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- 14 авг.
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- 14 авг.
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A 31-year-old woman presents to the emergency department 5 days postpartum following an emergency cesarean section. She has a high-grade fever (38.9°C), pelvic pain, and purulent, foul-smelling lochia, leading to a diagnosis of endometritis. Blood cultures grow Gram-positive cocci in clusters that form golden-yellow colonies on nutrient agar. The organism is both catalase-positive and coagulase-positive. Which of the virulence factors produced by this organism is primarily responsible for preventing opsonization and phagocytosis by binding to the Fc region of maternal IgG antibodies?
A 26-year-old woman presents to the emergency department with acute lower abdominal pain, high fever, and vomiting. On examination, she has severe pelvic tenderness and a palpable, tender adnexal mass. An ultrasound scan confirms a 7 cm complex multilocular adnexal mass consistent with a tubo-ovarian abscess (TOA). She is hemodynamically stable. What is the most appropriate initial management step?
Clinical vignettes. A 21-year-old woman presents with petechiae and heavy menstrual bleeding. She reports no significant past medical history but recalls having a mild upper respiratory infection approximately two weeks prior. On physical examination, there is no hepatosplenomegaly or lymphadenopathy. Laboratory studies reveal a markedly decreased platelet count, with otherwise normal blood cell lines. A bone marrow biopsy demonstrates an increased number of megakaryocytes. Further evaluation identifies circulating autoantibodies against GPIIb/IIIa. What's the diagnosis?
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Cluster headaches are characterized by the sudden onset of intense, unilateral pain, typically occurring alongside ipsilateral autonomic dysregulation, such as ptosis, miosis, and nasal or ocular congestion.
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The risk of occurance of Sheehan syndrome increases in women with type I DM with microvascular disease , and in patients with SCA.
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Where in the circulatory system does the largest drop in blood pressure occur ?
MRCS* a 24 year old lady presents after thyroidectomy with a scar that has grown beyond the bounderies of the original wound, this is due to excess production of which of the following?