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View Full Version : Peds Chat: Immunology and Allergy (Sun)



Asclepius1
02-28-2005, 09:17 PM
02/27/05 19:07:53 [USMLE_Step_2] fero: hi everyone
02/27/05 19:07:59 [USMLE_Step_2] lanny: you were quiet y.day
02/27/05 19:08:06 [USMLE_Step_2] lanny: hi fero
02/27/05 19:08:36 [USMLE_Step_2] fero: lanny me?
02/27/05 19:08:49 [USMLE_Step_2] lanny: yes you and sam
02/27/05 19:09:02 [USMLE_Step_2] samantha: just observing
02/27/05 19:09:18 [USMLE_Step_2] fero: ya...didnt read my share..also thas my weakness :( :(
02/27/05 19:09:24 [USMLE_Step_2] lanny: oh ok when is your test sam
02/27/05 19:09:35 [USMLE_Step_2] lanny: ok fero
02/27/05 19:09:54 [USMLE_Step_2] lanny: i dont read too sometimes i just come blindly
02/27/05 19:10:14 [USMLE_Step_2] fero: ya..ind of hard of the wk ends too
02/27/05 19:10:24 [USMLE_Step_2] fero: kind of
02/27/05 19:10:50 [USMLE_Step_2] lanny: thats true, but it is good cause you get to remember things with this chat
02/27/05 19:11:13 [USMLE_Step_2] lanny: was today immune
02/27/05 19:11:19 [USMLE_Step_2] fero: sure ..i come just for motivation tooo..
02/27/05 19:11:33 [USMLE_Step_2] samantha: april
02/27/05 19:11:33 megs Logs in
02/27/05 19:11:40 [USMLE_Step_2] fero: ya..immuno..i wonder if immunization is also inculded
02/27/05 19:11:41 megs Joins Subroom USMLE_Step_2
02/27/05 19:11:42 [USMLE_Step_2] lanny: me too
02/27/05 19:11:54 [USMLE_Step_2] lanny: early april
02/27/05 19:12:07 [USMLE_Step_2] megs: hi lanny fero and sammy
02/27/05 19:12:14 [USMLE_Step_2] fero: same ...april me too :(
02/27/05 19:12:18 [USMLE_Step_2] fero: hi megs
02/27/05 19:12:18 [USMLE_Step_2] lanny: hi megs
02/27/05 19:12:36 [USMLE_Step_2] samantha: hi megs
02/27/05 19:13:04 [USMLE_Step_2] lanny: megs how was your sunday
02/27/05 19:13:15 [USMLE_Step_2] lanny: did you do a lot of cooking
02/27/05 19:13:50 [USMLE_Step_2] megs: nope buddy..did rest today
02/27/05 19:14:03 [USMLE_Step_2] megs: and ofcourse study
02/27/05 19:14:14 [USMLE_Step_2] lanny: good megs
02/27/05 19:14:48 [USMLE_Step_2] megs: lanny i have a query
02/27/05 19:14:55 [USMLE_Step_2] lanny: go on
02/27/05 19:15:17 [USMLE_Step_2] megs: y day u talked about sickel cell crisis..
02/27/05 19:15:35 [USMLE_Step_2] megs: is hydration is the treatment for that???
02/27/05 19:15:54 [USMLE_Step_2] megs: if yes how it helps
02/27/05 19:15:58 [USMLE_Step_2] lanny: no it was dua who said so i think i doubt that
02/27/05 19:16:17 [USMLE_Step_2] megs: ok..
02/27/05 19:19:37 [USMLE_Step_2] lanny: you can transfuse packed red cells give hydroxyurea analgesivcs for pain dunno about hydration
02/27/05 19:19:59 [USMLE_Step_2] megs: agree with u lanny
02/27/05 19:20:15 [USMLE_Step_2] lanny: megs today is immunology and allergy right
02/27/05 19:20:20 [USMLE_Step_2] megs: ok shall we start
02/27/05 19:20:32 [USMLE_Step_2] lanny: yes
02/27/05 19:20:54 [USMLE_Step_2] megs: agammaglobulenimia where is the defect??
02/27/05 19:21:07 [USMLE_Step_2] lanny: Bcells
02/27/05 19:21:11 [USMLE_Step_2] fero: b cell
02/27/05 19:21:33 [USMLE_Step_2] megs: yup
02/27/05 19:21:46 [USMLE_Step_2] megs: x linked disease
02/27/05 19:21:58 [USMLE_Step_2] fero: syp suggestive of b cell def, age > 6 months Dx?
02/27/05 19:22:01 [USMLE_Step_2] megs: what is presentaton???in kids
02/27/05 19:22:39 [USMLE_Step_2] samantha: pneumonia and otitis media
02/27/05 19:22:40 [USMLE_Step_2] megs: brutons fero
02/27/05 19:22:42 [USMLE_Step_2] lanny: redurrent infections with strep and H influ
02/27/05 19:22:46 [USMLE_Step_2] megs: yup sammy
02/27/05 19:23:00 [USMLE_Step_2] megs: infection with capsulated organism
02/27/05 19:23:15 [USMLE_Step_2] lanny: yes
02/27/05 19:23:17 [USMLE_Step_2] samantha: yes
02/27/05 19:23:27 [USMLE_Step_2] fero: Tt?
02/27/05 19:23:47 [USMLE_Step_2] lanny: immunoglob thpy
02/27/05 19:23:51 [USMLE_Step_2] samantha: antibiotics
02/27/05 19:24:12 [USMLE_Step_2] megs: agree
02/27/05 19:24:20 [USMLE_Step_2] fero: Nitro blue tetrazolam reduction test + wats dx?
02/27/05 19:24:29 [USMLE_Step_2] lanny: chronic granulo
02/27/05 19:24:46 [USMLE_Step_2] megs: agree lanny
02/27/05 19:24:52 [USMLE_Step_2] fero: :) trick got to u lanny
02/27/05 19:25:00 [USMLE_Step_2] fero: think
02/27/05 19:25:05 [USMLE_Step_2] lanny: whats the trick?
02/27/05 19:25:29 [USMLE_Step_2] fero: NITRO BLUE t z r test is negitive in CGD
02/27/05 19:25:30 [USMLE_Step_2] megs: tset is + or - fero???
02/27/05 19:25:51 [USMLE_Step_2] fero: YA that was the trick,,,if turn blue its normal
02/27/05 19:26:08 [USMLE_Step_2] lanny: ok yes the test is neg
02/27/05 19:26:16 [USMLE_Step_2] megs: okif test is positive then what is dx???
02/27/05 19:26:17 [USMLE_Step_2] lanny: so what dz then?
