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View Full Version : chat transcript: Peds- resp, cardio, rheum



Asclepius1
02-02-2005, 11:54 AM
02/1/05 19:03:04 [USMLE_Step_2] iamzuhair: hi lanny
02/1/05 19:03:21 [USMLE_Step_2] iamzuhair: do we have peds chat today
02/1/05 19:03:23 [USMLE_Step_2] lanny: hi just rushed in aand no one here xpt you
02/1/05 19:03:30 [USMLE_Step_2] lanny: how are you
02/1/05 19:03:32 [USMLE_Step_2] iamzuhair: yeah man
02/1/05 19:03:37 [USMLE_Step_2] iamzuhair: i thought i was late
02/1/05 19:03:43 [USMLE_Step_2] iamzuhair: im doing well
02/1/05 19:03:47 [USMLE_Step_2] lanny: me too
02/1/05 19:03:49 [USMLE_Step_2] iamzuhair: how bout you
02/1/05 19:04:00 [USMLE_Step_2] lanny: worked today so tired
02/1/05 19:04:08 [USMLE_Step_2] iamzuhair: what do u work as
02/1/05 19:04:28 [USMLE_Step_2] lanny: research
02/1/05 19:04:31 [USMLE_Step_2] iamzuhair: oh
02/1/05 19:04:40 [USMLE_Step_2] iamzuhair: which place are u in
02/1/05 19:04:46 [USMLE_Step_2] lanny: maybe today is off day
02/1/05 19:05:08 [USMLE_Step_2] iamzuhair: today is 1st right
02/1/05 19:05:15 [USMLE_Step_2] lanny: no 2nd
02/1/05 19:05:29 [USMLE_Step_2] lanny: sorry 1st
02/1/05 19:05:39 [USMLE_Step_2] iamzuhair: yeah
02/1/05 19:05:49 [USMLE_Step_2] iamzuhair: thought i was going one day slow
02/1/05 19:06:05 [USMLE_Step_2] lanny: im running one day fast
02/1/05 19:06:12 [USMLE_Step_2] iamzuhair: when do u have ur exam
02/1/05 19:06:27 [USMLE_Step_2] lanny: i wanna go end march
02/1/05 19:06:31 [USMLE_Step_2] lanny: you
02/1/05 19:06:37 [USMLE_Step_2] iamzuhair: me too man
02/1/05 19:06:45 [USMLE_Step_2] iamzuhair: so ur done with your kaplan
02/1/05 19:06:52 [USMLE_Step_2] lanny: hopefully wont postponed it
02/1/05 19:06:57 [USMLE_Step_2] iamzuhair: mee to
02/1/05 19:07:02 [USMLE_Step_2] iamzuhair: i cant
02/1/05 19:07:15 [USMLE_Step_2] iamzuhair: have to give it or my folks will kill me
02/1/05 19:07:20 [USMLE_Step_2] lanny: yes took kaplan for 10 mths now just questions
02/1/05 19:07:28 [USMLE_Step_2] iamzuhair: been postponing i long toime now
02/1/05 19:07:43 [USMLE_Step_2] lanny: you done with st 1
02/1/05 19:07:47 [USMLE_Step_2] iamzuhair: oh so u took coaching- ---- where
02/1/05 19:07:55 [USMLE_Step_2] iamzuhair: no man i need to give that too
02/1/05 19:07:57 strug Logs in
02/1/05 19:08:01 [USMLE_Step_2] lanny: i did the kap videos
02/1/05 19:08:02 strug Joins Subroom USMLE_Step_2
02/1/05 19:08:06 [USMLE_Step_2] strug: hi all
02/1/05 19:08:12 [USMLE_Step_2] iamzuhair: hi strug
02/1/05 19:08:18 [USMLE_Step_2] strug: hi zuhair
02/1/05 19:08:20 [USMLE_Step_2] iamzuhair: thought today was break
02/1/05 19:08:23 [USMLE_Step_2] lanny: hi strug surprise i beat you today
02/1/05 19:08:32 [USMLE_Step_2] strug: beat for waht?
02/1/05 19:08:35 [USMLE_Step_2] iamzuhair: lol
02/1/05 19:08:42 [USMLE_Step_2] iamzuhair: coming soon
02/1/05 19:08:46 [USMLE_Step_2] lanny: zuhair and i today was break since we met y day
02/1/05 19:08:57 sanz Logs in
02/1/05 19:08:58 sanz Joins Subroom USMLE_Step_2
02/1/05 19:09:07 [USMLE_Step_2] lanny: i logged in before you strug!!!
02/1/05 19:09:13 [USMLE_Step_2] sanz: hi guys
02/1/05 19:09:15 [USMLE_Step_2] strug: guys today rs and cvs in peds......and rheu too
02/1/05 19:09:20 [USMLE_Step_2] iamzuhair: hi
02/1/05 19:09:21 [USMLE_Step_2] iamzuhair: yes
02/1/05 19:09:25 [USMLE_Step_2] strug: hi sanz
02/1/05 19:09:27 [USMLE_Step_2] lanny: now were talking hi sanz
02/1/05 19:09:31 [USMLE_Step_2] strug: lanny congrats
02/1/05 19:09:41 [USMLE_Step_2] iamzuhair: for what
02/1/05 19:09:43 [USMLE_Step_2] strug: sanz u have the same color as mine
02/1/05 19:09:54 [USMLE_Step_2] strug: for logging in before me
02/1/05 19:09:56 [USMLE_Step_2] lanny: not until i pass st.2..lol
02/1/05 19:10:05 [USMLE_Step_2] sanz: i'll change it... i had green ... dunno why it changed by itself...
02/1/05 19:10:21 [USMLE_Step_2] lanny: what colour do i have
02/1/05 19:10:24 [USMLE_Step_2] iamzuhair: did u pass something lanny
02/1/05 19:10:29 [USMLE_Step_2] sanz: black lanny
02/1/05 19:10:29 [USMLE_Step_2] strug: ok so CVS first
02/1/05 19:10:38 [USMLE_Step_2] lanny: yes i and cs
02/1/05 19:10:41 [USMLE_Step_2] sanz: lanny, share the good news!
02/1/05 19:10:49 [USMLE_Step_2] iamzuhair: oh -- congrats
02/1/05 19:11:15 [USMLE_Step_2] lanny: me and zuhair where just killing time i told him im done with st1 and CS
02/1/05 19:11:36 [USMLE_Step_2] sanz: oh great :)
02/1/05 19:11:40 [USMLE_Step_2] lanny: this is old news i passed them in 2003 and 2004
02/1/05 19:11:47 [USMLE_Step_2] iamzuhair: lol
02/1/05 19:11:51 [USMLE_Step_2] sanz: hehe
02/1/05 19:12:01 [USMLE_Step_2] sanz: but still good news... anyway... back to the discussion
02/1/05 19:12:01 [USMLE_Step_2] iamzuhair: so im the only one left behind
02/1/05 19:12:04 [USMLE_Step_2] iamzuhair: ok
02/1/05 19:12:09 [USMLE_Step_2] iamzuhair: lets start
02/1/05 19:12:33 [USMLE_Step_2] iamzuhair: who shoots
02/1/05 19:13:04 [USMLE_Step_2] sanz: where does foreign body in an 8 mth old usually lodge?
02/1/05 19:13:13 [USMLE_Step_2] lanny: Rlung
02/1/05 19:13:16 [USMLE_Step_2] iamzuhair: larynx
02/1/05 19:13:19 [USMLE_Step_2] iamzuhair: larynx
02/1/05 19:13:23 [USMLE_Step_2] strug: rt brochus
02/1/05 19:13:27 [USMLE_Step_2] sanz: good zuhair.. if older?
02/1/05 19:13:34 [USMLE_Step_2] iamzuhair: after 1 year bronchus
02/1/05 19:13:36 [USMLE_Step_2] iamzuhair: rt one
02/1/05 19:13:44 [USMLE_Step_2] sanz: yup
02/1/05 19:14:09 [USMLE_Step_2] sanz: and in adult, aspiration usu into what segment and what lobe?
02/1/05 19:14:10 [USMLE_Step_2] iamzuhair: i thoght it was cvs 1st
02/1/05 19:14:33 [USMLE_Step_2] iamzuhair: if errect lower lobe
02/1/05 19:14:36 [USMLE_Step_2] strug: rt middle lobe lowe part
02/1/05 19:14:46 [USMLE_Step_2] sanz: posterior segment, right upp lobe
02/1/05 19:14:46 [USMLE_Step_2] lanny: agree with strug
02/1/05 19:14:49 [USMLE_Step_2] iamzuhair: if recumbent -- middle lobe post segment
02/1/05 19:15:41 [USMLE_Step_2] iamzuhair: think its diff according to position
02/1/05 19:15:47 medico24 Logs in
02/1/05 19:15:55 medico24 Joins Subroom USMLE_Step_2
02/1/05 19:16:02 [USMLE_Step_2] medico24: hi
02/1/05 19:16:06 [USMLE_Step_2] strug: newborn , diff in breathing improves with crying diagnosis?
02/1/05 19:16:10 [USMLE_Step_2] sanz: hi medico
02/1/05 19:16:14 [USMLE_Step_2] iamzuhair: coanal atresia
02/1/05 19:16:16 [USMLE_Step_2] strug: hi medoco
02/1/05 19:16:23 [USMLE_Step_2] sanz: agree
02/1/05 19:16:24 [USMLE_Step_2] strug: right zuhaair
02/1/05 19:16:29 [USMLE_Step_2] lanny: choanal atresia
02/1/05 19:16:31 [USMLE_Step_2] strug: first step?
02/1/05 19:16:40 [USMLE_Step_2] sanz: NG tube
02/1/05 19:16:47 [USMLE_Step_2] iamzuhair: no it wont go
02/1/05 19:16:54 [USMLE_Step_2] lanny: x ray
02/1/05 19:17:04 [USMLE_Step_2] iamzuhair: have to stabalize and surgery
02/1/05 19:17:15 [USMLE_Step_2] lanny: oh thx
02/1/05 19:17:17 [USMLE_Step_2] strug: intubation via oropharynx and then surgery
02/1/05 19:17:26 [USMLE_Step_2] iamzuhair: yes
02/1/05 19:17:52 [USMLE_Step_2] strug: foreign body in esophagus .... how willu remove?
02/1/05 19:18:04 [USMLE_Step_2] iamzuhair: rigid bronchoscope
02/1/05 19:18:10 [USMLE_Step_2] iamzuhair: sorry
02/1/05 19:18:12 [USMLE_Step_2] sanz: rigid endoscopy
02/1/05 19:18:15 [USMLE_Step_2] medico24: chest thrust
02/1/05 19:18:24 [USMLE_Step_2] iamzuhair: esophagoscope under visualization
02/1/05 19:18:31 [USMLE_Step_2] strug: rigiid bronchoscope...right zuhari
02/1/05 19:18:42 [USMLE_Step_2] lanny: think so strug
02/1/05 19:18:52 [USMLE_Step_2] iamzuhair: oh thought it was for lung forenbody
02/1/05 19:19:22 [USMLE_Step_2] medico24: okey
02/1/05 19:20:06 [USMLE_Step_2] sanz: name congenital cyanotic heart dz
02/1/05 19:20:06 [USMLE_Step_2] lanny: child cant get sputum for diag of pneum what do you do
02/1/05 19:20:15 [USMLE_Step_2] lanny: to get sputum?
02/1/05 19:20:17 [USMLE_Step_2] iamzuhair: child with rectal prolapse ---- what test to do
02/1/05 19:20:23 [USMLE_Step_2] sanz: broncho lavage?
