USMLE GUIDE TO HIGH SCORE MORE THAN 250

Ranson's Criteria for Acute Pancreatitis

Complications of Liver Cirrhosis

Portosystemic anastomoses

Upper GI Bleeding vs Lower GI Bleeding

Devastating photos of Nepal Earthquake 2015

Devastating photos of Nepal Earthquake 2015

Dawn Phenomenon and the Somogyi Effect-USMLE CK

For Dawn phenomenon HYPER -INCREASE INSULIN 
For Somogyi phenomenon HYPO -DECREASE INSULIN

In other way which we are giving insulin :---
Somogyi = so much insulin. 
Dawn = down insulin.

How to approach USMLE Questions ?

Lyme disease

Lyme disease.Erythema chronicum migrans. Expanding “bull’s eye” red rash.

Caused by Borrelia burgdorferi,which is transmitted by the tick Ixodes A (also vector for Babesia). Natural reservoir is the mouse.Mice are important to tick life cycle.

Common in northeastern United States.

Initial symptoms—erythema chronicum migrans, flu-like symptoms, +/- facial nerve palsy.
Later symptoms—monoarthritis (large joints) and migratory polyarthritis, cardiac (AV nodal block), neurologic (encephalopathy, facial nerve palsy, polyneuropathy).

Treatment: doxycycline, ceftriaxone.

Family Planning Methods of Contraception by Dr Jeetendra C

Carotid Echocardiogram (right carotid artery plaque)

Patient is having a plaque in his right carotid artery 

How to approach USMLE questions ? ( Lesch–Nyhan syndrome )

Thyrotoxicosis with low radioactive iodine

The most important cause of thyrotoxicosis with low radioactive iodine uptake include:

1.Subacute painless thyroiditis
2.subacute granulomatous thyroiditis
3.iodine induced thyroid toxicosis
4.levothyroxine overdose
5.Struma ovarii