02/27/05 19:26:21 [USMLE_Step_2] fero: if turns yellowits negitive
02/27/05 19:26:27 [USMLE_Step_2] fero: normal
02/27/05 19:26:28 [USMLE_Step_2] lanny: agree
02/27/05 19:26:43 [USMLE_Step_2] lanny: you fero lol
02/27/05 19:26:51 [USMLE_Step_2] megs: is this the interpritaion of test fero???
02/27/05 19:26:55 [USMLE_Step_2] fero: lol
02/27/05 19:27:30 [USMLE_Step_2] fero: yes....normal test is formazan negitive and its a dx of CGD
02/27/05 19:27:45 [USMLE_Step_2] fero: OMMIT NORMAL
02/27/05 19:28:05 [USMLE_Step_2] megs: ok fero
02/27/05 19:28:35 [USMLE_Step_2] lanny: most common humoral a body def?
02/27/05 19:28:40 [USMLE_Step_2] megs: what is transient hypogammaglobulenimia of infancy???
02/27/05 19:28:46 [USMLE_Step_2] megs: humoral lanny
02/27/05 19:28:57 [USMLE_Step_2] fero: in which Ig def we give antibiotic and not Igs
02/27/05 19:28:57 [USMLE_Step_2] lanny: yes humoral
02/27/05 19:29:25 [USMLE_Step_2] fero: its before 6 months age
02/27/05 19:29:56 [USMLE_Step_2] lanny: agree fero after 6 mths child should start making adeq amts of immuno
02/27/05 19:30:07 [USMLE_Step_2] megs: variable immunodeficiency fero
02/27/05 19:30:09 [USMLE_Step_2] samantha: brutons
02/27/05 19:30:23 [USMLE_Step_2] megs: good lanny fero correct
02/27/05 19:30:23 [USMLE_Step_2] samantha: not sure
02/27/05 19:30:25 [USMLE_Step_2] fero: ya lanny but which one
02/27/05 19:30:43 [USMLE_Step_2] lanny: IG M
02/27/05 19:30:53 [USMLE_Step_2] fero: Ig A
02/27/05 19:31:01 [USMLE_Step_2] megs: good q fero
02/27/05 19:31:15 [USMLE_Step_2] samantha: igA
02/27/05 19:31:22 [USMLE_Step_2] megs: can u tell why we dont give antibiotics???
02/27/05 19:32:10 [USMLE_Step_2] fero: dunno,,,just that they get reaction with blood transfusions
02/27/05 19:32:27 [USMLE_Step_2] fero: otherwise i guess they dont have that much of infec problems
02/27/05 19:32:28 [USMLE_Step_2] lanny: never heard this fero
02/27/05 19:32:50 [USMLE_Step_2] megs: i too fero
02/27/05 19:33:15 [USMLE_Step_2] lanny: is variable the answwer
02/27/05 19:33:25 [USMLE_Step_2] samantha: Ig A what are they suseceptible to?
02/27/05 19:33:28 [USMLE_Step_2] fero: r u guys not reading kaplan, its there even in step 1 immuno kaplan
02/27/05 19:33:40 [USMLE_Step_2] lanny: transfusion reactions
02/27/05 19:34:03 megs Logs Out
02/27/05 19:34:05 [USMLE_Step_2] fero: checked this point in BP also today
02/27/05 19:34:15 megs Logs in
02/27/05 19:34:19 megs Joins Subroom USMLE_Step_2
02/27/05 19:35:01 [USMLE_Step_2] fero: ok we dont give Ig in Ig a , because they have Ab to Iga
02/27/05 19:35:22 [USMLE_Step_2] samantha: yes lanny and they also get resp urinary and diarrohea
02/27/05 19:35:40 [USMLE_Step_2] fero: thas y they develop anay reactions after giving blood products
02/27/05 19:35:59 [USMLE_Step_2] megs: thanx fero
02/27/05 19:36:48 [USMLE_Step_2] lanny: most people have antibodies to ig A
02/27/05 19:37:12 [USMLE_Step_2] lanny: so when transf blood that contain Ig A a reaction can dev
02/27/05 19:37:24 [USMLE_Step_2] fero: must b something else too lanny beside this
02/27/05 19:37:43 [USMLE_Step_2] fero: true
02/27/05 19:37:44 [USMLE_Step_2] lanny: blood can be transfused but the blood bank has to screen for Ig A
02/27/05 19:39:50 [USMLE_Step_2] samantha: yea in pts with iIgA def
02/27/05 19:40:00 [USMLE_Step_2] megs: fero i think immunogobulins are not req in igA deficincy as they are used only in sever condition
02/27/05 19:40:15 [USMLE_Step_2] fero: pt with many( 7 to 9/yr)sino pulm infec with anormal growth pattern?DX?
02/27/05 19:40:26 [USMLE_Step_2] megs: ang IG a def is not that serius..as other immgl present
02/27/05 19:40:53 [USMLE_Step_2] fero: IG a is basicallynot that apparent anyway
02/27/05 19:41:19 [USMLE_Step_2] lanny: guys this is an eg of antibody antibody reaction right
02/27/05 19:41:42 [USMLE_Step_2] lanny: cause def of Ig A antibody
02/27/05 19:41:45 [USMLE_Step_2] samantha: Ataxia telegiectasia
02/27/05 19:41:58 [USMLE_Step_2] lanny: blood prod contain Ig A antibody
02/27/05 19:42:44 [USMLE_Step_2] fero: Ig G SUBCLASS DEF
02/27/05 19:43:00 [USMLE_Step_2] megs: ok fero
02/27/05 19:43:05 [USMLE_Step_2] lanny: ok fero what?
02/27/05 19:43:23 [USMLE_Step_2] samantha: Ig G2
02/27/05 19:43:36 [USMLE_Step_2] fero: that was the ans to my ques.... pat with 7 to 8 sino pul infec with a normal groth pattern
02/27/05 19:43:41 [USMLE_Step_2] fero: rt sam
02/27/05 19:43:58 [USMLE_Step_2] megs: u mean to say cromosome 18 defect fero??/
02/27/05 19:44:20 [USMLE_Step_2] megs: ig G WITH GROWTH ABNORMALITIES
02/27/05 19:44:32 [USMLE_Step_2] fero: duuno about that megs..but itsa IgG2 SUBCLASS DEF
02/27/05 19:44:44 [USMLE_Step_2] lanny: yes fero
02/27/05 19:44:58 [USMLE_Step_2] lanny: most common is ig G2
02/27/05 19:45:02 [USMLE_Step_2] fero: Today there is a delay in my messages .....wierd
02/27/05 19:45:50 [USMLE_Step_2] fero: wats thymic hypoplasia syn?
