The Nervous System
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USMLE – What's It
Purpose of this handout Congratulations on making it to Year 2 of medical school! You are that much closer to having your Doctor of Medicine degree. If you want to PRACTICE medicine, however, you have to be licensed, and in order to be licensed you must first pass all four United States Medical Licensing Exams. This book is intended as a starting point in your preparation for getting past the first hurdle, Step 1. It contains study tips, suggestions, resources, and advice. Please remember, however, that no single approach to studying is right for everyone. USMLE – What is it for? In order to become a licensed physician in the United States, individuals must pass a series of examinations conducted by the National Board of Medical Examiners (NBME). These examinations are the United States Medical Licensing Examinations, or USMLE. Currently there are four separate exams which must be passed in order to be eligible for medical licensure: Step 1, usually taken after the completion of the second year of medical school; Step 2 Clinical Knowledge (CK), this is usually taken by December 31st of Year 4 Step 2 Clinical Skills (CS), this is usually be taken by December 31st of Year 4 Step 3, typically taken during the first (intern) year of post graduate training. Requirements other than passing all of the above mentioned steps for licensure in each state are set by each state’s medical licensing board. For example, each state board determines the maximum number of times that a person may take each Step exam and still remain eligible for licensure. -
Cytomegalovirus Infection of the Human Gastrointestinal Tract
Journal of Gastroenterology and Hepatology (1999) 14, 973–976 OESOPHAGOGASTRODUODENAL DISORDERS Cytomegalovirus infection of the human gastrointestinal tract SUSAMA PATRA, SUBASH C SAMAL, ASHOK CHACKO, VADAKENADAYIL I MATHAN1 AND MINNIE M MATHAN1 The Wellcome Trust Research Laboratory, Department of Gastrointestinal Sciences, Christian Medical College and Hospital,Vellore,India Abstract Background: Current interest in cytomegalovirus (CMV) is largely due to an increase in the number of cases of acquired immunodeficiency syndrome and organ transplantation in recent years.The proper recognition of CMV-infected cells in gastrointestinal mucosal biopsies is critical for effective treatment of this condition. Methods: A total of 6580 endoscopic mucosal biopsies from 6323 patients in the 8-year period (1989–1996) were examined for CMV inclusion bodies. The endoscopic appearance and particularly the presence of ulcers were also analysed. Results and Conclusions: The prevalence of cytomegalovirus (CMV) inclusions was 9 per thousand in the gastrointestinal mucosal biopsies from an unselected group of patients. Of the 54 patients with CMV infection, 37 were immunocompromised and 17 apparently immunocompetent. Typical Cowdry inclusions and atypical inclusions were present, the latter more frequently in immunocompromised patients. The maximum prevalence of inclusions was in the oesophageal mucosa in immunocompro- mised individuals. © 1999 Blackwell Science Asia Pty Ltd Key words: cytomegalovirus, gastrointestinal tract, immunocompetent, immunocompromised, inclu- sion bodies, mucosal biopsies. INTRODUCTION in haematoxylin and eosin (HE)-stained histological samples is regarded as being sensitive and specific for Cytomegalovirus (CMV), first described in 1956,1 is a CMV infection,6–9 especially for samples from the gas- double-stranded DNA virus belonging to the herpes trointestinal tract. -
Nongenetic Reactivation and Is Caused by the Action of the Uncoating Protein