02/1/05 19:20:26 [USMLE_Step_2] strug: nsogastic aspirarie
02/1/05 19:20:29 [USMLE_Step_2] sanz: sweat test
02/1/05 19:20:32 [USMLE_Step_2] iamzuhair: yes
02/1/05 19:20:34 [USMLE_Step_2] strug: sweatr test
02/1/05 19:20:46 [USMLE_Step_2] iamzuhair: yes
02/1/05 19:20:49 [USMLE_Step_2] medico24: sweat chloride
02/1/05 19:20:51 [USMLE_Step_2] lanny: intubate trans tracheal
02/1/05 19:21:02 [USMLE_Step_2] strug: for what lanny?
02/1/05 19:21:39 [USMLE_Step_2] strug: nasogastric aspirtae is easier i guess than transtracheal....
02/1/05 19:22:22 [USMLE_Step_2] iamzuhair: mcc of death in infants ?
02/1/05 19:22:29 [USMLE_Step_2] lanny: to get sputum aample if child cannot produce
02/1/05 19:22:31 [USMLE_Step_2] strug: SIDS
02/1/05 19:22:33 [USMLE_Step_2] iamzuhair: yes
02/1/05 19:22:38 [USMLE_Step_2] sanz: congenital
02/1/05 19:22:55 [USMLE_Step_2] lanny: congenital
02/1/05 19:23:10 [USMLE_Step_2] iamzuhair: congenital
02/1/05 19:23:11 [USMLE_Step_2] lanny: SIDS can occur past infancy
02/1/05 19:23:28 [USMLE_Step_2] iamzuhair: yes but its mcc in infancy
02/1/05 19:23:52 [USMLE_Step_2] lanny: you think so MC than congen
02/1/05 19:23:58 [USMLE_Step_2] iamzuhair: mostly in winter months
02/1/05 19:24:08 [USMLE_Step_2] iamzuhair: its given in kaplan
02/1/05 19:24:12 [USMLE_Step_2] sanz: SIDS is most common death if it's between 1mth to 1yr.... but if they ask you from birth to infancy, then it's congenital...
02/1/05 19:24:13 [USMLE_Step_2] iamzuhair: peds
02/1/05 19:24:26 [USMLE_Step_2] strug: infant with cough, eye discharge, mother has vaginal infectionin pregnancy, infanct 2 months old...whats the diagnosis?
02/1/05 19:24:37 [USMLE_Step_2] iamzuhair: cmv
02/1/05 19:24:44 [USMLE_Step_2] sanz: chlamydia
02/1/05 19:24:45 [USMLE_Step_2] medico24: chlamydia
02/1/05 19:24:51 [USMLE_Step_2] strug: chalmydia pneaumonia...right medico
02/1/05 19:24:55 [USMLE_Step_2] iamzuhair: oh
02/1/05 19:24:59 [USMLE_Step_2] lanny: chlamydia
02/1/05 19:25:02 [USMLE_Step_2] strug: X ray findings?
02/1/05 19:25:19 [USMLE_Step_2] lanny: of what
02/1/05 19:25:23 [USMLE_Step_2] iamzuhair: ground glass
02/1/05 19:25:44 [USMLE_Step_2] lanny: hyper inflation on a ground glass
02/1/05 19:25:52 [USMLE_Step_2] strug: ground glass appearance, hyperinflation...right zuhair
02/1/05 19:26:02 [USMLE_Step_2] strug: Rx?
02/1/05 19:26:12 [USMLE_Step_2] iamzuhair: erythromycin
02/1/05 19:26:15 [USMLE_Step_2] lanny: erythro
02/1/05 19:26:20 [USMLE_Step_2] medico24: erythro
02/1/05 19:26:28 [USMLE_Step_2] lanny: trt mother also
02/1/05 19:26:31 [USMLE_Step_2] iamzuhair: eec drops in eyes
02/1/05 19:26:36 [USMLE_Step_2] iamzuhair: yes
02/1/05 19:26:37 [USMLE_Step_2] lanny: if neon
02/1/05 19:26:43 [USMLE_Step_2] strug: erythromycin ethyl succinate drops via mouth for 14 days........mother and sexual partneers also treataed
02/1/05 19:26:57 [USMLE_Step_2] lanny: i think eryth drops is PO
02/1/05 19:27:05 [USMLE_Step_2] iamzuhair: sorry
02/1/05 19:27:10 [USMLE_Step_2] iamzuhair: its by mouth
02/1/05 19:28:11 [USMLE_Step_2] sanz: genetic defect of CF?
02/1/05 19:28:28 [USMLE_Step_2] iamzuhair: cftr
02/1/05 19:28:35 [USMLE_Step_2] lanny: deletion of cftr 7
02/1/05 19:28:35 [USMLE_Step_2] iamzuhair: CFTR
02/1/05 19:28:42 [USMLE_Step_2] medico24: chro 7
02/1/05 19:29:05 [USMLE_Step_2] sanz: deletion of F508 coding for CFTR on Chrosome 7
02/1/05 19:29:18 [USMLE_Step_2] medico24: A previously healthy 18 months old has been in separate room from his family. Family notices sudden onset of coughing over a few minutes then the patient appears to be normal except for increased amount of drooling and refusal to take food orally.
02/1/05 19:29:47 [USMLE_Step_2] iamzuhair: epiglotitis
02/1/05 19:29:50 [USMLE_Step_2] strug: epigolttis
02/1/05 19:30:20 [USMLE_Step_2] sanz: choking?
02/1/05 19:30:37 [USMLE_Step_2] medico24: in epiglottitis there is hogh onset of fever
02/1/05 19:30:50 [USMLE_Step_2] lanny: foreign body
02/1/05 19:30:57 [USMLE_Step_2] medico24: rt lanny
02/1/05 19:31:07 [USMLE_Step_2] strug: good q
02/1/05 19:31:10 [USMLE_Step_2] medico24: where do you suspect?
02/1/05 19:31:23 [USMLE_Step_2] strug: esophagus
02/1/05 19:31:27 [USMLE_Step_2] iamzuhair: RT BRONCHUS
02/1/05 19:31:28 [USMLE_Step_2] medico24: rt strug
02/1/05 19:31:47 [USMLE_Step_2] iamzuhair: MAN HE IS 18 MONTHS OLD
02/1/05 19:32:20 [USMLE_Step_2] medico24: so what?
02/1/05 19:32:31 [USMLE_Step_2] iamzuhair: SO IN BRONCHUS
02/1/05 19:32:43 [USMLE_Step_2] iamzuhair: IF UNDER 1 YEAR ITS LARYNX
02/1/05 19:32:48 [USMLE_Step_2] strug: always go by presentation and not by risk factores...DR Fischer
02/1/05 19:32:48 [USMLE_Step_2] medico24: why not in esophagus?
02/1/05 19:33:17 [USMLE_Step_2] strug: this patient has drooling and refuses to take food....where can u except esophagus!!!!
02/1/05 19:33:24 [USMLE_Step_2] sanz: agree strug
02/1/05 19:33:25 [USMLE_Step_2] iamzuhair: YEAH
02/1/05 19:33:43 [USMLE_Step_2] iamzuhair: SORRY DIDNT NOTICE AS NO RESOP DISTRESS
02/1/05 19:33:53 [USMLE_Step_2] sanz: MCC of bronchiolitis?
02/1/05 19:33:58 [USMLE_Step_2] lanny: RSV
02/1/05 19:34:01 grix Logs in
02/1/05 19:34:02 grix Joins Subroom USMLE_Step_2
02/1/05 19:34:02 [USMLE_Step_2] medico24: rsv
02/1/05 19:34:05 [USMLE_Step_2] iamzuhair: RSV
02/1/05 19:34:13 [USMLE_Step_2] sanz: any prevention for this in high risk infants?
02/1/05 19:34:13 [USMLE_Step_2] strug: RSV
02/1/05 19:34:18 [USMLE_Step_2] sanz: yes all right
02/1/05 19:34:28 [USMLE_Step_2] strug: dec smoking in mother
02/1/05 19:35:00 [USMLE_Step_2] sanz: RSV Ig
02/1/05 19:35:09 [USMLE_Step_2] lanny: IMmune glob during season
02/1/05 19:35:20 [USMLE_Step_2] sanz: esp if the kid was a premmie
02/1/05 19:35:20 [USMLE_Step_2] lanny: if the child hac COPD
02/1/05 19:35:28 [USMLE_Step_2] strug: aslo palivizumab can be given
02/1/05 19:35:29 [USMLE_Step_2] lanny: yes
02/1/05 19:35:41 [USMLE_Step_2] lanny: COPD and premies
02/1/05 19:35:48 [USMLE_Step_2] strug: or child <2 years
02/1/05 19:36:34 dua_frank Logs in
02/1/05 19:36:35 dua_frank Joins Subroom USMLE_Step_2
02/1/05 19:36:49 [USMLE_Step_2] dua_frank: Hi all
02/1/05 19:36:52 [USMLE_Step_2] grix: are u guys going real slow?
02/1/05 19:36:59 [USMLE_Step_2] grix: who asks the questions?
02/1/05 19:37:08 [USMLE_Step_2] sanz: hi dua :) wuz up?
02/1/05 19:37:12 [USMLE_Step_2] sanz: hi grix
02/1/05 19:37:15 [USMLE_Step_2] grix: hi
02/1/05 19:37:15 [USMLE_Step_2] dua_frank: are you FBI?
02/1/05 19:37:18 [USMLE_Step_2] dua_frank: kidding
02/1/05 19:37:20 [USMLE_Step_2] grix: cia
02/1/05 19:37:27 [USMLE_Step_2] dua_frank: i'm late snaz :(
02/1/05 19:37:31 [USMLE_Step_2] lanny: also gotta be initiated first
02/1/05 19:37:37 [USMLE_Step_2] sanz: dont worry... u're here now
02/1/05 19:37:38 [USMLE_Step_2] sanz: hehe
02/1/05 19:37:41 [USMLE_Step_2] dua_frank: thanks :D
02/1/05 19:37:42 [USMLE_Step_2] grix: initiations?
02/1/05 19:37:46 [USMLE_Step_2] grix: lol
02/1/05 19:37:51 [USMLE_Step_2] dua_frank: whats our topic for today?
02/1/05 19:37:54 [USMLE_Step_2] sanz: grix, you can ask qs whenever you like
02/1/05 19:37:57 [USMLE_Step_2] lanny: yep ta all joining after feb 1st
02/1/05 19:38:08 [USMLE_Step_2] grix: topic is resp,cardio?
02/1/05 19:38:11 [USMLE_Step_2] dua_frank: lanny lol
02/1/05 19:38:17 [USMLE_Step_2] lanny: also give imp point if you have
02/1/05 19:38:26 [USMLE_Step_2] lanny: hi dua.. welcome
02/1/05 19:38:30 [USMLE_Step_2] dua_frank: thanks
02/1/05 19:38:33 [USMLE_Step_2] strug: Do we give endocarditis prop for ASD?
02/1/05 19:38:39 [USMLE_Step_2] dua_frank: no
02/1/05 19:38:42 [USMLE_Step_2] sanz: CF kid, came in with dehydration... what do you expect on his ABG?
02/1/05 19:38:57 [USMLE_Step_2] grix: how about for vsd?
02/1/05 19:38:58 [USMLE_Step_2] strug: hypocholereima metabolic alkalosis
02/1/05 19:39:01 [USMLE_Step_2] dua_frank: nope grix
02/1/05 19:39:07 [USMLE_Step_2] grix: neither
02/1/05 19:39:11 [USMLE_Step_2] sanz: right strug
02/1/05 19:39:14 [USMLE_Step_2] dua_frank: holes need surgical closure
02/1/05 19:39:17 [USMLE_Step_2] grix: u sure?
02/1/05 19:39:19 [USMLE_Step_2] dua_frank: yeah
02/1/05 19:39:43 [USMLE_Step_2] strug: For VSd we dont give propylaxiz??
02/1/05 19:39:48 [USMLE_Step_2] sanz: i thought we do strug
02/1/05 19:39:53 [USMLE_Step_2] dua_frank: i wouldn't know why though
02/1/05 19:39:54 [USMLE_Step_2] grix: i thought for vsd we do?
