02/8/05 19:08:37 [USMLE_Step_2] megs: hi huli sanz strug and step 2
02/8/05 19:08:46 [USMLE_Step_2] sanz: hey megs!
02/8/05 19:08:51 [USMLE_Step_2] sanz: how r u?
02/8/05 19:09:06 [USMLE_Step_2] megs: fine thank u sanz
02/8/05 19:09:13 [USMLE_Step_2] strug: hi all
02/8/05 19:09:16 [USMLE_Step_2] huli72: hi all
02/8/05 19:09:23 [USMLE_Step_2] strug: step 2 who are u?
02/8/05 19:09:33 [USMLE_Step_2] strug: i see u everyday
02/8/05 19:09:34 [USMLE_Step_2] sanz: megs, can i ask you something? If a mum has rubella infection and now is 6 wks pregnant.. what do you advice?
02/8/05 19:09:39 [USMLE_Step_2] strug: but u never ask any q?
02/8/05 19:09:59 [USMLE_Step_2] strug: acc to me sanz she can continue preg
02/8/05 19:10:01 [USMLE_Step_2] sanz: i'm fine thnx megs
02/8/05 19:10:18 [USMLE_Step_2] megs: abortion sanz
02/8/05 19:10:21 [USMLE_Step_2] strug: recent studis show till 28 days dont get preg after that its fine
02/8/05 19:10:40 [USMLE_Step_2] strug: there is only therototical evidence
02/8/05 19:10:48 [USMLE_Step_2] strug: no practical eveidnc ever found sanz
02/8/05 19:10:55 [USMLE_Step_2] sanz: strug, that is for vaccine right?
02/8/05 19:11:17 [USMLE_Step_2] sanz: what i'm saking is, she is now 6 wks preganat and she got rubella now... hasnt been vaccinated before...
02/8/05 19:11:30 [USMLE_Step_2] strug: oh gosh i thought u asked for vaccine....
02/8/05 19:11:38 [USMLE_Step_2] huli72: abortion
02/8/05 19:11:48 [USMLE_Step_2] sanz: ok thnx guys
02/8/05 19:12:12 [USMLE_Step_2] sanz: and usu we check rubella titire for pregnaant women at first prenatal visit right?
02/8/05 19:12:29 [USMLE_Step_2] huli72: yes
02/8/05 19:12:31 [USMLE_Step_2] sanz: so if she has been vacinnated, would her titre be high or low?
02/8/05 19:12:39 [USMLE_Step_2] huli72: high
02/8/05 19:13:04 [USMLE_Step_2] strug: we check antibody against rubella sanz
02/8/05 19:13:10 [USMLE_Step_2] sanz: thnx huli... just wanna clear a few doubts
02/8/05 19:13:16 [USMLE_Step_2] megs: actually after recent rubella infection and vaccination we do not advise preg for 6 months
02/8/05 19:13:19 [USMLE_Step_2] strug: so the titre high means she has antibody
02/8/05 19:13:40 [USMLE_Step_2] sanz: ok
02/8/05 19:13:48 [USMLE_Step_2] sanz: cuz MMR is a live vaccine
02/8/05 19:14:27 [USMLE_Step_2] sanz: the same is true if women get vaccinated for VZV... they#re advised not to get pregnant for 3 mth after vaccination
02/8/05 19:14:48 iamzuhair Logs in
02/8/05 19:14:50 [USMLE_Step_2] sanz: pardon my typo errors! hehe
02/8/05 19:14:52 iamzuhair Joins Subroom USMLE_Step_2
02/8/05 19:14:56 [USMLE_Step_2] iamzuhair: hi
02/8/05 19:15:00 [USMLE_Step_2] strug: hi zuhari
02/8/05 19:15:02 [USMLE_Step_2] huli72: hi zuhair
02/8/05 19:15:03 [USMLE_Step_2] sanz: hey zuhair... long time no see
02/8/05 19:15:05 [USMLE_Step_2] strug: zuhair
02/8/05 19:15:14 [USMLE_Step_2] iamzuhair: yeah dude- had to go to chicago
02/8/05 19:15:21 [USMLE_Step_2] iamzuhair: some peronal work
02/8/05 19:15:23 [USMLE_Step_2] huli72: for cs?
02/8/05 19:15:28 [USMLE_Step_2] iamzuhair: sorry for the absentence
02/8/05 19:15:44 [USMLE_Step_2] iamzuhair: oh i wish it were for cs
02/8/05 19:15:50 [USMLE_Step_2] sanz: no need to apologise... i just miss yr contributions and discussions
02/8/05 19:16:03 [USMLE_Step_2] iamzuhair: ok so we are started for today
02/8/05 19:16:11 lanny Logs in
02/8/05 19:16:12 lanny Joins Subroom USMLE_Step_2
02/8/05 19:16:14 [USMLE_Step_2] strug: yup just starting
02/8/05 19:16:20 [USMLE_Step_2] strug: here comes lanny
02/8/05 19:16:20 [USMLE_Step_2] iamzuhair: ok
02/8/05 19:16:21 [USMLE_Step_2] sanz: yup... wuz the topic strug?
02/8/05 19:16:31 [USMLE_Step_2] lanny: hi guys had a tough time logging in today..finally!
02/8/05 19:16:32 [USMLE_Step_2] sanz: hey lanny wuz up?
02/8/05 19:16:33 [USMLE_Step_2] strug: benign gynec
02/8/05 19:16:37 [USMLE_Step_2] iamzuhair: roll
02/8/05 19:16:42 [USMLE_Step_2] lanny: how are you all doing
02/8/05 19:16:42 [USMLE_Step_2] huli72: ohh
02/8/05 19:16:44 [USMLE_Step_2] megs: what is luekorrhoea???
02/8/05 19:16:54 [USMLE_Step_2] strug: inc discharge
02/8/05 19:17:01 [USMLE_Step_2] huli72: normal secretions from vaginal
02/8/05 19:17:07 [USMLE_Step_2] megs: yup huli
02/8/05 19:17:10 [USMLE_Step_2] lanny: white discharge from vagina normmal
02/8/05 19:17:11 [USMLE_Step_2] sanz: wow... that's good to know
02/8/05 19:17:12 [USMLE_Step_2] huli72: after puberty
02/8/05 19:17:40 [USMLE_Step_2] megs: thas excess physiological discarge
02/8/05 19:18:03 [USMLE_Step_2] megs: what r the timings???
02/8/05 19:18:14 [USMLE_Step_2] megs: i mean as one said puberty
02/8/05 19:18:28 [USMLE_Step_2] sanz: megs, luteal phase?
02/8/05 19:18:38 [USMLE_Step_2] lanny: dont it happen throughout?
02/8/05 19:18:39 [USMLE_Step_2] megs: at ovulation ..during pregnancy
02/8/05 19:18:40 [USMLE_Step_2] huli72: middle of the period
02/8/05 19:18:48 [USMLE_Step_2] lanny: the cycle
02/8/05 19:18:53 [USMLE_Step_2] huli72: estrogen effect
02/8/05 19:18:54 [USMLE_Step_2] megs: yup huli correct
02/8/05 19:19:35 [USMLE_Step_2] megs: hw will u disingwish tricomoniasis and candidiases
02/8/05 19:19:39 [USMLE_Step_2] iamzuhair: MCC of infertility in age under 30 yrs with normal menstration
02/8/05 19:19:43 [USMLE_Step_2] sanz: smear
02/8/05 19:19:43 [USMLE_Step_2] megs: clinically
02/8/05 19:19:54 [USMLE_Step_2] huli72: KOH
02/8/05 19:20:08 [USMLE_Step_2] sanz: candidias has white creamy discharge and erythe base... comes off easily
02/8/05 19:20:19 [USMLE_Step_2] sanz: trichos... smells bad with strawberyr cerviz
02/8/05 19:20:27 [USMLE_Step_2] strug: in trichom greenish froathy discharege. in candi curdy white adhereent discharge
02/8/05 19:20:31 [USMLE_Step_2] sanz: gosh, i really cant type!
02/8/05 19:20:31 [USMLE_Step_2] megs: remember curdy white cadida
02/8/05 19:20:38 [USMLE_Step_2] huli72: tricomo has grey waterry
02/8/05 19:20:49 [USMLE_Step_2] megs: yes strug
02/8/05 19:21:07 [USMLE_Step_2] megs: what is whiff tset???
02/8/05 19:21:17 [USMLE_Step_2] huli72: what other vaginis has strawberry cervix?
02/8/05 19:21:23 [USMLE_Step_2] strug: when koh put on discharge fishy oduur megs
02/8/05 19:21:29 [USMLE_Step_2] lanny: KOH added to specime gives off fishy odour
02/8/05 19:21:38 [USMLE_Step_2] huli72: agree
02/8/05 19:21:38 [USMLE_Step_2] sanz: for gardnerella
02/8/05 19:21:43 [USMLE_Step_2] megs: for which organism we do it???
02/8/05 19:21:46 [USMLE_Step_2] strug: i know of trichomonaisia only huli.....
02/8/05 19:21:48 [USMLE_Step_2] megs: yup sanz
02/8/05 19:21:48 [USMLE_Step_2] sanz: gardnerella
02/8/05 19:21:56 [USMLE_Step_2] lanny: bact vaginosis
02/8/05 19:21:57 [USMLE_Step_2] strug: bacterial =vaginosis megs
02/8/05 19:22:03 [USMLE_Step_2] huli72: sanz correct
02/8/05 19:22:07 [USMLE_Step_2] megs: all correct
02/8/05 19:22:15 [USMLE_Step_2] huli72: all correct
02/8/05 19:22:29 [USMLE_Step_2] strug: huli which other gives strawberry ?
02/8/05 19:22:35 [USMLE_Step_2] megs: what r the causes of pruritus vulva???
02/8/05 19:22:39 [USMLE_Step_2] huli72: garderella
02/8/05 19:22:41 [USMLE_Step_2] lanny: wifff like viff...vaginosis//mnemonic
02/8/05 19:22:41 [USMLE_Step_2] iamzuhair: yes
02/8/05 19:22:45 [USMLE_Step_2] strug: depends on age megs
02/8/05 19:22:54 [USMLE_Step_2] huli72: or becterial vaginitits
02/8/05 19:22:56 [USMLE_Step_2] sanz: HPV
02/8/05 19:22:56 [USMLE_Step_2] megs: yup strug
02/8/05 19:23:00 [USMLE_Step_2] lanny: agree with strug
02/8/05 19:23:11 [USMLE_Step_2] strug: in old females....atrophic and even dysplasia and carcinoma
02/8/05 19:23:17 [USMLE_Step_2] strug: of vulva
02/8/05 19:23:37 [USMLE_Step_2] strug: in females of repro age group....trichomas and candiada
02/8/05 19:23:40 [USMLE_Step_2] megs: yeah and all vaginitis except BACTERIAL
02/8/05 19:24:18 [USMLE_Step_2] iamzuhair: thanks - didnt know that bact doesnt cause pruritis
02/8/05 19:24:23 [USMLE_Step_2] megs: only white discharege fishy smell no itch..bacterial vaginitis
02/8/05 19:24:23 [USMLE_Step_2] sanz: so tricho and gardnerella wont cause pruitis?
02/8/05 19:24:26 [USMLE_Step_2] strug: most common cause of vaginal complains in US?
02/8/05 19:24:41 [USMLE_Step_2] iamzuhair: chlamydia
02/8/05 19:24:41 [USMLE_Step_2] sanz: strug, abn discharge?