Poxviruses Dr. Ali Hashemi Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Introduction Structure and Composition Poxviruses are the largest and most complex of viruses infecting humans. Poxviruses are large enough to be seen as featureless particles by light microscopy. By electron microscopy, they appear to be brick-shaped or ellipsoid particles. An outer lipoprotein membrane,or envelope, encloses a core and two structures of unknown function called lateral bodies Cont…. The core contains the large viral genome of linear double- stranded DNA. The DNA contains inverted terminal repeats of variable length, and the strands are connected at the ends by terminal hairpin loops. The chemical composition of a poxvirus resembles that of a bacterium. Vaccinia virus is composed predominantly of protein (90%), lipid (5%), and DNA (3%). Classification Poxviruses are divided into two subfamilies based on whether they infect vertebrate or insect hosts. Most of the poxviruses that can cause disease in humans are contained in the genera Orthopoxvirus and Parapoxvirus; there are also several that are classified in the genera Yatapoxvirus and Molluscipoxvirus. Cont… Cont… The orthopoxviruses have a broad host range affecting several vertebrates. They include ectromelia (mousepox), camelpox, cowpox, monkeypox, vaccinia, and variola (smallpox) viruses. Some poxviruses have a restricted host range and infect only rabbits (fibroma and myxoma) or only birds. Others infect mainly sheep and goats (sheeppox, goatpox) or cattle (pseudocowpox, or milker’s nodule). Poxvirus replication Poxviruses are unique among DNA viruses in that the entire multiplication cycle takes place in the cytoplasm of infected cells. Poxviruses are further distinguished from all other animal viruses by the fact that the uncoating step requires a newly synthesized, virus-encoded protein. -
CBME TIME TABLE – II MBBS BLOCK 1: March to June-2021
SRI ADICHUNCHANAGIRI SHIKSHANA TRUST (R.) BGS GLOBAL INSTITUTE OF MEDICAL SCIENCES (Affiliated to Rajiv Gandhi University of Health Sciences, Bangalore) No. 67, BGS Health & Education City, Uttarahalli Road, Kengeri, Bangalore- 560060, Karnataka CBME TIME TABLE – II MBBS BLOCK 1: March TO June-2021 WEEK 1 DAY 8-11 11.30-12.30 12.30-1.30 2.00-4.00 4.00-5.00 Monday Postings L1 –PH: 1.1 OBG-LL1: OG 1.1: Integration: PH-A: PH: 1.1 MIC SDL 1 PSM: Birth rate, maternal 08/03/21 Batch A - Principles of mortality rate and morbidity Source of drug , drug information , Integration with Physiology and Gen Med pharmacology & drug compendia ,essential medicine, Pathology pharmacotherapeutics Formative Assessment: counterfeit drug , orphan drug. Batch B - Written/ Viva Assessment: Written/ viva Gen Sur Formative Assessment: MI 1.7.2 immune system Written/ Viva Batch C - Assessment: Written/ OBG Pharmacology –PH: 1.2: Therapeutic drug Monitoring & Clinical Trials Viva/MCQs Assessment: Short Notes Error! Not a valid embedded object. CM - B CM 7.2 - SGD-1: Cold chain system and its uses Assessment: Skill demo CM 7.3 - SGD-2: Integration Biochemistry Immunizing agents, national immunization schedule and vaccination strategies including vaccine development and implementation Assessment: MCQ/Viva Tuesday Postings L2 –PH: 1.3 & 1.11 FM: L1: SGD -1: FM- A: SGD-1 09/03/21 Batch A - Routes of Drug FM 1.1: Basics of Forensic PA 1.1 - Describe the role of a Gen Med administration medicine, Definition of FMT, pathologist in diagnosis and and its Sub Specialities management of disease Batch B - Formative Assessment: FM 2.8: Post Mortem Changes - ASSESSMENT: (written,viva-voce) Gen Sur Written/ Viva FM 1.2: History and Immediate & Early changes. -
Theory, Practicals Block
MVJ Medical College And Research Hospital Integrated and Aligned Time table Block -2 Teaching Program - Theory, Practicals Block - 2 01/07/2021 to 30/09/2021 8.30 - Time 11.30 - 12.30 12.30 - 1.30 1.30 - 2.00 2.00 - 4.00 2 TO 3 3 TO 4 4 TO 5 11.30 Lecture/ SGD Date Day clinicals Lecture/SGD class lunch Practicals /SGD/SDL OBG AETCOM SDL SPRTS /ECA class Microbiology Pathology Pharmacology Community Medicine SPORTS /ECA PA18.2 Acute PH 1.20 - Alcohol PH CM 1 PQLI, HDI calculation 1/7/21 THURS Leukemia (L) 1.23 - Drug Deaddiction (L) SGD Ph.1.24.1 physiology of Nephron MI3.1.1 (LECTURE ((SGD 1 )MI3.1.2 01) Introduction to Diarrheagenic E.coli PA 18.1 Non Leukemic 2/7/21 FRI gastrointestinal PA18.2 Chronic Leukemia (L) MI3.1.5 Viral Leucocyte disoreder Pandemic 2.4 infections diarhhea (SGD) IM22.1:- Enumerate the causes of hpercalcemia and distinguish the features of PTH us non PTH mediated hypercalcemia. IM22.2:- Describe the OG14.1 Maternal SU5.1 - Describe normal wound actiology, clinical pelvis: Diameters 3/7/21 SAT healing and factors affecting AETCOM2.4 manifestations, (Clinical pelvimetry healing diagnosis and clinical & Types of pelvis) approach to primary hyperthroidism. IM22.3:- Describe the approach to the management to ypercalcemia 4/7/21 SUN MI3.1.2 ,3,5 AE -3(BATCH A) Diarrheagenic E.coli, cholera,food PH 1.19.58 - 1.19.65 - PA 19.4 Hodgkins Lymphoma & poisoning Hanging drop preperation 5/7/21 MON NEURODEGENERATIVE PA 14 15 MHA & Dimorphic ( Pracs B) MICRO SDL Non Hodgkins Lymphoma (L) MI3.1.7 ,8,9 DOAP: Stool examination DISORDERS -
