USMLE STEP 1: Adrenal Cortex deficiencies with question

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Randy Neil, MD

Randy Neil, MD

3 жыл бұрын

ESSENTIAL MATERIALS FOR USMLE STEP 1, 2CK, & 3 JOURNEY
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This video will cover the concept behind understanding the 21-hydroxylase, 11-Hydroxylase, 17-Hydroxylase deficiencies. These are question included. Hope this is helpful

Пікірлер: 149
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Hope it was helpful. STEP 1 is a test of concepts. Learn it as though you are going to teach the next guy in line.
@RicardoMartinez-ov4xl
@RicardoMartinez-ov4xl 2 жыл бұрын
hello on the second question i think you made a mistake and is not zona glomerulosa I think is zona faciculata bc of the HTN and Low renin levels please let me know because im a little confuse
@bishie02
@bishie02 3 жыл бұрын
The licensure exam for physicians in my country comes in 15 days. We were given 4months of review. But with 16 hrs of binge-watching your videos, I got more stuff retained and understood than I ever did in the past three months. Thank you Dr. Neil, no matter how my exam goes, I can't thank you enough. God bless you!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Sittie, No matter the outcome...KEEP MOVING FORWARD!! Please keep me posted on your progress... We can always regroup and attack (move forward) in another direction. Stay FOCUSED... Stay STRONG.
@yosiguevara
@yosiguevara 3 жыл бұрын
My USMLE step 1 is on Monday and I’m here just binge watching all your videos. Simple and helpful. Thank you so much!!!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Yosira, Keep us updated on how it goes... I'll try and add one more video for your watching before your exam. Stay positive, Stay confident.
@abhayamolik7519
@abhayamolik7519 2 жыл бұрын
Hey, so how did go
@chryslerfordgm
@chryslerfordgm 2 жыл бұрын
Same situation. My exam is Monday (tomorrow) and there's no better than Dr.Randy Neil to simplify everything
@amandaorta2271
@amandaorta2271 3 жыл бұрын
I think I got it for the first time! Amazing!!!!! Please do more videos..
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Music to my ears... Glad it was helpful.
@rachellopez3133
@rachellopez3133 2 жыл бұрын
To learn medicine with you Dr. Neil is so much fun! Thank you so much!
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Thank you Rachel for the kind words
@victordelaguila6662
@victordelaguila6662 3 жыл бұрын
Excellent videos, I’m totally a fan of yours. Just for my mental sake, in the last case, I though the most reduced (deficiency) would’ve been the 17 hydro, and not the 11, because of the high BP and the ambiguous genitalia. Thank you for provide us with your knowledge !
@erkanbatti
@erkanbatti 3 жыл бұрын
I cannot tell you how many times I have tried to memorize that table on first aid. And dummy that i am i could never get it. But in the first 5 minutes of this video I was like ......whattttt .....no wayy.... i finally got it. Thank you so much so much.
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Erkanbatti, Thank you for the feedback... Glad it finally was a little easier. Thank you for the comment.
@aneripatel1921
@aneripatel1921 3 жыл бұрын
I have skipped this table and its related questions every single time. Now, that I finally get it, I feel so stupid as to why didn't I look for your video earlier?! Best video out there, hands down. Keep up the good work.
@VIVI1337
@VIVI1337 3 жыл бұрын
Thanks a lot for all of your videos, I've reviewed Kaplan videos, Rx videos, boards and beyond videos. Honestly, a lot of these biostats vids you uploaded (which is what lead me to your channel) is exactly what I needed because my foreign school didn't teach biostats/epidemio well enough. The other companies' videos I mentioned honestly can't compare, 1 hour video of theirs is the equivalent to 10 minutes in your videos. Thank you so much for these, this channel is a gem and I'll recommend it to anyone who asks about step resources!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
VIVI, Thank you for commenting. Glad videos are helpful.
@ayabaheijista9292
@ayabaheijista9292 2 жыл бұрын
I can’t thank you enough doctor Randy! You always save my day
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Aya, Glad it was helpful.
@kajalpatel2608
@kajalpatel2608 2 жыл бұрын
You are the best,Dr.Neil!!!
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Appreciate the comment Kajal.
@shaantanu1012
@shaantanu1012 2 жыл бұрын
A reminder that you are amazing as always! Thank you :)
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Thank you Shaantanu...
@JhishnuN
@JhishnuN 4 ай бұрын
This is handsdown the best explanation on this topic!!! Thank you for keeping it so simple Dr Neil!!
@RandyNeilMD
@RandyNeilMD 2 ай бұрын
You're very welcome!
@mariaapatino71
@mariaapatino71 3 жыл бұрын
Thanks! You're so gifted and made so easy to understand basic concepts needed for step 1, 2 and 3! I'm so grateful finding your channel while studying for Step 3. God bless you and don't stop posting videos!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Maria, Thanks you for the kind words and feedback.
