small intestinal bacterial overgrowth
cause, resultcause→ Roux-en-Y gastric bypass
result→ overproduction of vitamin K and ☆folate, associated with nausea, bloating, abdominal discomfort, and malabsorption gastrointestinalUWorld Mar 12, 2020, 1:59 AM HirotoShishido
phenylketouria
findingsHypopigmentation involving the skin, hair, eyes, and ☆catecholaminergic brain nuclei (which produce a dark pigment known as neuromelanin) results from the inhibitory effect of excess phenylalanine on melanin synthesis.
intellectual disability, growth retardation, seizures, fair complexion(face skin), eczema, musty body odor. biochemistryUWorld Mar 9, 2020, 5:05 AM HirotoShishido
indigentíndɪdʒənt
Poor; needy.
'The Emergency Medical Treatment and Active Labor Act(EMTALA) was enacted by Congsess to prevent hospitals from inapppopriately transferring, discharging, or refusing to treat indigent patients' englishpublic healthUWorld Mar 6, 2020, 10:32 PM HirotoShishido
early and late onset of Alzheimer's diseaseeary→ associated with Amyloid precursor protein(APP) (on chromosome 21)
☆presenilin-1,2
vastectomy and viable spermpatient will have viable sperm in distal vas for 3 months and at least 20 ejaculations following vastectomy reproductiveurologyUWorld Mar 8, 2020, 1:30 AM HirotoShishido
which structure does deep/superficial inguinal nodes receive drainage of☆☆glans penis(deep), scrotum(superficial), ☆skin below umbilicus(superficial) anatomyUWorld Mar 7, 2020, 7:33 AM HirotoShishido
consent of a partnernot required for a patient to undergo any type of procedure, including sterilization
(although the physician can encourage the patient to share and discuss with a partner) public healthUWorld Mar 6, 2020, 7:37 AM HirotoShishido
primary site of ribosomal RNA transcription
enzymenucleolus
(round, dense, basophilic(dark) body)
what is alveolar proteases derived from?alveolar macrophages and infiltrating neutrophils pulmonaryUWorld Mar 3, 2020, 11:49 PM HirotoShishido
risk fators for diverticular disease☆diet in red meat & fat & low in fiber
obesity, physical inactivity, smoking gastrointestinalUWorld Feb 24, 2020, 6:11 AM HirotoShishido
FSH and inhibin in the patient with 1 testicle(Sertoli cells are present within the seminiferous tubules of the testes.)
In patients with 1 testicle, the mass of Sertoli cells is significantly reduced. Therefore, the circulating ☆levels of inhibin B are likely to be low in these patients. Low inhibin B levels will not provide adequate negative feedback on FSH secretion, thus ☆FSH levels will tend to be elevated in males who only have 1 testicle. reproductiveUWorld Feb 24, 2020, 2:16 AM HirotoShishido
thracentesis
locationThoracentesis is typically performed between
①the 6th and 8th ribs along the midclavicular line,
②☆the 8th and 10th ribs along the midaxillary line (above image),
③and the 10th and 12th ribs along the paravertebral line.
This allows pleural fluid to be drained without risking lung injury (which can occur at higher insertion sites). However, insertion of a needle ☆below the 9th rib still risks penetrating abdominal structures. surgeryUWorld Mar 22, 2020, 10:28 AM HirotoShishido
Picture
symptoms, etiologytoxic megacolon
severe abdominal pain with visibly distended colon→ ☆increased risk of colonic perforation(☆colonoscopy and barium contrast are contraindicated)
Predisposing factors include infection with Clostridium difficile, ☆loperamide use (especially in young children<2yo), and ulcerative colitis. gastrointestinalUWorld Jan 1, 2020, 4:42 AM HirotoShishido
diagnosis of Trichomonas vaginitisflagellated trophozoites on a wet mount(saline microscopy) microbiologyUWorld Jan 3, 2020, 8:51 PM HirotoShishido