Genetic and Phenotypic Characterization of a Rabies Virus Strain Isolated from a Dog in Tokyo, Japan in the 1940S
viruses Article Genetic and Phenotypic Characterization of a Rabies Virus Strain Isolated from a Dog in Tokyo, Japan in the 1940s Tatsuki Takahashi 1, Maho Inukai 2, Michihito Sasaki 3 , Madlin Potratz 4, Supasiri Jarusombuti 5 , Yuji Fujii 6, Shoko Nishiyama 2, Stefan Finke 4 , Kentaro Yamada 7, Hiroki Sakai 1,6,8,9, Hirofumi Sawa 3, Akira Nishizono 7, Makoto Sugiyama 1,2,6 and Naoto Ito 1,2,6,9,* 1 The United Graduate School of Veterinary Sciences, Gifu University, Gifu 501-1193, Japan; [email protected] (T.T.); [email protected] (H.S.); [email protected] (M.S.) 2 Laboratory of Zoonotic Disease, Faculty of Applied Biological Sciences, Gifu University, Gifu 501-1193, Japan; [email protected] (M.I.); [email protected] (S.N.) 3 Division of Molecular Pathobiology, Research Center for Zoonosis Control, Hokkaido University, Sapporo 001-0020, Japan; [email protected] (M.S.); [email protected] (H.S.) 4 Institute of Molecular Virology and Cell Biology, Federal Research Institute for Animal Health, Friedrich-Loeffler-Institut, 17493 Greifswald, Germany; madlin.potratz@fli.de (M.P.); stefan.finke@fli.de (S.F.) 5 Graduate School of Bioagricultural Science, Nagoya University, Nagoya 464-8601, Japan; [email protected] 6 Joint Graduate School of Veterinary Sciences, Gifu University, Gifu 501-1193, Japan; [email protected] 7 Department of Microbiology, Faculty of Medicine, Oita University, Oita 879-5593, Japan; [email protected] (K.Y.); [email protected] (A.N.) 8 Laboratory of Veterinary -
Cytomegalovirus Infection in Gastrointestinal Tract: a Case Series of Three Patients and Review of Literature
Published online: 2019-10-01 Case Report Cytomegalovirus infection in gastrointestinal tract: A case series of three patients and review of literature Piyush Ranjan, Varun Gupta, Mohan Goyal, Shashi Dhawan1, Pallav Gupta1, Mandhir Kumar, Munish Sachdeva Departments of Gastroenterology and 1Pathology, Sir Ganga Ram Hospital, New Delhi, India Abstract Cytomegalovirus disease can involve any site of gastrointestinal tract from oral cavity to rectum. CMV disease most frequently occurs in patients’ with immune deficiency, such as the acquired immunodeficiency syndrome, after organ transplantation, after cancer chemotherapy and in patients on immunosuppressive medications. The number of patients with immune deficiency has increased in recent years and has lead to a substantial increase in incidence of opportunistic CMV virus. Gastrointestinal CMV infection has also been reported in immunocompetent adults. Symptoms and signs depend on part of the gastrointestinal tract involved. Diagnosis depends either on a positive mucosal biopsy or by serology, quantitative PCR or CMV antigenemia. We report three cases of CMV infection in patients with three different underlying conditions and discuss the clinical features, diagnostic approach and treatment. All patients had positive serology with high viral load on PCR. Histology with immunohistochemistry was positive for CMV in two of the three cases. Ganciclovir response was seen in all patients in respect to clinical improvement, endoscopic resolution of lesions and clearing of the virus load. Key words -
Cytomegalovirus Disease in Patient with HIV Infection
