01/23/05 18:57:53 cyrus1345 Logs in
01/23/05 18:58:00 cyrus1345 Joins Subroom USMLE_Step_2
01/23/05 19:05:28 fouzia Logs in
01/23/05 19:05:28 fouzia Joins Subroom USMLE_Step_2
01/23/05 19:05:35 lanny Logs in
01/23/05 19:05:44 lanny Joins Subroom USMLE_Step_2
01/23/05 19:05:47 fouzia Logs Out
01/23/05 19:06:18 strug Logs in
01/23/05 19:06:18 strug Joins Subroom USMLE_Step_2
01/23/05 19:06:41 [USMLE_Step_2] strug: hi anyone there?
01/23/05 19:07:00 [USMLE_Step_2] lanny: yes strug
01/23/05 19:07:02 [USMLE_Step_2] cyrus1345: HI
01/23/05 19:07:04 dua_frank Logs in
01/23/05 19:07:05 dua_frank Joins Subroom USMLE_Step_2
01/23/05 19:07:14 [USMLE_Step_2] strug: hi everybody
01/23/05 19:07:19 [USMLE_Step_2] lanny: waiting to start
01/23/05 19:07:22 [USMLE_Step_2] dua_frank: hi
01/23/05 19:07:23 [USMLE_Step_2] dua_frank: brb
01/23/05 19:07:25 dua_frank Logs Out
01/23/05 19:07:25 [USMLE_Step_2] lanny: hi all
01/23/05 19:07:34 [USMLE_Step_2] strug: shoot
01/23/05 19:07:43 [USMLE_Step_2] cyrus1345: what happened?
01/23/05 19:07:56 [USMLE_Step_2] strug: i mean start asking q
01/23/05 19:08:02 [USMLE_Step_2] lanny: neuro
01/23/05 19:08:06 [USMLE_Step_2] strug: yes
01/23/05 19:08:13 iamzuhair Logs in
01/23/05 19:08:23 iamzuhair Joins Subroom USMLE_Step_2
01/23/05 19:08:28 [USMLE_Step_2] cyrus1345: what's tx parkinson lessthan 60?
01/23/05 19:08:38 [USMLE_Step_2] strug: anticholinergic
01/23/05 19:08:39 sanz Logs in
01/23/05 19:08:39 [USMLE_Step_2] iamzuhair: hi strug and lanny
01/23/05 19:08:43 sanz Joins Subroom USMLE_Step_2
01/23/05 19:08:49 [USMLE_Step_2] sanz: hi guys!
01/23/05 19:08:53 [USMLE_Step_2] strug: hi
01/23/05 19:08:57 [USMLE_Step_2] cyrus1345: Hi
01/23/05 19:08:59 [USMLE_Step_2] lanny: hi iamzu
01/23/05 19:09:01 [USMLE_Step_2] sanz: how're u all?
01/23/05 19:09:06 [USMLE_Step_2] strug: am i correct cyrus
01/23/05 19:09:18 huli72 Logs in
01/23/05 19:09:18 [USMLE_Step_2] cyrus1345: yes
01/23/05 19:09:24 huli72 Joins Subroom USMLE_Step_2
01/23/05 19:09:29 [USMLE_Step_2] lanny: what less than 60 age?
01/23/05 19:09:35 [USMLE_Step_2] cyrus1345: and also bromocriptin!
01/23/05 19:09:37 [USMLE_Step_2] iamzuhair: i had a question from nms which i iked can i share it now before we start
01/23/05 19:09:46 [USMLE_Step_2] cyrus1345: sure
01/23/05 19:09:46 [USMLE_Step_2] strug: go ahead
01/23/05 19:10:11 [USMLE_Step_2] sanz: cyrus what was yr question before i came in?
01/23/05 19:10:32 [USMLE_Step_2] cyrus1345: Tx for parkinson less than 60!
01/23/05 19:10:35 [USMLE_Step_2] iamzuhair: person with DKA being treated with insulin gets respirtory paralysis suddenly -- what is the cause of resp paralysis
01/23/05 19:10:52 [USMLE_Step_2] iamzuhair: DKA -- diab keto accid
01/23/05 19:10:54 [USMLE_Step_2] lanny: hypokalemia?
01/23/05 19:11:00 [USMLE_Step_2] cyrus1345: hypophosphatemia
01/23/05 19:11:16 [USMLE_Step_2] iamzuhair: yes hupophosphatemia
01/23/05 19:11:27 [USMLE_Step_2] strug: explain
01/23/05 19:11:48 fouzia Logs in
01/23/05 19:11:55 [USMLE_Step_2] iamzuhair: due to hypo phosphatemia --- less phosp --- for ATP synthesis
01/23/05 19:11:58 fouzia Joins Subroom USMLE_Step_2
01/23/05 19:12:00 dua_frank Logs in
01/23/05 19:12:01 dua_frank Joins Subroom USMLE_Step_2
01/23/05 19:12:09 nashat Logs in
01/23/05 19:12:10 [USMLE_Step_2] iamzuhair: hence paralysis
01/23/05 19:12:10 [USMLE_Step_2] fouzia: hello guy
01/23/05 19:12:13 [USMLE_Step_2] dua_frank: hi
01/23/05 19:12:20 [USMLE_Step_2] fouzia: ru all here for neuro chat
01/23/05 19:12:22 [USMLE_Step_2] strug: great thanx
01/23/05 19:12:28 [USMLE_Step_2] lanny: hi
01/23/05 19:12:33 [USMLE_Step_2] iamzuhair: welcome
01/23/05 19:12:38 [USMLE_Step_2] strug: yes dear step 2 neuro chat welcom
01/23/05 19:12:38 [USMLE_Step_2] dua_frank: paralysis, what was the question?
01/23/05 19:13:08 nashat Joins Subroom USMLE_Step_2
01/23/05 19:13:21 [USMLE_Step_2] iamzuhair: DKA - resp paralysis on insulin therapy
01/23/05 19:13:22 [USMLE_Step_2] strug: how do u differentiate beingn essential tremores from parkinson tremores and whats the treatment for it
01/23/05 19:13:28 [USMLE_Step_2] lanny: is there a diff way to trt park after 60
01/23/05 19:13:32 [USMLE_Step_2] dua_frank: oh thanks
01/23/05 19:13:41 samsung68 Logs in
01/23/05 19:13:52 [USMLE_Step_2] strug: after 60 we prefer amantadine
01/23/05 19:13:52 samsung68 Joins Subroom USMLE_Step_2
01/23/05 19:13:58 [USMLE_Step_2] dua_frank: parkinsons tremors don't exist on intentional movement?
01/23/05 19:14:15 [USMLE_Step_2] lanny: tremo upon movement-.bet
01/23/05 19:14:19 [USMLE_Step_2] sanz: Tx for ess tremor is beta blockers
01/23/05 19:14:22 [USMLE_Step_2] fouzia: park tremors are always resting tremor
01/23/05 19:14:30 [USMLE_Step_2] cyrus1345: in mengitis ,in csf we have increase lymphosite ,how can you differntiate itis becuase of T.Band fungal or aseptic?
01/23/05 19:14:38 [USMLE_Step_2] lanny: 5mg proprnolol toc for bet
01/23/05 19:14:47 [USMLE_Step_2] strug: yes correct
01/23/05 19:14:55 [USMLE_Step_2] dua_frank: count?
01/23/05 19:15:03 [USMLE_Step_2] cyrus1345: how?
01/23/05 19:15:08 [USMLE_Step_2] strug: for tb acid fast stain
01/23/05 19:15:14 [USMLE_Step_2] huli72: essential tremer: getting better with alcohol, benzodiazapam
01/23/05 19:15:26 [USMLE_Step_2] strug: aseptic has diff csf picture with normal glucose
01/23/05 19:15:42 [USMLE_Step_2] cyrus1345: very good
01/23/05 19:15:46 [USMLE_Step_2] lanny: alcohol is helpful but dont tell pt that..
01/23/05 19:15:58 [USMLE_Step_2] cyrus1345: in fungal and T.b we have low glucose
01/23/05 19:16:00 [USMLE_Step_2] lanny: i mean for BET
01/23/05 19:16:06 [USMLE_Step_2] cyrus1345: <50
01/23/05 19:16:07 [USMLE_Step_2] iamzuhair: dont think we can diff from lymphocyte as all have increased lympho
01/23/05 19:16:09 [USMLE_Step_2] samsung68: no
01/23/05 19:16:22 [USMLE_Step_2] iamzuhair: have to diff from case history
01/23/05 19:16:36 [USMLE_Step_2] fouzia: one question ,do u guys mostly prepare from kaplanor....................
01/23/05 19:16:47 [USMLE_Step_2] lanny: yes clinical case hx..
01/23/05 19:16:51 [USMLE_Step_2] iamzuhair: for TB fungal and aseptic
01/23/05 19:17:34 [USMLE_Step_2] huli72: TB: meningitis at brain base
01/23/05 19:17:59 [USMLE_Step_2] strug: ? huli i didnt understnd
01/23/05 19:18:09 [USMLE_Step_2] huli72: aseptic: exclude other source.
01/23/05 19:18:19 [USMLE_Step_2] cyrus1345: paitent with urinary retention and back pain waht is your first step?
01/23/05 19:18:37 [USMLE_Step_2] dua_frank: KUB
01/23/05 19:18:37 [USMLE_Step_2] lanny: urinalysis
01/23/05 19:18:38 [USMLE_Step_2] iamzuhair: insert catheter
01/23/05 19:18:43 [USMLE_Step_2] strug: cathertarization
01/23/05 19:18:43 [USMLE_Step_2] huli72: the inflammation is primary in brain base
01/23/05 19:18:48 [USMLE_Step_2] iamzuhair: relieve retention
01/23/05 19:18:49 [USMLE_Step_2] huli72: in TB
01/23/05 19:18:51 [USMLE_Step_2] sanz: steriods
01/23/05 19:18:59 [USMLE_Step_2] cyrus1345: very good Snaz
01/23/05 19:19:06 [USMLE_Step_2] sanz: then MRI and surgery
01/23/05 19:19:15 [USMLE_Step_2] cyrus1345: by the way I am Nasi!
01/23/05 19:19:17 [USMLE_Step_2] strug: cyrus explain sanz pl
01/23/05 19:19:22 [USMLE_Step_2] huli72: digital exam
01/23/05 19:19:22 [USMLE_Step_2] strug: ok sorry nasi
01/23/05 19:19:24 [USMLE_Step_2] dua_frank: why steroids first?
01/23/05 19:19:25 [USMLE_Step_2] iamzuhair: explain
01/23/05 19:19:32 [USMLE_Step_2] dua_frank: hey nazi from usmle.net
01/23/05 19:19:37 [USMLE_Step_2] sanz: spinal cord compression
01/23/05 19:19:50 [USMLE_Step_2] cyrus1345: yes spinal cord compression
01/23/05 19:20:06 [USMLE_Step_2] sanz: hi Nasi Good to have you here!
01/23/05 19:20:19 [USMLE_Step_2] cyrus1345: Hi!
01/23/05 19:20:31 [USMLE_Step_2] dua_frank: i like smiling so i'm joining in too
01/23/05 19:20:32 [USMLE_Step_2] sanz: I'm SS
01/23/05 19:20:37 [USMLE_Step_2] cyrus1345: I just come by chance I wasn't sure abot time!
01/23/05 19:20:45 [USMLE_Step_2] cyrus1345: nice discuss keep it up!
