01/26/05 18:45:58 [USMLE_Step_2] dua_frank: you here for step 2 prep?
01/26/05 18:46:30 [USMLE_Step_2] crengy: yes
01/26/05 18:46:49 [USMLE_Step_2] dua_frank: me too
01/26/05 18:46:57 [USMLE_Step_2] dua_frank: were you here yesterday ?
01/26/05 18:46:58 [USMLE_Step_2] crengy: nice meeting you
01/26/05 18:47:03 [USMLE_Step_2] crengy: yes
01/26/05 18:47:09 [USMLE_Step_2] dua_frank: nice meeting you too
01/26/05 18:47:25 [USMLE_Step_2] dua_frank: i guess we are very very early
01/26/05 18:47:37 [USMLE_Step_2] dua_frank: the group usually gathers at 6 pm central time
01/26/05 18:47:47 [USMLE_Step_2] crengy: yes, it's 4, but not sure
01/26/05 18:48:08 [USMLE_Step_2] crengy: hmm, i'm on western time
01/26/05 18:48:29 [USMLE_Step_2] dua_frank: they'll be here...
01/26/05 18:48:48 [USMLE_Step_2] cyrus1345: Hi everybody
01/26/05 18:48:55 [USMLE_Step_2] crengy: hiiiiiiiii
01/26/05 18:49:03 [USMLE_Step_2] dua_frank: hi cyrus
01/26/05 18:49:13 [USMLE_Step_2] dua_frank: introduction?
01/26/05 18:49:30 [USMLE_Step_2] dua_frank: < indian, female, doctor :P
01/26/05 18:49:57 [USMLE_Step_2] crengy: sorry, don't like personal details
01/26/05 18:49:59 [USMLE_Step_2] cyrus1345: who you?
01/26/05 18:50:05 [USMLE_Step_2] dua_frank: no problem
01/26/05 18:50:08 [USMLE_Step_2] dua_frank: who me?
01/26/05 18:50:10 [USMLE_Step_2] dua_frank: yes me
01/26/05 18:50:14 [USMLE_Step_2] cyrus1345: ok
01/26/05 18:50:24 [USMLE_Step_2] dua_frank: cyrus you don't like personal details too?
01/26/05 18:50:38 [USMLE_Step_2] dua_frank: i wasn't being very personal but i thought it would be ncie to know people you study with
01/26/05 18:51:02 [USMLE_Step_2] cyrus1345: it doesn't different to me
01/26/05 18:51:04 [USMLE_Step_2] crengy: we're just computers users
01/26/05 18:51:10 [USMLE_Step_2] cyrus1345: we are all doctors
01/26/05 18:51:20 [USMLE_Step_2] dua_frank: ok i guess i was personal
01/26/05 18:51:27 [USMLE_Step_2] cyrus1345: any way nice to meet all of you here
01/26/05 18:51:34 [USMLE_Step_2] dua_frank: same here
01/26/05 18:51:39 [USMLE_Step_2] crengy: same here
01/26/05 18:51:49 [USMLE_Step_2] cyrus1345: ok!let's start!
01/26/05 18:51:59 [USMLE_Step_2] crengy: so early?
01/26/05 18:51:59 [USMLE_Step_2] cyrus1345: tiil others come!
01/26/05 18:52:09 [USMLE_Step_2] dua_frank: i don't mind
01/26/05 18:52:18 [USMLE_Step_2] crengy: ok-ok
01/26/05 18:52:38 [USMLE_Step_2] cyrus1345: which drug will cuase GERD worse?
01/26/05 18:52:48 [USMLE_Step_2] crengy: ca-blok
01/26/05 18:52:51 [USMLE_Step_2] crengy: ntg
01/26/05 18:53:02 [USMLE_Step_2] cyrus1345: 2 more!
01/26/05 18:53:05 [USMLE_Step_2] cyrus1345: good!
01/26/05 18:53:10 [USMLE_Step_2] dua_frank: is this from kaplan?
01/26/05 18:53:13 [USMLE_Step_2] cyrus1345: continue!
01/26/05 18:53:19 [USMLE_Step_2] crengy: i don't know
01/26/05 18:53:28 [USMLE_Step_2] cyrus1345: I don't know,kaplan UW ,crush boards
01/26/05 18:53:34 [USMLE_Step_2] dua_frank: ok
01/26/05 18:53:44 [USMLE_Step_2] cyrus1345: b2 agonist and anticholinergic
01/26/05 18:53:49 [USMLE_Step_2] crengy: coffee, sparkling water
01/26/05 18:53:54 [USMLE_Step_2] crengy: thk
01/26/05 18:53:59 [USMLE_Step_2] dua_frank: water?
01/26/05 18:54:01 [USMLE_Step_2] crengy: smoking
01/26/05 18:54:06 [USMLE_Step_2] crengy: sparkling
01/26/05 18:54:16 [USMLE_Step_2] dua_frank: whats sparkling water?
01/26/05 18:54:17 [USMLE_Step_2] crengy: bubble watter
01/26/05 18:54:20 [USMLE_Step_2] dua_frank: oh ok
01/26/05 18:54:23 [USMLE_Step_2] cyrus1345: what's tx of pulmer winson syndrome?
01/26/05 18:54:36 [USMLE_Step_2] dua_frank: surgery
01/26/05 18:54:36 [USMLE_Step_2] crengy: fe plu dilatation
01/26/05 18:55:00 [USMLE_Step_2] cyrus1345: remember just dilation,fe is useless acording to UW
01/26/05 18:55:11 [USMLE_Step_2] dua_frank: ok
01/26/05 18:55:13 [USMLE_Step_2] crengy: is good for anemia associated
01/26/05 18:55:29 [USMLE_Step_2] crengy: it's more than just webs
01/26/05 18:55:33 [USMLE_Step_2] cyrus1345: I though like you ,but they answerd just dilation!
01/26/05 18:55:50 [USMLE_Step_2] crengy: besides UW
01/26/05 18:56:15 [USMLE_Step_2] crengy: depends on what they ask to treat
01/26/05 18:56:25 [USMLE_Step_2] crengy: for webs-endo
01/26/05 18:56:27 [USMLE_Step_2] cyrus1345: if you have both of them on choice choose dilation!
01/26/05 18:56:37 [USMLE_Step_2] crengy: for other symp-fe
01/26/05 18:56:44 [USMLE_Step_2] cyrus1345: yes
01/26/05 18:56:45 [USMLE_Step_2] crengy: agree
01/26/05 18:57:08 [USMLE_Step_2] cyrus1345: ok what will be happen in manometry of ashalasia?
01/26/05 18:57:14 [USMLE_Step_2] crengy: if i'm late with my response, sorry; i do lots of stuff
01/26/05 18:57:36 [USMLE_Step_2] crengy: it's high sphynct. pre
01/26/05 18:57:53 [USMLE_Step_2] cyrus1345: what about perstaltis?
01/26/05 18:58:06 [USMLE_Step_2] crengy: high, suppose
01/26/05 18:58:17 [USMLE_Step_2] dua_frank: low
01/26/05 18:58:20 [USMLE_Step_2] crengy: it is the best test for achalasia?
01/26/05 18:58:47 [USMLE_Step_2] dua_frank: barrow swollow?
01/26/05 18:58:49 [USMLE_Step_2] cyrus1345: ''''yes low,good job
01/26/05 18:58:51 [USMLE_Step_2] dua_frank: barrium
01/26/05 18:59:14 [USMLE_Step_2] cyrus1345: best test I think is biopsy!
01/26/05 18:59:27 [USMLE_Step_2] dua_frank: right, sorry
01/26/05 18:59:28 [USMLE_Step_2] cyrus1345: becuase of lack of myanteric!
01/26/05 18:59:35 [USMLE_Step_2] crengy: hm, i was think. of manometry
01/26/05 18:59:38 [USMLE_Step_2] cyrus1345: am I right?
01/26/05 18:59:43 medico24 Logs in
01/26/05 18:59:46 [USMLE_Step_2] crengy: i don't know
01/26/05 18:59:52 [USMLE_Step_2] cyrus1345: I am not sure!check it please!
01/26/05 18:59:53 [USMLE_Step_2] crengy: best first test?
01/26/05 19:00:01 medico24 Joins Subroom USMLE_Step_2
01/26/05 19:00:04 [USMLE_Step_2] cyrus1345: first test is barium!
01/26/05 19:00:08 [USMLE_Step_2] crengy: for sure barium
01/26/05 19:00:11 [USMLE_Step_2] medico24: hi
01/26/05 19:00:17 [USMLE_Step_2] crengy: hi there
01/26/05 19:00:26 [USMLE_Step_2] cyrus1345: hi
01/26/05 19:00:33 [USMLE_Step_2] crengy: what do u think about best t for achalasia?
01/26/05 19:00:35 [USMLE_Step_2] dua_frank: hi
01/26/05 19:00:52 rx Logs in
01/26/05 19:01:00 rx Joins Subroom USMLE_Step_2
01/26/05 19:01:12 [USMLE_Step_2] crengy: i found a note that's the manometry-but no clue from where
01/26/05 19:01:47 [USMLE_Step_2] dua_frank: biopsy is the best and confirm test
01/26/05 19:01:50 [USMLE_Step_2] crengy: we can ask later; may be somebody's on the file...
01/26/05 19:01:54 [USMLE_Step_2] dua_frank: barrium first yes
01/26/05 19:01:59 rx Logs in
01/26/05 19:02:06 rx Joins Subroom USMLE_Step_2
01/26/05 19:02:07 [USMLE_Step_2] medico24: barium swallo
01/26/05 19:02:07 [USMLE_Step_2] cyrus1345: ok,I will check it in CMDT!thanks crengy
01/26/05 19:02:12 [USMLE_Step_2] cyrus1345: good question
01/26/05 19:02:21 [USMLE_Step_2] crengy: thank u so much
01/26/05 19:02:42 [USMLE_Step_2] crengy: tx for esof. spasm?
01/26/05 19:02:55 [USMLE_Step_2] cyrus1345: what's the risk fctor for eso adenocarsinoma?
01/26/05 19:03:03 [USMLE_Step_2] medico24: ca ch bl
01/26/05 19:03:06 [USMLE_Step_2] crengy: no for squa
01/26/05 19:03:11 [USMLE_Step_2] medico24: Also nitrate
01/26/05 19:03:19 [USMLE_Step_2] crengy: yes, right
01/26/05 19:03:24 [USMLE_Step_2] cyrus1345: agree medic
01/26/05 19:03:58 [USMLE_Step_2] crengy: i'm sorry i don't know if u see that achalasia is a risk fact for squam ca
01/26/05 19:04:06 [USMLE_Step_2] cyrus1345: by the way is usmle.net today down?
01/26/05 19:04:09 sanz Logs in
01/26/05 19:04:10 sanz Joins Subroom USMLE_Step_2
01/26/05 19:04:12 [USMLE_Step_2] crengy: for adeno-gerd
01/26/05 19:04:21 [USMLE_Step_2] crengy: i suppose so
01/26/05 19:04:22 sanz Logs Out
01/26/05 19:04:32 [USMLE_Step_2] crengy: no connection
01/26/05 19:04:46 [USMLE_Step_2] cyrus1345: ok baret eso,GERD
01/26/05 19:04:47 [USMLE_Step_2] medico24: no i think you can operate it now
01/26/05 19:04:59 sanz Logs in
01/26/05 19:05:00 sanz Joins Subroom USMLE_Step_2
01/26/05 19:05:02 [USMLE_Step_2] crengy: what?