02/27/05 19:46:21 [USMLE_Step_2] lanny: Di george
02/27/05 19:46:22 [USMLE_Step_2] megs: degeorge fero
02/27/05 19:46:30 [USMLE_Step_2] fero: how will u Dx?
02/27/05 19:46:51 [USMLE_Step_2] lanny: clinical present
02/27/05 19:46:54 [USMLE_Step_2] megs: absent thymic shadow on x ray
02/27/05 19:47:03 [USMLE_Step_2] fero: rt and....
02/27/05 19:47:18 [USMLE_Step_2] lanny: gene studies?
02/27/05 19:47:21 [USMLE_Step_2] megs: and clinically t cell def and hypocalcemia
02/27/05 19:47:36 [USMLE_Step_2] fero: rt lanny.....PCR based genotyping
02/27/05 19:48:19 [USMLE_Step_2] fero: which syn looks like it clinically( based on its facial features)
02/27/05 19:48:51 [USMLE_Step_2] megs: test for what on pcr???
02/27/05 19:49:29 [USMLE_Step_2] lanny: fetal alcohol?
02/27/05 19:49:39 [USMLE_Step_2] samantha: diagnosis of digeorge is by PCR megs
02/27/05 19:49:46 [USMLE_Step_2] megs: craniofacial anomalies fero
02/27/05 19:49:53 [USMLE_Step_2] fero: di george is transmitted in mendalian fashiion so , must have some characteristic megs, is not given in that detail here
02/27/05 19:50:00 [USMLE_Step_2] fero: ya fetal alchol lanny
02/27/05 19:50:11 uniteus Logs in
02/27/05 19:50:11 uniteus Joins Subroom USMLE_Step_2
02/27/05 19:50:22 [USMLE_Step_2] uniteus: hi guys..sorry for bein so late
02/27/05 19:50:29 [USMLE_Step_2] fero: wats heart defacts associa with di george
02/27/05 19:50:48 [USMLE_Step_2] fero: hi uni
02/27/05 19:50:49 [USMLE_Step_2] megs: u look for 22q11delition rt fero???
02/27/05 19:51:04 [USMLE_Step_2] fero: yes.... megs.... v true
02/27/05 19:51:06 [USMLE_Step_2] megs: transposition of grt vessels fero
02/27/05 19:51:13 [USMLE_Step_2] samantha: conotruncal heart defects fero
02/27/05 19:51:18 [USMLE_Step_2] lanny: thx megs never knoew
02/27/05 19:51:22 [USMLE_Step_2] fero: its VSD, ASD, they say
02/27/05 19:52:03 [USMLE_Step_2] fero: micro deletion of specific DNA FROM CH 22q 11.2
02/27/05 19:52:13 [USMLE_Step_2] samantha: yes fero
02/27/05 19:52:41 [USMLE_Step_2] fero: how u treat DG?
02/27/05 19:53:17 [USMLE_Step_2] uniteus: Ca and Vit D and surgery ..fetal thymus graft
02/27/05 19:53:22 [USMLE_Step_2] samantha: they share similar facies and heart defects with FAS
02/27/05 19:53:31 [USMLE_Step_2] lanny: yes sam
02/27/05 19:53:33 [USMLE_Step_2] fero: rt sam
02/27/05 19:53:37 [USMLE_Step_2] fero: rt uni
02/27/05 19:53:41 [USMLE_Step_2] megs: agree uni
02/27/05 19:54:02 [USMLE_Step_2] fero: ok name B and T cell def?
02/27/05 19:54:23 [USMLE_Step_2] fero: i meant combined ...
02/27/05 19:54:32 [USMLE_Step_2] megs: b cell=brutons common variable def and selective ig A
02/27/05 19:54:38 [USMLE_Step_2] megs: OK OK
02/27/05 19:54:53 [USMLE_Step_2] fero: my mistake megs ....didnt ask rtly
02/27/05 19:55:15 [USMLE_Step_2] megs: ADENISINE DEAMINASE DEF FERO
02/27/05 19:55:22 [USMLE_Step_2] fero: rt..
02/27/05 19:55:41 [USMLE_Step_2] fero: few others too...come on guys
02/27/05 19:56:10 [USMLE_Step_2] fero: the one associ with eczema? :)
02/27/05 19:56:10 [USMLE_Step_2] uniteus: severe combined immunodef
02/27/05 19:56:16 [USMLE_Step_2] samantha: wiskott aldrich fero
02/27/05 19:56:17 [USMLE_Step_2] uniteus: wiskott somehing?
02/27/05 19:56:18 [USMLE_Step_2] lanny: wiskot ald
02/27/05 19:56:21 [USMLE_Step_2] fero: r
02/27/05 19:56:22 [USMLE_Step_2] megs: wiscotts aldrich
02/27/05 19:56:23 [USMLE_Step_2] lanny: aldrich
02/27/05 19:56:35 [USMLE_Step_2] lanny: ataxia tele
02/27/05 19:56:38 [USMLE_Step_2] megs: and ataxia
02/27/05 19:56:45 [USMLE_Step_2] fero: rt rt rt..ok now ,wats the famous traiad
02/27/05 19:56:46 [USMLE_Step_2] megs: telengectasia
02/27/05 19:56:46 [USMLE_Step_2] samantha: ataxiatelegiactsia
02/27/05 19:56:57 [USMLE_Step_2] fero: rt megs sama lanny
02/27/05 19:57:03 [USMLE_Step_2] lanny: triad of what?
02/27/05 19:57:05 [USMLE_Step_2] megs: eczema thrombocytopenia and inf
02/27/05 19:57:14 [USMLE_Step_2] fero: triad of wiskot ald syn?
02/27/05 19:57:17 [USMLE_Step_2] megs: wiscotts triad
02/27/05 19:57:30 [USMLE_Step_2] fero: rt megs...
02/27/05 19:57:45 [USMLE_Step_2] fero: wat r they at risk of( malignancy)?
02/27/05 19:57:47 [USMLE_Step_2] samantha: why is your different colour fero?
02/27/05 19:57:50 [USMLE_Step_2] lanny: eczema thrombo penia recurr infections
02/27/05 19:57:51 [USMLE_Step_2] uniteus: non hogkins
02/27/05 19:58:12 [USMLE_Step_2] samantha: what does that mean?
02/27/05 19:58:26 [USMLE_Step_2] fero: sama wat?
02/27/05 19:58:36 [USMLE_Step_2] megs: when SCID manifest in infants at what age??
02/27/05 19:58:49 [USMLE_Step_2] fero: yr?
02/27/05 19:58:55 [USMLE_Step_2] fero: 1 yr age?