01/23/05 19:20:47 [USMLE_Step_2] strug: bilateral trigeminal neuralgia is seen with which condition
01/23/05 19:21:00 [USMLE_Step_2] cyrus1345: M.S
01/23/05 19:21:06 [USMLE_Step_2] dua_frank: diphtheria?
01/23/05 19:21:09 [USMLE_Step_2] strug: right nasi
01/23/05 19:21:12 [USMLE_Step_2] huli72: lyme?
01/23/05 19:21:22 [USMLE_Step_2] samsung68: MS
01/23/05 19:21:26 [USMLE_Step_2] strug: its multiple sclerosis
01/23/05 19:21:31 [USMLE_Step_2] sanz: where's the lesion?
01/23/05 19:21:32 [USMLE_Step_2] cyrus1345: what is pathogenes of Guilen barreh?
01/23/05 19:21:40 [USMLE_Step_2] iamzuhair: viral inf
01/23/05 19:21:48 [USMLE_Step_2] samsung68: POST INFECTIVE NEUROPATHY
01/23/05 19:21:52 [USMLE_Step_2] sanz: peripheral neuropathy
01/23/05 19:21:53 [USMLE_Step_2] huli72: immuno reaction
01/23/05 19:21:58 [USMLE_Step_2] cyrus1345: NO!
01/23/05 19:21:58 [USMLE_Step_2] strug: antibodies again peripheral mylin
01/23/05 19:22:06 [USMLE_Step_2] cyrus1345: NO!
01/23/05 19:22:12 [USMLE_Step_2] huli72: myolysis
01/23/05 19:22:13 [USMLE_Step_2] iamzuhair: viral inf
01/23/05 19:22:16 [USMLE_Step_2] strug: inlammation
01/23/05 19:22:29 [USMLE_Step_2] lanny: inflamm caused by viral
01/23/05 19:22:43 [USMLE_Step_2] iamzuhair: infection caused by virus
01/23/05 19:22:45 [USMLE_Step_2] cyrus1345: demylinating peripheral neuropathy
01/23/05 19:22:52 [USMLE_Step_2] sanz: demyelination
01/23/05 19:22:52 [USMLE_Step_2] samsung68: autoimmne rxn
01/23/05 19:22:58 [USMLE_Step_2] dua_frank: its viral
01/23/05 19:22:59 [USMLE_Step_2] iamzuhair: just did it on NMS -
01/23/05 19:23:07 [USMLE_Step_2] iamzuhair:
01/23/05 19:23:07 [USMLE_Step_2] strug: nasi there are antibodies to p2 portion of peripheral myelin
01/23/05 19:23:31 [USMLE_Step_2] dua_frank: demylinating peripheral neuropathy is the pathology caused by virus
01/23/05 19:23:36 [USMLE_Step_2] strug: it is autoimmune destuction
01/23/05 19:23:39 [USMLE_Step_2] cyrus1345: ok!
01/23/05 19:23:48 [USMLE_Step_2] cyrus1345: you right!
01/23/05 19:24:07 [USMLE_Step_2] cyrus1345: let me look kaplan1
01/23/05 19:24:12 [USMLE_Step_2] strug: best intitial test for gb syn
01/23/05 19:24:15 [USMLE_Step_2] dua_frank: autoimmune right?
01/23/05 19:24:15 [USMLE_Step_2] samsung68: whats the best test FOR GBS
01/23/05 19:24:19 [USMLE_Step_2] sanz: it's demyelinating autoimm disorder.. according to First Aid
01/23/05 19:24:31 [USMLE_Step_2] samsung68: emg?
01/23/05 19:24:33 [USMLE_Step_2] dua_frank: cytoalbinuria
01/23/05 19:24:37 [USMLE_Step_2] dua_frank: csf count
01/23/05 19:24:42 [USMLE_Step_2] sanz: I'd think EMG too
01/23/05 19:24:58 [USMLE_Step_2] strug: first is l.p. best is EMG
01/23/05 19:25:01 [USMLE_Step_2] lanny: csf ct is dg
01/23/05 19:25:06 [USMLE_Step_2] dua_frank: oh
01/23/05 19:25:10 [USMLE_Step_2] dua_frank: what does EMG show?
01/23/05 19:25:24 [USMLE_Step_2] huli72: Ig G globulin
01/23/05 19:25:28 [USMLE_Step_2] dua_frank: ok
01/23/05 19:25:31 [USMLE_Step_2] huli72: in CSF
01/23/05 19:25:35 [USMLE_Step_2] strug: slowed function preserved sttrength
01/23/05 19:25:38 [USMLE_Step_2] iamzuhair: loss of vision in lower quadrant of visual field only ?
01/23/05 19:25:40 [USMLE_Step_2] samsung68: fibrilation potentials and decresed conduction velocity in nerves
01/23/05 19:26:12 [USMLE_Step_2] strug: lesion in upper q of occipatl lobe
01/23/05 19:26:40 [USMLE_Step_2] sanz: parietal lobe...
01/23/05 19:26:45 [USMLE_Step_2] lanny: dont get your ques strug
01/23/05 19:27:04 [USMLE_Step_2] strug: its the ans to iamzuhair
01/23/05 19:27:10 [USMLE_Step_2] lanny: ok
01/23/05 19:27:37 [USMLE_Step_2] strug: what is Miller Fischer syn
01/23/05 19:27:54 [USMLE_Step_2] sanz: dont know! hehe
01/23/05 19:28:04 [USMLE_Step_2] samsung68: i think its sbnormal after belly palsy
01/23/05 19:28:09 [USMLE_Step_2] lanny: you mean conrad fischer
01/23/05 19:28:23 [USMLE_Step_2] strug: its a variant of GB syn with involvement of face only
01/23/05 19:28:28 [USMLE_Step_2] samsung68: its abnormal reinnervation
01/23/05 19:28:32 [USMLE_Step_2] dua_frank: ataxia, opthalmoplegia and areflexia
01/23/05 19:28:35 [USMLE_Step_2] sanz: iamzuhair... wuz the ans to yr qu?
01/23/05 19:28:37 [USMLE_Step_2] iamzuhair: damage of upper part of visual fibres any where in the tract but NOT DUE TO ANY TUMOR IN ANY PART AS TUMOR WILL COMPRESS THE WHOLE TRACT --- AND DEFINITELY NOT PITUATARY-NEVER PICK IT
01/23/05 19:29:18 [USMLE_Step_2] dua_frank: so you mean tumour in the occipital area of the brain?
01/23/05 19:29:30 [USMLE_Step_2] iamzuhair: NO TUMOR
01/23/05 19:29:50 [USMLE_Step_2] samsung68: it could be due to stroke
01/23/05 19:30:04 [USMLE_Step_2] dua_frank: i understand that but whats the cause of those fibres getting damaged ?
01/23/05 19:30:13 mehr Logs in
01/23/05 19:30:15 mehr Joins Subroom USMLE_Step_2
01/23/05 19:30:16 [USMLE_Step_2] iamzuhair: ITS BASICALLY PRESSURE ON THE UPPER FIBRES ONLY OR DUE TO ISCHEMIA
01/23/05 19:30:16 [USMLE_Step_2] huli72: Rx for Guillain Barre?
01/23/05 19:30:18 [USMLE_Step_2] dua_frank: ok stroke...
01/23/05 19:30:26 [USMLE_Step_2] iamzuhair: STEROIDS AND WAIT
01/23/05 19:30:29 [USMLE_Step_2] strug: plasmaphaesis and immunogla
01/23/05 19:30:31 [USMLE_Step_2] samsung68: plasmapheresis
01/23/05 19:30:33 [USMLE_Step_2] dua_frank: plasma exchange
01/23/05 19:30:54 [USMLE_Step_2] cyrus1345: in physica examination of low back pian how can you understand is it emergent or not emergent?
01/23/05 19:30:58 [USMLE_Step_2] fouzia: never give steriods for gb
01/23/05 19:31:00 [USMLE_Step_2] huli72: plasmapharesis OR IG
01/23/05 19:31:10 [USMLE_Step_2] iamzuhair: why
01/23/05 19:31:10 [USMLE_Step_2] huli72: no steroids
01/23/05 19:31:13 [USMLE_Step_2] samsung68: progresiive nurological deficit
01/23/05 19:31:13 [USMLE_Step_2] lanny: plasmap
01/23/05 19:31:15 [USMLE_Step_2] iamzuhair: oh
01/23/05 19:31:24 [USMLE_Step_2] strug: neurological deficit
01/23/05 19:31:26 [USMLE_Step_2] huli72: watch for vital sign
01/23/05 19:31:45 [USMLE_Step_2] fouzia: 1st iV IG
01/23/05 19:31:56 [USMLE_Step_2] fouzia: THEN PLASMAPHERESIS
01/23/05 19:32:02 [USMLE_Step_2] huli72: steroids are not effective
01/23/05 19:32:03 [USMLE_Step_2] cyrus1345: if you see upper motor sighn with back pian,it's alwyes emergent
01/23/05 19:32:25 [USMLE_Step_2] strug: good q nasi
01/23/05 19:32:25 [USMLE_Step_2] lanny: rapid infuson of plasmaphere or ivig
01/23/05 19:32:32 [USMLE_Step_2] huli72: prepare for respiratory surport
01/23/05 19:32:39 [USMLE_Step_2] huli72: yeah
01/23/05 19:32:49 [USMLE_Step_2] mehr: u mean
01/23/05 19:33:01 [USMLE_Step_2] mehr: plasma and IVIg both treatment
01/23/05 19:33:04 [USMLE_Step_2] lanny: resp support after tx?
01/23/05 19:33:04 [USMLE_Step_2] sanz: thnx nasi
01/23/05 19:33:15 [USMLE_Step_2] dua_frank: if i remember right, i want to share something, correct me if i am wrong ok?
01/23/05 19:33:23 [USMLE_Step_2] strug: ok
01/23/05 19:33:26 [USMLE_Step_2] dua_frank: bilateral trigem nerve palsy as you said in MS
01/23/05 19:33:31 [USMLE_Step_2] strug: yes
01/23/05 19:33:37 [USMLE_Step_2] dua_frank: bilateral facial nerve palsy in GBS
01/23/05 19:33:46 [USMLE_Step_2] dua_frank: and bilateral third nerve palsy in dipth?
01/23/05 19:34:12 [USMLE_Step_2] dua_frank: dipth has some bilateral nerve damage, i just want to be sure it's third nerve or not
01/23/05 19:34:15 [USMLE_Step_2] dua_frank: can somebody check?
01/23/05 19:34:15 [USMLE_Step_2] samsung68: also bilat facial plasy in lymes
01/23/05 19:34:21 [USMLE_Step_2] dua_frank: right sam
01/23/05 19:34:29 [USMLE_Step_2] samsung68: thanks
01/23/05 19:34:40 [USMLE_Step_2] strug: i dunno dua
01/23/05 19:34:58 fouzia Logs Out
01/23/05 19:34:59 [USMLE_Step_2] sanz: dont know abt dipth...
01/23/05 19:35:30 [USMLE_Step_2] samsung68: dont knoe @ dipth
01/23/05 19:35:34 fouzia Logs in
01/23/05 19:35:34 fouzia Joins Subroom USMLE_Step_2
01/23/05 19:35:40 [USMLE_Step_2] dua_frank: ok
01/23/05 19:36:29 [USMLE_Step_2] lanny: trt of diab, neuro..gabapentin?
01/23/05 19:36:38 [USMLE_Step_2] strug: yes
01/23/05 19:36:55 [USMLE_Step_2] samsung68: how @ counterirritants
01/23/05 19:36:59 cyrus1345 Logs Out
01/23/05 19:37:05 [USMLE_Step_2] strug: whats the first sign of eaton lambert syn?
