:31 [erum] hi everyone

21:10:34 [ash] the kind of e.coli shouldnt matter

21:10:40 [crusher] hello lorena..i see u after long time

21:10:44 [Step_1] we all missed you to lorena. good to hear from you again

21:10:44 [Hmmmmmm] more pili means more virulence (my previous question)

21:11:00 [Lorena]

21:11:00 [Hmmmmmm] ash i think its adenyl cylase and increase cAMP

21:12:01 [erum] today is my first day

21:12:20 [Step_1] middle aged male presents with acute onset monoarticular join pain and bilat bells palsy. what disease and how did he get it?

21:12:27 [Lorena] some family stuff and i was sick but feeling better and ready to participate again

21:12:31 [Hmmmmmm] ok bacteria has a generation time of 10 min and lag = 10. how many will u see in 80 minutes if u have 10 in the beginning

21:12:33 [ash]>[Step_1] lymes

21:12:45 [hutals] welcome to the chat erum. jump in whenever you feel comfortable

21:13:01 [erum] thanks

21:13:18 [Step_1] hope everything is ok lorena

21:13:30 [Hmmmmmm] lyme dz and ixodes tick

21:13:32 [hutals] agree lyme dz from ticks

21:13:32 [Lorena] the disease is lyme and got it from a tick bite

21:13:52 [Lorena] thanks step, everything is fine again

21:14:21 [crusher] i think its lyme disease by borrelia bordegferri,bilateral fascial palsy if unilateral mcc is idiopathic

21:14:35 [Step_1] great job everyone, its lyme dz and ixodes tick

21:15:23 [crusher] hope u feeling good lorena and welcome back

21:15:29 [Step_1] excellent crusher. the buzz word was BI lateral vs UNI lateral....good point

21:15:31 [ash] which org. has heat sensitive catalase?

21:15:54 [Hmmmmmm] ohhh i thought it was 10 X 2^7

21:16:19 [Step_1] cat + would be Staph aureus and yersinia

21:16:28 [Hmmmmmm] staph aureus

21:16:30 [Lorena] staph aureus

21:17:00 [crusher] sataph auerus is both catalase and coaglase +ve

21:17:09 [Hmmmmmm] yersinia is coagulase +ve i think?

21:17:34 [ash] the catch is heat sensitive and the answer is m.tb

21:18:33 [Hmmmmmm] nice one ash

21:18:45 [crusher] all staph are catalase +ve not just staph aureus,,staph auerus piciluarity is its COAGULASE POSITIVE too

21:18:51 [ash] gram negative cocci without immunogenic capsule?

21:19:06 [Step_1] ah, i didnt even notice the heat sensitive part

21:19:22 [Lorena] N. gonorrhoeae

21:19:23 [ash]>[Step_1] thats ok

21:19:33 [Hmmmmmm] no iad

21:19:35 [Hmmmmmm] idea

21:19:42 [crusher] agree with lori

21:19:51 drkittu enters this room

21:20:08 [crusher] N.menigititidis has capsule

21:20:08 [Step_1] yeah, i messed up, i meant to say that staph aureus and yersernia are both COAG +....not both cat +...sorry, end of a very long day

21:20:34 [Lorena] no capsule no vaccine vs N. meningitidis (it has capsule so it has vaccine)

21:20:56 [ash] i am asking an org. with a capsule that is nonimmunogenic

21:21:15 [ash] and gram negative cocci

21:22:42 [hutals] not sure ash

21:22:49 [ash] the answer is moraxella

21:22:50 [Hmmmmmm] kliebsella

21:22:54 [Hmmmmmm] oh

21:22:54 [crusher] plz ans ash

21:23:08 [Lorena] i misunderstood, i thought you asked a bug without capsule

21:23:29 [Hmmmmmm] whats imp about morax? give me one clinical sig/

21:24:01 [Lorena] moraxella causes otitis media

21:24:08 [Lorena] no prob ash

21:24:09 [crusher] i think middle ear infection

21:24:23 [Hmmmmmm] in adults

21:24:33 [Hmmmmmm] yes crush and ash

21:25:00 [ash] this bacteria needs protoporphyrin for growth

21:25:08 [Step_1] cant remember the question right now, but that was a real one with moraxella as the ans. they described it in micro terms in a pt with otitis media i think

21:25:09 [Lorena] in chronic obstructive pulmonary diseases od the lung , it can cause bronchitis

21:25:23 [Hmmmmmm] DTaP what does the a stand for? (stupid q but why do we need this kind of vaccine?)

21:25:53 [hutals] diptheria, tetenus, pertussis

21:26:02 [Hmmmmmm] step 1 *how do u diagnose otitis media *pain in teh ear and swelling and redness?

21:26:10 [Lorena] agree with hutals

21:26:27 [Hmmmmmm] hutal what does the "a" stand for

21:26:33 [Hmmmmmm] a = acellular

21:26:37 [crusher] p.seudoonas is common cause of infection in bronchectasis especially in downs patient....>lorena

21:26:45 [Hmmmmmm] need for patients with CGD etc

21:26:53 [Step_1] i wish i could remember the question, but i'll post it if i remember or wrote it down somewhere

21:27:00 [Hmmmmmm] SCID also

21:27:15 [Lorena] i see crush

21:27:16 [hutals] What are the culture requirement for H. flu?

21:27:46 [Hmmmmmm] V and X

21:27:50 [Hmmmmmm] hematin and NAD

21:27:52 [ash] nad and protoporphyrin

21:28:00 [Lorena] hemin and NAD

21:28:02 [Hmmmmmm] or need staph aureus growing in blood agar

21:28:19 [ash] pikes madium is for ?

21:28:23 [crusher] heme and hematin and NAD

21:28:30 [Step_1] factor V and X

21:28:52 [Hmmmmmm] yeah ash

21:29:09 [hutals] culture on chocolate agar with factor V (NAD) and X (hematin).

21:29:21 [Step_1] mneumonic is [Think: 'Child has 'flu'; mom goes to five (V) and dime (X) store to buy chocolate.']

21:29:21 [Hmmmmmm] oh dam chocolate

21:29:52 Dr_Rolon enters this room

21:29:58 [ash] which bacteria needs cysteine and iron?

21:29:59 [Step_1] hi dr rolon

21:30:13 [ash]>[Step_1]

21:30:23 [crusher] legionella

21:30:28 [Dr_Rolon] hello, glad to finally join you guys,

21:30:47 [crusher] media is charcol yeast agar

21:30:55 [Lorena] i remember with one of step 1 neumonics about the 4 sisters "ellas"

21:31:02 [drkittu] Legionella

21:31:23 [Hmmmmmm] ok a surgeon was excising a lipoma from the back of the neck of an obese 50 yr old female and later *1 or 2 days she started having signs of endocarditis is there an organism involved if so what?

21:31:29 [Dr_Rolon] legionella

21:31:41 [Lorena] "the 4 sister 'ellas' worship at the cysteine chapel, except for bortadella b/c see got bored"..... by step 1

21:32:09 [Hmmmmmm] i have to mention (wasnt too sterile)

21:32:16 [Dr_Rolon] staph

21:32:26 [drkittu] Staph epidermiditis

21:32:26 [Lorena] s. epidermidis hmm???

21:32:38 [Step_1] good you remembered lorena....good job

21:32:43 [Dr_Rolon] epidermidis i think thats right

21:33:01 [Lorena] i have learnt a lot from you step 1

21:33:02 [Hmmmmmm] lemme check

21:33:12 [Step_1] dr rolon, you might want to pick a brighter color from the rainbow on right

21:33:30 [Dr_Rolon] i never thought this could be so much fun

21:33:38 [Hmmmmmm] its aureus

21:33:44 [Dr_Rolon] now?

