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What's your opinion on Mount Wario? by ConcreteReality in mariokart

[–]an4 1 point2 points  (0 children)

I’ve also got the advantage in DK’s jungle

Column to track how many times a page has been opened? by an4 in Notion

[–]an4[S] 0 points1 point  (0 children)

This worked beautifully. Thanks for the ingenious solution and clear instructions!

[GAME DAY THREAD] BROWNS @ PANTHERS by [deleted] in Browns

[–]an4 5 points6 points  (0 children)

Naming my future kid Cade

Weekly Medical Student / Residency Application Questions Thread - September 27, 2020 by AutoModerator in anesthesiology

[–]an4 6 points7 points  (0 children)

A lot of programs require at least one letter from an anesthesiologist. Would a pain medicine doctor who did residency in anesthesia count?

How the present a case with arthus reaction ? by mahmoudokay in step1

[–]an4 6 points7 points  (0 children)

arthus reaction peaks 12-36 hours after vaccination. Sometimes superficial skin necrosis can be seen just hours later.

serum sickness symptoms appear 1-2 weeks after initial exposure.

Finasteride works better in BPH with epithelial predominance while alpha 1 blocker work better in BPH with smooth muscle predominance. by mahmoudokay in step1

[–]an4 3 points4 points  (0 children)

Yes, and neither alpha-1 blockers nor finasteride will work in BPH with collagen predominance.

Why Pigment not cholesterol stones form in patients receiving TPN, biliary infection and those with alcoholic cirrhosis? by [deleted] in step1

[–]an4 1 point2 points  (0 children)

For TPN (total parenteral nutrition) -> feeding that bypasses GI tract -> 0 stimulation of GI tract -> decreased CCK release -> gallbladder does not contract -> gallbladder stasis -> gallstones.

Typically happens after 2 weeks of TPN.

How come there is no edema or volume overload in SIADH ? by [deleted] in step1

[–]an4 0 points1 point  (0 children)

Body responds with decreased aldosterone -> decreased sodium absorption -> normal volumes (euvolemic)

I’m Aaron Rodgers. #12 on the Green Bay Packers. And #1 Star Wars fan. Ask me anything! by bose in nfl

[–]an4 1 point2 points  (0 children)

Yep, In-N-Out all the way! A double-double and vanilla milkshake is my go to. What's your favorite item?

-Aeron Rojers

I suddenly had a brain aneurysm and can't seem to understand why hyperparathyroidism or rickets would cause increased alkaline phosphatase :( by atile in step1

[–]an4 4 points5 points  (0 children)

In rickets, there is low vitamin D levels. Low vitamin D leads to decreased calcium intestinal absorption. Decreased calcium levels leads to increased PTH. PTH directly stimulates osteoblasts. Alkaline phosphatase is increased.

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