High Yield Psychiatry Review for Step 2 CK & Shelf Exam

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  • Опубліковано 24 гру 2024

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  • @thefenerbahcesk4156
    @thefenerbahcesk4156 Рік тому +226

    Summary (1/2):
    NMS vs Serotonin Syndrome:
    - Serotonin Syndrome has myoclonus, both have febrile and rigidity
    - Look in the history. It helps a lot.
    SS Antidotes:
    - Benzos or cyproheptadine
    Tyramine Crisis:
    - MAOIs
    - Treat for hypertensive emergency
    o Nitroprusside, hydralazine, labetalol, etc.
    EPS symptoms of Antipsychotics:
    - Dystonia, Akathisia, Parkinsonism, Tardive Dyskinesia
    - Dystonia
    o Happens within hours, basically non-relaxing muscle spasms, usually affects the sternocleidomastoid (torticollis)
    o Treatment: Benztropine, diphenhydramine (Benadryl)
    - Akathisia
    o Feel like they have to keep moving, can’t sit still
    o Treatment: Benzos or beta blocker or benztropine
    - Parkinsonism
    o Tremor, Rigidity, Bradykinesia
    o Treatment: Amantadine, benztropine
    - Tardive Dyskinesia
    o Chronic, months or years after using antipsychotics, lip smacking.
    o Treatment: Discontinue antipsychotic, switch to clozapine, valbenazine
    Clozapine
    - With clozapine check for decreased white blood cells
    - Lowers suicide risk
    - Agranulocytosis, seizures
    Lithium
    - Most likely to decrease suicide risk
    - Lithium toxicity: hydrate, dialysis
    o Dialysis: AEIOU (acidosis, electrolytes, intoxicants, overload, uremia)
    o Dialyzable intoxicants: methanol, aspirin, lithium, ethylene glycol
    TCA Toxicity:
    - Antidote: sodium bicarbonate (the sodium is important, flushes out the TCA)
    Cocaine Overdose:
    - Treat with benzos (IV lorazepam)
    - Don’t give beta blockers
    Alcohol Withdrawal:
    - Treat with benzodiazepines
    - Alcoholic hallucinosis vs Delirium Tremens
    o Vitals are pretty stable with AH, but hypertension and tachycardia with DT
    o Hallucinosis occurs sooner
    PCP Overdose:
    - Treat: Benzos
    - Diagnosis: violence, psychosis, nystagmus, blood test will show elevated CPK
    o CPK is elevated in neuroleptic malignant syndrome as well
    Benzo Overdose:
    - Antidote: Flumazenil
    o Only for people who are not addicted to benzos (otherwise withdrawal)
    - Withdrawal: tachycardic, diaphoretic, hypertensive
    o Treat with benzodiazepines again and then taper slowly
    Opioid:
    - Overdose: Naloxone
    - Withdrawal: Supportive because not life threatening (clonidine)
    o Alcohol and benzodiazepines are withdrawal  status epilepticus and death
    Antipsychotic Pathways:
    - Mesolimbic: positive symptoms
    - Mesocortical: negative symptoms
    - Tuberoinfundibular: prolactin (antipsychotic blocks dopamine, increase prolactin)
    o Risperidone
    - Nigrostriatal: parkinsonism
    Schizophrenia:
    - Good prognosis: late onset, female, fast onset
    - Bad prognosis: early onset, male, slow onset
    First Generation Antipsychotics:
    - High Potency: Haloperidol, fluphenazine
    o Side effects: EPS
    - Low potency: chlorpromazine, chlorprothixene, thioridazine
    o Side effects: HAM Block (antihistamine, alpha 1 blockade, anti-muscarinic)
     Anti-alpha predisposes to orthostatic hypertension
     Anti-muscarinic and antihistamine can be sedating
    Second Generation Antipsychotics:
    - Side effects: metabolic syndrome (hyperlipidemia, hyperglycemia, obesity)
    - Olanzapine: most likely to cause metabolic syndrome
    o Check glucose, lipids
    Schizoaffective Disorder:
    - If baseline is schizophrenia, then schizoaffective. If baseline is depression, then MDD with psychotic features
    o Periods of time without depression or mania but still schizophrenic = schizoaffective
    - Treatment: second gen antipsychotics or mood stabilizers (valproate, carbamazepine)
    Delusional Disorder:
    - At least one month of delusions (no other schizophrenia symptoms), function normally
    Prognosis:
    - Mood disorders have better prognosis than psychotic.
    Bipolar:
    - Mania requires hospitalization, at least 3 DIGFAST for at least one week
    - Hypomania no hospitalization, can have 4 DIGFAST but no hospitalization
    TCAs:
    - HAM blockade and three Cs (cardiotoxicity (long QT and arrythmias), convulsions, coma)
    Serotonin Syndrome:
    - Typical vignette: stop SSRI for like a week and then start MAOI right away
    - When you stop SSRIs it takes a few weeks to wash out serotonin before starting another one
    Antidepressants:
    - Take 4-6 weeks to start work
    - Should take for at least 6-9 months
    - Side effects but working: different SSRI in same class
    - Not working at all: switch drug classes
    ECT:
    - Patient who will not eat or drink, high suicide risk, psychosis
    - Side effect: amnesia for around 6 months which will resolve
    Catatonia and Catalepsy:
    - Can be antipsychotic induced
    - Treatment: benzodiazepine (specifically lorazepam)

