Divine Intervention Episode 31-Comprehensive 3rd Year NBME Medicine shelf Review Session 3

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  • čas přidán 21. 09. 2018
  • Comprehensive review for the 3rd Year NBME Medicine Shelf Exam (Part 3 of 4).
    Download the slides on my website;
    www.divineinterventionpodcasts.com
    Or the dropbox link;
    www.dropbox.com/sh/jf1d4hg8g5...
    I also offer 1 on 1 tutoring for USMLE Step 1-3 and med school exams.
    divineinterventionpodcasts@gmail.com

Komentáře • 68

  • @justinlee2838
    @justinlee2838 Před 4 lety +198

    i honestly believe this guy may the widest breadth of medical knowledge on the planet.

    • @ActuarialNinja
      @ActuarialNinja Před 3 lety +14

      Right up there with Dr Goljan and Sattar :)

    • @Preppygirl8909
      @Preppygirl8909 Před rokem

      Tryyyuyyyuuyyyuoiiiooooo😂okkkl😅oportunidad que bbbbnnmmbbbbbnnnnnmxzZzzzznbb❤hqhahdhddgshdhdhejehhe😂😂😢h go ghcnjhhcgcggy

  • @blakedotguidry
    @blakedotguidry Před 3 lety +104

    Divine, your name is not a misnomer. You are a godsend. My entire class watches your videos. You are going to be a household name in the upcoming generation of physicians and i truly thank you from the bottom of my heart for all of the time and effort you put into these videos and your podcasts. You have saved my rear end SO MANY TIMES.

    • @Yum676
      @Yum676 Před 10 měsíci +1

      he is the best ❤

  • @chelsycalhoun4422
    @chelsycalhoun4422 Před 5 lety +36

    Such a good thorough review! Suprised it doesn't have more views!

  • @dwaynegarcia9986
    @dwaynegarcia9986 Před 4 lety +28

    Honestly, you have a gift my man, so many concepts that I did not understand or connections a did not make you made them clear.

  • @venkateshwaranv6897
    @venkateshwaranv6897 Před 8 měsíci +6

    Ehrlichia is transmitted by the Lonestar tick (Ambylomma) which is a HARD tick
    Other disease transmitted by the HARD tick include,
    Ixodes tick transmits Anaplasma ,Babesia and Borrelia burgdorferi
    Dermacentor ticks transmits RMSF
    Tularemia can be transmitted by both Dermacentor or Ambylomma ticks
    SOFT tick transmits Endemic Relapsing fever
    Other arthropod vectors include
    Mite- Scrub typhus ,Rickettsial pox
    Louse- Epidemic relapsing fever ,Epidemic typhus,Trench fever
    Flea-Endemic relapsing fever,Plague

  • @thatmd
    @thatmd Před 3 lety +57

    The 4 people that disliked this video need a literal divine intervention!
    Thank you so much Divine!

  • @hasibakarimi98
    @hasibakarimi98 Před 8 měsíci +2

    I don’t know how to thank you Divine. Thank you so much for sharing your amazing work with us 😇 it’s utterly helpful. God bless you 🙏

  • @davidwu3247
    @davidwu3247 Před rokem +16

    I feel like every generation of med students has their "Prophet of Pedagogy"
    in years past it was Goljan
    then came Jason Ryan
    then came Dr Sattar
    then came Andrew (sketchymicro)
    our generation... is Divine!!

  • @chevyxo
    @chevyxo Před 4 lety +27

    The smartest man in the whole world !!! 😍🙌🔥

  • @hobo603
    @hobo603 Před 3 lety +5

    Your understanding of the material is honestly amazing. Can't thank you enough!

  • @jaipatel2
    @jaipatel2 Před 3 lety +13

    @2:54:35 When they are talking about lytic bone lesions I like to remember it using LTK pronounce lytic stands for Lung thyroid Kidney. and then Breast can do both lytic and blastic

  • @arazani92
    @arazani92 Před 2 lety +15

    Unreal how you can just go through all this information and you know it so well. So inspiring! Thanks for all these videos and your podcast!!

