Didn't have a lot to talk about with LSD, so I dropped that one from the video so that you can focus on high yields only. EDIT: since people are asking for completeness sake: -Know that LSD is a 5HT2a agonist (increased 5HT activity) -Know that LSD produces both synesthesia (i.e. somebody touching your arm makes you hear sound) and depersonalization -For inhalants, know that the onset is generally rapid and it causes nystagmus, diplopia, tremor, and respiratory depression. The buzzword is a rash between the upper lip and nose. -For Bath Salts, think typical PCP presentation but prolonged.
IMO a better way to think of the synthetic cathinones like bath salts, flakka or mephedrone is to compare them to high dose methamphetamine or cocaine but with even more agitation and psychotic presentation.
Where does it come from? Because I see that this mnemonic further needs another mnemonic to memorize it 🤦♂️ I memorized it just by associating the z sound in benzo with the c in frequency, whereas barbiturates and duration both don't have such sharp sounds
@@KKK-rc6rk I get it Barbi durate Creative 👏 But I thought you were trying to explain dirtymedicine's mnemonic for me, (barb wants it to last longer or sth like that) I have my mnemonic too you know, benZo= frequenCy= they are similar in the sounds, these sharp letters ( c z s...) Where as barb and duration are free from that. Your mnemonic is easier though Oh all these details, what am I talking about 🥲😂🤦♂️
A really good mnemonic for pupil size in opiates vs cocaine: make a fist for the O and then a letter C with your hand --> Opiates with closed fist (pupil constriction) and Cocaine with open fist (pupil dilation). I don't remember where I heard but it's saved my life on multiple occasions 😭
I always forget that heroine is an opiate --> think of Zendaya's A1 performance in Euphoria S2 for opiate withdrawal (abdominal pain and SO MUCH yawning)
I'm not even a med student nor do I intend to be, but I still find your videos incredibly informative and reasonably easy to follow. I have become frustrated trying to find videos on these topics that are concise, unbiased, and stand up to scrutiny. There's something comforting about learning from the same source as other med students, even if I do need to skip over the minutiae or mnemonics here and there. Thanks for doing what you do.
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Love this video! I think if you re-ded this for whatever reason in the future, including common names for some of these drugs would be helpful - mostly thinking about heroin/opioids because I've seen NBME use that name a lot instead of opioid and I didn't know they were the same drug class at first!
Hey Dirty i just want to firstly say thank you for everything you do and I hope God keeps blessing you man. Can you make a video on micturation because its another HY topic that seems to confuse me. Thanks again
watched this before my psychiatry final during M2, again during step 1, once again before psychiatry shelf, and now watching it while i prep for step 2. Dirty Medicine stays undefeated fr
Undoubtedly valuable info here for improving test scores. Just don't mistake these high-yield test answers for the actual presentations you'll see in clinic.
Thank you so much. Dirty is there advice you can give, on How to approach a question, when you have zero Clue what it could be ? I know "they are telling you the answer" in the question, but many times even when I highlight the right info, for some reason I still cant figure it out. Your test bank videos have been a huge help, and I have finished uwrold, but the idea of coming across a tricky question on the real exam (in 7 days) is really freaking me out.
Hello , thank you so much for every single video you have made so far . Please make videos on case history taking and all the disorders mentioned in DSM 5 TR
I have a decompartment left arm. I am having big doses oxicodon. My son died then i got ssri, bensodiazapam and iktovril sleeping pills. But i never been this tired of living.
this video is so so helpful .......i cant thank u enough , hope atleast i earn 1 to 2 points from this topic .....thank u so much , please continue doing this great work
Are you using the term 'withdrawal' the same the whole way through? For example with alcohol you are meaning the effects that a chronic drinker experiences when they stop, however I feel like some of the symptoms you are explaining for later drugs seem like they might be more like the 'come down' after using the drug.
correct - i am using the term to describe those concepts interchangeably for the sake of simplicity; there is a difference between coming off of a drug vs. neurochemical withdrawal
PCP is one of the only drugs of abuse to feature nystagmus! Like horizontal and vertical in addition to rotary. Don't let that trip you up like it did me :O
@DirtyMedicine, Marijuana Hyperemesis relief with heat sounds to me like Uhthoffs Phenomena in MS; perhaps the heat is impairing saltatory conduction / neuronal stimulation in a similar fashion, thereby providing relief with MHS, where it would provide pathology in MS?