21:33:49 [Hmmmmmm] (see caplan pg 21

21:34:23 [ash] kellys medium is for?

21:34:30 [Lorena] yes, now that i remember , s, epidermidis if the valves are previously damaged, s. aureus if the valves are normal (mostly IV drug users)

21:35:04 [crusher] yes i agree it should be staph aureus

21:35:21 [Hmmmmmm] im sorry ash but what was ur ans for pikes med?

21:35:27 [Step_1] dr. rolon, you still have black which is hard to read

21:35:47 [Dr_Rolon] im trying, my net is slow

21:35:55 [ash] streptococci

21:36:06 [Hmmmmmm] thanks

21:36:20 [hutals] rash on palms and soles (migrating to wrists, ankles, then trunck) 2) headache 3) fever....what dz?

21:36:21 [ash]

21:36:35 [Step_1] RMSF

21:36:38 [Hmmmmmm] rocky mountain spooted fever

21:36:40 [Hmmmmmm]

21:36:40 [Dr_Rolon] ,

21:37:03 [crusher] rocky mountain feevr..rash centrifugul

21:37:07 [ash] what about *****?

21:37:08 [Step_1] which by the way is least likely to be found in the Rocky Mountains

21:37:12 [Hmmmmmm] painfull ulcer in the penis?

21:37:17 [Hmmmmmm] dx?

21:37:25 [hutals] yep, rocky mountain spotted fever

21:37:44 [Step_1] Hemohilus ducreyi

21:37:58 [Hmmmmmm] yes step1 and lorena

21:38:06 [ash] if multiple then herpes

21:38:26 [Hmmmmmm] i thougth herpes is not ulcer but pustules?

21:38:28 [Step_1] mneumonic is "You do cry" sounds like "ducreyi"

21:38:31 [crusher] duceri make you cry..(painful)

21:38:50 [Step_1] herpes is not painful

21:38:52 [crusher] if painless then syphilis

21:38:55 [Lorena] and when it is not painful? dx?

21:39:00 [Hmmmmmm] do cry (compliements of step1 and acestep1 )

21:39:12 [ash] syphilis/TO Lorena

21:39:21 [Lorena] herpes is painful too

21:39:23 erum enters this room

21:39:25 [Dr_Rolon] chancre, sypohilis

21:40:02 [ash] hey what about kellys medium?

21:40:13 [Hmmmmmm] dunno ans plez

21:40:18 [Lorena] that color is much better Dr Rolon

21:40:38 [Dr_Rolon] no prob

21:40:47 [Dr_Rolon] rookie mistake

21:41:15 [hutals] What bacteria exhibits a 'tumbling' motility, is found in unpasteurized milk, and causes meningitis in newborns?

21:41:16 [Hmmmmmm] ok a patient with white plaques on either side of mouth(near the tonsils) and milk coming out of nose dx?

21:41:22 [Hmmmmmm] listeria

21:41:30 [Hmmmmmm] hutas listeria?

21:41:38 [Lorena] it is listeria monocytogenes

21:41:49 [Step_1] boriella for ***** i think

21:41:59 [Step_1] listeria for hutals question

21:42:11 [ash]>[Step_1] right

21:42:18 [hutals] yep, Listeria monocytogenes

21:42:21 [Dr_Rolon] listeria monocytes for meningitis?

21:42:35 [Hmmmmmm] yes drrolon

21:42:45 [Lorena] in newborns yes Dr Rolon

21:42:54 [Hmmmmmm] yeah ash goood

21:43:06 [Dr_Rolon] ok

21:43:27 [hutals] thanks for clearing that up lorena. wasn't sure why milk was coming out of someones nose

21:43:55 [Hmmmmmm] its a question i heard im not sure either

21:44:07 [ash] which bacteria is implicated in guillian barre syndrome?

21:44:35 [Lorena] reallY? i thought it was after a viral infection

21:44:42 [Hmmmmmm] me 2

21:44:49 [Step_1] Campylobacter jejuni

21:45:08 [crusher] i think step1 is right

21:45:15 [drkittu] capylobacter

21:45:24 [Hmmmmmm] good question

21:45:25 [ash] right,but only 1 bacteria is implicated.which?given in k a p l a n

21:45:51 [hutals] i agree C jejuni

21:46:25 [Lorena] GUll's wings= GUillain barre

21:46:57 [ash] microaerophilic organism that is a pathogen in the duodenum?

21:47:00 [Hmmmmmm] ok patient gets epigastric pain after eating food , very thin and has bloody stool? organism?

21:47:15 [crusher] h.pylori

21:47:29 [Hmmmmmm] very good

21:47:45 [Dr_Rolon] h. pylori for epigastric pain?

21:47:48 [erum] h.pylori

21:48:04 [drkittu] Helicobactor

21:48:21 [Lorena] agree helycobacter

21:48:23 [Hmmmmmm] dr rolon its becuae its gastric ulcer

21:48:40 [ash] which e.coli is a sorbitol nonfermentor?

21:48:46 [Dr_Rolon] ok

21:50:05 [drkittu] EHEC

21:50:19 [Hmmmmmm] ans please ash?

21:50:29 [crusher] which organism has small dense bodies and reticulate bodies and whats the drug for treatment

21:50:44 [drkittu] eNTEROHEMORRHAGIS e COLI

21:51:13 [ash] treatment is tetra?

21:51:15 [drkittu] sorry my caps lock was on i didn't notice

21:51:28 [Hmmmmmm] crusher> c. diaptheria?

21:51:45 [Lorena] corynebacterium

21:52:02 [Lorena] babes ernst bodies in loeffelr medium

21:52:32 [Hmmmmmm] lorena (does this also have volutin granules?) are they the same things

21:52:36 [crusher] yesw its chalmydia and treatment is erythromycin or tetracyclin..eleentry bodies enter the cells and reticulate bodies replicate in cells

21:53:22 [hutals] What bug is associated with burn wound infections?

21:53:29 [ash] what does the heat stable toxin of e.coli stimulate?

21:53:39 [Step_1] pseudomonas aurgenosa

21:53:40 [Lorena] pseudomona a.

21:53:56 [crusher] P.aueroginosa..HUTALS

21:53:58 [Step_1] guanylate cyclase

21:54:10 [Hmmmmmm] ok im confused crusher is ur ans chlamydia or diphteria?

21:54:48 [crusher] which org causes ATYPICAL PNEUMONIA,how do u see in X.rays

21:55:01 [Step_1] clamydia for crushers question and treat with erythromycin or tetracyclin

21:55:04 [Lorena] s toxin stimulates guanylate cyclase

21:55:19 [hutals] yep, Pseudomonas aeruginosa

21:55:26 [Lorena] thanks crusher and steo

21:55:39 [crusher] by CAMP and adeny;late cylase for E.COLi

21:55:56 [Step_1] mycoplasma pneumonia

21:55:57 [Hmmmmmm] ty step 1

21:56:44 [Lorena] atypical pneumonia can be caused by chlamydia

21:57:51 [crusher] insidious onset DRY COUGH(atypical Pneumonia)mycoplasma pnemonia.legionella,chlaydia and coxilela..diffuse interstial infiltrates in x.rayss.Tx is ERYTHROMYCIN

21:58:16 [Hmmmmmm] beatiful explanation crush

21:58:23 [Lorena] nice

21:58:41 [Step_1] good job crusher

21:58:43 [ash] what medium contains sterols,purines and pyrimidines and which organism needs it?

