Acute Mountain Sickness (AMS); What Happens Up There 👆

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  • čas přidán 5. 08. 2024
  • High-altitude sickness….Acute mountain sickness…What happens to your body at high elevations (high elevations)…😍🖼Animated Mnemonics (Picmonic): www.picmonic.com/viphookup/me...
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Komentáře • 159

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  Před 4 lety +7

    💊 👨‍🏫 Antibiotics Lectures: www.medicosisperfectionalis.com/products/courses/antibiotics/
    💉 📜 My Notes, cases and courses www.medicosisperfectionalis.com/

    • @GoetzimRegen
      @GoetzimRegen Před 4 lety

      Should we Take acetazolamide when we have corona?

  • @walterchaparro
    @walterchaparro Před 2 lety +21

    I was falling asleep while studying about Mountain Sickness (something we all know sometimes happens even with interesting topics) and ended up finding this video in my effort to stay awake.The only thing I do not understand about it, is WHY it doesn't have the hundreds of thousands of likes more I would expect. Don't hesitate I will share your channel to all my colleagues. Greetings from South America!

  • @piccionigrassi
    @piccionigrassi Před 11 měsíci +6

    Please note that FiO2 is a constant: what decreases in altitude is the athmospheric pressure. The sum of the pressure of alll the gases of air is the athmospheric pressure. So if the athmospheric pressure decreases also the relative pressure of oxygen decreases, BUT FiO2 is always constant (around 20,93%).

  • @Jenny-vm1lo
    @Jenny-vm1lo Před 4 lety +18

    I swear this channel is underrated.

  • @carmcal2871
    @carmcal2871 Před 3 lety +9

    your humor is what gets me the hardest... makes the knowledge fuse to my brain

  • @kawtharal-nasser7706
    @kawtharal-nasser7706 Před 2 lety +10

    How do you keep being so funny and making everything understandable? Thank you so much for the great effort

  • @dsweep9576
    @dsweep9576 Před 4 lety +6

    The Fio2 is 21% at any altitude

  • @Habe111
    @Habe111 Před 4 lety +1

    great explanation, may god bless you

  • @bornfreetreks
    @bornfreetreks Před 4 lety

    I enjoyed every bit of it,thank you❤️

  • @mindseeker1088
    @mindseeker1088 Před 4 lety +4

    Wow, man, your explanation is so incredible! A million thanks!

  • @ICANTHEARHER2222
    @ICANTHEARHER2222 Před 9 měsíci +1

    This is so interesting as I’ve finally fully dedicated myself to long distance running, elevated training, and hiking along with following the stories of ultramarathoners like Goggins. He had swimming-induced pulmonary edema from SEALS training, HAPE from his 100+ ultramarathons at high elevations, and pitting edema on his leg caused by never properly taking care of himself or properly nurturing his body through the military, ultra runs, & maybe even his insane weight loss journey.

  • @mohammadalkhatib2849
    @mohammadalkhatib2849 Před 3 lety

    Thank u so much for the very useful video :)

  • @dahlen3233
    @dahlen3233 Před 3 lety +3

    Nice video! I am doing a presentation and I am looking for scientific articles about this. What sources did you base this video on? :)

  • @enduranceogie4519
    @enduranceogie4519 Před 4 lety +5

    Excellent job explaining this. Thank you! Can you also do one on Hypothyroidism?

  • @yannur6841
    @yannur6841 Před rokem +1

    Sir, you are a genius, i dont have enough words to thank you!

  • @soul832006
    @soul832006 Před 4 lety

    Loved this! I'll be taking pathophysiology classes next year in my nursing studies. You make learning fun and easy to remember with your upbeat style! Keep it up :)

  • @anteater9408
    @anteater9408 Před 3 lety

    Love your sense of humor!!! 😍😍😍

  • @jamesjoseph799
    @jamesjoseph799 Před 3 lety +1

    That was beautiful!!😍😍

  • @139rachitabhowal4
    @139rachitabhowal4 Před 4 lety +3

    I love the way you speak and explain.🔥😅

  • @nietzfritzchen
    @nietzfritzchen Před 3 lety

    Cool presentation. Interesting to follow. Learned some new things.

  • @al21l51
    @al21l51 Před 2 lety

    It's magical how I felt from the first time that you are Egyptian 😂💗 you have the typical Egyptian manner of teaching and sense of humor. The only place where I like being told idiot 😂. All the best and thank you so much for offering such priceless lessons to us.

  • @imroserashid8476
    @imroserashid8476 Před rokem +1

    Thank you so much for this amazing lecture

  • @ziyansanmgr2509
    @ziyansanmgr2509 Před 4 lety +1

    Thanks for the informative video

  • @bnrvines2380
    @bnrvines2380 Před 3 lety

    Love your spirit bob

  • @nickr365
    @nickr365 Před 4 lety +1

    Man this was so helpful

  • @rakeshbagali9892
    @rakeshbagali9892 Před 4 lety +11

    Best explanation!
    Someday I might die but this glorious slide will remain forever hopefully..
    It will remain forever.

