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which cervical lymph node can apex of tongue/ tonsilar squamous cell carcinoma spread to? apex of tongue→ ☆Ⅰ= submental
tonsilar→ Ⅱ= upper ☆jugular nodes
anatomy free120 UWorld May 21, 2020, 3:24 AM   HirotoShishido

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lymphatics connection to LN above and below pectinate line (from lower rectum to anal canal)above pectinate line→ drain to internal iliac LN

below pectinate line→ ☆superficial inguinal LN
gastrointestinal free120 Oct 28, 2019, 10:57 PM   HirotoShishido

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rotator cuff
arm internal rotation, external rotation, adduction, abduction internal rotation→ subscapularis

external rotation→ ☆infraspinatous, teres minor

adduction→ subscapularis,teres minor,infraspinatus

abduction→ supraspinatous(0-15°)
musculoskeletal anatomy free120 Apr 23, 2019, 9:30 PM   HirotoShishido

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silver stain fungi(coccidioides, pneumocystis), ☆legionella, ☆Helicobacter pylori

(pic=legionella)


methenamine silver stain→ ☆pneumocystis penumonia(PCP)
microbiology UWorld free120 Dec 22, 2019, 5:00 AM   HirotoShishido

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yersinia pestis
endemic area, manifestation, diagnosis, reservoir, treatment ☆New Mexico

gram negative coccobacillus

begins with acute fever, chills, weakness, headache
→☆buboes(painful, swollen, erythmatous lymph nodes) develop shortly thereafter

bipolar staining(resembles a safety pin)

☆rodents
(transmission via rodent flea bite)

☆aminoglycoside
microbiology UWorld free120 Apr 18, 2020, 9:50 PM   HirotoShishido

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compliment components C3b→ ☆opsonization
(C3B Binds Bacteria)

C3a, C4a, C5a→ anaphylaxis
(A→ Anaphylaxis)

+☆C5a→ neutrophil chemotaxis(like LTB4)
immunology UWorld free120 Jan 3, 2020, 8:37 AM   HirotoShishido

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omental bursa
epiploic foramen
pouch of Morison pouch of Morison= hepatorenal pouch
anatomy gastrointestinal free120 Jun 19, 2020, 2:09 AM   HirotoShishido

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what makes the sputum green Myeloperoxidase contains a blue-green, heme-containing pigment that gives sputum its color.

myeloperoxidase deficiency → inable to form hypochlorite
less severe and less commonly involves recurrent serious bacterial infeltions. when symptomatic, it typically involves ☆candida infections
immunology UWorld free120 Jun 19, 2020, 2:47 AM   HirotoShishido

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vascular supply of the parathyroid glands inferior thyroid artery= ☆branch of the thyrocervical trunk
anatomy endocrinology free120 Jun 19, 2020, 2:24 AM   HirotoShishido

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