21:58:45 [hutals] What causes tetanus? (give bacteria and disease process)

21:59:13 [crusher] plz remeber the Tx..in exam sometimes they end in asking treatment

21:59:45 [ash] acts on ganglioside receptors

21:59:51 [erum] clostridium tetani

22:00:25 [Hmmmmmm] risus sardonicuz and ophisthotonus

22:00:28 [hutals] btw, i just learned that when you click on someones name before posting, it sends them the message only and no one else will see it

22:00:39 [crusher] clostidium tetanus..by toxin resulting in ascending paralysis,,toixin is neurospastic means destroy the nerves

22:00:42 [Dr_Rolon] risus sardonicuz?

22:00:51 [erum] causes spastic paralysis via gaba release blockade

22:01:02 [ash] to hutals are you sure?

22:01:02 [hutals] yep, Clostridium tetani: exotoxin produced blocks glycine release

22:01:06 [Lorena] thank you hutals i didnt know that

22:01:22 [ash] i have been sending such messages since when

22:01:23 [Hmmmmmm] swarming in medium? organisM?

22:01:40 [crusher] protus??

22:01:44 [Lorena] i have been doing that a lot lately

22:01:51 [Hmmmmmm] yes

22:01:56 [ash] proteus and clostridium perfringens

22:02:00 [Hmmmmmm]

22:02:14 [hutals] i'm pretty sure, coz i noticed it on the transcript that step 1 posted and some stuff was there and some wasn't whenever the persons name was highlighted

22:02:17 [Dr_Rolon] hmmmmmmmmmm what is risus sardonicuz?

22:02:34 [Hmmmmmm] grimace in tetany

22:02:36 [ash] p on blood agar and cl. on milk media

22:02:50 [Hmmmmmm] the facial muscles are contrated dr rolon

22:02:54 [hutals] i thought it was just a way to adress someone, but i was wrong

22:02:55 [Dr_Rolon] thx

22:03:03 [Dr_Rolon] w

22:03:12 [Step_1] i thought that too...thanks for pointing that out hutals

22:03:13 [ash] i thought so too

22:04:34 [Step_1] that explains why some people ask for answers after they've already been posted

22:04:41 [Hmmmmmm] what is weil felix?

22:04:51 [ash] this pathogen has fimbria that create a stacked brick like thick biofilm by attaching to eachother and enterocytes.what is it?\

22:05:37 [drkittu] Proteus

22:05:42 [Lorena] it is a diagnostic test for ricketsia ricketsi , where you use proteus or something like that

22:05:47 [Hmmmmmm] agree drkittu

22:06:02 [Step_1] weil felix test is positive in most rickettsia except for the unusual coxialla curnetti

22:06:26 [Step_1] oops, Burnetti

22:06:42 [crusher] greenish vaginal discharge with fishy smell,epithelkial cells covered with bacteria,,whats the organism n whats the treatment

22:06:45 [Hmmmmmm] i thougth it was reaction or rickettsia with proteus vulagris?

22:06:55 [drkittu] Gardinella

22:07:19 [drkittu] Metronidazole

22:07:19 [hutals] trich or gardinella, i always mix them up

22:07:23 [Lorena] yes hmm thats what it is

22:07:29 [ash] crusher trichomonas vaginalis

22:07:46 [Lorena] agree trichomonas

22:07:52 [drkittu] Tricho causes Frothy discharge

22:08:02 [Lorena] and metro for tx

22:08:05 [ash] but trichomonas is not bacteria

22:08:09 [crusher] its gardenilla vaginalis with CLUE CELLS,is the CLUE,,tx is metroniadazole

22:08:22 [ash] frothy and also greenish

22:08:32 [drkittu] Agree Ash'

22:08:44 [Lorena] true ash ....thanks

22:08:58 [hutals] thanks

22:09:21 [hutals] What causes the flu?

22:09:46 [hutals] oh, nevermind, thats a virus question which is for sat

22:09:47 [Hmmmmmm] influenza virus

22:09:56 [drkittu] Influenza virus

22:10:02 [ash] influenza a and b mostly

22:10:09 [hutals] the point is that its not H flu which is a bacteria

22:10:38 [Lorena] good point

22:10:43 [ash] i thought viruses was today

22:11:01 [ash] then what are the topics for today?

22:11:16 [crusher] how can u define intracellar obligates and faculative intracellular

22:11:19 [hutals] i thought viruses was sat

22:11:19 [Hmmmmmm] bacteriology?

22:11:53 [ash] hmmmmmmm thanks

22:12:01 [ash] when is immunology then?

22:12:04 drsnsathya enters this room

22:12:45 [Dr_Rolon] distinguishing feature of mycoplasma is???

22:13:05 [Hmmmmmm] ok here are my mneumonics for facultative anearobes

22:13:20 [Hmmmmmm] SLoBbY MiLF *sorry for the language

22:13:21 [crusher] intracellar organisms like (chlmaydia nad ricketsias ) lacks ATPs aand facultative intracelluar like(mycobacterium,brucella)surnive in both AEROBIC and ANEROBICS

22:13:22 [Lorena] no cell wall

22:13:47 [Step_1] good point, we forgot about immuno. i guess we should try to do as much micro as we can today, including viruses, so that we can cover immuno on sat (plus whatever we didnt cover in micro)

22:13:51 [Dr_Rolon] no cell wall, right

22:13:51 [ash] thanks crusher i didnt know that

22:14:11 [Hmmmmmm] Salmonella, Legionella, Listeria Brucella, Yersinia, Mycobacterium, Fransiclla

22:15:16 [Lorena] thanks hmmm

22:15:17 [Hmmmmmm] obligate anerobes ABC actinomyces, bacteriodes, clostridum

22:15:46 [ash] medusa head colony is shown by which bacteria?

22:16:27 [drkittu] Klebsiella

22:16:42 [crusher] what the mechanism of cHOLERA and PERTUSIS and vibreo cholera?

22:17:05 [Hmmmmmm] cholera turns on the on pertusis turns off the off

22:17:10 [Step_1] anthrax??

22:17:25 [drsnsathya] cholera increasae

22:17:29 [Hmmmmmm] step 1 is rite anthax

22:17:39 [ash] cholera toxin stimulates GS, adenyl cyclase and increases camp

22:17:44 [drsnsathya] i am sorry

22:17:45 [Step_1] cAMP

22:18:02 [ash] pertussis inhibits Gi and thus increases camp

22:18:08 [Lorena] agree with ash

22:18:10 [Step_1] hi drsnsathya

22:18:19 [ash] right step_1

22:18:26 [drkittu] Malignancy causing cholera like diarrhoea?????

22:18:33 [Dr_Rolon] common characteristic of fungi that cause systemic mycoses?

22:18:37 [drsnsathya] hello step 1

22:18:47 [ash] somatostatinoma?

22:18:48 [Hmmmmmm] IgA protease my mneumonic is HaNNS

22:18:51 [crusher] vibreo cholera toxin activates the Gs causing rice watery stool.pertusis disable the Gs and causes whopping cough .

22:18:59 [Lorena] they are dimorphic

22:19:10 [Step_1] srsnsathya, you might want to pick brighter color from the rainbow on the right

22:19:25 [Hmmmmmm] H. infllu, both Niesserhea, S. pneumona

22:19:32 [drsnsathya] 0.k

22:19:49 [ash] which fungus shows reverse dimorphic characteristic?

