Chediak-Higashi vs. Chronic Granulomatous vs. Leukocyte Adhesion vs. Wiskott-Aldrich

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  • Опубліковано 26 гру 2024

КОМЕНТАРІ • 139

  • @DirtyMedicine
    @DirtyMedicine  6 років тому +94

    Errata:
    The NBT test is backwards.
    15:45 I spelled Peyton wrong. My bad, Peyton!

    • @lokeshdevalla2060
      @lokeshdevalla2060 6 років тому +8

      DirtyUSMLE videos on dermatology cases plz

    • @eman37alqisi32
      @eman37alqisi32 5 років тому

      PLEASE ACCEPT MY DEEPEST THANKS ❤❤🙏🙏🙏

    • @HairRival
      @HairRival 2 роки тому +3

      Thank goodness for the note, trying to figure out the NBT was some serious Stroop-effect shit.

    • @abinashshah8875
      @abinashshah8875 2 місяці тому

      ​@@HairRivalaa

  • @aidenssillycoolvideos6068
    @aidenssillycoolvideos6068 6 років тому +393

    I remember CD18 by thinking you're supposed to move out when you turn 18. There's a deficiency, and the neutrophils can't "move out" into the tissues.

    • @emuwarrior13
      @emuwarrior13 5 років тому +21

      Charla King also, you’re no longer a LAD at 18

    • @uni1316
      @uni1316 4 роки тому +7

      helpful for non foot ball fans like few of us; I watch England foot ball so "No.18 is the referee who don't you out of the foot ball court during the game because no body can give him red card unless a LADA taxi come and give them lift! so number 18, refree BooooM, can afford LADA taxi "

    • @ApplyingForResidency
      @ApplyingForResidency 4 роки тому +18

      I like that - parents "cut the cord" when their kid turns 18.

    • @Be1smaht
      @Be1smaht 3 роки тому

      So good

    • @taytayqp
      @taytayqp 8 місяців тому +1

      I like to think you need to be 18 to get a sticker for voting and you need CD18 for leukocytes to STICK

  • @jensonmathew8437
    @jensonmathew8437 6 років тому +287

    You know for the visualization of Chediak-Higashi it also works if you make him a The White Knight Chediak-Higashi since it also causes partial albinism.

    • @DirtyMedicine
      @DirtyMedicine  6 років тому +51

      love it

    • @vb9490
      @vb9490 6 років тому +19

      Or the O could have been for oculocutaneous albinism, while the P would have been for phagolysosome

    • @seen203
      @seen203 5 років тому +13

      He's fighting White Walkers

    • @brahmaputramoskva1215
      @brahmaputramoskva1215 3 роки тому

      A ched who is a white knight

    • @eriktatos
      @eriktatos 2 роки тому

      Racial…I love it ☠️

  • @bhaumikpatel7771
    @bhaumikpatel7771 Рік тому +54

    I also use the " A and E" in the WATER mnemonic to remember that there is increased IgA and IgE in Wiskott

  • @nenimarie89
    @nenimarie89 4 роки тому +28

    the comments section is ALMOST as good as your videos. Bless your heart Dirty

  • @ASAPUSMLE
    @ASAPUSMLE 2 роки тому +52

    As an added bonus, Wiskott *ALL*-DRINK syndrome shows it affects both T and B cell lines (IgG) therefore causing the pt to get all infections (viral, bacterial and fungal).
    Great video, as always.

  • @rianblackwood2081
    @rianblackwood2081 4 роки тому +63

    Thanks for the mnemonics!
    I have one for LAD that helped me remember - "LADs must be 18 to Integrate"
    LAD - Leukocyte Adhesion Deficiency
    Must be 18 - CD18
    Integrate - CD18 is an "integrin" that is necessary for migration

  • @kabirtorres2672
    @kabirtorres2672 5 років тому +15

    No joke just finished this video and on a random UWorld block, first question is on CGD. Had to pause the block to laugh for a good 2 minutes. Great video!

