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HIV gp120
attaches to CD4+ T cells
HIV gp40
fusion and entry
HIV pol
reverse transcriptase, aspartate protease, integrase
HIV gag (p24)
capsid protein
specificity
how many people without the disease test (-)
negative predictive value
how many of the (-) results are true (-)?
Rovsing sign indicates?
appendicitis (pressure in LLQ with quick release induces pain in the RLQ)
Projection
A man who wants to cheat on his wife is convinced his wife is cheating on him
Displacement
Mom yells and me, then I yell at Baxter
Transferance
father who was never there for his son, now the son is in therapy but when the therapist unexpectedly cancels the son says “you obviously can not make me a priority”
Kimmelstein Wilson nodules
diabetic nephropathy
schizophrenia
schizophreniform
schizophrenia: >6 months
schizophreniform: 1-6mo
brief psychotic disorder
<1 mo of schizo-like stuff
schizoaffective
> or = 2 weeks of stable mood with psychotic symptoms & also history of manic or depressive episodes
somatization disorder
need at least: 4pain complaints, 2 GI, 1 sexual, 1 neuro (8 total)
symptoms are not explained by medical work up
pt usually <30
exacerbated by anxiety/depression/relationship prob
factitious disorder
person totally faking it
hypochondriasm
preoccupation/fear of disease
> or = 6 months of this
person uses excessive remedies
believes their disease to be real
nephrotic
proteinuria (>3.5g/day) hypoalbumnemia (pitting edema) hypogammaglobulinemia hypercoaguable hyperlipidemia/hypercholesterolemia
nephritic
limited proteinuria (<3.5g/day) oliguria (not peeing a lot) azotemia (^ nitrogenous waste in the blood) salt retention periorbital edema HTN RBC casts and dysmorphic RBC in urine
SLE and nephritic
Diffuse Proliferative Glomerulonephritis
most often
SLE and nephrotic
Membranous Glomerulonephritis
t(9;22)
CML
philadelphia chromosome
Bcr-Abl hybrid formation; tyrosine kinase always on
tx: imatinib
t(8;14)
burkitt lymphoma cmyc activation (increased proliferation)
t(11;14)
Mantle Cell lymphoma
cyclin D activation (G1 –> S phase)