22:20:27 [ash] thanks

22:20:51 [drkittu] Candida

22:21:09 [ash] great drkittu!!!

22:21:15 [Step_1] thanks drsns, much better

22:21:18 [drsnsathya] cryptocoocus neoformans

22:21:37 [Hmmmmmm] Once there was a boy. He was very hungry so he reheated some rice. Soon he got bad diarrhea. What organism?

22:21:38 [drsnsathya] first time.

22:21:55 [Lorena] Bacillus cereus

22:21:56 [drsnsathya] bacillus cerrus

22:21:58 [ash] drsnsathya cryptococcus is monomorphic

22:22:06 [Hmmmmmm] good

22:22:11 [crusher] cereus.Bacillus

22:22:13 [ash] hmmmmmm bacillus cereus

22:22:19 [drkittu] Bacillus

22:22:20 [drsnsathya] is it

22:22:21 [Dr_Rolon] b cereus

22:22:23 [Hmmmmmm] all rite

22:22:56 [hutals] very soon, within a few hours. the only other food poisoning that is that quick is what?

22:22:58 [ash] pt. had food poisoning in 6 hours.cause?

22:23:15 [ash] staph.aureus

22:23:18 [drsnsathya] staphylocoocus

22:23:19 [Lorena] staph aureus

22:23:21 [crusher] is it not cstaph aureus

22:23:21 [drkittu] Staph aureus

22:23:28 [Hmmmmmm] good question ash

22:23:38 [Step_1] B cereus and Staph aureus have very quick onsets of < 4 hrs or something like that

22:24:00 [Hmmmmmm] 2 -6 step 1 calpan

22:24:14 [crusher] atypical pneumonia in bird breeders whats the org?

22:24:24 [Step_1] thanks, i knew it was something like that

22:24:34 [drsnsathya] histoplasma

22:24:40 [hutals] yep, staph is the other fast food poisoning

22:24:49 [ash] immunogenic component in n.meningitidis and in s.pyogenes capsule?

22:24:55 [drkittu] Psittacosi

22:24:58 [Dr_Rolon] histoplasma capsulatum?

22:24:58 [Lorena] cryptococcus n.

22:25:06 [ash] crusher histoplasma

22:25:14 [crusher] chlamidia ,Psitticosis

22:25:26 [ash] also pneumocystis carinii

22:25:40 [Lorena] histoplasma is in relation with bats

22:25:46 [ash] oh sorry i meant psittacosis

22:26:06 [Hmmmmmm] rice water diarrhea? organism?

22:26:19 [ash] hmmmmmmm cholera

22:26:22 [Lorena] v. cholerae

22:26:26 [hutals] histo is bat and bird feces, but they will usually say bats because birds can be more than one thing

22:26:27 [drkittu] Cholera

22:26:36 [crusher] v.cholera

22:26:37 [Dr_Rolon] e coli

22:26:44 [hutals] rice water is cholera

22:26:48 [drsnsathya] in which food poisoning pt will die tdue to respiratoy failure?

22:26:50 [Hmmmmmm] good drkittu and crush

22:26:52 [ash] fungus that mainly kills type 1 pneumocytes?

22:27:12 [Hmmmmmm] baby drinks honey and gets floppy? orgranism?

22:27:17 [ash] drsnsathya botulinum

22:27:25 [Lorena] cryptococcus can also be a cause in pigeon breeders, acute pulmonary usually asymptomatic

22:27:30 [Step_1] Botulism

22:27:31 [ash] hmmmmmm botulinum

22:27:36 [drsnsathya] your r right

22:27:38 [Lorena] c. botulinum

22:27:47 [crusher] bolilinium

22:27:53 [ash] good point lorena

22:28:22 [Dr_Rolon] what mecanism for botulisn?

22:28:29 [drkittu] Pneumocystis

22:28:36 [ash] fungus that kills mainly type 1 pneumocytes?

22:28:48 [Hmmmmmm] botulism is corrent

22:28:51 [Lorena] inhibits the realease of Ach

22:28:55 [drsnsathya] which is the most sensitive and specific test for syphillis

22:28:58 [ash] dr rolon by inhibiting ach release

22:29:06 [crusher] PCP??/ash

22:29:13 [ash] drsnsathya ftaabs

22:29:17 [crusher] FTS..

22:29:21 [Dr_Rolon] right

22:29:23 [ash] right crusher

22:29:31 [Step_1] FTS

22:29:44 [Dr_Rolon] ftb/abs for syphilis

22:29:53 [Hmmmmmm] VDRL is sensitive?

22:29:55 [Dr_Rolon] fts sorry

22:30:05 [drsnsathya] TPI is specific and fta is sensitive

22:30:06 [Hmmmmmm] ftb abs is specific

22:30:11 [ash] hmmmmmmm yes but not specific

22:30:22 [Hmmmmmm] doh

22:30:49 [hutals] What do RMSF, syphilis, and coxsackievirus A infection have in common?

22:30:58 [Hmmmmmm] thanks ash

22:31:05 [ash] cardiolipin antigen

22:31:18 [Step_1] rash on palms and soles

22:31:50 [ash] agree with step_1

22:32:02 [Lorena] good question hutals

22:32:26 [crusher] what family coxaia A virus belong??

22:32:34 [hutals] thnx lorena. yep, rash on palm and sole is seen in each (coxasackievirus A =hand, foot, and mouth disease)

22:32:37 [Hmmmmmm] what organism is involved with erythma marginatum, subcu. nodules, carditis, chorea and polyarthritis

22:33:09 [ash] strepto.pyogenes

22:33:20 [ash] rheumatic fever

22:33:21 [Lorena] strept grou A

22:33:21 [hutals] picorna

22:33:25 [Hmmmmmm] good ash

22:33:35 [Hmmmmmm] good lorena

22:33:36 [ash] what strain causes glomerulonephritis?

22:33:37 [drsnsathya] group a beta hemolytic strptococcus

22:33:48 [crusher] picorna virus which is a positive sense naked virus causes hand foot and mouth disesse

22:34:35 [Lorena] strep group A

22:34:42 [ash] corn meal agar is for ?

22:34:43 [Hmmmmmm] 6.5 NaCl?

22:35:17 [ash] hmmmmmm enterococcus

22:35:23 [drsnsathya] canidida

22:35:27 [crusher] enterococcus fecalis

22:35:37 [Lorena] s. group D or enterococcus

22:35:38 [Step_1] Picorna mneumonic is "PEE Co Rn A" Polio Entero, Echo, Cosackie, Rhino, hep A

22:35:42 [Hmmmmmm] rite again ash and crush

22:35:46 [ash] drsnsathya good

22:35:52 [Dr_Rolon] gotta go now, will be back saturday

22:36:02 [Hmmmmmm] dr rolon bye

22:36:08 [ash] bye goodnite

22:36:15 [Step_1] ok, see you sat dr rolon.

22:36:18 [Lorena] bye Dr Rolon see you on saturday

22:36:25 [hutals] bye rolon

22:36:25 [crusher] bile soluble??

22:36:28 [Hmmmmmm] thanks step 1 for teh neumonic

22:36:34 [drsnsathya] bye

22:36:45 [Step_1] no prob

22:36:48 [ash] guys what are we discussing on saturday?

22:37:05 [ash] crusher s.pneumoniae

22:37:18 [Step_1] i think it will need to be immunology and whatever we dont get thru tonight

22:37:20 [Lorena] how about virology and immnuno?