02/8/05 19:24:44 [USMLE_Step_2] megs: trich cause itching
02/8/05 19:24:52 [USMLE_Step_2] megs: sanz
02/8/05 19:24:57 [USMLE_Step_2] huli72: ithching
02/8/05 19:25:03 [USMLE_Step_2] strug: bacterial vaginosis is most common cause of vaginal complaints in US
02/8/05 19:25:10 [USMLE_Step_2] sanz: ok megs
02/8/05 19:25:10 [USMLE_Step_2] iamzuhair: oh
02/8/05 19:25:24 [USMLE_Step_2] huli72: oh, strug
02/8/05 19:25:40 [USMLE_Step_2] strug: most common over all STD?
02/8/05 19:25:46 [USMLE_Step_2] sanz: when you say bacterial baginosis, it can be assumed gardnerella right?
02/8/05 19:25:53 [USMLE_Step_2] huli72: clamydia
02/8/05 19:25:54 [USMLE_Step_2] lanny: chlamydia
02/8/05 19:25:55 [USMLE_Step_2] sanz: chlamysdia
02/8/05 19:26:08 [USMLE_Step_2] strug: condyloma acuminate , [ genital warts] guys
02/8/05 19:26:09 [USMLE_Step_2] megs: yup sanz
02/8/05 19:26:14 [USMLE_Step_2] iamzuhair: hpv
02/8/05 19:26:22 [USMLE_Step_2] iamzuhair: HPV
02/8/05 19:26:29 [USMLE_Step_2] strug: most common bacterial STD?
02/8/05 19:26:40 [USMLE_Step_2] iamzuhair: chlamydia
02/8/05 19:26:41 [USMLE_Step_2] megs: but some more r there such as H. VAGINALIS BLABLA
02/8/05 19:26:56 [USMLE_Step_2] strug: yup zuhair u r right
02/8/05 19:27:02 [USMLE_Step_2] lanny: strug is warts most comm STD?
02/8/05 19:27:09 [USMLE_Step_2] strug: yes
02/8/05 19:27:12 [USMLE_Step_2] sanz: megs.. ok
02/8/05 19:27:19 [USMLE_Step_2] lanny: dont think so
02/8/05 19:27:27 [USMLE_Step_2] megs: WHAT R THE PRIMARY SITS OF AFFECTION FOR GONOCOCCI???
02/8/05 19:27:44 [USMLE_Step_2] huli72: urethral
02/8/05 19:27:46 [USMLE_Step_2] strug: lower and upper genital tract megs
02/8/05 19:27:57 [USMLE_Step_2] sanz: cervix megs?
02/8/05 19:28:15 [USMLE_Step_2] megs: agits cervix bartholin gland and tubes
02/8/05 19:28:31 [USMLE_Step_2] strug: lanny thats what kaplan says for warts
02/8/05 19:28:34 [USMLE_Step_2] megs: i mean tubal endothelium
02/8/05 19:28:36 [USMLE_Step_2] iamzuhair: MCC of infertility in age under 30 yrs with normal menstration
02/8/05 19:28:51 [USMLE_Step_2] strug: PID zuhair
02/8/05 19:28:52 [USMLE_Step_2] iamzuhair: PID
02/8/05 19:28:54 [USMLE_Step_2] iamzuhair: yes
02/8/05 19:28:56 [USMLE_Step_2] megs: pid
02/8/05 19:29:10 [USMLE_Step_2] iamzuhair: MCC of infertility in age under 30 yrs with abnormal menst
02/8/05 19:29:19 [USMLE_Step_2] huli72: anovulation
02/8/05 19:29:25 [USMLE_Step_2] iamzuhair: yes
02/8/05 19:29:27 [USMLE_Step_2] strug: anovulation
02/8/05 19:29:30 [USMLE_Step_2] iamzuhair: pcos
02/8/05 19:29:46 [USMLE_Step_2] megs: what is the surgical tratment of bartholins cyst???/
02/8/05 19:29:57 [USMLE_Step_2] strug: marsupilisationmegs
02/8/05 19:30:01 [USMLE_Step_2] sanz: marsupulation
02/8/05 19:30:02 [USMLE_Step_2] iamzuhair: yes
02/8/05 19:30:03 [USMLE_Step_2] huli72: agree
02/8/05 19:30:06 [USMLE_Step_2] megs: marsupalization correct
02/8/05 19:30:14 [USMLE_Step_2] megs: why not excision
02/8/05 19:30:18 [USMLE_Step_2] lanny: herpes somplex is the most common std foll by chlam
02/8/05 19:30:43 [USMLE_Step_2] sanz: megs, dont know... recurrence?
02/8/05 19:30:44 [USMLE_Step_2] huli72: what, lanny
02/8/05 19:30:47 [USMLE_Step_2] iamzuhair: rx of chalmydia for preggy
02/8/05 19:30:52 [USMLE_Step_2] megs: recurrence is common..correct sanz
02/8/05 19:30:53 [USMLE_Step_2] huli72: where did you get that?
02/8/05 19:31:00 [USMLE_Step_2] sanz: hehe... that was a guess megs
02/8/05 19:31:21 [USMLE_Step_2] sanz: how is marsupulization actually done?
02/8/05 19:31:22 [USMLE_Step_2] strug: do u treat the partner in candida?
02/8/05 19:31:24 [USMLE_Step_2] megs: sanz perfect guess
02/8/05 19:31:26 [USMLE_Step_2] iamzuhair: no
02/8/05 19:31:27 [USMLE_Step_2] sanz: no strug
02/8/05 19:31:34 [USMLE_Step_2] huli72: no
02/8/05 19:31:34 [USMLE_Step_2] strug: u right guys
02/8/05 19:31:39 [USMLE_Step_2] strug: in bact vaginosis?
02/8/05 19:31:43 [USMLE_Step_2] iamzuhair: no
02/8/05 19:31:47 [USMLE_Step_2] huli72: no
02/8/05 19:31:48 [USMLE_Step_2] strug: correct
02/8/05 19:31:53 [USMLE_Step_2] strug: in trichomoniasis?
02/8/05 19:31:55 [USMLE_Step_2] iamzuhair: yes
02/8/05 19:31:56 [USMLE_Step_2] huli72: yes
02/8/05 19:31:58 [USMLE_Step_2] strug: good
02/8/05 19:31:59 [USMLE_Step_2] sanz: zuhair, wuz the ans to yr q plz?
02/8/05 19:32:05 [USMLE_Step_2] iamzuhair: rx of chalmydia for preggy
02/8/05 19:32:19 [USMLE_Step_2] huli72: erythramycin
02/8/05 19:32:23 [USMLE_Step_2] strug: pamamamomycin something?
02/8/05 19:32:27 [USMLE_Step_2] iamzuhair: erythromycin
02/8/05 19:33:05 [USMLE_Step_2] iamzuhair: if non compliant people with chlamydia what rx
02/8/05 19:33:15 [USMLE_Step_2] sanz: strug, that was somthing that zuhair went to look up for us in harrison... what is it for again? cant belive i've forgotten it
02/8/05 19:33:17 [USMLE_Step_2] huli72: azithry
02/8/05 19:33:31 [USMLE_Step_2] iamzuhair: single dose of 1 gm azithromycin orally
02/8/05 19:33:37 [USMLE_Step_2] iamzuhair: right huli
02/8/05 19:33:56 [USMLE_Step_2] strug: hhhmmmmm....yes its for Rx of giardia in preg sanz
02/8/05 19:33:59 [USMLE_Step_2] lanny: paroromycin
02/8/05 19:34:06 [USMLE_Step_2] iamzuhair: lol
02/8/05 19:34:08 [USMLE_Step_2] sanz: ph yeah... thnx strug...
02/8/05 19:34:09 [USMLE_Step_2] huli72: metronidazole
02/8/05 19:34:14 [USMLE_Step_2] megs: metronidazole
02/8/05 19:34:21 [USMLE_Step_2] huli72: local use
02/8/05 19:35:09 [USMLE_Step_2] strug: Rx of physiologic discharge?
02/8/05 19:35:15 [USMLE_Step_2] sanz: nil
02/8/05 19:35:17 [USMLE_Step_2] huli72: no trt
02/8/05 19:35:17 [USMLE_Step_2] iamzuhair: no
02/8/05 19:35:24 [USMLE_Step_2] strug: excess phisiologic discharg
02/8/05 19:35:35 [USMLE_Step_2] iamzuhair: ocp
02/8/05 19:35:36 [USMLE_Step_2] sanz: give hormones
02/8/05 19:35:36 [USMLE_Step_2] huli72: use ped
02/8/05 19:35:39 [USMLE_Step_2] iamzuhair: ?????
02/8/05 19:35:47 [USMLE_Step_2] iamzuhair: progest
02/8/05 19:35:50 [USMLE_Step_2] strug: yup its ocp or progestins
02/8/05 19:36:09 [USMLE_Step_2] lanny: bact vaginosis in preg how trt?
02/8/05 19:36:10 [USMLE_Step_2] strug: rem it occurs in PCO and u give ocp and proge for Rx of pco
02/8/05 19:36:18 [USMLE_Step_2] strug: clinda cream lanny
02/8/05 19:36:51 [USMLE_Step_2] lanny: yes strug
02/8/05 19:37:07 [USMLE_Step_2] strug: :ba
02/8/05 19:37:13 [USMLE_Step_2] megs: we can give metronidazole in pregnancy not a absolute contraindication...dont give during 3 ...8 week.
02/8/05 19:37:31 [USMLE_Step_2] lanny: whats that strug
02/8/05 19:37:33 [USMLE_Step_2] strug: yup metro c/I in first trimester only
02/8/05 19:37:33 [USMLE_Step_2] megs: but what usmle expect strug u tell??
02/8/05 19:37:36 [USMLE_Step_2] iamzuhair: yeah
02/8/05 19:37:50 [USMLE_Step_2] iamzuhair: :gu
02/8/05 19:37:53 [USMLE_Step_2] lanny: usmle avoid metro in preg
02/8/05 19:37:58 [USMLE_Step_2] sanz: lol you guys
02/8/05 19:38:05 [USMLE_Step_2] iamzuhair: hey there are these new smiles
02/8/05 19:38:10 [USMLE_Step_2] megs: pop...is what strug???
02/8/05 19:38:17 [USMLE_Step_2] lanny: poop
02/8/05 19:38:19 [USMLE_Step_2] megs: i mean poop
02/8/05 19:38:25 [USMLE_Step_2] strug: something like hurray i guess megs
02/8/05 19:38:31 [USMLE_Step_2] iamzuhair: :ba
02/8/05 19:38:44 [USMLE_Step_2] lanny: anyone passed
02/8/05 19:38:46 dua_frank Logs in
02/8/05 19:38:48 dua_frank Joins Subroom USMLE_Step_2
02/8/05 19:38:48 [USMLE_Step_2] huli72: you guys are so funny
02/8/05 19:38:51 [USMLE_Step_2] dua_frank: hi all
02/8/05 19:38:53 [USMLE_Step_2] sanz: hey dua
02/8/05 19:38:54 [USMLE_Step_2] megs: :an :an u guys r terrific
02/8/05 19:38:55 [USMLE_Step_2] iamzuhair: hi dua
02/8/05 19:38:57 [USMLE_Step_2] strug: this is fun :cl
02/8/05 19:38:57 [USMLE_Step_2] lanny: hi fua
02/8/05 19:39:00 [USMLE_Step_2] sanz: they have gone crazy
02/8/05 19:39:03 [USMLE_Step_2] dua_frank: megs you scared me
02/8/05 19:39:05 [USMLE_Step_2] iamzuhair: :box
02/8/05 19:39:13 [USMLE_Step_2] strug: :box dua
02/8/05 19:39:17 [USMLE_Step_2] megs: not at all dua
02/8/05 19:39:19 [USMLE_Step_2] iamzuhair: lol
02/8/05 19:39:20 [USMLE_Step_2] dua_frank: i knew this was going to happen one day
02/8/05 19:39:21 [USMLE_Step_2] sanz: you guys
02/8/05 19:39:26 [USMLE_Step_2] iamzuhair: lol
02/8/05 19:39:27 [USMLE_Step_2] dua_frank: you guys have finally lost it
02/8/05 19:39:31 [USMLE_Step_2] megs: its a fun session or what
02/8/05 19:39:34 [USMLE_Step_2] sanz: :gun
02/8/05 19:39:35 [USMLE_Step_2] dua_frank: USMLE does that to you...
