High Yield Neurology Review for Step 2 CK & Shelf Exam

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  • เผยแพร่เมื่อ 22 มิ.ย. 2024
  • Get the official Dr. High Yield study notes on Amazon: www.amazon.com/s?i=stripbooks...
    This video is targeted for 3rd year medical students preparing for their shelf exams or Step 2 CK. It is with my intention to help you review the big topics covered in Neurology in 35 minutes to help you as an overview before your internal medicine shelf exam studying or as a final quick review the night before your exam! If you can easily know these concepts then you should be in good shape.

ความคิดเห็น • 102

  • @orlando666100
    @orlando666100 3 ปีที่แล้ว +102

    Great Brown Sequard explanation, just remember, the contralateral disfunction( pain and temperature) is 2 to 3 levels below the injured site, the ipsilateral part is exactly at the same level.

  • @panbeing
    @panbeing 3 ปีที่แล้ว +6

    This was very helpful for my Neurology rotation exam tomorrow! Great revision :)

  • @Elizabeth-eg8lv
    @Elizabeth-eg8lv 4 ปีที่แล้ว +10

    Watched all your vids multiple times on my commute. Great high yield review for shelf/CK. Subscribed & shared. Thanks for creating and sharing!

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 ปีที่แล้ว

      Elizabeth thanks so much for listening glad you have found it helpful! All the best

  • @matthewmillett1225
    @matthewmillett1225 2 ปีที่แล้ว +32

    Using this video to help cram for my shelf exam today. Your videos are awesome. One thing - IIRC, the "Best you can do" for stroke after 3h (or 4.5 if they don't have a certain laundry list of risk factors including T2DM for tPA) is thrombectomy within 24h for large vessel occlusion and NIHSS > 6

  • @edidiongoffiong8351
    @edidiongoffiong8351 3 ปีที่แล้ว +8

    23:50 CPT Brown Sequard (so like contralateral pain and temp, everything else is ipsilateral.)
    Absolutely love your videos, helped me with my clinical years and exams.

  • @jlholt0219
    @jlholt0219 5 ปีที่แล้ว +8

    Nice job. Listened to this right before my neuro shelf, keep up in the good work.

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 ปีที่แล้ว +2

      Thanks for commenting and I'm glad it was helpful, all the best with your neuro shelf!

  • @847165nw
    @847165nw ปีที่แล้ว +3

    Love your videos. If I do decently on step 2 next week it's at least 25% because of your videos.

  • @santygudino_
    @santygudino_ ปีที่แล้ว +4

    Thanks for your video! To your point about doing an echo as part of the stroke work-up, my understanding is that a TTE is done to look for a PFO which would allow for a paroxysmal embolus and would therefore give us a potential etiology for the stroke.

  • @OllertonMD
    @OllertonMD 3 ปีที่แล้ว +3

    freaking sweet man. take step 3 in 1 week. feel more confident with neuro now. thanks.

  • @JM-gr8dy
    @JM-gr8dy 5 ปีที่แล้ว +6

    Thank you very much for making this - really clear and helpful!

  • @royarastegar6421
    @royarastegar6421 3 ปีที่แล้ว

    Fantastic!! Your videos are sooo helpful!! Thanks very much

  • @loving60s
    @loving60s 3 ปีที่แล้ว +51

    Awesome video, thank you! Just one point I'd like to correct, medications aren't really used in management of BPPV. Rather, it is the particle repositioning maneuvers (e.g. Epley) that are the mainstay of treatment :)

    • @bradenstanyer184
      @bradenstanyer184 2 ปีที่แล้ว +4

      Agreed. The meclizine is for symptomatic control, which can help patients tolerate Epley maneuver / vestibular PT.

  • @zerozero8179
    @zerozero8179 5 ปีที่แล้ว +3

    Thank you for doing this! My CK is next week and if you can do all IM videos that would be sooooooo helpful, especially cardio, heme, ID, GI, resp. I appreciate it!

  • @abdullahirashid7670
    @abdullahirashid7670 5 ปีที่แล้ว +5

    What a wonderful vid, very quick revision looking forward for others topics plz lets see more videos from you. You Åre a true saviour

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 ปีที่แล้ว +1

      ABDULLAHI A. ABDIRASHID thank you for your comment and yes I hope to add more videos soon!