01/23/05 19:37:30 [USMLE_Step_2] samsung68: weakness thats gets better as day progresses
01/23/05 19:37:42 [USMLE_Step_2] mehr: yes
01/23/05 19:37:46 [USMLE_Step_2] strug: weakness of hip girdle
01/23/05 19:37:55 [USMLE_Step_2] lanny: yes also differentiates from mg
01/23/05 19:37:56 [USMLE_Step_2] dua_frank: nice strug
01/23/05 19:38:05 [USMLE_Step_2] samsung68: i thought it involved small muscles
01/23/05 19:38:06 [USMLE_Step_2] strug: thnx
01/23/05 19:38:09 [USMLE_Step_2] dua_frank: welcome
01/23/05 19:38:18 [USMLE_Step_2] huli72: Rx for tension headach?
01/23/05 19:38:21 [USMLE_Step_2] strug: whats mg
01/23/05 19:38:27 [USMLE_Step_2] strug: nsaids
01/23/05 19:38:29 [USMLE_Step_2] lanny: myasth gravis
01/23/05 19:38:29 [USMLE_Step_2] sanz: MG involes small mus like the eye
01/23/05 19:38:41 [USMLE_Step_2] sanz: relaxation
01/23/05 19:38:49 [USMLE_Step_2] dua_frank: biofeedback
01/23/05 19:38:51 [USMLE_Step_2] strug: no nsaids?
01/23/05 19:38:52 [USMLE_Step_2] huli72: relaxation and NSAIDs
01/23/05 19:38:52 [USMLE_Step_2] dua_frank: and all might be right
01/23/05 19:39:31 [USMLE_Step_2] huli72: what is complicated migraine?
01/23/05 19:39:41 [USMLE_Step_2] dua_frank: that results in paralysis?
01/23/05 19:39:55 [USMLE_Step_2] strug: when focal neuro signs persist after migrane
01/23/05 19:40:20 [USMLE_Step_2] samsung68: when it causes neuro deficit
01/23/05 19:40:23 [USMLE_Step_2] iamzuhair: MCC of CSF otorrhoea
01/23/05 19:40:37 [USMLE_Step_2] samsung68: fx base skull
01/23/05 19:40:39 [USMLE_Step_2] huli72: migraine with severe focal neurologic deficits
01/23/05 19:41:01 [USMLE_Step_2] strug: agree with sam
01/23/05 19:41:07 [USMLE_Step_2] dua_frank: trauma?
01/23/05 19:41:08 [USMLE_Step_2] lanny: mastoid bone fx
01/23/05 19:41:13 [USMLE_Step_2] sanz: MCC?
01/23/05 19:41:20 [USMLE_Step_2] strug: most common cause
01/23/05 19:41:23 [USMLE_Step_2] sanz: oh!
01/23/05 19:41:28 [USMLE_Step_2] lanny: trauma
01/23/05 19:41:37 [USMLE_Step_2] strug: iamzuhair ans
01/23/05 19:41:38 [USMLE_Step_2] iamzuhair: fracture of temporal bone
01/23/05 19:41:56 [USMLE_Step_2] mehr: basilar skull fracture
01/23/05 19:41:56 [USMLE_Step_2] iamzuhair: csf from ear
01/23/05 19:41:59 [USMLE_Step_2] huli72: thanks, Iamzu
01/23/05 19:42:06 [USMLE_Step_2] iamzuhair: csf otorrhoea
01/23/05 19:42:18 [USMLE_Step_2] iamzuhair: temporal bone
01/23/05 19:42:18 [USMLE_Step_2] huli72: fracture of temporal bone?
01/23/05 19:42:32 [USMLE_Step_2] iamzuhair: yup
01/23/05 19:42:34 [USMLE_Step_2] dua_frank: so this is basically csf leak through the ear
01/23/05 19:42:39 [USMLE_Step_2] lanny: yes
01/23/05 19:42:48 [USMLE_Step_2] iamzuhair: yup
01/23/05 19:42:50 [USMLE_Step_2] strug: whats treatment of botulism
01/23/05 19:42:51 [USMLE_Step_2] dua_frank: due to defect in the temporal bone through mastoid boe?
01/23/05 19:43:21 [USMLE_Step_2] strug: and Rx of tick paralysis
01/23/05 19:43:24 [USMLE_Step_2] iamzuhair: mastoid a part of temporal bone dude
01/23/05 19:43:33 [USMLE_Step_2] huli72: surportive trt
01/23/05 19:43:38 [USMLE_Step_2] mehr: CSf rhinorrhea n otorrhea is due to basilar skull fracture?
01/23/05 19:43:40 [USMLE_Step_2] mehr: right
01/23/05 19:43:42 [USMLE_Step_2] huli72: take the tick off
01/23/05 19:43:44 [USMLE_Step_2] dua_frank: antitoxin
01/23/05 19:43:58 [USMLE_Step_2] strug: huli is correct
01/23/05 19:44:03 [USMLE_Step_2] huli72: Ca?
01/23/05 19:44:06 [USMLE_Step_2] iamzuhair: csf rhinorea due to base #
01/23/05 19:44:13 [USMLE_Step_2] lanny: agre with frank
01/23/05 19:44:13 [USMLE_Step_2] mehr: ok
01/23/05 19:44:21 [USMLE_Step_2] iamzuhair: csf otorea due to temporal#
01/23/05 19:44:33 [USMLE_Step_2] mehr: epidural hemorrhage is due to fracture of which bone?
01/23/05 19:44:35 [USMLE_Step_2] huli72: what is the answer, strug?
01/23/05 19:44:38 [USMLE_Step_2] strug: Rx of tick paralyisi is remove tick lanny and frank
01/23/05 19:44:49 [USMLE_Step_2] strug: and for botulism is supportive
01/23/05 19:45:06 [USMLE_Step_2] nashat: parietal
01/23/05 19:45:10 [USMLE_Step_2] dua_frank: strug for a moment there i thought you were calling lanny and me ticks :P
01/23/05 19:45:27 [USMLE_Step_2] strug: ha ha
01/23/05 19:45:42 [USMLE_Step_2] sanz: temporal, mehr
01/23/05 19:45:46 [USMLE_Step_2] lanny: name of tick on botullism
01/23/05 19:45:48 [USMLE_Step_2] mehr: yes temporal
01/23/05 19:46:10 shreya Logs in
01/23/05 19:46:12 [USMLE_Step_2] iamzuhair: by the way im dusty from usmle.net
01/23/05 19:46:12 shreya Joins Subroom USMLE_Step_2
01/23/05 19:46:16 [USMLE_Step_2] fouzia: clostridium botulism
01/23/05 19:46:32 [USMLE_Step_2] huli72: synptom of lewy body dementia?
01/23/05 19:46:47 [USMLE_Step_2] iamzuhair: same as parkinsons
01/23/05 19:46:48 [USMLE_Step_2] sanz: but clostridium is not a tick...
01/23/05 19:46:51 [USMLE_Step_2] dua_frank: recent memory gone?
01/23/05 19:46:57 [USMLE_Step_2] lanny: clstridium botulism is a bact
01/23/05 19:47:07 [USMLE_Step_2] samsung68: its bacteria
01/23/05 19:47:09 [USMLE_Step_2] strug: parkinson and fluctuating cognitive function
01/23/05 19:47:16 [USMLE_Step_2] mehr: fluctuating cognitive im:
01/23/05 19:47:17 [USMLE_Step_2] dua_frank: conflabulation
01/23/05 19:47:18 [USMLE_Step_2] strug: and also visual hallucination
01/23/05 19:47:48 [USMLE_Step_2] mehr: parkinson and fluct: dementia?
01/23/05 19:47:50 [USMLE_Step_2] huli72: parkinsonism+visual hullucination+attention deficits + lewy body
01/23/05 19:48:13 medico24 Logs in
01/23/05 19:48:25 medico24 Joins Subroom USMLE_Step_2
01/23/05 19:48:48 [USMLE_Step_2] medico24: hi all,sry I am late
01/23/05 19:48:52 [USMLE_Step_2] iamzuhair: female with headache and esr increased and alkaline PO4 increased with increased platelets --- what to do ---- dx or rx
01/23/05 19:48:57 [USMLE_Step_2] huli72: symptom of pick's dementia?
01/23/05 19:48:58 [USMLE_Step_2] strug: imparired pain and temp intact light touch....which disease?
01/23/05 19:48:58 ayesh Logs in
01/23/05 19:48:58 ayesh Joins Subroom USMLE_Step_2
01/23/05 19:49:08 [USMLE_Step_2] strug: hi medico
01/23/05 19:49:20 [USMLE_Step_2] lanny: welcome medic
01/23/05 19:49:27 [USMLE_Step_2] medico24: hi
01/23/05 19:49:36 shreya Logs in
01/23/05 19:49:38 [USMLE_Step_2] strug: pick behavioural changes
01/23/05 19:49:51 [USMLE_Step_2] fouzia: iam zuhair
01/23/05 19:49:51 shreya Joins Subroom USMLE_Step_2
01/23/05 19:49:59 [USMLE_Step_2] iamzuhair: yes
01/23/05 19:49:59 [USMLE_Step_2] fouzia: what is the answer
01/23/05 19:50:01 [USMLE_Step_2] huli72: personality change, and behavior change
01/23/05 19:50:06 [USMLE_Step_2] lanny: hypersexual, emotional probs in pick
01/23/05 19:50:08 [USMLE_Step_2] iamzuhair: just a sec
01/23/05 19:50:10 [USMLE_Step_2] sanz: pick - fronto temporal signs
01/23/05 19:50:13 [USMLE_Step_2] iamzuhair: sorry got a call
01/23/05 19:50:19 [USMLE_Step_2] huli72: all correct
01/23/05 19:50:31 [USMLE_Step_2] strug: zuhair whats ur ans
01/23/05 19:50:36 [USMLE_Step_2] huli72: HIV dementia?
01/23/05 19:50:55 [USMLE_Step_2] huli72: synptom of HIV dementia?
01/23/05 19:51:05 [USMLE_Step_2] fouzia: is ist paget zuhair
01/23/05 19:51:20 [USMLE_Step_2] iamzuhair: NO IS TEMPORAL ARTERITIS
01/23/05 19:51:35 [USMLE_Step_2] iamzuhair: RX THE PATIENT
01/23/05 19:51:48 [USMLE_Step_2] samsung68: steroids
01/23/05 19:51:50 [USMLE_Step_2] iamzuhair: DO NOT WASTE TIME ON DX AS IT MAY LEAD TO BLINDNESS
01/23/05 19:51:53 [USMLE_Step_2] fouzia: do theyn have platelet sincrease also
01/23/05 19:51:56 [USMLE_Step_2] strug: ok
01/23/05 19:52:02 [USMLE_Step_2] iamzuhair: YES
01/23/05 19:52:15 [USMLE_Step_2] lanny: cd ct l
01/23/05 19:52:23 [USMLE_Step_2] strug: lanny ?
01/23/05 19:52:26 [USMLE_Step_2] iamzuhair: INCREAED PLATELETS AND ESR ARE THE CHARACTEISTIC WITH HEADACHE
01/23/05 19:52:27 [USMLE_Step_2] lanny: give prednisone immed
01/23/05 19:52:32 [USMLE_Step_2] sanz: wuz Binswager dementia?