02/27/05 19:58:57 [USMLE_Step_2] megs: yup
02/27/05 19:59:04 [USMLE_Step_2] samantha: i see a different colour does that mean something?
02/27/05 19:59:12 [USMLE_Step_2] megs: its usuaaly younger than 3 months fero
02/27/05 19:59:12 [USMLE_Step_2] uniteus: fero wat is the ans?
02/27/05 19:59:20 [USMLE_Step_2] fero: diff colour where smantha
02/27/05 19:59:36 [USMLE_Step_2] lanny: 6 mths
02/27/05 19:59:39 [USMLE_Step_2] fero: uni u r rt ,,its lymphoma..
02/27/05 19:59:54 [USMLE_Step_2] uniteus: oh ok..wasnt sure..thx
02/27/05 20:00:09 [USMLE_Step_2] megs: what was lymphoma for guys???
02/27/05 20:00:14 [USMLE_Step_2] lanny: fero is it NH lymphoma or just lymphoma?
02/27/05 20:00:17 [USMLE_Step_2] megs: didnt get
02/27/05 20:00:29 [USMLE_Step_2] lanny: compl of wiskot megs
02/27/05 20:00:33 [USMLE_Step_2] uniteus: wiskott...risk of nonhogkin lymphoma
02/27/05 20:00:36 [USMLE_Step_2] fero: lanny i read its malignany lymp so,,,, not sure
02/27/05 20:00:43 [USMLE_Step_2] megs: ok got it
02/27/05 20:01:03 [USMLE_Step_2] uniteus: just checked guys in NH lymp
02/27/05 20:01:10 [USMLE_Step_2] lanny: uni is it non hodkins or just lymphoma
02/27/05 20:01:23 [USMLE_Step_2] lanny: ok uni thks
02/27/05 20:01:24 [USMLE_Step_2] uniteus: NH lymp..just checked..
02/27/05 20:01:31 [USMLE_Step_2] fero: ok thx uni
02/27/05 20:01:33 [USMLE_Step_2] megs: thanx uni
02/27/05 20:01:34 [USMLE_Step_2] uniteus: urw
02/27/05 20:01:52 [USMLE_Step_2] megs: how do u dx SCID???
02/27/05 20:02:03 [USMLE_Step_2] fero: treat ment of wisk aldrich?
02/27/05 20:02:26 [USMLE_Step_2] lanny: bone marrow translpaont
02/27/05 20:02:31 [USMLE_Step_2] lanny: for wiskot
02/27/05 20:02:43 [USMLE_Step_2] uniteus: deficien in adenosin deaminase for SCID
02/27/05 20:02:50 [USMLE_Step_2] fero: for thrombocytopenia wat should b done?
02/27/05 20:02:53 [USMLE_Step_2] lanny: right
02/27/05 20:02:59 [USMLE_Step_2] fero: rt uni
02/27/05 20:03:01 [USMLE_Step_2] megs: PLATELET TRANSFUSION
02/27/05 20:03:15 [USMLE_Step_2] lanny: do splenectomy
02/27/05 20:03:22 [USMLE_Step_2] lanny: guessing?
02/27/05 20:03:33 [USMLE_Step_2] fero: they say..spleenectomy,,,followed with anti bio if necces on regular basis
02/27/05 20:03:37 [USMLE_Step_2] fero: rt lanny
02/27/05 20:03:48 [USMLE_Step_2] lanny: oh wow good guess
02/27/05 20:04:34 [USMLE_Step_2] megs: :(
02/27/05 20:04:39 [USMLE_Step_2] megs: OK GUYS
02/27/05 20:04:49 [USMLE_Step_2] megs: NEVER KNOW THIS
02/27/05 20:04:53 [USMLE_Step_2] uniteus: me too :(
02/27/05 20:06:03 [USMLE_Step_2] uniteus: what is deficient in chronic granulo disease?
02/27/05 20:06:09 [USMLE_Step_2] megs: I THOUGHT recurrent thrombocytopenia and immuno therapy not working then only they do splenectomy
02/27/05 20:06:27 [USMLE_Step_2] fero: NADPH OXIDASE
02/27/05 20:06:37 [USMLE_Step_2] fero: rt megs
02/27/05 20:06:52 [USMLE_Step_2] megs: agree fero
02/27/05 20:06:54 [USMLE_Step_2] fero: my question was,,wat do u do if recurent throbocytopenia
02/27/05 20:06:58 [USMLE_Step_2] uniteus: rt fero
02/27/05 20:07:00 [USMLE_Step_2] megs: nadph oxidase
02/27/05 20:07:04 [USMLE_Step_2] uniteus: rt megs
02/27/05 20:07:39 [USMLE_Step_2] lanny: dont remember
02/27/05 20:07:55 [USMLE_Step_2] lanny: maybe transfuse whole bolld?
02/27/05 20:08:01 [USMLE_Step_2] lanny: blood
02/27/05 20:08:19 [USMLE_Step_2] fero: ok guys donno will it help u r not but in kaplan video the proff told us,, to remember pnemonic( MR text) for wiskkot aldrich
02/27/05 20:08:45 [USMLE_Step_2] lanny: i remeber from step 1 their spleen breaks down neutro and platelets so take it off
02/27/05 20:08:56 [USMLE_Step_2] lanny: ie wiskott aldrich
02/27/05 20:09:02 [USMLE_Step_2] fero: MR>DEC IgM, Recuuernt infec
02/27/05 20:09:32 [USMLE_Step_2] megs: do the mone marrow transplant is option for wiskotts
02/27/05 20:09:40 [USMLE_Step_2] megs: bone marrow
02/27/05 20:09:46 [USMLE_Step_2] fero: TEXT>T and B cell def, Eczema, Xlinked rec, Thromocytopenia
02/27/05 20:09:55 [USMLE_Step_2] uniteus: i thought so too megs
02/27/05 20:10:00 [USMLE_Step_2] lanny: fero whats MR
02/27/05 20:10:06 [USMLE_Step_2] uniteus: thx fero
02/27/05 20:10:14 [USMLE_Step_2] fero: ya megs its the treatment and cure for wisk al
02/27/05 20:10:24 [USMLE_Step_2] megs: ok thanx fero
02/27/05 20:10:49 [USMLE_Step_2] fero: Mr>dec Igm, Recuu infec
02/27/05 20:13:15 [USMLE_Step_2] megs: what is JOBS syndrome???
