Divine Intervention Episode 24 Comprehensive 3rd Year Surgery Shelf Review
Рет қаралды 312,012
Comprehensive review for the 3rd Year NBME Surgery Shelf Exam.
Download the slides on my website;
www.divineinterventionpodcasts.com
Or the dropbox link;
www.dropbox.com/sh/jf1d4hg8g5c0uxb/AABD4rcjkOT2CD5UgSvZcAYBa?dl=0
I also offer 1 on 1 tutoring for USMLE Step 1-3 and med school exams.
divineinterventionpodcasts@gmail.com
@MrGreed2000 4 жыл бұрын
Divine Intervention + Emma Rahmani are key for all shelf exams. Thanks for taking the time to make these reviews. They are an excellent resource!
@elizabethdiaz6906 3 жыл бұрын
March 2021 Lung cancer screening recommendation: "The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery."
@joshdolsen5242 Жыл бұрын
Correct me if I am mistaken. Shiny skin/ hairless skin is seen with PAD. Venous stasis will likely also have accompanying stasis dermatitis which presents with hyperpigmentation and thickening of the skin.
@seeker296 Жыл бұрын
Venous stasis causes shiny (edematous) discolored skin as well. For pad focus on signs of ischemia like changes in sensation or coldness
@chidiakusobi6581 2 жыл бұрын
This review was so fantastic! The highest of high yields, thank you!
@maurohenriqueanghinoniboni664 7 ай бұрын
Your poadcasts have been a game changer for me, God bless you!
@chelsycalhoun4422 5 жыл бұрын
I appreciate all the work you put into this!
@hobo603 3 жыл бұрын
Another absolutely legendary review. Just amazing
@chinasa_ 2 жыл бұрын
Helpful review. Thank you! @15:40 please correct me if I’m wrong. I think shiny skin with loss of hair is arterial insufficiency while skin discoloration is venous insufficiency.
@ColorMeAshx 2 жыл бұрын
This is correct
@greensky01 2 жыл бұрын
Thank you very much for this detailed review; it was extremely helpful.
@mohamedmed64 Жыл бұрын
just sooo clear and concise. very good work. Thanks a lot
@robsemco7120 6 ай бұрын
If anybody is having trouble with the audio, switch your computer settings from mono to stereo. It fixed the problem for me.
@varunnurav6912 4 жыл бұрын
1:50:00- Aortic dissection unstable pt trans-esophageal not transthoracic : UWORLD POINT...if I'm wrong please correct me. Your videos are very helpful Mr. Divine Thank you.
@divineinterventionpodcasts 4 жыл бұрын
You're right. It's a TEE, not TTE.
@williamj9604 Жыл бұрын
I really really appreciate all your effort. Thank you. 1:16:98, 1:17:10, 1:17:44, 1:20:00 , 1:42:55 ,1:51:49, 1:54:00~ breast HY,hernia~~ to the end / Q28~33,+ all the MSK, neuro // diverticulosis Dx : barium enema or CT, Thumbprinting sign on XR of Acute bowel infarction , Burn pts ->PPI ppx for stress ulcer
@d0h4 7 ай бұрын
4:09: anti-inflammatory drugs are avoided in post-infarction pericarditis, they're given acetaminophen
@MultiDarkstar21 4 ай бұрын
- NSAIDs (except aspirin) and corticosteroids are typically avoided due to impairment of collagen deposition and increased risk of post-MI complications like ventricular wall rupture (versus Dressler syndrome
@vishavsehdev8341 3 жыл бұрын
They are not going to have Gastrograffin on the exam because its brand name, its gonna be described as water-soluble
@ApurvaPopat 3 жыл бұрын
1:17:16 Also, its not gastrograffin enema, its gastrograffin (water-soluble) swallow
@robertgordon2031 2 жыл бұрын
Is the audio jacked up for anyone else?
