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Guillain Barre Syndrome (GBS) Treatment, Pathophysiology, Symptoms, Neurology Medicine Lecture USMLE 

MedNerd - Dr. Waqas Fazal
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Guillain Barre Syndrome (GBS) Treatment, Pathophysiology, Symptoms, Neurology Medicine Lecture USMLE
In this video on Guillain barre syndrome and variants(Miller Fischer, AMAN) i have discussed treatment management and prognosis as well as clinical presentation of patients with Guillain barre syndrome. Plasma exchange and IVIG treatment as well as indications of intubation and ICU admission have been discussed in detail. This neurology medicine lecture ois based on courses and exma usmle step 2 ck and nclex.
Chapters
0:00 Intro
0:09 What is Guillain Barre Syndrome (GBS)
2:22 Causative Pathogens
3:10 Pathophysiology
4:31 Clinical Presentation
7:35 Cranial Nerve Involvement
8:08 Subtypes/ GBS Variants (Miller Fischer)
10:14 Diagnosis/Investigations
14:00 Treatment
15:39 Indications of Intubation
18:24 Immunomodulatory Therapy (IVIG, Plasmapheresis)
21:41 How to give IVIG?
22:42 Plasmapharesis
23:19 Prognosis
24:35 Transverse Myelitis vs Guillain Barre syndrome
25:59 Summary
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7 июл 2024

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Комментарии : 130   
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
FOLLOW ME ON :) Instagram: instagram.com/docwaqasfazal/ Facebook: facebook.com/Drwaqasfazal
@foodfashion8574
@foodfashion8574 5 месяцев назад
Assalamualaikum Dr want to talk with U.. Plz let me know wer can i call U.. It's urgent😢
@mariebekker949
@mariebekker949 Месяц назад
My son had G B S very bad took over 2 years plus Miller fisher i dont think that you recover in full
@Mamta9
@Mamta9 Год назад
Sir ....I always skip ads but in your videos I let them go on so that your channel earns some much deserved gain...😊👍..Thanks so much for the informative videos Sir 🙏🏻
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
Hahaha so nice of you. Kind comments like these are enough gains for me. 😊
@user-ni5uq3dx3i
@user-ni5uq3dx3i 3 месяца назад
Sir u bring so much of grace and positivity in ur videos respect it
@SwamiKripananda
@SwamiKripananda Год назад
I have Guillaine Barre Syndrome. On 2 occasions I had to be taken to a hospital with Paralysis. Your video gave me so much understanding of this illness. I can never be fully grateful. Thank you.
@ipadfamily9135
@ipadfamily9135 Год назад
All your lectures are very elaborative;easy to understand;comprehensive. Well done 👍. I am Dr. Nazir Ch. Paediatrician Faisalabad
@yibeltalseyid1633
@yibeltalseyid1633 Год назад
Thank you dr for ur continues effort to make us better emergency physicians.
@patishaclaudious9634
@patishaclaudious9634 Месяц назад
I am Working as a staff nurse in a Government sector..and I am preparing for my NCLEX exam for Canada..I must say you are one of the best teacher I have came across so far..ur way of teaching,explanations they all are next level..it’s so easy to understand the concepts it’s just because they are so easy to understand..really u r a great mentor..I wish you all the best for the upcoming years👍🏻🙏🏻
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Месяц назад
So nice of you 😊
@ruhulhaidar949
@ruhulhaidar949 Год назад
I am so lucky to find u in youtube.Thank u so much
@muhammadsaeedakbar8059
@muhammadsaeedakbar8059 6 месяцев назад
Jazak Allah Dr Waqas this video is the complete pack of information regarding GBS a few weeks back my younger bro got this probs n we suffered with all these probs now after watching Ur video each n everything beside future caring n precautions I m got to learn from this video. Jazak Allah bro u r doing a good job.