02/8/05 19:39:36 [USMLE_Step_2] iamzuhair: ok guys
02/8/05 19:39:37 [USMLE_Step_2] strug: :gun
02/8/05 19:39:45 [USMLE_Step_2] megs: hey sanz stop that
02/8/05 19:39:45 [USMLE_Step_2] lanny: ok guys order!!!!!!
02/8/05 19:39:45 [USMLE_Step_2] dua_frank: sanz you too :ba
02/8/05 19:39:49 [USMLE_Step_2] strug: :hu
02/8/05 19:39:52 [USMLE_Step_2] iamzuhair: :ba
02/8/05 19:39:57 [USMLE_Step_2] sanz: well, if you cant win, join the club
02/8/05 19:40:09 [USMLE_Step_2] strug: ok common back
02/8/05 19:40:12 [USMLE_Step_2] iamzuhair: ok
02/8/05 19:40:25 [USMLE_Step_2] dua_frank: i totally agee :gu
02/8/05 19:40:33 [USMLE_Step_2] strug: painful ulcer in which STD?
02/8/05 19:40:37 [USMLE_Step_2] sanz: now i have to erase the whole screen...
02/8/05 19:40:40 [USMLE_Step_2] iamzuhair: chancroid
02/8/05 19:40:44 [USMLE_Step_2] iamzuhair: herpes both
02/8/05 19:40:47 [USMLE_Step_2] huli72: herps
02/8/05 19:40:47 [USMLE_Step_2] strug: yup
02/8/05 19:40:51 [USMLE_Step_2] dua_frank: herpes
02/8/05 19:40:51 [USMLE_Step_2] megs: herpes and hancroid
02/8/05 19:40:54 [USMLE_Step_2] strug: Rx of chancroid
02/8/05 19:40:58 [USMLE_Step_2] megs: chancroid
02/8/05 19:41:07 [USMLE_Step_2] sanz: cef
02/8/05 19:41:10 [USMLE_Step_2] iamzuhair: azith and cef
02/8/05 19:41:13 [USMLE_Step_2] megs: erythromycin doxy
02/8/05 19:41:23 [USMLE_Step_2] strug: azithro or cef or erytho or doxy all correct
02/8/05 19:41:23 [USMLE_Step_2] iamzuhair: azith oral and cef im
02/8/05 19:41:23 [USMLE_Step_2] huli72: and veneria inguanal
02/8/05 19:41:38 [USMLE_Step_2] sanz: which organism?
02/8/05 19:41:41 [USMLE_Step_2] strug: huli this is where i was confused
02/8/05 19:41:41 [USMLE_Step_2] iamzuhair: tetra
02/8/05 19:41:47 [USMLE_Step_2] lanny: haem ducreyi
02/8/05 19:41:48 [USMLE_Step_2] strug: H ducreyi sanz
02/8/05 19:41:54 [USMLE_Step_2] sanz: right strug
02/8/05 19:42:00 [USMLE_Step_2] huli72: chlamydia L1-3
02/8/05 19:42:06 [USMLE_Step_2] iamzuhair: u do cry with ducreyi
02/8/05 19:42:06 [USMLE_Step_2] strug: does lymphogran inguinale cause painful ulcer?
02/8/05 19:42:09 [USMLE_Step_2] iamzuhair: u do cry with ducreyi
02/8/05 19:42:14 [USMLE_Step_2] iamzuhair: no
02/8/05 19:42:16 [USMLE_Step_2] dua_frank: no
02/8/05 19:42:17 [USMLE_Step_2] sanz: no
02/8/05 19:42:21 [USMLE_Step_2] iamzuhair: u do cry with ducreyi
02/8/05 19:42:22 [USMLE_Step_2] megs: what is the organism for gr inguinale???
02/8/05 19:42:23 [USMLE_Step_2] huli72: yes
02/8/05 19:42:28 [USMLE_Step_2] dua_frank: clam
02/8/05 19:42:30 [USMLE_Step_2] strug: clamamymalo bact megs
02/8/05 19:42:35 [USMLE_Step_2] lanny: lymphogranuloma ven
02/8/05 19:42:37 [USMLE_Step_2] strug: huli is yes the ans to my q?
02/8/05 19:42:40 [USMLE_Step_2] megs: calimatobacter yup strug
02/8/05 19:42:43 [USMLE_Step_2] huli72: yes
02/8/05 19:42:52 [USMLE_Step_2] strug: please clear my doubt all of u?
02/8/05 19:43:07 [USMLE_Step_2] sanz: what is yr q strug?
02/8/05 19:43:10 [USMLE_Step_2] iamzuhair: which one strug
02/8/05 19:43:13 [USMLE_Step_2] strug: does lymp granu inguina cause painful ulcer
02/8/05 19:43:17 [USMLE_Step_2] iamzuhair: no
02/8/05 19:43:18 [USMLE_Step_2] iamzuhair: no
02/8/05 19:43:20 [USMLE_Step_2] lanny: no
02/8/05 19:43:22 [USMLE_Step_2] sanz: no
02/8/05 19:43:27 [USMLE_Step_2] huli72: yes
02/8/05 19:43:30 [USMLE_Step_2] strug: i read one place it causes and huli also agrees
02/8/05 19:43:32 [USMLE_Step_2] lanny: another painless
02/8/05 19:43:44 [USMLE_Step_2] huli72: it is painful
02/8/05 19:43:44 [USMLE_Step_2] strug: can someone check out pl
02/8/05 19:43:51 [USMLE_Step_2] iamzuhair: it causes painful ADENITIS
02/8/05 19:43:53 [USMLE_Step_2] iamzuhair: it causes painful ADENITIS
02/8/05 19:43:58 [USMLE_Step_2] iamzuhair: NOT ULCERS
02/8/05 19:44:06 [USMLE_Step_2] iamzuhair: LYMPHADENITIS
02/8/05 19:44:08 [USMLE_Step_2] megs: its node
02/8/05 19:44:20 [USMLE_Step_2] huli72: and painful ulcer
02/8/05 19:44:22 [USMLE_Step_2] lanny: no pain in lymhogr v
02/8/05 19:44:32 [USMLE_Step_2] megs: with erosion
02/8/05 19:44:37 [USMLE_Step_2] sanz: lymh ingui is chlamydia L1-3 right/
02/8/05 19:44:53 [USMLE_Step_2] lanny: chlamydia trachom
02/8/05 19:45:01 [USMLE_Step_2] strug: chalmy tracho is all i know sanz
02/8/05 19:45:15 [USMLE_Step_2] strug: L1 to 3
02/8/05 19:45:19 [USMLE_Step_2] sanz: it's serotype L1-3 i'm sure
02/8/05 19:45:27 [USMLE_Step_2] megs: yup sanz
02/8/05 19:45:35 [USMLE_Step_2] megs: agree with u
02/8/05 19:45:36 [USMLE_Step_2] sanz: Chalm tricho serotype A-C is the one with blindness
02/8/05 19:45:36 [USMLE_Step_2] iamzuhair: dont think they ask serotypes
02/8/05 19:45:38 [USMLE_Step_2] huli72: painful ulcer?
02/8/05 19:45:45 [USMLE_Step_2] strug: huli where did u read it?
02/8/05 19:45:54 [USMLE_Step_2] huli72: Kap notes?
02/8/05 19:45:59 [USMLE_Step_2] strug: me too
02/8/05 19:45:59 [USMLE_Step_2] sanz: you need to know... cuz they cause different things...
02/8/05 19:46:03 [USMLE_Step_2] iamzuhair: kap gives painless
02/8/05 19:46:22 [USMLE_Step_2] strug: in the obgyn book zuhair but in IM book they say painful
02/8/05 19:46:27 [USMLE_Step_2] huli72: maybe somewhere I gorget
02/8/05 19:46:28 [USMLE_Step_2] iamzuhair: oh
02/8/05 19:46:36 [USMLE_Step_2] iamzuhair: let me see justa sec
02/8/05 19:46:38 [USMLE_Step_2] strug: lemme check once again
02/8/05 19:46:51 [USMLE_Step_2] lanny: strug the dz is painful the l nodes the ulcer itself is painless
02/8/05 19:47:24 [USMLE_Step_2] lanny: actually the l nodes are tender suppurate
02/8/05 19:47:25 [USMLE_Step_2] megs: let me clarify..LGV R small painless ulcer and GRANULOMA INGUINALE IN LN PATHY WHICH IS TOO PAINLESS
02/8/05 19:48:15 [USMLE_Step_2] strug: ok gotcha u guys....ulcer painless in lym ing
02/8/05 19:48:21 sierra Logs in
02/8/05 19:48:22 [USMLE_Step_2] iamzuhair: no dude
02/8/05 19:48:22 [USMLE_Step_2] strug: thanks all of u so much
02/8/05 19:48:31 [USMLE_Step_2] sanz: yup... i just checked.. it's painless
02/8/05 19:48:32 [USMLE_Step_2] megs: in gr enguinale nodes can ucerate but its ln pathy basically
02/8/05 19:48:40 [USMLE_Step_2] iamzuhair: no pain in IM kaplan too
02/8/05 19:48:45 [USMLE_Step_2] lanny: what aout syphillis ulcer
02/8/05 19:48:46 sierra Logs Out
02/8/05 19:48:48 [USMLE_Step_2] dua_frank: its the demarcating feature
02/8/05 19:48:51 [USMLE_Step_2] sanz: painless lanny
02/8/05 19:48:51 [USMLE_Step_2] strug: thanks zuhair
02/8/05 19:48:54 [USMLE_Step_2] megs: in LGV its ulcer but secondary lnpathy can occur
02/8/05 19:48:59 [USMLE_Step_2] huli72: no pain in kap IM notes
02/8/05 19:49:08 [USMLE_Step_2] dua_frank: no pain
02/8/05 19:49:08 [USMLE_Step_2] sanz: http://www.emedicine.com/derm/topic617.htm
02/8/05 19:49:10 [USMLE_Step_2] huli72: thanks, guys,
02/8/05 19:49:15 [USMLE_Step_2] dua_frank: yes pain, think of chanchroid
02/8/05 19:49:21 [USMLE_Step_2] lanny: yes painless in syph
02/8/05 19:49:28 [USMLE_Step_2] iamzuhair: u do cry with ducreyi
02/8/05 19:49:35 [USMLE_Step_2] dua_frank: yes yes zuhair
02/8/05 19:49:46 [USMLE_Step_2] megs: yup zuhair
02/8/05 19:49:47 [USMLE_Step_2] lanny: yes ducreyi is painful
02/8/05 19:49:52 [USMLE_Step_2] dua_frank: i cry you cry with ducreyi
02/8/05 19:49:59 [USMLE_Step_2] iamzuhair: lol
02/8/05 19:50:00 [USMLE_Step_2] iamzuhair: ok
02/8/05 19:50:03 [USMLE_Step_2] iamzuhair: move on
02/8/05 19:50:06 [USMLE_Step_2] strug: thanks :cl
02/8/05 19:50:21 [USMLE_Step_2] lanny: thats how i remember it too creyi like cry pain
02/8/05 19:50:35 [USMLE_Step_2] lanny: stop crying strug...
