Emma Holliday Surgery W/ Her PP Slides | High-Yield USMLE Step | Shelf Exam | PP Download Link Below
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- Опубліковано 29 лис 2024
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@50:00- according uworld question 104497 and 104520 massive volume resuscitation should limit crystalloid use to 1L and then blood products should be given in a 1:1:1 fashion.
Other oral agents or GLP-1 receptor agonists - GLP-1 receptor agonists and oral diabetes medications other than SGLT2 inhibitors should be withheld starting on the morning of scheduled surgery for the reasons stated below:
•Metformin is contraindicated in conditions that increase the risk of renal hypoperfusion, lactate accumulation, and tissue hypoxia.
•Sulfonylureas and meglitinides can cause hypoglycemia.
•Thiazolidinediones may worsen fluid retention and peripheral edema and could precipitate congestive heart failure.
•Dipeptidyl peptidase 4 (DPP-4) inhibitors and GLP-1 receptor agonists could alter gastrointestinal motility and worsen the postoperative state. Since DPP-4 inhibitors are generally considered not to increase the risk of hypoglycemia, some experts continue DPP-4 inhibitors on the day of surgery [36,37] uptodate
Dr Watson the goat no cap
According to Uworld, you want an abdominal CT for appendicitis
UTD agrees, I think this is a little different in pediatrics where you can consider an U/S, but that needs confirmation too
@@NickzAndMikz ^ I agree, I believe exam questions look for U/S in initial diagnostics for pregnant and pediatric patients first with confirmation with CT
really lovely resource, so thankful for all of the effort that went into making this
Hey guys! PP link below. I streamed this one day while I was studying and thought, "hey, other students would probably like this". I tried to show the slide after said the answer since I always loved how she made it interactive, but I know I was not perfect with the timing. Sorry about that! Let me know if you want an upload a perfectly timed video, what kind of videos you want in the future, updates to the lecture, and whatever else you want to talk about.
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Errata:
Thanks for uploading this! It's very helpful
6:11 Step 2 / Level 2 might ask about the Revised Cardiac Risk Index (RCRI) instead of Goldman’s Index in newer questions. I’ve been asked about both in UWorld and TrueLearn, but just a heads up!
Pancoast tumor / superior sulcus syndrome more common in NSCLC than small cell; apparently SCC was traditionally the most common, but recent reports show that adenocarcinoma is the predominant histological subtype.
24:56 NBME practice test 8 says you should give 3% saline for a patient whose sodium dropped from 135 to 128 who is not symptomatic.
Thanks for ruining a practice test for everyone
@@CultureBurritoI get what you’re saying but really you could have stopped reading after the first 3 words of it was that important to you
So now I'm the problem?
@@CultureBurrito stop being the problem.
@@CultureBurrito don't be an online troll...... I agree you should have stopped reading if was that deep to you. we need more positivity in this world especially if you're going into healthcare smh
1:37:46 Trousseau sign's is the BP cuff wrist flexion from hypocalcemia. Slide should say Trousseau SYNDROME
a lot of these topics werent even on uworld
Do you have part 2 video?
compartment syndrome the measured delta pressure is LESS than 30 mmHg
yeah for delta, but >30-40 mmHg by itself is compartment syndrome. Delta is diastolic minus this pressure i believe, which if
blunt abdominal trauma + stable next step FAST (if not peritonitic) - world algorithm
God bless u
1:17:04
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29:38
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you’re pretty
bro this is 240p what can you even discern
@@leoi2354 lmao
@@leoi2354 i can tell that she’s attractive you virgins….. you and your bf below 😂
@@leoi2354you can discern that she is a QT. Good slides too