    • @osamashabbir7851
      @osamashabbir7851 Рік тому

      Thankyou!!

    • @softbee8265
      @softbee8265 Рік тому +1

      THANK YOU! Do you happen to have part 2/2? Would really appreciate it!

    • @yusameen90
      @yusameen90 Рік тому

      any luck getting part 2 of the summary @@softbee8265

    • @yusameen90
      @yusameen90 Рік тому +1

      hey, do u have part 2 of the summary. thanks

    • @yusameen90
      @yusameen90 Рік тому

      @thefenerbahcesk4156 summary part 2?

  • @Xavieous1
    @Xavieous1 4 роки тому +57

    Recommended this to our study advisor and now she email blasts 160+ students recommending they watch your videos before Shelf exams. Great stuff.

  • @ravenmcmillin9533
    @ravenmcmillin9533 2 роки тому +54

    1st line treatment of chronic persistent Restless Leg Syndrome is now Gabapentin (and the others in that class). The dopamine agonists are now 2nd line

  • @RachelSouthard
    @RachelSouthard 2 роки тому +36

    Bless your soul for these videos. Thank you thank you THANK YOU x10000000000

    • @RachelSouthard
      @RachelSouthard 2 роки тому +6

      not me coming back again before step 2 :'-) Thank you x10000000000000000000000000000000~

  • @Imawindybreeze
    @Imawindybreeze 4 роки тому +445

    Let me know if you ever need a kidney

  • @erimauza13
    @erimauza13 4 роки тому +45

    omg! This is amazing review for Psych. I just did 3 blocks of UW and got 70, 80, 80!!!! Right on! Thank you :)

  • @annagradyable
    @annagradyable 2 роки тому +8

    ✿Updated treatment for restless leg syndrome: alpha-2- delta calcium channel ligands aka Gabapentin, Pregabalin
    ✿ Second line treatment for RLS: ropinerole and pramipexole

    • @thesneakygamer4343
      @thesneakygamer4343 2 роки тому

      I think Benzo's are second line now right? I don't think ropinerole or pramipexole are recommended at all now

  • @gagepowell6755
    @gagepowell6755 4 роки тому +62

    Watching your videos the night before my shelves make all the difference! Thanks for teaching all of us :)

  • @digitiminimi5730
    @digitiminimi5730 2 роки тому +59

    Thank you so much for everything Dr. hy 🙏🏽🙏🏽🙏🏽
    A little reminder for new treatment of restless leg syndrome based on uw:
    Supplemental iron (if serum ferritin

  • @kromatic3610
    @kromatic3610 4 роки тому +21

    You are the HY Goljan for Clinicals. Thanks, Dr. HY!

