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Divine Intervention Episode 31-Comprehensive 3rd Year NBME Medicine shelf Review Session 3

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  • Опубліковано 21 вер 2018
  • Comprehensive review for the 3rd Year NBME Medicine Shelf Exam (Part 3 of 4).
    Download the slides on my website;
    www.divineinterventionpodcasts.com
    Or the dropbox link;
    www.dropbox.com/sh/jf1d4hg8g5...
    I also offer 1 on 1 tutoring for USMLE Step 1-3 and med school exams.
    divineinterventionpodcasts@gmail.com

КОМЕНТАРІ • 68

  • @justinlee2838
    @justinlee2838 4 роки тому +199

    i honestly believe this guy may the widest breadth of medical knowledge on the planet.

    • @ActuarialNinja
      @ActuarialNinja 3 роки тому +14

      Right up there with Dr Goljan and Sattar :)

    • @Preppygirl8909
      @Preppygirl8909 Рік тому

      Tryyyuyyyuuyyyuoiiiooooo😂okkkl😅oportunidad que bbbbnnmmbbbbbnnnnnmxzZzzzznbb❤hqhahdhddgshdhdhejehhe😂😂😢h go ghcnjhhcgcggy

  • @blakedotguidry
    @blakedotguidry 3 роки тому +106

    Divine, your name is not a misnomer. You are a godsend. My entire class watches your videos. You are going to be a household name in the upcoming generation of physicians and i truly thank you from the bottom of my heart for all of the time and effort you put into these videos and your podcasts. You have saved my rear end SO MANY TIMES.

    • @Yum676
      @Yum676 10 місяців тому +1

      he is the best ❤

  • @chevyxo
    @chevyxo 4 роки тому +28

    The smartest man in the whole world !!! 😍🙌🔥

  • @chelsycalhoun4422
    @chelsycalhoun4422 5 років тому +37

    Such a good thorough review! Suprised it doesn't have more views!

  • @dwaynegarcia9986
    @dwaynegarcia9986 4 роки тому +28

    Honestly, you have a gift my man, so many concepts that I did not understand or connections a did not make you made them clear.

  • @venkateshwaranv6897
    @venkateshwaranv6897 8 місяців тому +6

    Ehrlichia is transmitted by the Lonestar tick (Ambylomma) which is a HARD tick
    Other disease transmitted by the HARD tick include,
    Ixodes tick transmits Anaplasma ,Babesia and Borrelia burgdorferi
    Dermacentor ticks transmits RMSF
    Tularemia can be transmitted by both Dermacentor or Ambylomma ticks
    SOFT tick transmits Endemic Relapsing fever
    Other arthropod vectors include
    Mite- Scrub typhus ,Rickettsial pox
    Louse- Epidemic relapsing fever ,Epidemic typhus,Trench fever
    Flea-Endemic relapsing fever,Plague

  • @thatmd
    @thatmd 3 роки тому +58

    The 4 people that disliked this video need a literal divine intervention!
    Thank you so much Divine!

  • @davidwu3247
    @davidwu3247 Рік тому +16

    I feel like every generation of med students has their "Prophet of Pedagogy"
    in years past it was Goljan
    then came Jason Ryan
    then came Dr Sattar
    then came Andrew (sketchymicro)
    our generation... is Divine!!

  • @hasibakarimi98
    @hasibakarimi98 8 місяців тому +2

    I don’t know how to thank you Divine. Thank you so much for sharing your amazing work with us 😇 it’s utterly helpful. God bless you 🙏

  • @jaipatel2
    @jaipatel2 3 роки тому +13

    @2:54:35 When they are talking about lytic bone lesions I like to remember it using LTK pronounce lytic stands for Lung thyroid Kidney. and then Breast can do both lytic and blastic

  • @arazani92
    @arazani92 2 роки тому +16

    Unreal how you can just go through all this information and you know it so well. So inspiring! Thanks for all these videos and your podcast!!

