I'm using Discord for updates on the Emma Holliday videos, this way you guys can find everything in one place and add to it if desired. I will try to add the eratta to this pinned comment, but the Discord will be more updated. Discord: discord.gg/EHDTeFGDb8 Thank you for the support and input! linktr.ee/doctorkwatson Don't forget to subscribe to the channel! www.youtube.com/@doctorkwatson The Emma Holliday PowerPoint Downloads: doctorwatson.me/usmle-step-2-high-yield-study-guide/
Yes! You start it right away even if they have another thing going on (PCP, MAC, etc.) If they have TB or crypto though you want to treat those first and start HAART later. I got pimped on that :')
Thanks for the updated video. I copy pasta'd this from the other Emma video but edited the times to fit this video. Cardio: 1:17 Pulm: 37:14 GI: 1:01:49 ID: 1:07:54 Renal: 1:28:54 Heme&Onc: 1:48:50 Rheum/Derm, Endo & Neuro: missing
@@meharunnizach6339 Google "emma holliday internal medicine slides" and look for the link from "StudyBuddyMD." It should be the first one. It has her full set of slides, including the topics that she did not discuss in the video.
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. Her powerpoints and step 2 guide: doctorwatson.me/usmle-step-2-high-yield-study-guide/ Everywhere else to find me: linktr.ee/premedveg Errata:
27:20 electrical alternans indicates a pericardial effusion is present. It’s not until you have the clinical picture of hypotension, pulses paradoxus that you can say it’s tamponade. Not necessarily an error, just something I didn’t gather from the presentation (and got a q wrong bc of it)
Around 40:30 she says RA is transudative but according to UW Q16239 its exudative with low glucose high LDH - Preetkorani We treat every HIV+ patient with ART when they are diagnosed, no longer waiting for certain viral load or CD4 count threshold - Yentli Soto Albrecht 1:03:42 should be pneumatosis intestinalis - Justin go 1:45:14 polyarteritis nodosa is not ANCA positive but the rest of the info is correct (spares the lungs, hep B). the P ANCA positive ones are microscopic polyangiitis and churg-strauss - Silvio Martinez 1:02:16 should be vitamin b12 deficiency bec of terminal ileum involvement. Fe mostly absorbed in duodenum - Justin go 52:02 Intermittent vs Persistent (mild, moderate and severe) and then lastly, refractory - Omar Iqbal The v tach @20:00 ish, should be wide QRS - Armin Avdic 1:04:20 Pyoderma gangrenosum is associated with both Crohn’s and UC - Neem Baker 1:24.00 we do not use india ink stain for crypto anymore, we use PCR - Phil D
For the pleural effusion slide on 41:33: Exudative + Low Glucose= Consider bacterial infection or rheumatoid pleuritis. Exudative with lymphocytosis and elevated adenosime deaminase/IFN-y is suggestive of TB. It seemed like the slide was saying that transudative effusions should raise suspicion of these diagnoses, when it is exudative instead. Thank you for uploading this lecture review!
Just an update: current guidelines for COPD O2 saturation is 88 to 92% ( not higher, research showed even 1-2 percent above this range will increase mortality of these patients drastically. Thank you so much for this amazing lecture!
Very important point! It’s sometime tricky to remember but it should be noted that in COPD patients chronic hypercapnia leads to reduced sensitivity of central and peripheral chemoreceptors to elevated CO2 thus shifting respiratory drive from the physiologic hypercapnic ventilatory drive to a predominantly hypoxic respiratory drive meaning low pO2 is the main driver of ventilation (IN THESE PATIENTS). Thus as @shaki6500 pointed out we maintain 02 sat between 88-92% so as not to eliminate the hypoxic ventilation drive completely.
1:07:04 Antimitochondrial Ab is associated with PBC, but now goes by Primary Biliary Cholangitis and not Primary Biliary Cirrhosis. Also it is not associated w/ UC (this was said verbally), that is just Primary Sclerosing Cholangitis. PBC is associated with autoimmune conditions like SLE and Sjogrens. Finally, according to first aid, PBC is treated with Ursodeoxycholic acid (slows progression of disease), while the bile resins (ie cholestyramine) are for the pruritus. Thank you again for putting the slides in the lecture together! Super helpful! :)
Fellow Rossie here, I don't know if you know this. We have access to kaplan step 2ck on demand videos. For Internal medicine shelf exam videos, Emma Holiday teaches those on behalf of Kaplan.
I think the acid base slide is incorrect. I think if both of the values PCO2 and bicarb were both low it could either be respiratory acidosis OR metabolic acidosis.