22:37:22 [Hmmmmmm] immuno and a bit of fungi and virus if please

22:37:26 [crusher] correct its pyogens

22:38:12 [ash] crusher it is s.pneumoniae!!

22:38:27 [Lorena] diff between nocardia and actinomyces

22:38:28 [drsnsathya] streptococcus pyogenes strain 2,49,37,59-61

22:38:54 [Lorena] agrre bile soluble is strept pneumoniae

22:39:14 [ash] lorena nocardia is partially acid fast that act.is not and actino. is anerobe that nocardia is not

22:39:28 [Step_1] nocardia is acid fast (partially), actinomyes has sulfur granules

22:39:39 [Lorena] very good ash!

22:39:46 [Step_1] and actino is anaerobic

22:40:01 [ash] step_1 both have sulfur granules

22:40:06 [Hmmmmmm] an african patient get treated for gastero enteritis and develops membranes in colon ? dx?

22:40:19 [Lorena] also actinomyces is an endogenous infection , nocradia is exogenous, tx for actino is penicillin and for nocardia is sulohas

22:40:19 [Hmmmmmm] no nocaria has no sulfu

22:40:23 [crusher] sulfonamide for nocardia and penicillin for actino..SNAo.Pneomonic

22:40:32 [Hmmmmmm] and treatment is SNAP

22:40:34 [ash] pseudomembranous colitis c.difficale

22:40:44 [Lorena] very good step and crusher too

22:40:48 [Hmmmmmm] nice ash

22:40:57 [crusher] pseudomenbranueos colitis

22:41:04 [Lorena] c. difficile, tx is metronidazole

22:41:14 [Step_1] ash, i thought that sulfur granules were onely actino, which sulfonamides are used for treatment of nocardia. but didnt think that sulfur granules were seen in nocardia??

22:41:19 [drsnsathya] treatment for p.colitis

22:41:25 [ash] hmmmmmmmm are you sure? i remember it from surgery

22:42:03 [drsnsathya] vancomycin

22:42:04 [crusher] metroniadazole

22:42:07 [Lorena] metronidazole

22:42:10 [Hmmmmmm] a child with fever has low platelet count and has neurologic and nephrologic symtoms what orgranis is implicated?

22:42:16 [Hmmmmmm] sorry ash im not sure

22:42:47 [crusher] ITP?

22:42:48 [Hmmmmmm] yes my 1st questions answer is pseudomembranous colitis and orgrnism is c.difficle

22:42:55 [Hmmmmmm] crusher is HUS

22:42:57 [ash] they are not pathognomonic of nocardia but can be seen in it i am pretty sure

22:43:21 [Hmmmmmm] and Ecole O157:H7? (cant remember the number)

22:43:30 [Lorena] E. coli EHEC

22:43:40 [Hmmmmmm] good lorena and crush

22:43:48 [ash] hmmmmmm this is right no.

22:43:55 [crusher] oh ok hmmmmmmmm thanks

22:44:05 [Hmmmmmm] thannk ash

22:44:11 [Hmmmmmm] np crush

22:44:21 [ash] you are always welcome

22:44:45 [crusher] very hy qs hmmm and ash thanks for asking

22:44:50 [Lorena] hemolytic uremic syndrome in kids > 5 years old

22:45:04 [crusher] e.coli

22:45:20 [drsnsathya] e coli?verocytotoxin

22:45:21 [ash] ok people i have to go now thanks for spending time with me today

22:45:26 [drkittu] EH ecoli

22:45:31 [ash] good night

22:45:38 [drkittu] Bye Ash

22:45:47 [drkittu] Good night

22:45:48 [crusher] thanks for coming ashh..and asking good q,s

22:45:53 [crusher] good night

22:45:57 [Lorena] thank you ash, you had great questions, see you on saturday

22:45:57 [Hmmmmmm] what antibiotics cause c. diffcile infection?

22:46:04 [Hmmmmmm] bye ash it was a pleasure

22:46:12 [ash] bye all.

22:46:18 [crusher] vancomycin?

22:46:24 [Hmmmmmm] see ya next week

22:46:32 [Hmmmmmm] crusher give me 4

22:46:33 [Lorena] clyndamicin mostly

22:46:52 [Hmmmmmm] cephalo sporins, clindamycin, amoxicillin, and ampicillin

22:46:59 [Lorena] broad spectrum antibiotics

22:47:11 [Hmmmmmm] the boards know everyone thinks clinda lorena

22:47:12 [Step_1] bye ash, thanks for the great questions

22:47:25 [crusher] yes broad spectrum..the drug causing dis is the Tx of dis

22:47:28 [drsnsathya] vancomycin cuses it clindamycin is for tretment.am i right?

22:47:53 [Hmmmmmm] yes drsnsathya

22:48:13 [drsnsathya] thankx lorena

22:49:11 [Step_1] no, vanco is one of the treatments for c diff when metro doesnt work. c diff is caused mostly by clindamycin, but others mentioned too

22:49:37 [drsnsathya] then i am right

22:49:40 [Lorena] exactly

22:49:50 [crusher] i always confused in it..thanks for clearification

22:50:29 Jugular enters this room

22:51:06 [Hmmmmmm] one sec ppl ill have more questions

22:51:27 [Step_1] it will be presented as a pt in the hospital for whatever (on antibiotics like clinda, ampi, etc) and develops diarrhea. treat with metro (vanco is last resort)

22:51:31 [crusher] we are here hmmm keep askin

22:51:37 [Hmmmmmm] which one is motile? shigella or salmonella

22:51:40 [Step_1] hi jugular

22:51:52 [drsnsathya] shigella

22:51:54 [Lorena] salmonella

22:51:56 [Jugular] hi

22:52:03 [drsnsathya] hi jugular

22:52:04 [crusher] is it salmonella??

22:52:07 [Jugular] Hi

22:52:15 [Hmmmmmm] yeah crusher

22:52:22 [Step_1] salmon swim (motile) up stream

22:52:23 [Jugular] Congrats Step 1 for doing so well!

22:52:36 [Hmmmmmm] my neumoic is (ShIgella, SIts)

22:52:56 [Step_1] thanks jug, couldnt have done it without everyones help

22:53:09 [drkittu] Falling leaf motility..... organism?

22:53:10 [Lorena] sshigella has NO flagella

22:53:39 [Jugular] Listeria?

22:53:42 [crusher] cool..so many pneomonics ..cool

22:53:48 [drsnsathya] oh i am wrong

22:53:50 [Lorena] campylobacter j?

22:53:53 [Step_1] giardia is falling leaf

22:54:08 [Jugular] ok

22:54:09 [drkittu] Giardia

22:54:09 [Hmmmmmm] what is falling leaf mot?

22:54:36 [Jugular] which one has tumbling motility?

22:54:47 [Hmmmmmm] listeria jug

22:54:48 [drsnsathya] proteus

22:55:00 [Lorena] listeria

22:55:01 [Step_1] hmmmm, under the microscope, it has a motility that looks like a failing leave (swaying side to side)....giardia

22:55:06 [drkittu] Listeria

22:55:07 [drsnsathya] it has swarming motility

22:55:10 [Step_1] listeria for tumbling

22:55:18 [Hmmmmmm] thanks stp1

22:55:34 [Step_1] no prob

22:55:56 [Step_1] swarming is proteus

22:56:07 [Hmmmmmm] yes

22:57:00 [crusher] thanks step1 for such good motility org providing

22:57:06 [Step_1] the other one is cork screw motility which is trichomonas

22:57:09 [Hmmmmmm] man comes to the office with damaged nasal cartilgae nad a -ve lerpmin test dx?