@theavisdreamer
@theavisdreamer Год назад
Thank u so much sir for all your videos, I can't be grateful enough for the information you give to doctors❤
@DomSamui
@DomSamui 4 месяца назад
Thank you for the video, I am 11 and have GBS since I was 9. Good luck on everyone’s recovery, I will walk again soon
@heong5202
@heong5202 3 месяца назад
thanks for educating me, omg i've read lot of books and journal abt GBS for my assignment, but watching this video hits different, i got more and more info and it's very easy to understand
@haleemjaan6005
@haleemjaan6005 Год назад
Great Information Sir
@godfreychisanga7677
@godfreychisanga7677 Год назад
I'm trying to watch all your videos You are awesome 💪🏾👏🏾👏🏾 I'm a final year medical student From ZAMBIA and these videos are simply amazing
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
So Nice of you 😊
@shabanakhalid6839
@shabanakhalid6839 Год назад
I like your step wise concept amazing
@user-ly2bh3nn6p
@user-ly2bh3nn6p 5 месяцев назад
Short and Sweet. Keep uploading more. You will reach 1M soon. Thank You Sir
@Khaled-gv4nz
@Khaled-gv4nz Год назад
What a great explanation 🤩, Thank you so much 🤎
@DrBikram
@DrBikram Год назад
As a medico...I subscribed the all channels of medicine in RU-vid... but this is the special n best of mine... Thank you Sir😊🔥for the lucid n concise explanation.
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
I am very glad to hear that 😊
@DrBikram
@DrBikram Год назад
@@MedNerdDrWaqasFazal ❣️
@dr.biplabkumardas3023
@dr.biplabkumardas3023 7 месяцев назад
Sir Very nice presentation & we can easily grasp the mechanism from your technique of lecture
@yaa531
@yaa531 4 месяца назад
Thank you so much for the information, is my first to work with a learner with this ailment your info just empower me so much
@drkalmeshpatil2327
@drkalmeshpatil2327 Год назад
Great information sir 👍
@dr.sumanjaiswar6995
@dr.sumanjaiswar6995 10 месяцев назад
Thank you so much sir this video..🙏 2 days ago one patient admitted with same complaints..and diagosed as GB syndrome..its very scary disease.😢
@sambhajigavande5010
@sambhajigavande5010 Год назад
Nice explaination
@andyroid5028
@andyroid5028 Год назад
*_A great video explaining GBS & its variants. Thanks for sharing your vast knowledge, Doctor! 👍👏_* *I do have just one question for you (or anyone else reading this): What are the chances of someone unlucky enough to become afflicted with GBS TWICE? And by TWICE, I am referring to a possible scenario such as the following:* _A 35yo male patient presents with GBS symptoms to the hospital & is later confirmed to be suffering from GBS. Several months later, all indications seem to confirm that this patient has made a complete recovery. Fast forward 10 years... the same scenario occurs to this same patient (now 45yo) and luckily, he again makes a full recovery._ _So again, has anyone ever heard of 'lightning striking twice' re: GBS? And if so, how rare is that? I assume it is QUITE rare._ *As a non-Doctor (I am completely unassociated with the medical field), one takeaway I get from this video & many others is this: the sheath that covers the nerves called the **_MYELIN SHEATH_** is one of the most (or maybe THE most) vulnerable pathology targets of these diseases/conditions.* _It would be great if there was something/someone in the medical field that could somehow fortify (make stronger/make 'less impenetrable') the MYELIN SHEATH. If there were a way to make the MYELIN SHEATH 'undamageable' (or much more resistive to damage), perhaps a lot of these conditions/diseases (multiple sclerosis, Guillan-Barre, etc) could be avoided or made way less severe?_ *Anyway, that's just an honest observation from a non-medical guy just simply observing & commenting. : ) Thanks for reading my long comment! 👍* PS: So glad to hear about the high rate of full (and to 'near full') recovery in GBS patients. Thankfully, I personally haven't experienced having GBS, but know of a couple of people who were unlucky enough to be inflicted with it (but they made full/nearly 100% recoveries).