02/8/05 19:50:43 [USMLE_Step_2] dua_frank: sanz how did you paste that link? i cant even open the link here
02/8/05 19:50:44 [USMLE_Step_2] iamzuhair: syphilis with penicilin allergy pt non preg
02/8/05 19:51:04 [USMLE_Step_2] strug: erythor or doxy zuhari
02/8/05 19:51:10 [USMLE_Step_2] dua_frank: or copy and paste it
02/8/05 19:51:13 [USMLE_Step_2] iamzuhair: yes
02/8/05 19:51:13 [USMLE_Step_2] sanz: you cant get to that link?
02/8/05 19:51:18 [USMLE_Step_2] iamzuhair: doxy or tetra
02/8/05 19:51:19 [USMLE_Step_2] dua_frank: nope
02/8/05 19:51:27 [USMLE_Step_2] lanny: desens and give pen
02/8/05 19:51:40 [USMLE_Step_2] strug: lanny shes non preg
02/8/05 19:51:48 [USMLE_Step_2] strug: only in preg u do that
02/8/05 19:51:48 [USMLE_Step_2] iamzuhair: no in preg u desentisize
02/8/05 19:52:01 [USMLE_Step_2] lanny: agree with me zuhair
02/8/05 19:52:11 [USMLE_Step_2] iamzuhair: lol
02/8/05 19:52:32 [USMLE_Step_2] iamzuhair: in preg u desentisize
02/8/05 19:52:38 [USMLE_Step_2] huli72: agree
02/8/05 19:52:47 [USMLE_Step_2] iamzuhair: in non preg with allergy u have other options
02/8/05 19:53:03 [USMLE_Step_2] strug: Ocp prevents for not PID?
02/8/05 19:53:04 [USMLE_Step_2] huli72: like erythr and doxy
02/8/05 19:53:13 [USMLE_Step_2] iamzuhair: yes
02/8/05 19:53:14 [USMLE_Step_2] huli72: yes
02/8/05 19:53:17 [USMLE_Step_2] lanny: yes
02/8/05 19:53:22 [USMLE_Step_2] strug: \does ocp prevent PID?
02/8/05 19:53:27 [USMLE_Step_2] lanny: ques strug?
02/8/05 19:53:27 [USMLE_Step_2] strug: all of them?
02/8/05 19:53:42 [USMLE_Step_2] megs: not cervical clamidiya
02/8/05 19:53:45 [USMLE_Step_2] iamzuhair: may be not all
02/8/05 19:53:53 [USMLE_Step_2] megs: but rest all
02/8/05 19:54:02 [USMLE_Step_2] iamzuhair: ?
02/8/05 19:54:13 [USMLE_Step_2] strug: no megs it prevents only against gonorrh nothing else
02/8/05 19:54:21 [USMLE_Step_2] iamzuhair: oh
02/8/05 19:54:28 [USMLE_Step_2] iamzuhair: where from struge
02/8/05 19:54:34 [USMLE_Step_2] iamzuhair: where did u read it
02/8/05 19:54:38 [USMLE_Step_2] lanny: never heard strug
02/8/05 19:54:43 [USMLE_Step_2] lanny: you sure
02/8/05 19:54:48 [USMLE_Step_2] strug: in Swanson Family practice
02/8/05 19:54:52 [USMLE_Step_2] iamzuhair: ok
02/8/05 19:55:00 [USMLE_Step_2] megs: i think itsonly cervical clamidiya
02/8/05 19:55:07 [USMLE_Step_2] lanny: do you know swanson died 2 yrs ago
02/8/05 19:55:12 [USMLE_Step_2] megs: you again rechek
02/8/05 19:55:17 [USMLE_Step_2] megs: i will also cq
02/8/05 19:55:20 [USMLE_Step_2] strug: megs can u check out pl......i am going to check
02/8/05 19:55:43 [USMLE_Step_2] megs: can u tell mi page no
02/8/05 19:55:47 [USMLE_Step_2] lanny: when do we hopital for PID
02/8/05 19:55:54 [USMLE_Step_2] iamzuhair: cervicitis ? --- symptoms
02/8/05 19:56:00 [USMLE_Step_2] huli72: fever
02/8/05 19:56:05 [USMLE_Step_2] sanz: if pt very unwell
02/8/05 19:56:07 [USMLE_Step_2] sanz: hehe
02/8/05 19:56:10 [USMLE_Step_2] huli72: and incr WBC
02/8/05 19:56:15 [USMLE_Step_2] iamzuhair: only vaginal discharge
02/8/05 19:56:15 [USMLE_Step_2] huli72: pelvic pain
02/8/05 19:56:17 [USMLE_Step_2] iamzuhair: only vaginal discharge
02/8/05 19:56:24 [USMLE_Step_2] lanny: if resp to antib is non after 3 days
02/8/05 19:56:25 [USMLE_Step_2] iamzuhair: no other symtoms
02/8/05 19:56:32 [USMLE_Step_2] dua_frank: lanny i didn't even know he was a living person
02/8/05 19:56:39 [USMLE_Step_2] lanny: high fever
02/8/05 19:56:40 [USMLE_Step_2] iamzuhair: wbc - N
02/8/05 19:56:45 [USMLE_Step_2] iamzuhair: NO FEVER
02/8/05 19:56:55 [USMLE_Step_2] iamzuhair: NO TENDERNESS
02/8/05 19:56:57 [USMLE_Step_2] huli72: swanson died?
02/8/05 19:56:59 [USMLE_Step_2] lanny: swanson died suddenly 2or 3 yrs ago
02/8/05 19:57:10 [USMLE_Step_2] huli72: why he died?
02/8/05 19:57:10 [USMLE_Step_2] iamzuhair: DID U GUYS KNOW HIM
02/8/05 19:57:11 [USMLE_Step_2] dua_frank: huli knew him too
02/8/05 19:57:36 [USMLE_Step_2] lanny: he was a nice doc think he had cancer
02/8/05 19:57:41 [USMLE_Step_2] huli72: no, I don't know him, I only know swanson family practice
02/8/05 19:57:43 [USMLE_Step_2] dua_frank: oh
02/8/05 19:57:48 [USMLE_Step_2] dua_frank: sorry
02/8/05 19:58:02 [USMLE_Step_2] iamzuhair: ONLY STD THAT CAN BE PREVENTED BY VACCINATION
02/8/05 19:58:08 [USMLE_Step_2] sanz: zuhair, can you surmmarise when to hospitalise pt with PID plz?
02/8/05 19:58:11 [USMLE_Step_2] sanz: Hep B
02/8/05 19:58:18 [USMLE_Step_2] megs: agree sanz
02/8/05 19:58:19 [USMLE_Step_2] iamzuhair: YES
02/8/05 19:58:20 [USMLE_Step_2] huli72: HBV
02/8/05 19:58:25 [USMLE_Step_2] lanny: chlamydia
02/8/05 19:58:28 [USMLE_Step_2] dua_frank: hiv too?
02/8/05 19:58:37 [USMLE_Step_2] dua_frank: is the vaccine approved yet?
02/8/05 19:58:47 [USMLE_Step_2] sanz: dua, not that i know of...
02/8/05 19:58:54 [USMLE_Step_2] strug: dua did u discover that too :cl
02/8/05 19:59:06 [USMLE_Step_2] sanz: hehehe strug
02/8/05 19:59:13 [USMLE_Step_2] dua_frank: i wish strug but somebody beat me to it already
02/8/05 19:59:22 [USMLE_Step_2] iamzuhair: IN TUBO OVARIAN ABSCESS OR CHRONIC PID OR ACUTE SALPING OPHERECTOMY
02/8/05 19:59:25 [USMLE_Step_2] strug: oooooohhhhh dua
02/8/05 19:59:35 [USMLE_Step_2] sanz: thnx zuhair
02/8/05 19:59:41 [USMLE_Step_2] strug: what was that for?
02/8/05 19:59:56 [USMLE_Step_2] lanny: chlamydia trt?
02/8/05 20:00:01 [USMLE_Step_2] megs: hospitalization in pid case
02/8/05 20:00:06 [USMLE_Step_2] iamzuhair: THAT WAS WHEN TO HOSPITALIZE PT WITH PID
02/8/05 20:00:18 [USMLE_Step_2] strug: hey man didnt u forger fever?
02/8/05 20:00:19 [USMLE_Step_2] huli72: doxy
02/8/05 20:00:26 [USMLE_Step_2] strug: temp>102
02/8/05 20:00:32 [USMLE_Step_2] lanny: yea high fever
02/8/05 20:00:37 [USMLE_Step_2] iamzuhair: ONLY CERVICITIS WITH VAGINAL DISCHARGE WE DONT HAVE TO HOSPITALIZE
02/8/05 20:00:42 [USMLE_Step_2] lanny: temp > 39degree
02/8/05 20:00:43 [USMLE_Step_2] strug: or if female is nulliparous, alolescent
02/8/05 20:01:00 [USMLE_Step_2] huli72: and fertility desired
02/8/05 20:01:02 [USMLE_Step_2] strug: or if dianosis not clear
02/8/05 20:01:11 [USMLE_Step_2] strug: or if she is on IUCD
02/8/05 20:01:40 [USMLE_Step_2] lanny: dont you hospit all preg pt for PID???
02/8/05 20:01:50 [USMLE_Step_2] iamzuhair: YES ---IT BASICALLY DEPENDS ON THE PROCEDURE WE ARE GOING TO DO ONHER
02/8/05 20:02:31 [USMLE_Step_2] lanny: im talkig of tratment do you hopital all preg pts regardless?
02/8/05 20:02:52 [USMLE_Step_2] iamzuhair: no
02/8/05 20:02:56 [USMLE_Step_2] strug: m not sure lanny
02/8/05 20:03:25 [USMLE_Step_2] lanny: pyelo in preg do we hospital? all preg pts
02/8/05 20:03:30 [USMLE_Step_2] megs: the same crieteria apply for hospitalization in pregnancy too
02/8/05 20:03:30 [USMLE_Step_2] strug: yes
02/8/05 20:03:39 [USMLE_Step_2] strug: lanny yes
02/8/05 20:03:48 [USMLE_Step_2] sanz: yes
02/8/05 20:03:52 [USMLE_Step_2] megs: but we treat any infn vigorouslly in preg
02/8/05 20:04:00 [USMLE_Step_2] sanz: and the Ab are diff
02/8/05 20:04:10 [USMLE_Step_2] lanny: agree
02/8/05 20:04:18 [USMLE_Step_2] sanz: clinda and gent for preg women
02/8/05 20:04:18 [USMLE_Step_2] strug: which ab can be given in preg?
02/8/05 20:04:21 [USMLE_Step_2] iamzuhair: drugs that help in urination
02/8/05 20:04:25 [USMLE_Step_2] lanny: just wanst sure if we give ab and let go home
02/8/05 20:04:27 [USMLE_Step_2] strug: sanz u red my mind
02/8/05 20:04:34 mmw Logs in
02/8/05 20:04:35 mmw Joins Subroom USMLE_Step_1
02/8/05 20:04:35 [USMLE_Step_2] megs: pnicillin r safest
02/8/05 20:04:53 [USMLE_Step_2] lanny: ampicillin
02/8/05 20:04:56 [USMLE_Step_2] sanz: but to give gent, u have to keep her in... it's only available in IV form
02/8/05 20:05:05 [USMLE_Step_2] lanny: yep
02/8/05 20:05:14 [USMLE_Step_2] sanz: so i would think you hospitalise all preg women with PID... not sure... so dont quote me on this
02/8/05 20:05:21 [USMLE_Step_2] lanny: so to trt pyelo in preg gotta admit pt
02/8/05 20:05:30 [USMLE_Step_2] huli72: yes
02/8/05 20:05:32 [USMLE_Step_2] iamzuhair: drugs that help in urination?