01/26/05 19:05:12 [USMLE_Step_2] medico24: usmle.net
01/26/05 19:05:12 [USMLE_Step_2] sanz: hi guys!
01/26/05 19:05:16 [USMLE_Step_2] medico24: hi
01/26/05 19:05:17 [USMLE_Step_2] crengy: complic for hiatal hernia?
01/26/05 19:05:28 [USMLE_Step_2] crengy: hiiii
01/26/05 19:05:40 [USMLE_Step_2] cyrus1345: Hi
01/26/05 19:05:44 [USMLE_Step_2] sanz: barretts and then adenocarci
01/26/05 19:05:52 [USMLE_Step_2] cyrus1345: yes snaz
01/26/05 19:06:02 [USMLE_Step_2] crengy: no answeer?
01/26/05 19:06:02 [USMLE_Step_2] sanz: how are you guys?
01/26/05 19:06:17 [USMLE_Step_2] crengy: what do u mean?
01/26/05 19:06:20 [USMLE_Step_2] cyrus1345: can cuase reflux
01/26/05 19:06:26 [USMLE_Step_2] crengy: and....
01/26/05 19:06:29 [USMLE_Step_2] cyrus1345: I am not sure
01/26/05 19:06:36 [USMLE_Step_2] sanz: adenocar
01/26/05 19:06:39 [USMLE_Step_2] crengy: can cause reflux and...
01/26/05 19:06:45 [USMLE_Step_2] crengy: yes but?
01/26/05 19:06:47 [USMLE_Step_2] sanz: barrets esophagitis
01/26/05 19:06:51 [USMLE_Step_2] dua_frank: hi sanz
01/26/05 19:06:51 [USMLE_Step_2] crengy: aspiration
01/26/05 19:06:53 [USMLE_Step_2] cyrus1345: then adeno
01/26/05 19:06:58 [USMLE_Step_2] sanz: hey dua
01/26/05 19:06:58 [USMLE_Step_2] cyrus1345: oh ok!
01/26/05 19:06:59 [USMLE_Step_2] dua_frank: i'm great, hope you are good too
01/26/05 19:07:16 [USMLE_Step_2] sanz:
01/26/05 19:07:30 [USMLE_Step_2] crengy: pac with foul smell and regurgit of food
01/26/05 19:07:38 [USMLE_Step_2] crengy: what do u think of?
01/26/05 19:07:41 strug Logs in
01/26/05 19:07:42 strug Joins Subroom USMLE_Step_2
01/26/05 19:07:43 lanny Logs in
01/26/05 19:07:45 [USMLE_Step_2] sanz: znekers?
01/26/05 19:07:47 lanny Joins Subroom USMLE_Step_2
01/26/05 19:07:49 [USMLE_Step_2] crengy: young
01/26/05 19:07:50 [USMLE_Step_2] medico24: compression of trachea and osophagus
01/26/05 19:07:52 [USMLE_Step_2] crengy: yes
01/26/05 19:08:00 [USMLE_Step_2] crengy: tx?
01/26/05 19:08:01 [USMLE_Step_2] strug: hi everyone
01/26/05 19:08:06 [USMLE_Step_2] sanz: hey strug
01/26/05 19:08:08 [USMLE_Step_2] crengy: hi
01/26/05 19:08:09 [USMLE_Step_2] strug: whats going on?
01/26/05 19:08:10 [USMLE_Step_2] medico24: hi strug
01/26/05 19:08:11 [USMLE_Step_2] cyrus1345: hi strug
01/26/05 19:08:11 [USMLE_Step_2] lanny: hi al
01/26/05 19:08:19 [USMLE_Step_2] crengy: early birds
01/26/05 19:08:21 [USMLE_Step_2] cyrus1345: hi lanny
01/26/05 19:08:27 [USMLE_Step_2] strug: whats the q
01/26/05 19:08:27 [USMLE_Step_2] medico24: hi lanny
01/26/05 19:08:27 [USMLE_Step_2] sanz: hey lanny
01/26/05 19:08:28 [USMLE_Step_2] dua_frank: hi hi
01/26/05 19:08:38 [USMLE_Step_2] crengy: tx for zenker
01/26/05 19:08:39 [USMLE_Step_2] lanny: hi cyr ,sanz dua,
01/26/05 19:08:47 [USMLE_Step_2] strug: i am also there lanny
01/26/05 19:08:56 [USMLE_Step_2] lanny: sorry strug..
01/26/05 19:09:02 [USMLE_Step_2] cyrus1345: myommotomy crengy!
01/26/05 19:09:05 [USMLE_Step_2] lanny: just came in exhausted...
01/26/05 19:09:11 [USMLE_Step_2] medico24: crocopharyngeal myotomy
01/26/05 19:09:16 [USMLE_Step_2] strug: thats right
01/26/05 19:09:19 [USMLE_Step_2] cyrus1345: yes agree
01/26/05 19:09:19 [USMLE_Step_2] crengy: yes-good
01/26/05 19:09:25 [USMLE_Step_2] sanz: what have you been doing lanny?
01/26/05 19:09:34 [USMLE_Step_2] lanny: i work...
01/26/05 19:09:53 [USMLE_Step_2] strug: first diagnositc step in all causes of dysphagia?
01/26/05 19:09:57 [USMLE_Step_2] lanny: part time though
01/26/05 19:10:02 [USMLE_Step_2] sanz: barium
01/26/05 19:10:05 [USMLE_Step_2] crengy: barium
01/26/05 19:10:10 [USMLE_Step_2] lanny: right
01/26/05 19:10:11 [USMLE_Step_2] strug: best?
01/26/05 19:10:12 [USMLE_Step_2] crengy: ocp and liver
01/26/05 19:10:14 [USMLE_Step_2] sanz: good for you lanny
01/26/05 19:10:23 [USMLE_Step_2] crengy: endo
01/26/05 19:10:28 [USMLE_Step_2] sanz: endo
01/26/05 19:10:33 [USMLE_Step_2] lanny: wish i didnt have to sanz, but gotta live
01/26/05 19:10:34 [USMLE_Step_2] strug: Manometry
01/26/05 19:10:48 [USMLE_Step_2] dua_frank: biopsy?
01/26/05 19:11:00 [USMLE_Step_2] cyrus1345: yes manometry
01/26/05 19:11:21 [USMLE_Step_2] lanny: is not first barium swallow?
01/26/05 19:11:24 [USMLE_Step_2] dua_frank: can you diagnose achlasia with mamo?
01/26/05 19:11:27 [USMLE_Step_2] cyrus1345: what's the best test for ashalasi strug?
01/26/05 19:11:32 [USMLE_Step_2] strug: manometry
01/26/05 19:11:42 [USMLE_Step_2] sanz: yes, dua... LES press high
01/26/05 19:11:47 [USMLE_Step_2] dua_frank: oh
01/26/05 19:11:48 [USMLE_Step_2] dua_frank: thanks
01/26/05 19:11:57 [USMLE_Step_2] cyrus1345: ok
01/26/05 19:12:14 [USMLE_Step_2] cyrus1345: what's the pathogenes of ashalasia?
01/26/05 19:12:15 [USMLE_Step_2] crengy: opc and liver
01/26/05 19:12:21 [USMLE_Step_2] strug: Rx of DES diffuse eso spasm
01/26/05 19:12:38 [USMLE_Step_2] dua_frank: whats opc?
01/26/05 19:12:40 [USMLE_Step_2] cyrus1345: ca channel and nitratt
01/26/05 19:12:40 [USMLE_Step_2] sanz: nitrates
01/26/05 19:12:42 [USMLE_Step_2] crengy: ocp
01/26/05 19:12:43 [USMLE_Step_2] strug: nasi its ganglion cell absent
01/26/05 19:12:49 [USMLE_Step_2] lanny: ca chanel
01/26/05 19:12:51 [USMLE_Step_2] crengy: contraceptive
01/26/05 19:12:53 [USMLE_Step_2] strug: nsi ans is right
01/26/05 19:12:53 [USMLE_Step_2] dua_frank: ok
01/26/05 19:13:05 [USMLE_Step_2] lanny: ocp du
01/26/05 19:13:21 [USMLE_Step_2] sanz: what's the ans to yr q, nasi?
01/26/05 19:13:33 huli72 Logs in
01/26/05 19:13:37 huli72 Joins Subroom USMLE_Step_2
01/26/05 19:13:56 [USMLE_Step_2] strug: triad of achlasaia?
01/26/05 19:14:07 [USMLE_Step_2] lanny: where did ocp come from dont get it
01/26/05 19:14:30 [USMLE_Step_2] dua_frank: me neither
01/26/05 19:14:34 [USMLE_Step_2] crengy: what's the effect of ocp on liver
01/26/05 19:14:38 [USMLE_Step_2] dua_frank: oh
01/26/05 19:14:42 [USMLE_Step_2] crengy: sorry
01/26/05 19:14:43 [USMLE_Step_2] dua_frank: cholestasis?
01/26/05 19:14:47 [USMLE_Step_2] lanny: hepatoma
01/26/05 19:15:02 [USMLE_Step_2] sanz: yup hepatoma
01/26/05 19:15:03 [USMLE_Step_2] cyrus1345: lack of myantric snaz
01/26/05 19:15:10 [USMLE_Step_2] crengy: yep
01/26/05 19:15:15 [USMLE_Step_2] sanz: thnx nasi
01/26/05 19:15:39 [USMLE_Step_2] huli72: pancreatic ca marker?
01/26/05 19:15:44 [USMLE_Step_2] sanz: AFP
01/26/05 19:15:47 [USMLE_Step_2] huli72: no
01/26/05 19:15:55 [USMLE_Step_2] strug: dysphagia, chest pain, regurgitaion of food is the triad of achalasia
01/26/05 19:15:58 [USMLE_Step_2] crengy: PA?
01/26/05 19:15:58 [USMLE_Step_2] medico24: s amylase
01/26/05 19:16:03 [USMLE_Step_2] cyrus1345: triad of ashalasi,dysphasia to liquid and solid,regurgigation and I don't know what's else strug?
01/26/05 19:16:06 [USMLE_Step_2] huli72: no
01/26/05 19:16:09 [USMLE_Step_2] dua_frank: CEA
01/26/05 19:16:12 [USMLE_Step_2] huli72: no
01/26/05 19:16:13 [USMLE_Step_2] sanz: thnx strug...
01/26/05 19:16:26 [USMLE_Step_2] cyrus1345: ok !
01/26/05 19:16:33 [USMLE_Step_2] cyrus1345: thaks
01/26/05 19:16:35 [USMLE_Step_2] lanny: nay marker for panc ca never heard
01/26/05 19:16:46 [USMLE_Step_2] huli72: CA 19-9
01/26/05 19:16:47 [USMLE_Step_2] dua_frank: SA something?
01/26/05 19:16:49 [USMLE_Step_2] dua_frank: ahh
01/26/05 19:16:51 [USMLE_Step_2] sanz: wuz the ans huli?