02/1/05 19:39:54 [USMLE_Step_2] lanny: we do
02/1/05 19:39:55 [USMLE_Step_2] strug: me too
02/1/05 19:39:55 [USMLE_Step_2] grix: not sure
02/1/05 19:39:59 cyrus1345 Logs in
02/1/05 19:40:05 [USMLE_Step_2] strug: we give for VSD
02/1/05 19:40:08 [USMLE_Step_2] dua_frank: for sure not in ASD but why in VSD?
02/1/05 19:40:11 cyrus1345 Joins Subroom USMLE_Step_2
02/1/05 19:40:12 [USMLE_Step_2] lanny: yes strug
02/1/05 19:40:13 [USMLE_Step_2] strug: only for ASD we dont
02/1/05 19:40:21 [USMLE_Step_2] lanny: agree with strug
02/1/05 19:40:28 [USMLE_Step_2] strug: hi nasi
02/1/05 19:40:28 [USMLE_Step_2] dua_frank: there must be a reason why, right?
02/1/05 19:40:30 [USMLE_Step_2] cyrus1345: Hi everybody
02/1/05 19:40:33 [USMLE_Step_2] dua_frank: hi nasi
02/1/05 19:40:41 [USMLE_Step_2] sanz: for ASD, we give if it's primum ASD... not needed for secundum
02/1/05 19:40:42 [USMLE_Step_2] dua_frank: so we're doing peds, cardio today snaz?
02/1/05 19:40:53 [USMLE_Step_2] grix: doesnt the bacteria have an affinity for the valves in teh ventricles?
02/1/05 19:40:54 [USMLE_Step_2] sanz: dua, cardio and pulm
02/1/05 19:40:55 [USMLE_Step_2] strug: because endocarditis is rare in ASD
02/1/05 19:40:58 [USMLE_Step_2] dua_frank: ok thanks
02/1/05 19:41:14 [USMLE_Step_2] iamzuhair: YES STRUG S RIGHT
02/1/05 19:41:16 [USMLE_Step_2] dua_frank: grix but ASD and VSD aren't valves
02/1/05 19:41:22 [USMLE_Step_2] grix: yeah i know
02/1/05 19:41:42 [USMLE_Step_2] sanz: hey nasi... didnt see you there.. hehe
02/1/05 19:41:51 [USMLE_Step_2] iamzuhair: YEAH BUT FOR VSD LARGE DEFECTS E GIVE PX
02/1/05 19:41:55 [USMLE_Step_2] cyrus1345: :D
02/1/05 19:42:25 [USMLE_Step_2] lanny: agree not necessarily valves any def that can slow or create turbulence
02/1/05 19:42:43 [USMLE_Step_2] sanz: name the congenital cyanotic heart dz
02/1/05 19:42:48 [USMLE_Step_2] grix: what is cause of cyanosis in first 24hrs of life?
02/1/05 19:42:54 [USMLE_Step_2] dua_frank: TOGA
02/1/05 19:42:59 [USMLE_Step_2] dua_frank: TA
02/1/05 19:43:04 [USMLE_Step_2] strug: 5 years child...for routine examination....75% for weight and height....soft 2/6 murmur at the left sternal border.....diagnosis?
02/1/05 19:43:16 [USMLE_Step_2] dua_frank: VSD
02/1/05 19:43:22 [USMLE_Step_2] grix: normal murmur
02/1/05 19:43:24 [USMLE_Step_2] sanz: innocent murmur strug
02/1/05 19:43:27 [USMLE_Step_2] strug: total anamolour pul venous circulation grix
02/1/05 19:43:28 [USMLE_Step_2] medico24: normal
02/1/05 19:43:29 [USMLE_Step_2] dua_frank: yeah
02/1/05 19:43:40 [USMLE_Step_2] strug: innocent mur right
02/1/05 19:43:54 [USMLE_Step_2] medico24: A 7 wk infant has been extubated for 2 wks still require oxygen to maintain her situation above 93% her chest x ray reveal pathy,fluppy infiltratewith areas of lucency.she require daily diuretic therapy.What is the diagnosis?
02/1/05 19:43:58 [USMLE_Step_2] strug: because child is in normal development
02/1/05 19:44:12 [USMLE_Step_2] sanz: Tet, transposition TA and TAPVR
02/1/05 19:44:15 [USMLE_Step_2] grix: bronchial dysplasia
02/1/05 19:44:34 [USMLE_Step_2] dua_frank: hyaline membrane disease?
02/1/05 19:44:45 [USMLE_Step_2] grix: bronchial dysplasia medico
02/1/05 19:44:48 [USMLE_Step_2] medico24: rt grix
02/1/05 19:44:58 [USMLE_Step_2] dua_frank: whats TAPVR ?
02/1/05 19:45:10 [USMLE_Step_2] grix: hyanline membrane disease will be seen before seven weeks
02/1/05 19:45:13 [USMLE_Step_2] lanny: total anomalous pulm venous retuen
02/1/05 19:45:14 [USMLE_Step_2] sanz: total anomalous pulm venous return
02/1/05 19:45:35 [USMLE_Step_2] sanz: dua, what's TOGA?
02/1/05 19:45:48 [USMLE_Step_2] grix: widely split s2?
02/1/05 19:45:49 [USMLE_Step_2] dua_frank: transposition of great arteries
02/1/05 19:45:50 [USMLE_Step_2] strug: trans positon of great vessels
02/1/05 19:45:53 [USMLE_Step_2] dua_frank: ASD
02/1/05 19:45:55 [USMLE_Step_2] grix: right
02/1/05 19:46:07 [USMLE_Step_2] sanz: oh... hehe
02/1/05 19:46:18 [USMLE_Step_2] strug: murmur of VSD?
02/1/05 19:46:21 [USMLE_Step_2] sanz: pansys
02/1/05 19:46:22 [USMLE_Step_2] grix: treatment of tet spells?
02/1/05 19:46:27 [USMLE_Step_2] strug: pansystolic
02/1/05 19:46:27 [USMLE_Step_2] dua_frank: Tet is for tetrology of fallot right?
02/1/05 19:46:30 [USMLE_Step_2] lanny: pansystolic
02/1/05 19:46:30 [USMLE_Step_2] grix: yes
02/1/05 19:46:33 [USMLE_Step_2] medico24: holosystolic
02/1/05 19:46:34 [USMLE_Step_2] dua_frank: ok
02/1/05 19:46:37 [USMLE_Step_2] lanny: yes
02/1/05 19:46:37 [USMLE_Step_2] sanz: squatting
02/1/05 19:46:38 [USMLE_Step_2] strug: squatting and O2
02/1/05 19:46:39 [USMLE_Step_2] sanz: hehe
02/1/05 19:46:41 [USMLE_Step_2] grix: right
02/1/05 19:46:42 [USMLE_Step_2] cyrus1345: 3 codition that can cause single s2?
02/1/05 19:46:44 [USMLE_Step_2] dua_frank: squatting yes
02/1/05 19:46:54 [USMLE_Step_2] sanz: i think you give propanolol too?
02/1/05 19:47:16 [USMLE_Step_2] cyrus1345: propronol and morphin
02/1/05 19:47:19 [USMLE_Step_2] iamzuhair: TRICUSPID ATRESIA
02/1/05 19:47:20 [USMLE_Step_2] grix: turners syndrome assoc with what cardiac problem?
02/1/05 19:47:23 [USMLE_Step_2] strug: TOF, TA, TOGA
02/1/05 19:47:25 [USMLE_Step_2] medico24: TOGV,TA,TOF
02/1/05 19:47:29 [USMLE_Step_2] iamzuhair: TOF
02/1/05 19:47:39 [USMLE_Step_2] strug: coarction of arota grix
02/1/05 19:47:39 [USMLE_Step_2] lanny: coarctation
02/1/05 19:47:41 [USMLE_Step_2] iamzuhair: TOGV
02/1/05 19:47:42 [USMLE_Step_2] grix: right
02/1/05 19:47:45 [USMLE_Step_2] medico24: COARCTATION
02/1/05 19:47:56 [USMLE_Step_2] cyrus1345: tof,T.A P.A
02/1/05 19:48:01 [USMLE_Step_2] grix: lithium causes what problem in cardio
02/1/05 19:48:09 [USMLE_Step_2] lanny: ebstein anomaly
02/1/05 19:48:10 [USMLE_Step_2] cyrus1345: epshtian
02/1/05 19:48:12 [USMLE_Step_2] strug: ebstsins anomaly
02/1/05 19:48:13 [USMLE_Step_2] grix: right
02/1/05 19:48:14 [USMLE_Step_2] iamzuhair: YES
02/1/05 19:48:20 [USMLE_Step_2] grix: are my questions too easy?
02/1/05 19:48:24 [USMLE_Step_2] strug: nasi ur ans
02/1/05 19:48:37 [USMLE_Step_2] dua_frank: grix you want us not to answer you? :P
02/1/05 19:48:40 [USMLE_Step_2] sanz: grix, doesnt matter... just ask... it'll refresh our minds
02/1/05 19:48:41 [USMLE_Step_2] grix: lol
02/1/05 19:48:50 lenhoxung Logs in
02/1/05 19:48:51 lenhoxung Joins Subroom USMLE_Step_1
02/1/05 19:48:52 [USMLE_Step_2] grix: downs assoc with waht cardio
02/1/05 19:48:54 [USMLE_Step_2] sanz: lol dua
02/1/05 19:48:54 [USMLE_Step_2] cyrus1345: TOf, T.A,P.A strug
02/1/05 19:49:01 [USMLE_Step_2] strug: acc to me all cyanotic have single S2?
02/1/05 19:49:02 [USMLE_Step_2] sanz: endocardial cushion
02/1/05 19:49:08 [USMLE_Step_2] grix: right
02/1/05 19:49:08 [USMLE_Step_2] medico24: Infant 2 wks age found to be nonopposible thumb seems to be triphalangeal.Mother also has the same.Diagnosis is?
02/1/05 19:49:22 [USMLE_Step_2] sanz: diamond blackfan
02/1/05 19:49:28 [USMLE_Step_2] strug: fanconis?
02/1/05 19:49:32 [USMLE_Step_2] cyrus1345: yes ,it can be
02/1/05 19:49:43 [USMLE_Step_2] medico24: it is holt oram
02/1/05 19:49:49 [USMLE_Step_2] lanny: diam blackfan has to have thrombocytopen
02/1/05 19:49:55 [USMLE_Step_2] strug: whats that medico?
02/1/05 19:50:20 [USMLE_Step_2] medico24: aso with VSD
02/1/05 19:50:29 [USMLE_Step_2] grix: tx of pda in term vs preterm
02/1/05 19:50:32 [USMLE_Step_2] grix: ?
02/1/05 19:50:43 [USMLE_Step_2] dua_frank: indomethacin
02/1/05 19:50:45 [USMLE_Step_2] dua_frank: closure
02/1/05 19:50:50 [USMLE_Step_2] cyrus1345: agree
02/1/05 19:50:52 [USMLE_Step_2] grix: in term or preterm or both?>
02/1/05 19:50:55 [USMLE_Step_2] strug: indo in preterm
02/1/05 19:51:00 [USMLE_Step_2] cyrus1345: just preterm
02/1/05 19:51:04 [USMLE_Step_2] grix: and what in term
02/1/05 19:51:04 [USMLE_Step_2] iamzuhair: INDO IN TERM
02/1/05 19:51:05 [USMLE_Step_2] cyrus1345: term surgery
02/1/05 19:51:18 [USMLE_Step_2] grix: i think its indo in preterm and surgery in term
02/1/05 19:51:23 [USMLE_Step_2] iamzuhair: YES
02/1/05 19:51:29 [USMLE_Step_2] iamzuhair: SURGERY ATTERM
02/1/05 19:51:40 [USMLE_Step_2] lanny: both
02/1/05 19:51:43 [USMLE_Step_2] iamzuhair: INDO IN PRETERM
02/1/05 19:52:09 [USMLE_Step_2] iamzuhair: IF AS WITH ANY CYANOTIC LEFT HRT DZ THEN PGE FOR KEEPING PATENT
02/1/05 19:52:24 [USMLE_Step_2] dua_frank: yah
02/1/05 19:52:25 [USMLE_Step_2] grix: do u see hyaline memberane disease in term or preterm or both?
