Highest Yield Drugs for USMLE

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  • Опубліковано 12 жов 2016
  • ​​SUPPORT/JOIN THE CHANNEL: / @dirtymedicine
    My goal is to reduce educational disparities by making education FREE.
    These videos help you score extra points on medical school exams (USMLE, COMLEX, etc.)
    For educational purposes only; NOT medical or other advice.
    Some videos contain mild profanity and hyperbole solely used to assist with memorization. Viewer discretion advised.
    Opinions are entirely my own.
  • Наука та технологія

КОМЕНТАРІ • 169

  • @DirtyMedicine
    @DirtyMedicine  6 років тому +384

    Correction: Red Man Syndrome is treated with anti-histamines.

    • @derrickcleland3181
      @derrickcleland3181 6 років тому +31

      Also, G6PD deficiencies have a negative Coombs test. You said they were positive in your vid, in regards to isoniazid.

    • @AznCoolDragon
      @AznCoolDragon 5 років тому +3

      For drug induced lupus, how about HIP Mums are Qute (for cute) when STONED on weed, lol

    • @doctorsmart936
      @doctorsmart936 5 років тому +9

      Please...please...p450 mnemonic

    • @HT.100
      @HT.100 5 років тому

      And vancomycin

    • @restinginn9906
      @restinginn9906 4 роки тому +6

      Correct, and SLOW INFUSION of vancomycin can prevent red man syndrome

  • @Reynosorex
    @Reynosorex 4 роки тому +10

    To this UA-camr and all the people with their helpful comments, I sincerely Thank You.

    • @DirtyMedicine
      @DirtyMedicine  4 роки тому +10

      that's what this channel is all about.. a community for people to help each other learn more

  • @pyrexcookin
    @pyrexcookin 3 роки тому +56

    For TB Treatment I expanded your mnemonic to RIPPER ONGLOW, the extra P and R representing Pyridoxine and Rifabutin. Those two line up with the L and W, respectively, to represent L=Lessen isoniazid's side effect (pyridoxine is simply b6 so you coadminister with isoniazid to lessen that b6 deficiency) and W=Weakened liver/immunity (rifabutin is given instead of rifampin in patients taking CYP450 liver metabolism-altering drugs - especially high yield for HIV patients due to protease inhibitor usage).

  • @Gymnopediea
    @Gymnopediea 6 років тому +13

    You make this so much more interesting. Definitely donating!

  • @rayblade6383
    @rayblade6383 6 років тому +6

    Your videos are amazing... You have a knack for teaching. Brilliant, seriously brilliant!

  • @yesihavequestions5752
    @yesihavequestions5752 Рік тому +23

    Pnemonic for remembering Lupus Drugs, Harry Potter Themed: Defense against the dark arts teacher DR LUPUS walks into the headmaster office after his LUPUS transformation. he says "Hi, Im Pretty Much Quitting" --> Hydralazine, Isoniazid, Procainamide, Methyldopa, Quinidine"
    Thank you Dirty Med for an AMAZING vid!

    • @earlkoh216
      @earlkoh216 Місяць тому +2

      Hi, rearranging the mnmo to Dr lupus saying: Hi I'm probably quitting meth.
      (It's easier to remember when the sound is identical eg, meth- methyldopa, rather than just the letters

  • @BK914
    @BK914 7 років тому +93

    Also for agranulocytosis Thionamides like PTU for treating hyperthyroidism. Thats another HY.

  • @Zain.Basi1
    @Zain.Basi1 7 років тому +3

    this channel needs wayyyyyy more attention
    God bless

  • @zakariyairfanullah4287
    @zakariyairfanullah4287 4 роки тому +4

    Hey man. Absolutely love your content and recommend it to everyone I know. You had a dope diabetes pharm video that I can’t seem to find anywhere. Really hope you could link me to it, or upload it again ASAP. Thanks!

  • @MA-fw8wg
    @MA-fw8wg 5 років тому +16

    could you make a part 2 for this video? It was very helpful!