01/23/05 19:52:41 [USMLE_Step_2] iamzuhair: YES HAVE TO GIVE STEROIDS IMMEDIATE
01/23/05 19:52:46 [USMLE_Step_2] strug: step wise decline in cognitive function
01/23/05 19:53:01 [USMLE_Step_2] samsung68: white matter dz with lacular pathology
01/23/05 19:53:13 [USMLE_Step_2] lanny: i remember it as swing biswanger stepwise
01/23/05 19:53:30 [USMLE_Step_2] sanz: yup... subcortical vas dz usu due to HTN
01/23/05 19:54:00 [USMLE_Step_2] huli72: cognitive change and slow of motor tasks (HIV dementia)
01/23/05 19:54:33 [USMLE_Step_2] lanny: if HIV suspected
01/23/05 19:55:18 [USMLE_Step_2] mehr: wats the ans strug?
01/23/05 19:55:32 [USMLE_Step_2] strug: syringomyelia
01/23/05 19:55:36 [USMLE_Step_2] fouzia: what is dia third nerve palsy
01/23/05 19:55:56 [USMLE_Step_2] strug: i didnt understand q fouzia
01/23/05 19:56:06 [USMLE_Step_2] lanny: whats the ques to syringom..strug
01/23/05 19:56:29 [USMLE_Step_2] strug: intact light touch decreased pain and temp sensation
01/23/05 19:56:45 [USMLE_Step_2] fouzia: b/c it is said that pupil is spared in dia palsy
01/23/05 19:56:58 [USMLE_Step_2] lanny: whats dia
01/23/05 19:57:00 [USMLE_Step_2] sanz: what's DIA?
01/23/05 19:57:01 [USMLE_Step_2] dua_frank: what is dia palsy?
01/23/05 19:57:07 [USMLE_Step_2] huli72: diabetic
01/23/05 19:57:09 [USMLE_Step_2] fouzia: diabetes
01/23/05 19:57:18 [USMLE_Step_2] fouzia: why
01/23/05 19:57:23 [USMLE_Step_2] lanny: oh boy these abbrevs!!!
01/23/05 19:57:36 [USMLE_Step_2] dua_frank: i feel your pain lanny
01/23/05 19:58:00 [USMLE_Step_2] lanny: me too... we will get it..
01/23/05 19:58:11 [USMLE_Step_2] huli72: becoz the nerve to pupil run the outside of 3rd n
01/23/05 19:58:28 [USMLE_Step_2] ayesh: say DM
01/23/05 19:58:43 [USMLE_Step_2] strug: b'coz in diabteic pt the periphereal art in the eye are affected....somethinglike that not sure
01/23/05 19:59:02 mehr Disconnects
01/23/05 19:59:14 [USMLE_Step_2] samsung68: i onow for some reson pupilary fibers r spared
01/23/05 19:59:24 [USMLE_Step_2] huli72: only the inside of 3rd n. is demaged in DM
01/23/05 19:59:25 [USMLE_Step_2] lanny: yes periph nerve sheath affected due to high gluc
01/23/05 19:59:55 [USMLE_Step_2] samsung68: yes due to sorbitol accumulationa nd osmotic damage
01/23/05 19:59:57 [USMLE_Step_2] dua_frank: could it be dual nerve supply or some sort?
01/23/05 20:00:02 [USMLE_Step_2] dua_frank: just a guess...
01/23/05 20:00:09 [USMLE_Step_2] strug: whats locked in syndrome?
01/23/05 20:00:17 [USMLE_Step_2] dua_frank: bulbar palsy?
01/23/05 20:00:23 [USMLE_Step_2] dua_frank: only eyes can move
01/23/05 20:00:33 [USMLE_Step_2] strug: only vertical eye move present
01/23/05 20:00:42 [USMLE_Step_2] samsung68: patinet communicates only thr eye movemnts, right?
01/23/05 20:00:45 [USMLE_Step_2] huli72: every thing below 3rd n. were demaged
01/23/05 20:00:48 mehr Logs in
01/23/05 20:00:55 [USMLE_Step_2] strug: due to occlusion of basilar art
01/23/05 20:00:56 mehr Joins Subroom USMLE_Step_2
01/23/05 20:00:57 medico24 Logs in
01/23/05 20:01:04 medico24 Joins Subroom USMLE_Step_2
01/23/05 20:01:08 [USMLE_Step_2] dua_frank: any cause?
01/23/05 20:01:15 [USMLE_Step_2] huli72: stroke?
01/23/05 20:01:20 [USMLE_Step_2] strug: its a stroke
01/23/05 20:01:23 [USMLE_Step_2] dua_frank: ok
01/23/05 20:01:28 [USMLE_Step_2] sanz: brain stem stroke
01/23/05 20:01:43 [USMLE_Step_2] sanz: vertical eye movt is intact
01/23/05 20:01:45 [USMLE_Step_2] dua_frank: patient hears of friends death once, cries
01/23/05 20:01:51 [USMLE_Step_2] dua_frank: second time, cries again
01/23/05 20:02:05 [USMLE_Step_2] dua_frank: relives the tragedy every time somebody reminds him of friends death
01/23/05 20:02:06 [USMLE_Step_2] iamzuhair: WHICH CNS TUMOR CAUSES INCREASED PAIN IN VALSALVA MANEUVERE ?
01/23/05 20:02:07 [USMLE_Step_2] dua_frank: condition?
01/23/05 20:02:26 [USMLE_Step_2] strug: medullary
01/23/05 20:02:26 [USMLE_Step_2] huli72: meningioma?
01/23/05 20:02:32 [USMLE_Step_2] mehr: yes
01/23/05 20:02:36 [USMLE_Step_2] sanz: schwanoma
01/23/05 20:02:39 [USMLE_Step_2] mehr: oh
01/23/05 20:02:41 [USMLE_Step_2] medico24: agree
01/23/05 20:02:42 [USMLE_Step_2] iamzuhair: YES
01/23/05 20:02:42 [USMLE_Step_2] mehr: yes
01/23/05 20:02:44 [USMLE_Step_2] strug: yes schwammoma
01/23/05 20:02:51 [USMLE_Step_2] mehr: its extra medullary mass
01/23/05 20:03:08 [USMLE_Step_2] samsung68: schwanoma
01/23/05 20:03:11 [USMLE_Step_2] dua_frank: ans to my question is korsakoff's syndrome
01/23/05 20:03:19 [USMLE_Step_2] iamzuhair: PAIN BY ENLARGEMENT OF NERVE ROOT
01/23/05 20:03:45 [USMLE_Step_2] sanz: good one dua
01/23/05 20:03:48 [USMLE_Step_2] lanny: how
01/23/05 20:03:50 [USMLE_Step_2] strug: isnt korsafoff syn confabulation
01/23/05 20:04:06 [USMLE_Step_2] lanny: i thought so
01/23/05 20:04:13 [USMLE_Step_2] samsung68: yes they make up things
01/23/05 20:04:14 [USMLE_Step_2] sanz: but the memory is lost
01/23/05 20:04:25 [USMLE_Step_2] dua_frank: yeah confabulation to fill in gaps in memory
01/23/05 20:04:30 [USMLE_Step_2] sanz: pt doesnt remember that his friend is dead
01/23/05 20:04:35 [USMLE_Step_2] lanny: so remind me of your ques
01/23/05 20:04:47 [USMLE_Step_2] strug: dua pl explain how korssaff in this case of yours
01/23/05 20:05:06 [USMLE_Step_2] dua_frank: thiamine deficiency in alcoholics
01/23/05 20:05:10 [USMLE_Step_2] iamzuhair: SELENIUM DEFICIENCY SYMPTOMS?
01/23/05 20:05:16 [USMLE_Step_2] dua_frank: causes decreased ability to acquire new memories
01/23/05 20:05:24 [USMLE_Step_2] dua_frank: thus he keeps forgetting his friend died
01/23/05 20:05:31 [USMLE_Step_2] dua_frank: every time he hears it, its news to him
01/23/05 20:05:45 [USMLE_Step_2] strug: thnx
01/23/05 20:05:49 [USMLE_Step_2] dua_frank: welcome
01/23/05 20:06:14 [USMLE_Step_2] sanz: korsakoff is known as alcohol amnesic syndrome
01/23/05 20:06:15 [USMLE_Step_2] lanny: confabulation is making up stories untrue
01/23/05 20:06:34 [USMLE_Step_2] huli72: synptom of ACA occlusion?
01/23/05 20:06:46 [USMLE_Step_2] strug: wait whats zuhairs ans?
01/23/05 20:06:49 [USMLE_Step_2] iamzuhair: MUSCLE PAIN AND CARDIOMYOPATHY
01/23/05 20:07:15 [USMLE_Step_2] fouzia: does pregnancy have any effects on migriane
01/23/05 20:07:20 [USMLE_Step_2] strug: frontal lobe symp like behavioural changes
01/23/05 20:07:24 [USMLE_Step_2] samsung68: aca occlusion--contralat leg weakness
01/23/05 20:07:27 [USMLE_Step_2] sanz: fouzia, it improves
01/23/05 20:07:35 [USMLE_Step_2] dua_frank: yep agrees with sanz
01/23/05 20:07:42 [USMLE_Step_2] huli72: right, sam
01/23/05 20:07:48 [USMLE_Step_2] samsung68: thanks
01/23/05 20:07:49 [USMLE_Step_2] dua_frank: mensturation and OCPs exacerabtes migraine
01/23/05 20:07:49 [USMLE_Step_2] medico24: it improves
01/23/05 20:07:51 [USMLE_Step_2] huli72: and..
01/23/05 20:07:53 [USMLE_Step_2] dua_frank: so does alcohol
01/23/05 20:08:04 [USMLE_Step_2] fouzia: thanx
01/23/05 20:08:25 [USMLE_Step_2] sanz: huli, can also have foor drop and urinary retention
01/23/05 20:08:38 [USMLE_Step_2] huli72: right sanz
01/23/05 20:08:46 [USMLE_Step_2] sanz: foot even
01/23/05 20:08:47 [USMLE_Step_2] huli72: confusion
01/23/05 20:08:56 [USMLE_Step_2] dua_frank: foot and bladder area, i keep forgetting that
01/23/05 20:08:57 [USMLE_Step_2] huli72: and behavioral change
01/23/05 20:09:04 [USMLE_Step_2] samsung68: cognitive deficits too
01/23/05 20:09:21 vladimir Logs in
01/23/05 20:09:26 vladimir Joins Subroom USMLE_Step_2
01/23/05 20:09:32 [USMLE_Step_2] huli72: all correct
01/23/05 20:09:36 vladimir Logs Out
01/23/05 20:09:40 chess1 Logs in
01/23/05 20:09:54 [USMLE_Step_2] iamzuhair: WHAT DO WE HAVE TO CHECK IN A PATIENT WITH PROLACTINOMA BEFORE DIAGNOSING
01/23/05 20:10:05 chess1 Joins Subroom USMLE_Step_2
01/23/05 20:10:06 [USMLE_Step_2] strug: drug histrory
01/23/05 20:10:07 [USMLE_Step_2] huli72: TSH?
01/23/05 20:10:14 [USMLE_Step_2] sanz: TRH
01/23/05 20:10:16 [USMLE_Step_2] dua_frank: pregnancy/
01/23/05 20:10:18 [USMLE_Step_2] dua_frank: ?
01/23/05 20:10:20 [USMLE_Step_2] iamzuhair: YES
01/23/05 20:10:21 [USMLE_Step_2] iamzuhair: TSH
01/23/05 20:10:21 [USMLE_Step_2] shreya: hcg.