01/26/05 19:16:53 [USMLE_Step_2] medico24: what is the answer huli72?
01/26/05 19:16:56 [USMLE_Step_2] strug: i have a q thats not realted to gastro
01/26/05 19:17:00 [USMLE_Step_2] huli72: CA 19-9
01/26/05 19:17:06 [USMLE_Step_2] sanz: ok.. shoot strug
01/26/05 19:17:12 [USMLE_Step_2] sanz: but CA 19-9 is non specific
01/26/05 19:17:12 [USMLE_Step_2] medico24: thanks
01/26/05 19:17:22 [USMLE_Step_2] strug: if anyone of u writes my name it comes in diff color why so?
01/26/05 19:17:44 [USMLE_Step_2] dua_frank: strug?
01/26/05 19:17:44 [USMLE_Step_2] sanz: same happens to everyone
01/26/05 19:17:57 [USMLE_Step_2] lanny: ask the computer exrperts what color is mine?
01/26/05 19:18:05 [USMLE_Step_2] cyrus1345: because you are special!
01/26/05 19:18:10 [USMLE_Step_2] strug: ok thanks......
01/26/05 19:18:12 [USMLE_Step_2] dua_frank: i only see blue
01/26/05 19:18:19 [USMLE_Step_2] dua_frank: nah he's lying :P
01/26/05 19:18:24 [USMLE_Step_2] huli72: enterohemorrhagic E coli, which toxin? and presentation?
01/26/05 19:18:32 [USMLE_Step_2] lanny: strug i see you in blue
01/26/05 19:18:42 [USMLE_Step_2] huli72: blue
01/26/05 19:18:51 [USMLE_Step_2] cyrus1345: HUS!
01/26/05 19:18:53 [USMLE_Step_2] strug: HUS huli
01/26/05 19:19:03 [USMLE_Step_2] dua_frank: endo
01/26/05 19:19:16 [USMLE_Step_2] huli72: bloody diarrhea, and shiga toxin
01/26/05 19:19:21 [USMLE_Step_2] crengy: vera-like
01/26/05 19:19:23 [USMLE_Step_2] lanny: e coli 157 something like that
01/26/05 19:19:24 [USMLE_Step_2] sanz: toxin O598
01/26/05 19:19:29 [USMLE_Step_2] lanny: verotoxin
01/26/05 19:19:31 [USMLE_Step_2] strug: OH 157
01/26/05 19:19:37 [USMLE_Step_2] dua_frank: shiga
01/26/05 19:19:42 [USMLE_Step_2] medico24: e oh 157
01/26/05 19:19:57 [USMLE_Step_2] huli72: which food?
01/26/05 19:20:02 [USMLE_Step_2] strug: hamburger
01/26/05 19:20:05 [USMLE_Step_2] lanny: for what
01/26/05 19:20:06 [USMLE_Step_2] dua_frank: burger
01/26/05 19:20:07 [USMLE_Step_2] strug: undercooked
01/26/05 19:20:11 [USMLE_Step_2] sanz: beef
01/26/05 19:20:12 [USMLE_Step_2] huli72: poorly cooked beef
01/26/05 19:20:21 [USMLE_Step_2] lanny: all right
01/26/05 19:20:35 [USMLE_Step_2] lanny: shigatoxin
01/26/05 19:21:16 [USMLE_Step_2] sanz: dont know lanny... water?
01/26/05 19:21:20 [USMLE_Step_2] huli72: whipple's disease, who get it?
01/26/05 19:21:33 [USMLE_Step_2] strug: dunno
01/26/05 19:21:35 [USMLE_Step_2] lanny: trophyrema whipelli
01/26/05 19:21:44 [USMLE_Step_2] lanny: anybody
01/26/05 19:21:47 [USMLE_Step_2] dua_frank: males?
01/26/05 19:21:54 [USMLE_Step_2] huli72: white man in 40-60 years old
01/26/05 19:22:04 [USMLE_Step_2] huli72: presentation?
01/26/05 19:22:15 [USMLE_Step_2] dua_frank: diarrhea
01/26/05 19:22:24 [USMLE_Step_2] strug: malabsorption
01/26/05 19:22:32 [USMLE_Step_2] huli72: yeah
01/26/05 19:22:32 [USMLE_Step_2] strug: arthralgias, cns manifestt
01/26/05 19:22:32 [USMLE_Step_2] crengy: arthritis?
01/26/05 19:22:45 [USMLE_Step_2] sanz: PAS positive
01/26/05 19:22:45 [USMLE_Step_2] crengy: dermatitis
01/26/05 19:22:47 [USMLE_Step_2] huli72: yeah
01/26/05 19:22:48 [USMLE_Step_2] strug: myoclonus and myocaridal diseasalso
01/26/05 19:22:51 cyrus1345 Logs Out
01/26/05 19:22:59 [USMLE_Step_2] huli72: steatorrhea
01/26/05 19:23:04 [USMLE_Step_2] strug: dermatitis occours in what?
01/26/05 19:23:09 [USMLE_Step_2] huli72: migratory polyarthropathy
01/26/05 19:23:16 [USMLE_Step_2] huli72: chronic cough
01/26/05 19:23:19 [USMLE_Step_2] lanny: celiac sprue
01/26/05 19:23:26 [USMLE_Step_2] strug: lanny right
01/26/05 19:23:30 [USMLE_Step_2] huli72: congestive failure
01/26/05 19:23:40 [USMLE_Step_2] huli72: (heart involvement)
01/26/05 19:23:45 [USMLE_Step_2] huli72: dementia
01/26/05 19:23:46 [USMLE_Step_2] dua_frank: whipple
01/26/05 19:23:50 [USMLE_Step_2] lanny: venous insufficiency
01/26/05 19:23:52 [USMLE_Step_2] huli72: myoclonus
01/26/05 19:23:58 [USMLE_Step_2] strug: good job huli
01/26/05 19:24:00 [USMLE_Step_2] huli72: and a lot
01/26/05 19:24:20 [USMLE_Step_2] sanz: thnx huli
01/26/05 19:24:22 [USMLE_Step_2] huli72: upper neuro lession of nerve III
01/26/05 19:24:26 [USMLE_Step_2] dua_frank: uvietis too
01/26/05 19:24:35 [USMLE_Step_2] strug: Rx?
01/26/05 19:24:46 medico24 Logs Out
01/26/05 19:24:47 [USMLE_Step_2] huli72: lymphadenopathy
01/26/05 19:24:54 [USMLE_Step_2] huli72: antiboitic?
01/26/05 19:24:59 [USMLE_Step_2] dua_frank: pen
01/26/05 19:25:08 [USMLE_Step_2] lanny: antibiotics
01/26/05 19:25:16 [USMLE_Step_2] strug: TMX sulpa methoxaloze
01/26/05 19:25:25 [USMLE_Step_2] huli72: thanks, strug
01/26/05 19:25:34 [USMLE_Step_2] strug: or tertra for 6m to 1 yr
01/26/05 19:25:38 [USMLE_Step_2] dua_frank: even pens with strep
01/26/05 19:25:55 [USMLE_Step_2] dua_frank: relapses with cefs
01/26/05 19:26:07 [USMLE_Step_2] lanny: whats in PAS test
01/26/05 19:26:19 [USMLE_Step_2] huli72: +
01/26/05 19:26:22 [USMLE_Step_2] strug: PAS + macrophages seen
01/26/05 19:26:46 [USMLE_Step_2] strug: manometry findings in achlasai
01/26/05 19:26:48 [USMLE_Step_2] dua_frank: whipple
01/26/05 19:27:01 [USMLE_Step_2] sanz: incr LES press
01/26/05 19:27:19 [USMLE_Step_2] strug: in scleroderma?
01/26/05 19:27:42 [USMLE_Step_2] crengy: decreased
01/26/05 19:27:44 [USMLE_Step_2] lanny: dec
01/26/05 19:27:48 [USMLE_Step_2] strug: In DES?
01/26/05 19:27:56 [USMLE_Step_2] sanz: high
01/26/05 19:28:00 [USMLE_Step_2] lanny: inc
01/26/05 19:28:04 [USMLE_Step_2] dua_frank: whats DES?
01/26/05 19:28:11 [USMLE_Step_2] lanny: diffuse eso spasm
01/26/05 19:28:15 [USMLE_Step_2] dua_frank: thanks
01/26/05 19:28:24 [USMLE_Step_2] strug: simultaneous uncordinated peristatilc mov in DES
01/26/05 19:28:38 [USMLE_Step_2] strug: In nutcracker esophageus?
01/26/05 19:28:57 [USMLE_Step_2] huli72: is nutcracker the same thing as DES?
01/26/05 19:28:57 [USMLE_Step_2] lanny: no effect? not sure
01/26/05 19:29:05 [USMLE_Step_2] crengy: what's that?//////
01/26/05 19:29:07 [USMLE_Step_2] lanny: no
01/26/05 19:29:13 [USMLE_Step_2] strug: ins baseline pr in nutcracker
01/26/05 19:29:35 [USMLE_Step_2] huli72: thanks, strug
01/26/05 19:29:44 [USMLE_Step_2] strug: welcome
01/26/05 19:29:47 [USMLE_Step_2] lanny: presents the same
01/26/05 19:29:58 [USMLE_Step_2] huli72: glucogonoma presentations?
01/26/05 19:30:09 [USMLE_Step_2] lanny: nutcracker is high amplitude contractions
01/26/05 19:30:13 [USMLE_Step_2] strug: DES is due to degeneration of nerver, nutcracker is due to inc excitatorey activitity
01/26/05 19:30:19 [USMLE_Step_2] lanny: of the oeso
01/26/05 19:30:25 [USMLE_Step_2] crengy: thanks!
01/26/05 19:30:25 [USMLE_Step_2] sanz: incr gluc, incr insulin
01/26/05 19:30:36 [USMLE_Step_2] huli72: no incr insulin
01/26/05 19:30:40 [USMLE_Step_2] strug: both DES and Nutcracker have high baseline, but in nutcracker inc baseline pr
01/26/05 19:30:42 [USMLE_Step_2] huli72: glu incr
01/26/05 19:30:54 [USMLE_Step_2] lanny: whats pr
01/26/05 19:31:01 [USMLE_Step_2] strug: sorry both have high amplitude contractions
01/26/05 19:31:18 [USMLE_Step_2] crengy: so there are the some?
01/26/05 19:31:29 [USMLE_Step_2] sanz: huli, are you sure... the insulin would incr as a response to incr gluc...
01/26/05 19:31:33 [USMLE_Step_2] lanny: dn etiol is diff
01/26/05 19:31:38 [USMLE_Step_2] crengy: ok
01/26/05 19:31:46 [USMLE_Step_2] huli72: you are right, sanz
01/26/05 19:31:50 [USMLE_Step_2] huli72: I forget that
01/26/05 19:31:56 [USMLE_Step_2] lanny: no etiol is diff, des isdegen of nerve process
01/26/05 19:32:01 [USMLE_Step_2] huli72: and 2 more presentations of glucogonoma
01/26/05 19:32:22 [USMLE_Step_2] crengy: tox necrol eryth
01/26/05 19:32:23 [USMLE_Step_2] sanz: wt loss and necrotising dermatitis, if i remember it right from UW
01/26/05 19:32:37 [USMLE_Step_2] crengy: venous thrombosis
01/26/05 19:32:43 [USMLE_Step_2] huli72: yeah, sanz
01/26/05 19:32:56 [USMLE_Step_2] huli72: and diarrhea
01/26/05 19:33:06 [USMLE_Step_2] sanz: *phew* some of my memory cells working after all
01/26/05 19:33:06 [USMLE_Step_2] huli72: trt for glucogonoma?