ntimicrob A ia f l o A l g a e n n Fane et al., J Antimicro 2016, 2:1 r Journal of t u s o J DOI: 10.4172/2472-1212.1000108 ISSN: 2472-1212 Antimicrobial Agents Review Article Open Access Cytomegalovirus Disease in Patient with HIV Infection EL Fane M1*, Sodqi M1, EL Rherbi A2, Chakib A1, Oulad Lahsen A1, Marih L1 and Marhoum EL Filali K1 1Department of Infectious Diseases, CHU Ibn Rocd, Casablanca, Morocco 2Centre Poison Control and Pharmacovigilance Morocco, Rabat, Morocco Summary the incidence of CMV retinitis [3]. The frequency is described to be low in the sub-Saharan Africa (inferior to 10%). This can be explained by Cytomegalovirus (CMV) disease is a serious condition due to the high rate of early mortality and variable population susceptibility reactivation of previously latent infection or newly acquired infection, to develop a CMV disease [8,9]. In Morocco, Data concerning it occurs frequently in immunocompromised patients by HIV epidemiologic profile of CMV disease are lacking; there is a huge need infection. Even it is actually uncommon in the developed nations with of cohort studies in this field [1]. However, some small retrospective the widespread use of highly active antiretroviral therapy (HAART), studies showed CMV retinitis incidence rates close to 4% that remains CMV disease continues to be among the most common opportunistic too low comparing to other African countries [8, 9]. In south Asia, rates infections in patient living with HIV (PLWH) in developing countries. approaching 20 to 30% are noticed [10]. Its severity is linked to its tropism for retina and central nervous system (CNS). -
By: Evita Mayasari, Dr., Mkes. Microbiology Department Medical School University of Sumatera Utara
PART 1 by: Evita Mayasari, dr., MKes. Microbiology Department Medical School University of Sumatera Utara 1 Zoonoses (“zoonosis” is singular) are diseases the agents of which are transmitted between vertebrate animals and people. animals play an essential role in maintaining the infection in nature, and man is only an accidental host. Reservoir (of zoonoses): vertebrate that provides a pathogen with adequate conditions for survival and multiplication and opportunity for transmission. 2 Argentine Hemorrhagic Fever Ebola Hemorrhagic Fever (EHF) (AHF) Encephalomyocarditis (EMC) Bolivian Hemorrhagic Fever Hantavirus Pulmonary (BHF) Syndrome (HPS) Bovine Papular Stomatitis (BPS) Hantavirus Renal Syndromes California (Lacrosse) Herpesvirus simiae (B) Infection Encephalitis Influenza Japanese (B) Encephalitis (JBE) Colorado Tick Fever (CTF) Kyasanur Forest Disease (KFD) Contagious Ecthyma Lassa Fever (LF) Cowpox Louping Ill Crimean-CongoHemorrhagic Lymphocytic Choriomeningitis Fever (CCHF) (LCM) Eastern Equine Encephalitis Marburg Disease (EEE) Monkeypox 3 Murray Valley Encephalitis Sicilian Sandfly Fever (MVE) Tanapox Nairobi Sheep Disease Venezuelan Equine (NSD) Newcastle Disease Encephalitis (VEE) (ND) Vesicular Stomatitis (VS) Omsk Hemorrhagic Fever Viral Hepatitis Type A , B, C, (OHF) a D, E Pseudocowpox Wesselsbron Disease Rabies (WSL) Rift Valley Fever (RVF) Western Equine Russian Spring-Summer Encephalitis (WEE) Encephalitis (RSSE) West Nile Fever (WNF) St. Louis Encephalitis (SLE) Yabapox Yellow Fever (YF) Zoonoses: Recognition, Control, and Prevention. 1995, Iowa State University Press 4 >50,000 DEATHS PER YEAR WORLD WIDE Rabies virus particles 5 Family:Rhabdoviridae Genus: Lyssavirus Species :Rabies virus helical, enveloped Group V (( -)ssRNA) , Structure of rabies virus 11-12 kb 6 Serotype 1: The category that includes most of the viruses that cause rabies in man and animals, as well as laboratory fixed viruses. -
F-Jonathan Eisenstat, MD-March 24, 2016
In The Matter Of: Pressgrove, et al v. Byrd, et al Jonathan Eisenstat, MD March 24, 2016 D'Amico Gershwin, Inc. Court Reporters & Videoconferencing 11475 West Rd, Roswell, GA 30075 (770) 645-6111 or toll-free (888) 355-6111 Min-U-Script® with Word Index IN THE CIRCUIT COURT OF TENNESSEE FOR THE THIRTIETH JUDICIAL DISTRICT AT MEMPHIS, SHELBY COUNTY BEVERLY PRESSGROVE and ) PHILLIP SIMMS, individually ) and as next of kin of ) HOLLAND N. SIMMS, ) ) Plaintiffs, ) No. CT-004425-08 ) Division VII vs. ) ) JURY DEMANDED WILLIAM G. BYRD, MD, et al., ) ) Defendants. ) _____________________________) Videotaped deposition of JONATHAN EISENSTAT, M.D., taken on behalf of the Plaintiffs, pursuant to the stipulations contained herein, reading and signing of the deposition being reserved, in accordance with the Tennessee Rules of Civil Procedure, before Stephanie K. Feen, Certified Court Reporter, at 5855 Sandy Springs Circle, Suite 140, Atlanta, Georgia, on the 24th day of March, 2016, commencing at the hour of 12:08 p.m. D'AMICO GERSHWIN, INC. Court Reporters & Videoconferencing 11475 West Road Roswell, Georgia 30075 (770) 645-6111 www.AtlantaCourtReporter.com D'Amico Gershwin, Inc. www.AtlantaCourtReporter.com 1 I N D E X T O E X A M I N A T I O N S 2 Page 3 Examination by Mr. Smith 11 4 5 I N D E X T O E X A M I N A T I O N S 6 Plaintiffs' Description Marked/First Exhibit Identified 7 P-1 Notice of Video Deposition 15 8 of Jonathan Eisenstat, M.D. 9 P-2 Dr. -