  • @gianrodriguez1643
    @gianrodriguez1643 6 років тому +89

    Hey! Took step 1 today i get home and see this. I got 2 questions on CGD, one Bruton's and leukocyte adhesion which was baby who umbilicus doesn't fall off. Quick tip: study PARASITES!!!! who said they were low yield. Btw great videos guys... keep it up

  • @DrEktaYadav
    @DrEktaYadav 6 років тому +105

    "fungus went up your ass? throw some hydrogen peroxide at it" ---I don't think I've ever laughed that hard and not to mention I will never forget the enzyme again. ty ur videos are AMAZING.

    • @Trish.786
      @Trish.786 3 роки тому

      Me too! I’m still cracking up 😂

    • @rusinoe8364
      @rusinoe8364 Рік тому

      Just a regular Tuesday for me...

  • @lilliereed8433
    @lilliereed8433 Рік тому +9

    A in WATER could also stand for "actin" because the WAS gene mutation leads to leukocytes/platelets being unable to reorganize their actin cytoskeleton --> ineffective APC function. Also thinking of it as Wisxott rather than Wiskott as it is X-linked recessive!

  • @SuperHaind
    @SuperHaind 6 років тому +50

    Wiskott for wisky ..drinking "Ethyl Alcohol "= increase in IgE and IgA

    • @bretw4754
      @bretw4754 5 років тому +3

      works in the wAtEr mnemonic too. But water is less fun...

    • @sonny4997
      @sonny4997 3 роки тому

      @@bretw4754 nice

  • @christinaalvarez1
    @christinaalvarez1 6 років тому +7

    YAY!! I requested this one a little while back. Thank you, thank you, thank you!!

  • @coralreef896
    @coralreef896 6 років тому +7

    Hi, your videos are amazing + life saver!!
    For future video topics, could you possibly do them on these:
    1) antibiotics overview = when to use which + high yield side effects
    2) cardiovascular drugs
    3) Dermatology stuff (eg papules/macules etc...) = relevant for step 1
    4) GI patho

  • @tiam8836
    @tiam8836 6 років тому +13

    idk who you are or how you have the time to make these videos but you are my HERO
    can you make a video about the upper/lower extremity nerve stuff?

  • @pavitraattanayake10
    @pavitraattanayake10 Рік тому +1

    CD18 can be remembered as "I ate $hit because I couldn't stop" where "I ate" = 18 and "couldn't stop" refers to adhesion issues

  • @jemalgemtamohamed9614
    @jemalgemtamohamed9614 4 роки тому +2

    You are so clever in how to be adhesive with informations you learn.

  • @suomynonaanonymous
    @suomynonaanonymous 6 років тому +2

    Your videos are way better than sketchy path

    • @DrEktaYadav
      @DrEktaYadav 6 років тому +2

      sketchy path is ass and it is way too damn long so I agree 100%

  • @dr.manalsamater3737
    @dr.manalsamater3737 5 років тому +22

    Actually, in CGD the Nitroblue tetrazolium, if it’s positive meaning it turn blue the patient doesn’t have the disease. In the other hand, if it’s negative don’t turn blue the patient will have the disease.
    So in exam if they say the test is negative it means they have the disease.

    • @kirubakaran09stanley
      @kirubakaran09stanley 5 років тому +1

      Yes , you are correct

    • @nooral4315
      @nooral4315 3 роки тому +1

      correct. Negative NTB test means the person is lacking NADPH oxidase

    • @HistoryHive0001
      @HistoryHive0001 2 роки тому +1

      Yes you are correct.. I hope he makes correction as I observed it immediately.

  • @1wertyuiopasdfghjkl
    @1wertyuiopasdfghjkl 6 років тому +2

    I seriously love this channel

  • @rayray9508
    @rayray9508 2 роки тому +2

    I used "Leukocyte EIGHTEESHIN deficiency". Thanks for the banger as always

  • @thanasegaran1
    @thanasegaran1 5 років тому +16

    Correct me if Im wrong, as for the CGD
    The nitro blue test
    Positive = patient have super oxide therefore patient is free from the disease
    Negative = patient has the disease as the nitroblue remains blue!
    I think you may have confused us on the positive and negative. Patient has CGD if the test is NEGATIVE not as mentioned in ur video. Do check wiki or correct me if I'm wrong

    • @ricardoa.pascual9793
      @ricardoa.pascual9793 5 років тому +13

      Not quite! NBT is a colorless dye by itself. He clarifies this in the errata (pinned as the top comment). DirtyUSMLE wrote that the NBT is backwards as per the vid!
      Here's how it should be:
      Normal (positive) = turns from clear to BLUE (neutrophils can turn the dye blue because NADPH oxidase is present).
      In Chronic Granulomatous disease, it's Abnormal (Negative) = No color (indicates that there's No NADPH oxidase). No color = No NADPH Oxidase present
      Hope this helps!