  • @rawanalharbi2322
    @rawanalharbi2322 4 ปีที่แล้ว +80

    You are amazing.
    Just a quick correction, we no longer perform the Edrophonium test for MG because of its false positives and we just perform the Antibody tests

    • @OllertonMD
      @OllertonMD 3 ปีที่แล้ว +35

      if only shelf and step exams were as up to date as you are

    • @Meredith-Kim
      @Meredith-Kim ปีที่แล้ว

      😊😊😊😊😊

    • @seeker296
      @seeker296 2 หลายเดือนก่อน

      It still is tested on step

  • @v5red
    @v5red 4 ปีที่แล้ว +29

    Love that you included pictures. It makes it a lot easier to remember. I also love that you worded it in a question and answer format so on second viewing I played it like a quiz.
    Edit: one thing though, Graves is diagnosed by checking for serum antibodies against the acetylcholine receptors at the NMJ, not with the edrophonium(tensilon) test

    • @loving60s
      @loving60s 3 ปีที่แล้ว +31

      Were you meant to say myasthenia gravis?

  • @LorenzoCarnio
    @LorenzoCarnio 3 ปีที่แล้ว +96

    I wish whoever else was listening to this would mute their mic, the echo effect on it is killing me with headphones on :(

    • @stephanielee2497
      @stephanielee2497 ปีที่แล้ว +3

      Lolol I think it was a tutoring session

  • @pumpkinheadjrb
    @pumpkinheadjrb ปีที่แล้ว +2

    Love your stuff man! You and Emma Holliday.

  • @sy1511
    @sy1511 ปีที่แล้ว +7

    Great video!!
    Correct me if I’m wrong, but;
    Xanthochromia Is yellow fluid indicating there is bilirubin present.
    RBC in the CSF would indicate HSV meningitis.

  • @osaevbiewoghiren2761
    @osaevbiewoghiren2761 4 ปีที่แล้ว

    love all your vids great stuff

  • @attaullah1111
    @attaullah1111 4 ปีที่แล้ว

    Great effort bro, thanks!

  • @minidigger1000
    @minidigger1000 ปีที่แล้ว +2

    I am a person that had an aneurysm rupture back in March 2022 when it happened I had no simtem whatsoever I just collapsed lucky for me my wife was near by it happened at the back of the head ,I have now fully recovered I find your video very interesting I'm trying to find out all I can to do with the brain. I have found since my medical problem occurred now the brain has become interesting to me

  • @ongogablogian608
    @ongogablogian608 2 ปีที่แล้ว +8

    Standardized testing now seems to prefer hypertonic saline for ICP instead of mannitol due to some emerging research showing improved safety and efficacy. Thanks for the great video!

    • @ongogablogian608
      @ongogablogian608 2 ปีที่แล้ว +7

      This guidance probably changed since this video was posted, so this comment is for my fellow struggle bus neuro studiers!

    • @varunuchil107
      @varunuchil107 2 ปีที่แล้ว

      Hypertonic is also preferred to mannitol in cases of increased ICP AND hypotension, since the diuretic effects can lead to fluid shifts

  • @user-wu7dv4id9p
    @user-wu7dv4id9p 6 หลายเดือนก่อน

    Amazing job!thank you SOOOO much!

  • @blakehoward2804
    @blakehoward2804 ปีที่แล้ว +1

    This is my favorite of all of your videos, because Goljan cuts off part of Neurology, Emma Holliday never gets to it, and Boards and Beyond requires a subscription/is much longer. Thanks a lot for this!!

  • @fqabba
    @fqabba 5 ปีที่แล้ว +6

    Thank you very much, very helpful tips

  • @hayaalany9796
    @hayaalany9796 ปีที่แล้ว +5

    From the time this video was posted they changed the alteplas window to 3-4.5 hours

  • @xxy9935
    @xxy9935 2 ปีที่แล้ว +2

    Thank you bro. I include you in my prayers at night. fr.

  • @NAHMS26
    @NAHMS26 5 ปีที่แล้ว

    Thank you so much for this video!!

  • @dad2569
    @dad2569 2 ปีที่แล้ว +4

    Great vids! Have u thought about doing one for biostats and ethics?

