Saturday, March 20, 2010

Friday, March 19, 2010

Differential Diagnosis from vaginal discharge


Differential Diagnosis of Vaginal Infections



Diagnostic Criteria

Normal

Bacterial Vaginosis

Vaginitis Trichomonas

Candida Vulvovaginitis

Vaginal pH

3.8 - 4.2

> 4.5

4.5

< 4.5 (usually)

Discharge

White,thin, flocculent

Thin, white (milky), gray

Yellow, green, frothy

White, curdy, "cottage cheese" 

Amine odor 
"whiff" test

Absent

fishy

fishy

Absent
Microscopic
Lactobacilli,
epithelial cells

Clue cells, adherent cocci, no WBC's

Trichomonads, WBC's >10/hpf 

Budding yeast, hyphae, pseudohyphae

Wednesday, March 17, 2010

Trauma zone in Penetrating neck injuries?

Question?
Trauma zone in Penetrating neck injuries?

Classic description of amebic liver abscess content?

Question?
Classic description of amebic liver abscess contents?

What is the most common site of liver abscess?

Question?
What is the most common site of liver abscess?

Saturday, March 6, 2010

Abnormal blood chemistry in severe vomiting is...?

Question?
Abnormal blood chemistry in severe vomiting is...?

this peripheral smear of ?

Question?
this peripheral smear of ?

Friday, March 5, 2010

Apgar score

Score of 0 Score of 1 Score of 2 Component of acronym
blue or pale all over blue at extremities
body pink
body and extremities pink Appearance
0 <100 ≥100 Pulse
no response grimace Sneeze, cough, pulls away Grimace
none Arms and legs flexed Active Movement Activity
absent weak, irregular strong, lusty cry Respiration

Acanthosis nigricans associate with?

Question?
Acanthosis nigricans associate with?

Thursday, March 4, 2010

Clinical manifestation of Absence seizure?

Question?
Clinical manifestation of Absence seizure?

Drug of choice for Absence seizures?

Question?
Drug of choice for Absence seizures?

Wednesday, March 3, 2010

Chronic arsenic poisioning

Question?
Chronic arsenic poisioning?