01/26/05 19:33:20 [USMLE_Step_2] dua_frank: some?
01/26/05 19:33:20 [USMLE_Step_2] lanny: you mean toxic epidermal necro
01/26/05 19:33:28 [USMLE_Step_2] crengy: no, migratory
01/26/05 19:33:33 [USMLE_Step_2] dua_frank: ALL!
01/26/05 19:33:33 [USMLE_Step_2] sanz: surgery?
01/26/05 19:33:40 [USMLE_Step_2] sanz: hehe dua, i wish!
01/26/05 19:33:47 [USMLE_Step_2] huli72: necrolytic migratory erythema
01/26/05 19:33:57 [USMLE_Step_2] crengy: yep
01/26/05 19:33:59 [USMLE_Step_2] huli72: yeah, it is surgery
01/26/05 19:34:25 [USMLE_Step_2] huli72: no chemotherapy
01/26/05 19:34:26 [USMLE_Step_2] dua_frank: i thought that was in pancreatitis
01/26/05 19:34:33 [USMLE_Step_2] dua_frank: are you sure thats glucogonoma?
01/26/05 19:34:35 [USMLE_Step_2] crengy: no-it's here
01/26/05 19:35:05 [USMLE_Step_2] huli72: sure, it is
01/26/05 19:35:22 [USMLE_Step_2] strug: whats plummer vilson syn?
01/26/05 19:35:39 [USMLE_Step_2] huli72: related to iron deficiency
01/26/05 19:35:44 [USMLE_Step_2] sanz: fe def anemia, esoph web
01/26/05 19:35:49 [USMLE_Step_2] huli72: esophageal web
01/26/05 19:35:50 [USMLE_Step_2] strug: dysphagia, hypopharyngeal web, and IDA
01/26/05 19:35:50 [USMLE_Step_2] sanz: and dysphagia?
01/26/05 19:35:59 [USMLE_Step_2] lanny: all correct
01/26/05 19:36:00 [USMLE_Step_2] strug: Rx?
01/26/05 19:36:07 [USMLE_Step_2] dua_frank: whats IDA?
01/26/05 19:36:08 [USMLE_Step_2] sanz: surgerical repair?
01/26/05 19:36:14 [USMLE_Step_2] strug: iron def anaeimia
01/26/05 19:36:14 [USMLE_Step_2] lanny: surgery
01/26/05 19:36:18 [USMLE_Step_2] dua_frank: dilation
01/26/05 19:36:20 [USMLE_Step_2] strug: surg is right
01/26/05 19:36:30 [USMLE_Step_2] huli72: most common food diarrhea?
01/26/05 19:36:33 [USMLE_Step_2] strug: can it lead to sq cell ca
01/26/05 19:36:40 [USMLE_Step_2] huli72: no
01/26/05 19:36:54 [USMLE_Step_2] sanz: yes
01/26/05 19:37:00 [USMLE_Step_2] strug: sanz correct
01/26/05 19:37:05 [USMLE_Step_2] sanz: e coli, huli?
01/26/05 19:37:12 [USMLE_Step_2] strug: stap huli
01/26/05 19:37:20 [USMLE_Step_2] huli72: campylo jejuni
01/26/05 19:37:26 [USMLE_Step_2] strug: camphylo is bloody diarrhoea
01/26/05 19:37:30 [USMLE_Step_2] sanz: chicken
01/26/05 19:37:40 [USMLE_Step_2] huli72: yeah, from chicken
01/26/05 19:37:57 [USMLE_Step_2] huli72: 2nd most common bloody diarrhea?
01/26/05 19:38:03 [USMLE_Step_2] strug: Rx of schtazkis ring?
01/26/05 19:38:09 [USMLE_Step_2] strug: E coli
01/26/05 19:38:11 [USMLE_Step_2] huli72: surgery
01/26/05 19:38:12 [USMLE_Step_2] dua_frank: shigella
01/26/05 19:38:19 [USMLE_Step_2] huli72: dua correct
01/26/05 19:38:28 [USMLE_Step_2] huli72: from where?
01/26/05 19:38:34 [USMLE_Step_2] sanz: dont know
01/26/05 19:38:35 [USMLE_Step_2] dua_frank: water
01/26/05 19:38:39 [USMLE_Step_2] dua_frank: gutter
01/26/05 19:38:39 [USMLE_Step_2] huli72: infected from where?
01/26/05 19:38:39 [USMLE_Step_2] lanny: pneumatic dilate
01/26/05 19:38:45 [USMLE_Step_2] strug: lanny right
01/26/05 19:38:58 [USMLE_Step_2] huli72: no, daycare
01/26/05 19:39:05 megs Logs in
01/26/05 19:39:08 megs Joins Subroom USMLE_Step_2
01/26/05 19:39:10 [USMLE_Step_2] dua_frank: gutter daycare, same thing
01/26/05 19:39:19 [USMLE_Step_2] strug: great huli keep it up!!!
01/26/05 19:39:19 [USMLE_Step_2] huli72: thanks, dua
01/26/05 19:39:27 [USMLE_Step_2] huli72: I don't know that
01/26/05 19:39:28 [USMLE_Step_2] dua_frank: no no i was joking
01/26/05 19:39:34 [USMLE_Step_2] dua_frank: noooooooo huli !
01/26/05 19:39:51 [USMLE_Step_2] sanz: hehe
01/26/05 19:40:05 [USMLE_Step_2] huli72: what is the sourse of yersiniosis?
01/26/05 19:40:13 [USMLE_Step_2] huli72: which food
01/26/05 19:40:17 [USMLE_Step_2] strug: whats yersiniosis?
01/26/05 19:40:18 [USMLE_Step_2] sanz: eggs?
01/26/05 19:40:25 [USMLE_Step_2] dua_frank: water?
01/26/05 19:40:26 [USMLE_Step_2] huli72: no
01/26/05 19:40:29 [USMLE_Step_2] huli72: pork
01/26/05 19:40:30 [USMLE_Step_2] sanz: yersinia pestits
01/26/05 19:40:32 [USMLE_Step_2] lanny: bact infection of colon
01/26/05 19:40:32 [USMLE_Step_2] dua_frank: pork
01/26/05 19:40:39 [USMLE_Step_2] huli72: yeah, dua
01/26/05 19:40:46 [USMLE_Step_2] dua_frank: i don't get it
01/26/05 19:40:49 [USMLE_Step_2] lanny: prsts like appendicitis
01/26/05 19:40:50 [USMLE_Step_2] huli72: pork
01/26/05 19:41:01 [USMLE_Step_2] huli72: yeah, lanny
01/26/05 19:41:12 [USMLE_Step_2] dua_frank: yersiniosis by yersinia pestis?
01/26/05 19:41:20 [USMLE_Step_2] dua_frank: isn't that bubonic plague?
01/26/05 19:41:21 [USMLE_Step_2] huli72: how to trt duodenal hematoma?
01/26/05 19:41:23 [USMLE_Step_2] lanny: dua- what source you get yersinia
01/26/05 19:41:28 [USMLE_Step_2] huli72: yeah, dua
01/26/05 19:41:32 [USMLE_Step_2] strug: no Rx
01/26/05 19:41:36 [USMLE_Step_2] sanz: yup dua
01/26/05 19:41:37 [USMLE_Step_2] dua_frank: so thats by rat feces right?
01/26/05 19:41:43 [USMLE_Step_2] strug: symptomatic right huli
01/26/05 19:41:45 [USMLE_Step_2] dua_frank: so how is that related to pork?
01/26/05 19:42:19 [USMLE_Step_2] lanny: food source but dunno exactly
01/26/05 19:42:26 [USMLE_Step_2] huli72: I read rat fece before
01/26/05 19:42:35 [USMLE_Step_2] lanny: rat is erchilisiosis am i right
01/26/05 19:42:45 [USMLE_Step_2] strug: its plague too
01/26/05 19:42:50 [USMLE_Step_2] crengy: agree
01/26/05 19:43:03 [USMLE_Step_2] huli72: there are 2 kinds of yersiniosis
01/26/05 19:43:07 [USMLE_Step_2] rx: charcot triad
01/26/05 19:43:09 [USMLE_Step_2] dua_frank: ag
01/26/05 19:43:10 [USMLE_Step_2] dua_frank: ah
01/26/05 19:43:15 [USMLE_Step_2] rx: charcot triad?
01/26/05 19:43:17 [USMLE_Step_2] sanz: i think there're a lot of species of yersinia
01/26/05 19:43:23 [USMLE_Step_2] megs: pain fever jaundice
01/26/05 19:43:27 [USMLE_Step_2] strug: jauindice, fever, pain
01/26/05 19:43:47 [USMLE_Step_2] sanz: Y entercolitis is transmitted by pets feces.. cause diarrhoea
01/26/05 19:43:53 [USMLE_Step_2] dua_frank: oh
01/26/05 19:43:54 [USMLE_Step_2] crengy: y. enterocolitica is for diarrhea and append.-like
01/26/05 19:44:01 [USMLE_Step_2] rx: due to obstruction of commom ble dust or pancreatic duct
01/26/05 19:44:05 [USMLE_Step_2] sanz: i guess bubonic kind is Y pestis... via inhalation route
01/26/05 19:44:07 [USMLE_Step_2] dua_frank: and Y. pestis?
01/26/05 19:44:10 [USMLE_Step_2] strug: hey guys u confused me
01/26/05 19:44:19 [USMLE_Step_2] dua_frank: right sanz
01/26/05 19:44:23 [USMLE_Step_2] strug: rx CBD
01/26/05 19:44:25 [USMLE_Step_2] crengy: pestis is related to bubonic pl
01/26/05 19:44:26 [USMLE_Step_2] dua_frank: which one is by pork then?
01/26/05 19:44:31 [USMLE_Step_2] crengy: and rat
01/26/05 19:44:40 [USMLE_Step_2] rx: laproscopy
01/26/05 19:44:46 [USMLE_Step_2] huli72: I agree with you guys, I have to chech the sourse (pork)
01/26/05 19:44:49 [USMLE_Step_2] sanz: i dont know abt pork...