02/27/05 20:13:29 [USMLE_Step_2] fero: ok want to repeat treatment of wisk ald>BM transplant ,for recurrent thrombocytopenis do sleenectomy
02/27/05 20:13:45 [USMLE_Step_2] megs: THANX FERO
02/27/05 20:14:11 [USMLE_Step_2] fero: dunno megs
02/27/05 20:14:24 [USMLE_Step_2] uniteus: dunno
02/27/05 20:14:34 [USMLE_Step_2] megs: ITS HYPERIMMUNOGLOBULINEMIA
02/27/05 20:14:57 [USMLE_Step_2] fero: all Ig ..megs?
02/27/05 20:15:22 [USMLE_Step_2] megs: NO FERO ONLY ig E IS RAISED
02/27/05 20:15:34 [USMLE_Step_2] fero: ok thx megs
02/27/05 20:15:35 [USMLE_Step_2] megs: ASSOCIATED WITH OTHER ALLEGIC CONDITIONS
02/27/05 20:16:07 [USMLE_Step_2] fero: wat should b on your defrential in case of EOSINOPHILA?
02/27/05 20:16:58 [USMLE_Step_2] megs: ALLERGY. ATOPY AND JOBS SYNDROME FERO
02/27/05 20:17:05 [USMLE_Step_2] megs: ASL PARASITIC INFE
02/27/05 20:17:09 shreya Logs in
02/27/05 20:17:09 [USMLE_Step_2] megs: FUNGAL INF
02/27/05 20:17:12 [USMLE_Step_2] fero: RT megs
02/27/05 20:17:30 [USMLE_Step_2] fero: asthma, addisons also
02/27/05 20:17:43 shreya Joins Subroom USMLE_Step_2
02/27/05 20:17:50 [USMLE_Step_2] fero: collagen vascular dis also
02/27/05 20:17:54 [USMLE_Step_2] megs: YUP
02/27/05 20:18:09 [USMLE_Step_2] fero: ok diff between urticaria and angioedema?
02/27/05 20:19:24 [USMLE_Step_2] shreya: angioedema all layers of skin involved?
02/27/05 20:19:27 [USMLE_Step_2] lanny: they are the same?
02/27/05 20:19:49 [USMLE_Step_2] megs: ANGIOEDEMA IS LIFE THREATENING..
02/27/05 20:19:58 [USMLE_Step_2] fero: rt sherya deeper layers r effected in angioedema
02/27/05 20:20:01 [USMLE_Step_2] uniteus: urticaria...raised skin palpable ..while angio..edema of entire tissue and dangerous
02/27/05 20:20:15 [USMLE_Step_2] fero: how u treat?
02/27/05 20:20:22 [USMLE_Step_2] uniteus: which one?
02/27/05 20:20:35 [USMLE_Step_2] fero: both
02/27/05 20:20:39 [USMLE_Step_2] lanny: antihistamines
02/27/05 20:20:41 [USMLE_Step_2] megs: STEROIDS AND ANTI HISTAMINICS FOR URTICARIA
02/27/05 20:20:45 [USMLE_Step_2] uniteus: antihis for urticaria and epinep for angio?
02/27/05 20:20:51 [USMLE_Step_2] fero: rt lanny , megs
02/27/05 20:21:09 [USMLE_Step_2] lanny: is steroids used,?
02/27/05 20:21:17 [USMLE_Step_2] fero: ok wats defficant in articaria angioedema? Compliment?
02/27/05 20:21:20 [USMLE_Step_2] lanny: i thought these are self limited
02/27/05 20:21:44 shreya Logs in
02/27/05 20:21:50 [USMLE_Step_2] lanny: IG E mediated
02/27/05 20:21:52 [USMLE_Step_2] megs: c1 esterase fero
02/27/05 20:22:00 shreya Joins Subroom USMLE_Step_2
02/27/05 20:22:08 [USMLE_Step_2] fero: usually seld limmited but if life treatening use epinep for severe urticaria
02/27/05 20:22:12 [USMLE_Step_2] fero: rt megs
02/27/05 20:22:15 [USMLE_Step_2] lanny: they use C3andC5 so these are depleted
02/27/05 20:22:45 [USMLE_Step_2] uniteus: how bout for angioedema rx..since it is life threating..i thought u give epinep on them
02/27/05 20:23:01 [USMLE_Step_2] megs: agree with u uni
02/27/05 20:23:19 [USMLE_Step_2] fero: rt uni u do..i said so earlier also
02/27/05 20:23:29 [USMLE_Step_2] lanny: yes uni you can give epi
02/27/05 20:23:47 [USMLE_Step_2] lanny: megs not sure about steroid
02/27/05 20:23:50 [USMLE_Step_2] uniteus: ok got u guys
02/27/05 20:23:55 [USMLE_Step_2] lanny: when is steroid indicated?
02/27/05 20:24:21 [USMLE_Step_2] fero: severe cases
02/27/05 20:24:26 [USMLE_Step_2] megs: lanny if antihistaminic are not working then sterois are used
02/27/05 20:24:41 [USMLE_Step_2] lanny: ok thanks
02/27/05 20:24:45 [USMLE_Step_2] megs: i myself had this urticaria
02/27/05 20:25:01 [USMLE_Step_2] megs: antihistaminic didnt work
02/27/05 20:25:11 [USMLE_Step_2] fero: o..megs, was it a bee ?
02/27/05 20:25:25 [USMLE_Step_2] lanny: for how long did you use natihistamine
02/27/05 20:26:00 [USMLE_Step_2] megs: for 3..4 days..but ithe itch was so severe that i took steroids
02/27/05 20:26:07 [USMLE_Step_2] megs: to get read of this
02/27/05 20:26:13 [USMLE_Step_2] megs: rid
02/27/05 20:26:33 [USMLE_Step_2] megs: thanks got then never had it..
02/27/05 20:26:41 [USMLE_Step_2] uniteus: did it work? i mean the steroid like asap?
02/27/05 20:26:46 [USMLE_Step_2] fero: imp anti histamines r>hydroxyzine, loratadine, diphenydramine, cetririne
02/27/05 20:27:18 [USMLE_Step_2] fero: do u know guys the one with less, sedative action
02/27/05 20:27:20 [USMLE_Step_2] samantha: urticaria pigmentosa occurs in what?
02/27/05 20:27:23 [USMLE_Step_2] megs: i got it long back fero...may ne 7..8 yrs back
02/27/05 20:27:28 [USMLE_Step_2] fero: vasculitis
02/27/05 20:27:40 [USMLE_Step_2] megs: so didnt tried laratodine ..and all that
02/27/05 20:27:50 [USMLE_Step_2] megs: vasculitis agree
02/27/05 20:27:57 [USMLE_Step_2] fero: antihistamines dont work there
02/27/05 20:29:04 [USMLE_Step_2] fero: so steriods worked for u then megs
02/27/05 20:29:20 [USMLE_Step_2] megs: yeah fero
02/27/05 20:30:06 [USMLE_Step_2] lanny: loratidine
02/27/05 20:30:35 [USMLE_Step_2] fero: loradatine is less sedative lanny? i dont know,
02/27/05 20:30:45 [USMLE_Step_2] samantha: vasculitis for what megs?