  • @anniedatoo
    @anniedatoo 6 років тому +34

    I have my Step 1 in 15 days. I love your videos!!! Thank you!!! Keep making more!

    • @karataych0p
      @karataych0p 6 років тому +1

      Hope you destroyed it!!!

    • @doctorevil6768
      @doctorevil6768 5 років тому +4

      Omg I have mine in exactly 15 days, I’m sooo nervous

    • @Zain.Basi1
      @Zain.Basi1 5 років тому

      Doctor evil How did you do ??

    • @abdulrahman-ji5ye
      @abdulrahman-ji5ye 5 років тому +1

      A HAJI DATOO any suggestions . I will be appearing in 2 months

    • @user-jp7sc2vb9w
      @user-jp7sc2vb9w 5 років тому +1

      A HAJI DATOO - how'd it go? Hope you aced it!

  • @tejjoshi5250
    @tejjoshi5250 6 років тому +40

    Just an edit to the Class IC antiarrhythmics - they cause QRS prolongation but have no effect on the QT interval.

  • @catherweenie
    @catherweenie 7 років тому +50

    Don't know how I ended up here but I'm a pharmacy student and wanted to say that this video is great! The mnemonics were useful too.

  • @mominaafrede4335
    @mominaafrede4335 7 років тому

    wow! loved the video for step 1 pharm! which other videos of yours would you say are as high yield as this from your channel? thanks so much!!!

  • @mazeed9526
    @mazeed9526 4 роки тому +2

    no matter what first thing I do is pressing like button on your video n then start watching cuz I know its gonna be a great video .......

  • @billalahmed3719
    @billalahmed3719 5 років тому +15

    Excellent video! You mentioned how Isoniazid can trigger G6PD deficiency hemolysis, and you also mentioned that it might manifest with a positive coombs test, but I don't know if it would have a positive coombs test. My understanding is that isoniazid is causing oxidative stress that the G6PD-deficient RBC cannot handle (because it lacks glutathione) and will therefore hemolyse. This is different than a hemolytic anemia where there are antibodies against some antigen on the RBC (it is in this case where you'd get a positive coombs test).
    Let me know your thoughts!

  • @deathkissgoodbye
    @deathkissgoodbye 6 років тому +75

    Loop earrings = loop ototoxicity

  • @isag4913
    @isag4913 7 років тому +1

    Thank you! Really helpful for a quick review.

  • @redache467
    @redache467 3 роки тому +6

    Red man syndrome is also rarely caused by morphine. Both morphine and vancomycin do that by IgE-independent mast cell degranulation.

  • @caracara4478
    @caracara4478 6 років тому +2

    hi! keep up the good work
    please make a video on antibiotics( mech, adv effects, indications, route and drugs of choice in various infections)

  • @matthewl.4269
    @matthewl.4269 3 роки тому +2

    Super helpful video!
    Also, I'd recognize a Philly accent anywhere...are you from Philly?

  • @parvinmustafayev2004
    @parvinmustafayev2004 7 років тому +1

    Great Job! As well Your english is very understandable! Please keep it up !!!!

  • @stephanquintin7013
    @stephanquintin7013 2 роки тому +2

    Lupus inducing drug pneumonic: "Lupus at the IMP HQ" as in the "imp(demon fairy) head quarters" I just remember the imps from ruinscape. May be too niche but helps me.

  • @cr1538
    @cr1538 5 років тому +1

    This is amazing!! Thank you!!

  • @dr.poornaprajna
    @dr.poornaprajna 2 місяці тому

    7 years down the line... yeah you are still helpful! Thanks dirty!

  • @syrono
    @syrono 7 років тому +2

    Thank you Very much sir, helped alot

  • @hageraltaher281
    @hageraltaher281 3 роки тому

    You are amazing, thank you so much 💗

  • @niceangel9779
    @niceangel9779 4 роки тому +1

    du bist der Hammer buddy 👍👍👍💜

  • @thepacemaker8165
    @thepacemaker8165 4 роки тому

    Great work!!

  • @xeraxesmylio940
    @xeraxesmylio940 2 роки тому +1

    @7:42: Hydration Quietly Processes Ice into Meth, causing LUPUS
    May not be chemically true, but it helped me remember the agents of drug-induced lupus.