02/8/05 20:05:41 [USMLE_Step_2] sanz: bethanchol
02/8/05 20:05:44 [USMLE_Step_2] megs: yup lanny
02/8/05 20:05:54 [USMLE_Step_2] iamzuhair: alfa receptor --- phenoxybenzamine
02/8/05 20:06:08 [USMLE_Step_2] iamzuhair: cholinergic --- beth and neostig
02/8/05 20:06:11 [USMLE_Step_2] megs: cholinergic drugs
02/8/05 20:06:15 [USMLE_Step_2] strug: b blockers, antichloni, alpha blocker
02/8/05 20:06:34 [USMLE_Step_2] strug: sorry choliner
02/8/05 20:06:35 [USMLE_Step_2] sanz: strug, those prevent urination... right?
02/8/05 20:06:39 [USMLE_Step_2] iamzuhair: drugs that prevent urinary incontinence
02/8/05 20:07:09 [USMLE_Step_2] iamzuhair: alpha --- ephedrin , imipramine , estrogen
02/8/05 20:07:22 [USMLE_Step_2] iamzuhair: beta --- progestrin
02/8/05 20:07:23 [USMLE_Step_2] strug: zuhari it depends on what kind of inconte
02/8/05 20:07:30 [USMLE_Step_2] iamzuhair: yes dude
02/8/05 20:07:37 [USMLE_Step_2] strug: for hypertonic its cholinergic
02/8/05 20:07:38 mmw Logs Out
02/8/05 20:07:42 [USMLE_Step_2] megs: stress incontinance...oxybutin..anticholinergics
02/8/05 20:07:45 [USMLE_Step_2] strug: for hypo its bethenchol
02/8/05 20:07:59 [USMLE_Step_2] megs: overflow incontinance..cholinergic
02/8/05 20:07:59 [USMLE_Step_2] strug: for streess? megs
02/8/05 20:08:07 [USMLE_Step_2] iamzuhair: if its due to prolapse we need to tighten the urethric tone so give alpha blockers
02/8/05 20:08:10 [USMLE_Step_2] huli72: surgery
02/8/05 20:08:16 [USMLE_Step_2] strug: i thought we give kegel, estrogen and then suregery
02/8/05 20:08:59 [USMLE_Step_2] megs: for derusser instablity strug soory
02/8/05 20:09:09 mmw Logs in
02/8/05 20:09:10 mmw Joins Subroom USMLE_Step_1
02/8/05 20:09:12 [USMLE_Step_2] strug: sanz b bloc, choliner, alpha blocker cause urination
02/8/05 20:09:12 [USMLE_Step_2] megs: you r right
02/8/05 20:09:16 [USMLE_Step_2] iamzuhair: if due to over flow then give beta and anticholinergics
02/8/05 20:09:33 [USMLE_Step_2] strug: yup xuhair
02/8/05 20:09:40 [USMLE_Step_2] strug: also can give CCB and TCA
02/8/05 20:09:49 [USMLE_Step_2] iamzuhair: yes
02/8/05 20:09:52 [USMLE_Step_2] sanz: ok strug
02/8/05 20:10:11 [USMLE_Step_2] lanny: TOC for stress inc is kegel exercise or meds?
02/8/05 20:10:15 [USMLE_Step_2] megs: is surgery effectie for detruser instability???
02/8/05 20:10:28 [USMLE_Step_2] huli72: no
02/8/05 20:10:31 [USMLE_Step_2] megs: for stress...keges
02/8/05 20:10:38 [USMLE_Step_2] megs: yup huli
02/8/05 20:10:39 [USMLE_Step_2] strug: only if it si due to irritaveit megs
02/8/05 20:10:40 [USMLE_Step_2] lanny: is it the TOC
02/8/05 20:10:51 [USMLE_Step_2] lanny: for sress
02/8/05 20:11:03 [USMLE_Step_2] strug: kegel and estrogen both lanny i think
02/8/05 20:11:11 [USMLE_Step_2] lanny: thx
02/8/05 20:11:29 [USMLE_Step_2] megs: for stress..can use pessary too
02/8/05 20:11:48 [USMLE_Step_2] huli72: what is pessary
02/8/05 20:11:59 [USMLE_Step_2] lanny: vaginal pill
02/8/05 20:12:01 [USMLE_Step_2] iamzuhair: it keeps things in its place
02/8/05 20:12:12 [USMLE_Step_2] huli72: estro + prog?
02/8/05 20:12:23 [USMLE_Step_2] iamzuhair: it keeps them under conrol --- physically
02/8/05 20:12:34 [USMLE_Step_2] megs: it elabate the bladder neck...
02/8/05 20:12:35 [USMLE_Step_2] lanny: keepa what under cont
02/8/05 20:12:42 [USMLE_Step_2] sanz: not a pill... a ring that you put in to keep things in place
02/8/05 20:12:53 [USMLE_Step_2] iamzuhair: uterus and prolapsing organs...
02/8/05 20:12:58 [USMLE_Step_2] megs: yup sanz
02/8/05 20:12:59 [USMLE_Step_2] huli72: that is presery
02/8/05 20:13:01 [USMLE_Step_2] sanz: so that you wont have a prolapse and stuff
02/8/05 20:13:08 [USMLE_Step_2] lanny: someone y day said pessary is a tablet i thought pill!
02/8/05 20:13:13 [USMLE_Step_2] sanz: can be for uterus or rectum...
02/8/05 20:13:14 [USMLE_Step_2] iamzuhair: no
02/8/05 20:13:22 [USMLE_Step_2] iamzuhair: its justa physical barrier
02/8/05 20:13:24 [USMLE_Step_2] megs: any vaginal device is called pessary
02/8/05 20:13:28 [USMLE_Step_2] iamzuhair: yup
02/8/05 20:13:32 [USMLE_Step_2] huli72: oh
02/8/05 20:13:36 [USMLE_Step_2] lanny: thanks zuhair megs
02/8/05 20:13:43 [USMLE_Step_2] lanny: will remeber this
02/8/05 20:13:45 [USMLE_Step_2] iamzuhair: :gun
02/8/05 20:13:48 [USMLE_Step_2] strug: male with urgency freq dysuria, suprapuubic tenderness, urine wbc ....invol detrusor cont presetn....diagnosis?
02/8/05 20:14:03 [USMLE_Step_2] sanz: pessary can also contain drugs tho... like if someon is constipated you can prescirbe laxtive pessary
02/8/05 20:14:21 [USMLE_Step_2] huli72: gonorria?
02/8/05 20:14:27 [USMLE_Step_2] megs: cystitis??
02/8/05 20:14:38 [USMLE_Step_2] lanny: thx sanz i thimk i get it now
02/8/05 20:15:15 [USMLE_Step_2] strug: sorry i forgot to add he also has incontinece day and night.....
02/8/05 20:15:16 [USMLE_Step_2] lanny: pessary is to vagina as suppository is to rectum
02/8/05 20:15:16 [USMLE_Step_2] sanz: clamhydia?
02/8/05 20:15:24 [USMLE_Step_2] megs: whats th ans strug???
02/8/05 20:15:49 [USMLE_Step_2] strug: its irritative incontinence
02/8/05 20:16:03 [USMLE_Step_2] strug: due to infection
02/8/05 20:16:04 zoya Joins Subroom USMLE_Step_1
02/8/05 20:16:06 [USMLE_Step_2] iamzuhair: oh
02/8/05 20:16:10 [USMLE_Step_2] megs: IRRITATION MAY BE DUE TO CYSTITIS
02/8/05 20:16:12 [USMLE_Step_2] iamzuhair: due to wbc
02/8/05 20:16:22 [USMLE_Step_2] strug: yup megs
02/8/05 20:16:45 [USMLE_Step_2] lanny: cystitis can be underly cause
02/8/05 20:17:04 cyrus1345 Logs in
02/8/05 20:17:05 [USMLE_Step_2] strug: female with loss of urine every time she coughs..only during day, q tip test positve....diagonisi?
02/8/05 20:17:13 [USMLE_Step_2] sanz: stress
02/8/05 20:17:14 [USMLE_Step_2] lanny: stress
02/8/05 20:17:14 cyrus1345 Joins Subroom USMLE_Step_2
02/8/05 20:17:15 [USMLE_Step_2] iamzuhair: stress
02/8/05 20:17:19 [USMLE_Step_2] strug: yup easy one
02/8/05 20:17:35 [USMLE_Step_2] iamzuhair: dx of choice in urinary fistula
02/8/05 20:17:38 [USMLE_Step_2] cyrus1345: Hi every body
02/8/05 20:17:42 [USMLE_Step_2] sanz: hey nasi...
02/8/05 20:17:43 [USMLE_Step_2] iamzuhair: easy one
02/8/05 20:17:45 [USMLE_Step_2] lanny: hi nasi
02/8/05 20:17:46 [USMLE_Step_2] strug: nasi good to see u
02/8/05 20:17:47 [USMLE_Step_2] iamzuhair: hi nasi
02/8/05 20:17:53 [USMLE_Step_2] iamzuhair: how is u doin
02/8/05 20:17:56 [USMLE_Step_2] sanz: urethrogram zuhair
02/8/05 20:18:00 [USMLE_Step_2] iamzuhair: yes
02/8/05 20:18:08 [USMLE_Step_2] iamzuhair: indigo caramine
02/8/05 20:18:09 [USMLE_Step_2] strug: :an why r u late? nasi
02/8/05 20:18:18 [USMLE_Step_2] iamzuhair: :hu
02/8/05 20:18:19 [USMLE_Step_2] megs: HOW WILL U DIGNOSE URETERIC FISTULA FROM URETRHOVAGINAL FISTULA???
02/8/05 20:18:25 [USMLE_Step_2] cyrus1345:
02/8/05 20:18:46 [USMLE_Step_2] strug: indimo carmine dye megs
02/8/05 20:18:55 [USMLE_Step_2] strug: it will leak into vaginal tampon
02/8/05 20:19:06 [USMLE_Step_2] megs: yup
02/8/05 20:19:06 [USMLE_Step_2] strug: IVp zuhari
02/8/05 20:19:07 [USMLE_Step_2] huli72: inima carmine dye form IV?
02/8/05 20:19:17 [USMLE_Step_2] megs: huli correct
02/8/05 20:19:26 [USMLE_Step_2] sanz: IV?
02/8/05 20:20:00 [USMLE_Step_2] megs: ogh bld will go to kidney and then to ureters sanzyes thri
02/8/05 20:20:37 [USMLE_Step_2] sanz: ok
02/8/05 20:20:49 [USMLE_Step_2] strug: male with loss of urine intermittenly, c/o pelvic fullness...cystogram: markedly inc residual vol, diagnosis?
02/8/05 20:21:18 [USMLE_Step_2] sanz: overflow
02/8/05 20:21:19 [USMLE_Step_2] cyrus1345: overflow incon
02/8/05 20:21:25 [USMLE_Step_2] huli72: BPH
02/8/05 20:21:36 [USMLE_Step_2] strug: good its overflow incontinence
02/8/05 20:21:45 [USMLE_Step_2] strug: Rx?