  • @ramish1995
    @ramish1995 2 роки тому +7

    Your videos are amazing! Really Helpful! Thank you SO MUCH!
    One thing I noted for Restless leg syndrome treatment Dopamine agonists (eg, pramipexole, ropinirole) not preferred. Rather treat with :
    Supplemental iron (if serum ferritin

  • @aishakhan8401
    @aishakhan8401 9 місяців тому

    Amazing content, great review! Thank you so much. Just wanted to add an edit in there about the new guidelines for Restless leg syndrome: 1ST line= alpha-2-delta ligands (GABAPENTIN, PREGABALIN). 2nd line= Low-dose non ergot dopamine agonists (Ropinrole or pramixpexole)

  • @factscrub3755
    @factscrub3755 4 роки тому +48

    I wish u were my roommate during medschool

  • @mariaceciliaabreu8165
    @mariaceciliaabreu8165 6 місяців тому +3

    Note for people watching this video:
    Vaginismus is now called Genito-Pelvic Pain/Penetration Disorder
    - severe vulvovaginal or pelvic pain during intercourse or attempted penetation
    - severe anticipatory anxiety
    - severe tightening of pelvic floor muscles during attempted penetration
    cannot be better explained by: severe stress (eg partner violence), meds or substances, or med conditions
    first line: pelvic floor physical therapy

  • @leviharris3152
    @leviharris3152 4 роки тому +3

    Correct me if I'm wrong, but around 28:00 when you begin talking about APD vs SAD, I've found the difference to be more in how the patient sees themself being judged. Social anxiety disorder patients do not think they are inferior to others but are afraid of inappropriate judgment or making a mistake. Avoidant personality disorder patients on the other hand think they are inadequate and feel helpless. The difference concerning their wants to have a social life is a contrast between avoidant personality disorder and schizoid PD. I had a question on AMBOSS between these two and remembered this rationale for the correct answer.

  • @The_Kirk_Lazarus
    @The_Kirk_Lazarus 4 роки тому +15

    I'm surprised you don't have more followers. This is great review information. You've been super helpful for my previous shelf exams.

  • @lawyerdoctor
    @lawyerdoctor 3 роки тому +7

    Your IM shelf was on point. I had three questions based on your video,!

  • @MrDarklord91
    @MrDarklord91 2 роки тому +3

    Bro please keep making these videos...i am taking step2ck in 3 days it really helps

  • @DrDeusExMachina
    @DrDeusExMachina 2 роки тому +2

    PMDD is different from PMS which is different from Primary Dysmenorrhea. They are 3 distinct entities. Only primary dysmenorrhea happens during menstruation. PMS can have mood sx, but they are not as severe or as depressive as experienced during PMDD.

  • @nataliapapp380
    @nataliapapp380 4 роки тому +13

    Thanks for very comprehensive review :D
    I think another difference b/w NMS and SS is:
    Neuroleptic malignant syndrome has characteristic muscle rigidity, while in serotonin syndrome its absent

  • @abdullahiabdullahi.1672
    @abdullahiabdullahi.1672 5 років тому +8

    Yes. Our legend did finally came back. Thank you God for giving us this doctor.

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +3

      Abdullahi Abdullahi. The man the myth the legend. JK. 😅

    • @ismailismail-zy1hs
      @ismailismail-zy1hs 4 роки тому

      Abdullahi do not thank God for them, psychs do not believe in God thats why everything about religion to them they will say its a mental illness, delusional, incoherent thinking etc etc.

