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Messages - cranium

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The one in Dallas is pretty nice.

General Education / Re: School is done...see what you've learned.
« on: October 10, 2013, 08:55:04 AM »

Real case during my training years-

40 yo F, hx of seronegative spondyloarthro pathy, previously on Enbrel, presents to the ER with a complaint of abdominal pain and SOB. On examination, abdomen was distended with diffuse petechiae.  She complains of a burning like sensation to the skin. Pain is 10/10. Non radiating. Vitals: 95/76, 124, 20, 98.0, 99% O2sat on RA.  Lab show leukocytosis, and anemia. Ct of the chest showed bilateral diffuse nodular opacity. Ct of the abdomen suggested constipation vs ileus.

What are your ddx? Or other questions that may help u narrow ur ddx?

General Education / Re: School is done...see what you've learned.
« on: October 10, 2013, 08:30:53 AM »
Here's another one:

An older Hmong guy complains about abdominal pain.  He presents with rebound tenderness.  Does not feel like eating or drinking.  In the prone position, leg raise is painful.  Jumping up and down elevate his pain to a 10 of out 10.  Everything points towards appendicitis.. .except, the pain is localized on the left side and NOT at Mcburney's point.  What can it be?

Not all appendicitis present with RLQ pain.
Ddx: appendicitis, perforated appendicitis, perforated diverticulitis, diverticulitis, u/c
Mgmt: npo, Iv fluids, morphine, ct scan, prophylaxis abx zosyn for intra-abdominal coverage. Consult surgery for evaluation.
Labs: CBC w diff, chem 7, LFT, amylase, lipase, lactic acid,

General Education / Re: School is done...see what you've learned.
« on: December 08, 2012, 02:23:05 PM »
Why not? Look up CN 0 aka terminal nerve.  ;D

General Education / Re: School is done...see what you've learned.
« on: August 25, 2012, 06:14:03 PM »
Terminal nerve, aka cranial nerve zero  :D

General Education / Re: School is done...see what you've learned.
« on: June 03, 2012, 01:06:13 AM »
Which cranial nerve originated from the vomeronasal epithelium. It projects to the cerebral hemisphere in the region of the olfactory trigone. It courses anteriorly along the olfactory tract and passes thru the ethmoid bone. it communicates with the nasal cavity with the opthalmic divison (V1) of the trigeminal nerve?

What cranial nerve and whats the name?

Arts & Photography / Re: TUTORIALS - Using Photoshop CS
« on: September 06, 2008, 06:41:32 PM »

This is something if found.

Okay, why a book of nothing but tips? Because that's where all the really slick, really useful, and really fun stuff is. It's true! If we're looking through a book and we see the word "Tip" we're all immediately drawn to it, because we know we're about to learn something great. Maybe it's an undocumented keyboard shortcut, a hidden inside secret, or just a faster, better way to do something we do every day. The only problem with the tips in these books is that there are never enough of 'em. That is, until now.

That's because this book is packed cover-to-cover, wall-to-wall with nothing but those cool Photoshop CS2 sidebar tips. Every tip is designed to make you work faster, smarter, and have more fun using Photoshop CS2. There are no detailed descriptions of CMYK separation set-ups, or long boring discussions on color management theory. It's just tips--short, sweet, and to the point.

But we've done the "tip" idea one better, because every tip has a full-color graphic to make the tips even more accessible, even more fun, and even easier to use. Most importantly, to get in this book they've got to be "Killer Tips." The kind of tip that makes you smile, nod, and then call all your friends and "tune them up" with your new status as Photoshop guru.

If you've wondered how the pros get twice the work done in half the time, it's because they know all the tips, and all the tricks. Now with this book, so will you.


Arts & Photography / Re: TUTORIALS - Using Photoshop CS
« on: March 22, 2008, 08:03:24 AM »
Thanks for the help! Any more?  :o

General Education / Re: List of Hmong Doctorates in the United States
« on: October 12, 2007, 03:03:12 PM »
Thanks for the info. I see alot of people I know personally  ;)  ;D Cousins and friends and family  :o

High School Years / Re: What high school did you attend?
« on: October 22, 2006, 07:48:38 AM »

Isn't Rio Linda high close to Grant High?

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