02/1/05 19:52:26 [USMLE_Step_2] strug: yes zuhai
02/1/05 19:52:32 [USMLE_Step_2] strug: preterm
02/1/05 19:52:33 [USMLE_Step_2] iamzuhair: PRETERM
02/1/05 19:52:34 [USMLE_Step_2] lanny: preterm
02/1/05 19:52:38 [USMLE_Step_2] grix: easy one..lol
02/1/05 19:52:58 [USMLE_Step_2] sanz: cradiac defect associated with Di George?
02/1/05 19:53:04 [USMLE_Step_2] dua_frank: snaz you were right about propranolol
02/1/05 19:53:06 [USMLE_Step_2] strug: ASD, VSA
02/1/05 19:53:13 [USMLE_Step_2] strug: sorry VSD
02/1/05 19:53:15 [USMLE_Step_2] medico24: ASD
02/1/05 19:53:18 [USMLE_Step_2] strug: alsoTA
02/1/05 19:53:20 [USMLE_Step_2] grix: asd, vsd
02/1/05 19:53:25 [USMLE_Step_2] dua_frank: you do give morphine, propranolol and sodium bicarb during tet acute spells
02/1/05 19:53:34 [USMLE_Step_2] sanz: VSD, conotruncal anomalies, interrupted aortic arch
02/1/05 19:53:34 [USMLE_Step_2] cyrus1345: trancus artrious
02/1/05 19:54:02 [USMLE_Step_2] sanz: thnx dua... didnt know abt morphine and bicarb :)
02/1/05 19:54:07 [USMLE_Step_2] strug: whats pentoalogy of fallot
02/1/05 19:54:10 [USMLE_Step_2] dua_frank: welcome
02/1/05 19:54:17 [USMLE_Step_2] iamzuhair: EGG ON STRING
02/1/05 19:54:18 [USMLE_Step_2] grix: dontknow
02/1/05 19:54:33 [USMLE_Step_2] lanny: they would not ask strug
02/1/05 19:54:42 [USMLE_Step_2] medico24: ASSO WITH asd
02/1/05 19:54:53 [USMLE_Step_2] strug: it includes ASD + TOF right medico good
02/1/05 19:54:53 [USMLE_Step_2] dua_frank: all the four defects
02/1/05 19:55:03 [USMLE_Step_2] lanny: penta means 5 one more def
02/1/05 19:55:11 [USMLE_Step_2] dua_frank: don't know
02/1/05 19:55:17 [USMLE_Step_2] lanny: me neither
02/1/05 19:55:25 [USMLE_Step_2] cyrus1345: snaz what was your answer for digeorge?
02/1/05 19:55:33 [USMLE_Step_2] sanz: VSD, conotruncal anomalies, interrupted aortic arch
02/1/05 19:55:34 [USMLE_Step_2] grix: egg on string is tranposition
02/1/05 19:55:41 [USMLE_Step_2] iamzuhair: EGG ON STRING IN X RAY IN CHILD AND DM IN MOTHER
02/1/05 19:55:47 [USMLE_Step_2] dua_frank: nice grix, thanks
02/1/05 19:55:53 [USMLE_Step_2] grix: no prob
02/1/05 19:55:56 [USMLE_Step_2] cyrus1345: ok thanks
02/1/05 19:56:14 [USMLE_Step_2] iamzuhair: TOGV
02/1/05 19:56:17 [USMLE_Step_2] cyrus1345: transposition great vessele
02/1/05 19:56:20 [USMLE_Step_2] sanz: i guess TA can be considered a conotruncal anomalies, nasi... i dont know...
02/1/05 19:56:21 [USMLE_Step_2] grix: snowman or figure 8 on cxray
02/1/05 19:56:30 [USMLE_Step_2] sanz: TAPVR?
02/1/05 19:56:37 [USMLE_Step_2] grix: yes
02/1/05 19:56:38 [USMLE_Step_2] medico24: tapvr
02/1/05 19:56:38 [USMLE_Step_2] grix: nice
02/1/05 19:56:40 [USMLE_Step_2] lanny: how do you tell an innocent murmur
02/1/05 19:56:42 [USMLE_Step_2] iamzuhair: YES
02/1/05 19:56:43 [USMLE_Step_2] sanz: soft
02/1/05 19:56:47 [USMLE_Step_2] sanz: change with position
02/1/05 19:56:51 [USMLE_Step_2] cyrus1345: yes it is ,100% positive snaz
02/1/05 19:56:53 [USMLE_Step_2] grix: nvever great thean two out of six
02/1/05 19:56:54 [USMLE_Step_2] sanz: no thrill or radiation
02/1/05 19:57:05 [USMLE_Step_2] grix: never diastiolic
02/1/05 19:57:07 [USMLE_Step_2] medico24: 2/6
02/1/05 19:57:24 [USMLE_Step_2] sanz: thnx nasi
02/1/05 19:57:29 [USMLE_Step_2] grix: tx of tranposition
02/1/05 19:57:32 [USMLE_Step_2] strug: cyanosis at birth, pansystolic murmur on left sternal border, single S2, EKG left axis deviation and LVH/ diagnosis?
02/1/05 19:57:40 [USMLE_Step_2] lanny: all right also inn murmru is never diastolic
02/1/05 19:57:43 [USMLE_Step_2] grix: tricuspid atresia
02/1/05 19:57:45 [USMLE_Step_2] iamzuhair: NCHILD ONLY SLEPS IN MOTHERS ARMS AND NOT ON BED ?
02/1/05 19:57:46 [USMLE_Step_2] grix: strug
02/1/05 19:57:50 [USMLE_Step_2] cyrus1345: T.A
02/1/05 19:57:57 [USMLE_Step_2] medico24: ta
02/1/05 19:58:04 [USMLE_Step_2] strug: good all of u correct
02/1/05 19:58:25 [USMLE_Step_2] lanny: why do you know?
02/1/05 19:58:25 [USMLE_Step_2] grix: easy one...rib notching
02/1/05 19:58:33 [USMLE_Step_2] lanny: coarctaiton
02/1/05 19:58:42 [USMLE_Step_2] grix: right
02/1/05 19:58:53 [USMLE_Step_2] cyrus1345: another condition can cause rib notching?
02/1/05 19:58:55 [USMLE_Step_2] medico24: .child with systolic murmur in the pulmonic area and mid diastolic murmur in lt sternal border.ECg shows rt atrial hypertrophy and ventricular block pattern.Diagnosis is?
02/1/05 19:58:56 [USMLE_Step_2] lanny: why child dont sleeo in bed
02/1/05 19:59:02 [USMLE_Step_2] iamzuhair: OH
02/1/05 19:59:03 [USMLE_Step_2] strug: which cyanotic deisease has left to right shunt?
02/1/05 19:59:19 [USMLE_Step_2] cyrus1345: TAPVR
02/1/05 19:59:20 shreya Logs in
02/1/05 19:59:21 shreya Joins Subroom USMLE_Step_2
02/1/05 19:59:24 [USMLE_Step_2] sanz: TAPVR
02/1/05 19:59:29 [USMLE_Step_2] strug: right nasi and sanz
02/1/05 19:59:29 [USMLE_Step_2] lanny: right
02/1/05 19:59:33 [USMLE_Step_2] iamzuhair: SIGN OF HEART FAILURE
02/1/05 19:59:46 [USMLE_Step_2] iamzuhair: NCHILD ONLY SLEPS IN MOTHERS ARMS AND NOT ON BED --- HEART FAILURE
02/1/05 19:59:57 [USMLE_Step_2] iamzuhair: ORTHOPNEA
02/1/05 20:00:03 [USMLE_Step_2] strug: ok
02/1/05 20:00:11 [USMLE_Step_2] iamzuhair: TURNS BLUE ON EXERTION
02/1/05 20:00:16 [USMLE_Step_2] strug: medico ur ans
02/1/05 20:00:18 [USMLE_Step_2] iamzuhair: GETS TIRED EASILY
02/1/05 20:00:30 [USMLE_Step_2] medico24: it is ebsteins anomaly
02/1/05 20:00:46 [USMLE_Step_2] cyrus1345: oh ok thanks
02/1/05 20:00:50 [USMLE_Step_2] cyrus1345: good one
02/1/05 20:00:54 [USMLE_Step_2] grix: MI in kid think of what/
02/1/05 20:01:02 [USMLE_Step_2] cyrus1345: kawasaki
02/1/05 20:01:16 [USMLE_Step_2] grix: nice cyrus
02/1/05 20:01:18 [USMLE_Step_2] dua_frank: whats o2 step off in VSD?
02/1/05 20:01:36 [USMLE_Step_2] dua_frank: i don't know what it is so dont expect an answer from me please
02/1/05 20:01:39 [USMLE_Step_2] strug: inc o2 in rt vent than rt atriaum because of shunt
02/1/05 20:01:48 [USMLE_Step_1] lenhoxung: hi
02/1/05 20:01:48 [USMLE_Step_2] iamzuhair: RUBELLA ?
02/1/05 20:01:53 [USMLE_Step_2] cyrus1345: PDA
02/1/05 20:01:55 [USMLE_Step_2] iamzuhair: DOWNS ?
02/1/05 20:01:59 [USMLE_Step_1] lenhoxung: anyone here
02/1/05 20:02:08 [USMLE_Step_2] iamzuhair: TURNERS ?
02/1/05 20:02:18 [USMLE_Step_2] cyrus1345: endocarida cushion defect
02/1/05 20:02:18 [USMLE_Step_2] strug: hey r u guys giving ans to my q... it was an ans to dua q
02/1/05 20:02:30 [USMLE_Step_2] dua_frank: strug lol
02/1/05 20:02:48 [USMLE_Step_2] cyrus1345: ;) :D
02/1/05 20:02:51 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:02:55 [USMLE_Step_2] lanny: whats the question nasi zuhair
02/1/05 20:02:56 [USMLE_Step_2] sanz: no zuhair is asking and nasi is asnewring right?
02/1/05 20:02:57 [USMLE_Step_2] dua_frank: thanks strug
02/1/05 20:03:03 [USMLE_Step_2] strug: :p
02/1/05 20:03:06 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:03:17 [USMLE_Step_2] medico24: prominant pul vasculature is found in?
02/1/05 20:03:26 [USMLE_Step_2] strug: left to right shunt
02/1/05 20:03:32 [USMLE_Step_2] sanz: VSD and PDA
02/1/05 20:03:38 [USMLE_Step_2] lanny: LtoR shunts
02/1/05 20:03:42 [USMLE_Step_2] sanz: ASD if defect is big
02/1/05 20:03:43 [USMLE_Step_2] iamzuhair: EISENMENGER
02/1/05 20:03:45 [USMLE_Step_2] dua_frank: ah it was like a cross fire round
02/1/05 20:03:50 lenhoxung Logs Out
02/1/05 20:04:10 [USMLE_Step_2] medico24: togv
02/1/05 20:04:11 [USMLE_Step_2] sanz: TOF as well medico
02/1/05 20:04:33 [USMLE_Step_2] sanz: no... sorry that was wrong
02/1/05 20:04:35 mmw Logs in
02/1/05 20:04:36 mmw Joins Subroom USMLE_Step_1
02/1/05 20:04:37 [USMLE_Step_2] shreya: pda.
02/1/05 20:04:39 [USMLE_Step_2] medico24: i am not sure about tof
02/1/05 20:04:45 [USMLE_Step_2] grix: i think tof is right
02/1/05 20:04:45 mmw Joins Subroom USMLE_Step_2
02/1/05 20:04:47 [USMLE_Step_2] grix: isnt it?