  • @raveenakelkar2657
    @raveenakelkar2657 5 років тому +41

    These are really very helpful videos. Wondering if you could make one on EKGs , CTs , EEGs and X-rays separately. Especially on how to read EKGs on the 2Ck test

  • @ruiminhuang6661
    @ruiminhuang6661 5 років тому +6

    This is the best review I have ever seen.I even wrote some down as notes for study.Thank you!

  • @amyamelie7
    @amyamelie7 5 років тому +5

    You’re amazing please please keeps up the videos ! I’ve been sharing non stop !

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому

      amy amelie ok haha I will upload the other ones too, glad I could help

  • @yogawithhelly
    @yogawithhelly 4 роки тому +6

    Thank you so much for these videos. I watched them all and succeeded on my shelf exams. You are amazing!

  • @mohadesegolsorkhi6249
    @mohadesegolsorkhi6249 2 роки тому +1

    Thank you! I have my exam in two days and this video helped me a lllllllllllllllot!! Wish me luck guyz :)

  • @whitefro024
    @whitefro024 3 роки тому +5

    In SS vs NMS, hyperreflexia with SS is also a dead giveaway.

  • @rachellevangelistasimo9897
    @rachellevangelistasimo9897 Рік тому +1

    Thank you so much Dr. HY for all your help, you are truly a blessing!

  • @1024specialkay
    @1024specialkay 5 років тому +16

    just found you and having my psych shelf tomorrow, this is so helpful!

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +1

      Hope it went well!

    • @angiemlopez5
      @angiemlopez5 3 роки тому +1

      Studying for my psych shelf and I was happy to find a familiar name endorsing the quality of this review!

  • @droma51090
    @droma51090 11 місяців тому

    This is great. Is everything still up to date four years later?

  • @nadinerashed9480
    @nadinerashed9480 8 місяців тому +1

    thank you so much!! please don't forget to repeat answers from the audience because it can be hard to hear them

  • @jacobdavis3225
    @jacobdavis3225 2 роки тому

    Watching all these videos again day before level 2 thanks!

  • @chelsycalhoun4422
    @chelsycalhoun4422 5 років тому +15

    Your amazinggg!! Love that your straight to the point and cover so much! 😭 Thank you!!

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +1

      Chelsy Calhoun no problem!! Wishing you All the best

    • @chelsycalhoun4422
      @chelsycalhoun4422 5 років тому +2

      @@DoctorHighYieldMD I literally heard your voice during my exam😂. I think it went well!!

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +1

      Chelsy Calhoun hahah nice!! 😝

  • @1hrchallenge
    @1hrchallenge Місяць тому

    Loved the review, thank you!

  • @panktiparikh9560
    @panktiparikh9560 4 місяці тому

    Thank you so much, you're literally so amazing!! Really appreciate everything you do!

  • @horschiday9449
    @horschiday9449 2 роки тому

    Treatment for opioid withdrawal is methadone/buprenorphine in addition to supportive.

  • @elweshomayor
    @elweshomayor 11 місяців тому +1

    This one is great. Wish it it was redone to include more personality disorders from clusters ABC. It's also hard to hear the people in the back when they answer. otherwise I love your videos!

  • @nayabjamal6940
    @nayabjamal6940 5 років тому +17

    wow keep it up
    we need more of these please.

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +3

      There's more coming soon, I just gotta upload them haha

  • @kevinmeek
    @kevinmeek 2 роки тому +2

    Hey you dropped this 👑

  • @maryc5905
    @maryc5905 3 роки тому +5

    this is ridiculously helpful and HY!! very succinct without fluff. thank you!!

  • @shubhangkulkarni5804
    @shubhangkulkarni5804 4 роки тому +6

    Thanks for fantastic series. It helped me a lot to pass MCCQE1 ( Canada exam) effortlessly. Massive thanks !

  • @drpods
    @drpods Рік тому +1

    Do you have a review for Social Sciences please? quality ethics?