01/26/05 19:44:51 [USMLE_Step_2] dua_frank: ok
01/26/05 19:45:24 [USMLE_Step_2] huli72: maybe pork is wrong
01/26/05 19:45:36 [USMLE_Step_2] crengy: or it's for enterocolitica
01/26/05 19:45:40 [USMLE_Step_2] rx: dumping syndrome and blind loop syndrome seen where
01/26/05 19:45:46 [USMLE_Step_2] dua_frank: no thats feces crengy
01/26/05 19:45:56 [USMLE_Step_2] strug: diabteris
01/26/05 19:45:57 [USMLE_Step_2] crengy: can be both
01/26/05 19:45:58 [USMLE_Step_2] sanz: one more thing to note abt yersinia is that it can cuase arthritis in ppl with HLA B27
01/26/05 19:45:58 [USMLE_Step_2] huli72: it is rat feces
01/26/05 19:46:00 [USMLE_Step_2] dua_frank: colectomy
01/26/05 19:46:07 [USMLE_Step_2] strug: yeap
01/26/05 19:46:25 [USMLE_Step_2] dua_frank: nice point sanz
01/26/05 19:46:27 [USMLE_Step_2] strug: is yersionisis same as Y enterocolita?
01/26/05 19:46:30 [USMLE_Step_2] huli72: thanks, guys
01/26/05 19:46:36 [USMLE_Step_2] rx: billroth type 2 gastrojegenostomy
01/26/05 19:46:44 rx Logs Out
01/26/05 19:46:48 [USMLE_Step_2] huli72: thanks, rx
01/26/05 19:46:50 [USMLE_Step_2] crengy: i suppose so Strug
01/26/05 19:47:08 [USMLE_Step_2] lanny: there are two things here yersinia enteroclo which cause inf diarr and yersinia pstis cause plague sorry for misunderst
01/26/05 19:47:19 iamzuhair Logs in
01/26/05 19:47:24 iamzuhair Joins Subroom USMLE_Step_2
01/26/05 19:47:42 [USMLE_Step_2] dua_frank: thanks lanny
01/26/05 19:47:48 [USMLE_Step_2] iamzuhair: HI GUYS
01/26/05 19:47:54 [USMLE_Step_2] iamzuhair: SORRY LATE
01/26/05 19:47:55 [USMLE_Step_2] crengy: hi
01/26/05 19:47:59 [USMLE_Step_2] lanny: hi
01/26/05 19:48:02 [USMLE_Step_2] dua_frank: hi
01/26/05 19:48:26 [USMLE_Step_2] iamzuhair: SORRY FRANK DIDNT SEE UR MESSAGE YESTURDAY
01/26/05 19:48:32 [USMLE_Step_2] huli72: duodenal hematoma trt: conservative
01/26/05 19:48:34 [USMLE_Step_2] lanny: i guess were talking about yers.ehterocol
01/26/05 19:48:48 [USMLE_Step_2] dua_frank: no problem zuhair, i got the chat transcript from the forum, thanks
01/26/05 19:48:58 [USMLE_Step_2] crengy: what the clinic for duod. hematoma?
01/26/05 19:49:05 [USMLE_Step_2] lanny: i got it too thx to who posted it
01/26/05 19:49:07 [USMLE_Step_2] iamzuhair: SO WER DISCUSING GIT
01/26/05 19:49:12 [USMLE_Step_2] lanny: yep
01/26/05 19:49:16 [USMLE_Step_2] iamzuhair: OK
01/26/05 19:49:19 [USMLE_Step_2] strug: diffuse abd pain not seen on Xray or CT
01/26/05 19:49:35 [USMLE_Step_2] lanny: what age
01/26/05 19:49:44 [USMLE_Step_2] strug: adolescent
01/26/05 19:49:54 [USMLE_Step_2] strug: traume to epigastricum
01/26/05 19:49:55 [USMLE_Step_2] crengy: so what the Dx?
01/26/05 19:50:04 [USMLE_Step_2] crengy: endo?
01/26/05 19:50:14 [USMLE_Step_2] sanz: USS?
01/26/05 19:50:18 [USMLE_Step_2] strug: forgot....hmm cant remember
01/26/05 19:50:20 [USMLE_Step_2] huli72: functional pain
01/26/05 19:50:26 [USMLE_Step_2] crengy: can be assoc. with obstruction?
01/26/05 19:50:39 [USMLE_Step_2] iamzuhair: NEED MORE STUFF TO DIAGNOSE MAN
01/26/05 19:50:45 [USMLE_Step_2] lanny: agree
01/26/05 19:51:00 [USMLE_Step_2] iamzuhair: JUST DIFF ABD PAIN
01/26/05 19:51:13 [USMLE_Step_2] lanny: any social factors?
01/26/05 19:51:13 [USMLE_Step_2] iamzuhair: CAN BE RUPTURED APENDIX IN A CHILD
01/26/05 19:51:15 [USMLE_Step_2] crengy: so how to u know that's a duod hematom?
01/26/05 19:51:23 [USMLE_Step_2] sanz: pt with Hx of abdo trauma and on X ***, air seen retroperitoneally... what s'ture is injured?
01/26/05 19:51:25 [USMLE_Step_2] iamzuhair: OR ITP
01/26/05 19:51:27 rsandhu Logs Out
01/26/05 19:51:37 [USMLE_Step_2] iamzuhair: DUODENUM
01/26/05 19:51:44 [USMLE_Step_2] dua_frank: duo
01/26/05 19:51:50 [USMLE_Step_2] dua_frank: 4th part
01/26/05 19:51:52 [USMLE_Step_2] iamzuhair: RETROPERITONEAL
01/26/05 19:51:57 [USMLE_Step_2] iamzuhair: DUODENUM
01/26/05 19:51:59 [USMLE_Step_2] sanz: yup you're good guys!
01/26/05 19:52:07 [USMLE_Step_2] lanny: agree
01/26/05 19:52:10 rsandhu Logs in
01/26/05 19:52:18 [USMLE_Step_2] dua_frank: rx for hereditary haemochromatosis?
01/26/05 19:52:20 rsandhu Joins Subroom USMLE_Step_1
01/26/05 19:52:23 [USMLE_Step_2] lanny: peptic ulcer perfor too can give retro air
01/26/05 19:52:30 [USMLE_Step_2] sanz: i think it might be 2nd part... 4th part is intraperitoneal i thought
01/26/05 19:52:33 [USMLE_Step_2] huli72: hemopharesis
01/26/05 19:52:34 [USMLE_Step_2] megs: plebotomy
01/26/05 19:52:37 [USMLE_Step_2] dua_frank: oh 2nd?
01/26/05 19:52:45 [USMLE_Step_2] dua_frank: you might be right
01/26/05 19:52:45 [USMLE_Step_2] huli72: penicillamine?
01/26/05 19:52:47 [USMLE_Step_2] sanz: dua, i'm not 100% sure...
01/26/05 19:52:53 [USMLE_Step_2] sanz: my anat not so good! hehe
01/26/05 19:52:55 [USMLE_Step_2] huli72: chelator
01/26/05 19:52:58 [USMLE_Step_2] dua_frank: hehe
01/26/05 19:53:02 [USMLE_Step_2] dua_frank: venesection
01/26/05 19:53:04 [USMLE_Step_2] iamzuhair: VOMITING , BLOODY STOL , COLICKY ABD PAIN --- LATER ON PROGRESS TO BILE STAINED VOMITING IN A CHILD
01/26/05 19:53:17 [USMLE_Step_2] lanny: did anat 2 yrs aago st 1 all gone!!!
01/26/05 19:53:48 [USMLE_Step_2] huli72: intussusu?
01/26/05 19:53:51 [USMLE_Step_2] strug: volvulius? zuhair?
01/26/05 19:53:52 [USMLE_Step_2] iamzuhair: YES
01/26/05 19:54:00 [USMLE_Step_2] iamzuhair: INTUSEDCPTION
01/26/05 19:54:19 [USMLE_Step_2] iamzuhair: SAUSAGE SHAPED MASS IS THE GIVE AWAY
01/26/05 19:54:37 [USMLE_Step_2] iamzuhair: OK
01/26/05 19:54:42 [USMLE_Step_2] lanny: volvulus in old strug
01/26/05 19:54:45 [USMLE_Step_2] megs: volvulus
01/26/05 19:54:45 [USMLE_Step_2] sanz: dont mention food... lanny might get hungry and want to leave
01/26/05 19:55:08 [USMLE_Step_2] huli72: sanz
01/26/05 19:55:11 [USMLE_Step_2] strug: i alaways get confused betwn intussp and volvulus
01/26/05 19:55:14 [USMLE_Step_2] lanny: i am not that bad sanz lol
01/26/05 19:55:14 [USMLE_Step_2] iamzuhair: BILOUS VOMITING , ABD DISTENDED, PAIN AND BLOODY STOOL
01/26/05 19:55:20 [USMLE_Step_2] dua_frank: lanny i ate before i came here today, really full now :P
01/26/05 19:55:21 [USMLE_Step_2] sanz: hehe lanny, just kidding
01/26/05 19:55:49 [USMLE_Step_2] megs: parylytic alius
01/26/05 19:55:52 [USMLE_Step_2] lanny: truth is i am beg to feel hung..but will stick around
01/26/05 19:56:03 [USMLE_Step_2] huli72: best test to screen H. pulori?
01/26/05 19:56:07 [USMLE_Step_2] iamzuhair: HINT ---CORK SCREW NARROWING
01/26/05 19:56:10 [USMLE_Step_2] strug: breath test
01/26/05 19:56:11 [USMLE_Step_2] lanny: breath test
01/26/05 19:56:19 [USMLE_Step_2] huli72: antibody test
01/26/05 19:56:23 [USMLE_Step_2] dua_frank: urease?
01/26/05 19:56:24 [USMLE_Step_2] lanny: nutcracker
01/26/05 19:56:25 [USMLE_Step_2] sanz: intuss is where the bowels loop into each other... volvulus is usu younger kids with cecaum high in LUQ
01/26/05 19:56:30 [USMLE_Step_2] huli72: most accurate test?
01/26/05 19:56:37 [USMLE_Step_2] strug: bipopsy
01/26/05 19:56:46 [USMLE_Step_2] huli72: no
01/26/05 19:56:54 [USMLE_Step_2] strug: serology?
01/26/05 19:56:55 [USMLE_Step_2] lanny: thought volvulus is seen in old
01/26/05 19:56:56 [USMLE_Step_2] huli72: no
01/26/05 19:57:00 [USMLE_Step_2] iamzuhair: MIDGUT VOLVULUS
01/26/05 19:57:02 [USMLE_Step_2] lanny: thx sanz
01/26/05 19:57:10 [USMLE_Step_2] huli72: breath test
01/26/05 19:57:16 [USMLE_Step_2] iamzuhair: COMMON IN INFANCY -- MID GUT VOLVULUS
01/26/05 19:57:20 [USMLE_Step_2] iamzuhair: COMMON IN INFANCY -- MID GUT VOLVULUS
01/26/05 19:57:42 [USMLE_Step_2] strug: hey whats the screeing and the best test for H pylore?
01/26/05 19:57:59 [USMLE_Step_2] huli72: how to trt intussp?
01/26/05 19:58:07 [USMLE_Step_2] sanz: air insufflation
01/26/05 19:58:07 [USMLE_Step_2] crengy: the most accurate is biopsy with coloration not breath
01/26/05 19:58:16 [USMLE_Step_2] iamzuhair: SCREENING --- BREATH TEST
01/26/05 19:58:16 [USMLE_Step_2] strug: barium
01/26/05 19:58:17 [USMLE_Step_2] huli72: best: antibody, accurate: breath
01/26/05 19:58:33 [USMLE_Step_2] huli72: barium for colon intussp
01/26/05 19:58:42 [USMLE_Step_2] huli72: how about small bowel?