  • @coolpopular4life
    @coolpopular4life Před 4 lety +1

    wow. highly impressed

  • @scott-hr3hd
    @scott-hr3hd Před měsícem +1

    Interesting. Too little explanation on acclimatization process. As a mountaineer I know it can take up to a month to fully acclimatize. Many hypoxia/EPO response techniques can be used to build the blood to carry from the lungs. Most hikers will travel above 8000-9000ft and stop once reach first AMS symptom then travel down 500ft and rest. Some dive under water to hold the breath. win Goff was known to climb mt Everest in his shorts and his hypoxia breathing techniques obtained a Nobel prize to cause the same response.

  • @MedicosisPerfectionalis

    👨‍🏫 Nephrology Playlist: czcams.com/play/PLYcLrRDaR8_d7bEi4DvucO73N4N_1vvPk.html

  • @abeda6852
    @abeda6852 Před 5 lety +17

    I didn't know you're Egyptian! All the respect, bro♥🔥

  • @golookexplore6154
    @golookexplore6154 Před 5 lety

    Sweet!

  • @ranan2682
    @ranan2682 Před 11 měsíci

    I have already study a case by lecturio that said "The FiO (fraction of inspired oxygen) at any altitude level on earth is 21%."
    3.28

  • @1rrrrrrrrrrr544f
    @1rrrrrrrrrrr544f Před 11 měsíci

    12:18 was really impressive 😢, i took a screen shot

  • @annarzepka855
    @annarzepka855 Před 4 lety +4

    I’m not sure if amount of oxygen changes with height or the lower partial pressure of oxygen is the case 🧐
    Great content! Cheers from Poland!

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 4 lety

      Partial pressure

    • @mumugugu8033
      @mumugugu8033 Před 4 lety +1

      @@MedicosisPerfectionalis At 3:30, you mention that FiO2 (F for fraction) decreases with altitude. I thought the FiO2 remains relatively consistent its just that overall pressure decreases therefore the partial pressure of O2 decreases.

  • @SandeepKumar-pt5rv
    @SandeepKumar-pt5rv Před 2 lety

    Nicely explained baby 😊 thanks 🙏

  • @cresn0604
    @cresn0604 Před 3 lety +1

    This really is a fun way of learning hahhaahah thank you!

  • @monicasundararaj6280
    @monicasundararaj6280 Před 3 lety +1

    Love you man😍

  • @Shaheen_Hassan
    @Shaheen_Hassan Před 4 lety

    I used to live at elevation greater than 2500 m. When I descended to sea level I felt that the air is dense and somewhat uncomfortable but I acclimatized to it after 14 weeks. Why did this happen? I am supposed to feel more comfortable at sea level because there is more oxygen but what happened to me during those 14 weeks was the opposite.

  • @ghaida77775
    @ghaida77775 Před 9 měsíci

    In 16:00 minute there’s a wrong statement in this slide u write in the shifting to the left there’s a decreased y axis and this statement it’s wrong it will be (increasing) in the y axis( not a decrease)

  • @yanbingzhu2550
    @yanbingzhu2550 Před 6 dny

    Why does hypoxia cause cerebral edema? Does hypoxia also cause vasoconstriction of the cerebral blood vessels?

  • @Briceo0o
    @Briceo0o Před 4 lety +17

    Are you seeing this Doctor Who is comparing CoVid to this?

    • @la1negrita
      @la1negrita Před 4 lety +4

      Dr.Cameron kyle...I'm here because of him.

    • @funvideos225
      @funvideos225 Před 4 lety +3

      we are ahead of the people, government has it wrong,.

    • @basecretpal9218
      @basecretpal9218 Před 4 lety +2

      Covid 19 = AMS!

  • @basheerbabaa5303
    @basheerbabaa5303 Před 4 lety +4

    Thank you very much brother
    I has recently discovered your channel , yes i mean it , it is a discovery !
    This video is not the only video I watched in your channel , it is obvious that you are a high IQ man ما شاء الله .
    There are many things you were astonishing in the way you introdeuced them , among which i was very amzed in etymology , actually i used etymology late in the med school ... but i think it is very important .
    Excuse me ,,,
    The first thing changed in high altitude is not the FIO2 , what decreases is the PIO2 .
    The FIO2 which is the fraction of air comprised by O2 is not changed in high altitudes , it remains constant , i.e approximately 21 % .
    However PIO2 , which is given by the folowing equation , decreases :
    PIO2 = FIO2 x (Pb - 47 mmHg), where FIO2 is the fraction of oxygen in inspired air, Pb is the barometric pressure, and 47 mmHg is the vapor pressure of H2O at 37°C.
    The PIO2 is directly affected by the barometric pressure ( which i think is the hallmark change in high altitude , because of decreased weight of air above the measuring unit ) .