@shayanazizkhattak5776
@shayanazizkhattak5776 Год назад
Amazing. I'm going to show this to my junior doctors in Australia. 👍
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
So Nice of you 😊
@ankush9985
@ankush9985 11 месяцев назад
​@@MedNerdDrWaqasFazalIs all patients having Serious complications in GBS ???
@khanjay5189
@khanjay5189 Год назад
So good nd precise lectures. Why I found them late... Just 15days n my exams left. But Thanks for them sir...
@allaboutfashion1780
@allaboutfashion1780 Год назад
thanku for sharing uhr knowledge.
@kuldeepsingh-cq9ci
@kuldeepsingh-cq9ci Год назад
Thank you so much sir. Your explanations are very clear n I find it very easy to follow your thought process. Thank you for selflessly helping so many across the country
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
I am very happy to hear that 😊
@holyearth
@holyearth 5 месяцев назад
Your videos are highly educational. Please keep contributing!!
@BonJunCuevas
@BonJunCuevas Месяц назад
Thank you doc, Informative and well explained.
@dr.maheshnirban3605
@dr.maheshnirban3605 10 месяцев назад
Very beautiful pictures of GBS sir❤❤❤
@user-cx9db7rt8b
@user-cx9db7rt8b 7 месяцев назад
Interesting thanks for sharing. My twin sister has this today almost 2 years she gets strong everyday. Wish they never had this
@HalftoneHareem
@HalftoneHareem 6 месяцев назад
My father had GBS. He was paralyzed for months and the doctor didn’t know what to do and did many tests. He later passed away
@Ann-ne1fu
@Ann-ne1fu Год назад
Awesome! Thank you.
@azimrashidkhan
@azimrashidkhan Год назад
Thanking you for this Informative video.... Me also suffered from GBS last year post covid vaccination... Was totally paralyzed, but there was no respiratory issues... Now recovered.... 👍
@genuineselection5635
@genuineselection5635 Год назад
I just need your help man. My father is suffering from GBS. He is unable to walk or in simple words i can say he is bedridden. I don't know what to do. Is their any hope that he would walk again ? Plz do me a favour.
@azimrashidkhan
@azimrashidkhan Год назад
@@genuineselection5635 get him to a hospital with Neurology department immediately..
@genuineselection5635
@genuineselection5635 Год назад
@@azimrashidkhan sure bhai. Thank you for the concern.
@skhan8397
@skhan8397 9 месяцев назад
Hello Kia ap ki tingling or numbness ty hands or feet may plz ye kb tak hoti hai or kb tek hoge
@appleidea2762
@appleidea2762 6 месяцев назад
you got this keep it going
@dr.suchetayadav2986
@dr.suchetayadav2986 Год назад
Excellent
@alisha7739
@alisha7739 2 месяца назад
Awesome lecture sir pls upload all medicine lectures which is important ug mbbs
@rahulbhiungade9623
@rahulbhiungade9623 Год назад
Thank you sir
@Doctor_sonam.
@Doctor_sonam. 9 месяцев назад
I couldn't t understand befor watching this Tq so much sir ji
@harsiddhrajvanshi4307
@harsiddhrajvanshi4307 Год назад
Nicely done sir Respect from India
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
Thank you 😊
@Informatio367
@Informatio367 5 месяцев назад
It is really amazing
@rajeevranjansingh4210
@rajeevranjansingh4210 Год назад
Sir please make the video on fungal infection on skin how can treat this type of disease please sir your concept is too much clear
@sahilshrivastava3911
@sahilshrivastava3911 Месяц назад
Every time when i see ur video After completing when u ask do you like my video Its always Wow that comes of my mouth
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Месяц назад
So nice of you dear
@shamimkhan-tp8xq
@shamimkhan-tp8xq 6 месяцев назад
Sir i am nursing student nice explanation every topic
@sudheerbabu2952
@sudheerbabu2952 Год назад
Sir my bro also suffer GBS unfortunately loss finger flexaction and extension .nice explanation sir 👍 👏 👌
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
Sorry to hear that. I wish he gets speedy recovery.
