Welcome. This is Devine. This is episode 513 of the Devine Intervention Podcast. In today's

podcast we're going to be continuing the rapid review series for step two and step three. So let's get right to it. So what if they

give you a question about a 16 year old male and you're told that a specimen from this 16 year old

male was being analyzed at autopsy and that he had a history of recurring respiratory infections and

we are told that he had low levels of some of his immunoglobulins, but some of his

immunoglobulines were also elevated.

And then we're told that a biopsy of the brain,

like thorough analysis of a brain specimen,

shows the absence of brkinje cells in the cerebella.

If you see that combination, what should you be thinking about?

I really hope you're saying, oh, divine, what should you be thinking about?

I really hope you're saying, oh, Divine, this sounds a lot like Etaxia, Telenjectasia.

It's just one of these weird things that they love to test on the USMA exams and it's not just for step one, it's also for step two and for step three. But generally you're going to see these are going to be kids that they're going to have a lot of infections

and you're going to notice that as they grow in life they're going to start having

a taxi. Many times it's going to start in the middle of their bodies and then it's going to proceed

peripherally. That's something we want to keep at the back of your mind. And one thing to also keep in mind with E taxetian telenjectia is that many times in the

Q stem so they will give you the progressive difficulty with walking, they will give you the respiratory infections,

they will give you the movement and normalities that are slowly progressive, right?

Because again, you're damaging your cerebellum and I'll explain the path of his here in a bit

but not just that as well you will also notice that you have some kind of eye finding

they'll have some kind of eye finding either They'll have some kind of eye finding. Either they'll have telenjectitious in the eye,

they'll have conjunctivitis, something like that. If you see that combination,

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