  • @kristinsyed6875
    @kristinsyed6875 6 років тому +1

    Great review! for redman syndrome give anti-histamines.

  • @WasabiSniffer
    @WasabiSniffer Місяць тому

    A bunch of started to link together for me. Thanks!

  • @t.w.8174
    @t.w.8174 5 років тому

    great video. thank you.

  • @annakoren1626
    @annakoren1626 2 роки тому +1

    Isoniazid causes the b6 deficiency which is a pathway needed for formation of protoporphyrin and that leads to sideroblastic anemia.

  • @nikakovach3991
    @nikakovach3991 5 місяців тому

    Thank you! Could you make a video about restriction fragment length polymorphism analysis? Pls!

  • @MA-fw8wg
    @MA-fw8wg 5 років тому

    AMAZING!!!!!! thanks

  • @ast1848
    @ast1848 7 років тому +5

    Great vid, liked the fb page as well!

    • @DirtyMedicine
      @DirtyMedicine  7 років тому +1

      Thanks, Ash!

    • @drkrunalpatelortho
      @drkrunalpatelortho 7 років тому

      DirtyUSMLE
      For drug induced lupus
      Think some Quin is taking drug and going to SLEep
      Quins HIP My Dickinson
      Quinine
      Hydralazine
      Isoniazide
      Procainamide
      Methyl dopamine
      Sickle is like stone so anti Histone abody

  • @pumpkinheadjrb
    @pumpkinheadjrb 3 роки тому +2

    Need a slide on CYP450 inducers and inhibitors! I get a question on that every 100 questions.

  • @davidszandzik9784
    @davidszandzik9784 7 років тому +16

    "Quin Proclaimed he IS stoned on hydra meth"

  • @path-etic
    @path-etic 6 років тому +5

    small correction: i believe vancomycin's red man syndrome is best managed with an antihistamine, not an NSAID.
    (But please lemme know if I'm wrong about this)
    thanks for all you do!

    • @MRSAXOBEAT1992
      @MRSAXOBEAT1992 6 років тому +4

      Yeah, I remember studying that as well, that for Vancomycin you give antihistamines, and for Niacin induced flushing you give NSAID's cause its Prostaglandin mediated

    • @onuhcynthia3758
      @onuhcynthia3758 2 роки тому

      @@MRSAXOBEAT1992 yes you are right, aspirin precisely is administered with Niacin.

    • @jillianjuson1289
      @jillianjuson1289 2 роки тому +1

      Antihistamine specifically diphenhydramine?

  • @Purpleporkypine
    @Purpleporkypine 3 роки тому +2

    Any change for updated version? :)

  • @athulya6613
    @athulya6613 6 років тому +1

    Can you prepare a video on anti cancer drugs. I find it very difficult to recollect

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

    Thank u.could u make video regarding psychiatric drugs.thank u

  • @WhyNot-si4pj
    @WhyNot-si4pj Рік тому

    9:43 Class Ic antiarrhythmic drugs do NOT block K+ channels or prolong the cardiac action potential along with the QT interval .

  • @WhyNot-si4pj
    @WhyNot-si4pj Рік тому

    10:19 Quinidine is more common to cause drug induced thrombocytopenia than hemolysis ; while DAPSONE causes hemolysis in G6PD patients

  • @nibajuste3311
    @nibajuste3311 2 роки тому

    macrolides prolong the QT interval except azithromycin

  • @monika246
    @monika246 5 років тому +1

    Your all the videos are high yield!!

  • @OneGirlRecipes
    @OneGirlRecipes 3 роки тому +6

    Is this still good to go for 2020? I'm taking step in a month lol

  • @ryankelly8077
    @ryankelly8077 4 роки тому +1

    You’re the man

  • @asdbabel9792
    @asdbabel9792 7 років тому

    excellent

  • @ericnguyen7927
    @ericnguyen7927 5 років тому +1

    Don't forget about Cyclosporine/Tacrolimus with nephrotoxicity!