02/1/05 20:04:47 [USMLE_Step_2] sanz: medico, i'm wrong
02/1/05 20:04:49 [USMLE_Step_2] medico24: i think not
02/1/05 20:05:02 [USMLE_Step_2] sanz: TOF has pulm stenosis... the flow to lung is blocked...
02/1/05 20:05:13 [USMLE_Step_2] iamzuhair: MX OF TET SPELLS
02/1/05 20:05:42 [USMLE_Step_2] iamzuhair: KNEE CHEST POSITION , MORPHENE , O2 , B BLOCKADE
02/1/05 20:05:49 mmw Joins Subroom USMLE_Step_1
02/1/05 20:05:51 Roxanita Logs in
02/1/05 20:05:52 Roxanita Joins Subroom USMLE_Step_1
02/1/05 20:06:10 [USMLE_Step_2] grix: cystic fibrosis had problem on what gene?
02/1/05 20:06:13 [USMLE_Step_2] cyrus1345: complication of TOF?
02/1/05 20:06:13 [USMLE_Step_2] dua_frank: CHF after first week of life in?
02/1/05 20:06:21 [USMLE_Step_2] cyrus1345: CTRF
02/1/05 20:06:23 [USMLE_Step_2] medico24: tof
02/1/05 20:06:24 [USMLE_Step_2] shreya: cf1
02/1/05 20:06:25 [USMLE_Step_2] strug: hey nasi u asked which other condision has rib notching its vonreckinglhausen disease
02/1/05 20:06:27 [USMLE_Step_2] dua_frank: PDA
02/1/05 20:06:39 [USMLE_Step_2] iamzuhair: WHY STRUG
02/1/05 20:06:43 [USMLE_Step_2] cyrus1345: great strug yes
02/1/05 20:06:56 [USMLE_Step_2] iamzuhair: U MEAN NF1
02/1/05 20:06:57 lenhoxung Logs in
02/1/05 20:07:20 [USMLE_Step_2] cyrus1345: yes zahuir
02/1/05 20:07:24 [USMLE_Step_2] iamzuhair: WHY
02/1/05 20:08:01 [USMLE_Step_2] cyrus1345: I don't know why!
02/1/05 20:08:07 [USMLE_Step_2] iamzuhair: OH
02/1/05 20:08:09 [USMLE_Step_2] iamzuhair: OK
02/1/05 20:08:20 [USMLE_Step_2] grix: dextrocardia in what disease?
02/1/05 20:08:29 [USMLE_Step_2] iamzuhair: CF
02/1/05 20:08:33 [USMLE_Step_2] medico24: cf
02/1/05 20:08:46 [USMLE_Step_2] medico24: kartneger
02/1/05 20:08:47 [USMLE_Step_2] grix: isnt it kartageners?
02/1/05 20:08:51 [USMLE_Step_2] dua_frank: yes
02/1/05 20:08:53 [USMLE_Step_2] sanz: yes
02/1/05 20:08:54 [USMLE_Step_2] grix: is it cf also?
02/1/05 20:08:59 [USMLE_Step_2] cyrus1345: tes kart
02/1/05 20:09:09 [USMLE_Step_2] cyrus1345: yes
02/1/05 20:09:10 [USMLE_Step_2] dua_frank: kartageners can have CF too
02/1/05 20:09:14 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:09:14 [USMLE_Step_2] lanny: never heard in CF
02/1/05 20:09:16 [USMLE_Step_2] strug: u find widely spilit S2 in which other consition?
02/1/05 20:09:17 [USMLE_Step_2] grix: yeah. but is it cf
02/1/05 20:09:22 [USMLE_Step_2] iamzuhair: ASD
02/1/05 20:09:27 [USMLE_Step_2] iamzuhair: WIDE FIXED ASD
02/1/05 20:09:34 [USMLE_Step_2] strug: one more condition
02/1/05 20:09:36 [USMLE_Step_2] iamzuhair: WIDE SPLIT IN ?
02/1/05 20:09:39 [USMLE_Step_2] dua_frank: PS?
02/1/05 20:09:41 [USMLE_Step_2] sanz: pulm stenosis
02/1/05 20:09:42 [USMLE_Step_2] grix: is dextro really in cf?
02/1/05 20:09:44 [USMLE_Step_2] medico24: ps
02/1/05 20:09:46 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:09:56 [USMLE_Step_2] lanny: child whit high fever new murmur petechaie diag?
02/1/05 20:10:02 [USMLE_Step_2] dua_frank: infective endo
02/1/05 20:10:02 [USMLE_Step_2] iamzuhair: YEAH ITS WITH KARTERGENERS
02/1/05 20:10:07 [USMLE_Step_2] strug: endocardial cushion deffect....i dont know if in anything else
02/1/05 20:10:12 [USMLE_Step_2] grix: i know its with karatageners, but cf alone?
02/1/05 20:10:13 [USMLE_Step_2] medico24: infective endo
02/1/05 20:10:31 [USMLE_Step_2] iamzuhair: I DONT THINK SO --- BUT NOT SURE
02/1/05 20:10:42 [USMLE_Step_2] lanny: right medico
02/1/05 20:10:52 [USMLE_Step_2] grix: wait a sec please
02/1/05 20:11:04 [USMLE_Step_2] grix: is dextro with cf..please explain
02/1/05 20:11:24 [USMLE_Step_2] iamzuhair: NOT ALONE I SUPPOSE
02/1/05 20:11:39 [USMLE_Step_2] grix: oh ok..thats waht i thoughtu...scared me for a sec
02/1/05 20:11:41 TTW Logs in
02/1/05 20:11:43 TTW Joins Subroom USMLE_Step_1
02/1/05 20:11:44 [USMLE_Step_2] lanny: i only heard kartageners for dexrto
02/1/05 20:11:54 [USMLE_Step_2] strug: faiure to thrive, systolic thrill, diastolic murmur, accentuated S1...diagnosis>?
02/1/05 20:12:15 [USMLE_Step_2] dua_frank: MS
02/1/05 20:12:21 [USMLE_Step_2] lanny: mitral sten
02/1/05 20:12:47 [USMLE_Step_2] shreya: endo.cushion defect.
02/1/05 20:12:52 [USMLE_Step_2] strug: echo: counterclolck wise loop of electical impulse...this is part of my q
02/1/05 20:12:54 [USMLE_Step_2] grix: tx of transpostion?
02/1/05 20:13:17 [USMLE_Step_2] iamzuhair: PGE 1
02/1/05 20:13:21 [USMLE_Step_2] sanz: TA strug?
02/1/05 20:13:24 [USMLE_Step_2] grix: right
02/1/05 20:13:26 [USMLE_Step_2] iamzuhair: THEN SURGERY
02/1/05 20:13:36 [USMLE_Step_2] strug: shreya correct its endocardial cushion defect
02/1/05 20:14:01 [USMLE_Step_2] shreya: thanks.
02/1/05 20:14:16 [USMLE_Step_2] dua_frank: can you explain why not MS?
02/1/05 20:14:20 [USMLE_Step_2] cyrus1345: why diastolic murmur strug?
02/1/05 20:14:33 [USMLE_Step_2] medico24: explain
02/1/05 20:14:34 [USMLE_Step_2] lanny: will like to know too plz
02/1/05 20:14:43 [USMLE_Step_2] cyrus1345: oh yes
02/1/05 20:14:49 [USMLE_Step_2] cyrus1345: I got it sorry
02/1/05 20:14:53 buttercup Logs in
02/1/05 20:15:00 [USMLE_Step_2] grix: which cyanotic hear disese gives complicatons of cereberal thrombosis or brain abscess
02/1/05 20:15:01 [USMLE_Step_2] cyrus1345: good one
02/1/05 20:15:03 buttercup Joins Subroom USMLE_Step_1
02/1/05 20:15:09 [USMLE_Step_2] cyrus1345: TOF
02/1/05 20:15:17 [USMLE_Step_2] strug: TOF
02/1/05 20:15:17 [USMLE_Step_2] medico24: tof
02/1/05 20:15:17 [USMLE_Step_2] grix: nice
02/1/05 20:15:24 [USMLE_Step_2] grix: u guys are on teh moeny
02/1/05 20:15:50 [USMLE_Step_2] strug: what grix?
02/1/05 20:15:59 [USMLE_Step_2] grix: u guys are on teh money
02/1/05 20:16:05 [USMLE_Step_2] grix: u know ur stuff in other words
02/1/05 20:16:10 [USMLE_Step_2] cyrus1345: :)
02/1/05 20:16:17 [USMLE_Step_2] iamzuhair: LOL
02/1/05 20:16:22 [USMLE_Step_2] iamzuhair: TEH MONEY
02/1/05 20:16:27 [USMLE_Step_2] lanny: stick around grix
02/1/05 20:16:29 [USMLE_Step_2] grix: :p
02/1/05 20:16:37 [USMLE_Step_2] lanny: think he means the
02/1/05 20:16:41 [USMLE_Step_2] cyrus1345: I love money! :D
02/1/05 20:16:41 [USMLE_Step_2] grix: have we finished the cardio?
02/1/05 20:16:46 [USMLE_Step_2] medico24: ********* 1.A previously healthy full term infanthas several episode of duskiness and apnea duriing the second day of life.The diagnosis is
02/1/05 20:16:47 [USMLE_Step_2] strug: no
02/1/05 20:16:49 [USMLE_Step_2] shreya: valular lesions are not that common in children i suppose.
02/1/05 20:16:57 [USMLE_Step_2] dua_frank: nasi, don't we all lol
02/1/05 20:16:58 [USMLE_Step_2] grix: pulm atresia?
02/1/05 20:17:12 [USMLE_Step_2] strug: TA?
02/1/05 20:17:13 [USMLE_Step_2] iamzuhair: TOGV
02/1/05 20:17:22 [USMLE_Step_2] medico24: it is CHD
02/1/05 20:17:26 [USMLE_Step_2] sanz: pulm atresia?
02/1/05 20:17:39 [USMLE_Step_2] grix: pulm atresia. is cyanoisis on 2-3 day of life
02/1/05 20:17:43 [USMLE_Step_2] dua_frank: so earliest cynosis is of TOGV?
02/1/05 20:17:52 [USMLE_Step_2] grix: yes
02/1/05 20:17:57 [USMLE_Step_2] dua_frank: what about PDA and VSD?
02/1/05 20:18:04 [USMLE_Step_2] dua_frank: when do they happen after birth
02/1/05 20:18:11 [USMLE_Step_2] iamzuhair: YES PULM ATRESIA
02/1/05 20:18:15 [USMLE_Step_2] strug: whats CHD medico
02/1/05 20:18:16 [USMLE_Step_2] sanz: they're acyanotic
02/1/05 20:18:29 [USMLE_Step_2] sanz: congenital heart dz strug
02/1/05 20:18:29 [USMLE_Step_2] dua_frank: so they are born blue then
02/1/05 20:18:31 [USMLE_Step_2] iamzuhair: YEAH SORRY KINDA GETING THINGS MIXED THESE DAYS
02/1/05 20:18:32 [USMLE_Step_2] dua_frank: blue babies
02/1/05 20:18:33 [USMLE_Step_2] medico24: CONGESTIVE HEART DS
02/1/05 20:18:53 [USMLE_Step_2] grix: whats the next topic/
02/1/05 20:18:54 [USMLE_Step_2] lanny: congenital ?
02/1/05 20:18:58 [USMLE_Step_2] strug: what is included in congestive heart disease?
02/1/05 20:19:10 [USMLE_Step_2] iamzuhair: RHEUMAT
02/1/05 20:19:12 sux Logs in
02/1/05 20:19:12 sux Joins Subroom USMLE_Step_1
02/1/05 20:19:21 [USMLE_Step_2] grix: lets go for it
02/1/05 20:19:22 [USMLE_Step_2] iamzuhair: RHEUMATOLOGY
02/1/05 20:19:29 [USMLE_Step_2] lanny: HTN in child MC cause?