@princessz5087
@princessz5087 3 жыл бұрын
Really love that the pathway connecting with the three parts of Adrenal Cortex, and that really making it easy to answer different questions. Super!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Princess Z, Thank you for commenting... I hope you are studying HARD!!
@tokki8070
@tokki8070 2 жыл бұрын
One of my friends recommended your channel, and I'm loving it. I'm a medical student. I've been struggling with this concept for...I don't know how long. Your approach is exactly right. Know the concept and then any question is doable. Thank you so much for your work!
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
PREFECTION.
@carisamclean6716
@carisamclean6716 3 жыл бұрын
Dr. Ryan you are simply the BEST teacher. Thank you so much for taking the time to prepare us as students for the USMLE exam. I wish you had a review program.
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Carisa, Thank you for your kind words... I'll keep trying as long as you tell me it is helpful.
@omidmoham
@omidmoham Жыл бұрын
amazing video! Thank you so much for making it this easy to understand.
@RandyNeilMD
@RandyNeilMD Жыл бұрын
Omid, Glad it was helpful.
@danielcastilo1840
@danielcastilo1840 3 жыл бұрын
I scoured the internet to find a great and easy explanation for this beast of a theme ( congenital adrenal hyperplasia) and by far your explanation is the best . Hands down , awesome 👏!!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Daniel, Thats music to my ears... Glad it was helpful.
@shakhnozagulombekova8111
@shakhnozagulombekova8111 3 жыл бұрын
Thank you so much! You made it so easy to understand and memorize. You are the best 👍
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Shakhnoza, Thank you for commenting. I am glad it was helpful for you.
@stevebradford3939
@stevebradford3939 2 ай бұрын
lol where have you been my entire life. Love of my life queen thank you soooo much. omg
@RandyNeilMD
@RandyNeilMD 2 ай бұрын
I'll take it as a compliment... :)
@runbuda
@runbuda 3 жыл бұрын
You made this 100% easier! Thank you
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Ryan, Appreciate the comment.
@adeelamalik9631
@adeelamalik9631 3 жыл бұрын
you are amazing ! please keep making videos like these!!!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Adeela, You are very kind. Appreciate the comment.
@teoleal91
@teoleal91 6 ай бұрын
The perfect playlist for the last Week of the long journey... Thank you very Much for everything Dr.
@RandyNeilMD
@RandyNeilMD 6 ай бұрын
You are most welcome.
@josecarlosvillazoncurbelo
@josecarlosvillazoncurbelo 2 ай бұрын
thanks a lot Dr.!!! Your materials are very very very useful. I strongly like your videos and the way you simplify the complex. thank you for passing on your knowledge!!!
@RandyNeilMD
@RandyNeilMD Ай бұрын
You are most welcome!
@elisab5958
@elisab5958 Жыл бұрын
Thank you very much for this wonderful and concise video!
@RandyNeilMD
@RandyNeilMD Жыл бұрын
Elis, Glad it was helpful!
@princessz5087
@princessz5087 3 жыл бұрын
Wonderful work. Greatly appreciate it.
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Princess Z, Thank you .. Thanks for taking the time.
@sadafbaloch8617
@sadafbaloch8617 2 жыл бұрын
Thank you so much Dr. Neil
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Sadaf, You are most welcome.
@manaral-masri5054
@manaral-masri5054 Жыл бұрын
Amazing explanation!!! Thank you
@RandyNeilMD
@RandyNeilMD Жыл бұрын
Glad it was helpful.
@pedrofoster4172
@pedrofoster4172 Жыл бұрын
such an amazign way this you've found teaching medicine with common sense. thanks dr.
@RandyNeilMD
@RandyNeilMD Жыл бұрын
You are most welcome Pedro.
@chryslerfordgm
@chryslerfordgm 2 жыл бұрын
Thank you for all your videos. You're a life saver Regarding the last question, can the cause be elevated ACTH (which leads to high aldosterone & sex hormones)?
@abduldanish6112
@abduldanish6112 3 жыл бұрын
the most difficult topic of step 1 for me, and u explained it so well, appreciated doc
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Abdul, Glad it was helpful. Let me know of any other topics that were confusing... Keep Studying HARD!!
@Raghadkhamis-qe5hp
@Raghadkhamis-qe5hp Жыл бұрын
You are a blessing to humanity
@RandyNeilMD
@RandyNeilMD Жыл бұрын
Humbling comment
@pierrehudson2080
@pierrehudson2080 2 жыл бұрын
Wow I have been Trying to understand this concept for years!
@pierrehudson2080
@pierrehudson2080 2 жыл бұрын
You actually knocked it down for me in 5 minutes
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
PERFECT. Let others know...