01/26/05 19:58:45 [USMLE_Step_2] crengy: and screening-antibody
01/26/05 19:58:51 [USMLE_Step_2] iamzuhair: THERE IS ALSO A THREAD TEST
01/26/05 19:58:52 [USMLE_Step_2] strug: i meant antibody when i said serology
01/26/05 19:58:58 [USMLE_Step_2] iamzuhair: NOT SURE ABOUT IT
01/26/05 19:59:00 [USMLE_Step_2] crengy: yes
01/26/05 19:59:09 [USMLE_Step_2] crengy: i'm sure
01/26/05 19:59:24 [USMLE_Step_2] lanny: we need to chk then
01/26/05 19:59:34 [USMLE_Step_2] huli72: small bowel intussp: surgery
01/26/05 19:59:47 [USMLE_Step_2] strug: only if it is due to henoch schloin huli
01/26/05 20:00:01 [USMLE_Step_2] iamzuhair: STEARHOEA IN NEW BORN /
01/26/05 20:00:03 [USMLE_Step_2] huli72: thanks,strug
01/26/05 20:00:08 spice Logs in
01/26/05 20:00:10 [USMLE_Step_2] huli72: CF
01/26/05 20:00:24 [USMLE_Step_2] huli72: or billary atresia
01/26/05 20:00:36 [USMLE_Step_2] lanny: CF
01/26/05 20:00:48 [USMLE_Step_2] strug: biliary aterisa will have obs jaundice
01/26/05 20:00:57 [USMLE_Step_2] lanny: yep
01/26/05 20:01:06 [USMLE_Step_2] iamzuhair: NORMAL FINDING IN NEW BORN
01/26/05 20:01:17 [USMLE_Step_2] iamzuhair: DUE TO THE SMALL BILE ACID POOL
01/26/05 20:01:21 [USMLE_Step_2] huli72: oh, thanks, zuhair
01/26/05 20:01:41 [USMLE_Step_2] lanny: not bil atresia you mean obs jaun
01/26/05 20:02:25 [USMLE_Step_2] huli72: urea breath test for H. pylori require....?
01/26/05 20:02:53 [USMLE_Step_2] strug: huli didnt understand the q
01/26/05 20:03:12 [USMLE_Step_2] iamzuhair: YES
01/26/05 20:03:20 [USMLE_Step_2] huli72: what we do to prepare the urea breath test?
01/26/05 20:03:37 [USMLE_Step_2] strug: we check the hydrogen in breath
01/26/05 20:03:45 [USMLE_Step_2] huli72: stop.....(give 2 drugs)
01/26/05 20:03:52 [USMLE_Step_2] lanny: yes
01/26/05 20:04:08 [USMLE_Step_2] lanny: 2 drugs for?
01/26/05 20:04:16 [USMLE_Step_2] iamzuhair: I DONT GET IT HULI
01/26/05 20:04:17 [USMLE_Step_2] huli72: stop H+ pump for 2 weeks
01/26/05 20:04:18 mick Logs in
01/26/05 20:04:19 mick Joins Subroom USMLE_Step_2
01/26/05 20:04:41 [USMLE_Step_2] iamzuhair: PLZ CA U EXPLAIN
01/26/05 20:04:50 [USMLE_Step_2] lanny: still dont got you
01/26/05 20:04:50 [USMLE_Step_2] huli72: and stop ..... for 4 weeks, then do the breath test
01/26/05 20:05:00 [USMLE_Step_2] lanny: stop what/?
01/26/05 20:05:07 [USMLE_Step_2] iamzuhair: STOP
01/26/05 20:05:14 [USMLE_Step_2] huli72: because H. pylori will be inhibited by these 2 drugs
01/26/05 20:05:36 [USMLE_Step_2] huli72: we have to stop proton pump and antibiotics
01/26/05 20:05:37 [USMLE_Step_2] lanny: tetra
01/26/05 20:05:44 [USMLE_Step_2] iamzuhair: OOH
01/26/05 20:05:44 [USMLE_Step_2] huli72: before....
01/26/05 20:05:45 [USMLE_Step_2] dua_frank: bismuth salts?
01/26/05 20:05:50 [USMLE_Step_2] dua_frank: do they work at all?
01/26/05 20:05:58 [USMLE_Step_2] lanny: now i get him oh oh
01/26/05 20:06:00 [USMLE_Step_2] dua_frank: metro
01/26/05 20:06:13 [USMLE_Step_2] huli72: proton pump inhibitor and antibiotics
01/26/05 20:06:26 [USMLE_Step_2] huli72: sorry
01/26/05 20:06:32 [USMLE_Step_2] lanny: but dont you give the test first before the drugs

7:59 PM [strug] thats ok huli we understand u now
8:00 PM spice has left the chat.
8:00 PM [huli72] breath test is used to check treatment effects
8:00 PM [strug] rigtht
8:00 PM [lanny] thats correct
8:00 PM [lanny] ok i think i got what youre saying
8:00 PM [iamzuhair] DELUSION AND PSYCHOSIS SEEN IN WHICH GIT DRUG USED
8:00 PM [strug] primidone?
8:00 PM [huli72] cimitidine
8:01 PM [iamzuhair] YES - CIMETIDINE
8:01 PM [crengy] cimet
8:01 PM [iamzuhair] EFECT ON H2 RECEPTORSIN BRAIN
8:01 PM [crengy] but not ranitidine
8:02 PM [strug] inc dopamine
8:02 PM [sanz] it causes some cardiac affects too right?
8:02 PM [iamzuhair] NOT SURE DUDE
8:02 PM [strug] thats cisapridie
8:02 PM [crengy] and impotence
8:02 PM [iamzuhair] IMPOTENCE YES
8:02 PM [strug] cisarpride causes torsa de ponits
8:02 PM [crengy] and gynocomast
8:03 PM [sanz] oh yeah strug... thnx
8:03 PM [lanny] cimetidine cause gynecomas
8:03 PM [strug] welcome sanz
8:03 PM [crengy] yes
8:03 PM [huli72] yeah, lanny
8:04 PM [lanny] impot is cisap or cimet?
8:04 PM [crengy] cimet
8:04 PM [lanny] thx
8:04 PM [strug] does duodenal ulcer cause malignancy?
8:04 PM [crengy] no
8:04 PM [huli72] no
8:04 PM [megs] nope
8:04 PM [sanz] yes
8:04 PM [lanny] never heard
8:04 PM [strug] no it dosent
8:04 PM [sanz] ok
8:05 PM [dua_frank] peptic ulcer does
8:05 PM [dua_frank] not duo
8:05 PM [sanz] thnx dua
8:05 PM [crengy] yes, gastro
8:05 PM [lanny] mccause of post hep jaund
8:05 PM [dua_frank] welcome
8:05 PM [dua_frank] stones?
8:05 PM [strug] obstuction
8:05 PM [lanny] or tumor or stricture?
8:06 PM [megs] cbd stone
8:06 PM [dua_frank] hi megs
8:06 PM [strug] ans pl?
8:06 PM [lanny] thx
8:06 PM [huli72] chronic HCV extrahepatic manifestations?
8:07 PM [crengy] cryoglob
8:07 PM [crengy] petechias
8:07 PM [strug] membranoproliferive
8:07 PM [huli72] yeah, creng
8:07 PM [crengy] arthralgias
8:07 PM [huli72] yeah, strug
8:07 PM [huli72] and yeah, creng
8:07 PM [huli72] how to treat?
8:07 PM [iamzuhair] CAN U PUT IT TOGETHER
8:07 PM [iamzuhair] NEVER READ OF IT
8:07 PM [crengy] vasclitis leucocytoclasis
8:08 PM [huli72] all correct
8:08 PM [iamzuhair] WHERE CAN I FIND IT
8:08 PM [huli72] antiviral trt
8:08 PM [strug] ribavarin and interferon
8:08 PM [iamzuhair] WHICH BOOK WITH EXPLANATION
8:08 PM [crengy] yes
8:08 PM [huli72] yeah
8:08 PM [crengy] harisson
8:08 PM [iamzuhair] OK
8:08 PM [huli72] to Zuhair: MKSAP
8:08 PM [iamzuhair] THANKS
8:09 PM [megs] which hepatitis ***...with pregnancy most of the times??/
8:09 PM [sanz] hep E
8:09 PM [crengy] e
8:09 PM [megs] hepatitis e..yup
8:09 PM [strug] e
8:09 PM [crengy] most deadly
8:09 PM [iamzuhair] YEP
8:09 PM [strug] d + b
8:09 PM [iamzuhair] B
8:09 PM [iamzuhair] DEADLY -B
8:09 PM [strug] crengy ans pl?
8:09 PM [crengy] strug right
8:09 PM [dua_frank] c
8:10 PM [iamzuhair] MADLY -C
8:10 PM [crengy] yep
8:10 PM [dua_frank] what do you mean madly?
8:10 PM [megs] in pt af hap b carrier if jaundice flare up...whats the cause
8:10 PM [crengy] chronic
8:10 PM [sanz] hehe, i was wondering the same dua
8:10 PM [huli72] diet requirment for fecal occult blood test?
8:11 PM [iamzuhair] CHRONIC AND CIRRHOSIS AND ENCEPHALOPATHY
8:11 PM [iamzuhair] HEP C
8:11 PM [dua_frank] oh
8:11 PM [sanz] zuhair, thnx... gotcha
8:11 PM [dua_frank] thanks
8:11 PM [strug] superimp d inf?
8:11 PM [megs] yeap stug
8:11 PM [sanz] huli, none
8:11 PM [iamzuhair] WHO ASKS DIET IN FECAL OCULT BLOOD
8:11 PM mmw has left the chat.
8:11 PM [strug] huli none
8:11 PM [huli72] no red meat, and.....
8:12 PM mmw has left the chat.
8:12 PM [lanny] never knew thx
8:12 PM [huli72] no cauliflower
8:12 PM [huli72] and...?
8:12 PM [iamzuhair] I HATE IT
8:12 PM [huli72] no NSAIDs
8:12 PM [strug] why
8:12 PM [iamzuhair] CAULIFLOWER --- YUCK
8:12 PM [dua_frank] hehe zuhair
8:12 PM [huli72] and...?
8:12 PM [lanny] i h
8:12 PM [huli72] high fiber
8:12 PM [dua_frank] no potatoes
8:12 PM [huli72] that is all,
8:13 PM [strug] why diet req in fecal occult blood?
8:13 PM [crengy] interferance
8:13 PM [lanny] to avoid false pos
8:13 PM [dua_frank] explain?
8:13 PM [sanz] well, with NSAIDs and fibre, you get gastric erosion
8:13 PM [huli72] because there are fe in red meat
8:13 PM [dua_frank] ah
8:13 PM [huli72] NSAIDS cause bleeding
8:13 PM [strug] so we should avoid all this or eat all this?
8:13 PM [sanz] but i think Fe in meat or Fe in tabs wont affect FOB results
8:14 PM [megs] false positive results
8:14 PM [strug] huli pl explain m confused
8:14 PM [lanny] think so too sanz
8:14 PM [huli72] hope it won't show up in the exam
8:14 PM [sanz] but i did read somewhere before that it wont cause false positive...