  • @EglenceKackn
    @EglenceKackn 2 роки тому +1

    First-line for restless leg syndrome is not dopamine agonists

  • @DoctaPanda82
    @DoctaPanda82 3 роки тому +1

    For IBS, TCAs are used rather than SSRIs

  • @JeremiahAlmeida-zl7bu
    @JeremiahAlmeida-zl7bu 4 місяці тому

    Also antihistamine effect of low potency 1st gen antipsychotics causes increased appeptite

  • @imjustlivinglife1747
    @imjustlivinglife1747 3 роки тому +2

    I'm dying every time you say benzo and a picture of a sls pops up

  • @Lishawarrior2014
    @Lishawarrior2014 3 роки тому

    Wohoo ! Just finished my psych review with ur fabulous lecture! Gracious!

  • @gaurisingh6133
    @gaurisingh6133 5 років тому +2

    Awesome ! Please upload soon

  • @alyssazarkhzong
    @alyssazarkhzong 3 роки тому +1

    Thank you so much! My psych shelf is on Friday and this was super helpful :)

  • @HeyDoctorHelene
    @HeyDoctorHelene 5 років тому +4

    Loving your vids! Perfect review since I take CK Monday🙌🏾

    • @mychannel-fy3tf
      @mychannel-fy3tf 5 років тому

      Hey Doctor Helene how did it go? I’m about to take it.

  • @namanbaraya6615
    @namanbaraya6615 4 місяці тому

    God bless you doc you're amazing!!

  • @rachelcarrasquillo283
    @rachelcarrasquillo283 Рік тому +1

    there is nystagmus in alcohol intox?

  • @MerlyCosta
    @MerlyCosta 9 місяців тому

    I don't quite understand what the other people are saying. It would be great if you could put some subtitles. Great stuff. Thank you!

  • @medstudenthelp4635
    @medstudenthelp4635 3 роки тому +1

    This is the most useful video ever, thank you very much for sharing this

  • @miriamnji1525
    @miriamnji1525 2 роки тому

    7:23 what is CPK? He mentioned it is positive for PCP intoxication.

    • @abhishekvsmalyala
      @abhishekvsmalyala 2 роки тому

      Serum Creatinine Kinase/ also called as serum Creatinine Phospho Kinase (CPK)

  • @nadiaaddasi
    @nadiaaddasi Рік тому +4

    Some corrections. Short term psychotic disorders by definition have better prognoses than many chronic MI, mood or otherwise, because they resolve in

  • @cbort8223
    @cbort8223 4 роки тому +1

    Sodium Oxybate is first line for narcolepsy, helps with their sleep quality I believe

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 роки тому +5

      Classic answer for the boards for narcolepsy will be modafinil.

  • @manasas3192
    @manasas3192 3 роки тому +4

    You are a USMLE GOD !! god bless you, thank you for all the amazing ,super helpful videos! :)

    • @randmh3643
      @randmh3643 2 роки тому

      how can you compare God to a human

  • @educationaccount3799
    @educationaccount3799 3 роки тому +1

    is there a way to distinguish between atypical depression and grief? since atypical has mood reactivity.

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  3 роки тому +2

      The way I remembered it was that grief usually has ups and downs. The patient is functioning. Grief comes in waves. Depression is constant and associated with feelings of worthlessness.

  • @aleksg.5212
    @aleksg.5212 3 роки тому

    I'm soooo grateful to you for all these HY videos - THANK YOU!!

  • @morganmackey3405
    @morganmackey3405 4 роки тому +2

    Pre-menstrual dysphoric disorder is NOT the medical word for PMS. These are totally separate, and PMDD is a medical diagnosis that severely impacts patient lives.

  • @highyields
    @highyields 2 роки тому

    I work across the street from you! Hope to see you around town/in the hospital ;)

  • @spardeepman1
    @spardeepman1 5 років тому +4

    Opioid withdrawal treatment you said Clonidine but i’ve seen Methadone as a more common option. Also UTD gives buprenorphine as the best first line.

