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2
Science and Research / Re: Medical Board Vignettes
« on: March 27, 2011, 03:01:04 AM »

patients less than 50-60 years old, usually of patients with MI.

Doc, keep those cases coming... and thank you.

3
Science and Research / Re: Medical Board Vignettes
« on: March 26, 2011, 04:25:02 AM »

4th generation cephalosporins has the highest bactericidal effect on Psuedomonas, but 3rd generation are also useful for serious gram neg infections, however, among the 3rd generation ceftazidime and cefoperazone are the ones most active against psedomonas aeroginosa so answer is A

A. Cefoperazone- 3rd gen

B. Cefotaxime-3rd gen
C. Cefotetan-2nd gen
D. Ceftriaxone- 3rd gen
E. Cefuroxime-2nd gen


4
Science and Research / Re: Medical Board Vignettes
« on: March 26, 2011, 04:03:42 AM »
This was a hospital in Cebu. as in Ramiro however, I don't really know if they do use or not because I have never worked there but I know they make use of everything that they have. The patient's family just go home with a lot of bills to pay. In the setting in internship/clerkship cguro, hospitals like CDUH and the like make most of their many interns or PGI's in a code. Also the lasck of knowledge with the use of a defibrillator also comes to mind as well.

5
Science and Research / Re: Medical Board Vignettes
« on: March 25, 2011, 07:32:49 AM »
Dra, I will nonetheless give you a standing ovation for that dedicated 2 hours of physical cardioeversion when all seemed lost. Daghan ko kaayo respect para nimo!![/i]

:)



we manually resuscitate especially at the ER and wards (and its not only me sad nagpump oi, puli puli mi sa mga co-interns) but i noticed we only used the defibrillator when the patient had insurance or good financial background (thats the sad part) and these are the family of patients who asks the doctors to not stop resuscitating... we usually alternate sa defibrillator then manual. with regards to the epi, thanks, new learning for me. Its not always all the time sad that we give more than 3 epis... most really is three epi's and we give 15mins for response if wla na, we appraise the family but like i said some family's in their verge of emotional insatbility cguro moask man ipadayun sa doc, especially if the patient is young so ambot nganu tagaan man sad epi nasad sa amo resident.

6
Science and Research / Re: Medical Board Vignettes
« on: March 24, 2011, 03:25:02 PM »
this is so true. unfortunately, esp in the phils. if dli ipaundang sa family sa patient, dli sad paundangun sa doctor. i remember as an intern, we resuscitated a patient for two hours before declared dead. he had 24 epinephrines given na cguro with no response. kapoi intawn cge og pump.

7
hi kerstin.

8
LA is good. just busy with stuff....

anyway, update on UCLA girl, She is reported to be quiting school because she has been recieving death threats....

9
Youtube Replay / Re: The Lord's Prayer by 2-year Old
« on: March 19, 2011, 01:43:34 PM »
so sweet... God Bless

10
Love Talk / Re: Love comes from the most unexpected places
« on: March 18, 2011, 04:02:09 PM »
hahaha... maybe.

11
Science and Research / Re: Medical Board Vignettes
« on: March 18, 2011, 04:00:32 PM »
lisod kaayo asthmatic pajud. ang pagkahypertensive ani cguro wlay check-up check-up. taas cguro cholesterol sad ani bataa.

12
Science and Research / Re: Medical Board Vignettes
« on: March 18, 2011, 03:56:49 PM »
sure mo asthma to basin nagcongestive heart failure sya. wla pajud dialysis, basin ni.inom daghan fluids mao na nagdyspnea. mao pud na ka-paet kay non-compliant mga patients also because mahal sad tambal.

13
Science and Research / Re: Medical Board Vignettes
« on: March 18, 2011, 03:53:59 PM »
I'd like to add something that i saw today (and was saddened by):[/u]


21 year old african american female comes in to the ER after failing to meet her dialysis appointment. Patient's history indicates that she has CHF (chronic heart failure), CRF (chronic renal failure) , both of which are secondary to her untreated hypertension. The patient came in because she was suffering from asthma. What drug would she be given if she suffered an acute asthma attack?


A: Albuterol



OT: I was really saddened today to see such a young person who has yet to live life already dying. Only 21 years old and already CHF and CRF.   :-\

this is really unfortunate. how did she get CHF? tambok ni sya? african americans have the highest risk of cardiovascular problem and hardest to treat depending on their inherited genes. ambot lng sad pero so far mao ako nabantayan. have to update myself more with US statistics.

14

WebMD (3/11, Warne) reported, "Broccoli may help fight cancer by blocking a defective gene associated with tumor growth," according to new research in the Journal of Medicinal Chemistry. Studies have shown that "compounds in broccoli and other cruciferous vegetables called isothiocyanates (ITCs) appear to target and block mutant p53 genes associated with cancer growth." When researchers "analyzed the effects of ITCs on gene p53 in a variety of human cancer cells, including lung, breast, and colon cancer, in the lab," they found that ITCs were "capable of removing the defective p53 gene while leaving healthy versions of the gene alone." The study authors noted that further studies to confirm these findings could potentially lead to new cancer therapies.

15
Science and Research / Re: Medical Board Vignettes
« on: March 18, 2011, 03:43:28 PM »

they have the same nerve involvement sa ape hand. so as with claw hand, also known as pope hand

16
Science and Research / Re: Medical Board Vignettes
« on: March 18, 2011, 03:29:44 PM »
Warning: This is sexual, but highly useful and well remembered by many, many male medics. bwahahaha[/i]


THE 12 CRANIAL NERVES

the ever famous.


Mnemonic : Oh Oh Oh To Touch And Feel Virgin Girl's Vagina Ah Heaven!



O = Ocular
O = Optic
O = Oculomotor
T = Trochlear
T = Trigeminal
A = Abducens
F = Facial
V = Vestibulococchlear
G = Glossopharyngeal
A = Accessory
H = Hypoglossal


17
Science and Research / Re: Medical Board Vignettes
« on: March 18, 2011, 03:25:39 PM »
buing... nice man ireview nga naay mkarelate gud... lahi sad ako remembering tool sa brachial plexus... Radial.n---wRist drop (R=R),  Ulnar n.--Claw hand (itakilid ang u= c) median n.---ape hand or waiters tip (balihon ang M=W)

18
Science and Research / Re: Medical Board Vignettes
« on: March 18, 2011, 03:19:02 PM »
put some more. nalingaw ko. hehehe

19
Science and Research / Re: Medical Board Vignettes
« on: March 18, 2011, 03:13:11 PM »
thanks for these, doc... nice ireview

20
Science and Research / Statin Use May Reduce Prostate Cancer Risk
« on: March 18, 2011, 03:11:24 PM »

The Orlando Sentinel (3/12, Shrieves) reported, "Men who take statins -- one type of cholesterol-lowering drugs -- may be 60 percent less likely to be diagnosed with high-grade prostate cancer, according to a" study of "patient files from the Veteran Affairs New England Healthcare System." Investigators identified 55,875 patients using either a statin or a blood pressure drug. Investigators found that "men taking statins were 30 percent less likely to be diagnosed with prostate cancer than those on anti-hypertensive medication" and that "statin users also were 60 percent less likely to be diagnosed with high-grade prostate cancer."

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