22:57:10 [Lorena] Naegler's reaction positive, what bug?

22:57:15 [Step_1] no prob crusher

22:57:17 [Hmmmmmm] thanks step1

22:57:35 [Hmmmmmm] lor is it listeria

22:57:40 [crusher] tuberculoid leprosy

22:58:00 [Lorena] thanks for the motility info step!

22:58:02 [Hmmmmmm] yes crusher but the lepromatus

22:58:17 [Jugular] EbV causes nasopharyngeal CA

22:58:23 [Lorena] it is C. perfringens

22:58:35 [Jugular] -ive lerpmin means?

22:58:46 [Hmmmmmm] oh thanks lorena

22:58:57 [drkittu] MOst common cause of neonatal meningitis?

22:59:06 [Hmmmmmm] jugular its a test for leprosy

22:59:08 [Lorena] you re welcome hmmmmmmm

22:59:14 [drsnsathya] h influenza

22:59:16 [Hmmmmmm] S. pyogenes

22:59:29 [Lorena] strept. pneumo

22:59:35 [crusher] group B strepcocuus

22:59:42 [Hmmmmmm] wat is mannitol salt +ve

22:59:44 [Step_1] Group B strep

22:59:46 [crusher] or strep agalactia

22:59:54 [Hmmmmmm] oops

22:59:55 [Jugular] so, for leprosy to be diagnosed as =ive, does the lerpmin test has to be be -ive?

22:59:57 [drkittu] Strep.agalactiae

23:00:03 [Hmmmmmm] ur rite crush

23:00:06 [Step_1] h influ is no longer a common cause because of vaccine

23:00:19 [Hmmmmmm] no jugular leprosy is 2 types

23:00:28 [Hmmmmmm] tuberculiod and lepromatous

23:00:30 [Lorena] second is E. coli and thrid is listeria m. ...am i right?

23:00:34 [drsnsathya] less than io year its common

23:00:55 [Step_1] yes lorena, very good

23:00:58 [drsnsathya] sorry 1 year

23:00:59 [Hmmmmmm] tuberculiod is less severe and lepromin is +ve

23:01:13 [Hmmmmmm] lepromatous is more severe and lepromin -ve

23:01:13 [Lorena] thanks step, i was not sure

23:01:25 [drkittu] Yes lorena agree

23:01:29 [Jugular] thanks

23:02:24 [Lorena] and in adults? causes of meningitis

23:02:28 [Step_1] but its no longer the most common cause drsnsathya....they wont likely catch it if mom and others dont have it anymore

23:03:06 [Hmmmmmm] adults is nmenigitidis and s. pneumo

23:03:15 [Step_1] in 1 mo to 18 yrs, the most common is N meningitis and in over 18 its strep pneumo

23:03:31 [Step_1] at least according to gol.jan

23:03:39 [crusher] agree with step1

23:03:40 [Lorena] excellent

23:04:21 [Hmmmmmm] 2 obligate intracellular?

23:04:40 [Jugular] ricketsia

23:04:44 [Jugular] and chlamydia

23:05:01 [Step_1] clamydia and rickettsia

23:05:03 [Lorena] agree

23:05:06 [crusher] chalmydia and ricketsia

23:05:22 [Hmmmmmm] good everyone

23:05:55 [drkittu] Hyalurinic acid and Sialic acid are non immunogenic.... Why?

23:06:07 [Hmmmmmm] wow im getting dizzy cant think of any questiosn

23:06:10 [crusher] cat and dog bites what the organism give its morphology

23:06:14 [Jugular] no protein

23:06:36 [Lorena] pasteurella multocida

23:06:40 [Step_1]>[drsnsathya] does that sound right. i'm only mentioning that because our professor drilled us about it. i agree that neonates arent vaccinated, but the incidence has gone down dramitically lately.

23:06:43 [Jugular] pasteurilla multocida

23:07:04 [Step_1] pasturella

23:07:09 [Hmmmmmm] what is ***** focus?

23:07:14 [Jugular] drkittu, is it 'coz they don't have protein in their structure?

23:07:15 [crusher] gram -ve coco baccilus pasterella multiocida

23:07:31 [Step_1] small gram - rods

23:08:01 [drkittu] They are intracellular components, they are not recognised as foreign by body.

23:08:11 [Jugular] my pnemonic for gram -ive coccobacillus is

23:08:27 [Jugular] Hae Bruce Pasture the Border

23:08:28 [drsnsathya] what i read was h .influenza till 1 year of age. i am not sue i will check it

23:08:59 [Step_1]>[drsnsathya] thanks drsnsathya, let us know

23:09:06 [Hmmmmmm] thanks jugular amazing monic

23:09:17 [Step_1] thanks jug

23:09:17 [crusher] give 2 organism name which are OXIDASe +ve

23:09:32 [Jugular] Which organism causes abortion in human?

23:09:38 [Step_1] vibrio

23:09:41 [Jugular] P Aeruginosa

23:09:45 [Lorena] ***** focus? what is it hmmmmmmmm?

23:09:47 [Hmmmmmm] pseudomons and yersina crush?

23:09:56 [Jugular] what's the 2nd one?

23:10:00 [Hmmmmmm] lorena its 2ndary tuberculosis

23:10:13 [Hmmmmmm] its lesion in the apex

23:10:29 [Lorena] campylobacter,neisseria , vibrio and pseudomona are oxidase +

23:10:52 [Lorena] thanks hmmmmm

23:10:55 [drkittu] All Neissria are positive

23:11:09 [crusher] good lorena

23:11:27 [Hmmmmmm] thanks lornera

23:11:39 [Step_1] abortion question ....is that listeria??

23:11:52 [Jugular] ya

23:11:56 [Lorena] organism that causes abortion: listeria, toxoplasma g.

23:12:02 [crusher] i think listeria causes abortion..agree vwith step1

23:12:22 [Jugular] Which organism causes abortion in cows?

23:12:58 [Hmmmmmm] notched tell and deafness? dx?

23:13:05 [Jugular] Toxoplasma causes abortion?

23:13:10 [Hmmmmmm] whoops not tell but "teeth"

23:13:36 [crusher] syphilus

23:13:52 [Hmmmmmm] ggood crusher

23:13:53 [Lorena] yes

23:14:31 [Step_1] syphillis

23:14:54 [Step_1] oops, i'm too late

23:15:04 [Hmmmmmm] good step

23:15:25 [crusher] you not late step1 ..u r ahead of all of us

23:15:30 [Jugular] Hey, Step 1, Are the Goljan HY 100 pg notes useful?

23:15:49 [Step_1] not at all, i learn something new everytime i join you all

23:15:56 [Hmmmmmm] hey step 1 u used WebPrep rite? did u use vidoe lectures?

23:16:08 [Hmmmmmm] whoops sorry

23:16:24 [Lorena] dont type c aplan

23:16:37 [Lorena] or go- l jan

23:16:39 [Step_1] i didnt have time to go thru all of the 100 pgs because i got them too late, but the parts i went through were pretty good. seemed like a summary of his lecture notes

23:16:47 [Jugular] step 1 , are the HY 100 pg notes useful?

23:17:00 [crusher] thats may be the secreyte of ur sucess never let go any chance of learning

23:17:18 [Jugular] r they really HY?

23:17:39 [Hmmmmmm] ok ppl i will put some biochem and other cards up for download 2day i found them in some school website very good flash cards

23:17:40 [Jugular] r they comparable with FA?