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +7

      Pardeep Singh depends on the severity. The problem with making a 1 hour high yield video is I can't include everything and go into super details otherwise it will take much longer. my source was first aid psychiatry and for severe SX eg severe vomiting and diarrhea or unstable vitals then you can use buprenorphine or methadone. More commonly though it is just supportive care and on top of that clonidine can be used. Hope that helps

  • @attentional_blinks
    @attentional_blinks Рік тому

    ECT - add safe in pregnancy

  • @simina2138
    @simina2138 3 роки тому

    The GOAT does it again!

  • @EglenceKackn
    @EglenceKackn 2 роки тому +1

    Modafinil is not an orexin agonist.

    • @Galen-mh8tr
      @Galen-mh8tr 4 місяці тому

      it has a bunch of actions but in terms of its effectiveness in promoting wakefulness is its activation of orexin neurons in the lateral hypothalamus

  • @shailidixit_
    @shailidixit_ 3 роки тому

    Always so helpful! Love your videos!

  • @Elizabeth-eg8lv
    @Elizabeth-eg8lv 5 років тому +1

    Great reviews! Thanks for creating/posting

  • @mychannel-fy3tf
    @mychannel-fy3tf 5 років тому

    Sorry another question. For pms is the treatment OCP not NSAID? I didn’t hear the answer at the end. I heard the nsaid answer/question, just not the one right before.
    Thanks!!

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +1

      a popular question is how to diagnose, and the answer will be keep a menstrual diary, if symptoms are difficult to control the tx is SSRI or OCP

  • @erikramos1972
    @erikramos1972 3 роки тому

    You are awesome! Thank you for the great review!

  • @drkhan5401
    @drkhan5401 3 роки тому

    Great video Doctor 👍 Thanks for this.
    From where I can get the pdf form of high yield notes of Psychiatry, neurology and psychology

  • @zSchreckensszene
    @zSchreckensszene 2 роки тому

    FM-Relevancy = 21:27 - 38:10

  • @DrAdnan
    @DrAdnan 4 роки тому +3

    Super helpful, thank you!

  • @bogota4475
    @bogota4475 Рік тому

    Thankful for your life

  • @sarahtedesco8034
    @sarahtedesco8034 4 роки тому +2

    @ 42:11 you lost me what you were asking for first line treatment and you were talking about ADH agonists/antagonists .. don't know for what. all I heard was "ur-an-alarm" LOL

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 роки тому

      Sarah Tedesco urine alarm - it's a sensor on the bed that detects urine. It wakes the kid up so that they can get to the toilet to finish peeing

  • @brodz520
    @brodz520 8 місяців тому

    Is it orlistat second line tx ?

  • @randyaparcana3809
    @randyaparcana3809 2 роки тому

    Amazing videos!!! Do you have any book for step 3? or which is the most helpful for step 3?

  • @JW-lt3tb
    @JW-lt3tb 4 роки тому

    Do you have PPTs or word Document type notes for these videos?! they are amazing!!

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 роки тому +1

      Finalizing them, been behind but hopefully soon!

    • @JW-lt3tb
      @JW-lt3tb 4 роки тому

      @@DoctorHighYieldMD I can only imagine with all of this right now! Applying this year is gonna be wild..

  • @DavidFiveThirteen
    @DavidFiveThirteen 4 роки тому +2

    Oh noooo you use a Mercedes-Benz symbol for benzodiazepines but Sketchy uses a Mercedes-Benz symbol for benztropine!!! My brain!!!!!!! That aside, thanks for another kickass review :) :) :)
    EDIT: just realized that your DIGFAST @ 17:07 is similar but not quite the same as what I learned in school/through Amboss: Distractibility, Impulsivity, Grandiosity, Flight (flight of ideas), Activity (psychomotor hyperactivity), Sleep (sleep deficit), Talk (pressured speech)

  • @fbarielnh
    @fbarielnh 4 роки тому

    @17:45 or so, you mention hypomania but "Mania= 4+" shows up on the screen

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 роки тому +1

      Ariel Halevy oh yes thanks for that, definitely a typo. It should say hypomania.