8:14 PM [crengy] sanz right about fe tablets
8:14 PM [iamzuhair] IS NUT CRACKER OESOPHAGUS SAME AS DICTAL OESOPHAGEAL SPASM
8:14 PM [crengy] it's only a black stool
8:14 PM [lanny] dont think it will be asked
8:15 PM [megs] thanx sanz crengy..got it
8:15 PM [strug] hey someone explain should we eat all that or avoid all that?
8:15 PM [lanny] present is same but mech is diff
8:15 PM [sanz] avoid strug
8:15 PM [iamzuhair] LOL
8:15 PM [crengy]
8:15 PM [strug] thnx sanz
8:15 PM [iamzuhair] THANKS LANY
8:16 PM [sanz] Rx of hepatic enceph
8:16 PM [strug] lactulose avoid protein
8:16 PM [huli72] neomycin
8:16 PM [iamzuhair] PANTALOONS HERNIA
8:16 PM [strug] also neomysin
8:16 PM [lanny] neomycin
8:16 PM [iamzuhair] LACTULOSE
8:16 PM [megs] neomycin,lactulose
8:16 PM [strug] direct and indirect together is pantoallon hernia
8:16 PM [sanz] well done you guys!
8:16 PM [iamzuhair] AND SUPORTIVE CARE
8:16 PM [iamzuhair] OK
8:16 PM [megs] prt free diet
8:16 PM [iamzuhair] RIGHT
8:17 PM [lanny] never heard pantaloons!!
8:17 PM [iamzuhair] ITS NOT COMMON
8:17 PM [huli72] neither do I
8:17 PM [iamzuhair] BUT DO SEE IT ON EXAM
8:17 PM [strug] whats the most imp complication of celiac sprue?
8:17 PM [iamzuhair] FIST
8:18 PM [iamzuhair] FISTULA
8:18 PM [strug] intestinal lymphoma is most imp
8:18 PM [lanny] agree wuth strug
8:18 PM [huli72] nutrition deficiency
8:18 PM [crengy] right strug
8:18 PM [iamzuhair] SORRY
8:18 PM [sanz] didnt know that strug, good q
8:18 PM [iamzuhair] THOGHT WERE ASKIN CRONHS
8:18 PM [strug] thnx
8:19 PM [sanz] what is pantaloon hernia, zuhair?
8:19 PM [strug] Recurent perianal fistula Rx?
8:19 PM [lanny] actually its gastric lymphoma
8:19 PM [iamzuhair] DIRECT AND INDIRECT TOGETHER
8:19 PM [crengy] chron
8:19 PM [sanz] Rx is surgery
8:19 PM [iamzuhair] I MEAN HERNIAS
8:19 PM [strug] metronidazole
8:19 PM [huli72] metronidazole
8:19 PM [huli72] and mercaptopurine
8:19 PM [sanz] oh ok
8:20 PM [huli72] and inflixima
8:20 PM [iamzuhair] INSICION AND DRAINAGE WITH ANTIBIOTIS SWABS
8:20 PM [iamzuhair] METRO AND MERCAPTOPURINE
8:20 PM [iamzuhair] HELPS IN HEALING
8:20 PM [iamzuhair] DUNNO HOW
8:21 PM [strug] extra intestinal manifestion of crohns?
8:21 PM [sanz] mercaptopurine is immunosupp
8:21 PM [dua_frank] arthritis
8:21 PM [iamzuhair] YES
8:21 PM [iamzuhair] HAD THIS QUESTION ON USMLE.NET
8:22 PM [sanz] so it helps the inflammation condition of fistula... and metro is for anerobe so that fistulas will heal better
8:22 PM [iamzuhair] ARTHRITIS MC EXTRAINTESTINAL MANIFESTATIONOF IBD
8:22 PM [iamzuhair] THANKS SNAZ
8:22 PM [huli72] loculated cyst in pancreas, what is it?
8:22 PM [strug] anklylosing spondylitis , uvieites, pyoderma gangresnosum, erythema nodosum
8:22 PM [sanz] pseudocysts
8:22 PM [iamzuhair] PSEUDO CYST
8:22 PM [huli72] no
8:23 PM [iamzuhair] OK
8:23 PM [iamzuhair] OK
8:23 PM [iamzuhair] ITS ANDOGTAPE WORM
8:23 PM [iamzuhair] DOG TAPE WORM
8:23 PM [iamzuhair] WHATS ITS MNAME
8:23 PM [iamzuhair] STARTS WITH H
8:23 PM [strug] echinococcus
8:23 PM [lanny] ulcer coliti
8:23 PM [huli72] mucinous cystadenama or cyst adenocarcinoma
8:23 PM [huli72] how to trt?
8:24 PM [dua_frank] excision?
8:24 PM [huli72] yeah
8:24 PM [iamzuhair] THANKS
8:24 PM [huli72] this means cyst in pancreas head need to be resected.
8:24 PM [strug] great job huli thnx
8:24 PM [huli72] you are welcome
8:24 PM [lanny] incid of cancer highest in chron or UC
8:24 PM [strug] Uc
8:25 PM [dua_frank] chrons?
8:25 PM [megs] uc
8:25 PM [crengy] uc
8:25 PM [strug] primary sclerocsing cholangitis in uc or crohsn
8:25 PM [lanny] how to prvt cancer in UC
8:25 PM [crengy] uc
8:25 PM [megs] cr
8:25 PM [huli72] UC
8:25 PM [strug] P anca + in uc or crohsn?
8:25 PM [lanny] PSCseen in UC
8:25 PM [huli72] coloscopy
8:25 PM [crengy] biopsy
8:25 PM [strug] every eight year colonsocopu
8:26 PM [strug] am i correct lanny?
8:26 PM [sanz] colonoscopy
8:26 PM [lanny] correct
8:26 PM sanz has left the chat.
8:26 PM [lanny] PSC is seen inUC
8:26 PM [strug] right
8:27 PM [lanny] fistulas in chrons
8:27 PM [strug] right
8:27 PM [iamzuhair] RIGHT
8:27 PM [strug] transmurel inv in uc
8:27 PM [iamzuhair] RX OF NSAIDS IINDUCED ULCERS
8:27 PM [huli72] what kind of anemia in celiac sprue?
8:28 PM [huli72] misopristal
8:28 PM [iamzuhair] YES
8:28 PM [megs] megaloblastic
8:28 PM [huli72] no
8:28 PM [sanz] macrocytic
8:28 PM [huli72] no
8:28 PM [crengy] micro
8:28 PM [huli72] yeah
8:28 PM [huli72] what deficient?
8:28 PM [crengy] fe
8:28 PM [huli72] yeah
8:28 PM [dua_frank] good q
8:28 PM [lanny] fat soluble vitam def in celiac
8:29 PM [lanny] B12 malabs.. macro
8:29 PM [crengy] ?
8:29 PM [strug] there is folic acid def also in celiac sprue?
8:29 PM [iamzuhair] ZENKER DIVERTICULA DX
8:29 PM [lanny] never heard
8:29 PM [sanz] huli, are you sure? celiac disease occurs in duodenum where folate is absorbed...
8:30 PM [megs] regurgitaion of food, halitosis
8:30 PM [crengy] i'm sure about fe and celiac sprue
8:30 PM [huli72] I don't know folate, but iron for sure, and it is the problem of duodenum
8:30 PM [sanz] of cuz i can see why Fe will be deficient as well...
8:30 PM [crengy] check harisson
8:30 PM [iamzuhair] BARIUM SWALLOW
8:30 PM [megs] barium swollw
8:30 PM [strug] folic acid also irona nd calcium are absorbed from proximalsmall bowel
8:30 PM [iamzuhair] NEVER DO ENDOSCOPY
8:30 PM [cyrus1345] both iron and folat in celiac sprue
8:31 PM [crengy] they are also prone to osteoporosis
8:31 PM [strug] and celiac affects proximal small bowel....so could be both isnt it?
8:31 PM [iamzuhair] OR NASOGASTRIC INTUBATION
8:31 PM [cyrus1345] yes strug for sure both of them
8:31 PM [strug] thnx nasi
8:31 PM [sanz] i think it's both... but what kinda anemia will it give?
8:31 PM [crengy] there are both
8:31 PM [huli72] thanks, Nasi
8:31 PM [huli72] that clears up
8:31 PM [crengy] but the anemia is micro
8:32 PM [strug] could be both
8:32 PM [cyrus1345] and in sever disease that involve ileal B12 too
8:32 PM ttw has left the chat.
8:32 PM [sanz] i think normo cuz it's anemia of chronic dz
8:32 PM [sanz] dont know
8:32 PM [crengy] is from def not chronic
8:33 PM [lanny] dont think sanz macro in late stgs and bicro FE def, but will chk
8:33 PM [huli72] which immuno marker in celiac sprue?
8:33 PM [sanz] oke
8:33 PM [strug] can sucralfate and fluoroquinolose be given together?
8:33 PM [strug] anti endomysial antibodies
8:33 PM [megs] gliadin antibody
8:33 PM [huli72] yeah, meg
8:33 PM [huli72] and...
8:33 PM [lanny] these are not markers
8:34 PM [huli72] ok, antibodies
8:34 PM [dua_frank] fe def anemia in CS
8:34 PM [dua_frank] low iron levels in the body
8:34 PM [lanny] yes
8:34 PM [iamzuhair] MAN U CONFUSIN ME MAN
8:34 PM [dua_frank] most common anemia in CS
8:34 PM [huli72] IgA antiendomysial antibody
8:34 PM [dua_frank] so there
8:34 PM [sanz] thnx dua
8:34 PM [dua_frank] end of debate :P
8:34 PM [lanny] good all chk later
8:34 PM [dua_frank] welcome
8:34 PM [cyrus1345] strug I don't think so!
8:34 PM [strug] no because decresses their bioavibiligy
8:35 PM [cyrus1345] ok thanks,good point
8:35 PM [strug] sucralfate dec bioavailbility of fluoroquinoons
8:35 PM [iamzuhair] THANKS
8:35 PM [strug] what MEch of action of sucralfate
8:35 PM [huli72] thanks,, strug
8:35 PM [huli72] cover ulcer
8:35 PM [sanz] acts as a coat
8:35 PM [iamzuhair] PSEUDOMEMBRANE COLITIS DX
8:35 PM [cyrus1345] agree
8:35 PM [strug] thats right
8:35 PM [huli72] metronidazole
8:36 PM [cyrus1345] oral
8:36 PM [strug] tozxin in stoll
8:36 PM [lanny] vancomycin 2nd doc
8:36 PM [iamzuhair] STOOL TOXIN ESSAY OR ENZYME IMMMUNOESSAY
8:36 PM [iamzuhair] RX METRO
8:36 PM [lanny] stool
8:36 PM [strug] whats Mech of action of colloidal bismmuth
8:37 PM [iamzuhair] MALABSORPTION SYNDROME DX
8:37 PM [lanny] so many be specif
8:37 PM [sanz] fecal fat
8:37 PM [huli72] antiacides
8:38 PM [megs] fat in stool
8:38 PM [iamzuhair] SMALL BOWEL BIOPSY
8:38 PM [sanz] strug, i dont know the ans to yr q
8:38 PM [strug] causes gastric mucosal sectetion of prostaglandin and glycoprotein mucous
8:38 PM [lanny] all depends what there are likre 6 malabs sds
8:39 PM [sanz] thnx
8:39 PM [megs] smoked food,barbeque...causes which cancer
8:39 PM [strug] can misopristol be given in pregnancy
8:39 PM [iamzuhair] THIS IS WITH THE ONE WITH LOSS OF VILLI
8:39 PM [lanny] no
8:39 PM [sanz] gastric ca
8:39 PM [huli72] stomach ca
8:39 PM [megs] nope...
