MK's Exam secrets S2 E1 IMED

Hello and welcome to Mk's Exam Secrets, a series aiming at preparing medical students for Theory examination...
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Reach me at: [e-mail]
Thank you for the support, Much love...
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Music Credit
► Intro music by: John Sib
Listen here: pixabay.com/mu...
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[@giftmuswema8111]

Thankyou Doctor Mk for the detailed explanation on hepatitis

[@DrMK7]

You’re most welcome 🙏

[@mackenzienyangu8624]

Continue the good work you are doing,you are really helping

[@DrMK7]

Glad to hear that

[@user-hd7bp6sk7o]

Thank you very much, DR MK this is very helpful .

[@DrMK7]

you are welcome

[@dorothybanda2144]

A. Dx is Polycythemia Vera
B. Symptoms include:
Vertigo, headaches, vision disturbances, dizziness, tinnitus.
C. This condition can either be due to the overproduction of RBCs by the bone marrow, may also be a reaction due to chronically decreased oxygen levels, renal cell carcinoma, Jak kinase 2 Mutation.
D. Points during examination include: Splenomegaly, plethoric face, shortness of breath
E. Investigations:
-Polymerase chain reaction to check for the Jak 2 mutation.
- Bone marrow biopsy showing a higher than normal production of RBCs.
- Erythropoietin levels which are usually low due to increased RBCs
Thank you for making Exams easy🙏

[@DrMK7]

Hey just saw this comment 👏

[@DrMK7]

And you’re welcome 😊

[@CliffordMakaliki-rg4hg]

Wonderful from cog

[@DrMK7]

Thank you! Cheers!

[@giftmuswema8111]

This was so helpful ,thankyou so much Doc.

[@victornguvulu397]

thanks doc MK

[@naomi4534]

Thank you Doc!!

[@giftmuswema8111]

New video 💃💃💃💃💃💃

[@nicolabanda2231]

Thank you Doc

[@giftmuswema8111]

Treatment:
If i remember well , phlebotomy
Where they remove part of the patients blood to reduce the hematocrit ,as for the drugs ,will wait for you to update the answers Doc

[@znews263]

You are good please do also preclinical topics

[@DrMK7]

Thank you, I definitely will

[@giftmuswema8111]

For the try out question DR MK
This pt has thrombocytosis,and increased hb.
My Dx would be polycythemia (surely this can't give 4marks🤦🤦🤦)

[@erithinsimplymimi9360]

Thank you doc
At some point the music was louder than your voice and I couldn’t hear

[@DrMK7]

apologies for that must have been an editing error

[@giftmuswema8111]

On the symptoms ,
He may have had chest pains
Palpitations
Weakeness
They may have had visual disturbances
Tinitus
Headache

[@giftmuswema8111]

My thought on this patient as to what may have caused such a picture
1:the high hb ,the high platelets
(Hypervicosity of the blood ,the blood flow becomes sluggish and this stasis may lead to formation of thrombuses ,which may dislodge into different organs ....
My investigation will be tailored towards polycythemia Vera
Of which we can do a bone marrow biopsy ,
We can check for the Jak2 mutation by doing a polymerase chain reaction ,and literally I can do the arterial blood gas .
Because of the high platelets
This pts may have presented with hx of bleeding , abdominal pain ,
Or even CVA if thrombus had formed and travelled to the brain,
This question I tricky😂😂😂😂,hope I have tried mwee

[@bigmula3233]

Data sana