02/8/05 20:21:55 [USMLE_Step_2] sanz: intermittent self cath?
02/8/05 20:21:58 [USMLE_Step_2] iamzuhair: phenoxy benzamine
02/8/05 20:22:00 [USMLE_Step_2] cyrus1345: cholinergic drug
02/8/05 20:22:01 [USMLE_Step_2] megs: bethanchol
02/8/05 20:22:03 [USMLE_Step_2] huli72: proxocin
02/8/05 20:22:08 [USMLE_Step_2] huli72: prozocin
02/8/05 20:22:13 [USMLE_Step_2] megs: self catheter
02/8/05 20:22:39 [USMLE_Step_2] strug: yup sanz and nasi....its intermittent self cather, cholinergic dure{bethencho} or alpha antognisit
02/8/05 20:22:49 [USMLE_Step_2] iamzuhair: self cath , beth and phenoxy
02/8/05 20:22:56 [USMLE_Step_2] strug: yup
02/8/05 20:23:58 [USMLE_Step_2] cyrus1345: 45 years with ild cystocele tx?
02/8/05 20:24:04 [USMLE_Step_2] cyrus1345: mild
02/8/05 20:24:05 [USMLE_Step_2] strug: female with dysmen, infertility, dysparei diagnosi?
02/8/05 20:24:15 [USMLE_Step_2] cyrus1345: endometriosis
02/8/05 20:24:15 [USMLE_Step_2] strug: estrogen and kegel nasi]
02/8/05 20:24:19 [USMLE_Step_2] sanz: endometrio
02/8/05 20:24:21 TTW Logs in
02/8/05 20:24:23 [USMLE_Step_2] strug: yes nasi sanz
02/8/05 20:24:24 TTW Joins Subroom USMLE_Step_1
02/8/05 20:24:26 [USMLE_Step_2] cyrus1345: good strug
02/8/05 20:24:26 [USMLE_Step_2] lanny: endo
02/8/05 20:24:27 [USMLE_Step_2] megs: kegels..and estrogen cream
02/8/05 20:24:45 [USMLE_Step_2] strug: is endometriois premallig?
02/8/05 20:24:49 [USMLE_Step_2] cyrus1345: sever cystocel tx?
02/8/05 20:24:52 [USMLE_Step_2] lanny: no
02/8/05 20:24:56 [USMLE_Step_2] sanz: surgery
02/8/05 20:24:58 [USMLE_Step_2] strug: surgery nais
02/8/05 20:24:58 [USMLE_Step_2] megs: not premalignannt
02/8/05 20:25:05 [USMLE_Step_2] cyrus1345: which type?
02/8/05 20:25:11 [USMLE_Step_2] megs: ant calphorrhaphy
02/8/05 20:25:17 [USMLE_Step_2] cyrus1345: good meg
02/8/05 20:25:27 [USMLE_Step_2] sanz: wuz that?
02/8/05 20:25:40 [USMLE_Step_2] strug: ant wall repair sanz
02/8/05 20:25:47 [USMLE_Step_2] strug: ant vaginal wall repari
02/8/05 20:25:54 [USMLE_Step_2] sanz: hehe... what a fancy way to say it
02/8/05 20:25:54 [USMLE_Step_2] cyrus1345: Tx of sever stress incon?
02/8/05 20:26:05 [USMLE_Step_2] sanz: urethropexy?
02/8/05 20:26:05 [USMLE_Step_2] lanny: surgery
02/8/05 20:26:05 [USMLE_Step_2] strug: surgery nasi
02/8/05 20:26:12 [USMLE_Step_2] cyrus1345: good snaz
02/8/05 20:26:20 [USMLE_Step_2] megs: sling
02/8/05 20:26:20 [USMLE_Step_2] lanny: agree sanz
02/8/05 20:27:04 [USMLE_Step_2] strug: mom with endometriosis.....whats the effect on daugher? i mean does she have an inc chance of having endo mertriosi?
02/8/05 20:27:05 huli72 Logs Out
02/8/05 20:27:20 [USMLE_Step_2] sanz: yes i think
02/8/05 20:27:24 [USMLE_Step_2] lanny: yes
02/8/05 20:27:46 [USMLE_Step_2] strug: yup she has inc chance
02/8/05 20:27:52 [USMLE_Step_2] cyrus1345: whywhy?
02/8/05 20:27:57 [USMLE_Step_2] megs: no such corelation...i think
02/8/05 20:28:04 [USMLE_Step_2] cyrus1345: I never heard
02/8/05 20:28:09 [USMLE_Step_2] megs: i have never read
02/8/05 20:28:39 [USMLE_Step_2] strug: i think its there in USMLE world dunoo why just noted down guys......sorry
02/8/05 20:28:59 [USMLE_Step_2] cyrus1345: ok thanks
02/8/05 20:29:03 [USMLE_Step_2] megs: ok
02/8/05 20:29:29 [USMLE_Step_2] sanz: i think it has to do with all thes etheories of spread... and that being genetic
02/8/05 20:29:35 [USMLE_Step_1] lenhoxung: very good zoya
02/8/05 20:29:40 [USMLE_Step_2] megs: what is the commonest presentation of fibroid uterus???
02/8/05 20:29:53 [USMLE_Step_2] sanz: bleed?
02/8/05 20:29:59 [USMLE_Step_2] megs: yup
02/8/05 20:30:00 [USMLE_Step_2] lanny: there is evid that there is a genetic predispos in first degeee relatives
02/8/05 20:30:04 [USMLE_Step_2] strug: metromenorrhagia megs
02/8/05 20:30:08 [USMLE_Step_2] megs: what other symptoms
02/8/05 20:30:12 [USMLE_Step_2] lanny: in endome
02/8/05 20:30:17 [USMLE_Step_2] sanz: enlarged uterus
02/8/05 20:30:28 [USMLE_Step_2] megs: dysmen
02/8/05 20:30:34 [USMLE_Step_2] lanny: dont know what evidence though
02/8/05 20:30:50 [USMLE_Step_2] strug: most common type of fibroid?
02/8/05 20:31:05 [USMLE_Step_2] cyrus1345: submucosa?
02/8/05 20:31:06 [USMLE_Step_2] lanny: submucosal
02/8/05 20:31:40 [USMLE_Step_2] strug: intramural
02/8/05 20:32:08 [USMLE_Step_2] megs: what is red degeneration
02/8/05 20:32:16 [USMLE_Step_2] strug: carnoius degenarion
02/8/05 20:32:17 [USMLE_Step_2] megs: seen when???
02/8/05 20:32:22 [USMLE_Step_2] strug: in prenancy
02/8/05 20:32:23 [USMLE_Step_2] sanz: dont know!
02/8/05 20:32:25 [USMLE_Step_2] megs: no strug
02/8/05 20:32:45 [USMLE_Step_2] strug: due to cutoff of blood supply
02/8/05 20:32:56 [USMLE_Step_2] strug: the fibroid becomes necrotic and causes pain
02/8/05 20:33:02 [USMLE_Step_2] megs: carnious is diff its carnous mole...dead foetus surr by blld
02/8/05 20:33:17 [USMLE_Step_2] cyrus1345: *)
02/8/05 20:33:39 [USMLE_Step_2] strug: red degenarion=carneous degenration
02/8/05 20:33:46 [USMLE_Step_2] strug: most common in preg
02/8/05 20:34:00 [USMLE_Step_2] megs: reg degeneration is degeneration of fibroid during pregnancy
02/8/05 20:34:12 [USMLE_Step_2] megs: ok i will check
02/8/05 20:35:17 [USMLE_Step_2] cyrus1345: what is the pathogenes of Gestaional diabet?
02/8/05 20:35:45 [USMLE_Step_2] sanz: decr glucose tolerance of kidneys
02/8/05 20:36:02 [USMLE_Step_2] megs: you r right strug...but its due to haemorrhage into tumor
02/8/05 20:36:30 [USMLE_Step_2] strug: female with amenorrhe, irr vagin bleeding, unilat pain, u dovaginal USG no intrautrine preg....bhcg levels of 1000....what next?
02/8/05 20:36:31 [USMLE_Step_2] cyrus1345: no sanz
02/8/05 20:37:09 [USMLE_Step_2] lanny: ectopic
02/8/05 20:37:18 [USMLE_Step_2] cyrus1345: chech BHCG 48 hours later and do vaginal sono again on that time
02/8/05 20:37:32 [USMLE_Step_2] strug: wonderful nasi :cl
02/8/05 20:37:37 [USMLE_Step_2] strug: u rock
02/8/05 20:38:04 [USMLE_Step_2] cyrus1345: thanks for your encourge! but I have no good feeling
02/8/05 20:38:16 [USMLE_Step_2] strug: human placental lactogen nasi
02/8/05 20:38:23 [USMLE_Step_2] cyrus1345: I can't belive it I am going to take it next week!
permanent/heritable change in dna base seq?
02/8/05 20:38:32 [USMLE_Step_2] strug: why no good feeling nasi
02/8/05 20:38:36 [USMLE_Step_2] cyrus1345: good strug ,very good
02/8/05 20:39:36 [USMLE_Step_2] cyrus1345: did you guy discussa bout vaginal bleeding in 8 years old?
02/8/05 20:39:52 [USMLE_Step_2] cyrus1345: what's the first step?
02/8/05 20:39:53 [USMLE_Step_2] strug: first cause is FB
02/8/05 20:40:02 [USMLE_Step_2] strug: exam under anestheri
02/8/05 20:40:12 [USMLE_Step_2] strug: if she has not taken any drugs
02/8/05 20:40:31 [USMLE_Step_2] cyrus1345: very good then if everything is normal what's next?
02/8/05 20:41:11 [USMLE_Step_2] strug: lookCT mri of abdo
02/8/05 20:41:35 [USMLE_Step_2] strug: pelcis and brain to look fodr tumor
02/8/05 20:41:41 [USMLE_Step_2] cyrus1345: :cl
02/8/05 20:41:55 [USMLE_Step_2] cyrus1345: all norm next step?
02/8/05 20:42:36 [USMLE_Step_2] strug: workup for precoucious puberty
02/8/05 20:43:11 [USMLE_Step_2] cyrus1345: yes then it 's pre puberty and MUST treat the child
02/8/05 20:43:19 [USMLE_Step_2] cyrus1345: what's Tx?
02/8/05 20:43:29 [USMLE_Step_2] strug: Gnrh
02/8/05 20:43:33 [USMLE_Step_2] strug: agonistes
02/8/05 20:43:41 [USMLE_Step_2] cyrus1345: good job boy!!
02/8/05 20:43:54 [USMLE_Step_2] strug: :ba
02/8/05 20:44:03 [USMLE_Step_2] cyrus1345:
02/8/05 20:45:04 [USMLE_Step_2] strug: what percentage of preg are ectopic
02/8/05 20:45:15 [USMLE_Step_2] cyrus1345: 32 years old with 2 years history of OCP now comes with adenexal mass you did sono ,it comes cystic mass what's your next step?
02/8/05 20:45:20 [USMLE_Step_2] sanz: 5 strug?
02/8/05 20:45:35 [USMLE_Step_2] strug: laproscropy nasi
02/8/05 20:45:42 [USMLE_Step_2] strug: 1% sanz
02/8/05 20:45:53 [USMLE_Step_2] sanz: stop ocp
02/8/05 20:46:02 [USMLE_Step_2] iamzuhair: laproscopy
02/8/05 20:46:12 [USMLE_Step_2] iamzuhair: endometrioma
02/8/05 20:46:15 [USMLE_Step_2] iamzuhair: ?