  • @costia321
    @costia321 6 років тому

    what happened to your other pharmacology videos?

  • @phytx01
    @phytx01 2 роки тому

    writing articles and publishing them in a journal (is that what's included in research work please advise) is that a valuable asset to our cv for residency in highly competitive specialties? Please advise.

  • @pavelpavel6822
    @pavelpavel6822 3 роки тому

    Thanks

  • @Giantcrabz
    @Giantcrabz Місяць тому

    im a pharmacist and i take celebrex for years, and I didn't think of it for gastric ulcers. Brilliant. My brain no good after night shift 😅

  • @pinokosthewife
    @pinokosthewife 5 років тому

    Another good mnemonic: HMLN sounds like "pied piper of HMLN" (HaMeLiN?). It works, moms, pied pipers...

  • @Rena0530
    @Rena0530 3 роки тому +1

    First Aid 2021 has gout as adverse effect of Loop Diuretics, but it makes sense to me what you're saying - gout is an adverse effect of Thiazides because they decrease Ca excretion. Could you please clarify if gout shows up with Loop Diuretics? I see that you don't have gout as an adverse effect of Loop Diuretics here.

    • @alaads5944
      @alaads5944 Рік тому

      gout attacks are side effects of both drugs, as they both compete for secretion with uric acid , leading to it's accumulation -----> increased gout attacks

  • @tawfeekb24
    @tawfeekb24 Рік тому

    thank you king

  • @sarahc.1998
    @sarahc.1998 6 років тому

    Extremely helpful. I need help in biochemistry as well 😰😭😥

  • @lumbarspine4637
    @lumbarspine4637 7 років тому

    Super

  • @michaeltalamo1297
    @michaeltalamo1297 2 дні тому

    For the Drug Induced Lupus Drugs I think of a hunter with a drug-covered stone (His-stone) and remember "When you see a wolf (lupus), Quick (Quinidine) Men (Methyldopa) go for it's HIP (Hydralazine, Isoniazid, Proacainamide)" Hope that helps someone else!

  • @Sasukeloverxxx
    @Sasukeloverxxx 3 роки тому +1

    Literally JUST had a UW question with mesna

  • @paulrodriguez168
    @paulrodriguez168 Рік тому

    The two O's in oto-toxicity look like loops => loop diuretics

  • @MidnightMimosa1
    @MidnightMimosa1 3 роки тому +1

    + to the color drugs -> Yellow vision from digoxin toxicity

  • @emmanuelmeribole4104
    @emmanuelmeribole4104 2 роки тому +2

    Thank you so much for these videos … I just passed my step 1

    • @Lana-vh5kr
      @Lana-vh5kr 2 роки тому +1

      Congrats, Which other videos do you recommend watching?

    • @emmanuelmeribole4104
      @emmanuelmeribole4104 2 роки тому +1

      @@Lana-vh5kr I also used randy Neil to brush up biostats… and the review portion of FA.
      But dirty medicine helped me most..
      Even the biohacks for 260 videos

    • @Lana-vh5kr
      @Lana-vh5kr 2 роки тому

      Did you watch all of dirty medicine videos? Also can I ask you about what you thought about the exam, what didnyou feel they concentrated on the most?

    • @emmanuelmeribole4104
      @emmanuelmeribole4104 2 роки тому

      @@Lana-vh5kr I watched the topics I felt like I needed clarification on … because I was pressed for time.
      Every exam is different, mine was focused on pathology and drugs of abuse with about 2 questions on biostats per block

    • @Lana-vh5kr
      @Lana-vh5kr 2 роки тому

      Can I also ask how much you scored in NBMEs? I'm sorry for all the questions, I'm taking my exam soon and I'm so stressed

  • @Mo-ez3hs
    @Mo-ez3hs 3 роки тому

    all love

  • @Nita99999
    @Nita99999 6 років тому +1

    Vancomycin causes ototoxicity, quinidine causes cinchonism

  • @phuongpupa4734
    @phuongpupa4734 6 років тому

    thaibinh 20/6/2018

  • @ginidosi1
    @ginidosi1 2 роки тому +2

    my mnemonic for Rx induced SLE --> "stoned on HIP QUIck METH
    stoned= antihistone abs
    H= Hyydralazine
    I=Isonaizid
    P=Procainamide
    QUI= Quinidine
    METH= Methyldopa
    Hope this helps someone :)