  • @berniegodoy9374
    @berniegodoy9374 3 роки тому +11

    Serial Phlebotomy is main stay of treatment for polycythemia vera, hydroxyurea can be added for patients at high risk of thrombosis

  • @hobo603
    @hobo603 3 роки тому +5

    Your understanding of the material is honestly amazing. Can't thank you enough!

  • @chidiakusobi6581
    @chidiakusobi6581 2 роки тому +7

    Effortlessly high yield my lord! Thank you Divine :)

  • @ahmedadnan6144
    @ahmedadnan6144 Місяць тому +1

    3:02:57 according to the First Aid, phlebotomy is actually used for polycythemia vera. According to UWorld Q,ID 2883, Serial phlebotomy is the mainstay of treatment for PV; it creates a relative iron deficiency and reduces hematocrit levels to normal range.

  • @aedanhannabeshoi
    @aedanhannabeshoi Рік тому +6

    @2:24:40 Salmonella is not the most common osteomyelitis bug in Sickle, it's still Staph A, However, Salmonella is specific for sickle osteomyelitis. Annoying little factoid
    Also No longer Give metro for C diff, now its straight to Vanco and then Fidamoxacin

  • @ahmedadnan6144
    @ahmedadnan6144 Місяць тому +1

    2:57:58 according to the First Aid, MEN1 associated with parathyroid adenoma and MEN2A associated with parathyroid hyperplasia. UWorld Q, ID: 2585 confirm this statement.

  • @ApurvaPopat
    @ApurvaPopat 3 роки тому +4

    Thats super solid fire divine...
    Loads of love
    - Dr. Apurva
    USMLE Tutor.

  • @venkateshwaranv6897
    @venkateshwaranv6897 8 місяців тому +1

    Phlebotomy is indicated for ALL patients with polycythemia vera. Other indications include porphyria cutanea tarda and hemochromatosis (as rightly said in the video).

  • @Pio0o0oxx123
    @Pio0o0oxx123 4 роки тому +4

    You're DA MAN!

  • @_WooWho
    @_WooWho Рік тому +8

    The savagery when Divine warns "I wish you all the best with that" when people go "Ohh, this is only Step 1 stuff..." just about killed me.

  • @kerolossamer5412
    @kerolossamer5412 Місяць тому

    Amazing .. r u still recommend this videos untill 2024 ?,, i love it actually

  • @laurenrowe7234
    @laurenrowe7234 4 місяці тому

    Great video! Small correction at 2:10:30-nephrotic syndrome as the etiology of ascites presents with SAAG < 1.1 because serum albumin is low. SAAG >1.1 is portal HTN or CHF

  • @venkateshwaranv6897
    @venkateshwaranv6897 8 місяців тому +4

    The Pentad of fever ,anaemia, thrombocytopenia,renal failure and neurological symptoms is for TTP ,NOT HUS

  • @iamtenrose7479
    @iamtenrose7479 2 роки тому +1

    Thank you!

  • @rk19987
    @rk19987 11 місяців тому

    god bless you, you are amazing

  • @Swaglex9689
    @Swaglex9689 11 місяців тому +1

    For Polycythemia Vera treatment I believe they have changed it to phlebotomy and low dose NSAIDs.

  • @nicolasb879
    @nicolasb879 2 роки тому +1

    Is the most important modifiable risk factor for atherosclerosis HTN or smoking? Thought it was HTN (2:57:30)

  • @janstudies3826
    @janstudies3826 4 роки тому +18

    Q at 1:39:10 for tx of EHEC-induced HUS - why is antibiotics used over supportive treatment. (I though tx for EHEC and HUS is always supportive??)
    Love the reviews!! 😊

    • @jorgesalazar790
      @jorgesalazar790 3 роки тому +10

      HUS CORRECTION: Is a triad not a pentad (TTP) : Hemolytic anemia + thrombocytopenia + renal failure and the treatment is supportive as you said!