02/27/05 20:30:47 [USMLE_Step_2] fero: thx
02/27/05 20:30:52 [USMLE_Step_2] lanny: i vaguely think so
02/27/05 20:30:56 [USMLE_Step_2] megs: yeah lanny i do lot of mistakes whiletyping :(
02/27/05 20:30:59 [USMLE_Step_2] lanny: not sure
02/27/05 20:31:15 [USMLE_Step_2] fero: ok,
02/27/05 20:31:19 [USMLE_Step_2] lanny: yea megs me too
02/27/05 20:31:32 [USMLE_Step_2] uniteus: fexofenadine (allegra) fero?
02/27/05 20:31:52 [USMLE_Step_2] fero: ok uni....even i dont know will check
02/27/05 20:32:05 [USMLE_Step_2] fero: i think yes allgra
02/27/05 20:32:13 [USMLE_Step_2] megs: agree uni
02/27/05 20:32:22 [USMLE_Step_2] fero: i wonder where dua will b now..lol :)
02/27/05 20:32:37 [USMLE_Step_2] uniteus: watching oscars!!! ahh!
02/27/05 20:32:39 [USMLE_Step_2] megs: fexophenidine terfinidine..are less sedative
02/27/05 20:32:46 [USMLE_Step_2] fero: o yaaaaaaa.. ascars
02/27/05 20:32:53 [USMLE_Step_2] fero: thx megs
02/27/05 20:32:57 [USMLE_Step_2] uniteus: thx megs
02/27/05 20:34:10 [USMLE_Step_2] fero: kid with drooling tics, masklike faces, pink eyes? Dx?
02/27/05 20:34:18 [USMLE_Step_2] megs: do u use epinephrine for urticaria???
02/27/05 20:34:21 [USMLE_Step_2] lanny: i got it loratidine and terfenadine are less sedating...
02/27/05 20:34:44 [USMLE_Step_2] shreya: ataxia telangiectasis
02/27/05 20:34:47 [USMLE_Step_2] samantha: no only for angioedema megs
02/27/05 20:35:11 [USMLE_Step_2] megs: we use in urticaris is severe and generalised sammy
02/27/05 20:35:13 [USMLE_Step_2] lanny: urticaria is primarily antihistamines
02/27/05 20:35:14 [USMLE_Step_2] fero: rt sherya
02/27/05 20:35:29 [USMLE_Step_2] samantha: ok megs
02/27/05 20:35:31 [USMLE_Step_2] megs: hey sherya...welcome
02/27/05 20:35:40 [USMLE_Step_2] megs: didnt noticed you
02/27/05 20:35:43 [USMLE_Step_2] shreya: hai.
02/27/05 20:36:05 [USMLE_Step_2] fero: prognosis of ataxia telengect?
02/27/05 20:36:21 [USMLE_Step_2] lanny: bad
02/27/05 20:36:30 [USMLE_Step_2] lanny: wheel chair by 10 yrs
02/27/05 20:36:42 [USMLE_Step_2] samantha: wheel chair by 12 yrs
02/27/05 20:36:42 [USMLE_Step_2] fero: rt, lanny they r wheel chair bound by age 12
02/27/05 20:36:46 [USMLE_Step_2] fero: rt lanny
02/27/05 20:37:00 [USMLE_Step_2] lanny: thought it was 10?
02/27/05 20:37:21 [USMLE_Step_2] fero: Treat of atopic dermatitis?
02/27/05 20:37:30 [USMLE_Step_2] lanny: ok what the heck!!!! thanks guys
02/27/05 20:37:56 [USMLE_Step_2] fero: lanny 10 r 12,,no big deal
02/27/05 20:37:58 [USMLE_Step_2] lanny: steroids anti histamines
02/27/05 20:38:05 [USMLE_Step_2] lanny: agree fero
02/27/05 20:38:15 [USMLE_Step_2] megs: topical sterois fero
02/27/05 20:38:51 [USMLE_Step_2] lanny: yea topical
02/27/05 20:38:51 [USMLE_Step_2] fero: rt for itch give antihist, advice to bath less, and use bath oils
02/27/05 20:39:39 [USMLE_Step_2] megs: yup dont keep skin dry
02/27/05 20:39:42 [USMLE_Step_2] fero: rt lanny megs
02/27/05 20:39:59 [USMLE_Step_2] megs: dryness agrrevates itch
02/27/05 20:40:05 [USMLE_Step_2] fero: rt
02/27/05 20:40:43 [USMLE_Step_2] fero: wat malignancies r associa with ataxia telan?
02/27/05 20:40:59 [USMLE_Step_2] megs: lymphoma and
02/27/05 20:41:07 [USMLE_Step_2] fero: rt megs and...ALL
02/27/05 20:41:09 [USMLE_Step_2] megs: luekemia
02/27/05 20:41:36 [USMLE_Step_2] megs: what is vasomotar rhinitis???
02/27/05 20:41:41 [USMLE_Step_2] fero: CD8 LEVELS? AND cd4 in ataxia tel?
02/27/05 20:42:18 [USMLE_Step_2] fero: vasomotor..?? is it allergic?
02/27/05 20:42:31 [USMLE_Step_2] megs: nope fero
02/27/05 20:42:38 [USMLE_Step_2] fero: hmmmm...donno
02/27/05 20:42:40 [USMLE_Step_2] shreya: cd8 incr & cd4 decr
02/27/05 20:42:46 [USMLE_Step_2] megs: its due to autonomic instability
02/27/05 20:42:50 [USMLE_Step_2] lanny: vaccines and immuno dz lets discuss
02/27/05 20:42:54 [USMLE_Step_2] fero: rt sherya,,,helper T CELLS r defective
02/27/05 20:43:04 [USMLE_Step_2] lanny: is vaccines indicated in these dz
02/27/05 20:43:44 [USMLE_Step_2] fero: which? lanny
02/27/05 20:43:49 [USMLE_Step_2] megs: if b cell deficiency vaccination will not work lanny
02/27/05 20:44:09 [USMLE_Step_2] fero: ok,,thx megs
02/27/05 20:44:14 [USMLE_Step_2] megs: bcause antibodies can not form
02/27/05 20:44:42 [USMLE_Step_2] samantha: good point megs
02/27/05 20:45:21 [USMLE_Step_2] samantha: life threatening varicella ocurs
02/27/05 20:47:11 [USMLE_Step_2] megs: what is the commonest alleren in all season???