  • @chidiakusobi6581
    @chidiakusobi6581 Před 2 lety +7

    Effortlessly high yield my lord! Thank you Divine :)

  • @ahmedadnan6144
    @ahmedadnan6144 Před 29 dny +1

    3:02:57 according to the First Aid, phlebotomy is actually used for polycythemia vera. According to UWorld Q,ID 2883, Serial phlebotomy is the mainstay of treatment for PV; it creates a relative iron deficiency and reduces hematocrit levels to normal range.

  • @berniegodoy9374
    @berniegodoy9374 Před 3 lety +10

    Serial Phlebotomy is main stay of treatment for polycythemia vera, hydroxyurea can be added for patients at high risk of thrombosis

  • @ahmedadnan6144
    @ahmedadnan6144 Před 29 dny +1

    2:57:58 according to the First Aid, MEN1 associated with parathyroid adenoma and MEN2A associated with parathyroid hyperplasia. UWorld Q, ID: 2585 confirm this statement.

  • @ApurvaPopat
    @ApurvaPopat Před 3 lety +4

    Thats super solid fire divine...
    Loads of love
    - Dr. Apurva
    USMLE Tutor.

  • @aedanhannabeshoi
    @aedanhannabeshoi Před rokem +5

    @2:24:40 Salmonella is not the most common osteomyelitis bug in Sickle, it's still Staph A, However, Salmonella is specific for sickle osteomyelitis. Annoying little factoid
    Also No longer Give metro for C diff, now its straight to Vanco and then Fidamoxacin

  • @_WooWho
    @_WooWho Před rokem +8

    The savagery when Divine warns "I wish you all the best with that" when people go "Ohh, this is only Step 1 stuff..." just about killed me.

  • @Pio0o0oxx123
    @Pio0o0oxx123 Před 4 lety +4

    You're DA MAN!

  • @venkateshwaranv6897
    @venkateshwaranv6897 Před 8 měsíci +1

    Phlebotomy is indicated for ALL patients with polycythemia vera. Other indications include porphyria cutanea tarda and hemochromatosis (as rightly said in the video).

  • @janstudies3826
    @janstudies3826 Před 4 lety +17

    Q at 1:39:10 for tx of EHEC-induced HUS - why is antibiotics used over supportive treatment. (I though tx for EHEC and HUS is always supportive??)
    Love the reviews!! 😊

    • @jorgesalazar790
      @jorgesalazar790 Před 3 lety +10

      HUS CORRECTION: Is a triad not a pentad (TTP) : Hemolytic anemia + thrombocytopenia + renal failure and the treatment is supportive as you said!

  • @rk19987
    @rk19987 Před 11 měsíci

    god bless you, you are amazing

  • @nicolasb879
    @nicolasb879 Před 2 lety +1

    Is the most important modifiable risk factor for atherosclerosis HTN or smoking? Thought it was HTN (2:57:30)

  • @Swaglex9689
    @Swaglex9689 Před 10 měsíci +1

    For Polycythemia Vera treatment I believe they have changed it to phlebotomy and low dose NSAIDs.

  • @laurenrowe7234
    @laurenrowe7234 Před 4 měsíci

    Great video! Small correction at 2:10:30-nephrotic syndrome as the etiology of ascites presents with SAAG < 1.1 because serum albumin is low. SAAG >1.1 is portal HTN or CHF

  • @iamtenrose7479
    @iamtenrose7479 Před 2 lety +1

    Thank you!

  • @venkateshwaranv6897
    @venkateshwaranv6897 Před 8 měsíci +4

    The Pentad of fever ,anaemia, thrombocytopenia,renal failure and neurological symptoms is for TTP ,NOT HUS

  • @kerolossamer5412
    @kerolossamer5412 Před 28 dny

    Amazing .. r u still recommend this videos untill 2024 ?,, i love it actually

  • @gumnam1406
    @gumnam1406 Před rokem

    I luv you divine :)

  • @JB-cn1if
    @JB-cn1if Před 2 lety

    What’s the HUS mnemonic? And why didn’t Dr divine say it out loud?