@garycaputo4359 5 жыл бұрын
Also, the 5 Ps are for acute limb ischemia, not compartment syndrome (around 1:24:15)
@boogman5747 3 жыл бұрын
6 P's rather- and although yes, they ARE for neurovascular assessment of limb ischemia in an acute setting, you will find in the literature that they are not clinically reliable and may manifest only in the late stages of a compartment syndrome- so in effect, most ortho's refer to them as such; i guess one could say they are essentially interchangeable in this context. Divine know's what he's doing :p
@marymwangi7379 Жыл бұрын
My understanding is that the 5 Ps are also found in compartment syndrome because it leads to the same physiology as acute limb ischemia. The high pressures hinder 1st the venous then arterial perfusion of the limb so the symptoms are the same.
@londynjacobs9443 Жыл бұрын
2:01 for septic thrombophlebitis treatment is the excision of the vein.
@MrMagicsfan Жыл бұрын
this is true. NBME 7
@rachelcarrasquillo283 Жыл бұрын
I didn't think dantrolene is a typical calcium channel blocker. It is a ryanodine receptor antagonist.
@garycaputo4359 5 жыл бұрын
HTN is the biggest risk factor for CAD, as well as stroke. Smoking is the biggest modifiable risk factor.
@goleafsgosinghshady 3 жыл бұрын
HTN is biggest risk factor for stroke and Aortic Dissection. Smoking and HTN are both modifiable risks for CAD/Atherosclerosis. If they give you an option between smoking and HTN re: biggest risk factor for CAD; pick smoking.
@emekaemmanuel5258 2 жыл бұрын
Pick smoking. Both hypertension and smoking are modifiable.
@Sameer-yq1nv 2 жыл бұрын
Errata at 1:18:12 -- patients on NBME are more likely to present with inury after tackle during a football game rather than a basketball game
@HankFuller333 Жыл бұрын
lmfaoo
@Yum676 Жыл бұрын
great review thanks a lot 😊
@user-bc2pk4vx5z 5 ай бұрын
God bless you ; correction ; HUS due to endothelial injury by toxins of E-coli or shigella leading to wide spread thrombi formation TTP = deficiency of ADAMTS-13😇
@darkh_choco1ate Жыл бұрын
Thank you for the reviews!! Are your slides downloadable anywhere?? Would love to have the physical stuff to follow along with the video!! TIA!!
@marymwangi7379 Жыл бұрын
Yes check the archives for episode 24 on his website. The slides are there
@serellamadole 5 ай бұрын
Amazing review!
@viflet-will 9 ай бұрын
Is the audio messed up or all of my devices speakers are not working?😢😢
@mojustus1783 3 жыл бұрын
Thanks G
@rachelcarrasquillo283 Жыл бұрын
I also thought to diagnose diverticulosis you want to do a colonoscopy
@PepsiT98 2 жыл бұрын
Chukwu gozie gi for these reviews mehnn!
@edugwuagbo6828 2 жыл бұрын
100% agree. lmao
@amangoyal7404 2 жыл бұрын
At @ 1:05:30 what does he mean by waiting for a new what?
@danielveragrandez7254 3 жыл бұрын
correct me if am wrong but s gallolyticus is bovis not with viridians, with virid is mitis mutans y sanguinis
@LilReadingMunky 3 жыл бұрын
you're right.
@_roseinbloom Жыл бұрын
Is the audio weird for people ?
@rachelcarrasquillo283 Жыл бұрын
I thought the 6 P's refer to acute limb ischemia.
@Jay_Islander Жыл бұрын
Is there a podcast version of this????
@ajkovic914 3 жыл бұрын
Can't hear the voice ? What's wrong plz
@rajshri19y 4 жыл бұрын
@46:00,50:00, 57:56, 1:05:00, 1:48:00, 1:51:41
@kfi098 Жыл бұрын
Anyone else having an issue with the audio on mobile?? Sounds super muted and sped up no matter what I do
@_roseinbloom Жыл бұрын
same here
@kfi098 Жыл бұрын
@@_roseinbloom works fine on desktop :/
@afshannizami5339 9 ай бұрын
same here
@IJtwoeight Ай бұрын
Even a toaster has a GCS of 3 😂😂
@harvey2733 2 жыл бұрын
I wish I knew this for my step 2 ck...well, question 8 can also be paralytic ileus? failure of bowel movement after surgery? can anyone please clear this doubt. thanks.
