As a professor in physiology I can say the speaker is very didactic. Hit every note and commented questions giving many etiology examples and subtle interpretations of words to match the clinical realities. Loved it. Two thumbs up
Hy...i may be watching it late bt the question 6's answer needs correction. Adenosine is contraindicated in Asthmatics as it cause severe bronchospasm and feeling of impending doom.
Hey excellent video, got CK coming up >_< kinda nervous because my NBME score report showed borderline performance on Cardio.. Quick question regarding #8 Aortic Dissection, wouldn't the best way to dx it be via TEE?
Q5: How do you know this is PSVT and not atrial flutter? Isn't the heart rate of 150 bpm typical for a 2:1 atrial flutter? Wouldn't we have to administer adenosine to differentiate it? Thank you very much for your videos!
I was wondering the same, just check up to date and it stated that you want to order echocardiogram first to assess the level of the cardiac tamponade and it can also guide the pericardiocentesis
Why would we not get a baseline set of vitals, to include EKG, before we start pushing meds? How do we know what a baseline measurement is for this patient without treatment?
Scott Mayhew In real life, you probably will have an EKG all the time. But the USMLE will only give you EKG/vitals if it's necessary in making the diagnosis. They tend to give you the minimum amount of information necessary.
Dr Paul, you said that HOCM and MVP murmurs are increased during valsalva(decreased blood flow to the heart) then why is MVP murmur increased during pregnancy(where there is increased blood flow to the heart)
ashdude123 i think MVP decrease intensity of the murmur with increased volume... MVP&HOCM are two exceptions of most murmurs. I remember UW of step1 has questions on that
Tuesday, October 4, 2022. Cardiology: Cardiology Review Questions.....Medical Procedure is certainly Science Based and Certainly Involves a sophisticated eye for Pathology. MD Paul Bolin illustrates this herein Nicely......Right on! Lehren zu Fuehren und Heilen. Heil!
you probably dont give a shit but does someone know of a method to get back into an instagram account? I somehow lost my login password. I appreciate any help you can offer me
@Jeremiah Larry Thanks for your reply. I found the site thru google and I'm in the hacking process now. Looks like it's gonna take a while so I will reply here later with my results.
As a professor in physiology I can say the speaker is very didactic. Hit every note and commented questions giving many etiology examples and subtle interpretations of words to match the clinical realities. Loved it. Two thumbs up
I like how he leaves in his mistakes. Very honest guy and I’m impressed with his education and candid demeanor.
Q.6
Adenosine in contraindicated in asthmatic patient
In this case best to give Ca chanal blocker
Excellent content. Useful for Physician Assistant PANRE review.
Hy...i may be watching it late bt the question 6's answer needs correction. Adenosine is contraindicated in Asthmatics as it cause severe bronchospasm and feeling of impending doom.
Thank u a billion times and more Dr Paul Bolin👏👏👏😁
Watched a little... Awesome so far... Will watch the rest tonight
Hey excellent video, got CK coming up >_< kinda nervous because my NBME score report showed borderline performance on Cardio..
Quick question regarding #8 Aortic Dissection, wouldn't the best way to dx it be via TEE?
great...your are 4 g lecturer:Good Great Generous and Genious...many thanks
Phenomenal work, If you could do Review Questions at the end of other sections it would GREATLY GREATLY appreciated. THANK YOU SO MUCH :)
Q5: How do you know this is PSVT and not atrial flutter? Isn't the heart rate of 150 bpm typical for a 2:1 atrial flutter? Wouldn't we have to administer adenosine to differentiate it?
Thank you very much for your videos!
I ain’t see no Flutter waves. Unless they be real fine, I don’t see none. Also, kind of a young man without significant history, sounds more like SVT
Isnt Q9 EKG shows typical alternans which is Cardiac Tamponade and the answer must be perecardiocentesis?
I was wondering the same, just check up to date and it stated that you want to order echocardiogram first to assess the level of the cardiac tamponade and it can also guide the pericardiocentesis
Is adenosine contraindicated in asthmatics? I thought you give non DHPR instead
Why would we not get a baseline set of vitals, to include EKG, before we start pushing meds? How do we know what a baseline measurement is for this patient without treatment?
Which question are you referring to?
Paul Bolin You explained it. I was assuming that there would be an EKG in the room. I am used to having an EKG in every bay.
Scott Mayhew In real life, you probably will have an EKG all the time. But the USMLE will only give you EKG/vitals if it's necessary in making the diagnosis. They tend to give you the minimum amount of information necessary.
Thank you sir.
Paul Bolin how you churn out videos so fast in such a good quality is beyong me, please carry on.
very lucid relavent lecture immensely useful lecture
*perfect ... thanks doc... thats helped me a lot*
Brilliant videos! Thank you!
Dr Paul, you said that HOCM and MVP murmurs are increased during valsalva(decreased blood flow to the heart) then why is MVP murmur increased during pregnancy(where there is increased blood flow to the heart)
Is It safe to give Adenosine to a patient with Asthma ?!
Does mitral valve prolapse increase intensity of the murmur with increased volume or is it one of the exceptions like HOCM?
Also, I heard in the video that you don't give NSAIDs when suspecting post-MI pericarditis (Dressler syndrome). What is aspirin?
ashdude123 i think MVP decrease intensity of the murmur with increased volume... MVP&HOCM are two exceptions of most murmurs. I remember UW of step1 has questions on that
Tuesday, October 4, 2022. Cardiology: Cardiology Review Questions.....Medical Procedure is certainly Science Based and Certainly Involves a sophisticated eye for Pathology. MD Paul Bolin illustrates this herein Nicely......Right on! Lehren zu Fuehren und Heilen. Heil!
Pericarditis get worse in prone position or supine?
A great work man! (just a little thing - shouldn't it be "when he lies down"? cuz there's a difference between lay and lie.) Thanks again for ur work.
gr8 quick review. thnx!!!
Cha2ds2 vs CHA2DS2-VASc , over 75 is 2 points isnt it?
GREYDE2 YES!
usted es un Bacano!!! Thank you so much
Thanks doctor
freaking amazing ! THANKS Dr. Bolin
you probably dont give a shit but does someone know of a method to get back into an instagram account?
I somehow lost my login password. I appreciate any help you can offer me
@Rohan Jimmy Instablaster =)
@Jeremiah Larry Thanks for your reply. I found the site thru google and I'm in the hacking process now.
Looks like it's gonna take a while so I will reply here later with my results.