23:17:53 [Step_1] web prep is good, but not as a primary source because it just hits very high yield stuff. its good to do them using the regular kap lan lecture notes

23:18:09 [Hmmmmmm] ok thanks step

23:18:29 [Jugular] Thanks Crusher

23:18:35 [Lorena] thank s hmmmmm

23:18:52 [Jugular] I feel overwhelmed with The 100 pgs and FA as well

23:19:07 [crusher] thanks hmmm for concern

23:19:08 [Jugular] F A as well

23:19:14 [Step_1] jug, i think f.a. is another word we should type

23:19:23 [Hmmmmmm] np crush and lorena

23:19:36 [Jugular] did u do f.a. as well, Step 1?

23:20:13 [Step_1] f.a. is another high yield. remember that repetition is key to learning. must go over the stuff over and over, but its gets much easier the 2nd, 3rd, 4th time around

23:21:00 [drkittu] Got to go. Good Night everyone. See you next week

23:21:14 [Lorena] i will name some bugs and you will tell me the animals they are in association with ....ok?

23:21:15 [Step_1] yes, using the chat schedule, i would listen to web prep using kap lan notes, and also f.a., except for path where i used gol jan. and dont forget lots and lots of questions

23:21:17 [Jugular] I studied Physio and did a few questions from A&L and my score was around 50%!

23:21:24 [Hmmmmmm] was fun havign ur dr kittu

23:21:30 [Lorena] thanks Drkittu!! see you next chat

23:21:32 [Hmmmmmm] ty step 1

23:21:32 [Jugular] Where is my problem?

23:21:41 [drkittu] Thanks Hmmmmm

23:21:46 [drkittu] bye

23:21:48 [Hmmmmmm] jugular if u need some mcq programs ill give u some

23:21:51 [Hmmmmmm] have messenger?

23:21:56 [Hmmmmmm] ill send u some

23:22:02 [Step_1] thanks for chatting drkttu, see you on sat

23:22:16 [Hmmmmmm] that goes for u all too if u need any!

23:22:16 [Jugular] Thanks Hmmmm

23:22:21 [crusher] ok guys what about viruses

23:22:26 [Lorena] brucella.......

23:22:38 [Jugular] I have lots of mcq sources

23:22:46 [drsnsathya] I TO ONEED SOME MCQ PROGRAM

23:23:03 [Jugular] which ones are you offering Hmmmmmmm?

23:23:07 [crusher] i be back in a minute

23:23:13 [Hmmmmmm] ok crush

23:23:25 [Hmmmmmm] appleton and lange

23:23:31 [Step_1] yes, we have about 35 mins to cover whatever we can in micro, then we will leave the rest for sat with immuno

23:23:32 [Hmmmmmm] 2000 questiosn

23:23:35 [Hmmmmmm] u ppl need?

23:23:39 [Lorena] thats great thanks hmmm

23:24:14 [Hmmmmmm] sorry step1 if u ppl wait after chat then we'll share it (i think poor step1 is staying awake for our review)

23:24:15 [hutals] hmmm, maybe upload them to valuemd so we can all share them?

23:24:37 [drsnsathya] yes hutals is right.

23:24:38 [Hmmmmmm] sure hutals but its like 9 megs

23:25:05 [Step_1] dont worry about me, i just want to keep things running smoothly for you all

23:25:11 [Lorena] ok guys i better get going

23:25:13 [Hmmmmmm] dam i mean like 22 megs

23:25:27 [Hmmmmmm] bye lorena was a pleasure

23:25:28 [hutals] all in one file?

23:25:32 [Lorena] thank you step 1 for still participate in the chats, i will see you all on saturday

23:25:46 [drsnsathya] hi step 1 i am new to the chat.today is the first day.

23:25:57 [Step_1] lorena, it was great to have you hear with us again. see you sat

23:26:05 [Lorena] i wil check the transcript to see what was left , bye hutals, pleasure tio meet you hm and all

23:26:20 [Hmmmmmm] ok bye lorena

23:26:33 [Step_1] welcome drsnsathya, you're doing great. you have great questions and answers

23:26:51 [hutals] good nite lorena. see ya next time

23:26:51 [drsnsathya] bye lorena. good to discuss with you

23:27:37 [Step_1] maybe we should leave viruses and immuno for next time since virology is pretty long anyway.

23:27:37 [Hmmmmmm] ok give me B-hemolytic bateria

23:27:47 [Jugular] Step 1, after QBank which one is the best source of questions?

23:27:51 [Hmmmmmm] yes please step1 im kinda week in viruses

23:28:19 [Hmmmmmm] btw can i add 7 megs in attachment in a post?

23:29:18 [hutals] i dont know, you can also talk to the admin to see if they can help (assuming its not copyrights or anything)

23:29:26 [drsnsathya] oh come on1 actually i have read once from Kaplan notes but had 2 months break coz i went to india for somme personal stuff. i have just starated the prep. next week i am going to start Kaplan live 1 prep class. can you give your e mail id.step 1

23:30:12 [Step_1] remember that we cant type stuff like kap lan, q.bank, first aid, f.a., amaxon, gol.jan, etc

23:30:15 [drsnsathya] oh i am sorry

23:30:31 [Step_1] or we will get those links....good for the forum, but bad for the chats

23:31:29 [Jugular] Step 1, next to K Bank which one is the next best Q Source?

23:31:39 [Hmmmmmm] B-hemolytic other than strep pyogenes adn strep. agalacatie are stap aureus, listeria and clostridum perfringens

23:32:27 [Step_1] i think it is online q.bank is best because it covers both the format (timining, etc) and learning (detailed answers). after that i think b.s.s. is pretty good. the nbme test is also good (45 bucks) because it tells you where you stand, but no answers provided. tommys concepts are also good.

23:32:49 [Hmmmmmm] jugular i also this webpath is priceless

23:33:42 [Jugular] webpath doesn't explain the answers!

23:34:24 [Hmmmmmm] yes it does jug

23:34:33 [Hmmmmmm] a small explanation

23:34:34 [Jugular] really?

23:34:37 [Step_1] yes, webpath is a good question source for path. also gol.jan has some good remembered questions to read. there are so many sources, just try not to overextend. the most important is q.bank. i actually did that twice instead of using another source (but i did some others as well)

23:34:53 [Jugular] I did the renal section of Physio test files

23:35:02 [Jugular] and there were no explanations!

23:35:36 [Hmmmmmm] ok i have a integrative question

23:35:58 [hutals] tommy has a great free source for those strapped for cash

23:36:12 [Hmmmmmm] african american patient was treated for malaria and got anemia dx?

23:36:29 [Jugular] sickle cell anemia

23:36:41 [hutals] also take a look at the recalls from last yr by trinity, melissa and others....priceless

23:36:44 [drsnsathya] sickle cell anemia

23:36:57 [Jugular] or is it drug reaction?

23:37:19 [Jugular] G6PD deficiency?

23:37:19 [Hmmmmmm] ill wait for step 1's reply too since the server is slo

23:37:53 [drsnsathya]>[Step_1] i am taking live prep course from next week . i am gonna miss this chat for 2 months.

23:38:06 [Step_1] drug rxn

23:38:15 [Step_1] sorry computer acting funny

23:38:18 [Hmmmmmm] G6PD

23:38:34 [Hmmmmmm] remember chloroquine ?