@yashpawate1306 Жыл бұрын
Yes I was thinking the sams as well. I think the difference is Dull abd pain vs fullness like he said in this question.
@laurenrowe7234 5 ай бұрын
septic thrombophlebitis I believe is treated with vein excision and antibiotics, not heparin as stated.
@rosiesaikaly1178 Ай бұрын
He was joking about the heparin
@bircanboga9154 2 жыл бұрын
The king
@nabeelafatima1417 2 ай бұрын
The biggest rf for cad is dm according to mehlman and smoking is second.?
@The_Admiral5 3 жыл бұрын
20:29
@yaya1653 4 жыл бұрын
its not working cant hear :( do you have this available somewhere else?
@gettygets872 4 жыл бұрын
I know, had the same problem. Check out his website.
@gettygets872 3 жыл бұрын
@@user-ko4uc9nz9w , thank you ! I listened to his KZfaq lectures without headphones and never had a problem until now. I took your advice, used headphones and it worked.
@rachelcarrasquillo283 Жыл бұрын
Why would a neuroblastoma have a posterior mediastinal mass?
@preethi7751 3 ай бұрын
Posterior mediastinum comprises of neuro stuff (like spinal cord)
@aky19832001 Жыл бұрын
Sorry alot of the information wasn't on my surgical shelf. I'd say...10%
@rachelcarrasquillo283 Жыл бұрын
Why would a postsurgical patient with a long history of crohn's that is hypotensive have adrenal insuffiency?
@rachelcarrasquillo283 Жыл бұрын
did you mean cushings?
@MrSandChess 11 ай бұрын
Patient’s who have chronic steroid use and undergo surgery are at risk of an adrenal crisis from the adrenal insufficiency caused by the steroid use. They are unable to amount an adequate response to stress and thus have hypotension, hyperkalemia, hyponatremia, and hypoglycemia. Stress in general is a precipitating factor for adrenal crisis in these patients but that also applies for the post-op period and GI illnesses. I hope that helped.
@Mizzbah95 2 жыл бұрын
Anyone else having problem with audio?
@evelynbell6336 Жыл бұрын
Yeah. Can't hear anything except some static.
@lovelyangelmon Жыл бұрын
@@evelynbell6336 try to adjust the balance between left and right sound.
@taylorwilliams2830 10 күн бұрын
@@lovelyangelmon you are a LIFE saver a year later. that fixed my issue thank you!!
@danieldonascimentoaraujo3221 Жыл бұрын
53:00 h Peripheral N.
@MultiRock38 3 жыл бұрын
Is gastrogaffin *enema* the dx of choice for Boerhaave? I would think a gastrogaffin esophagogram would be more appropriate. kzfaq.info/get/bejne/jN5jbLRmv6mbhoU.html
@jackjohnson4586 Жыл бұрын
This is correct, he just misspoke. I know this is old, but for anyone studying, the key is just not to use barium as it can irritate the mediastinum
@elizabethbhagwandass4811 3 жыл бұрын
No sound. Just squishy sound
@bfurl69 2 жыл бұрын
same on my android and iphone. works on my PC though. wth?
@chakradharyarlagadda338 9 ай бұрын
doesnt shiny legs mean peripheral artery disease 11::01
@JustAPairofLegs 4 жыл бұрын
This isnt slayer
@yaya1653 4 жыл бұрын
there is something wrong with the noise. I cant hear it and tried different phones.
@elizabethzollos858 2 жыл бұрын
L
@atlantic7949 2 ай бұрын
Dude spends 50% of the time advertising his upcoming seminars/lectures and tutoring session the he actually teaches in his podcast. I listened a bit then gave up cos he plays too much being repetitive. He sells his content more than teaching and then dives into religious stuff. There is an avenue for everything. Instead of teaching he’s talking about Bible life lessons. The Bible you wrote? C’mon man.
@damilolaadegbenro 2 ай бұрын
It is his platform, he can choose to discuss anything (religious or not). And you have to option to listen to him or not. SIMPLE