@harvey2733
@harvey2733 3 жыл бұрын
dr. randy is a great teacher and a savior for all medical students preparing for usmle or any other medical entrance exams around the world. thanks a ton sir.
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Suraj, Thank you for such kind words... I am glad videos have been helpful for you.
@grethelturino2553
@grethelturino2553 2 жыл бұрын
I've been having trouble with this for a while now ...... thanks ..... a lot
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Hope it was helpful.
@shakimunasinghe8943
@shakimunasinghe8943 3 жыл бұрын
You are a truly gifted teacher. I wanna be like you.
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Shaki, Very humbled by your comment.
@theghost2274
@theghost2274 9 ай бұрын
what a great explanation !!! 😍
@RandyNeilMD
@RandyNeilMD 9 ай бұрын
Glad it was helpful!
@mashaal3822
@mashaal3822 2 жыл бұрын
you are a Godsend..thankyou for making it so easy
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
You are most welcome.
@rayannebarreto7070
@rayannebarreto7070 5 ай бұрын
Thank you for this video!
@RandyNeilMD
@RandyNeilMD 4 ай бұрын
You are welcome.
@SA-jm1mm
@SA-jm1mm 3 жыл бұрын
Thank you so much Dr.Randy my exam in 4 weeks each time I feel overwhelmed I watch your videos. Would you please make a video about visual field defects.
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Thank you for comment. I will try and get to the video... Not sure I'll make it in the time frame.
@meghananadella1570
@meghananadella1570 3 жыл бұрын
For the last question, since it stated "ambiguous genitalia" I would have chosen that there was a 17-hydroxylase deficiency since that would lead to underdeveloped genitalia and still can cause HTN using the aldosterone pathway. Can you explain to me why you chose 11-hydroxylase deficiency? Thank you so much!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
When I think ambiguous genitalia...I think, "Hey, something there, but not sure what I'm looking at (per se)"... versus absence, "Hey, shouldn't something be there (a little more than that)"...
@drhoneybee973
@drhoneybee973 3 жыл бұрын
Wooohooo dat flowchart is cooolll🤩.i used to take tym in answering question on this topic to make sure it doesn't go wrong......following ur chart reduced my answering tym to half.....thanx doc for making things easy peasy🤗...
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Dr. Shreya, Glad it was helpful... Thank you for the comment and feedback.
@hash808k3
@hash808k3 Жыл бұрын
Thanks very much sir!! This is very helpful.
@RandyNeilMD
@RandyNeilMD Жыл бұрын
You are most welcome.
@Manuel78
@Manuel78 Жыл бұрын
You are the best, thanks
@RandyNeilMD
@RandyNeilMD Жыл бұрын
Appreciate the comment Mirley
@swaroopkumar9069
@swaroopkumar9069 2 жыл бұрын
tq so much sir for making the concept easy🙏
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Swaroop, You are most welcome.
@valerialopezlozano1427
@valerialopezlozano1427 3 жыл бұрын
DR Neil: COULD YOU PLEASE DO ONE WITH THE ACID BASE DISTURBANCES, AND IF ITS COMPENSATED, I FOUND SEVERAL VIDEOS BUT ALL VERY CONFUSING! GREATLY APPRECIATED.
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Sure, that's a good topic... I do have stuff for that... stay tuned. Let me finish the pharm...
@archangel80303
@archangel80303 2 жыл бұрын
Thanks Dr Neil.Your videos are always simple and easy to understand Can you make a video on 5-alpha reductase deficiency ,mullerian agenesis as well as androgen insensitivity.These kinda confusing in relation with the CAH’s,especially when the vignette describes the sexual characteristics
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Yea, that would be a good topic... I'll have to find some time to go back and work that one in...
@olgabockeria6940
@olgabockeria6940 3 жыл бұрын
I was trying to memorize this and couldn't. Best explanation ever!!!!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Olga, Glad it was helpful.
@ahmadziasafi9878
@ahmadziasafi9878 Жыл бұрын
Thank you Mr doctor
@RandyNeilMD
@RandyNeilMD Жыл бұрын
You are welcome
@spititout12
@spititout12 11 ай бұрын
Holy moly 🙀 it’s so easy now .
@RandyNeilMD
@RandyNeilMD 11 ай бұрын
PERFECT!!
@Salam_1965
@Salam_1965 2 жыл бұрын
Outstanding teacher
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
Thank you.
@youmnahashem679
@youmnahashem679 Жыл бұрын
Thanks Doc 🤝
@RandyNeilMD
@RandyNeilMD Жыл бұрын
Most welcome.
@Drspraker
@Drspraker 3 жыл бұрын
Love it!!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Thank you
@tinashealthbeautyworld8396
@tinashealthbeautyworld8396 3 жыл бұрын
Studying for my clinical final so binge watching all your new content now 😅
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Be careful... Videos can cure insomnia.
