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dev2020
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05.16.08 (1 month ago)
#411
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THER WAS A QUESTION ABOUT A LADY WITH PREVIOUS C/S,PRESENTED IN LABOR WITH HEMATURIA
A.SCAR RUPTURE
B.CYSTITIS
C..
D..
ANS-SCAR RUPTURE
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dramitmittal123
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Re: @dramitmittal
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05.16.08 (1 month ago)
#412
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| Adityapawar wrote: |
i myself know that it's given as a cause in metabolic alkalosis but that doesn't serve the purpose cause as the paper i referred says it causes met alk in only 10-12% in other's it causes acidosis,n fr that it's easy to say the diarrhoea wich is the cause of metbolic derangements in villous adenoma(and not vomiting) is mentioned amng the causes of metabolic acidosis ,so i don' think jus going by the table serves the purpose kindly read the reference i gave,rather it's a paper on metabolic alkalosis itself in which this is mentioned,it's <a href="http://www.rxpgonline.com/forum2.html">AIIMS
</a>
n so the cnfsn. |
whatever may be the source no other authentic source than harrison...i hope u wont disagree on that......atleast AIIMS
referance is mostly harrison
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dragonlives4ever
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05.16.08 (1 month ago)
#413
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| dragonlives4ever wrote: |
During catabolic phase excess of amino acids lead to increase nitrogen.mechanism?
a)by repression of catabolism
b)by increasing anabolism
c)by repressing catabolism and increasing anabolism
d)--------
can any one remember exact choices? |
as per the book
principles of surgery by schwartz
p34.vol 1
evidence using isotopic determinations suggest provision of sufficient nonprotein calories along with amino acids may reduce protein break down
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dev2020
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05.16.08 (1 month ago)
#414
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how do we diff between insulinoma n sulfonylurea dose
a.insulin level
b.c-peptide
c..
d..
did anyone find the answer??
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dragonlives4ever
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05.16.08 (1 month ago)
#415
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| dragonlives4ever wrote: |
| dragonlives4ever wrote: |
During catabolic phase excess of amino acids lead to increase nitrogen.mechanism?
a)by repression of catabolism
b)by increasing anabolism
c)by repressing catabolism and increasing anabolism
d)--------
can any one remember exact choices? |
as per the book
principles of surgery by schwartz
p34.vol 1
evidence using isotopic determinations suggest provision of sufficient nonprotein calories along with amino acids may reduce protein break down |
besides its written
in catabolic phase ,glucose turnover is increased ,while cori cycle activity is stimulated and three carbon intermediates are converted back to glucose in liver by pyruvate carboxylase and phosphoenolpyruvate carboxylase, increased synthesis of these two enzymes occur in presence of elevated levels of glucagon ,glucocorticoids,catecholamines and low conc of insulin-the hamonal environment present during catabolic phase of injury
so propbly ans may be option C
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Adityapawar
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@insulinoma
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05.16.08 (1 month ago)
#416
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i don rem the full ques but if it was "d/f b/w insulinoma and sulfonylurea" then the d/f can not be made out with c-peptide
as: insulinoma and sulfonylurea both increase endogenous insulin and thus present with increase c-peptide
c-peptide only diffrentiates b/w endogenous and exogenous insulin
that wud be the ans if ques wud have been " dif b/w exogenous insulin administration and sufonylurea"
was there any option like detection of drug in urine or so?
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kkrish
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05.16.08 (1 month ago)
#417
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| spunky_ripper wrote: |
i aghree with dr. funtoosh
it was like that only..
i too have marked pyr dehydrosenase...  |
ya i too argee wid u both.. it was indeed dec in camp
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doctorjasmeet
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05.16.08 (1 month ago)
#418
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WELL NOBODY SAID ABT IMATINIB
ACTUALLY ITS USED IN BOTH GIST & CMML.
BUT SEE HARRISON PAGE 455 LAST PARA, ANS SEEMS TO BE CMML AS BETTER OPTION. TRUST ME , you can check it.
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dragonlives4ever
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05.16.08 (1 month ago)
#419
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FRIENDS,
medicine is everchanging science,as new research and clinical experience broaden our knowledge,changes in treatment and drug therapy are required .
hence we must accept even journals and other sites
properly correlated with standard textbooks,for controversial questions and issues
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dragonlives4ever
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05.16.08 (1 month ago)
#420
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4.differentiating feature between hypoglycemia due to insulinoma and due to sulfonylurea
a.insulin/glucose ratio
b.c-peptide levels
c.
d.
Obtain C-peptide levels any time an elevated insulin level is obtained. Endogenous hyperinsulinemia from insulinoma is associated with elevated C-peptide concentrations with concurrent hypoglycemia. Exogenous hyperinsulinemia from injected insulin results in low concentrations of C-peptide, both because of the effect of the associated hypoglycemia and because of the direct suppressive effect of insulin on the pancreatic beta cell.
see in lab studies
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