![]() ![]() Serum antiglomerular basement membrane assay –> Goodpasture syndrome –> Hemoptysis and hematuria often in a young man (no neurologic symptoms).Key idea: In the setting of adult-onset asthma, important mimickers to consider include Churg-Strauss and allergic bronchopulmonary aspergillosis (often intermittent flares of respiratory symptoms in patient with cystic fibrosis and/or asthma).Key idea: Mnemonic for Churgg-Strauss is PAN (Palpable purpura, Asthma/sinusitis, Neurologic symptoms (wrist drop)).Young woman presenting with adult-onset asthma, hemoptysis, fever and sensory abnormalities of the upper and lower extremity most concerning for Eosinophilic granulomatosis with polyangiitis (Churgg-Strauss).Serum antineutrophil cytoplasmic autoantibody assay (ANCA) Chronic thiamine deficiency –> Korsakoff –> Confabulation (patient is making up stories/lying but thinks that they are telling the truth), mental status changesĢ) A 45-year-old woman comes to the emergency department because of a 3-day history of progressive shortness of breath, cough….Acute thiamine deficiency –> Wernicke encephalopathy –> Confusion, ataxia, ophthalmoplegia.Key idea: While the patient has a significant alcohol history, in this case we would not be as concerned about alcohol withdrawal symptoms (in which case lorazepam would be the answer) because he last had alcohol 2 weeks ago and the classic alcohol withdrawal symptoms typically occur within ~4 days (hallucinations and seizures occur around 24-48 hours since last drink, delirium tremens 48-96 hours since last drink).While spontaneous bacterial peritonitis (along with other infections) could lead to hepatic encephalopathy, we have less concern for that diagnosis in this case because the patient is not febrile (which is >100F in a patient with cirrhosis) and has no abdominal pain/tenderness.Key idea: Treatments for hepatic encephalopathy include lactulose (causes NH3 –> NH4+ which is trapped in gut and will not be absorbed) and rifaximin (kills gut bacteria –> less NH3 production). ![]() Elderly man with a history of alcoholic cirrhosis who presents with altered mental status, tremors and asterixis (specific for hepatic or uremic encephalopathy), most consistent with hepatic encephalopathy.Good luck with your exams!ġ) A 68-year old man is brought to the emergency department because of a 2-day history of progressive lethargy and tremors… Lastly, please check out my Youtube channel ( ) and the “Biostatistics Curriculum” option above for free videos and practice questions reviewing all the essential biostatistics topics covered on NBME exams. I also offer reasonably priced Study Guides and Personalized Study schedules, so please reach out using the Tutoring menu option or Study Guides and Personalized Study schedules menu option listed above if you would like personalized support.įurthermore, I offer personal statement and application review services for residency applicants, so please reach out using the “Residency Advising and Application Preparation” menu option above if interested. However, given multiple email requests, I will post my Venmo if you want to send a few dollars to show your support for the website. These answer explanations are and always will be free.
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Updating plugins and extensions tools make finding and installing updated versions easy. LAN peer finder allows downloading information from many music torrents, even if you have an access security system and are using standard network equipment.ĭecentralized torrent trackers are good at detecting the presence of usual torrents on their networks, but only when none of those trackers fail. The Distributed DB plugin saves bandwidth and speeds up the application by distributing files across multiple servers. The application has the following plugins to enhance users' experience: You can set the download speed, upload speed and prioritize downloads. You will be able to see the download progress, shown in a diagram showing what actions are being performed.Īlso, you will be able to stay in touch with your friends and make new ones by clicking the send-to-friend button (which lets users send a friendship request). It also displays ports on-screen, so you know where your data is going, supports work through a proxy (if configured correctly), and can filter IP addresses for greater privacy. ![]() The app can quickly retrieve interrupted downloads and has a cash buffer, which allows you to limit the speed of downloading files. The software can group selected downloads into a single file. Movie Torrent works with Bittorrent, allowing files to be uploaded via several streams and queues. The app is available for Windows 7 and up. Users can even check out some of the most popular torrents on this website before downloading them onto their computer or mobile device. It features a simple interface that allows users to browse through various categories to find the content they want. Movie Torrent is also a popular torrent search engine that enables users to find the latest movies, TV shows, music, and games without leaving the application. Movie Torrent is a BitTorrent client that allows users to download and share videos, music, ebooks, and other digital media. ![]() The Dual Filter has the usual Filter and Resonance dials, but the first of Nyx 2’s small controls that can make a big difference comes in the form of the Offset dial. You get +/- 12 semitone tuning with the middle position for transposing over three octaves. A couple of sync’able oscillators sit top left, selectable between saw and pulse (1) and saw and triangle (2). With that in mind, I’m half dreading and half looking forward to trying to explain it in as simple a way as possible. Although like the original, the genius comes in the design, where a quick flick here or nudge there can dramatically alter what your signal is doing and where it’s heading to or from. The architecture starts out looking simple, with few controls to go too crazy with. These allow Nyx 2 to modulate and be modulated, to send audio out and receive it from, well, just about anywhere and anything you care to, so there’s clearly a desire to see it as part of your larger modular collection. It comes festooned with lots more connections, not least that host of Eurorack patch points, some 30 ins and outs in total. Nyx 2 looks similar in terms of functionality to the original Nyx, but actually borrows more of the features and looks from Dreadbox’s Erebus 3, so really does now look like its sister synth. I guess it proved that you need to work hard for the best things in life… On the face of it It also had complicated routing that took a while (or a degree) to master, but when you got the machine doing its thing, then, boy, what a sound. That original Nyx was a stunning-sounding machine that, with a massive reverb, was also an ambient-producer’s delight. Its older machines include the Hades, Erebus and original Nyx – all names of Greek gods of the dead, darkness and the night respectively (you might see a theme here). Many of these, of course, make smaller units for the burgeoning modular market but there’s an increasing number of all-in-one synths and semi-modular machines out there, too and Dreadbox’s Nyx 2 fits well into the latter camp.ĭreadbox is a Greek company and makes striking-looking gear. |
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