02/1/05 20:19:34 [USMLE_Step_2] grix: renal
02/1/05 20:19:38 [USMLE_Step_2] medico24: RENAL
02/1/05 20:19:45 [USMLE_Step_2] iamzuhair: 2 DRY
02/1/05 20:19:50 [USMLE_Step_2] iamzuhair: RENAL
02/1/05 20:19:55 [USMLE_Step_2] lanny: secondary renal
02/1/05 20:19:59 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:20:26 [USMLE_Step_2] lanny: whats MC sms in HTN
02/1/05 20:20:37 [USMLE_Step_2] grix: sms?
02/1/05 20:20:44 [USMLE_Step_2] lanny: symptoms
02/1/05 20:20:45 [USMLE_Step_2] medico24: what is sms?
02/1/05 20:20:45 [USMLE_Step_2] grix: irritablitliy
02/1/05 20:20:51 [USMLE_Step_2] grix: fussiness
02/1/05 20:20:59 [USMLE_Step_2] grix: ?
02/1/05 20:21:10 [USMLE_Step_2] strug: heasache
02/1/05 20:21:14 [USMLE_Step_2] strug: headache
02/1/05 20:21:20 [USMLE_Step_2] iamzuhair: MORNING STIFF NESS WITH 2 JOINTS INVOLVED
02/1/05 20:21:26 [USMLE_Step_2] iamzuhair: -VE RF
02/1/05 20:21:26 [USMLE_Step_2] cyrus1345: ok let's summerize ,tell 5 disease need PGE befor sending surgery?
02/1/05 20:21:38 [USMLE_Step_2] lanny: right.. in teenagers you begin to see the usual sms, but in kids usu irritable,,
02/1/05 20:21:41 [USMLE_Step_2] iamzuhair: OH STILL IN CARDIO
02/1/05 20:21:44 [USMLE_Step_2] strug: coarctiation,
02/1/05 20:21:55 [USMLE_Step_2] strug: PDA
02/1/05 20:22:04 [USMLE_Step_2] strug: TOGV
02/1/05 20:22:12 [USMLE_Step_2] lanny: TA TAPVR hypoplastic left lung
02/1/05 20:22:20 [USMLE_Step_2] cyrus1345: p.s. TOF
02/1/05 20:22:23 [USMLE_Step_2] grix: obese adolescednt greater than 11 yrs old, knee pain, limping
02/1/05 20:22:27 [USMLE_Step_2] cyrus1345: good job
02/1/05 20:22:31 [USMLE_Step_2] strug: pul atreisa
02/1/05 20:22:39 [USMLE_Step_2] lanny: osgood sclatter
02/1/05 20:22:42 [USMLE_Step_2] grix: no
02/1/05 20:22:57 [USMLE_Step_2] cyrus1345: slip capital femor
02/1/05 20:22:59 [USMLE_Step_2] grix: yes
02/1/05 20:23:02 [USMLE_Step_2] strug: slipped
02/1/05 20:23:07 [USMLE_Step_2] grix: what tests do u order with that?
02/1/05 20:23:09 [USMLE_Step_2] sanz: slipped
02/1/05 20:23:11 [USMLE_Step_2] iamzuhair: FEMORA;L CAPITAL
02/1/05 20:23:18 [USMLE_Step_2] cyrus1345: TSh andGH
02/1/05 20:23:27 [USMLE_Step_2] sanz: TSH
02/1/05 20:23:34 [USMLE_Step_2] grix: lh, fsh, thrhyoid...nice
02/1/05 20:23:38 [USMLE_Step_2] lanny: diff diag o schlatter and xlipped?
02/1/05 20:23:40 [USMLE_Step_2] strug: for slopped capital?
02/1/05 20:23:59 [USMLE_Step_2] cyrus1345: yes strug ,it's very good point!
02/1/05 20:24:09 [USMLE_Step_2] strug: because child is obese?
02/1/05 20:24:20 [USMLE_Step_2] strug: why ?
02/1/05 20:24:24 [USMLE_Step_2] cyrus1345: because of pathogenes of disease
02/1/05 20:24:36 [USMLE_Step_2] sanz: strug, it's thought that the dz patho is due to imbalance of hormones
02/1/05 20:24:38 [USMLE_Step_2] grix: because in slipped there is deficient gonads
02/1/05 20:24:47 [USMLE_Step_2] lanny: i think o sclatter has pain on patellar
02/1/05 20:24:49 [USMLE_Step_2] cyrus1345: it's unknown ,but suppose due to endocrino
02/1/05 20:24:56 [USMLE_Step_2] grix: gonadal deficiency
02/1/05 20:25:00 [USMLE_Step_2] iamzuhair: OH
02/1/05 20:25:04 [USMLE_Step_2] iamzuhair: THANKS
02/1/05 20:25:06 [USMLE_Step_2] strug: thansk all of u
02/1/05 20:25:08 [USMLE_Step_2] lanny: what grix deficient gonads?
02/1/05 20:25:12 [USMLE_Step_2] grix: radial head sublixation also called?
02/1/05 20:25:17 [USMLE_Step_2] strug: good pt
02/1/05 20:25:17 [USMLE_Step_2] grix: gonadal defiency

02/1/05 20:25:47 [USMLE_Step_2] strug: radial head sublaxaion also called gonadal def? lol
02/1/05 20:25:50 [USMLE_Step_2] grix: no
02/1/05 20:25:55 [USMLE_Step_2] grix: different quesiont
02/1/05 20:26:01 [USMLE_Step_2] grix: radial head sublixiation also called
02/1/05 20:26:02 [USMLE_Step_2] strug: :?
02/1/05 20:26:05 [USMLE_Step_2] shreya: nursemaids elbow
02/1/05 20:26:08 [USMLE_Step_2] grix: yes
02/1/05 20:26:08 [USMLE_Step_2] medico24: lol
02/1/05 20:26:10 [USMLE_Step_2] grix: lol
02/1/05 20:26:25 [USMLE_Step_2] cyrus1345: :D
02/1/05 20:26:39 [USMLE_Step_2] strug: lanny where are u we have humor here.... *)
02/1/05 20:26:44 [USMLE_Step_2] iamzuhair: MCC OF SEPTIC ARTHRITIS IN ADOLESCENT
02/1/05 20:26:52 [USMLE_Step_2] strug: gonococcal
02/1/05 20:26:55 [USMLE_Step_2] iamzuhair: MCC OF SEPTIC ARTHRITIS IN CHILD
02/1/05 20:26:56 [USMLE_Step_2] grix: to get dx of congential hip dysplasia,,,do a ?
02/1/05 20:26:57 [USMLE_Step_2] cyrus1345: staph aur
02/1/05 20:26:58 [USMLE_Step_2] sanz: staph aures
02/1/05 20:27:00 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:27:03 [USMLE_Step_2] strug: staph
02/1/05 20:27:08 [USMLE_Step_2] cyrus1345: sono
02/1/05 20:27:11 [USMLE_Step_2] grix: yes
02/1/05 20:27:12 [USMLE_Step_2] shreya: u.s lanny
02/1/05 20:27:13 [USMLE_Step_2] strug: sone
02/1/05 20:27:20 [USMLE_Step_2] strug: never x ray
02/1/05 20:27:29 [USMLE_Step_2] lanny: staph
02/1/05 20:28:12 [USMLE_Step_2] grix: osteosarcoma had increased risk of?
02/1/05 20:28:18 [USMLE_Step_2] iamzuhair: MORNING STIFFNESSWITH - VE RHEUM FACTOR
02/1/05 20:28:28 [USMLE_Step_2] strug: severe heart failure...loss of peripheral pulses at 2nd day of life......diagnosis?
02/1/05 20:29:14 [USMLE_Step_2] cyrus1345: :/
02/1/05 20:29:15 [USMLE_Step_2] grix: bilateral retinoblastoma
02/1/05 20:29:27 [USMLE_Step_2] medico24: ??
02/1/05 20:29:38 [USMLE_Step_2] lanny: dont know strug
02/1/05 20:29:40 [USMLE_Step_2] strug: hypoplastic left heart
02/1/05 20:29:45 [USMLE_Step_2] iamzuhair: I DONT KNOW
02/1/05 20:29:52 [USMLE_Step_2] iamzuhair: PATHO?
02/1/05 20:29:55 [USMLE_Step_2] lanny: thanks strug
02/1/05 20:29:57 [USMLE_Step_2] medico24: good strug
02/1/05 20:29:57 grix Logs Out
02/1/05 20:30:08 [USMLE_Step_2] cyrus1345: thanks
02/1/05 20:30:10 [USMLE_Step_2] strug: u welcome
02/1/05 20:30:31 [USMLE_Step_2] iamzuhair: DIDNT KNOW THIS STRUG
02/1/05 20:31:18 [USMLE_Step_2] lanny: epiglottitis diag what you do next
02/1/05 20:31:25 [USMLE_Step_2] iamzuhair: INTUBATE
02/1/05 20:31:26 [USMLE_Step_2] shreya: zuhair whts ur answer.
02/1/05 20:31:26 [USMLE_Step_2] strug: 9 yrs old boy, syncopal episode, he was playing basketball when syncope occured, episode for 2 min, pt woke up on his own, chick also has hearing prob, phy exam norma..diagnosis
02/1/05 20:31:43 [USMLE_Step_2] iamzuhair: JUVENILE RHEUMATOID ARTHRITIS
02/1/05 20:31:50 [USMLE_Step_2] strug: sorry for the chick thing i meant the patient
02/1/05 20:31:56 [USMLE_Step_2] lanny: no zuhair
02/1/05 20:31:57 [USMLE_Step_2] strug: the child
02/1/05 20:32:03 [USMLE_Step_2] iamzuhair: USUALLY HAVE RF - VE
02/1/05 20:32:10 [USMLE_Step_2] shreya: ok
02/1/05 20:33:05 [USMLE_Step_2] lanny: tell us strug
02/1/05 20:33:12 [USMLE_Step_2] iamzuhair: DUNNO
02/1/05 20:33:16 [USMLE_Step_2] strug: think ....think....
02/1/05 20:33:24 [USMLE_Step_2] medico24: ??
02/1/05 20:33:27 [USMLE_Step_2] strug: syncope and hearing prob
02/1/05 20:33:28 [USMLE_Step_2] iamzuhair: EPILEPSY
02/1/05 20:33:38 [USMLE_Step_2] cyrus1345: alport?!
02/1/05 20:33:40 [USMLE_Step_2] lanny: IHSS????
02/1/05 20:33:41 [USMLE_Step_2] iamzuhair: OH]UYES\
02/1/05 20:33:42 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:33:44 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:33:46 [USMLE_Step_2] iamzuhair: MAN
02/1/05 20:33:51 [USMLE_Step_2] iamzuhair: JUST MISSED IT
02/1/05 20:33:52 [USMLE_Step_2] strug: no
02/1/05 20:34:00 [USMLE_Step_2] iamzuhair: YES ALPORTS
02/1/05 20:34:03 [USMLE_Step_2] sanz: NF?
02/1/05 20:34:06 [USMLE_Step_2] strug: its prolonged QT syn
02/1/05 20:34:13 [USMLE_Step_2] sanz: jervell
02/1/05 20:34:13 [USMLE_Step_2] cyrus1345: yep!
02/1/05 20:34:19 [USMLE_Step_2] cyrus1345: good one
02/1/05 20:34:19 [USMLE_Step_2] medico24: oh right
02/1/05 20:34:23 [USMLE_Step_2] lanny: is their dafness in long QT
02/1/05 20:34:26 [USMLE_Step_2] medico24: vv good
02/1/05 20:34:29 [USMLE_Step_2] strug: it could be jervell or romano
02/1/05 20:34:45 [USMLE_Step_2] medico24: what is that?