  • @gumnam1406
    @gumnam1406 Рік тому

    I luv you divine :)

  • @sasharemo5705
    @sasharemo5705 2 роки тому +5

    @ 1:39:20 -Do we treat EHEC with antibiotics?or is it generally supportive . I'm confused as treating it might INCREASE RISK for HUS . please clarify this! Thanks

    • @nicolasb879
      @nicolasb879 2 роки тому

      You are correct, do not treat EHEC with abx, he made a mistake there

  • @ashwinkola5173
    @ashwinkola5173 6 місяців тому +2

    Absolutely amazing review, but i had a question regarding one of the concepts. You mention that AV fistulas present as pulsatile masses, yet uworld states that it's aneurysms that are more likely to present as pulsatile masses, while AV fistula would present with no mass and a continuous bruit. Seeing as the uworld chart is more recent, should we go with that on the exam? Thanks in advance!

  • @deandrebrown4521
    @deandrebrown4521 2 місяці тому +1

    This guy is responsible for so many medical degrees lol

  • @JB-cn1if
    @JB-cn1if 2 роки тому

    What’s the HUS mnemonic? And why didn’t Dr divine say it out loud?

  • @drgamalahmed9347
    @drgamalahmed9347 2 роки тому +2

    No sound,
    In all videos, what is going on?
    Help anyone.
    I don't have this problem with any other videos. So why this?

    • @shayaan9111
      @shayaan9111 Рік тому

      put both earbuds in its not working with just one

  • @bboysaif8
    @bboysaif8 Рік тому +2

    Do you see neurologic problems with HUS or TTP or both? I've just read it in TTP.

    • @yasminecrime3911
      @yasminecrime3911 Рік тому

      fever & neurologic problems are associated with TTP not HUS

  • @MysticMango412
    @MysticMango412 Рік тому +1

    3:02:49 I thought treatment for PV was Phlebotomy?

  • @Yaqrabhajahtb
    @Yaqrabhajahtb Рік тому +2

    What about the audio

  • @bloomprinceton
    @bloomprinceton 11 місяців тому +1

    i thought hus no antibiotics are given? 1:38

  • @rusinoe8364
    @rusinoe8364 7 місяців тому +1

    I wonder if he has a photogenic memory...

  • @fayezjabboure1925
    @fayezjabboure1925 2 роки тому

    MVP

  • @rachelcarrasquillo283
    @rachelcarrasquillo283 8 місяців тому

    "Sound better" for murmurs is a super confusing term to use.

  • @davidkatz2543
    @davidkatz2543 2 місяці тому

    🐐🐐

  • @rachelcarrasquillo283
    @rachelcarrasquillo283 8 місяців тому

    Hypertrophic osteoarthropathy is associated with adenocarcinoma.

  • @dreamingpaper
    @dreamingpaper 2 роки тому +3

    1:58:13 Divine was ahead of the times

  • @NS-yt1vy
    @NS-yt1vy Рік тому

    How can we get the audio fixed on this???

    • @shayaan9111
      @shayaan9111 Рік тому

      put both headphones in

    • @NS-yt1vy
      @NS-yt1vy Рік тому

      @@shayaan9111 I found that it has to do with apple products. The sound did not work on mac, iphone or ipad. Something about how the audio was filed. However I did get it to work when I watched it on firestick, windows computers, etc... Good luck everyone.

  • @user-ls5yk9wy6w
    @user-ls5yk9wy6w 3 роки тому

    Sarcoidosis => anterior uveitis does not cause afferent pupillary defect bro
    Thanks for your great vidoes

  • @irg4576
    @irg4576 6 місяців тому

    No sound 😢

  • @dresmailqasem
    @dresmailqasem 5 років тому +4

    No voice!!!!

    • @divineinterventionpodcasts
      @divineinterventionpodcasts  5 років тому +5

      Literally just tested this out. It works on my windows PC.

    • @arr3122
      @arr3122 3 роки тому +1

      @@divineinterventionpodcasts Nop. I cant hear either.

    • @theitdocchannel540
      @theitdocchannel540 3 роки тому +1

      DR.ESMAIL QASEM I can’t hear anything too

    • @shayaan9111
      @shayaan9111 Рік тому

      @@divineinterventionpodcasts if using earphones need to connect both in to hear fine