01/23/05 20:10:22 [USMLE_Step_2] lanny: psychotropic med
01/23/05 20:10:23 [USMLE_Step_2] fouzia: pregnancy test
01/23/05 20:10:25 [USMLE_Step_2] strug: and also Tsh
01/23/05 20:10:26 [USMLE_Step_2] dua_frank: oh
01/23/05 20:10:36 [USMLE_Step_2] strug: whats the ans zuhair
01/23/05 20:10:42 [USMLE_Step_2] iamzuhair: TSH IN EVERY CASE OF PRLACTINOMA
01/23/05 20:10:50 [USMLE_Step_2] strug: ok thanks
01/23/05 20:11:05 [USMLE_Step_2] dua_frank: coz TSH stimulates PRL?
01/23/05 20:11:09 [USMLE_Step_2] iamzuhair: NO NO
01/23/05 20:11:12 [USMLE_Step_2] dua_frank: then?
01/23/05 20:11:18 [USMLE_Step_2] lanny: duchene diag cpk or biopsy
01/23/05 20:11:19 [USMLE_Step_2] mehr: in hyp
01/23/05 20:11:24 [USMLE_Step_2] fouzia: do u mean we tsh 1st n preg
01/23/05 20:11:27 [USMLE_Step_2] fouzia: after
01/23/05 20:11:28 [USMLE_Step_2] dua_frank: to determine primary from seconday?
01/23/05 20:11:30 [USMLE_Step_2] iamzuhair: TSH ---- INCREASED DUE TO HYPOTHYROID
01/23/05 20:11:32 [USMLE_Step_2] strug: best is bipospy
01/23/05 20:11:39 [USMLE_Step_2] lanny: thx
01/23/05 20:11:39 [USMLE_Step_2] medico24: biopsy
01/23/05 20:11:42 [USMLE_Step_2] shreya: biopsy
01/23/05 20:11:44 [USMLE_Step_2] lanny: thanks
01/23/05 20:11:45 [USMLE_Step_2] samsung68: biopsy
01/23/05 20:11:46 [USMLE_Step_2] sanz: Bx, lanny
01/23/05 20:12:01 [USMLE_Step_2] dua_frank: yes but doesn't TSH stimulate release of PRL?
01/23/05 20:12:03 [USMLE_Step_2] iamzuhair: TSH ALSO CAUSES PRL RELEASE FROM PITUTARY
01/23/05 20:12:12 [USMLE_Step_2] iamzuhair: YE UR RIGHT
01/23/05 20:12:13 vladimir Logs in
01/23/05 20:12:19 [USMLE_Step_2] dua_frank: right so if TSH is normal then it's primary prolactinoma
01/23/05 20:12:19 vladimir Joins Subroom USMLE_Step_2
01/23/05 20:12:22 [USMLE_Step_2] iamzuhair: SORRY WAS THINKING SOMEHING
01/23/05 20:12:24 [USMLE_Step_2] strug: its TRH not TSH
01/23/05 20:12:27 [USMLE_Step_2] dua_frank: and thats why you check for TSH levels right?
01/23/05 20:12:29 [USMLE_Step_2] mehr: its trh
01/23/05 20:12:36 nashat Logs Out
01/23/05 20:12:38 [USMLE_Step_2] dua_frank: oh
01/23/05 20:12:44 [USMLE_Step_2] lanny: why not tsh also
01/23/05 20:12:45 [USMLE_Step_2] dua_frank: arrgghhh
01/23/05 20:12:51 [USMLE_Step_2] iamzuhair: YES BUT U DONT MEASURE TRH
01/23/05 20:13:00 [USMLE_Step_2] strug: because its costly
01/23/05 20:13:01 [USMLE_Step_2] vladimir: hi everybody- sorry for being late
01/23/05 20:13:06 [USMLE_Step_2] dua_frank: hi blad
01/23/05 20:13:07 [USMLE_Step_2] strug: welcome
01/23/05 20:13:07 [USMLE_Step_2] lanny: hi
01/23/05 20:13:11 [USMLE_Step_2] dua_frank: sorry vlad
01/23/05 20:13:12 [USMLE_Step_2] sanz: hi
01/23/05 20:13:16 [USMLE_Step_2] lanny: hi russky boy
01/23/05 20:13:32 [USMLE_Step_2] iamzuhair: COS HYPOHYROIDISM CAUSES TSH RELEASE NOT TRH
01/23/05 20:13:42 [USMLE_Step_2] strug: ok vlad ask a q
01/23/05 20:13:51 [USMLE_Step_2] lanny: so i think its TSH
01/23/05 20:13:59 [USMLE_Step_2] iamzuhair: YUP DUDE
01/23/05 20:14:05 [USMLE_Step_2] medico24: how will you diff myesthenia from myesthenic syndrome?
01/23/05 20:14:12 [USMLE_Step_2] chess1: \\it is trh
01/23/05 20:14:14 [USMLE_Step_2] vladimir: are we talikn about neurology or endocrinology
01/23/05 20:14:25 [USMLE_Step_2] lanny: neuro
01/23/05 20:14:29 [USMLE_Step_2] sanz: vlad, we;re talking abt prolactinoma
01/23/05 20:14:30 [USMLE_Step_2] samsung68: decrement studies
01/23/05 20:14:33 [USMLE_Step_2] dua_frank: give edrophonium?
01/23/05 20:14:36 [USMLE_Step_2] dua_frank: no idea
01/23/05 20:14:36 [USMLE_Step_2] vladimir: thanks
01/23/05 20:14:43 [USMLE_Step_2] strug: EMG
01/23/05 20:14:56 [USMLE_Step_2] strug: medico ans pl
01/23/05 20:15:00 [USMLE_Step_2] lanny: good question
01/23/05 20:15:02 [USMLE_Step_2] medico24: differntiating pt plz
01/23/05 20:15:13 [USMLE_Step_2] vladimir: all right- what's most accurate test for MG
01/23/05 20:15:20 [USMLE_Step_2] chess1: what is empty sella turk syndrome?what labs will be abnormal?
01/23/05 20:15:21 [USMLE_Step_2] strug: EMG
01/23/05 20:15:23 [USMLE_Step_2] iamzuhair: TENSILON
01/23/05 20:15:33 [USMLE_Step_2] medico24: myesthenic syn is lamber eaton syn
01/23/05 20:15:34 [USMLE_Step_2] iamzuhair: EDROPHONIUM
01/23/05 20:15:45 [USMLE_Step_2] vladimir: grate stug
01/23/05 20:16:07 [USMLE_Step_2] dua_frank: all pituatary hormones low
01/23/05 20:16:14 [USMLE_Step_2] lanny: rep stimulation causes decrease in amplitude in MG
01/23/05 20:16:28 [USMLE_Step_2] strug: i think labs normal because pitutirary is present
01/23/05 20:16:35 [USMLE_Step_2] samsung68: yes its called decrement studies
01/23/05 20:16:50 [USMLE_Step_2] strug: its just not in the right place....pt will be obese
01/23/05 20:17:05 [USMLE_Step_2] strug: am i right chess
01/23/05 20:17:19 [USMLE_Step_2] chess1: yes you are strug
01/23/05 20:17:21 [USMLE_Step_2] vladimir: most specific test- Ach receptor Ab test + muscle weakness, most specific-odrophonium, most accurate-EMG
01/23/05 20:17:30 [USMLE_Step_2] mehr: yeah
01/23/05 20:17:35 [USMLE_Step_2] mehr: endocrine is normal
01/23/05 20:17:40 [USMLE_Step_2] mehr: in empty sella Sx
01/23/05 20:18:06 [USMLE_Step_2] strug: hey guys come back to neurology
01/23/05 20:18:16 [USMLE_Step_2] samsung68: so whats initial tests vladimir?
01/23/05 20:18:35 [USMLE_Step_2] sanz: Ab to AcetylCh receptor
01/23/05 20:18:36 [USMLE_Step_2] vladimir: samsung- on EMG-decremental decrease in muscle fiber content on repetetive nerve stimulation
01/23/05 20:18:47 [USMLE_Step_2] samsung68: thanks
01/23/05 20:19:28 [USMLE_Step_2] lanny: decremental decrease in amplitude
01/23/05 20:19:32 [USMLE_Step_2] vladimir: agree with sanz- Ab to Ach receptor
01/23/05 20:20:02 [USMLE_Step_2] dua_frank: tx of tardive dyskinesia?
01/23/05 20:20:03 [USMLE_Step_2] strug: S/S of vestibular neuritis?
01/23/05 20:20:09 [USMLE_Step_2] vladimir: then- edrophonium and then- EMG
01/23/05 20:20:15 chess1 Logs Out
01/23/05 20:20:16 [USMLE_Step_2] sanz: dizziness
01/23/05 20:20:28 [USMLE_Step_2] lanny: tardive dyskin has tx?
01/23/05 20:20:33 [USMLE_Step_2] samsung68: vertigo
01/23/05 20:20:36 [USMLE_Step_2] strug: stop drug imm
01/23/05 20:20:43 [USMLE_Step_2] samsung68: agrre
01/23/05 20:20:43 [USMLE_Step_2] huli72: stop respirodone and start clozepine
01/23/05 20:20:50 [USMLE_Step_2] dua_frank: right and if its still present?
01/23/05 20:20:57 [USMLE_Step_2] dua_frank: stop drug correct
01/23/05 20:21:15 [USMLE_Step_2] dua_frank: if it doesn't resolve consider tetrabenazine
01/23/05 20:21:26 [USMLE_Step_2] lanny: tardive dyskines is after prolong tx with typical psycho
01/23/05 20:22:17 [USMLE_Step_2] strug: also resting nystagmus in vesti neurities
01/23/05 20:22:32 [USMLE_Step_2] lanny: i dont think tardive dysk is reversible
01/23/05 20:22:40 [USMLE_Step_2] strug: irreversible
01/23/05 20:22:48 [USMLE_Step_2] huli72: after upper respiratory tract infection
01/23/05 20:23:00 [USMLE_Step_2] lanny: correct so stop drug only or change to atypical...
01/23/05 20:23:48 [USMLE_Step_2] huli72: no tinnitis in vestibular neuritis
01/23/05 20:23:59 rsandhu Logs in
01/23/05 20:24:05 [USMLE_Step_2] dua_frank: sentinel headache hallmark of?
01/23/05 20:24:07 [USMLE_Step_2] lanny: correct huli
01/23/05 20:24:11 rsandhu: hi
01/23/05 20:24:22 rsandhu Joins Subroom Clinical_Skills
01/23/05 20:24:30 rsandhu Joins Subroom USMLE_Step_1
01/23/05 20:24:37 [USMLE_Step_2] strug: SAH
01/23/05 20:24:38 rsandhu Leaves Subroom
01/23/05 20:24:43 [USMLE_Step_2] dua_frank: right
01/23/05 20:24:45 [USMLE_Step_2] lanny: whats sentinel h
01/23/05 20:24:54 rsandhu: hi is anybody here
01/23/05 20:24:56 [USMLE_Step_2] huli72: SAH
01/23/05 20:25:03 [USMLE_Step_2] sanz: agree
01/23/05 20:25:18 [USMLE_Step_2] lanny: worse headache of my life?
01/23/05 20:25:20 rsandhu: *harp*
01/23/05 20:25:32 [USMLE_Step_2] huli72: SAH
01/23/05 20:25:38 [USMLE_Step_2] strug: cause of menieres disease?
01/23/05 20:25:41 [USMLE_Step_2] vladimir: whatt stands for SAH- subarachn.hemorrhage ?