  • @marialoukiaanastasiadou7954
    @marialoukiaanastasiadou7954 5 років тому +1

    extremely helpful mneumonics! Please make more of these videos for diseases.

  • @dmitrybaer5873
    @dmitrybaer5873 3 роки тому

    I love you in and out. Thank you so much for your work.

  • @SanahSaysHello
    @SanahSaysHello 6 років тому +1

    I've loved your videos for years. Huge fan. Will be sure to donate later today!

  • @B3bita1215
    @B3bita1215 3 роки тому

    Amazing explanation!!! My goodness sooooo glad I found you guys 🙏🏽🙌🏼

  • @Dr.Kaseses_hunk
    @Dr.Kaseses_hunk Рік тому

    Thanks so much doctor,,, ur videos are the videos I needed to make A's... Good bless u abundantly

  • @Sia.1111
    @Sia.1111 3 роки тому

    This content and your amazing efforts to make everyone understand this ...are grreatttt ....thank you for teaching such helpful and important information

  • @ezzabashir2278
    @ezzabashir2278 8 місяців тому

    Thank you for this. So glad i found it

  • @koolkid4650
    @koolkid4650 6 років тому +5

    Thanks Sir....
    Please videos on Musculo nerve injuries & All Formula videos of book & Imp Graphs video Thanks

  • @aliyahamid7473
    @aliyahamid7473 4 роки тому

    Amazing mnemonics! Great work

  • @angelonicolascaputizuniga1418
    @angelonicolascaputizuniga1418 4 роки тому +3

    LAD is a disease with no migration, at age 18 you supose yo migrate from house (CD18), so you stay in home like a baby more time that supose (late umbilicak cord separation). Like if thist helps you

    • @yosiguevara
      @yosiguevara 4 роки тому

      Thanks because I won't remember that football player LOL

  • @rjj151
    @rjj151 5 місяців тому

    Great video as are all your other ones! For the CGD mnemonic, what about naDph oxidase deficiency?

  • @learnteach2learn729
    @learnteach2learn729 6 років тому +2

    Why did you remove your line weaver plot video? I liked it and it was really helpful

  • @anyquezada2990
    @anyquezada2990 3 роки тому

    i just got 5 question about it in my last NBME
    thanks

  • @fbsdeformedvag8925
    @fbsdeformedvag8925 6 років тому +5

    My Son died from CGD in 99 at 6 1/2 years old.

    • @hmansaria5632
      @hmansaria5632 5 років тому +8

      I just came across your post. My prayers are with you. May The Almighty place him among the highest ranks in Paradise and may you and your family be blessed with the strength to bear this loss and emerge from it stronger.

  • @ricardoa.pascual9793
    @ricardoa.pascual9793 5 років тому +4

    he shot the Menke, *WASP*, and G6P... got your XLR song stuck in my head haha

  • @habib080
    @habib080 3 роки тому

    for step2 i am seeing Dihydrorhodamine Test being asked for CGD!! just wanted to share

  • @Coverworld-t3y
    @Coverworld-t3y 3 роки тому +1

    You may think of bruno fernandes no 18 for Leukocyte Adhesion Deficiency ☺️☺️☺️

  • @shokhzodbozorov4252
    @shokhzodbozorov4252 4 роки тому +1

    thank you a lot!!!!!!!

  • @ericac2355
    @ericac2355 6 років тому +3

    Does the hydrogen peroxide come from the infective organism in catalase negative infections? In CGD they can’t make it themselves right? Awesome video thank you!