02/1/05 20:34:49 [USMLE_Step_2] sanz: romano doesnt have deafness i think
02/1/05 20:35:15 [USMLE_Step_2] iamzuhair: JUVENILE RHEUMATOID ARTHRITIS --- WHAT TO SPECIFICALLY LOOK FOR
02/1/05 20:35:34 [USMLE_Step_2] strug: the ans to my q is simply prolonged QT syndrome... dunno about how to diff jervell and romano
02/1/05 20:35:50 [USMLE_Step_2] strug: eye invol zuhari
02/1/05 20:35:51 [USMLE_Step_2] iamzuhair: EYE EXAM ---IRIDOCYCLITIS
02/1/05 20:35:55 [USMLE_Step_2] iamzuhair: YES
02/1/05 20:35:55 [USMLE_Step_2] shreya: iridocyclitis
02/1/05 20:36:05 grix Logs in
02/1/05 20:36:05 grix Joins Subroom USMLE_Step_2
02/1/05 20:36:09 [USMLE_Step_2] grix: im back
02/1/05 20:36:17 [USMLE_Step_2] grix: lol
02/1/05 20:36:22 [USMLE_Step_2] cyrus1345: welcome
02/1/05 20:36:23 [USMLE_Step_2] iamzuhair: WELCOME -- U HAVE GOT MAIL
02/1/05 20:36:29 [USMLE_Step_2] iamzuhair: LOL
02/1/05 20:36:36 [USMLE_Step_2] grix: :p
02/1/05 20:36:44 [USMLE_Step_2] medico24: lol
02/1/05 20:37:00 [USMLE_Step_2] lanny: HS purpura whats diag test
02/1/05 20:37:00 [USMLE_Step_2] iamzuhair: WHERE DOES IT SAY LIKE THAT
02/1/05 20:37:00 [USMLE_Step_2] grix: adolescent gymnast wtith tibial pain?
02/1/05 20:37:10 [USMLE_Step_2] strug: osgood schlatterle
02/1/05 20:37:13 [USMLE_Step_2] grix: yes
02/1/05 20:37:15 [USMLE_Step_2] cyrus1345: agree
02/1/05 20:37:22 [USMLE_Step_2] lanny: no
02/1/05 20:37:34 [USMLE_Step_2] lanny: plantar faxcitis
02/1/05 20:37:52 [USMLE_Step_2] grix: plantar is answer to whose question?
02/1/05 20:37:59 [USMLE_Step_2] grix: my answer is osgood schlatere
02/1/05 20:38:05 [USMLE_Step_2] iamzuhair: URS GRIX
02/1/05 20:38:05 [USMLE_Step_2] lanny: adol gymnast
02/1/05 20:38:27 [USMLE_Step_2] grix: i dont think so..i think its osgood schalatter
02/1/05 20:38:34 [USMLE_Step_2] strug: 4 year old boy, appatently healthy , loud sytolic ejection murmur with prominent sys ejection click, also a soft diastolic mur , both murmur heard in arotic area, EKG LVh, child halthy and particpates in sports diagnosis?
02/1/05 20:38:56 [USMLE_Step_2] grix: mvp
02/1/05 20:39:07 [USMLE_Step_2] grix: ?
02/1/05 20:39:36 [USMLE_Step_2] lanny: osgood sclater is tibial tubercule pain
02/1/05 20:39:39 [USMLE_Step_2] grix: yes
02/1/05 20:39:51 buttercup Logs Out
02/1/05 20:39:59 [USMLE_Step_2] grix: strug what is ur answer to ur question
02/1/05 20:40:05 [USMLE_Step_2] medico24: mvp
02/1/05 20:40:10 [USMLE_Step_2] cyrus1345: wait a minute
02/1/05 20:40:18 [USMLE_Step_2] cyrus1345: you are killing me strug!
02/1/05 20:40:27 [USMLE_Step_2] cyrus1345: :D
02/1/05 20:40:34 [USMLE_Step_2] strug: u can do it....
02/1/05 20:40:37 [USMLE_Step_2] grix: is it mvp?
02/1/05 20:40:38 [USMLE_Step_2] cyrus1345: a liitle more info
02/1/05 20:40:40 [USMLE_Step_2] strug: no
02/1/05 20:40:45 [USMLE_Step_2] grix: oops
02/1/05 20:40:47 [USMLE_Step_2] cyrus1345: please!
02/1/05 20:41:05 [USMLE_Step_2] strug: i duno the explantaion but i know only the ans....
02/1/05 20:41:20 [USMLE_Step_2] strug: i found it tough so i noted it down
02/1/05 20:41:22 [USMLE_Step_2] cyrus1345: is it HCOM?
02/1/05 20:41:28 [USMLE_Step_2] medico24: wait
02/1/05 20:41:29 [USMLE_Step_2] grix: no
02/1/05 20:41:32 [USMLE_Step_2] iamzuhair: HEY
02/1/05 20:41:37 [USMLE_Step_2] strug: no its ......ok i wait for medico
02/1/05 20:41:37 [USMLE_Step_2] cyrus1345: I know it's not!
02/1/05 20:41:38 [USMLE_Step_2] iamzuhair: HO CANHE GET UP
02/1/05 20:41:45 [USMLE_Step_2] grix: isnt hcom found out later in life..like high school?
02/1/05 20:41:55 [USMLE_Step_2] lanny: MVP superimposed on MS
02/1/05 20:42:13 [USMLE_Step_2] medico24: cardiomyopathy?
02/1/05 20:42:20 [USMLE_Step_2] grix: what time do u guys chat till?
02/1/05 20:42:23 [USMLE_Step_2] cyrus1345: I am not agree
02/1/05 20:42:37 [USMLE_Step_2] iamzuhair: ITS A STRANGE CASE
02/1/05 20:42:43 [USMLE_Step_2] strug: no guys its Aortic stenosis.....now u have to explain why because id otn know why
02/1/05 20:43:11 [USMLE_Step_2] medico24: ??
02/1/05 20:43:30 [USMLE_Step_2] sanz: i think he's got bicuspid aortic valve
02/1/05 20:43:34 [USMLE_Step_2] iamzuhair: AS --- HAS PULSE PROBLEMS
02/1/05 20:43:53 [USMLE_Step_2] grix: mcc of osteomyelitis in sickle cell pt/
02/1/05 20:43:54 [USMLE_Step_2] lanny: bicuspid aortic valve and dilated aortic root maybe
02/1/05 20:43:57 [USMLE_Step_2] iamzuhair: HAS HYPO
02/1/05 20:44:07 [USMLE_Step_2] iamzuhair: PSEUDO
02/1/05 20:44:08 [USMLE_Step_2] lanny: hey grix back again to controversy
02/1/05 20:44:14 [USMLE_Step_2] grix: lol
02/1/05 20:44:23 [USMLE_Step_2] lanny: i say salmonella some say staph
02/1/05 20:44:31 [USMLE_Step_2] cyrus1345: tx of kavazaki?
02/1/05 20:44:32 [USMLE_Step_2] grix: its staph,
02/1/05 20:44:37 [USMLE_Step_2] grix: aspirin
02/1/05 20:44:42 [USMLE_Step_2] grix: , get an echo
02/1/05 20:44:44 [USMLE_Step_2] cyrus1345: no
02/1/05 20:44:45 [USMLE_Step_2] strug: aspirin and steroids
02/1/05 20:44:46 [USMLE_Step_2] grix: yes
02/1/05 20:44:49 [USMLE_Step_2] cyrus1345: no
02/1/05 20:44:51 [USMLE_Step_2] lanny: i know you read fiscer from kaplan
02/1/05 20:44:51 [USMLE_Step_2] grix: yes
02/1/05 20:44:53 [USMLE_Step_2] medico24: immuno aspirin
02/1/05 20:44:57 [USMLE_Step_2] cyrus1345: yes
02/1/05 20:45:01 [USMLE_Step_2] grix: aspirin, and steroids
02/1/05 20:45:06 [USMLE_Step_2] iamzuhair: ASPRIN AND IGG
02/1/05 20:45:12 [USMLE_Step_2] iamzuhair: NO STEROIDS
02/1/05 20:45:12 [USMLE_Step_2] cyrus1345: ASA+IG
02/1/05 20:45:13 [USMLE_Step_2] grix: actually no steriouds
02/1/05 20:45:20 [USMLE_Step_2] strug: sorry IVIG and aspririn
02/1/05 20:45:26 [USMLE_Step_2] grix: steroids are not used in kawasaki
02/1/05 20:45:30 [USMLE_Step_2] grix: but u have to get an echo
02/1/05 20:45:44 [USMLE_Step_2] medico24: rx of HSP?
02/1/05 20:45:45 [USMLE_Step_2] lanny: IVIG and high doses of aspirin
02/1/05 20:45:51 [USMLE_Step_2] strug: gosh u move ahead and forget what u read before!!!!
02/1/05 20:45:54 [USMLE_Step_2] cyrus1345: it's the only codition you can give ASA to child
02/1/05 20:45:56 [USMLE_Step_2] lanny: steroids are not used dont give
02/1/05 20:45:56 [USMLE_Step_2] grix: no tx
02/1/05 20:46:05 [USMLE_Step_2] strug: relly nasi....good pt
02/1/05 20:46:05 [USMLE_Step_2] lanny: nasi is right
02/1/05 20:46:07 [USMLE_Step_2] grix: no
02/1/05 20:46:17 [USMLE_Step_2] strug: whats hsp?
02/1/05 20:46:19 [USMLE_Step_2] grix: there are two conditions u can give aspirin to in akid
02/1/05 20:46:23 [USMLE_Step_2] grix: kawasaki and?
02/1/05 20:46:28 [USMLE_Step_2] iamzuhair: RHEUMATOID ARTH
02/1/05 20:46:32 [USMLE_Step_2] grix: jra
02/1/05 20:46:34 [USMLE_Step_2] grix: right
02/1/05 20:46:35 [USMLE_Step_2] medico24: henoch scolein
02/1/05 20:46:39 [USMLE_Step_2] iamzuhair: YES JRA
02/1/05 20:46:46 [USMLE_Step_2] grix: hsp, rx is no rx?
02/1/05 20:46:53 [USMLE_Step_2] strug: also in rheumatic fever isnt it?
02/1/05 20:46:56 [USMLE_Step_2] grix: no
02/1/05 20:46:57 [USMLE_Step_2] cyrus1345: HSP just observe
02/1/05 20:47:00 [USMLE_Step_2] medico24: rt it is supportive
02/1/05 20:47:03 [USMLE_Step_2] lanny: no in h scolliein you givecorticosterids
02/1/05 20:47:03 [USMLE_Step_2] strug: whats HSP?
02/1/05 20:47:04 [USMLE_Step_2] grix: so no ttreament
02/1/05 20:47:08 [USMLE_Step_2] strug: ok gotcha
02/1/05 20:47:08 [USMLE_Step_2] iamzuhair: YES ALSO RHEUMATIC FEVER
02/1/05 20:47:12 [USMLE_Step_2] grix: henoch schonlen purpura
02/1/05 20:47:13 [USMLE_Step_2] medico24: yup CS too
02/1/05 20:47:15 [USMLE_Step_2] lanny: henoch sconlein
02/1/05 20:47:23 [USMLE_Step_2] grix: what is cs?
02/1/05 20:47:34 [USMLE_Step_2] medico24: corticosteroid
02/1/05 20:47:42 [USMLE_Step_2] medico24: sry
02/1/05 20:47:47 [USMLE_Step_2] strug: no tratement for HSP
02/1/05 20:48:01 [USMLE_Step_2] grix: sure about aspirin fro rhemuatic fever?
02/1/05 20:48:06 [USMLE_Step_2] strug: yup
02/1/05 20:48:25 [USMLE_Step_2] lanny: yep but give cortico steroid for abdom and CNs ds
02/1/05 20:48:28 [USMLE_Step_2] iamzuhair: DIFF BETN PAUCIARTICULAR JRA AND SEPTIC ARTHRITIS
02/1/05 20:48:28 [USMLE_Step_2] strug: didi someone say anything about tx in HSP? i think no tratemetn
02/1/05 20:48:37 [USMLE_Step_2] grix: lol
02/1/05 20:48:37 [USMLE_Step_2] lanny: yes strug
02/1/05 20:48:44 [USMLE_Step_2] lanny: youtrt the compls
02/1/05 20:48:46 shreya Disconnects
02/1/05 20:48:55 [USMLE_Step_2] strug: ok thanks lanny
02/1/05 20:49:09 [USMLE_Step_2] strug: like abd and cns compl as u said right?