02/8/05 20:46:28 [USMLE_Step_2] cyrus1345: good job strug,zuhair
02/8/05 20:46:40 [USMLE_Step_2] strug: female has ectopic preg what are her chances of having it in next preg?
02/8/05 20:46:46 [USMLE_Step_2] iamzuhair: 15
02/8/05 20:46:53 [USMLE_Step_2] strug: great zuhari
02/8/05 20:46:57 [USMLE_Step_2] lanny: agree
02/8/05 20:47:00 [USMLE_Step_2] cyrus1345: cystic mass never happened in paitent who is in long term OCP
02/8/05 20:47:07 [USMLE_Step_2] strug: yes nasi
02/8/05 20:47:21 [USMLE_Step_2] strug: i have a doubt about ectopic
02/8/05 20:47:26 [USMLE_Step_2] iamzuhair: ok
02/8/05 20:47:40 [USMLE_Step_2] strug: first lemme ask u ....when do u give Methrote in ectopic
02/8/05 20:47:54 [USMLE_Step_2] iamzuhair: many conds
02/8/05 20:48:04 [USMLE_Step_2] iamzuhair: if the <3
02/8/05 20:48:06 [USMLE_Step_2] strug: what HCg levels i wanna know
02/8/05 20:48:15 [USMLE_Step_2] iamzuhair: if no heart beat
02/8/05 20:48:23 [USMLE_Step_2] iamzuhair: hcg below 1500
02/8/05 20:48:44 [USMLE_Step_2] iamzuhair: if no folate replacement
02/8/05 20:48:50 [USMLE_Step_2] strug: sure? kaplan says 6000
02/8/05 20:49:35 [USMLE_Step_2] megs: its 6000
02/8/05 20:49:41 [USMLE_Step_2] strug: anywayz how will u diagnose ectopic in the first place if levels below 6000 ?
02/8/05 20:49:55 [USMLE_Step_2] megs: if 6000 mtx not works
02/8/05 20:50:02 [USMLE_Step_2] lanny: yep
02/8/05 20:50:04 [USMLE_Step_2] strug: we say at 6 wks..6000 via transabdo usg
02/8/05 20:50:15 [USMLE_Step_2] strug: then only ectopic preg
02/8/05 20:50:34 [USMLE_Step_2] strug: sorry its 6500
02/8/05 20:50:40 [USMLE_Step_2] iamzuhair: do usg and nothin in uterus
02/8/05 20:50:40 [USMLE_Step_2] cyrus1345: and also no history of using folic acid
02/8/05 20:50:55 [USMLE_Step_2] iamzuhair: man my system is getin stuck
02/8/05 20:51:26 [USMLE_Step_2] strug: my q is if for diagnosi of ectopic we require 6500 b hcg levels how would u ever give mtx2?
02/8/05 20:52:01 [USMLE_Step_2] iamzuhair: no man
02/8/05 20:52:11 [USMLE_Step_2] strug: we say if it is less then 6500 we wait tillit reaches that level....then when is the chance of giving MTx2?
02/8/05 20:52:55 [USMLE_Step_2] iamzuhair: hcg less than 6000
02/8/05 20:53:05 [USMLE_Step_2] lanny: <6000 strug
02/8/05 20:53:12 [USMLE_Step_2] iamzuhair: we dont wait for it to grow
02/8/05 20:53:17 [USMLE_Step_2] lanny: no
02/8/05 20:53:30 [USMLE_Step_2] cyrus1345: I can't get you strug
02/8/05 20:53:35 [USMLE_Step_2] strug: megs? nasi?.....did u understand?
02/8/05 20:53:40 [USMLE_Step_2] cyrus1345: no!
02/8/05 20:53:41 [USMLE_Step_2] iamzuhair: neither can i
02/8/05 20:53:47 [USMLE_Step_2] lanny: me too
02/8/05 20:53:55 [USMLE_Step_2] strug: wait i m explaining
02/8/05 20:54:03 [USMLE_Step_2] sanz: strug, if beta HGC is <6000, you give methorexate... you dont wait for it to grow...
02/8/05 20:54:06 [USMLE_Step_2] megs: NO FOR DIADNOSIS NOT 6000 REQ
02/8/05 20:54:40 [USMLE_Step_2] iamzuhair: for diag only 1500 req
02/8/05 20:54:42 [USMLE_Step_2] strug: so if female has 5000 and no intrauterine preg....can we presume ectopic?
02/8/05 20:54:48 [USMLE_Step_2] iamzuhair: yes
02/8/05 20:54:55 [USMLE_Step_2] lanny: yes
02/8/05 20:55:00 [USMLE_Step_2] strug: i dont think so
02/8/05 20:55:18 [USMLE_Step_2] strug: at 5000 normally u dont see an intrautein preg guys
02/8/05 20:55:27 [USMLE_Step_2] iamzuhair: if fe=male no intrautering preg and hcg level less than 1500 then only we wait
02/8/05 20:55:32 [USMLE_Step_2] cyrus1345: in 1500 (bhcg) you should see sac in vaginal sono
02/8/05 20:55:32 [USMLE_Step_2] megs: ABNORMAL PREGNANCY...DO NOT CURRSPOND WITH THE DOUBLING TITRE OF BHCG
02/8/05 20:55:38 [USMLE_Step_2] iamzuhair: or do a repeat sonogram
02/8/05 20:55:48 [USMLE_Step_2] strug: when it reaches 6500 at 6 weeks we normally see an intrautein preg
02/8/05 20:55:59 [USMLE_Step_2] lanny: remember guys 1500 is with vag u sound
02/8/05 20:56:04 [USMLE_Step_2] cyrus1345: if no vaginal sac and it's more than 1500 you shoyuld assume it's ectopic
02/8/05 20:56:12 [USMLE_Step_2] lanny: 6 500 is abd u osund
02/8/05 20:56:18 [USMLE_Step_2] strug: yup lanny
02/8/05 20:56:50 [USMLE_Step_2] megs: ITS NOT THE SINGLE READING ITS THE TITRE THAT GIVE U DIAGNOSIS
02/8/05 20:57:02 [USMLE_Step_2] lanny: yes megs
02/8/05 20:57:14 [USMLE_Step_2] strug: yes nasi i agree but what if its less than 1500 ? [1500 at 5 wk on vagin or 6500 at 6 week on abdo}\
02/8/05 20:57:39 [USMLE_Step_2] lanny: as long as serum titre is > 1500 hcg and no intra ut sac ectopic is pesumed
02/8/05 20:57:47 [USMLE_Step_2] sanz: if <1500, you repeat bHGC and vaginal US
02/8/05 20:57:54 [USMLE_Step_2] megs: IT MAY BE A NON VIABLE PREG OR ECTOPIC PREG
02/8/05 20:58:17 [USMLE_Step_2] strug: 1500 at 5 weeks or 6500 at 6 weeks is the same
02/8/05 20:58:23 [USMLE_Step_2] cyrus1345: then you should repeat vaginal sono in 48 hours because in normal preg ,each 48 hours it will double!
02/8/05 20:58:34 [USMLE_Step_2] lanny: yes nas
02/8/05 20:58:59 [USMLE_Step_2] megs: ABSOLUTLY RT NASI
02/8/05 20:59:06 [USMLE_Step_2] strug: i think u guys are not understanding my q
02/8/05 20:59:14 [USMLE_Step_2] lanny: vag u sound is best to diag intra ut preg
02/8/05 20:59:28 [USMLE_Step_2] iamzuhair: yes
02/8/05 20:59:33 [USMLE_Step_2] cyrus1345: srug tell us again?
02/8/05 20:59:42 [USMLE_Step_2] megs: reframe it
02/8/05 20:59:46 [USMLE_Step_2] strug: ok
02/8/05 20:59:50 [USMLE_Step_2] iamzuhair: tell us the whole question
02/8/05 20:59:57 [USMLE_Step_2] iamzuhair: not in parts
02/8/05 21:00:39 [USMLE_Step_2] strug: say if a female has 5500 b hcg levels on abdo usg....u suspect ectopic what would u do?
02/8/05 21:01:04 [USMLE_Step_2] iamzuhair: give mathotrexate
02/8/05 21:01:13 [USMLE_Step_2] lanny: agree
02/8/05 21:01:18 [USMLE_Step_2] strug: nnnnnoooooooooo
02/8/05 21:01:21 [USMLE_Step_2] sanz: agree
02/8/05 21:01:25 [USMLE_Step_2] cyrus1345: no
02/8/05 21:01:26 [USMLE_Step_2] lanny: mtrx is indicated at < 6000
02/8/05 21:01:44 [USMLE_Step_2] megs: do usg
02/8/05 21:01:57 [USMLE_Step_2] megs: look for hertbeats
02/8/05 21:02:07 [USMLE_Step_2] lanny: the ques has done it
02/8/05 21:02:09 [USMLE_Step_2] megs: if present..laprotomy
02/8/05 21:02:13 [USMLE_Step_2] cyrus1345: first of all I think you can't exactly determine EP by abdominal sono strug
02/8/05 21:02:21 [USMLE_Step_2] cyrus1345: you had to do vaginal sono
02/8/05 21:02:27 [USMLE_Step_2] iamzuhair: so u say that there are heart beats
02/8/05 21:02:36 [USMLE_Step_2] megs: no heart sound then MTX
02/8/05 21:02:58 [USMLE_Step_2] lanny: yes cause no baby in uterus
02/8/05 21:03:03 [USMLE_Step_2] lanny: so no heart sound
02/8/05 21:03:46 [USMLE_Step_2] iamzuhair: strug where are you
02/8/05 21:03:49 [USMLE_Step_2] megs: OK STRUG U GIVE ANS THEN WE WILL UNDERSTAND
02/8/05 21:04:01 [USMLE_Step_2] megs: WHAT U R EXPECTING
02/8/05 21:04:01 [USMLE_Step_2] strug: i m sorry icant explian
02/8/05 21:04:03 [USMLE_Step_2] iamzuhair: he has a doubt megs
02/8/05 21:04:06 [USMLE_Step_2] cyrus1345: if you want to do it with abdominal sono bhcg should be 6500
02/8/05 21:04:26 [USMLE_Step_2] strug: yes nasi exactly
02/8/05 21:04:30 [USMLE_Step_2] iamzuhair: ok to be safe answer lapro
02/8/05 21:04:35 [USMLE_Step_2] cyrus1345: less than 6500 you can't diagnose with abdo sono
02/8/05 21:04:37 [USMLE_Step_2] strug: then when will u give mtx2?
02/8/05 21:04:37 usmle_guy Logs in
02/8/05 21:04:38 usmle_guy Joins Subroom USMLE_Step_1
02/8/05 21:04:44 [USMLE_Step_2] iamzuhair: dont give
02/8/05 21:04:51 [USMLE_Step_2] cyrus1345: ohhhhhhhhhhhh I got you now!
02/8/05 21:04:56 [USMLE_Step_2] iamzuhair: have to proceed to lapro
02/8/05 21:04:58 [USMLE_Step_2] strug: thank god nasi
02/8/05 21:05:04 [USMLE_Step_2] cyrus1345: good question1
02/8/05 21:05:05 [USMLE_Step_2] strug: atleast someone understood
02/8/05 21:05:14 [USMLE_Step_2] strug: diff to explain this point
02/8/05 21:05:14 [USMLE_Step_2] megs: OK
02/8/05 21:05:26 [USMLE_Step_2] lanny: i think i u stand the confusion
02/8/05 21:05:46 [USMLE_Step_2] strug: it will literally eliminate mtx2 as a treatment? dont u think so?