    • @DirtyMedicine
      @DirtyMedicine  6 років тому +4

      Yes this is correct. Our immune systems hijack the native Hydrogen Peroxide in the virulent organism

  • @nermeenkolta135
    @nermeenkolta135 6 років тому +3

    thank u so much , ur videos are really helpful , can u consider to make avideo for embryologic derivatives , thanks

  • @praneethamodumudi4391
    @praneethamodumudi4391 6 років тому +1

    Thanks a ton😄

  • @chiahsuantsauo8375
    @chiahsuantsauo8375 3 роки тому +1

    I’m finding the pathophysiology of the infection process difficult to understand, like when does Th17 come into effect and how does it lead to Th1 or Th2? I think a lot of text books and stuff teach each part of immunology like T and B cell separate, then antibodies, then complements etc. but nothing tries to explain the whole process as a whole. I’ve gone through First Aid and General Principles Immunology section and I still don’t understand how everything is co-ordinated…

  • @nishisatish3539
    @nishisatish3539 5 років тому +1

    You are amazing.

  • @sohaelsayed8253
    @sohaelsayed8253 3 роки тому

    Correct me if im wrng, but wasnt the purported dysfunction of microtubules proven as incorrect through further research?

  • @shayekhabedin4462
    @shayekhabedin4462 3 роки тому

    YOu inspire me! I wanna be like you!!

  • @faiqapirzada
    @faiqapirzada 3 роки тому

    Its helpful. Thanks !

  • @Dr.ShubhamPatidar
    @Dr.ShubhamPatidar 6 років тому +2

    sir please make a pdf or slides of your video so make easy to revise in last time of exam

  • @roshnichiru
    @roshnichiru 6 років тому

    Thank you so much Sir 🙏

  • @matthewmann8969
    @matthewmann8969 6 років тому

    Electrolytes, nutrition, and vitamins

  • @praneethamodumudi4391
    @praneethamodumudi4391 6 років тому +2

    A video on inheritance patterns calculations pls

  • @pfln
    @pfln 6 років тому +21

    vitamins vitamins vitamins please please please

  • @1MinuteFlipDoc
    @1MinuteFlipDoc 6 років тому

    Great tutorial!

  • @Lil1104
    @Lil1104 5 років тому

    This is amazing!

  • @1412Z
    @1412Z Рік тому

    Thanks!

  • @abundanceoffavor1353
    @abundanceoffavor1353 5 років тому

    Thank you!

  • @il3mendo
    @il3mendo 10 місяців тому

    Leukocyte adhesion deficiency can be triggered by vaccine or infection disease such Varicella, Ebv or Citomegalovirus?
    Can, in the case of chronic illness such celiac disease, someone has a normal neutrophil count while having eosinophilia ? ( Cd 56 marker highly oresent in my gut flora with no cd18/19.. Thanks

  • @abrahamkibret6591
    @abrahamkibret6591 3 роки тому

    Thank you

  • @rachelslack9451
    @rachelslack9451 6 років тому +4

    Vitamins please I beg of you

  • @akshatsahai3551
    @akshatsahai3551 6 років тому

    Thank you so much:)

  • @SumuduUpatissa
    @SumuduUpatissa 6 років тому

    LAD could also cause due to lack of LFA-1 in C3bi receptor.??

  • @myprettygirl91
    @myprettygirl91 3 роки тому

    thank you! so helpful :)

  • @gachett2011
    @gachett2011 6 років тому

    Could NOT have had better timing! *clutch*

  • @HomeHome-he2xq
    @HomeHome-he2xq 4 роки тому

    Love ur work ! But this could have been more detailed and better . Many points are missing out....