  • @KnightMD
    @KnightMD 2 роки тому

    E-thambutol.....E-ye
    iNh..... Neuro
    Pyrazinamide... Gout (PG)

  • @kkalright
    @kkalright 7 років тому

    From what i learned Loop diuretics can also preceipitate gout

  • @Rena0530
    @Rena0530 3 роки тому

    Looks like Quinidine no longer is contraindicated with G6PD deficiency

  • @HusseinBerjaoui
    @HusseinBerjaoui 4 роки тому +17

    2019 and still as relevant

    • @pranuthiratna4722
      @pranuthiratna4722 3 роки тому +2

      Hussein Berjaoui 2020 and still as relevant 🐾

    • @HusseinBerjaoui
      @HusseinBerjaoui 3 роки тому

      @@pranuthiratna4722 Step 2 soon and maybe this is a sign that it's still as relevant haha

    • @Chelsea-gs7qj
      @Chelsea-gs7qj 3 роки тому +5

      2021 and still relevant

    • @Time2ChooseYou
      @Time2ChooseYou 2 роки тому

      Keeping this comment alive in 2022~ :D

    • @MostafaDawa
      @MostafaDawa 9 місяців тому

      2023 and still relevant

  • @tkhan2392
    @tkhan2392 6 років тому

    Please make a video on Chemotherapeutic drugs and their cancer/disease indication

  • @rheyanabranch
    @rheyanabranch 3 роки тому

    Drug induced lupus: I think of the lupus wolf. "My Happy Pup - Quit it"

  • @yevchornenkyy4805
    @yevchornenkyy4805 7 років тому

    Do you have print out books or is your information available in text format?

  • @makeupjunkie5066
    @makeupjunkie5066 4 роки тому

    I like "RIPE ONGO" mnemonic

  • @newmanlord7130
    @newmanlord7130 2 роки тому

    Then USLME is conducted chronic,prior.

  • @wasek152
    @wasek152 6 років тому +2

    class 1c causes QT or QRS prolongation, does it act on k channel?

    • @ariannealexander9175
      @ariannealexander9175 6 років тому

      class IC is a Na+ channel blocker

    • @ravisinha6776
      @ravisinha6776 5 років тому

      Yah Class 1C does NOT prolong QT As far as I remember. Out of the Anti-arrthymics, the ones that cause prolonged QT are Class 1A, and Class 3 ( which are K+ channel blockers ) with the EXCEPTION OF AMIODARONE. Class 1C is all about state dependence meaning when your heart rate starts to go up like during exercise, that's when Class 1C works - so it's state dependence and this will lead to a DELAYED depolarization at higher heart rates, but wont' do anything for the potassium channels in phase 3. And so it has strong SODIUM CHANNEL BLOCKAGE.

  • @jeremias3461
    @jeremias3461 6 років тому +11

    Can anyone confirm if 1c arrhythmics prolong QT? I thought it was just 1a

    • @muhammadsiddiqui8720
      @muhammadsiddiqui8720 5 років тому +1

      I would like a confirmation as well. Class Ic drugs are pure Na+ channel blockers so they would cause QRS prolongation, not QT prolongation.

    • @hira5108
      @hira5108 5 років тому +15

      1A significantly prolongs QT whereas 1C slights prolongs it mainly due to QRS widening (reference: uworld)

    • @onuhcynthia3758
      @onuhcynthia3758 2 роки тому

      @@muhammadsiddiqui8720 it’s actually a QT prolongation rather than a QRS prolongation. Class 1a and 1c does that.

    • @onuhcynthia3758
      @onuhcynthia3758 2 роки тому

      Sorry I made a mistake, it’s class 1a and class 3 that prolong QT, class 1c doesn’t.