    • @fbarielnh
      @fbarielnh 4 роки тому

      @@DoctorHighYieldMD This video was GOLD

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 роки тому

      Ariel Halevy 👌😊

  • @sharshal465
    @sharshal465 Рік тому +1

    thank you papa

  • @krishnav108
    @krishnav108 2 роки тому +2

    Thank you for this awesome review!! -- quick update: OCPs + lifestyle changes are now considered first line for PMDD; SSRIs are added either around menstruation or daily for severe PMDD

  • @wennadeng8119
    @wennadeng8119 4 роки тому +1

    amazing, so helpful, and engaging!! thanks so much :)

  • @mychannel-fy3tf
    @mychannel-fy3tf 5 років тому +1

    Around 32 naltrexone for alcohol?

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +1

      you can use naltrexone or acamprosate for alcohol use disorder tx

  • @amanydubai7880
    @amanydubai7880 4 роки тому

    The videos contents do you have it written as pdf or word document, so you can upload it as well along with the videos?

  • @socceratesmedicine
    @socceratesmedicine Рік тому

    high yield shelf reviews...updated on my channel. Here is a link to the high yield Emergency Medicine Shelf Playlist: ua-cam.com/video/o21iBZxlo_M/v-deo.html

  • @mostafaalatweh4850
    @mostafaalatweh4850 4 роки тому

    Thank you so much doctor...that’s really really fantastic...God blessings brother.

  • @TheJuventony
    @TheJuventony 3 роки тому

    That’s amazing!
    Thank you!

  • @mohammadmanasrah1254
    @mohammadmanasrah1254 3 роки тому

    thannks so much , that was really helpful

  • @psychiatryandwellnesswitht8474
    @psychiatryandwellnesswitht8474 5 років тому

    Great Job Doctor
    All your videos are very useful.

  • @80amles
    @80amles 4 роки тому +5

    Good Job! You get a thumbs up just for having a dip set interlude at the beginning of your video. Good information Keep it up!!

    • @PaLaa
      @PaLaa 3 роки тому

      haha I'm so glad someone mentioned this. Love it.

  • @AntonioRaimundi
    @AntonioRaimundi 5 років тому

    Thanks for this video. Love the way you go through topics. Keep it up. :)

  • @abdullahiabdullahi.1672
    @abdullahiabdullahi.1672 5 років тому +2

    Bro, May I get your permission to share your videos on FB step 2 groups

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 років тому +1

      Hey thanks for your kind words. Of course, feel free to share with your study group!

  • @abnoosmoslehshirazi8948
    @abnoosmoslehshirazi8948 3 роки тому

    you really helped me so much!!!

  • @menekse3194
    @menekse3194 19 днів тому

    extremely helpful

  • @suomynonaanonymous
    @suomynonaanonymous 5 років тому +3

    Loved this !

  • @atifbhore7740
    @atifbhore7740 3 роки тому

    @33:02 Could you please tell me exactly what you said after background?

    • @KicksKapri
      @KicksKapri 4 місяці тому

      Diffuse background slowing

  • @cbort8223
    @cbort8223 4 роки тому

    What song is that in the beginning!!!

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 роки тому +1

      soundcloud.com/steven_v/camron-ft-the-diplomats-hey-ma-remix-yaow-sun-flip

    • @cbort8223
      @cbort8223 4 роки тому

      Doctor High Yield, MD thank you very much, worth the wait!

  • @keshvichauhan6804
    @keshvichauhan6804 4 роки тому

    Great video.. why were the girls laughing though? Curious

  • @MrGreed2000
    @MrGreed2000 5 років тому +1

    High quality review!