8:39 PM [iamzuhair] NOT THE PANCREATIC ONE OR THE GALL BLADDER NE
8:39 PM [huli72] esophageal ca
8:39 PM [megs] yeah stomach cance
8:39 PM [strug] right megs
8:39 PM [lanny] gastirc adeno
8:39 PM [megs] misoproase in pregnancy..nope
8:39 PM [strug] right
8:40 PM [lanny] an abotaficient
8:40 PM [iamzuhair] YES
8:40 PM [strug] right
8:40 PM [lanny] NEVER!!!
8:40 PM [strug] Mech of action in ulcer proctection?
8:40 PM [lanny] PGE ag
8:40 PM [iamzuhair] YES
8:40 PM [iamzuhair] MORE OF MUCUS
8:40 PM [strug] mains epithelial barrier and causes Hco3 secreion by duodnum
8:40 PM [lanny] cyto protect mucosa
8:41 PM [strug] all of u r right
8:41 PM [iamzuhair] CHRONIC PANCREATITIS MOST SENSITIVE TEST
8:41 PM [strug] calcificaion in pancereas
8:41 PM [huli72] CT
8:41 PM [sanz] amylase?
8:41 PM [iamzuhair] MOST SENSITIVE
8:41 PM [megs] sr lipases
8:41 PM [lanny] amylase lipase
8:41 PM [huli72] fecal fat?
8:41 PM [iamzuhair] AMYLASE AND LIPASE NORMAL IN CHR PANC
8:41 PM [iamzuhair] AMYLASE AND LIPASE NORMAL IN CHR PANC
8:42 PM [sanz] oh
8:42 PM [crengy] ct?
8:42 PM [lanny] oh yea thought acute
8:42 PM [strug] secretin stimulation test
8:42 PM [iamzuhair] MOST SENSITIVE TEST -SECRETIN TEST
8:42 PM [sanz] thnx zuhair
8:42 PM [iamzuhair] RIGHT STRUG
8:42 PM [lanny] whats it?zuhair
8:42 PM [crengy] good point
8:42 PM [huli72] why secretin
8:42 PM [megs] got it thanx
8:42 PM [iamzuhair] PRODUCED FROM /
8:43 PM [iamzuhair] PRODUCED FROM ? --- SECRETIN
8:43 PM [huli72] S cell in gut
8:43 PM [strug] sectretin stimulates pancereas and Hco3 in duo measured in secrein test
8:43 PM [megs] duodenum
8:43 PM [iamzuhair] YES AND ACTS WHERE
8:43 PM [iamzuhair] STRUG GOT THE ANSWER FOR YOU MAN
8:43 PM [lanny] ERCP confirm diag yes is nt that sensitive
8:44 PM [iamzuhair] HES RIGHT
8:44 PM [huli72] pancreatic epithelium cell
8:44 PM kparikh82276 has left the chat.
8:44 PM [lanny] CT has high sensitivity for diag chronic p
8:44 PM [iamzuhair] MCC OF FISTULA IN GIT
8:45 PM [lanny] chrons
8:45 PM [strug] when is amylase normal in acute pancreatisits
8:45 PM [megs] colo vescical
8:45 PM [huli72] 1/3 of pt will have amylase normal
8:45 PM [iamzuhair] WHEN DUE TO CHEMICALS STRUGE-- MAY BE
8:45 PM [strug] when assc with hyper tryglyceridemis
8:46 PM [lanny] amylase is N up to 2-3 hrs after acute akkack
8:46 PM [lanny] persists elev for 3-4 days
8:46 PM [iamzuhair] THANKS
8:46 PM [lanny] if persistsafter 4 dsys..complicatn,,absess
8:47 PM [cyrus1345] which anti HIV drug can cause pancreatitis?
8:47 PM [iamzuhair] PLUMER VINSON DZ ?
8:47 PM [lanny] will chk but i think am correct
8:47 PM [huli72] indianir
8:47 PM [strug] zidovudine
8:47 PM [strug] indinavie causes stones
8:47 PM [lanny] indinavir
8:47 PM [megs] yupindinavir
8:47 PM [cyrus1345] DDI,DDC
8:48 PM [iamzuhair] WHICH CARCINOMA SEEN ?
8:48 PM [strug] scc
8:48 PM [lanny] in what
8:48 PM [cyrus1345] plummer winson
8:48 PM [iamzuhair] YES
8:48 PM [iamzuhair] RIGHT STRUG
8:48 PM [cyrus1345] what's Tx?
8:48 PM [iamzuhair] SURGERY
8:49 PM [cyrus1345] Dilation
8:49 PM [lanny] whats the answer to carcinom seen?
8:49 PM [lanny] pneumatic dilation
8:49 PM [iamzuhair] SQUAMOUS
8:49 PM [lanny] thx
8:49 PM [sanz] sq cell lanny
8:49 PM [lanny] thx
8:49 PM [iamzuhair] WELCOMEZ
8:50 PM [lanny] what the Mcc of SQcc of esoph
8:50 PM [strug] hey guys i have to leave sorry c u tmr, dont forget to post the transcript
8:50 PM [iamzuhair] I DUNNO HOW ITS DONE
8:50 PM [huli72] which immuno supressive drug associate with pancreatitis?
8:50 PM [lanny] see you strug who posted y.day please do it again today thanks
8:50 PM [sanz] i dont either...
8:50 PM [cyrus1345] azithromycin
8:51 PM [megs] azathioprin
8:51 PM [huli72] yeah, meg
8:51 PM [iamzuhair] THANKS
8:51 PM strug has left the chat.
8:51 PM [lanny] megs are you there
8:51 PM [megs] yeah
8:51 PM [sanz] thnx huli... didnt know that
8:52 PM [huli72] p-ANCA+ in UC or chron's?
8:52 PM [lanny] what is correct or both
8:52 PM [huli72] you choose one
8:52 PM [cyrus1345] UC
8:52 PM [sanz] UC
8:52 PM [huli72] yeah, it is UC
8:52 PM [sanz] lanny, azathioprin
8:53 PM [lanny] thx sanz
8:53 PM [megs] what is the traetment of gastroparesis
8:53 PM [huli72] ASCA+ in UC or chron's?
8:53 PM [sanz] metoprolol
8:53 PM [crengy] metroclopram
8:53 PM [megs] metoclorpropamide
8:53 PM [lanny] metoclopramide
8:53 PM [huli72] erythromycin
8:54 PM [lanny] whats ASCA
8:54 PM [iamzuhair] H ** A g ---- significans
8:54 PM [huli72] anti-saccharomyces cerevisiac antibody
8:54 PM [crengy] chron
8:54 PM [cyrus1345] agree
8:54 PM [huli72] yeah, chron's
8:54 PM [lanny] never heard this boy oh boy..
8:55 PM [huli72] you learn now, lanny
8:55 PM [lanny] some new antibody
8:55 PM [crengy] don't worry
8:55 PM [iamzuhair] yeah me too
8:55 PM [lanny] do I!!!!
8:55 PM [lanny] anyone seen in test
8:55 PM [crengy] no in BP
8:56 PM [sanz] crengy what do u mean?
8:56 PM [lanny] blueprint
8:56 PM [crengy] yes
8:56 PM [lanny] is that book good by the way, mean for IM dont like the peds
8:56 PM [iamzuhair] OK GUYS WHAT FOR TOMOROW
8:56 PM [iamzuhair] CHAT GETIN COLD
8:57 PM [iamzuhair] ITS FREEZING OUT IN THIS CHAT
8:57 PM [lanny] yes 4 mins more lets decide tomorr
8:57 PM [lanny] crengy, is it good how do you find it
8:57 PM [sanz] i think strug has a schedule posted on the site
8:58 PM [megs] yeah
8:58 PM crengy has left the chat.
8:58 PM [iamzuhair] SO DID U SEE MEGS
8:58 PM [iamzuhair] WHATS TOMOROW
8:58 PM [sanz] but i dont know what it is
8:58 PM [huli72] you can chech fro chat forum
8:58 PM [cyrus1345] check it in chat site,you can find it I don't know either
8:59 PM [iamzuhair] OK THEN SEE YA --- CHAO
8:59 PM [megs] endo
8:59 PM [lanny] im gonna chk now will be back
8:59 PM [cyrus1345] ok guys have a good nighht see you all tomorrow
8:59 PM [iamzuhair] OK ENDO
8:59 PM [crengy] i have a Q unrelated to the topic;
8:59 PM [megs] so endocrino tomarrow
8:59 PM [iamzuhair] YES
8:59 PM [huli72] go ahead
8:59 PM [sanz] bye nasi, c ya
8:59 PM [iamzuhair] YES
8:59 PM [megs] bye all
8:59 PM [huli72] creng
8:59 PM [lanny] ok thx all see you
8:59 PM [cyrus1345] bye
8:59 PM cyrus1345 has left the chat.
8:59 PM [sanz] crengy, go ahead
8:59 PM [crengy] doing UW test how should i score to be above 90
8:59 PM [iamzuhair] HE IS TYPING WAIT HULI
8:59 PM [crengy] sorry for delay
9:00 PM [iamzuhair] HUH
9:00 PM [sanz] crengy, i have yet to see someone getting over 90 on UW
9:00 PM lanny has left the chat.
9:00 PM [huli72] what is the q? crengy?
9:00 PM [iamzuhair] I DIDNT GET IT
9:00 PM [crengy] no on exam
9:00 PM [iamzuhair] WHATS UW
9:00 PM [crengy] i mean i have 77
9:00 PM [crengy] an exam in 2 month
9:00 PM [huli72] that is a very nice score
9:01 PM [iamzuhair] WHATS UW
9:01 PM [crengy] and want more than 90 on exam
9:01 PM [sanz] that's great score already... you've got nth to worry abt
9:01 PM [iamzuhair] WHERE CAN I GET IT
9:01 PM [sanz] you can do the exams tmrw i think!
9:01 PM [huli72] just take the test, creng
9:01 PM [crengy] hm
9:01 PM [crengy] thanks
9:01 PM [sanz] UW = USMLE World
9:01 PM [crengy] but i need to be realy sure
9:01 PM [iamzuhair] SO DO I NEED TO BUY THE EXAMS
9:01 PM [crengy] yes
9:01 PM [sanz] what other qs did yuo do crengy?
9:01 PM megs has left the chat.
9:02 PM [crengy] only half of kaplan
9:02 PM [huli72] see you tommorrow
9:02 PM [crengy] see u tom
9:02 PM huli72 has left the chat.
9:03 PM [crengy] ok guys; thanks
9:03 PM [crengy] i go back to intoxication