02/8/05 21:06:01 [USMLE_Step_2] lanny: need to clarify the values for vag and abdom and what is userd to det MTRX use
02/8/05 21:06:03 [USMLE_Step_2] cyrus1345: myebe they meant less tham 6000 in vaginal sono!
02/8/05 21:06:15 [USMLE_Step_2] strug: i thought so......
02/8/05 21:06:16 [USMLE_Step_2] cyrus1345: i don't know strug
02/8/05 21:06:19 megs Logs Out
02/8/05 21:06:20 [USMLE_Step_2] lanny: yes nasi think its vag us
02/8/05 21:06:34 [USMLE_Step_2] lanny: thats the point i was trying to make
02/8/05 21:06:47 [USMLE_Step_2] strug: ok so i m clear lets move ahead
02/8/05 21:06:51 [USMLE_Step_2] strug: thanks all of u
02/8/05 21:07:05 [USMLE_Step_2] strug: :cl
02/8/05 21:07:06 [USMLE_Step_2] sanz: now i'm confused
02/8/05 21:07:13 [USMLE_Step_2] lanny: not at all strug
02/8/05 21:07:25 [USMLE_Step_2] strug: sanz
02/8/05 21:07:40 [USMLE_Step_2] sanz: so what do you do if someone comes in with bHCG of 5500 on abdo US?
02/8/05 21:07:48 hamilton27 Joins Subroom USMLE_Step_1
02/8/05 21:07:48 [USMLE_Step_2] sanz: and you suspect ect preg
02/8/05 21:07:50 [USMLE_Step_2] iamzuhair: give metho
02/8/05 21:07:53 [USMLE_Step_2] strug: repeat 48 hours
02/8/05 21:08:02 [USMLE_Step_2] iamzuhair: sorry
02/8/05 21:08:06 [USMLE_Step_2] iamzuhair: yes strug right
02/8/05 21:08:18 [USMLE_Step_2] lanny: thats the point need to remeasure
02/8/05 21:08:25 [USMLE_Step_2] iamzuhair: ON ABD USG
02/8/05 21:08:47 [USMLE_Step_2] cyrus1345: how is typical lesion in chancroid?
02/8/05 21:08:49 [USMLE_Step_2] lanny: yes
02/8/05 21:08:52 [USMLE_Step_2] strug: u normally in a normal preg also u dont see a sac until it reches 6500 levels at 6 weeks or 1500 level at 5 weeks sanz
02/8/05 21:08:59 [USMLE_Step_2] iamzuhair: ulcerative
02/8/05 21:09:00 heena Logs in
02/8/05 21:09:02 [USMLE_Step_2] strug: ragged edge nasi
02/8/05 21:09:07 [USMLE_Step_2] iamzuhair: raged
02/8/05 21:09:14 [USMLE_Step_2] cyrus1345: and painful good
02/8/05 21:09:20 [USMLE_Step_2] cyrus1345: tx?
02/8/05 21:09:21 heena Joins Subroom USMLE_Step_2
02/8/05 21:09:26 [USMLE_Step_2] strug: azithro
02/8/05 21:09:31 [USMLE_Step_2] strug: or erythor
02/8/05 21:09:33 [USMLE_Step_2] iamzuhair: azt or cef
02/8/05 21:09:35 [USMLE_Step_2] strug: or cef
02/8/05 21:09:39 [USMLE_Step_2] strug: or doxy
02/8/05 21:10:02 megs Logs in
02/8/05 21:10:03 megs Joins Subroom USMLE_Step_2
02/8/05 21:10:16 [USMLE_Step_2] cyrus1345: how can you diagnose between LGV and Donovanosis?
02/8/05 21:10:27 [USMLE_Step_2] iamzuhair: donovan bodies
02/8/05 21:10:32 [USMLE_Step_2] strug: clinically nasi
02/8/05 21:10:36 [USMLE_Step_2] strug: ?
02/8/05 21:10:46 [USMLE_Step_2] cyrus1345: sanz ,sorry did you clear with EP?
02/8/05 21:10:58 [USMLE_Step_2] cyrus1345: yes strug
02/8/05 21:11:02 [USMLE_Step_2] sanz: nasi... i'm not sure... hehe
02/8/05 21:11:05 [USMLE_Step_2] cyrus1345: where are you dear sanz
02/8/05 21:11:18 [USMLE_Step_2] sanz: but i'll ask you guys again ... i need to think abt it ...
02/8/05 21:11:23 [USMLE_Step_2] sanz: hehe
02/8/05 21:11:26 [USMLE_Step_2] cyrus1345: good sure
02/8/05 21:11:42 [USMLE_Step_2] strug: LGV ulcer which heals with scarring then painful LN with buboes
02/8/05 21:11:44 [USMLE_Step_2] sanz: i'll go back and read and if i dont get it, i'll ask you guys... dont want to waste yr time here...
02/8/05 21:11:48 [USMLE_Step_2] lanny: sanz i understand your confusion but read it again i will do the same later
02/8/05 21:11:53 [USMLE_Step_2] strug: groove sign in LGV
02/8/05 21:12:09 [USMLE_Step_2] strug: GI has red nodule and thena granuloma formation
02/8/05 21:12:16 [USMLE_Step_2] strug: painless
02/8/05 21:12:23 [USMLE_Step_2] strug: lymphatic obs
02/8/05 21:12:25 [USMLE_Step_2] iamzuhair: abscess seen in LGV ???
02/8/05 21:12:32 [USMLE_Step_2] strug: yes zuhair
02/8/05 21:12:40 [USMLE_Step_2] strug: and fistulas and buboies too
02/8/05 21:12:46 [USMLE_Step_2] cyrus1345: see both of them are painless
02/8/05 21:12:52 [USMLE_Step_2] megs: lgv..ulcer first hen LN pathy.
02/8/05 21:12:53 [USMLE_Step_2] iamzuhair: so nnasi
02/8/05 21:13:00 [USMLE_Step_2] iamzuhair: what to diff

9:12 PM [iamzuhair] clinically
9:12 PM [cyrus1345] then in donovoni we don't have regional lymphedenopath the same time of ulcer
9:12 PM [strug] ok thanks
9:12 PM [cyrus1345] but in LGV we have
9:12 PM [iamzuhair] oh
9:12 PM [iamzuhair] yes
9:12 PM [strug] no u told the other way nasi
9:12 PM [iamzuhair] thanks
9:12 PM [sanz] no... i think the other way round
9:13 PM [strug] in LGV we dont have both together
9:13 PM [sanz] LGV has ulcers and then a few wks later painful lymphadenitis
9:13 PM [strug] first ulcer then lymphadenopathey in LGV
9:13 PM [iamzuhair] yes
9:13 PM [sanz] dono has both painless at the same time
9:13 PM [iamzuhair] but in donovan no lymphadenopathy at all
9:14 PM [iamzuhair] only lymphatic obstruction
9:14 PM [cyrus1345] no I mix it guys
9:14 PM [cyrus1345]
9:14 PM [strug] we gotcah it anyway
9:14 PM [iamzuhair] its ok nasi
9:14 PM [cyrus1345] look page 130
9:14 PM [iamzuhair] we got what we were missin
9:14 PM [strug] thanks nasi
9:14 PM [cyrus1345] it's say donovani no reginal lymph
9:14 PM [megs] ok guys i am leaving bye all
9:14 PM [sanz] bye megs
9:14 PM [strug] bye megs
9:14 PM [iamzuhair] bye
9:14 PM [cyrus1345] then what happen at last ?
9:15 PM megs has left the chat.
9:15 PM [iamzuhair] hen nasi
9:15 PM [iamzuhair] when nasi
9:15 PM [cyrus1345] I mean I was wrong or right?
9:15 PM [strug] wrong nasi
9:15 PM [strug] sorry
9:15 PM jnkhampton has left the chat.
9:15 PM [iamzuhair] u were part right
9:15 PM [sanz] LGV has ulcers and then a few wks later painful lymphadenitis
9:15 PM [strug] yes
9:16 PM [cyrus1345] ok then donovani?
9:16 PM [strug] same time nasi
9:16 PM [sanz] dono has painless ulcer and can dev lymhadenopathy
9:16 PM [iamzuhair] no lymphadenopathy
9:16 PM [iamzuhair] only engorged vulva
9:16 PM [sanz] sorry no lymphadenopathy
9:16 PM [strug] that i m not sure
9:16 PM [cyrus1345] no
9:16 PM [sanz] read p130
9:16 PM [cyrus1345] kaplan said no lymphedenopathy with donovani
9:17 PM [iamzuhair] yes
9:17 PM [strug] all r correct guys
9:17 PM [cyrus1345] it's in front of me snaz
9:17 PM [iamzuhair] ok
9:17 PM [strug] wanna say the same thing
9:17 PM [sanz] hehehe
9:17 PM [strug] nasi sanz is saying what u r saying
9:17 PM [iamzuhair] :gu
9:17 PM [sanz] oooops ok
9:17 PM [strug] all r hypoglycemic
9:17 PM [iamzuhair]
9:18 PM [cyrus1345] :box
9:18 PM [iamzuhair] its 8 15
9:18 PM [lanny] guys i dont have my book but in terms of lymph i remeber it by the names lymhogran has lymphaden donovan has no lymph but has lymph obstrucutio
9:18 PM [iamzuhair] i have to feel hungry
9:18 PM [strug] right lanny
9:18 PM [cyrus1345] ok lanny thanks man
9:18 PM [iamzuhair] yes
9:18 PM [strug] we didtn do contracepton
9:18 PM [iamzuhair] its small
9:18 PM [iamzuhair] ask
9:19 PM [iamzuhair] we will complete it
9:19 PM [strug] which is the most effective method of contra?
9:19 PM [lanny] abstain
9:19 PM [iamzuhair] lol
9:19 PM [sanz] hehehe
9:19 PM [lanny] he ehe he
9:19 PM [strug] he he
9:19 PM [sanz] Kaplan says sterilisation
9:19 PM [strug] good luck to ur wife lanny
9:19 PM [lanny] telll amenrcan teenagerw that!!!!
9:19 PM [iamzuhair] levonorgestril patch
9:19 PM [sanz] but i thought it would be OCP...
9:19 PM [cyrus1345] hahahahah! lol
9:20 PM [lanny] condom?
9:20 PM [strug] yup sanz its OCP
9:20 PM [sanz] wait.. let me go finf that page for you guys
9:20 PM [strug] its 99.9% effective if used properly usmleworld says
9:20 PM [iamzuhair] condom is always the wrong answeron the exam
9:20 PM [sanz] p140
9:20 PM [sanz] tubal ligation is the most common modality of preg preventaion
9:21 PM [sanz] in the USA
9:21 PM [iamzuhair] yes
9:21 PM [strug] i thought it was condom
9:21 PM [iamzuhair] condom more failure rates
9:21 PM [lanny] me too condoms are the best to prvt preg zuhair
9:21 PM [lanny] they have like 90% if used prop
9:21 PM [iamzuhair] its not our individual decission its the boards
9:21 PM [strug] C/I to OCP?
9:22 PM [iamzuhair] its not our individual decission its the boards
9:22 PM [iamzuhair] pregnancy
9:22 PM [iamzuhair] liver dz
9:22 PM [lanny] where did you get that condoms is the wrong ans?
9:22 PM [iamzuhair] sle
9:22 PM [sanz] DVT?
9:22 PM [iamzuhair] DVT
9:23 PM [strug] liver disease, thromboemolic phem=, SLE, preg, hormanally media Ca like breast

[IMG]/richedit/smileys/8.gif[/IMG]Does anybody how many hour does an obgyn work?

helpppp

How can I chat with an OB/GYN about a health issue that I am having