Practice of Medicine Infections
PRACTICE OF MEDICINE INFECTIONS Dr. Sunila MD (Hom) Medical Officer,Department of Homeopathy Govt of Kerala Infection: Lodging & multiplication of the organisms in or on the tissues of host. Primary infection: Initial infection of a host by a parasite. Reinfection: Subsequent infections by the same parasite in the same host. Secondary infection: Infection by another organism in a person suffering from an infectious disease. Nosocomial infection: Cross infections occurring in hospitals. Superinfections: Infections caused by a commensal bacterium in patients who receive intensive chemotherapy. Opportunistic infections: Organisms that ordinarily do not cause disease in healthy persons may affect individuals with diminished resistance. Latent infections: When a pathogen remains in a tissue without producing any disease, but leads to disease when the host resistance is lowered. Commonest infective disease: common cold. PYREXIA OF UNKNOWN ORIGION (PUO) When the temperature is raised above 38.3°C for more than 2 weeks without the cause being detected by physical examination or laboratory tests → PUO (FUO) Etiology a) Occult tuberculosis b) Chronic suppurative lesions of the liver, pelvic organs, urinary tract, peritoneum, gall bladder, brain, lungs, bones & joints & dental sepsis (occasionally). c) Viral infections: Viral hepatitis Infectious mononucleosis Cytomegalovirus infection Aids d) Connective tissue disorders: Giant cell arteritis. RA Rheumatic fever SLE PAN (polyarteritis nodosa) e) Chronic infections: Syphilis Hepatic amoebiasis Cirrhosis liver Malaria Filariasis Leprosy Brucellosis Sarcoidosis f) Haematological malignancies Leukemia Lymphoma Multiple myeloma g) Other malignant lesions: Tumours of lungs, kidney etc. h) Allergic conditions www.similima.com Page 1 i) Miscellaneous conditions: Hemolytic anaemia, dehydration in infants etc. j) Factitious fever: Self induced fever in patients with psychological abnormalities. -
V.ANIMAL VIRUSES Great Emphasis Is Placed on Animal Viruses Because They Are the Causative Agents of Most Dangerous Diseases of Human and Animals
V.ANIMAL VIRUSES Great emphasis is placed on animal viruses because they are the causative agents of most dangerous diseases of human and animals. Due to these diseases human has to face different problems like loss of economy, loss of valuable time and energy and even death. To avoid these problems government and scientists create interest among peoples to study various features of animal viruses than other viruses. If we understand the basic concepts effectively, may help us to develop new diagnostic techniques, treatment procedures and control measures. In this chapter we discussed about viral morphology, multiplication, pathogenesis, diagnosis and treatment procedures of various diseases. 1.CLASSIFICATION OF ANIMAL VIRUSES Many viruses in the environment are shown to be infectious to animals and humans. To distinguish these agents a specific system is adapted, classification system. Morphology is probably the most important characteristic feature of virus classification. Modern classifications are primarily based on virus morphology, the physical and chemical nature of virions, constituents and genetic relatedness. Nucleic acid properties such as general type, strandedness, size and segmentations are also included in the classification system. Recent ICTV (International committee on Taxonomy of Viruses) system of virus classification classifies 28 families of animal viruses and is summarized here along with diagramatic representation. THE SINGLE STRANDED DNA VIRUSES Circoviridae Circovirus Chicken anemia virus Parvoviridae Parvovirinae