@crazygair4278
@crazygair4278 Год назад
My girlfriend is 67 years old and is suffering with GBS for 1 week in the hospital and is in the paralyzed state. She has a Pneumonia now and is being treated with the plasma exchange. She can move her lips a little bit and that is it. Wondering if she can come out of this? What is the best IV given for food for GBS? Would shots of B12 help? She was sick with the flu for about a week and this was four weeks ago. She got better but did not eat very much for three weeks and could not hold food down both ways. She was drinking a lot of water. If their are Any more Info on how to treat her weakness now would be very appreciated. Dr. Fazal, Thanks for you video
@VoughtX
@VoughtX Год назад
🙌🙌
@kuntalsarkar971
@kuntalsarkar971 Год назад
Sir expecting one lecture on autoimmune diseases, if possible. Thank you, Sir.
@tanzeelaakram
@tanzeelaakram Год назад
Sir u are amazing ❤
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
I am humbled 😊
@navdeepkaur4135
@navdeepkaur4135 2 месяца назад
Thank you sir . Can you please make video on HEPATORENAL SYNDROME and MANAGEMENT 🙇‍♀️
@nature-travel-foodie
@nature-travel-foodie 9 месяцев назад
Im dealing with GBS Amman subtype im on my 6months recovery period I've experienced all that you discussed
@sonalibhattacharya5575
@sonalibhattacharya5575 4 месяца назад
U have given Plasma transplant?
@christopheranuligo1389
@christopheranuligo1389 11 месяцев назад
Good morning sir,... excellent presentation.. thank you so much for the insight,.. Pls why are steroids not used in the Rx of GBS, infact you said they're useless. Pls why?
@sangeetaparmar1194
@sangeetaparmar1194 Год назад
Please give lecture video on cough treatment sir 😃
@sangeetaparmar1194
@sangeetaparmar1194 Год назад
Sir Please make a video on anemia and scorpion bite
@mks1892
@mks1892 Год назад
Sir Kindly consider request of ECG lectures thanku
@BekindbyRukshan
@BekindbyRukshan 10 месяцев назад
My mother 84 years , who was healthy doing her daily chores on her self, brief exercise in the mornings..She complained of sudden electric shock when walking towards the wash room, next day she felt uneasy and unable to stand straight...sudden loss of numbness of ankle and knee within 1 hour..rushed to hospital, diagnosed GBS on admission to ER. Immediate 5 course of IVIG didnt provide any recovery..2 days at ICU Of which 1st day she was able to speak ..next day she passed away peacefully...If the patient is young go for respirator (but recovering will take months and lots of money) or if they have lived their ripeful age, dont go for respirator (it will be more painful and follow up with be a nightmare/suffering ...may no one contract GBS.....
@dr.biplabkumardas3023
@dr.biplabkumardas3023 9 месяцев назад
Fine sir But pl make a vedio on Anaemia, Thalassemia with management
@garybrown9576
@garybrown9576 Год назад
Dr. that was great info. Healthy my whole life, 57, pretty sure i have GBS, seems not to be progressing, but how can i know for sure. Had spinal tap, had full MRI and CAT scan. Spinal shows slight elevation in protein. Just looking for options to reduce or determine if the GBS is on the decline and not to get too worried about the worst.