    • @DirtyMedicine
      @DirtyMedicine  4 роки тому +4

      What would you have liked to be included that wasn't? Remember that my primary audience is medical students

    • @HomeHome-he2xq
      @HomeHome-he2xq 4 роки тому +1

      @@DirtyMedicine Thanks a lot for ur reply ! You could include the Cells that are defective ( eg B ,T or Both) , the organisms that cause infections in these , like some have viruses / fungi and other bacteria ! Just more details in an easy way. This is wonderful ,but just found it a bit concise. Thanks a ton & loads of love for ur vids :)

  • @vanshajchandra307
    @vanshajchandra307 4 роки тому +1

    Never thought Podrick from GOT would teach me immunology

  • @wicterwterr4245
    @wicterwterr4245 3 роки тому

    Very helpful

  • @kfabrice7479
    @kfabrice7479 4 роки тому

    Very clear

  • @FG-ng1cy
    @FG-ng1cy 6 років тому

    Hello.do u have a video about step 2 ck preparation?or could u give some advice regarding preparation.thank u.

  • @padmajahawaldar4319
    @padmajahawaldar4319 10 місяців тому

    Hey dirty whr r u mo updates no recent uploads why dear mentor

  • @elsecretopez
    @elsecretopez 5 років тому +3

    you have both lymphhistioCYTOSIS and panCYTOPENIA? :O

    • @lifes2short4aname
      @lifes2short4aname 4 роки тому

      Yaniv Hadi I read on wikipedia that it has “lymphoma-like syndrome, in which defective white blood cells divide uncontrollably and invade many of the body's organs. The accelerated phase is associated with fever, episodes of abnormal bleeding, overwhelming infections, and organ failure” but the histiocytosis part eludes me

  • @talash6
    @talash6 5 років тому

    can you make a video on electrolyte imbalance? please pplease please

  • @thepacemaker8165
    @thepacemaker8165 4 роки тому

    Awesome!

  • @musicfreakpolina
    @musicfreakpolina 2 роки тому +1

    If you can't remember Peyton Manning - CD18 because your umbilical cord is so late falling off that you're 18 years old by the time it does

  • @ibraheemalma
    @ibraheemalma 4 роки тому

    you are amazing

  • @bnfgh123
    @bnfgh123 4 роки тому +1

    OK, so now I know some awesome mnemonics, but if somebody asks me how any of the syndromes works, I still can't explain.

  • @jazzyvidzz4263
    @jazzyvidzz4263 2 роки тому

    Awsm

  • @GhostofAlanGrant
    @GhostofAlanGrant 6 років тому

    Hey what happened to your ovarian tumor video? I had that bookmarked to watch FML

    • @DirtyMedicine
      @DirtyMedicine  6 років тому

      still live. not sure what youre talking about my friend

  • @hema11901
    @hema11901 5 років тому

    Nice

  • @048mahamuuthafahima8
    @048mahamuuthafahima8 5 років тому

    Virat Kohli - Indian cricketer also has 18 number

  • @hilmaandriani8314
    @hilmaandriani8314 3 роки тому

    Hope that I can pass the exam

  • @realblackbetty2204
    @realblackbetty2204 6 років тому

    "fungus goes up your ass" hahahahahaha

  • @محمدتقينبيلظاهرحميدي

    Geniussss

  • @ooooooo4922
    @ooooooo4922 Рік тому

    I love you❤

  • @zeshan35
    @zeshan35 6 років тому

    awsome

  • @yousefibrahim8087
    @yousefibrahim8087 3 роки тому +1

    duro

  • @hotchocolatebrownie4397
    @hotchocolatebrownie4397 3 роки тому

    👍👍👍

  • @PH-xw1ri
    @PH-xw1ri 6 років тому +2

    Guys - donate if you can. I donated $25. Let’s all chip in - student loans or not.

  • @suomynonaanonymous
    @suomynonaanonymous 6 років тому

    yessssssss!

  • @jawadfarooq1
    @jawadfarooq1 4 роки тому

    love from pakistan

  • @UsmanSiddique-up5wk
    @UsmanSiddique-up5wk 6 місяців тому

    boss

  • @sudishamukherjee7945
    @sudishamukherjee7945 20 днів тому

    Gorgeous

  • @imatwat
    @imatwat 3 роки тому

    i love you

  • @nuevoamor_encristo
    @nuevoamor_encristo 6 років тому

    Ohhh dirty Reall Brilliant (Rb) lol lol thanks

  • @briansu6324
    @briansu6324 2 роки тому

    o7

  • @MEDICINA-xx5tt
    @MEDICINA-xx5tt 13 днів тому

    I love you dirty