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death in acute myocardial infarction with thrombolytic therapy is due to 1 intracranial hemorrage ans aiims may 04,q118 Post

Options Sun May 08, 2011 6:41 pm (4 days ago) #53 qs49) cognitive theory...beck ref for all bhatia students swt last yyear and notes for others across rewiew qs cardiac polyp fibrinous clot _________________ simplysameer4u wrote: yatinptalwar wrote: qs32)body wt not transmitted by costcervical costclavicular acromioclavicular interclavicular ans

ever heard about a interclavicular liga/joint option a was coracoacromian and may b thats the ans also

u may be right sir but actually i dont recall it properly and going by the diagram in bdc on page49 0n new bdc vol 1 old volume had a diagram all i want to say is the 2 clavicles newer joined any ref welcome Sun May 08, 2011 6:53 pm (4 days ago) #56 qs 50)6 wks old female found unconscious in crib .she was previously healthy.normal bp,hyperpigmentation of genitalia bsl 30 mg/dl dsis is cah 21 alpha hydroxylase deficiency familial glucocorticoid def cushing syn insulinoma ans familial glucocorticoid def

Endoscopy is the investigation of choice. The intraluminal pH is recorded whilst the patient undergoes normal activities. if symptoms are atypical or if a complication is suspected. and episodes of pain are noted and related to pH. 2011 6:58 pm.fastest way of shifting . This involves tethering a slim catheter with a terminal radiotelemetry pH-sensitive probe above the gastro-oesophageal junction.ref nelso 18/e pg 2356 and its a rare ARcondition yatinptalwar wrote: qs45)now again a boomberang QS WAS !!!!!THE GOLD STANDARD !!! investigation for gerd options 24 hr ph mano but one option of interest was endoscopic inv now if its ioc(investigation of choice )then it might be 24 hr ph/acid or what not but GOLD STANDARD which is like a paatthar ki lakheer so ans endoscopic inv Investigation is advisable if patients present in middle or late age. A normal endoscopy in a patient with compatible symptoms should not preclude treatment for gastro-oesophageal reflux disease. 2011 6:55 pm (4 days ago) #58 QS 51) A GIRL WITH severe hyperkalemia and peaked t waves on ecg . Twenty-four-hour pH monitoring is indicated if. edited 1 time in total Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. the diagnosis is unclear or surgical intervention is under consideration. and to identify complications. This is performed to exclude other upper gastrointestinal diseases which can mimic gastro-oesophageal reflux. despite endoscopy. referance davidson Last edited by amanshoots on Sun May 08. A pH of less than 4 for more than 6-7% of the study time is diagnostic of reflux disease.

This involves tethering a slim .it in icf/manageemnt cal gluconate iv oral resins insulin + glucose nahco3 ans insulin+glucose ref harrison 17/e pg 284 bhatia sir notes book 4 harrison Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. 2011 6:57 pm (4 days ago) #59 amanshoots wrote: yatinptalwar wrote: qs45)now again a boomberang QS WAS !!!!!THE GOLD STANDARD !!! investigation for gerd options 24 hr ph mano but one option of interest was endoscopic inv now if its ioc(investigation of choice )then it might be 24 hr ph/acid or what not but GOLD STANDARD which is like a paatthar ki lakheer so ans endoscopic inv middle or late age. Twenty-four-hour pH monitoring is indicated if. if symptoms are atypical or if a complication is suspected. and to identify complications. A normal endoscopy in a patient with compatible symptoms should not preclude treatment for gastro-oesophageal reflux disease. This is performed to exclude other upper gastrointestinal diseases which can mimic gastro-oesophageal reflux. Endoscopy is the investigation of choice. despite endoscopy. the diagnosis is unclear or surgical intervention is under consideration.

arise from dorsum of brainstem. and episodes of pain are noted and related to pH. 2011 6:59 pm (4 days ago) #60 QS 54)ALL ARE TRUE EXCEPT FOR TROCHLEAR NERVE? longest intracranial course. Ans. A pH of less than 4 for more than 6-7% of the study time is diagnostic of reflux disease. referance davidson did u read GOLD STANDARD Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. The intraluminal pH is recorded whilst the patient undergoes normal activities.supply ipsilateral Posts: 177 Credits: 1222 Aim: AIPGE 2011 Sun May 08.catheter with a terminal radiotelemetry pH-sensitive probe above the gastrooesophageal junction. 2011 7:02 pm (4 days ago) #61 yatinptalwar wrote: . supply ipsilateral superior oblique.