01/23/05 20:25:43 [USMLE_Step_2] dua_frank: sudden headache with neck pain or back pain i think
01/23/05 20:25:52 [USMLE_Step_2] lanny: yes
01/23/05 20:26:00 [USMLE_Step_2] sanz: endolymph problem
01/23/05 20:26:15 [USMLE_Step_2] samsung68: also increase sodium in diet
01/23/05 20:26:15 [USMLE_Step_2] strug: i mean the etiology
01/23/05 20:26:29 [USMLE_Step_2] sanz: head trauma
01/23/05 20:26:34 [USMLE_Step_2] vladimir: whta's difference between central and peripher.vertigo
01/23/05 20:26:42 [USMLE_Step_2] samsung68: degenrative/post infective
01/23/05 20:26:44 [USMLE_Step_2] strug: yes syphilis and trauma
01/23/05 20:26:45 [USMLE_Step_2] huli72: endolymphe high pressure
01/23/05 20:26:47 [USMLE_Step_2] mehr: syphils and head trauma
01/23/05 20:26:56 [USMLE_Step_2] huli72: idiopathic
01/23/05 20:27:06 [USMLE_Step_2] dua_frank: i didn't know that, thanks
01/23/05 20:27:13 rsandhu Logs Out
01/23/05 20:27:15 [USMLE_Step_2] samsung68: central --no changes after head movemntns
01/23/05 20:27:20 [USMLE_Step_2] mehr: central does not have tinnitus or hearing loss
01/23/05 20:27:21 [USMLE_Step_2] dua_frank: syphillis and head trauma-menieres
01/23/05 20:27:26 [USMLE_Step_2] strug: central has diplopia. vertigo in all directions
01/23/05 20:27:27 [USMLE_Step_2] mehr: peripheral does
01/23/05 20:27:35 [USMLE_Step_2] samsung68: peri--changes as per head movements
01/23/05 20:27:44 [USMLE_Step_2] strug: cortical blindness and dysarthria also present
01/23/05 20:28:07 [USMLE_Step_2] mehr: peripheral has tinnitus hearing loss
01/23/05 20:28:23 [USMLE_Step_2] mehr: and the description also iss diff by the pt
01/23/05 20:28:34 [USMLE_Step_2] dua_frank: ans vlad?
01/23/05 20:28:39 [USMLE_Step_2] samsung68: central usually due to tumor
01/23/05 20:28:54 [USMLE_Step_2] strug: in meniers which kindof hearing loss sensineu or conduc?
01/23/05 20:29:08 [USMLE_Step_2] dua_frank: sensory
01/23/05 20:29:10 [USMLE_Step_2] samsung68: conduction
01/23/05 20:29:10 [USMLE_Step_2] vladimir: central- gradual onset, tinitis-absent, diplopia-present, does not supress with fixation
01/23/05 20:29:13 [USMLE_Step_2] sanz: sensor
01/23/05 20:29:14 rsandhu Logs in
01/23/05 20:29:14 [USMLE_Step_2] lanny: sensory
01/23/05 20:29:24 rsandhu Logs Out
01/23/05 20:29:25 [USMLE_Step_2] strug: yes sensorineural
01/23/05 20:29:31 [USMLE_Step_2] mehr: conductive strug?
01/23/05 20:29:37 [USMLE_Step_2] strug: Rx of menieres
01/23/05 20:29:54 [USMLE_Step_2] mehr: ok
01/23/05 20:29:57 [USMLE_Step_2] sanz: shunt
01/23/05 20:29:59 [USMLE_Step_2] samsung68: deacresed sodium in diet
01/23/05 20:30:00 [USMLE_Step_2] vladimir: peripheral- sudden onset, tinitis present, diplopia-absent, supress with fixation
01/23/05 20:30:01 [USMLE_Step_2] mehr: salt restiction
01/23/05 20:30:04 [USMLE_Step_2] mehr: and diuretics
01/23/05 20:30:09 [USMLE_Step_2] strug: right
01/23/05 20:30:18 [USMLE_Step_2] dua_frank: thanks vlad
01/23/05 20:30:36 [USMLE_Step_2] vladimir: what's triad of MENIERE'S DIS
01/23/05 20:30:51 [USMLE_Step_2] strug: tinnitus vertigo hearing loss
01/23/05 20:30:55 [USMLE_Step_2] mehr: yes
01/23/05 20:31:00 [USMLE_Step_2] lanny: correct
01/23/05 20:31:05 [USMLE_Step_2] vladimir: GREAT-STRUG
01/23/05 20:31:12 [USMLE_Step_2] strug: thnx dear
01/23/05 20:31:38 [USMLE_Step_2] strug: whats Rx of alzheimers diseae + dementia
01/23/05 20:31:44 [USMLE_Step_2] mehr: the nystagmus in central is unidirectional
01/23/05 20:31:49 [USMLE_Step_2] samsung68: tacrine
01/23/05 20:31:50 [USMLE_Step_2] mehr: and nonsupressable
01/23/05 20:31:52 [USMLE_Step_2] mehr: right?
01/23/05 20:32:09 [USMLE_Step_2] strug: multidirectional
01/23/05 20:32:11 [USMLE_Step_2] sanz: peripheral is unidirectional
01/23/05 20:32:15 [USMLE_Step_2] mehr: in central?
01/23/05 20:32:23 [USMLE_Step_2] strug: central is multi
01/23/05 20:32:24 [USMLE_Step_2] sanz: bi directional in central
01/23/05 20:32:32 [USMLE_Step_2] mehr: ok
01/23/05 20:32:33 [USMLE_Step_2] sanz: or multi
01/23/05 20:32:34 [USMLE_Step_2] lanny: sanz correct
01/23/05 20:32:34 [USMLE_Step_2] mehr: thx
01/23/05 20:32:45 [USMLE_Step_2] sanz: think central as circle...
01/23/05 20:32:51 [USMLE_Step_2] strug: great
01/23/05 20:33:01 [USMLE_Step_2] dua_frank: nice
01/23/05 20:33:02 [USMLE_Step_2] vladimir: very HY Qs- cluster ha, migraine, tension etc- let's talk abou this
01/23/05 20:33:28 [USMLE_Step_2] strug: Rx of Alzheims+ demntia
01/23/05 20:33:36 [USMLE_Step_2] samsung68: tacrine
01/23/05 20:33:41 [USMLE_Step_2] fouzia: donepzil
01/23/05 20:33:50 [USMLE_Step_2] strug: are u sure....i think its zolpidem
01/23/05 20:34:10 [USMLE_Step_2] sanz: donepizil is anticholinergic
01/23/05 20:34:10 [USMLE_Step_2] samsung68: donezepil for sure
01/23/05 20:34:14 [USMLE_Step_2] lanny: its a/cholinergics tacrine
01/23/05 20:34:16 [USMLE_Step_2] mehr: yes
01/23/05 20:34:29 [USMLE_Step_2] lanny: both is used
01/23/05 20:34:32 [USMLE_Step_2] huli72: all are used
01/23/05 20:34:32 [USMLE_Step_2] strug: thanks
01/23/05 20:34:37 [USMLE_Step_2] fouzia: yeap
01/23/05 20:34:39 [USMLE_Step_2] dua_frank: huli yep
01/23/05 20:34:48 [USMLE_Step_2] lanny: cluster h ache behind eyes
01/23/05 20:34:51 [USMLE_Step_2] sanz: vlad, sure... shoot
01/23/05 20:35:13 [USMLE_Step_2] lanny: cluster hache same time of day
01/23/05 20:35:28 [USMLE_Step_2] strug: in clusters same time every year
01/23/05 20:35:32 [USMLE_Step_2] lanny: tension truck driver prolong job
01/23/05 20:35:49 [USMLE_Step_2] strug: Rx for acute attack of cluster?
01/23/05 20:35:57 [USMLE_Step_2] vladimir: numbnress or tingling of left face, lips etc lasting 5-15 min, following by a throbbing h/a, FH of h/a- what's this
01/23/05 20:36:01 [USMLE_Step_2] sanz: 100% o2
01/23/05 20:36:10 [USMLE_Step_2] strug: correct
01/23/05 20:36:14 [USMLE_Step_2] shreya: o2
01/23/05 20:36:20 [USMLE_Step_2] shreya: dhe
01/23/05 20:36:20 [USMLE_Step_2] sanz: abortive Rx for migraine?
01/23/05 20:36:32 [USMLE_Step_2] mehr: cluster O2
01/23/05 20:36:35 [USMLE_Step_2] lanny: temporal art vlad?
01/23/05 20:36:44 [USMLE_Step_2] shreya: analgesics, sumatriptan
01/23/05 20:36:52 [USMLE_Step_2] iamzuhair: im back
01/23/05 20:37:03 [USMLE_Step_2] sanz: migraine, vlad
01/23/05 20:37:12 [USMLE_Step_2] vladimir: claster- intense retroorbital h/a assoc. with transient unilat prosis and rhinorrhea
01/23/05 20:37:23 [USMLE_Step_2] fouzia: yeap
01/23/05 20:37:36 [USMLE_Step_2] vladimir: yes-sanz
01/23/05 20:37:48 [USMLE_Step_2] strug: whats the ans to ur q vlad?
01/23/05 20:37:54 megs Logs in
01/23/05 20:37:57 megs Joins Subroom USMLE_Step_2
01/23/05 20:37:58 [USMLE_Step_2] sanz: nigraine
01/23/05 20:38:16 [USMLE_Step_2] fouzia: what should be the prophylaxsis for mig
01/23/05 20:38:26 [USMLE_Step_2] sanz: propanolol
01/23/05 20:38:30 [USMLE_Step_2] vladimir: a visual field defect that persists following cessation of a unilateral h/a- what's?
01/23/05 20:38:38 [USMLE_Step_2] iamzuhair: ergot
01/23/05 20:38:40 [USMLE_Step_2] mehr: valproic acid
01/23/05 20:38:42 [USMLE_Step_2] samsung68: amrosis fugax
01/23/05 20:39:06 [USMLE_Step_2] samsung68: right,vlad
01/23/05 20:39:38 [USMLE_Step_2] mehr: vlad wats the ans?
01/23/05 20:39:39 [USMLE_Step_2] sanz: cluster...?
01/23/05 20:39:40 [USMLE_Step_2] iamzuhair: px for migraine
01/23/05 20:39:50 [USMLE_Step_2] fouzia: bblocker and ca channel r given in prophylaxsis
01/23/05 20:39:58 [USMLE_Step_2] strug: complicated migrane
01/23/05 20:40:13 [USMLE_Step_2] mehr: yes i think so strug
01/23/05 20:40:20 [USMLE_Step_2] vladimir: it's arteriovenous malformation with hemorrhage or infarct
01/23/05 20:40:37 [USMLE_Step_2] mehr: can u explain
01/23/05 20:41:12 [USMLE_Step_2] lanny: dont get it vlad
01/23/05 20:41:14 [USMLE_Step_2] mehr: hello
01/23/05 20:41:23 [USMLE_Step_2] mehr: yaap plz explain a little
01/23/05 20:42:03 [USMLE_Step_2] vladimir: persistance of visual defect suggest a focal lesion- organic reason.
01/23/05 20:42:26 [USMLE_Step_2] mehr: wat kinaa of art:ven: mal:
01/23/05 20:42:44 [USMLE_Step_2] strug: is it complicated migraine or basilar migraine?
