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The latest Messages
2023-04-23 00:54:02
Educational objective: Chemotherapy-induced peripheral neuropathy typically presents as a symmetric, distal, sensory neuropathy that spreads in a stocking-glove pattern. Common causative agents include platinum-based medications (eg, cisplatin}, taxanes (eg, paclitaxel), and Vinca alkaloids (eg, vincristine }.
201 views21:54
2023-04-22 23:52:48
A 58-year-old woman comes to the physician due to difficulty walking. Over the last several weeks she has also experienced bilateral foot numbness and tingling. She was diagnosed with advanced Hodgkin lymphoma 2 months ago and is currently undergoing chemotherapy containing bleomycin, doxorubicin, and vincristine. Her other medical problems include type 2 diabetes and hypertension. Physical examination shows bilateral weakness on dorsiflexion of the feet and loss of pain and temperature sensation affecting both toes. Knee jerk reflexes are 2+ bilaterally but ankle jerk reflexes are absent
250 views20:52
2023-04-22 16:02:19
USMLE Step 1 resources to aid success.
Save this list for a rainy day
268 views13:02
2023-04-16 18:34:01
April 2023 usmle recalls Rock your USMLE exam
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227 views15:34
2023-04-12 00:46:47
2023 usmle recalls Rock your USMLE exam
Don't let the stress of the exam impact your success any longer.
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36 views21:46
2023-04-08 17:45:59
https://t.me/studentdoctor
180 views14:45
2023-04-02 23:38:02
2023 usmle recalls Rock your USMLE exam
Don't let the stress of the exam impact your success any longer.
Our proven recall strategies will provide you with the tools you need to confidently and accurately ace the exam .
With our expert guidance and personalized approach, you can finally achieve the USMLE score you've been dreaming of .
Don't wait any longer to take control of your future. Sign up for our recalls today!" For details and membership
contact:
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100 views20:38
2023-03-31 18:23:02
Educational objective: Wernicke encephalopathy is due to thiamine (vitamin B1) deficiency and is most commonly seen in malnourished patients with underlying alcoholism. Features include encephalopathy, ocular dysfunction, and gait ataxia. Patients should be treated empirically with thiamine prior to or along with glucose administration.
241 views15:23
2023-03-31 08:22:02
A middle-aged woman is found wandering the streets with an abnormal gait She is brought to the hospital by police officers. When asked for identification, the patient mumbles incoherently. She is not oriented to time or place. Her temperature is 36.2 C (97.3 F), blood pressure is 160/100 mm Hg, pulse is 100/min, and respirations are 18/min. Btvll is 17 kg/m2• Head and neck examination shows bitemporal wasting and dry mucous membranes. The pupils are 3 mm bilaterally and react slowly to light Her neck is supple, and she moves all extremities equally. Deeptendon reflexes are symmetrical bilaterally.
188 views05:22
2023-03-30 18:22:02
Educational objective: Dominant frontal lobe lesions can cause expressive (Broca's) aphasia, contralateral hemiparesis due to involvement of the primary motor cortex, and contralateral apraxia due to involvement of the supplementary motor cortex .
142 views15:22
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