  • @MysticMango412
    @MysticMango412 Před rokem +1

    3:02:49 I thought treatment for PV was Phlebotomy?

  • @sasharemo5705
    @sasharemo5705 Před 2 lety +5

    @ 1:39:20 -Do we treat EHEC with antibiotics?or is it generally supportive . I'm confused as treating it might INCREASE RISK for HUS . please clarify this! Thanks

    • @nicolasb879
      @nicolasb879 Před 2 lety

      You are correct, do not treat EHEC with abx, he made a mistake there

  • @deandrebrown4521
    @deandrebrown4521 Před 2 měsíci +1

    This guy is responsible for so many medical degrees lol

  • @drgamalahmed9347
    @drgamalahmed9347 Před 2 lety +2

    No sound,
    In all videos, what is going on?
    Help anyone.
    I don't have this problem with any other videos. So why this?

    • @shayaan9111
      @shayaan9111 Před rokem

      put both earbuds in its not working with just one

  • @ashwinkola5173
    @ashwinkola5173 Před 5 měsíci +2

    Absolutely amazing review, but i had a question regarding one of the concepts. You mention that AV fistulas present as pulsatile masses, yet uworld states that it's aneurysms that are more likely to present as pulsatile masses, while AV fistula would present with no mass and a continuous bruit. Seeing as the uworld chart is more recent, should we go with that on the exam? Thanks in advance!

  • @bboysaif8
    @bboysaif8 Před rokem +2

    Do you see neurologic problems with HUS or TTP or both? I've just read it in TTP.

    • @yasminecrime3911
      @yasminecrime3911 Před rokem

      fever & neurologic problems are associated with TTP not HUS

  • @Yaqrabhajahtb
    @Yaqrabhajahtb Před rokem +2

    What about the audio

  • @bloomprinceton
    @bloomprinceton Před 11 měsíci +1

    i thought hus no antibiotics are given? 1:38

  • @rusinoe8364
    @rusinoe8364 Před 7 měsíci +1

    I wonder if he has a photogenic memory...

  • @user-ls5yk9wy6w
    @user-ls5yk9wy6w Před 3 lety

    Sarcoidosis => anterior uveitis does not cause afferent pupillary defect bro
    Thanks for your great vidoes

  • @irg4576
    @irg4576 Před 6 měsíci

    No sound 😢

  • @fayezjabboure1925
    @fayezjabboure1925 Před 2 lety

    MVP

  • @davidkatz2543
    @davidkatz2543 Před 2 měsíci

    🐐🐐

  • @rachelcarrasquillo283
    @rachelcarrasquillo283 Před 8 měsíci

    "Sound better" for murmurs is a super confusing term to use.

  • @NS-yt1vy
    @NS-yt1vy Před rokem

    How can we get the audio fixed on this???

    • @shayaan9111
      @shayaan9111 Před rokem

      put both headphones in

    • @NS-yt1vy
      @NS-yt1vy Před rokem

      @@shayaan9111 I found that it has to do with apple products. The sound did not work on mac, iphone or ipad. Something about how the audio was filed. However I did get it to work when I watched it on firestick, windows computers, etc... Good luck everyone.

  • @dreamingpaper
    @dreamingpaper Před 2 lety +3

    1:58:13 Divine was ahead of the times

  • @rachelcarrasquillo283
    @rachelcarrasquillo283 Před 8 měsíci

    Hypertrophic osteoarthropathy is associated with adenocarcinoma.

  • @dresmailqasem
    @dresmailqasem Před 5 lety +4

    No voice!!!!

    • @divineinterventionpodcasts
      @divineinterventionpodcasts  Před 5 lety +5

      Literally just tested this out. It works on my windows PC.

    • @arr3122
      @arr3122 Před 3 lety +1

      @@divineinterventionpodcasts Nop. I cant hear either.

    • @theitdocchannel540
      @theitdocchannel540 Před 3 lety +1

      DR.ESMAIL QASEM I can’t hear anything too

    • @shayaan9111
      @shayaan9111 Před rokem

      @@divineinterventionpodcasts if using earphones need to connect both in to hear fine