amanshoots wrote: yatinptalwar wrote: qs45)now again a boomberang QS WAS !!!!!THE GOLD STANDARD !!! investigation for gerd options 24 hr ph mano but one option of interest was endoscopic inv now if its ioc(investigation of choice )then it might be 24 hr ph/acid or what not but GOLD STANDARD which is like a paatthar ki lakheer so ans endoscopic inv middle or late age. This involves tethering a slim catheter with a terminal radiotelemetry pHsensitive probe above the gastro-oesophageal junction. . Twenty-four-hour pH monitoring is indicated if. and episodes of pain are noted and related to pH. the diagnosis is unclear so even after endosopy diagnosis is not clear so where is laker wali bat ultimately ph karwana pada then which is gold standard. A pH of less than 4 for more than 6-7% of the study time is diagnostic of reflux disease. A normal endoscopy in a patient with compatible symptoms should not preclude treatment for gastro-oesophageal reflux disease. the diagnosis is unclear or surgical intervention is under consideration. This is performed to exclude other upper gastrointestinal diseases which can mimic gastrooesophageal reflux. Endoscopy is the investigation of choice.. referance davidson Twenty-four-hour pH monitoring is indicated if. if symptoms are atypical or if a complication is suspected. The intraluminal pH is recorded whilst the patient undergoes normal activities. despite endoscopy. and to identify complications. despite endoscopy.

A small tube called a catheter. 2011 7:07 pm (4 days ago) #62 Esophageal Acid Testing: This testing is called ³gold standard´ for diagnosing GERD. The quantity of acid in an individual suffering from GERD is compared to a normal person's level of acid. 2011 7:07 pm (4 days ago) #63 there is some confusion in above qs one gentleman called just now confusion is about inside/outside course practically if any one can help would be obliged Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. 2011 7:10 pm (4 days ago) #64 .did u read GOLD STANDARD Posts: 177 Credits: 1222 Aim: AIPGE 2011 Sun May 08. with an acid sensor at its tip. is inserted through the nose and positioned in the esophagus. The Esophagus contains acid most of the time in patients of GERD. this can be determined by a test called the 24-hour esophageal ph test. The recorder records every reflux episode in the esophagus and a 24 hour frame of data is analyzed referance omni medical search dot com Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. The other end travels down to the waist after exiting from the nose and then attaching to a recorder.

Wht is true.q118 ya dr aman is right Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. vagal inhbtn of heart inhibited sympathetic tone to heart not affected. 2011 7:11 pm (4 days ago) #65 amanshoots wrote: death in acute myocardial infarction with thrombolytic therapy is due to 1 intracranial hemorrage ans aiims may 04.qs55)Abscess in axillary region is safely drain by which wall medial posterior lateral floor Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. 2011 7:13 pm (4 days ago) #66 qs 56) In a animal exposed to cold. perfusn of adipose decreases vagal stimulation inhibited? yatinptalwar Elite Titan .

diagnosis low c3 level nephritic syn iga nephropathy no deposits in bm iga /c3 on the face of it looks as nephritic syn Post Options: Add to favourite . 2011 7:14 pm (4 days ago) #67 qs 57)trauma severity speed score not true shock score ischemic score neurological score energy of wound ---confirmed it with 2 guys it was the fourth option and the answer qs58)girl chid wid focal segmental albumin 2gm.Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. Email me when a reply is posted Back to top yatinptalwar Elite Titan Posts: 250 Credits: 8221 Aim: AIIMS May 2011 . Tell a friend .lipid casts.

2011 7:20 pm (4 days ago) #72 . 2011 7:19 pm (4 days ago) #69 qs 59)for atherosclerosis which one is true intake of pufa associated with decreased risk thoracic more severe than abdominal extend of lesion in veins same as arteries hypercholestr does not increase the risk of atherocler ans intake of pufa ref robbin 8/e pg 496.497. Tell a friend .Sun May 08. Email me when a reply is posted Back to top anupam_4202000 Serious Veteran Posts: 43 Credits: 594 Aim: AIPGE 2012 Sun May 08. 2011 7:20 pm (4 days ago) #70 there ws no hematuria buddy so nephritic doesnt fit in ans Sun May 08.498 Post Options: Add to favourite . 2011 7:20 pm (4 days ago) #71 60)tamoxifen in breast cancer s/e allexcept ans ca spread to other breast method to detect protein miggration ans frap ref wikipedia Sun May 08.