01/23/05 20:43:08 [USMLE_Step_2] vladimir: in case of persistent ataxia, limb incoordination - another organic reason- a posterior fossa tumor (possibly cerebellar)
01/23/05 20:43:51 shreya Logs in
01/23/05 20:43:58 shreya Joins Subroom USMLE_Step_2
01/23/05 20:44:23 [USMLE_Step_2] vladimir: monocular visual loss in a elderly pat with a throbbing h/a suggest a temporal arteriitis
01/23/05 20:44:46 [USMLE_Step_2] iamzuhair: brain abscess due to otitis media or tmporal brain abscess -- cause?
01/23/05 20:45:04 [USMLE_Step_2] vladimir: strug- idid not hear about basilar or complicated migraine
01/23/05 20:45:40 [USMLE_Step_2] strug: complicated means persistent of neurological deficits aftr the resolustion of attack
01/23/05 20:46:10 [USMLE_Step_2] vladimir: i just wanted to show the difference between functional h/a and organic h/a (and a focal persistent s/s suggest latter
01/23/05 20:46:11 [USMLE_Step_2] huli72: H flu?
01/23/05 20:46:19 [USMLE_Step_2] strug: basilar means S/s of brain stem involvement like ataxai, sys
01/23/05 20:46:30 [USMLE_Step_2] strug: dysarthria
01/23/05 20:46:34 cyrus1345 Logs in
01/23/05 20:46:39 cyrus1345 Joins Subroom USMLE_Step_2
01/23/05 20:46:42 [USMLE_Step_2] strug: diplopia , vertigo
01/23/05 20:46:55 [USMLE_Step_2] shreya: distal paresthesias.
01/23/05 20:47:18 [USMLE_Step_2] huli72: answer? vlad
01/23/05 20:47:19 megs Logs Out
01/23/05 20:47:20 [USMLE_Step_2] shreya: later unconsciousness
01/23/05 20:47:34 [USMLE_Step_2] dua_frank: bilateral acoustic neuromas?
01/23/05 20:47:45 [USMLE_Step_2] shreya: nf-2
01/23/05 20:47:49 [USMLE_Step_2] dua_frank: yep
01/23/05 20:47:54 [USMLE_Step_2] vladimir: huli- what kind of answ do you ask for
01/23/05 20:48:11 [USMLE_Step_2] iamzuhair: brain abscess due to otitis media or tmporal brain abscess -- cause?
01/23/05 20:48:20 [USMLE_Step_2] huli72: no, it is Iamzu
01/23/05 20:48:38 [USMLE_Step_2] huli72: the answer to his q
01/23/05 20:48:48 [USMLE_Step_2] iamzuhair: bacteroides homosexualilis
01/23/05 20:48:56 [USMLE_Step_2] huli72: thanks
01/23/05 20:49:00 [USMLE_Step_2] iamzuhair: temporal lobe abscess
01/23/05 20:49:00 megs Logs in
01/23/05 20:49:01 megs Joins Subroom USMLE_Step_2
01/23/05 20:49:01 [USMLE_Step_2] shreya: ok.
01/23/05 20:49:24 [USMLE_Step_2] huli72: don't know
01/23/05 20:50:05 [USMLE_Step_2] strug: Upper resp tract inf followed by tinnitus, vertigo hearing loss.....diagnoisi?
01/23/05 20:50:15 [USMLE_Step_2] iamzuhair: meiners
01/23/05 20:50:19 [USMLE_Step_2] mehr: yes
01/23/05 20:50:23 [USMLE_Step_2] shreya: A.D. disease with mental retardation & infantile spasms?
01/23/05 20:50:31 [USMLE_Step_2] cyrus1345: labyrinitis
01/23/05 20:50:33 [USMLE_Step_2] strug: tuberous scleroisi
01/23/05 20:50:38 [USMLE_Step_2] mehr: T.S
01/23/05 20:50:41 [USMLE_Step_2] strug: nasi u r right
01/23/05 20:50:51 [USMLE_Step_2] shreya: great stug
01/23/05 20:50:56 [USMLE_Step_2] strug: thnx
01/23/05 20:51:04 [USMLE_Step_2] strug: Rx of labrynthisits
01/23/05 20:51:08 [USMLE_Step_2] vladimir: what's else in TS
01/23/05 20:51:26 [USMLE_Step_2] strug: mental retardation,
01/23/05 20:51:33 [USMLE_Step_2] cyrus1345: na limitation mthazid ,no respond mitazolam
01/23/05 20:51:33 [USMLE_Step_2] strug: shagreen patches
01/23/05 20:51:39 [USMLE_Step_2] mehr: skin men:
01/23/05 20:51:40 [USMLE_Step_2] iamzuhair: yes
01/23/05 20:51:40 [USMLE_Step_2] strug: ashgreen spots
01/23/05 20:51:48 [USMLE_Step_2] iamzuhair: but whats with meiners hen
01/23/05 20:51:48 [USMLE_Step_2] mehr: ash leaf spot
01/23/05 20:51:56 [USMLE_Step_2] iamzuhair: but whats with meiners then
01/23/05 20:52:12 [USMLE_Step_2] lanny: cardiac arrest
01/23/05 20:52:24 [USMLE_Step_2] samsung68: retinal lsions
01/23/05 20:52:33 [USMLE_Step_2] strug: nasi are u sure? can u repeat
01/23/05 20:52:36 [USMLE_Step_2] lanny: recurrent v.fib
01/23/05 20:52:38 [USMLE_Step_2] huli72: renal lipoma
01/23/05 20:52:45 [USMLE_Step_2] vladimir: angiomyolipoma + cadiac rhabdomiocarcomea in TS
01/23/05 20:53:37 [USMLE_Step_2] vladimir: we missed the tension h/a- i got it on the real exam
01/23/05 20:54:07 [USMLE_Step_2] lanny: dont ustand vlad
01/23/05 20:54:08 [USMLE_Step_2] cyrus1345: it should be treated symptomatically and also with meclizine
01/23/05 20:54:08 [USMLE_Step_2] dua_frank: i can see that question still gives you tension headaches
01/23/05 20:54:09 [USMLE_Step_2] strug: optic glioma, pheochromocytoma and neuroblastoma..which disease?
01/23/05 20:54:09 [USMLE_Step_2] huli72: let's review s/s of tension headache
01/23/05 20:54:17 [USMLE_Step_2] cyrus1345: and diazepam if sever
01/23/05 20:54:19 [USMLE_Step_2] iamzuhair: ok
01/23/05 20:54:25 [USMLE_Step_2] strug: thnx nasi
01/23/05 20:54:26 [USMLE_Step_2] mehr: scoliosis+optic N glioma=Lisch nod?
01/23/05 20:54:38 [USMLE_Step_2] iamzuhair: causes of tnsion headache
01/23/05 20:54:40 [USMLE_Step_2] mehr: +liisch no what it is
01/23/05 20:54:49 [USMLE_Step_2] sanz: NF
01/23/05 20:55:03 [USMLE_Step_2] strug: type 1 NF
01/23/05 20:55:05 [USMLE_Step_2] lanny: lisch nodule is a hamatoma seen in neurofibroma?
01/23/05 20:55:15 [USMLE_Step_2] sanz: oh i thought it can be type 2 as well strug...
01/23/05 20:55:23 [USMLE_Step_2] mehr: yaap
01/23/05 20:55:29 [USMLE_Step_2] mehr: type 1 NF
01/23/05 20:55:37 [USMLE_Step_2] strug: type 2 has acoustic neuromas
01/23/05 20:55:47 [USMLE_Step_2] sanz: ok
01/23/05 20:55:47 [USMLE_Step_2] vladimir: nobody knows causes, F>M, onset before 40's- tension h/a
01/23/05 20:55:50 [USMLE_Step_2] lanny: correct strug
01/23/05 20:55:51 [USMLE_Step_2] strug: coz of tension headache is tension
01/23/05 20:56:04 [USMLE_Step_2] dua_frank: wow strug
01/23/05 20:56:06 [USMLE_Step_2] dua_frank: :P
01/23/05 20:56:08 [USMLE_Step_2] lanny: prolong driving as in truck drivers
01/23/05 20:56:17 [USMLE_Step_2] cyrus1345: lol
01/23/05 20:56:38 [USMLE_Step_2] vladimir: non-throbbing h/a, no nausea, no phono/photophobia and no prodrome
01/23/05 20:56:40 [USMLE_Step_2] strug: what were u asked ine xam dear vlad
01/23/05 20:56:45 [USMLE_Step_2] huli72: vise like
01/23/05 20:56:57 [USMLE_Step_2] lanny: vise means all around
01/23/05 20:56:57 [USMLE_Step_2] dua_frank: tension headache
01/23/05 20:57:04 [USMLE_Step_2] mehr: newborn , facial nevus covering the eyelid and face intracranial calc: what it is?
01/23/05 20:57:04 [USMLE_Step_2] huli72: tight, band like
01/23/05 20:57:10 [USMLE_Step_2] lanny: thats it
01/23/05 20:57:16 [USMLE_Step_2] strug: struge weber
01/23/05 20:57:21 [USMLE_Step_2] sanz: sturge weber
01/23/05 20:57:26 [USMLE_Step_2] iamzuhair: yes
01/23/05 20:57:27 [USMLE_Step_2] mehr: great strug
01/23/05 20:57:28 [USMLE_Step_2] shreya: rt sturge weber
01/23/05 20:57:32 [USMLE_Step_2] strug: thnx
01/23/05 20:57:39 [USMLE_Step_2] mehr: welcom
01/23/05 20:57:41 [USMLE_Step_2] lanny: port wine stain
01/23/05 20:57:52 [USMLE_Step_2] dua_frank: third nerve palsy too right?
01/23/05 20:57:57 [USMLE_Step_2] dua_frank: in struge weber
01/23/05 20:57:57 [USMLE_Step_2] lanny: trigeminal nerve area of face
01/23/05 20:58:01 [USMLE_Step_2] vladimir: pressing or tightening, bilater occipital h/a
01/23/05 20:58:07 [USMLE_Step_2] strug: also hemiparesis and increase propensity to glaucoma
01/23/05 20:58:10 [USMLE_Step_2] sanz: CT for dx
01/23/05 20:58:17 [USMLE_Step_2] mehr: yes
01/23/05 20:58:27 [USMLE_Step_2] lanny: dg is CT scan intra cran. calcifications
01/23/05 20:58:47 [USMLE_Step_2] strug: do they have mental retardation?
01/23/05 20:58:57 [USMLE_Step_2] lanny: yes in somme
01/23/05 20:58:57 [USMLE_Step_2] vladimir: port-wine angioma on face- in Sturge-Weber
01/23/05 20:59:06 [USMLE_Step_2] cyrus1345: whats the tx cluster headache in acute pase?
01/23/05 20:59:12 [USMLE_Step_2] lanny: m retard in some
01/23/05 20:59:14 [USMLE_Step_2] strug: 100 o2
01/23/05 20:59:22 [USMLE_Step_2] cyrus1345: good job
01/23/05 20:59:24 [USMLE_Step_2] fouzia: good
01/23/05 20:59:25 [USMLE_Step_2] mehr: child caorse facies and visceromegaly+mental retardation wats is it?
01/23/05 20:59:33 [USMLE_Step_2] iamzuhair: benign rolandic epilepsy
01/23/05 20:59:40 [USMLE_Step_2] iamzuhair: benign rolandic epilepsy?
01/23/05 20:59:53 [USMLE_Step_2] lanny: gol of tx is control seizure usu presentation
01/23/05 20:59:57 [USMLE_Step_2] shreya: hunters disease.