02/27/05 20:47:17 [USMLE_Step_2] fero: pollen
02/27/05 20:47:24 [USMLE_Step_2] fero: o..all
02/27/05 20:47:26 [USMLE_Step_2] fero: dust
02/27/05 20:47:28 [USMLE_Step_2] megs: house dust
02/27/05 20:47:34 [USMLE_Step_2] megs: good fero
02/27/05 20:48:27 [USMLE_Step_2] fero: wats for tomorrow guys
02/27/05 20:49:20 [USMLE_Step_2] megs: poisoning emergencies in kids and accidents fero
02/27/05 20:49:31 [USMLE_Step_2] fero: thx megs
02/27/05 20:49:43 [USMLE_Step_2] lanny: im back guys
02/27/05 20:50:03 [USMLE_Step_2] samantha: wb lanny
02/27/05 20:50:07 [USMLE_Step_2] megs: which vaccines do not work in primary immunodeficeiency???
02/27/05 20:50:11 [USMLE_Step_2] megs: wb lanny
02/27/05 20:50:41 [USMLE_Step_2] lanny: attenuated vacc
02/27/05 20:51:17 [USMLE_Step_2] samantha: live?
02/27/05 20:51:21 [USMLE_Step_2] megs: do not work means ..they do not have any good or bad effect lanny
02/27/05 20:51:36 [USMLE_Step_2] megs: DIPTHERIA PERTUSIS AND TETANUS
02/27/05 20:51:44 shreya Disconnects
02/27/05 20:52:25 [USMLE_Step_2] megs: WHAT happens if live vaccines given to them??/
02/27/05 20:52:25 [USMLE_Step_2] fero: which vaccine recommended in sickle cell and aspleenic pats?
02/27/05 20:52:34 [USMLE_Step_2] lanny: are nt DTP live vacc
02/27/05 20:52:42 [USMLE_Step_2] fero: they will get active dis megs?
02/27/05 20:52:45 [USMLE_Step_2] samantha: i think it is dangerous
02/27/05 20:52:51 [USMLE_Step_2] megs: teah fero
02/27/05 20:53:03 [USMLE_Step_2] uniteus: pneumocco vaccine fero
02/27/05 20:53:14 [USMLE_Step_2] samantha: influenza
02/27/05 20:53:16 [USMLE_Step_2] fero: rt uni
02/27/05 20:53:52 [USMLE_Step_2] lanny: influenza too guys
02/27/05 20:53:58 [USMLE_Step_2] lanny: sam is right
02/27/05 20:54:00 [USMLE_Step_2] megs: DTP IS NOT LIVE LANNY
02/27/05 20:54:09 [USMLE_Step_2] lanny: ok
02/27/05 20:54:29 [USMLE_Step_2] samantha: thx lanny
02/27/05 20:54:35 [USMLE_Step_2] lanny: megs yellow fever is live and MMR right?
02/27/05 20:54:46 [USMLE_Step_2] megs: OK WHICH VACCINES ARE LIVE??
02/27/05 20:54:51 [USMLE_Step_2] megs: YUP LANNY
02/27/05 20:54:57 [USMLE_Step_2] samantha: oral polio
02/27/05 20:54:58 [USMLE_Step_2] lanny: MMR
02/27/05 20:55:05 [USMLE_Step_2] uniteus: MMR
02/27/05 20:55:10 [USMLE_Step_2] megs: YA SAMMY
02/27/05 20:55:13 [USMLE_Step_2] fero: menigococal also for functianal aspleenia
02/27/05 20:55:22 [USMLE_Step_2] megs: OK FERO
02/27/05 20:55:28 [USMLE_Step_2] lanny: yes fero
02/27/05 20:55:30 [USMLE_Step_2] fero: ok name all live vaccines
02/27/05 20:55:33 [USMLE_Step_2] megs: WHICH BACTERIA VACCINE IS LIVE???
02/27/05 20:55:51 [USMLE_Step_2] lanny: MMR
02/27/05 20:55:57 [USMLE_Step_2] lanny: oh sorry
02/27/05 20:56:18 [USMLE_Step_2] fero: bacteria,,hmmm....ths a hard one megs?
02/27/05 20:56:26 [USMLE_Step_2] lanny: dun no megs
02/27/05 20:56:27 [USMLE_Step_2] samantha: one more
02/27/05 20:56:29 [USMLE_Step_2] megs: BACTERIAL
02/27/05 20:56:30 [USMLE_Step_2] samantha: forgot
02/27/05 20:56:31 [USMLE_Step_2] fero: BCG
02/27/05 20:56:43 [USMLE_Step_2] megs: YUP FERO GOOD
02/27/05 20:56:52 [USMLE_Step_2] fero: WOW... :)
02/27/05 20:56:53 [USMLE_Step_2] lanny: forget about BCG in america
02/27/05 20:57:04 [USMLE_Step_2] megs: YUP LANNY
02/27/05 20:57:11 [USMLE_Step_2] megs: BUT STILL..
02/27/05 20:57:12 [USMLE_Step_2] samantha: yes'
02/27/05 20:57:14 [USMLE_Step_2] fero: ok now name the rest live ones
02/27/05 20:57:19 [USMLE_Step_2] megs: OK TO DISCUSS
02/27/05 20:57:29 [USMLE_Step_2] lanny: youre right fero
02/27/05 20:57:31 [USMLE_Step_2] fero: step 1 stuff
02/27/05 20:57:38 [USMLE_Step_2] megs: YELLOW FEVER,ORAL POLIO,MMR
02/27/05 20:57:41 [USMLE_Step_2] lanny: i did not say its not ok
02/27/05 20:57:54 [USMLE_Step_2] fero: REMEMBER,...MR VZ Mapsy
02/27/05 20:58:03 [USMLE_Step_2] megs: :) OK LANNY
02/27/05 20:58:04 [USMLE_Step_2] lanny: just pointing to you that its not asked
02/27/05 20:58:11 [USMLE_Step_2] megs: BOSS
02/27/05 20:58:18 [USMLE_Step_2] megs: AGREED
02/27/05 20:58:24 [USMLE_Step_2] lanny: whats that fero
02/27/05 20:58:36 [USMLE_Step_2] megs: MAPSY???
02/27/05 20:58:40 [USMLE_Step_2] megs: FERO
02/27/05 20:58:49 [USMLE_Step_2] lanny: some mnenonic?
02/27/05 20:58:56 [USMLE_Step_2] fero: wiat ,,let me recall na
02/27/05 20:59:01 [USMLE_Step_2] samantha: adeno?