2011 7:25 pm (4 days ago) #74 qs61)octreotide is not useful in? insulinoma Glucaganoma . Email me when a reply is posted +4 RxPG credits 1 Back to top yatinptalwar Elite Titan Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. 2011 7:22 pm (4 days ago) #73 anupam_4202000 wrote: there ws no hematuria buddy so nephritic doesnt fit in ans sir yes now it came to mind that fourth stem of qs was no hematuria so the ans should be option 4th no complement /iga yeah its a min change gm thanks bro Post Options: Add to favourite .Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. Tell a friend .

B(US) Legal status Prescription only Routes Subcutaneous. [edit] RadiolabellingFurther information: Octreotide scan Octreotide is used in nuclear medicine imaging by labelling with indium-111 (Octreoscan) to non-invasively image neuroendocrine and other tumours expressing somatostatin-receptors. glucagon. the treatment of diarrhea and flushing episodes associated with carcinoid syndrome.2 Radiolabelling 1.[1] More recently.Carcinoid tumor Glioma Pharmacokinetic data Bioavailability 100%. though it is a more potent inhibitor of growth hormone. Octreotide can also be labelled with a variety of radionuclides. intramuscular. it has been radiolabelled with gallium-68 enabling imaging with positron emission tomography (PET) which provides higher resolution and sensitivity. Novartis Pharmaceuticals) is an octapeptide that mimics natural somatostatin pharmacologically. and insulin than the natural hormone. I. Contents [hide] 1 Uses 1. such as yttrium-90 or lutetium- . and treatment of diarrhoea in patients with vasoactive intestinal peptidesecreting tumors (VIPomas).7±1. as an injectable depot formulation for the treatment of acromegaly.: 60% to 63% of subcutaneous dose Protein binding 65% Metabolism Hepatic Half-life 1. octreotide acetate.M.1 Approved uses 1.9 hours Therapeutic considerations Pregnancy cat.3 Off-label and experimental uses 2 Contraindications 3 Adverse effects 4 Pharmacokinetics 5 Pharmacological effects 6 Interactions 7 References [edit] Uses[edit] Approved usesThe Food and Drug Administration (FDA) has approved the usage of a salt form of this peptide. intravenous Y(what is this?) (verify) Octreotide (brand name Sandostatin. It was first synthesized in 1979 by the chemist Wilfried Bauer.

pancreatitis and hepatitis. high or low blood sugar. In patients with suspected esophageal varices. injected sub-cutaneously. pregnant and lactating women. hypothyreosis. Octreotide has also been used with varying degrees of success in infants with nesidioblastosis to help decrease insulin hypersecretion. dizziness and dyspnea are also fairly common (more than 1%). Data on the frequency of alopecia vary. these drugs reduce shunting and improve renal perfusion.[citation needed] It has been used in the treatment of malignant bowel obstruction. gastrointestinal reactions (including cramps.[citation needed] The drug has been used off-label. Slow heart rate.177. Rare side effects include acute anaphylactic reactions. The drug is given to these groups of patients only if a riskbenefit analysis is positive.[10][11] [edit] Adverse effectsMost frequent adverse effects (more than 10% of patients) are headache. hyperbilirubinemia.[2] Octreotide has been investigated for patients with pain from chronic pancreatitis. and (usually transient) injection site reactions.[4] Octreotide may be used in conjunction with midodrine to partially reverse peripheral vasodilation in the hepato-renal syndrome. It is used in toxicology for the treatment of prolonged recurrent hypoglycemia after sulfonylurea and possibly meglitinides overdose. By increasing systemic vascular resistance. cardiac conduction changes. octreotide can be given to help decrease bleeding. gallstones. prolonging survival until definitive treatment with liver transplant.[5] The drug has also been shown to be effective in the treatment of chylothorax. skin reactions like pruritus. in the management of hypertrophic pulmonary osteoarthropathy (HPOA) secondary to non-small cell lung carcinoma.[10][11] A prolonged QT interval has been observed in patients. refractory diarrhea from other causes. [edit] Off-label and experimental usesOctreotide has also been used off-label for the treatment of severe.[6][7] A small study has shown that octreotide may be effective in the treatment of idiopathic intracranial hypertension (IIH). to enable peptide receptor radionuclide therapy (PRRT) for the treatment of unresectable neuroendocrine tumours.[3] It may be useful in the treatment of thymic neoplasms.[8][9] [edit] ContraindicationsOctreotide has not been adequately studied for the treatment of children. Although its mechanism is not known it appears to reduce the pain associated with HPOA. nausea/vomiting and diarrhea or constipation). but it is uncertain whether this is a .

