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I found it very confusing, sometimes if the patient is in pain but the treatment requires pain meds (ex. pancreatitis), if I ordered it on first pass css seems to deduct points for "treating before diagnosing"... UW seems to be a bit different than CCS, and the NBME ones seem to tell us not to order extraneous things even tho the CCS cases website usually don't care unless you order something contraindicated or too invasive. Who on earth to I trust? T.T

Intern year the most difficult yet the most rewarding. Thank you for the video

amazing

Good stuff!!!

Thank you .I would like to know why you do the physical examination twice?

Great topic, thanks 👍

Doctor are you there ? I have some very imp questions 😢😢😢

❤❤

Such a Great explanation ✅💜 thanks a lot

very beneficial videos deserve some more views altho I have a suggestion if you somehow manage a pencil it would be clearer and less rough. nonetheless great videos

Great quick review, like I love it 🤠

You are the best doctor. Thank you bunches ❤

Hello, Love the video! Is the abnormal result highlighted/starred on the real exam also?

Hello, I am a foreign medical graduate applying for usmle, can you please tell me that, do we have to complete residency in our home country to apply for the step 3 examinations? is this a criteria? Also if I am planning to give my exams after 2 months from now, when should I be applying for the step 3 exams? Do we get a block within 2 months of application?

Simplified ! Thank you.

What about choosing "call /see me as needed" to move forward? Would that be a sound choice?

Wow, this was so incredibly helpful!!

Thankyouu

one of the most informative videos of my lifetime really really thank you

Wonderful! Really helpful. I can finally open my CCS and start solving the cases with confidence!

Can you show inhospital bed side rounds in video?

Hi sır! Can you help me to reach the PowerPoint presentation? It will be good if you can help me.. Thanks again

awesome

This was amazing, thank you!

SO helpful! Thank you!

GREAT PERSONALITY✨

Is it worth it ?

Thank you man that was helpful, God bless

Thank you so much!!

Hello Dr. Khalid I am new subscriber to your channel I like it so much, very simple and to the point for new img doctors who want to train at us I have questions for you. I like to do subspecialty in (cardio or pulmonology), so if you could make comparisons from your experience in us about each field 1. Which one has friendly Community 2. Which one has more intervention experience 3. Salary, of course 😂. And job availabilities. Thank you .

Thank you

tytyty very helpful

Assalamualaikom brother Nice to see you again Welcome back you are my motivation may Allah bless you ❤️

Thank you😊😊

Really enjoyed watching this and great editing, we’re very proud of your participation, big things are coming your way InshAllah, all the best doc 🥼🩵🩵

Amazing explanation and to the point

There is no better way to read first aid than this. Thanks a lot

Oh god......Why has yet another person made the same exact video talking about UWorld and Anki. Everyone has beaten this dead horse to a bloody pulp.

great explanation, thanks a lot man

excellent teaching thanks so much

Where are u located? That lemon tree looks stunning !

Khaled the best!

goodstuff khaled

How to apply for Mayo rotations as non US IMG.?

By far the best video on this content. Thank you so much for taking the time to make this!

You are a wonderful teacher..keep up the good work sir!

