Correct me if I am mistaken. Shiny skin/ hairless skin is seen with PAD. Venous stasis will likely also have accompanying stasis dermatitis which presents with hyperpigmentation and thickening of the skin.
March 2021 Lung cancer screening recommendation: "The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery."
1:50:00- Aortic dissection unstable pt trans-esophageal not transthoracic : UWORLD POINT...if I'm wrong please correct me. Your videos are very helpful Mr. Divine Thank you.
Helpful review. Thank you! @15:40 please correct me if I’m wrong. I think shiny skin with loss of hair is arterial insufficiency while skin discoloration is venous insufficiency.
- NSAIDs (except aspirin) and corticosteroids are typically avoided due to impairment of collagen deposition and increased risk of post-MI complications like ventricular wall rupture (versus Dressler syndrome
God bless you ; correction ; HUS due to endothelial injury by toxins of E-coli or shigella leading to wide spread thrombi formation TTP = deficiency of ADAMTS-13😇
Is gastrogaffin *enema* the dx of choice for Boerhaave? I would think a gastrogaffin esophagogram would be more appropriate. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-Vx39Q5ZC7VQ.html
I really really appreciate all your effort. Thank you. 1:16:98, 1:17:10, 1:17:44, 1:20:00 , 1:42:55 ,1:51:49, 1:54:00~ breast HY,hernia~~ to the end / Q28~33,+ all the MSK, neuro // diverticulosis Dx : barium enema or CT, Thumbprinting sign on XR of Acute bowel infarction , Burn pts ->PPI ppx for stress ulcer
6 P's rather- and although yes, they ARE for neurovascular assessment of limb ischemia in an acute setting, you will find in the literature that they are not clinically reliable and may manifest only in the late stages of a compartment syndrome- so in effect, most ortho's refer to them as such; i guess one could say they are essentially interchangeable in this context. Divine know's what he's doing :p
My understanding is that the 5 Ps are also found in compartment syndrome because it leads to the same physiology as acute limb ischemia. The high pressures hinder 1st the venous then arterial perfusion of the limb so the symptoms are the same.
Around minute 8 mark, he talks about IE and S. gallolyticus being a part of step viridans. S. gallolyticus is actually associated with colon cancer/hepatobiliary disease as a heads up! Don't know if someone mentioned this or he corrected himself. He did not mention S. sanguinis as a part of step viridans group and I have seen this come up a bit
HTN is biggest risk factor for stroke and Aortic Dissection. Smoking and HTN are both modifiable risks for CAD/Atherosclerosis. If they give you an option between smoking and HTN re: biggest risk factor for CAD; pick smoking.
@@user-ko4uc9nz9w , thank you ! I listened to his RU-vid lectures without headphones and never had a problem until now. I took your advice, used headphones and it worked.
I wish I knew this for my step 2 ck...well, question 8 can also be paralytic ileus? failure of bowel movement after surgery? can anyone please clear this doubt. thanks.
Patient’s who have chronic steroid use and undergo surgery are at risk of an adrenal crisis from the adrenal insufficiency caused by the steroid use. They are unable to amount an adequate response to stress and thus have hypotension, hyperkalemia, hyponatremia, and hypoglycemia. Stress in general is a precipitating factor for adrenal crisis in these patients but that also applies for the post-op period and GI illnesses. I hope that helped.
Dude spends 50% of the time advertising his upcoming seminars/lectures and tutoring session the he actually teaches in his podcast. I listened a bit then gave up cos he plays too much being repetitive. He sells his content more than teaching and then dives into religious stuff. There is an avenue for everything. Instead of teaching he’s talking about Bible life lessons. The Bible you wrote? C’mon man.