23:39:05 [Jugular] G6PD deficient pts react by having hemolysis when they take certain drugs like antimalarial drugs or fava beans

23:39:14 [Hmmmmmm] yes jugular

23:39:26 [Step_1]>[drsnsathya] thats excellent. the live preps are the best. i think everyone would do them if they had the money, time, and center close by. let us know how it goes

23:39:36 [Hmmmmmm] sorry its not fair since patho is next week but a very tricky integrative question

23:39:45 [Jugular] Iam sleepy, I gotta go

23:39:53 [drsnsathya] BCG vaccine give protection for what are the diseases

23:39:57 [Hmmmmmm] bye jugular its been a pleasure

23:40:01 [Jugular] this is integrated mainly with Biochem

23:40:09 [Step_1] good chatting with you jug

23:40:16 [Jugular] TB

23:40:20 [Jugular] ya

23:40:23 [Jugular] ame here

23:40:26 [hutals] see ya in next chat jugular. good nite

23:40:41 [Jugular] Thanks Step 1 for giving us so much support

23:40:43 [drsnsathya]>[Step_1] . i am gonna take the exam in dec. sure i will be in touch with this forum

23:40:44 [Hmmmmmm] ans please sathya?

23:40:57 [Jugular] nd thanks to the rest for participating

23:41:23 [drsnsathya]>[Step_1] this is a reall good source to revise

23:41:27 [Jugular] the aswer is tuberculosis

23:41:32 [Step_1]>[drsnsathya] i'm studying for step 2 now, but i'll still be around to help out as much as i can. try to stop by when you can

23:41:49 [Jugular] full form of BCG is Bacillus Calmette and Guerin

23:41:58 [Hmmmmmm] thanks jug

23:42:03 [drsnsathya] its tuberculosis,leprosy and leukemia

23:42:16 [Hmmmmmm] wow uploadign takes a long time

23:42:17 [Step_1] the thanks goes to you jugular. you've brought some great questions and answers

23:42:23 [Hmmmmmm] its still upload the program

23:42:48 [Step_1] 22 MB is pretty big....takes longer to upload than download

23:43:05 [Jugular] Take care

23:43:07 [Jugular] bye

23:43:08 [Hmmmmmm] hey step1 in teh last micro chat u said something bout difference between cat scratch and cat bite? what is it?

23:43:26 [Hmmmmmm] step 1 i zipped is to the best compression is now 6.93 megs

23:43:47 [Step_1] cat scratch is pasturella and cat scratch is bartonella henslae

23:44:15 [Hmmmmmm] can u describe bartonella to me? i cant find it here?

23:44:42 [hutals] not sure it will take that many mb in one file. i think the max is 3 mb unless the admin overrides it for you, but not sure??



23:46:25 [Hmmmmmm] lotsa questions though around 20000

23:46:30 [Step_1] Rochalimaea henselae si the old name and now called Bartonella henselae

23:46:32 [Hmmmmmm] sorry 2000

23:47:18 [drsnsathya] are you guys gonna download it in valuemd

23:47:23 [hutals]

23:48:34 [Hmmmmmm] thanks step 1

23:49:30 [drsnsathya]>[Step_1] .i too need those 2000 questions

23:50:21 [Hmmmmmm] ok anymore questions?

23:50:32 [Hmmmmmm] lobar pneumonia? orgranisM?

23:50:46 [Step_1] hmmmmm, they will probably present it in a case where a young girl was playing with her cat and then throw in a bunch of distracting stuff, but you will notice on physical that the pt has lympadenopathy, cellulitis, lymph node involvement or something like that.

23:50:49 [Hmmmmmm] 2 organism of subacute endocarditis?

23:51:01 [drsnsathya] k.pneuomoniae

23:51:22 [drsnsathya] hemolytic streptocooci

23:51:32 [Step_1] strep pmneumo

23:52:31 [Hmmmmmm] good step1 and santhya

23:53:04 [Hmmmmmm] thansk step1 for the explanation

23:53:20 [drsnsathya] bread crumb colony -which organism?

23:54:16 [Step_1] Subacute bacterial endocarditis (SBE) is usually caused by streptococcal species (especially viridans streptococci), and less often by staphylococci.

23:54:27 [Hmmmmmm] good step1

23:55:17 [Hmmmmmm] oh man the upload got cancelled max upload is 5mb

23:55:18 [Hmmmmmm] :<

23:55:36 [Hmmmmmm] ill upload tonite promise

23:56:35 [Hmmmmmm] yes sathya

23:56:55 [drsnsathya] oh thank you.

23:56:58 [hutals] let the admin know and they will probably find a solution for you. maybe you can break it up into two files?

23:57:15 [Hmmmmmm] what is the cause of damaged valves leading to subacute endocarditis

23:57:56 [Hmmmmmm] good point hutal

23:58:53 [Step_1] damaged heart valves and endocarditis in elderly can be enterococcus faecalis

23:59:16 [Step_1] the real question had that description, but asked for drug of choice?

23:59:31 [Hmmmmmm] what is the cuase of damaged heart valves?

23:59:36 [Hmmmmmm] penecilln?

23:59:56 [drsnsathya] o.k guys good night. i am leaving.

00:00:05 [Hmmmmmm] amoxi, ampi?

00:00:59 [Hmmmmmm] bye drsnsathya great having u here

00:01:14 [Step_1] i dont have an answer, but i think that it would need to be combo of peniciliin and aminoglycoside because resistant to either one alone, but known to work together. just a guess

00:01:25 [Step_1] ok, i think we're out of time

00:01:43 [drsnsathya] o.k hmmmm bye. good luck

00:02:12 [Step_1] good night to all. i guess we'll do virology and immunology on sat

00:02:13 [drsnsathya]>[Step_1] bye

00:02:34 [AoneDr] thanks a lot guys the chat was very informative to me even though i was just going thro the msgs

00:02:37 [Step_1] thanks everyone for the great chat. bye

00:02:52 [hutals] good nite everyone

00:03:03 [Hmmmmmm] ok step1 thanks for all ur help

00:03:10 [Hmmmmmm] good nite hutals

00:03:38 [hutals] thats ok aone, you will join when you feel comfortable....took me a couple of month, but now they cant keep me quiet

00:04:19 [Hmmmmmm] thanks everyone

00:04:22 [AoneDr] thanks hutuals see u all here on saturday

00:04:39 [Step_1] bye

00:05:20 [Hmmmmmm] so viruses and immuno step1 on saturday?

00:05:59 [Hmmmmmm] hutals i have split the files i m now gunna upload em thanks for teh ida

00:06:01 [Hmmmmmm] idea

00:07:10 [AoneDr] one quick question before we end will there be another 7 week schedule

00:07:38 [Hmmmmmm] im plannign to make one after this one i hope we can try it

00:08:15 [AoneDr] that would be great thanks it will help people like me who missed the earlier weeks

00:08:47 [Hmmmmmm] thats the idea (im not good in physio so i missed last week)

00:08:56 [AoneDr] bye

00:09:02 [Hmmmmmm] bye

00:09:32 [AoneDr] ops i am sorry i didn't know u were writing some thing

00:09:46 [Hmmmmmm] np its ok

00:09:57 ash enters this room

00:10:06 [Hmmmmmm] hey ash ur back

00:10:17 [ash] yep!

00:10:30 [ash] i was checking if u are still here

00:11:39 [ash] see you on saturday.

00:12:02 [Hmmmmmm]

00:12:25 [hutals] i just checked back too, yes Aone, there will be another 7 week schedule after this one and it will keep repeating itself so that old members can always help new ones and we can go over the stuff over and over before exam

00:13:19 [AoneDr] great