  • @madelgalve3707
    @madelgalve3707 Před 4 lety

    Oh wow now I get it why I’m sick yesterday after a climb .

  • @noorzahid4743
    @noorzahid4743 Před 5 lety +4

    Have gained alot, love ur way of teaching, LOVE from Pakistan❤

  • @597-hamayalzafar9
    @597-hamayalzafar9 Před rokem

    F=mg as well so mg counts for weight where a=gravitational acceleration. :)))))

  • @muhammadaliaslam4023
    @muhammadaliaslam4023 Před 2 lety

    Big Fan Sir!!!

  • @nickpower9165
    @nickpower9165 Před 4 lety

    Can I mirror this content?

  • @joyceyaba8997
    @joyceyaba8997 Před 4 lety +2

    I have so much fun just from listening to you hahahaha

  • @dopeoplereally3972
    @dopeoplereally3972 Před 2 lety

    Good video

  • @muhammadusmanbabar1731

    What's the cause for Cerebral Edema???

  • @melissablair4233
    @melissablair4233 Před 5 lety

    I have RA. I live in western WA. I went on a trip to Spokane in eastern WA. I had much less inflammation in Spokane. Why would that be?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 5 lety

      Thanks for the question,
      I want you to clarify some info:
      1) Since you commented on a video about mountain sickness...Is there a difference in altitude between where you lived in Western WA and eastern WA?
      2) When you say less inflammation, do you mean less chronic inflammation, less acute flares, less pain, less stiffness, or what?
      3) Were you diagnosed with RA by a doctor? Is it confirmed? What serum antibodies are you positive for?
      If you want some privacy...You can send me a message on my Facebook page.
      Disclaimer: I am not a licensed physician so I cannot give any medical advice...Please talk to your doctor.

  • @1rrrrrrrrrrr544f
    @1rrrrrrrrrrr544f Před 11 měsíci

    I wonder what is your specialty 🙄 and,thanks alot❤

  • @edseljonathandimaiwat3360

    where is the cyanosis?

  • @ruhammacristinapayano5374

    I keep coming and I keep laughing jajajajaja

  • @Dr.Alakazam
    @Dr.Alakazam Před rokem

    Hey, if Cerebral Blood vessels dilate during hypoxia, how does it cause Cerebral edema?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před rokem +1

      Dilation of blood vessel increases flow of blood which raises hydrostatic pressure in capillaries. This increases the risk of edema.

  • @fahmiramzy5716
    @fahmiramzy5716 Před 3 lety

    What is the mechanism that makes pulmonary arteries react paradoxical to all other arteries in hypoxia?

    • @Blackeagleglef2
      @Blackeagleglef2 Před 3 lety

      Redirecting bloodflow to Alveoli that has more oxygen from ambient.

  • @ABC-fv7ow
    @ABC-fv7ow Před 4 lety +1

    U r Gr8

  • @ahmedapdelkawy6143
    @ahmedapdelkawy6143 Před 2 lety

    المصريين حواار❤️تسلم يدوك❤️

  • @Blackeagleglef2
    @Blackeagleglef2 Před 3 lety

    1. FiO2 changes with altitude? Sure? PAO2 does because of barometric pressure. 2. Does gravity explains the barometric pressure? Its true that distance diminish the force. But the taller column of air above a person in sea level its actually why this happens. Higher you go, shorter that column is... so less pressure.

  • @reemabdullah9877
    @reemabdullah9877 Před 4 lety

    still didnt understand why high altitude causes cerebral edema. Hypoxia in the lung causes shunting, in the brain too?

    • @soul832006
      @soul832006 Před 4 lety +1

      Think about the mechanism of action in edema. Fluid is forced out of blood vessels through interstitial spaces. Increasing hypoxia causes the vessels to vasoconstrict. The squeezing of the blood vessels increases pressure and leads to more fluids squeezing through.
      EDIT: I left out an important detail. Decreasing oxygen normally results in vasodilation to compensate. But here it cannot occur because there is insufficient oxygen available. Rising CO2 causes acidosis. Acidic environment leads to vasoconstriction. Increased pressure inside the vessels relative to surrounding tissue causes a net flow of fluid into the surrounding tissues such as the intracranial space. Hence HACE occurs.
      Capillaries are tiny vessels that are deliberately "leaky" to allow capillary filtration of plasma etc. That's important for blood filtration.
      With that in mind, it is easy to conceptualize how increased pressure from vasoconstriction leads to more fluids being pushed into surrounding tissue.
      The brain detects the decreased oxygen (specifically the medulla oblongata). It signals the lungs to compensate with hyperventilation.
      The medulla oblongata also sends out epinephrine and norepinephrine which signals blood vessels to vasoconstrict through adrenergic receptors on the vessel surface smooth muscle. This causes a release of calcium which activate the myosin chains and causes the contraction.
      Not sure what you meant by shunting.
      I was curious about the role of RAAS but that doesn't kick in during the initial acute period of AMS? I found some journal articles suggesting individuals can be susceptible to cardiovascular complications arising from incorrect activation of RAAS during acclimitisation.