147. J. ^ Uhl W. Friess H. Post Options: Add to favourite . and vasoactive intestinal peptide reduce secretion of fluids by the intestine and pancreas reduce gastrointestinal motility and inhibit contraction of the gallbladder inhibit the action of certain hormones from the anterior pituitary cause vasoconstriction in the blood vessels reduce portal vessel pressures in bleeding varices. such as gastrin.1159/000051477.[10][11] [edit] Pharmacological effectsSince octreotide resembles somatostatin in physiological activities. doi:10. "Terlipressin vs. (March 2009). "The role of octreotide and somatostatin in acute and chronic pancreatitis". respectively. glucagon. Gastroenterol.1038/ajg. most probably acting as a partial agonist at the mu opioid receptor. Jafri W. The elimination halflife is 100 minutes (1.[14] Patients with diabetes mellitus might need less insulin or oral antidiabetics when treated with octreotide. 104 (3): 617±23.7 hours) on average when applied subcutaneously. Büchler MW (1999). after intravenous injection. Hamid S. is increased. the substance is eliminated in two phases with half-lives of 10 and 90 minutes. TSH. insulin. it can: inhibit secretion of many hormones. It has also been shown to produce analgesic effects.reaction to the drug or part of the patients' illness. doi:10. Tell a friend . Email me when a reply is posted Back to top yatinptalwar Elite Titan . Am. possibly making it necessary to increase the dose. Anghelacopoulos SE. pancreatic polypeptide. PMID 19223890.[11] Bromocriptine. The bioavailability of bromocriptine. Maximal plasma concentration is reached after 30 minutes. Digestion 60 Suppl 2: 23±31. is also used for the treatment of acromegaly. besides being an antiparkinsonian. [edit] References^ Medscape: Octreoscan review ^ Abid S.[10] [edit] PharmacokineticsOctreotide is absorbed quickly and completely after subcutaneous application. octreotide in bleeding esophageal varices as an adjuvant therapy with endoscopic band ligation: a randomized doubleblind placebo-controlled trial".2008. PMID 10207228.[12][13] [edit] InteractionsOctreotide can reduce the intestinal resorption of ciclosporin. cholecystokinin. et al. secretin. growth hormone.

The massive amounts of VIP in turn cause profound and chronic watery diarrhea and resultant dehydration. search VIPoma Classification and external resources ICD-10 C25. vomiting and crampy abdominal pain are frequent symptoms. A syndrome caused by non. that produces vasoactive intestinal peptide (VIP). or pancreatic cholera syndrome). diarrhea is present for 5 yr or more before diagnosis. hypercalcemia and hyperglycemia. acidosis.[2] usually (about 90%) originating in the pancreas. the free encyclopedia Jump to: navigation. 2011 7:26 pm (4 days ago) #75 VIPomaFrom Wikipedia.[3] Contents [hide] 1 Symptoms and Signs 2 Diagnosis 3 Treatment 4 References [edit] Symptoms and SignsThe major clinical features are prolonged watery diarrhea (fasting stool volume > 750 to 1000 mL/day) and symptoms of hypokalemia and dehydration. after the physicians who first described it [1]) is a rare (1 per 10. Hypokalemia and impaired glucose tolerance . vasodilation (flushing and hypotension). but in 25%. It may be associated with multiple endocrine neoplasia type 1.000.000 per year) endocrine tumor. nausea.8 ICD-O: M8155/3 DiseasesDB 13877 MedlinePlus 000228 eMedicine med/2379 med/2399 ped/2428 MeSH D003969 A VIPoma (also known as Verner Morrison syndrome. hypokalemia.islet cell tumors. achlorhydria (hence WDHA-syndrome. Lethargy.4 or E16. Half of the patients have relatively constant diarrhea while the rest have alternating periods of severe and moderate diarrhea.Posts: 250 Credits: 8221 Aim: AIIMS May 2011 Sun May 08. One third have diarrhea < 1yr before diagnosis. muscle weakness.

[edit] References . [edit] TreatmentBesides treating the water and electrolyte abnormalities. During attacks of diarrhea. octreotide (a somatostatin analogue) can be used to temper symptoms. which is usually metastatic at presentation. Surgery is the only curative option. fasting VIP plasma dosage may confirm the diagnosis. flushing similar to the carcinoid syndrome occur rarely.occur in < 50% of patients. and CT scan and somatostatin receptor scintigraphy are used to localise the tumor. Achlorhydria is also a feature. [edit] DiagnosisBesides the clinical picture.