HY USMLE Q

[@Mehlmanmedical]

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[@Iamarandomguyonyoutube]

But cant you get carpal tunnel in association with dialysis-associated amyloidosis making it also a possible answer ?

[@Mehlmanmedical]

Nah

[@jyotidave488]

I also thought the same😂😢..

[@guillermoluisllanesrodrigu4756]

On UWorld bank they have that, carpal tuner syndrome associated to a patient with CKD on dialysis but on first aid book they made the association bwt Apple green Amyloidosis and medullar thyroid carcinoma (MEN2A) in this case correlate to the Parathyroid like Mike says. Good question

[@Iamarandomguyonyoutube]

@@guillermoluisllanesrodrigu4756 no im not disagreeing, i know there is an association but based on AMBOSS at least there is an association between carpal tunnel syndrome and dialysis associated amyloidosis, that is why I am confused as to why it can not be an answer too. Its a great question and I got a lot of good teaching points from Mike, but still confused as to why it can not be an answer too

[@Notame123]

i thought so too but you are wrong since there is no mention that the patient in on dialysis. therefore he cannot have dialysis associated amyloidosis and cts

[@emb433]

i wud want more difficult questions so that i know how to answer those in the real deal i didnt know amyloidosis can also be related to men syndromes i always thought its mostly gonna be MM. thanku for this sir

[@BHASKAR-_-]

So the question basically is asking what can a patient with amyloidosis present with?
Ok
But why not CTS Option 1?
Amyloidosis can be associated with CTS right?
Flank pain i get it
Why not CTS

[@mutwakilali6308]

I was just asking the same question! Secondary amyloidosis can cause CTS

[@BHASKAR-_-]

​@@mutwakilali6308yeah may be its just not the best answer choice

[@ozgesekerci8815]

@@BHASKAR-_-I would not say it is less of a stretch than men2.

[@tamyrobaina3754]

This is a wonderful and excellent clip on MEN 2.

[@drmustafa540]

Good Q. I was relating amyloidosis with S4, which can cause pHTN, making C as right choice. Probably, that's overthinking.

[@studygroupprepusmle]

Wow, this question was really epic. A tough one, high quality.

[@JudsonPaul-kz1oc]

Fire... liked this type of qs🔥

[@mahmouddoesmedicine6694]

Multiple myeloma can also be a possibility for flank pain with hypercalcemia i guess which will still be the same answer
My question is: does the calcitonin produced by medullary thyroid carcinoma decrease the serum calcium levels?

[@ABDULLAHKHAN-jc5xp]

how is amyloidosis and men syndromes related? i am confused😭😭

[@medico6060]

I think,,Medullary thyroid cancer part of Men 1 may result in excess calcitonin that causes a type of amyloidosis

[@Mehlmanmedical]

@@medico6060 Medullary in MEN 2. In this case, MEN2A has parathyroid secretion, causing hypercalcemia.

[@medico6060]

@@Mehlmanmedical yeah sorry 👍

[@johannasd5269]

Beautiful hard qs, love it!

[@user-cd8lc7qk6w]

Excellent explanation, thank you doc.

[@sagar-2597]

USMLE brain stormer 🙌🏻

[@mubasherpirzad8871]

was really hard! thank you

[@Hellastorytella]

The lateral thinking is strong on this one.

[@OthmanMatar]

Thank you

[@olumide605]

Hello Dr! Pls can u tell me the best resource for pharmacokinetics. Studied FA, but still having some challenges. Thanks . Great video again! 🙌❤

[@Mehlmanmedical]

Just go to the pharm modules on my website

[@miraaqutab587]

Can’t it be membranous nephropathy in a patient with RA?

[@George24FTW]

This question sucksssssss😂

[@Dashkin2010]

if i will pass i will give my future child your name! Dear Michael! from russian old-grad!

[@beatrizprieto938]

hahah biopsy fake you are so funny!

[@allajioakland7160]

Thanks Doc Mike