Here is a summary of the entire first part of the video (some of this is abbreviated so hopefully it makes sense, but you can watch and read along) CCS Cases
 Things to look for initially (brief skim of H&P) - write these on scratch sheet 1. Age 2. Gender 3. Allergies 4. Brief skim of hx 5. Screening/vaccines/social hx (smoke, drink, drugs, sexual hx) **skimming hx - buzzwords (they don’t want to trick you, dx is sometimes very very obvious) ex: RUQ pain exacerbated by fatty foods - gallstones They want to see if you can put in orders correctly, in correct order, and rule out other scary things (i.e ACS, pancreatitis etc) VS Exam: 1. If pt stable (i.e. in clinic and HDS) - complete physical (especially hitting the things they present with) 2. If pt unstable - not doing complete PE, wastes “simulated” time, need to “act fast” and do a focused PE Disposition - Where do you want the patient to be? 1. Home 2. ED 3. Admit 4. ICU STAT orders - Do you want to place any emergency orders? Mnemonic - MAVOCC + F (not all needed, but reminder of some HY examples) 1. Morphine 2. ACC (gives you IV access and glucose accuchecks) 3. Vitals check 4. Oxygen/oximeter 5. Cardiac monitor 6. C-spine 7. Fluids (NS) Orders (mnemonic) - tailor these tests to your ddx, don’t order all every time for every patient CCCMP CUAEH LLUSCENT 1. CBC 2. CMP 3. Creatine phosphokinase (CPK/CK) 4. Magnesium 5. Phosphate 1. CXR (or any XR) 2. US 3. ABG 4. ECG (other cardiac tests - echo, troponins) 5. B-HCG (repro age like <45-50 yo) 1. Lactate 2. LFT/PT/PTT/INR 3. UA/cx/UDS (or toxicology) 4. Stool cx/pH/Ova etc 5. Culture (blood, sputum etc) 6. ESR/CRP 7. Neuro checks 8. TSH Ex: 20 minute case (real-world time) - Takes you 10 minutes to complete (real time) - You treat pt perfectly - Case will end early - If you get major big things, haven’t done anything super wrong, and pt is improving -> case will end early and you have 2 minutes at the end to put in extra orders **refer back to scratch paper for quick reference for these below 1. Screening tests - i.e. colonoscopy, Pap smear, mammography 2. Vaccines - shingles, tetanus, pneumococcal 3. Counseling patient - i.e. smoking/drinking/drug cessation, medications, compliance, side effects, safe sex (if STI case), seat belt SITPM CPM ISSSAD SITPM Vax - based on case, age, gender etc 1. Shingles - zoster max - >50 yo, 2 dose series, now then in 2-6 mo 2. Influenza/COVID - fall/winter season (RSV >60 yo) 3. Tetanus - q10years 4. Pneumococcal >65 (or susceptible to encapsulated organisms) 5. Meningococcal - 2-dose at 11-12 yo and 16 yo CPM Screening 1. Colonoscopy - 45-75 yo (q10years if no abn) 2. Pap smear - (21-29 yo) q3yr w/ cervical cyto alone - (30-65) q3yr w/ cervical cyto alone, q5yr w/ high-risk HPV testing alone, or q5yr w/ hrHPV w/ cyto (co-testing) - Chlamydia/gonorrhea - all sexually active women <24 yo and >25 yo at increased risk for infection 3. Mammography - 50-74 yo - biennial screening ISSSAD Instructing patient - when you type “instruct” into order search, gives you lots of options 1. Instruct 2. Smoking 3. Safe sex 4. Seatbelt 5. Alcohol abstention 6. Disease specific instructions

Key points: 1. Timing (1:01) Real time = the actual time/real world time, which is 10-20 min. Simulated time = hypothetical time, which can last from hours to days to weeks. 2. What to look for in case's introduction (2:18) Age Gender Allergies Main HPI points Screening (vaccinations, pap smear, colonoscopy, etc) 3. Physical exam (3:45) Complete physical exam --> if patient is stable or in the office Focused physical exam --> if patient is unstable or in the ED; you can always do a complete PE later in the case after putting in emergency orders! 4. Disposition (4:35) Where do you want the patient to be? Options: home, ED, admit to inpatient, admit to ICU. 5. Emergency orders (5:55) MAVOCCF, which stands for: Morphine Acc (gives you IV access and glucose accucheck) Vitals check Oxygen/oximeter Cardiac monitor C-spine Fluids (normal saline) 6. Routine orders (6:51) CCCMP CUAEH LLUSCENT stands for: CBC, CMP, Creatine phosphokinase, Magnesium, Phosphate Chest x-ray/other x-rays, Ultrasounds, Abg, Ecg/other cardiac tests, Hcg Lactate, Lft/pt/ptt/inr, Urinalysis/culture/toxicology, Stool culture/pH/ova/etc, Culture (blood), Esr/crp, Neuro checks, Tsh 7. You should land on a diagnosis by this point and thus, a treament (9:09) 8. Case might finish early if you have managed the patient correctly (9:27) 9. Once the case finishes, you have 2 minutes at the end to put in last minute- orders (10:00). These can be pap smears, colonoscopies, vaccinations, counseling the patient on various topics. SITPM (vaccines) CPM (screening tests) ISSSAD (counseling) Shingles Influenza Tetanus Pneumococcal Meningococcal Colonoscopy (50-75 yrs, every 10 years) Pap smear (21-65 yrs, every 3 years) Mammography (50-75 yrs, every 2 years) Instruct Smoking cessation Safe sex Seatbelt Alcohol abstention Disease specific (diabetes, medication side effects, etc)

thank you!

I have an issue with the re-evaluate case, can you please explain how to use the "on" "in" and the others to really maximize time, I hope you see this, thank you for the video also!