@andyroid5028
@andyroid5028 Год назад
*_Good luck Gary. Hey, if you don't mind sharing... just curious as to what your 'triggering event' was before your GBS diagnosis? Thanks!_*
@user-js3ng7ug2f
@user-js3ng7ug2f 11 месяцев назад
Can gbs progression be delayed by cortisone intake ? Especially when patient was taking cortisone for another reason
@drsohailzahir2837
@drsohailzahir2837 4 месяца назад
❤❤❤
@joesfu
@joesfu 11 месяцев назад
Sir I have a question I have all the symptoms for Guillain-Barré. However, my my CSF did not show high-protein levels. does GBS always have to have high levels of protein in the CSF? Thank you in advance.
@UmarKhan-kpk23
@UmarKhan-kpk23 Год назад
Sir make a video about food poisoning treatment
@epeyserah6727
@epeyserah6727 Месяц назад
Thanks for the video Sir, Please can someone fully recovered through kinesitherapy? But he in niclobion, nicleogil
@Manny_Fr3sh
@Manny_Fr3sh 9 месяцев назад
Laying here in bed at 5am unable to sleep because tingling and numbness in extremities, 1 week after the "jab" that my college program forced me to get 😡. Now researching and deciding if i should go in to the ER.
@RRJFamily23
@RRJFamily23 Месяц назад
Did you checked
@sangeetaparmar1194
@sangeetaparmar1194 Год назад
Sir please make a video on jaundice
@camrank3334
@camrank3334 Год назад
Amazing💯
@nurdewan4962
@nurdewan4962 10 месяцев назад
Sir in GBS there is diaphragmatic muscle paralysis so how can RR is high.?
@misbahumar4577
@misbahumar4577 Год назад
👍👍👍👍
@MaGoSaNx
@MaGoSaNx 9 месяцев назад
I have a family member who’s diagnosed with this disease, sadly, it started in both legs and went all the way up to his lungs were he’s on a constant oxygen mask, it stared 7 month ago, so far doctors had given up on treatment, not fully sure why! Are you in the USA? If so, I can arrange for him to see you.
@skhan8397
@skhan8397 9 месяцев назад
Hello sir i am suffering from GBS diseases its has been 7 months i still have tingling and numbness in my hands and feet. Plz reply me tell me when it will go away any treatment for tingling and numbness 😢
@nisekkhatiwada1303
@nisekkhatiwada1303 Год назад
Sir please make a RU-vid short video on,"How to calculate eGFR?".
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
Sure I will. Stay tuned 😊
@syednajmuddin4860
@syednajmuddin4860 Год назад
Sir,My best friend's daughter is suffering with GBS ..she is jst a year old....my friend already suffered loss of her eĺder son due to the same disease..please suggest what could be done in this case...
@mtmadv7872
@mtmadv7872 Год назад
Multiple sclerosis and mysthenia gravis pe bhi video banaiye, taki compare karke study krne mein asani rahe.... Cz these ol cause a lot of confusion in diagnosis
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
Sure I will 😊
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
Video on multiple sclerosis has been uploaded 😊
@mythreyeec6853
@mythreyeec6853 3 месяца назад
Thank u sir, is it expected to get fits in GBS
@skhan8397
@skhan8397 9 месяцев назад
Hello kia hands or feet may jo tingling and numbness hoty hai wo tek ho jati hai... or agar han tho kitnay time may plz reply i am very worried
@kumudekka2493
@kumudekka2493 8 месяцев назад
Sir please tell me surgical treatment of g b syndrome
@AliAli-mi2lx
@AliAli-mi2lx 2 месяца назад
Sir I have GBS patent 2 year ago I am recover but My leg muscular pain you advise me how to recover
@anwarqureshi1674
@anwarqureshi1674 Год назад
Can it be termed as MND
@Simplensweett
@Simplensweett 4 месяца назад
😊👌
@Mimi-fw4bb
@Mimi-fw4bb Год назад
My mother woke up with muscle weakness in hands and feet. We got her to the hospital, next day she couldn t move them at all. She felt the touches but could not move, no pain. The 3 day she was on imunoglobulin therapy for 5 days. A few days since the therapy started she could move a little the feet and hands. She doesn t feel when she urinates. She was diagnosed with AMAN. Do you think it s AMAN or simple GBS? If it s AMAN what is the recovery prognossis? We are from Bucharest, Romania. Now at 2 weeks from the debut she has been transfered on recovery department and will begin physiotherapy.