  • @sanamali924
    @sanamali924 Před 2 lety

    The way he kept saying baabbbyyy

  • @wongweiqueen6640
    @wongweiqueen6640 Před 3 lety +1

    Can you do a teaching video on carbon monoxide poisoning?

  • @jeffrey-bc1ig
    @jeffrey-bc1ig Před 4 lety +1

    Thanks baby

  • @jeyramprasath
    @jeyramprasath Před 4 lety

    Sp02?

  • @einsteinsab9412
    @einsteinsab9412 Před rokem

    Very nice baby

  • @arshad7607
    @arshad7607 Před 2 lety

    Got my physiology final exam tomorrow lol

  • @viciu080
    @viciu080 Před rokem

    First big error - there is no less oxygen on higher altitudes!! The amount of oxygen in atmosphere remains the same no matter how high it is, it's always 21% of air

  • @ThePrsBee
    @ThePrsBee Před 2 lety +1

    "and u r that blue idiot on the top" 😂😂🤣🤣

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 2 lety

      Just joking 🙃

    • @ThePrsBee
      @ThePrsBee Před 2 lety

      @@MedicosisPerfectionalis i knooow 😄🤓 was funny 😍 what’s your specialty? (im “no pain, no pain” 😎…. having my spec-exam in December 🤯)

  • @fatimahayssam120
    @fatimahayssam120 Před 3 lety

    Does hypovolemia effects gait too?

  • @sujith2074
    @sujith2074 Před 5 lety +1

    Why edema occur in brain , there is vasodilation in brain right due to hypoxia?

    • @Carbon12r
      @Carbon12r Před 4 lety

      Because vasodilation within the brain from the hypoxia ant the relative waste concentrations will cause vasodilation, which increases flow to the organs, in this case the brain

    • @mariothrowsfireballsuntitl1841
      @mariothrowsfireballsuntitl1841 Před 4 lety

      @@Carbon12r which is not what medicosis perfictionalis said

    • @mariothrowsfireballsuntitl1841
      @mariothrowsfireballsuntitl1841 Před 4 lety

      Sujith it's for an another reason. It's because when the ↑pH in the brain the the cerebral vessels constrict. Vice versa when the ↓pH in the brain the cerebral vessels dilate to get rid of the H+

    • @Carbon12r
      @Carbon12r Před 4 lety

      @@mariothrowsfireballsuntitl1841 u basically said the same thing as I did. Accumuli of co2 causes acidosis and also a direct effect of hypoxia is lactic acidosis (i just put them all as waste products)

    • @mariothrowsfireballsuntitl1841
      @mariothrowsfireballsuntitl1841 Před 4 lety

      @@Carbon12r In every artery there is vasodilatation because of hypoxia and waste products. But the cerebral vessels are especially sensitive to acidosis

  • @mariejannlorrainelomarda2951

    Why did I not see this person before???

  • @rudraaashri6691
    @rudraaashri6691 Před 3 lety

    How to increase EPO ?

  • @bipprojr5269
    @bipprojr5269 Před 3 lety

    Yo baby!

  • @shivamjat5437
    @shivamjat5437 Před 3 lety

    Its so gud honeyy😘

  • @kilianhzh
    @kilianhzh Před 4 lety +1

    Flatearthers triggered in under two minutes

  • @user-ek7cy2lx2t
    @user-ek7cy2lx2t Před 3 lety +1

    آخرتها طلعت طعمية 🙂
    امزح 😂😂😂😂 مجهود كبير والله ❤❤

  • @abdullah-sx2qf
    @abdullah-sx2qf Před 5 měsíci

    9:40

  • @livnitrite
    @livnitrite Před 4 lety +2

    “Edema Baby!” Yeas my way to “freakin’” learn !

  • @charlestaylor4465
    @charlestaylor4465 Před rokem

    This guy is sweet AF

  • @abdelali7997
    @abdelali7997 Před 4 lety

    Are you gipty bro 🇪🇬?

  • @starlaw3320
    @starlaw3320 Před 5 lety +1

    Yes, the rich people need to stop trying to climb Mt Everest. Your money won't change your physiology. Also, good job sneaking those jokes in. 😉

  • @amateurschallenge
    @amateurschallenge Před 4 lety

    HASHTAG PHYSICS BABY

  • @captaindiabetes4244
    @captaindiabetes4244 Před 4 lety

    NERDDDDDDDDDDDDDDD