02/27/05 20:59:17 [USMLE_Step_2] samantha: varicell zoster
02/27/05 20:59:18 [USMLE_Step_2] fero: adeno, oral poli
02/27/05 20:59:27 [USMLE_Step_2] fero: yellow fever
02/27/05 20:59:35 [USMLE_Step_2] fero: mealses too
02/27/05 20:59:42 [USMLE_Step_2] megs: OK THANX FERO
02/27/05 20:59:43 [USMLE_Step_2] fero: varicella zoster
02/27/05 21:00:12 [USMLE_Step_2] megs: IN WHICH PATIENT MENINGOCOCCAL VACCINE IS INDICATED???
02/27/05 21:00:16 [USMLE_Step_2] fero: MR..VZ Mapsy
02/27/05 21:00:22 [USMLE_Step_2] fero: aspelic megs
02/27/05 21:00:31 [USMLE_Step_2] megs: one more fero
02/27/05 21:00:46 [USMLE_Step_2] fero: DUNNO
02/27/05 21:00:47 [USMLE_Step_2] samantha: spleenectomised
02/27/05 21:00:48 [USMLE_Step_2] lanny: fero what vacc is adeno
02/27/05 21:00:58 [USMLE_Step_2] fero: its live
02/27/05 21:01:00 [USMLE_Step_2] uniteus: asplenic
02/27/05 21:01:05 [USMLE_Step_2] lanny: for adenoviruses?
02/27/05 21:01:19 [USMLE_Step_2] fero: ya remember pink eye..adeno virs
02/27/05 21:01:31 [USMLE_Step_2] megs: compement c5 8 deficiency..meningococcal is vaccine dirived from dead bacterial pdts
02/27/05 21:01:40 [USMLE_Step_2] fero: tyhx megs
02/27/05 21:02:21 [USMLE_Step_2] lanny: megs what ans to your q meningococc vacc?
02/27/05 21:02:40 [USMLE_Step_2] fero: guys has anyone of u guystaken NBME FORM EXAMS?
02/27/05 21:02:43 [USMLE_Step_2] lanny: ok got it
02/27/05 21:02:51 [USMLE_Step_2] megs: moplement deficiency and aspenia lanny
02/27/05 21:02:53 [USMLE_Step_2] fero: was planning to do form 1 so,,wanted some info
02/27/05 21:03:09 [USMLE_Step_2] lanny: not yet
02/27/05 21:03:13 [USMLE_Step_2] samantha: yea prone for nesseria inf megs
02/27/05 21:03:22 [USMLE_Step_2] lanny: wanna start kaplan end of week
02/27/05 21:03:37 [USMLE_Step_2] fero: wats membrane attck complex? MAC?
02/27/05 21:03:50 [USMLE_Step_2] fero: LANNY, kaplan q bank u mean?
02/27/05 21:04:00 [USMLE_Step_2] lanny: ok guys look like we are going into step 1 stuff
02/27/05 21:04:06 [USMLE_Step_2] lanny: yes q bank
02/27/05 21:04:08 [USMLE_Step_2] samantha: i took got low score
02/27/05 21:04:28 [USMLE_Step_2] fero: samantha? in nbme ?
02/27/05 21:04:53 [USMLE_Step_2] fero: MAC is good to know as, in C5 ..C9,,PRONE TO NESSIERIA INFECTION
02/27/05 21:04:55 [USMLE_Step_2] samantha: it contains 4 hour exam
02/27/05 21:05:05 [USMLE_Step_2] fero: IS IT HARD?
02/27/05 21:05:09 [USMLE_Step_2] lanny: right fero
02/27/05 21:05:13 [USMLE_Step_2] samantha: it was
02/27/05 21:05:29 [USMLE_Step_2] fero: :(
02/27/05 21:05:53 [USMLE_Step_2] lanny: can i do kap q bank in one month guys?
02/27/05 21:06:09 [USMLE_Step_2] fero: lanny have u done UW?
02/27/05 21:06:09 [USMLE_Step_2] megs: u can do lanny
02/27/05 21:06:27 [USMLE_Step_2] fero: KAPLAN BANK HAS 1200 QUES I GUESS.. u can lanny
02/27/05 21:06:46 [USMLE_Step_2] lanny: yea did it once got 51 % cummulative doing it second time around in tutor mode
02/27/05 21:07:00 [USMLE_Step_2] lanny: very dissapointed
02/27/05 21:07:06 [USMLE_Step_2] fero: mine was 50 % too,,,,gosh,,it was hard
02/27/05 21:07:16 [USMLE_Step_2] lanny: oh boy was it
02/27/05 21:07:26 [USMLE_Step_2] lanny: is kap any easier
02/27/05 21:07:39 [USMLE_Step_2] fero: i have not done q bank
02/27/05 21:07:47 [USMLE_Step_2] fero: but everyone say that it is
02/27/05 21:08:01 [USMLE_Step_2] lanny: some say not necessary after usmle world
02/27/05 21:08:20 [USMLE_Step_2] fero: ya lanny my 50 % score was in UW NOT kaplan bank
02/27/05 21:08:36 [USMLE_Step_2] lanny: yea fero me too i got 51
02/27/05 21:08:53 [USMLE_Step_2] lanny: some say not necess for kap q bank after u w
02/27/05 21:08:59 [USMLE_Step_2] fero: ok guys u wana stay more?
02/27/05 21:09:08 [USMLE_Step_2] megs: nope guys
02/27/05 21:09:15 [USMLE_Step_2] lanny: fero im leaving soon
02/27/05 21:09:19 [USMLE_Step_2] fero: me too
02/27/05 21:09:25 [USMLE_Step_2] fero: ok take care then
02/27/05 21:09:26 [USMLE_Step_2] megs: goodbye and see u all tomorrow
02/27/05 21:09:26 [USMLE_Step_2] fero: see u
02/27/05 21:09:27 [USMLE_Step_2] lanny: whats tomorrow?
02/27/05 21:09:27 [USMLE_Step_2] fero: bye
02/27/05 21:09:37 megs Logs Out
02/27/05 21:09:37 [USMLE_Step_2] lanny: bye megs
02/27/05 21:09:44 [USMLE_Step_2] fero: its,,
02/27/05 21:10:06 [USMLE_Step_2] uniteus: bye megs
02/27/05 21:10:08 [USMLE_Step_2] fero: poisioning, accidents EM
02/27/05 21:10:22 [USMLE_Step_2] uniteus: bye all
02/27/05 21:10:32 [USMLE_Step_2] fero: bye
02/27/05 21:10:43 [USMLE_Step_2] samantha: bye guys see you all
02/27/05 21:10:54 [USMLE_Step_2] fero: bye samantha
02/27/05 21:14:47 [USMLE_Step_2] fero: bye guys ,,see u







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