Hey Conan, just found your channel today after struggling in MICU for the last 2 days. I am going through everything. Will definitely rewatch too. You are a life saver. Just amazing videos. Thank you so very much
New intern here; loving this channel, honestly one of the best ones for teaching because you're so close to the resident level and know exactly what's needed at a resident level.
Exactly my feeling! The best teachers imo are the ones who are only a little ahead of you in training since they know what the important and difficult aspects to learn are!
Hey mate just wanted to mention such videos are really priceless, i'm an internal medicine trainee and these videos are so fun to watch, getting my head out of the books and having a IM perspective on these common topics. Thanks a lot and hope you can keep it up, im sure you're super busy so appreciate it.
Thank you for making these videos! I have been basically binge watching your videos since finding your channel. Your interactive and focused delivery makes the material more interesting and easy to learn. The length of the videos is also perfect for reviewing a topic on my downtime. Thank you!
Amazing stuff as always! I was wondering if there was any data or calculation for how much of an anion gap is accounted for with “X” lab result? So if a patient had a pure high anion gap metabolic acidosis with a corrected AG of 18 and was found to have a lactate of 5, how much of the anion gap does the lactate explain? Could there be another coexisting etiology within GOLDMARK? Should we check a BHB for ketones if not already? If nothing else jumps out and it’s not improving, when should we reach out to the lab to look for the zebras like oxoproline? Thanks!!
Always a thumbs up for your videos. Thanks for breaking down difficult concepts for easy understanding. Good job. Lord Jesus Christ bless all your efforts.
shortcut to winters formula take the bicarb in the ABG and add 15 to it .. that will give you your expected PCO2 value if your abg pco2 is less or more than expected PCO2 = you can dictate what the cause is easily - for example .. if ph 7.2 , pco2 35 (which seems normal but wait) -- bicarb 30, AG 10 ... your expected PCO2 (to save time on winters formula) = 30+15 = 45 - therfore when you compare pco2 of 35 to expco2 of 45 = there is hyperventilation bc pco2 is lower than expco2 value
the easiest way to calcularte osm gap in your head as follows : serum osm - calculated osm - calculated osm = 2x Na level + 10 .. thats it .. even if you work out the formula = you will get the same result nearly every time.
the easiest way to explain NAGMA and Urine anion gap is not what you rambled on about with Urine chloride 1. calculate UAG anytime there is a NAGMA if you have the urine lytes 2. if UAG = negative value = ne-GUT-ive -- its a gut / GI loss reason .. vomiting, diarrhea, whatever 3. If UAG = positive value = its RTA end of story.
Man why the hell you don't make lectures for internal medicine!!! Or for much topics as you can for emergency medicine.. u can use 5 minutes consult emergency book then add ur clinical experience and that would be the most precious thing on TH-cam 🤍 really thank you ♥️
Hey Conan, just found your channel today after struggling in MICU for the last 2 days. I am going through everything. Will definitely rewatch too. You are a life saver. Just amazing videos. Thank you so very much
New intern here; loving this channel, honestly one of the best ones for teaching because you're so close to the resident level and know exactly what's needed at a resident level.
Exactly my feeling! The best teachers imo are the ones who are only a little ahead of you in training since they know what the important and difficult aspects to learn are!
Hey mate just wanted to mention such videos are really priceless, i'm an internal medicine trainee and these videos are so fun to watch, getting my head out of the books and having a IM perspective on these common topics. Thanks a lot and hope you can keep it up, im sure you're super busy so appreciate it.
Thank you so much for this comment!! It truly truly made my day when I read it this morning. Totally makes this all worth it :D
Dr hi, I'm watching ALL ur videos, thank you for taking the time, they're amazing. God bless
You are wonderful. Thank you for teaching all this! 🙏
This is the real gold 🥇
Thank you so much. Great lectures!!!!
Thank you for making these videos! I have been basically binge watching your videos since finding your channel. Your interactive and focused delivery makes the material more interesting and easy to learn. The length of the videos is also perfect for reviewing a topic on my downtime. Thank you!
Thank you Conan for doing this, let’s really helpful. God bless you for teaching ❤❤❤❤❤❤
Glad it was helpful! Thank you!! :)
Awesome video, thanks
Amazing stuff as always! I was wondering if there was any data or calculation for how much of an anion gap is accounted for with “X” lab result? So if a patient had a pure high anion gap metabolic acidosis with a corrected AG of 18 and was found to have a lactate of 5, how much of the anion gap does the lactate explain? Could there be another coexisting etiology within GOLDMARK? Should we check a BHB for ketones if not already? If nothing else jumps out and it’s not improving, when should we reach out to the lab to look for the zebras like oxoproline? Thanks!!
Well done scholar
Can you do a video about complex acid base disorders? Like when you have metabolic acidosis and respiratory alkalosis at the same time?
Great video! Congrats! Please make one video about DKA management 🙌🏻
Always a thumbs up for your videos. Thanks for breaking down difficult concepts for easy understanding. Good job. Lord Jesus Christ bless all your efforts.
Gold-standard material!
whenever you post i hyperventilate and then i go into respiratory alkalosis
yessss
shortcut to winters formula
take the bicarb in the ABG and add 15 to it .. that will give you your expected PCO2 value
if your abg pco2 is less or more than expected PCO2 = you can dictate what the cause is easily
- for example .. if ph 7.2 , pco2 35 (which seems normal but wait) -- bicarb 30, AG 10 ... your expected PCO2 (to save time on winters formula) = 30+15 = 45
- therfore when you compare pco2 of 35 to expco2 of 45 = there is hyperventilation bc pco2 is lower than expco2 value
Be nicer to your cat
the easiest way to calcularte osm gap in your head as follows :
serum osm - calculated osm
- calculated osm = 2x Na level + 10 .. thats it .. even if you work out the formula = you will get the same result nearly every time.
the easiest way to explain NAGMA and Urine anion gap is not what you rambled on about with Urine chloride
1. calculate UAG anytime there is a NAGMA if you have the urine lytes
2. if UAG = negative value = ne-GUT-ive -- its a gut / GI loss reason .. vomiting, diarrhea, whatever
3. If UAG = positive value = its RTA
end of story.
Man why the hell you don't make lectures for internal medicine!!! Or for much topics as you can for emergency medicine.. u can use 5 minutes consult emergency book then add ur clinical experience and that would be the most precious thing on TH-cam 🤍 really thank you ♥️