management for transient ischemic attack(TIA)Secondary prevention of future stroke includes antiplatelet agents (eg, aspirin, clopidogrel) to prevent thrombus formation and ☆statin therapy (HMG-CoA reductase inhibitor; eg, atorvastatin, rosuvastatin) to reduce atherosclerotic plaque formation. Lifestyle modifications (eg, exercise, tobacco cessation) are also recommended. neurologyUWorld HirotoShishido
what regular activity is the most important and recommended in the patient with diabetes mellitus☆daily foot inspection
→clinicians are advised to complete comprehensive foot examinations annually on all diabetic patients, who should in turn be instructed on prophylactic foot care for trauma or infection (eg. wash and closely examined daily, change fitting socks daily, trim nails to the shape of the toe) endocrinologyUWorld SIM1 HirotoShishido
mechanism, clinical use, adverse effecta nonabsorbable cation exchange resin that ☆binds colonic potassium in exchange for calcium, trapping potassium within the resin where it is then excreted in the feces.
often used for treatment of chronic hyperkalemia. (however, onset of action takes several hours, so it is not recommended as monotherapy in acute hyperkalemia)
GI disturbance, hypercalcemia, hypokalemia, hypomagnesemia
hypothyroidism and T3synthetic T3 (liothyronine) is not recommended for the routine treatment of hypothyroidism, as it has a short half-life and patients can experience wide fluctuations in plasma T3 levels
characteristics of the bacteriaGBS colonization by vaginal-rectal culture at 35-37 weeks gestation is recommended to identify colonized woman who require ★intrapartum penicillin/ampicillin to prevent neonatal GBS sepsis, pneumonia and meningitis
women with heavy colnization (eg. asymptomatic bacteriuria) needs ampicillin (★)regardless of screening status or rectovaginal culture results
diagnosis of Celiac disease☆IgA transglutaminase antibody assay (blood test)is recommended as part of initial diagnostic work up. (Endoscopic biopsy of the ☆duodenal mucosa confirms the diagnosis.)(distal duodenum and proximal jejunum)
functionTAP(transporter associated with antigen processing) protein transports some of the peptide fragments degraded by proteasome into the endoplasmic reticucum and load onto ☆MHC class Ⅰ molecules
genetic mutation affecting MHC claps Ⅰ polypeptide complex expression(bare lymphocyte syndrome type Ⅰ)
→ulcerative glanulomatous skin lesions and frequent respiratory infeltions ☆despite normal lymphocyte and immunoglobulin levels immunologyUWorld HirotoShishido
The action or condition of being deprived of a close relation or friend through their death.
‘the family suffered a sad bereavement’ english HirotoShishido
form of corporal punishment used in certain schools, involving beating with a cane.
‘wrong answers were rewarded by the cane’ english HirotoShishido
A rank of officer in the British army, above second lieutenant and below captain. english HirotoShishido
Causing hatred or disgust; repulsive.
'you foul loathsome evil little cockroach' english HirotoShishido
cells in which telomere length is maintained by telomerasecells with high turnover rate
→☆hematopoietic stem cells, epithelial
cells, lymphocytes geneticsUWorld HirotoShishido
glare(noun)①A fierce or angry stare.
‘she gave Harley a glare of contempt’
② Strong and dazzling light.
'the patient reported excessive glare from the headlights of oncoming cars' english HirotoShishido
Kehr signreffered pain to the C3-5 shoulder pain
caused by any abdominal process irritating the phrenic nerve
☆splenic laceration, peritonitis, ☆pneumoperitoneum(commonly caused by
anterior duodenal ulcer), hemoperitoneum, etc. gastrointestinalUWorld HirotoShishido