@Drspraker
@Drspraker 3 жыл бұрын
Love it!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Thank you again.
@Maryam-kg7vp
@Maryam-kg7vp Жыл бұрын
my ifom exam is tomorrow whether I will pass or no , I just want to thank you for everything , you are an amazing person.
@RandyNeilMD
@RandyNeilMD Жыл бұрын
Appreciate the kind words Maryam
@niceman1995
@niceman1995 3 жыл бұрын
underrated .. great
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Iyab, Thank you.
@xaaboopinkly
@xaaboopinkly 3 жыл бұрын
Thanks sir!
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
You are most welcome Xaaboo
@Steps_to_steth
@Steps_to_steth Жыл бұрын
Thanks❤
@RandyNeilMD
@RandyNeilMD Жыл бұрын
You are welcome.
@Dr.Azamkohlu
@Dr.Azamkohlu 3 ай бұрын
Thank you don’t it’s help a lot
@omerhaseebkhan
@omerhaseebkhan 3 жыл бұрын
waiting for more endocrinology videos .especially a video on reproductive section tumors thanks
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Omer, Thank you for commenting. I'll try my best.
@DrHoma-us4ut
@DrHoma-us4ut 3 жыл бұрын
Dr. Neil,in 3:58 you say we have salt wasting due to lack of cortisol. Is it due to lack of Cortisol or Aldosterone? I think hypoglycemia may be a better choice . If I am wrong, please correct me. Thank you Sir
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
I should have said combination of the two (Aldosterone & Cortisol) in reference to salt wasting... my error. Hypoglycemia more associated with the low Cortisol, nice catch.
@DrHoma-us4ut
@DrHoma-us4ut 3 жыл бұрын
@@RandyNeilMD Thank you for the explanation..Homa
@ahmedtajelsir3253
@ahmedtajelsir3253 8 ай бұрын
thanks doc, but i just gotta question.. why does 11 hydroxylase deficiency cause HTN considering that its needed for cortisol and aldosterone production
@mredoward9858
@mredoward9858 Жыл бұрын
Third case very tricky
@vennelagmc6690
@vennelagmc6690 2 жыл бұрын
Tq sir,,lot
@RandyNeilMD
@RandyNeilMD 2 жыл бұрын
You are welcome.
@Knstar5566
@Knstar5566 3 жыл бұрын
Plz upload video on bias questions, just thumb 👍 up for your skills.
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
The "bias" material is in the queue ... I need to make sure I cover all the major points...
@Knstar5566
@Knstar5566 3 жыл бұрын
Thanks alot, you are fabulous.
@jeejee77734
@jeejee77734 3 жыл бұрын
Can anyone help me understand as to why the last question wasn't 17-hydroxlase def??
@vikas1933
@vikas1933 3 жыл бұрын
Am i missing out something? Ambiguous genitalia means incomplete external sexual features, then how can Increase 17-hydroxylase cause ambiguous genitalia instead it has to be clitoromegaly in this pt
@puneethk6287
@puneethk6287 2 жыл бұрын
Hello, can anyone tell me why in the 2nd question it is glomerulosa and not fasciculata? Because renin increases and BP decreases in glomerulosa aka 21 alpha deficiency
@niveditasingh9819
@niveditasingh9819 2 жыл бұрын
I think in last question it should be 17-hydroxylase def…isn’t ?
@studyaccount4724
@studyaccount4724 3 жыл бұрын
Oh wow! How does it feel to study step 1 with us all over again as an attending physician/psychiatrist 😂😂
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Honestly, It's about feeling good about what we do...having that purpose. I like to teach stuff that I struggled with, so the nest guy in line doesn't have to... The satisfaction is in the feedback that you are giving. Thank you.
@saadia1403
@saadia1403 2 жыл бұрын
Im unclear with last case as high BP and unclear genitals could have been 17 hydroxy also as explained earlier so why chose 11?
@nyinggypo3373
@nyinggypo3373 3 жыл бұрын
Nicely taught.. Sir
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
You are most welcome...
@omranabdeen7337
@omranabdeen7337 Жыл бұрын
I think last question answer is 17 hydroxylase deficiency not 11 hydroxylase ?
@remyarnot6522
@remyarnot6522 3 жыл бұрын
High yield
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Thank you for comment
@zsultana2875
@zsultana2875 3 жыл бұрын
Are these questions are from uw?
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
These questions should be original...or atleast as original as you can ask them. You should be able to answser uWorld question with this information... or atleast that is the plan. Hope it was helpful.
@nyinggypo3373
@nyinggypo3373 3 жыл бұрын
She is gonna look like a guy 😂😂😂😂
@RandyNeilMD
@RandyNeilMD 3 жыл бұрын
Glad it was helpful.
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