01/23/05 21:00:00 [USMLE_Step_2] iamzuhair: no
01/23/05 21:00:01 [USMLE_Step_2] iamzuhair: no
01/23/05 21:00:10 [USMLE_Step_2] mehr: yes
01/23/05 21:00:15 [USMLE_Step_2] mehr: hunters Dz
01/23/05 21:00:15 [USMLE_Step_2] iamzuhair: man i just have it n my tongue
01/23/05 21:00:27 [USMLE_Step_2] mehr: no
01/23/05 21:00:30 [USMLE_Step_2] mehr: not hunter
01/23/05 21:00:31 [USMLE_Step_2] mehr: sorry
01/23/05 21:00:33 [USMLE_Step_2] mehr: hurler
01/23/05 21:00:44 [USMLE_Step_2] strug: what else in hurlers
01/23/05 21:00:54 [USMLE_Step_2] shreya: hunters disease
01/23/05 21:00:57 [USMLE_Step_2] mehr: skeletal abn
01/23/05 21:01:05 [USMLE_Step_2] shreya: hunters disease
01/23/05 21:01:14 shreya Logs Out
01/23/05 21:01:15 [USMLE_Step_2] samsung68: i think x LINKED?
01/23/05 21:01:19 [USMLE_Step_2] huli72: hunters: Xlinked
01/23/05 21:01:27 [USMLE_Step_2] vladimir: coarse face- it's usually hunter or hurler, distinction- corneal opacity
01/23/05 21:01:28 [USMLE_Step_2] lanny: correct
01/23/05 21:01:32 [USMLE_Step_2] mehr: hurler hunter n sanfilipo
01/23/05 21:01:38 shreya Logs in
01/23/05 21:01:39 shreya Joins Subroom USMLE_Step_2
01/23/05 21:01:43 shreya Logs Out
01/23/05 21:01:43 [USMLE_Step_2] mehr: all of same categories
01/23/05 21:01:43 [USMLE_Step_2] lanny: all have coarse facies
01/23/05 21:01:50 [USMLE_Step_2] sanz: hurler - corneal clouding. Is that what you're looking for?
01/23/05 21:01:50 [USMLE_Step_2] lanny: yes
01/23/05 21:01:54 [USMLE_Step_2] iamzuhair: man i just have it n my tongue
01/23/05 21:01:59 [USMLE_Step_2] iamzuhair: benign rolandic epilepsy?
01/23/05 21:02:19 [USMLE_Step_2] iamzuhair: sen in children when he are going to bed
01/23/05 21:02:29 shreya Logs in
01/23/05 21:02:34 [USMLE_Step_2] iamzuhair: at the time of drowsiness
01/23/05 21:02:36 shreya Joins Subroom USMLE_Step_2
01/23/05 21:02:53 [USMLE_Step_2] strug: great
01/23/05 21:03:03 [USMLE_Step_2] iamzuhair: diff it from abscence seizures in children
01/23/05 21:03:58 [USMLE_Step_2] samsung68: abcence-- usually in the school.loose focus,staring
01/23/05 21:04:07 [USMLE_Step_2] iamzuhair: yes
01/23/05 21:04:09 [USMLE_Step_2] iamzuhair: ok
01/23/05 21:04:18 [USMLE_Step_2] samsung68: tx- carbamaz
01/23/05 21:04:19 [USMLE_Step_2] huli72: postictical claudy?
01/23/05 21:04:20 [USMLE_Step_2] strug: 3 herz spike wave on EKG
01/23/05 21:04:46 [USMLE_Step_2] strug: for what Rx carbama sam
01/23/05 21:04:48 [USMLE_Step_2] samsung68: tx-ethosuccumide/carbamz
01/23/05 21:04:55 [USMLE_Step_2] samsung68: thanks
01/23/05 21:05:00 [USMLE_Step_2] lanny: for absence seiz
01/23/05 21:05:03 [USMLE_Step_2] strug: ok
01/23/05 21:05:04 [USMLE_Step_2] vladimir: very important to differentiate- the longevity and EEG (not EKG-strug)
01/23/05 21:05:16 [USMLE_Step_2] strug: ok thnx
01/23/05 21:05:24 [USMLE_Step_2] iamzuhair: schizophernia seen in which climate born children
01/23/05 21:05:29 [USMLE_Step_2] strug: winter
01/23/05 21:05:30 [USMLE_Step_2] lanny: winter
01/23/05 21:05:32 [USMLE_Step_2] fouzia: cold
01/23/05 21:05:39 [USMLE_Step_2] iamzuhair: more common in which months
01/23/05 21:05:42 [USMLE_Step_2] iamzuhair: yes
01/23/05 21:05:46 [USMLE_Step_2] fouzia: dec
01/23/05 21:05:49 [USMLE_Step_2] fouzia: jan
01/23/05 21:05:50 [USMLE_Step_2] iamzuhair: lol
01/23/05 21:05:50 [USMLE_Step_2] lanny: winter mpnths
01/23/05 21:06:00 [USMLE_Step_2] vladimir: if up to 10 sec- it's absence, if more 10 sec-partial-comples etc
01/23/05 21:06:28 [USMLE_Step_2] mehr: winter n early spring
01/23/05 21:06:31 [USMLE_Step_2] lanny: guys lanny is getting hungry!!!!!!!!!!
01/23/05 21:06:42 [USMLE_Step_2] iamzuhair: partial complex there is loss of position of the person
01/23/05 21:06:44 [USMLE_Step_2] strug: EEG changes produced with hyoperventilation in abscence not if complex partial
01/23/05 21:06:48 [USMLE_Step_2] iamzuhair: he falls down
01/23/05 21:07:01 [USMLE_Step_2] mehr: ok guys leaving
01/23/05 21:07:05 [USMLE_Step_2] mehr: tomorrow will be
01/23/05 21:07:11 [USMLE_Step_2] iamzuhair: cvs
01/23/05 21:07:17 [USMLE_Step_2] fouzia: me too bye
01/23/05 21:07:17 [USMLE_Step_2] vladimir: very HY qs- CT scan in schizo- what can we see
01/23/05 21:07:18 [USMLE_Step_2] mehr: ok
01/23/05 21:07:23 [USMLE_Step_2] mehr: bye
01/23/05 21:07:24 [USMLE_Step_2] lanny: whats tomorrow
01/23/05 21:07:27 [USMLE_Step_2] strug: ventricula enlargememnt
01/23/05 21:07:29 [USMLE_Step_2] samsung68: dilated ventricles
01/23/05 21:07:34 [USMLE_Step_2] iamzuhair: yes
01/23/05 21:07:41 [USMLE_Step_2] lanny: narrow sulci
01/23/05 21:07:47 fouzia Joins Subroom Clinical_Skills
01/23/05 21:07:49 mehr Logs Out
01/23/05 21:07:54 [USMLE_Step_2] vladimir: great guys
01/23/05 21:08:08 [USMLE_Step_2] strug: whats todds paralysis
01/23/05 21:08:08 huli72 Joins Subroom Clinical_Skills
01/23/05 21:08:11 [USMLE_Step_2] iamzuhair: so what is right vald
01/23/05 21:08:12 [USMLE_Step_2] lanny: whats tomroorw sanz
01/23/05 21:08:13 huli72 Joins Subroom USMLE_Step_3
01/23/05 21:08:18 huli72 Joins Subroom USMLE_Step_1
01/23/05 21:08:22 huli72 Leaves Subroom
01/23/05 21:08:27 [USMLE_Step_2] strug: cardio
01/23/05 21:08:28 fouzia Logs Out
01/23/05 21:08:36 huli72 Joins Subroom USMLE_Step_2
01/23/05 21:08:36 [USMLE_Step_2] dua_frank: great session guys thanks, bye
01/23/05 21:08:43 [USMLE_Step_2] vladimir: enlargement of ventrilules
01/23/05 21:08:45 [USMLE_Step_2] sanz: i dont know lanny
01/23/05 21:08:46 [USMLE_Step_2] iamzuhair: ok
01/23/05 21:08:51 huli72 Logs Out
01/23/05 21:08:59 [USMLE_Step_2] lanny: thanks sanz it was a good one today too hope we keep it up thanks to you all
01/23/05 21:09:00 [USMLE_Step_2] iamzuhair: todds struge ?
01/23/05 21:09:14 [USMLE_Step_2] megs: thank u sanz....meghana
01/23/05 21:09:19 [USMLE_Step_2] vladimir: lanny- how did you catch that i'm russian guy
01/23/05 21:09:25 [USMLE_Step_2] samsung68: is it postictal paralysis
01/23/05 21:09:32 [USMLE_Step_2] megs: i really boosted up
01/23/05 21:09:43 [USMLE_Step_2] iamzuhair: valdimer putin lol
01/23/05 21:09:59 [USMLE_Step_2] lanny: patamu ya zhil v russii.. uchil v sankt peter...
01/23/05 21:10:03 [USMLE_Step_2] strug: whats ramsay hunt ataxia?
01/23/05 21:10:09 [USMLE_Step_2] sanz: hey megs!
01/23/05 21:10:22 [USMLE_Step_2] cyrus1345: it's ataxia after Zoster
01/23/05 21:10:23 [USMLE_Step_2] iamzuhair: it sseen with some nerve deficti too right
01/23/05 21:10:26 [USMLE_Step_2] samsung68: whats that strug
01/23/05 21:10:31 [USMLE_Step_2] dua_frank: strug stop with the questions already :< don't you want me to go and have my dinner ?
01/23/05 21:10:37 [USMLE_Step_2] samsung68: after bellys palsy
01/23/05 21:10:38 [USMLE_Step_2] megs: i resistered today ...u r great man
01/23/05 21:10:43 [USMLE_Step_2] strug: you can sure
01/23/05 21:10:48 [USMLE_Step_2] lanny: frank is hungry too..
01/23/05 21:10:51 [USMLE_Step_2] vladimir: ja toze iz SPb- when did you live up there and what did you complete
01/23/05 21:11:12 [USMLE_Step_2] vladimir: bonne appetitte, dua
01/23/05 21:11:15 [USMLE_Step_2] strug: generalized myocolnus , cerebellar ataxia, epileptic seizures
01/23/05 21:11:22 [USMLE_Step_2] lanny: maladets,, pavlovski zakonchil
01/23/05 21:11:23 [USMLE_Step_2] cyrus1345: strug tell me about todd paralysis and later one ?!
01/23/05 21:11:42 [USMLE_Step_2] iamzuhair: what causes ramsy hunt struge
01/23/05 21:11:50 [USMLE_Step_2] lanny: herpes zoster
01/23/05 21:11:56 [USMLE_Step_2] cyrus1345: ok!
01/23/05 21:12:04 [USMLE_Step_2] lanny: compilcation of herpes
01/23/05 21:12:08 [USMLE_Step_2] vladimir: a ja kirovskyy akademijy- - ja k vam na tanci chodil
01/23/05 21:12:28 [USMLE_Step_2] iamzuhair: guys we didnt talk about areas of brain and function
01/23/05 21:12:35 ayesh Logs Out
01/23/05 21:12:42 [USMLE_Step_2] iamzuhair: can we do it a little early tomorrow to doiscuss this
01/23/05 21:12:58 [USMLE_Step_2] dua_frank: i suggest we keep to one subject per day for two hours
01/23/05 21:13:05 [USMLE_Step_2] dua_frank: and keep these sessions up till the last day of our exams
01/23/05 21:13:14 [USMLE_Step_2] dua_frank: keep circulating the subjects
01/23/05 21:13:16 [USMLE_Step_2] vladimir: sorry- we found occasionally th

please