@talkwithsuyog2607
@talkwithsuyog2607 10 месяцев назад
Now what's condition? Your mother recovered?
@Kotrica
@Kotrica 10 месяцев назад
Hello
@drkalmeshpatil2327
@drkalmeshpatil2327 Год назад
Make a video on ECG sir please 🙏 sir
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
Will upload it for you 😊
@ARFANMOVIES
@ARFANMOVIES Год назад
Sir I m Gbs survivor I'm not fully recovered can you help me
@shezk2950
@shezk2950 Год назад
Dear Sir, my grandson who's five years of age has been admitted showing signs of GBS syndrome, they are also doing an MRI scan as his right eye is going inwards. We are very concerned
@simonmeja
@simonmeja 7 месяцев назад
A quick check up... How's your grandson fairing on?
@ravikanttyagi180
@ravikanttyagi180 Год назад
Respected sir my mother is on ventilator for last 20 days..but ventilator is almost on lowest mode..she is 68..after no recovery from IVIG..Dr. now has started plasma therapy..Sir..what do you think..will she be able to recover
@babitanarula7965
@babitanarula7965 9 месяцев назад
Brother aab apki mother kaisay hai my mother passed away this June due to GBS
@router8352
@router8352 5 месяцев назад
I was not having any infection previously but still attacked by GBS.
@manishamalhotra6832
@manishamalhotra6832 Год назад
pls reply my question as my son having this problem
@JunaidAshrafLone
@JunaidAshrafLone 24 дня назад
Dear Doc Iike your few videos and liked hence subscribed the Chennal hoping you may provide alike videos henceforth******From ,,,,,,,KUPWARA (J & K.,)
@abidin2011
@abidin2011 8 месяцев назад
Hello sir how can i talk to you live
@ahmedshafa30
@ahmedshafa30 5 месяцев назад
My patient presented with decending type of paralysis
@AhmedAli-vs9of
@AhmedAli-vs9of 4 месяца назад
I would like you to make tetanus lucter as well as soon as possible. Thanks
@sabarivspoojappura2250
@sabarivspoojappura2250 Год назад
Dear sir... My mom suffering from this disease for a long time... Can i have ur number to get more information sir ..
@medicomahendra3749
@medicomahendra3749 10 месяцев назад
Tick bite causes GB syndrome
@krunalbhatt001
@krunalbhatt001 Год назад
Bladder is never involved in GBS... why u r telling voiding dysfunctions?
@tanzeelaakram
@tanzeelaakram Год назад
He said bladder may or may not involved not never involved
@rishikreddy2946
@rishikreddy2946 Год назад
ᵇᵃᵍᵍⁱⁿᵍ ᶜˡᵒˢᵉʳ ᵃᵖᵖˡᵃᵘˢᵉ ᵗᵒ ᵈʳ ⁿᵃᶻᵉᵉᵇ ,ˡⁱᵗᵉʳᵃˡˡʸ ˢᵒᵒ ʰᵃᵖᵖʸ ᵗᵒ ˢᵉᵉ ᵘ ᵗʰᵉʳᵉ ˢⁱʳ...,,🙏🏻🏹
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Год назад
So Nice of you 😊
@skhan8397
@skhan8397 9 месяцев назад
Hello sir plz reply me
@shantanuranjan8598
@shantanuranjan8598 Год назад
Stop giving this much ads
@igbinosuniriafaith4445
@igbinosuniriafaith4445 11 месяцев назад
You are a great teacher sir 😮 I just found your channel, I am definitely subscribing
@prasannaamusicals4220
@prasannaamusicals4220 Год назад
Thanks a lot sir
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