02/1/05 20:49:20 [USMLE_Step_2] lanny: yes
02/1/05 20:49:27 [USMLE_Step_2] lanny: HSP is self limited
02/1/05 20:49:36 [USMLE_Step_2] strug: HSp and intussuption what do u do? surgery or Bariusm?
02/1/05 20:49:49 [USMLE_Step_2] grix: what is another name for mucocutanious lymhp node syndrome?
02/1/05 20:49:50 [USMLE_Step_2] sanz: surgery
02/1/05 20:49:54 [USMLE_Step_2] grix: barium
02/1/05 20:49:54 [USMLE_Step_2] iamzuhair: KAWA
02/1/05 20:49:59 [USMLE_Step_2] medico24: kawasaki
02/1/05 20:50:00 [USMLE_Step_2] sanz: inf mono grix
02/1/05 20:50:00 [USMLE_Step_2] lanny: kawasaki
02/1/05 20:50:02 [USMLE_Step_2] grix: barioum for intusseption
02/1/05 20:50:04 [USMLE_Step_2] strug: surgery....right good sanz
02/1/05 20:50:10 [USMLE_Step_2] grix: no, the answer is kawasaki
02/1/05 20:50:11 [USMLE_Step_2] iamzuhair: BARIUM OR AIR
02/1/05 20:50:12 [USMLE_Step_2] lanny: no sanz
02/1/05 20:50:16 [USMLE_Step_2] sanz: oh ok
02/1/05 20:50:18 [USMLE_Step_2] cyrus1345: you know strug you can give ASA to any child due to rhumatoid disease ,for JRA you have another choice too(NSAID) also for RF,but in kavazaki giving ASA is mandatory
02/1/05 20:50:22 [USMLE_Step_2] grix: barium first for intuss, if not work then air
02/1/05 20:50:38 [USMLE_Step_2] medico24: barium
02/1/05 20:50:40 [USMLE_Step_2] iamzuhair: IF PERFORATION THENAIR
02/1/05 20:50:43 [USMLE_Step_2] strug: ok great point nasi thanks
02/1/05 20:50:47 [USMLE_Step_2] iamzuhair: IF PERFORATION THEN AIR
02/1/05 20:51:09 [USMLE_Step_2] lanny: whats air?grix
02/1/05 20:51:12 [USMLE_Step_2] strug: if HSP and intussuption u do Surgerry remember guys its a n imp point
02/1/05 20:51:24 [USMLE_Step_2] iamzuhair: THANKS MAN
02/1/05 20:51:28 [USMLE_Step_2] medico24: explain
02/1/05 20:51:28 [USMLE_Step_2] strug: its the only time when we go for surgery directly
02/1/05 20:51:41 [USMLE_Step_2] medico24: okey
02/1/05 20:51:45 [USMLE_Step_2] lanny: dont we do barium first
02/1/05 20:51:49 [USMLE_Step_2] grix: oh u are saying the pt has hsp and also intuss?
02/1/05 20:51:56 [USMLE_Step_2] strug: no no no lanny
02/1/05 20:52:04 [USMLE_Step_2] strug: yes that was my q grix
02/1/05 20:52:18 [USMLE_Step_2] grix: isnt intuss, earlier in life?
02/1/05 20:52:21 [USMLE_Step_2] grix: compared to hsp?
02/1/05 20:52:24 [USMLE_Step_2] lanny: struf could you go over plz
02/1/05 20:52:27 [USMLE_Step_2] iamzuhair: INTUSECPTION SEEN COMMONLY IN HSP GRIX
02/1/05 20:52:39 [USMLE_Step_2] grix: oh yeah. i remember now..thanks
02/1/05 20:52:56 [USMLE_Step_2] lanny: dont agree zuhair
02/1/05 20:53:09 [USMLE_Step_2] lanny: intusucc is rare in HSP
02/1/05 20:53:15 [USMLE_Step_2] grix: but it still happens
02/1/05 20:53:20 [USMLE_Step_2] grix: its an imporatnt point
02/1/05 20:53:25 [USMLE_Step_2] iamzuhair: YES DUDE
02/1/05 20:53:34 heena Logs in
02/1/05 20:53:36 [USMLE_Step_2] grix: i remember it was a practice test question i saw somewhere
02/1/05 20:53:44 [USMLE_Step_2] grix: in kaplan or somwereh
02/1/05 20:53:55 [USMLE_Step_2] lanny: in other words intusucc doesnt happen by itself xpt with HSP?
02/1/05 20:54:08 heena: hi
02/1/05 20:54:10 [USMLE_Step_2] strug: hey guys i have a doubt about behcets disease Rx,... what is the Rx?
02/1/05 20:54:12 [USMLE_Step_2] grix: intuss does happen by itself
02/1/05 20:54:20 [USMLE_Step_2] lanny: yes
02/1/05 20:54:28 [USMLE_Step_2] dua_frank: cyclosporin
02/1/05 20:54:35 [USMLE_Step_2] strug: someone said nsaids
02/1/05 20:54:40 heena: anyone here?i am new ti this chat
02/1/05 20:54:46 [USMLE_Step_2] dua_frank: nope
02/1/05 20:54:51 [USMLE_Step_2] dua_frank: cochcicine and cyclo
02/1/05 20:54:56 [USMLE_Step_2] strug: i read it as glucocorticoids
02/1/05 20:55:15 [USMLE_Step_2] medico24: is there any diff in rash of kawasaki and scarlet fever rash?
02/1/05 20:55:26 [USMLE_Step_2] grix: no
02/1/05 20:55:29 heena Logs Out
02/1/05 20:55:54 [USMLE_Step_2] iamzuhair: IF WE ARE DOINGTESTS FOR JRA AND ALL ARE COMING OUT TO NE - VE THEN WE HAVE TO DO ?
02/1/05 20:55:56 [USMLE_Step_2] sanz: yes, scarlet fever rash has sand paper like quality...
02/1/05 20:55:58 [USMLE_Step_2] grix: two conditions u see strawbery tongue?
02/1/05 20:56:12 [USMLE_Step_2] strug: diffuse maculopapular in kawasakis
02/1/05 20:56:20 shreya Logs in
02/1/05 20:56:22 [USMLE_Step_2] dua_frank: riboflavin def
02/1/05 20:56:22 shreya Joins Subroom USMLE_Step_2
02/1/05 20:56:23 [USMLE_Step_2] sanz: kawasaki has strawberry tongue
02/1/05 20:56:23 [USMLE_Step_2] strug: kawasakis grix
02/1/05 20:56:30 [USMLE_Step_2] lanny: yes
02/1/05 20:56:38 [USMLE_Step_2] iamzuhair: IF WE ARE DOING TESTS FOR JRA AND ALL ARE COMING OUT TO NE - VE THEN WE HAVE TO DO ?
02/1/05 20:56:40 usmle_guy Logs in
02/1/05 20:56:42 usmle_guy Joins Subroom USMLE_Step_1
02/1/05 20:56:46 [USMLE_Step_2] grix: there is two conditions u see strawberey tongue, and they are?
02/1/05 20:56:49 [USMLE_Step_2] medico24: yup both condition have strawberry tongue
02/1/05 20:57:04 [USMLE_Step_2] lanny: scarlet fever kawasaki
02/1/05 20:57:21 [USMLE_Step_2] shreya: agree
02/1/05 20:57:32 [USMLE_Step_2] dua_frank: what happens to tongue in ribo def?
02/1/05 20:57:33 [USMLE_Step_2] grix: yes
02/1/05 20:57:35 [USMLE_Step_2] strug: brek the suspencse grix
02/1/05 20:57:36 [USMLE_Step_2] dua_frank: i'm mixed up
02/1/05 20:57:39 [USMLE_Step_2] grix: shreya where u from?
02/1/05 20:57:40 [USMLE_Step_2] cyrus1345: I don't know zuhiar!
02/1/05 20:57:42 [USMLE_Step_2] iamzuhair: THEN HAVE TO CHECK FOR LYMES DZ
02/1/05 20:57:48 [USMLE_Step_2] lanny: blood test leukemia zuhair
02/1/05 20:57:49 [USMLE_Step_2] grix: tx of lymes?
02/1/05 20:57:55 [USMLE_Step_2] shreya: india
02/1/05 20:57:56 [USMLE_Step_2] dua_frank: why lymes/
02/1/05 20:57:56 [USMLE_Step_2] cyrus1345: ok thanks
02/1/05 20:57:57 [USMLE_Step_2] grix: and tx of rmsf
02/1/05 20:58:04 [USMLE_Step_2] iamzuhair: WELCOME
02/1/05 20:58:05 [USMLE_Step_2] strug: we discussed that grix
02/1/05 20:58:05 [USMLE_Step_2] sanz: zuhair, what is NE?
02/1/05 20:58:09 [USMLE_Step_2] grix: oh i wsnt here
02/1/05 20:58:10 [USMLE_Step_2] strug: negative
02/1/05 20:58:10 [USMLE_Step_2] grix: sorry
02/1/05 20:58:19 [USMLE_Step_2] iamzuhair: I DIDNT GET U SNAZ
02/1/05 20:58:23 [USMLE_Step_2] grix: tx of lymes in a 7 yr old?
02/1/05 20:58:35 [USMLE_Step_2] strug: doxy
02/1/05 20:58:40 [USMLE_Step_2] cyrus1345: amoxi
02/1/05 20:58:41 [USMLE_Step_2] iamzuhair: OH ITS NEGATIVE ----- SORRY
02/1/05 20:58:43 [USMLE_Step_2] sanz: zuhair, dotn worry.. strug answered...
02/1/05 20:58:48 [USMLE_Step_2] medico24: tetra doxy
02/1/05 20:58:59 [USMLE_Step_2] grix: no tetra to under 8 yr olds
02/1/05 20:59:05 [USMLE_Step_2] cyrus1345: no dexa to 7 years
02/1/05 20:59:05 [USMLE_Step_2] grix: so no tetra or doxy
02/1/05 20:59:13 [USMLE_Step_2] grix: remember that its, important
02/1/05 20:59:22 [USMLE_Step_2] sanz: amoxi
02/1/05 20:59:24 [USMLE_Step_2] strug: we did that grix
02/1/05 20:59:27 [USMLE_Step_2] medico24: rt grix
02/1/05 20:59:35 [USMLE_Step_2] grix: but u stil answered doxy strug
02/1/05 20:59:49 [USMLE_Step_2] grix: right?
02/1/05 20:59:50 [USMLE_Step_2] grix: lol
02/1/05 21:00:00 [USMLE_Step_2] strug: hey guys whey are u forgetting we give doxy to child in case of lyme
02/1/05 21:00:08 [USMLE_Step_2] strug: right nasi
02/1/05 21:00:10 [USMLE_Step_2] grix: i read u dont
02/1/05 21:00:10 [USMLE_Step_2] medico24: yup
02/1/05 21:00:11 [USMLE_Step_2] cyrus1345: strug doxy just for RMF
02/1/05 21:00:21 [USMLE_Step_2] cyrus1345: not lyme dear
02/1/05 21:00:25 [USMLE_Step_2] medico24: rmf?
02/1/05 21:00:30 [USMLE_Step_2] grix: rocky mountain
02/1/05 21:00:32 [USMLE_Step_2] strug: ok i thought grix was talking about 'rmsf
02/1/05 21:00:33 [USMLE_Step_2] grix: spooted fever
02/1/05 21:00:34 [USMLE_Step_2] medico24: got it
02/1/05 21:00:39 [USMLE_Step_2] s







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