  • @monika246
    @monika246 4 роки тому

    Thiazides causes hypercalcemia but it is also used in hypercalciuria right?explain please

    • @DirtyMedicine
      @DirtyMedicine  4 роки тому +1

      Thiazides cause hypercalcEMIA (emia = blood, so "too much calcium in the blood). HypercalciURIA (uria = urine, so "too much calcium in the urine) is a different entity entirely. The mechanism is inhibition of Na/Cl co-porter, which disrupts the membrane potential preventing Calcium from being excreted into the urine (so Calcium builds up in the blood).

  • @saeedabdulaziz5318
    @saeedabdulaziz5318 4 роки тому +1

    For drug induce lupus SHIPP My Queen ( sulfonamide, Hydralazine, Isoniazid, Proconamide, Phenytoin, Methyldopa, quinidine)

  • @junaidmushtaq9421
    @junaidmushtaq9421 4 роки тому +2

    very HY , IN last medical exam 5-6 questions appear from these HY points,,

  • @josephmeade7055
    @josephmeade7055 5 років тому

    Do we use Agatroban or Protamine Sulfate for heparin induced thrombocytopenia?

    • @FlawlessNJ
      @FlawlessNJ 5 років тому +1

      Agatroban or lipuridin for HIT, protamine sulfate is used in heparin OVERDOSE to reverse its effect NOT in HIT. Good luck!

    • @ravisinha6776
      @ravisinha6776 5 років тому +1

      @@FlawlessNJ I can totally see them asking this as a question as it might confuse students while in a TIMED mode

  • @j.s.6654
    @j.s.6654 5 років тому +1

    DANK. CERTIFIED HIGHEST OF HIGHEST YIELD

  • @camillococcia2706
    @camillococcia2706 2 місяці тому +1

    Eyethambutol!

  • @zho0616
    @zho0616 7 років тому +32

    10:49..isoniazid does ton of shit LOL

  • @alejan95dyna
    @alejan95dyna 7 років тому +24

    I need a cardiac function curve video explaining everything. i dont understand shit about it. please please PLEASE

  • @irfansonu2020
    @irfansonu2020 4 роки тому +1

    Which book should I read for pharmacology

    • @AhmedMohamed-zi9mn
      @AhmedMohamed-zi9mn 4 роки тому

      Lippicoat pharmacology

    • @zuhairyassin505
      @zuhairyassin505 4 роки тому

      tripathi you can never go wrong with it has the pathophysiology and medical pharmacology

  • @HT.100
    @HT.100 5 років тому

    I thought you were going to tell us about some legal, effective nootropics

  • @mourilshah2054
    @mourilshah2054 4 роки тому +1

    For Anti Tb drugs
    Rifampin - Red-orange secretions
    First letters
    Isoniazid - causes hepatitis increases ALT and AST and B6 is an important cofactor for those so B6 is deficient and leads to neurological symptoms along with sideroblastic anemia
    Pyrazinamide - Weak acid , so competes with gout for tubular secretion leading to hyperuricemia worsening Gout
    E (ye)thambutol - optic neuritis

  • @rooneynguyen2967
    @rooneynguyen2967 5 років тому

    Dude ur fucking awesome

  • @idocasifali
    @idocasifali 6 років тому +1

    Fabolous

  • @Be1smaht
    @Be1smaht Рік тому

    Siadh is treated by thiazides

  • @redache467
    @redache467 3 роки тому

    I love you

  • @KatherineSinahon
    @KatherineSinahon Рік тому

    Thiazide : HyperGLUC
    Loop : HyperGLU

  • @rickypen
    @rickypen 2 роки тому

    Marry me
    edit: accidently posted this in the video YT automated after lol in case u saw it there

  • @katrinapastrana3953
    @katrinapastrana3953 5 років тому

    Drug induced lupus: QUIN IS HYDing PROCessed METH.

  • @MLife1000
    @MLife1000 3 роки тому

    Making it too easy!

  • @user-rr6ne5lj7n
    @user-rr6ne5lj7n 4 місяці тому

    love your videos, hate the way you say orange