  • @jerrinbawa
    @jerrinbawa 4 ปีที่แล้ว +11

    Awesome video, thank you so much for this and all of your other videos! At 22:04, the caption says 'Arnold Chiari Malformation Type 2' and you mention that Syringomyelia is associated. I didn't know if you were talking about Chiari malformations in general or specifically type 2, but I just wanted to add that Syringomyelia is more commonly associated with Type 1 Chiari malformations as opposed to Type 2.

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 ปีที่แล้ว +10

      Jerrin Bawa yes that's correct syringomyelia is more associated with type 1

  • @Tonnie31
    @Tonnie31 ปีที่แล้ว

    Thank you for your videos Very Helpful

  • @082199eg
    @082199eg 10 หลายเดือนก่อน

    Incredible, thank you

  • @Salam_1965
    @Salam_1965 2 ปีที่แล้ว

    You did a great job

  • @rawaneid4313
    @rawaneid4313 4 ปีที่แล้ว +1

    you are amazing thank u so much

  • @HeyDoctorHelene
    @HeyDoctorHelene 5 ปีที่แล้ว

    thanks so much man!

  • @hageraltaher281
    @hageraltaher281 3 ปีที่แล้ว

    You are amazing, thanks

  • @judjudersawn2596
    @judjudersawn2596 ปีที่แล้ว

    Ur RX lectures helped me so much in pre clinicals my dude

  • @DT-kx2gu
    @DT-kx2gu 2 ปีที่แล้ว

    Thank you so much!

  • @haqrab
    @haqrab 3 ปีที่แล้ว +17

    "L I can't remember" hahaha dude there's always one part in every video that makes me laugh out loud

  • @sameral1651
    @sameral1651 ปีที่แล้ว

    Thanks again and thanks again

  • @sanaanwar2061
    @sanaanwar2061 2 ปีที่แล้ว +3

    For tourette, antidopaminergic drugs are first line after habit reversal not clonidine

  • @Iyswift
    @Iyswift 2 หลายเดือนก่อน +1

    That intro was HEAT

  • @ashuagarwal8674
    @ashuagarwal8674 5 ปีที่แล้ว +11

    The highest of yields bruh. Thank you for your time and effort.

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 ปีที่แล้ว +1

      Ashu Agarwal thanks and no problem glad it was helpful

  • @nabeehaessam2084
    @nabeehaessam2084 หลายเดือนก่อน

    Thank you so much!!!!

  • @hyungjin6970
    @hyungjin6970 10 หลายเดือนก่อน

    Thank you!!!

  • @ampanchal95
    @ampanchal95 2 ปีที่แล้ว

    Excellent 👍🏻

  • @Anna-jl7mr
    @Anna-jl7mr 5 ปีที่แล้ว

    really good!!!

  • @rbn31311
    @rbn31311 9 หลายเดือนก่อน

    the info is great and everything but can you drop your skin care routine?

  • @HadeerSinawe
    @HadeerSinawe 4 ปีที่แล้ว +1

    Can you clarify MCA vs. ACA. You earlier said that MCA supplies lower extremity, but when you mention L MCA stroke, you stated that it affects the upper extremity. Thanks :)

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  4 ปีที่แล้ว +9

      Hi generally it should follow the homonculus distribution. ACA is medial and will be lower extremity predominant vs MCA which is lateral and will be more upper extremity predominant

  • @tabishrehman
    @tabishrehman 3 ปีที่แล้ว

    Hey can you allow the download option for this video! Thanks

  • @monye9963
    @monye9963 2 ปีที่แล้ว

    Amazing

  • @abhishekvsmalyala
    @abhishekvsmalyala 3 ปีที่แล้ว +7

    I don't know her, but am really starting to hate the lady saying "yeah" after every half sentence in the background.

  • @sameral1651
    @sameral1651 24 วันที่ผ่านมา

    Do you believe that i have been listening to your videos more than 100 times

  • @silviomartinez7286
    @silviomartinez7286 2 ปีที่แล้ว +1

    xanthochromia is not RBCs in the tap, it is yellow fluid in the CSF due to bilirubin breakdown from hemoglobin. This however is not always present so you may actually have high RBCs in the tap with normal other CSF values (normal glucose, protein, WBC)

  • @inchyokk
    @inchyokk 3 ปีที่แล้ว

    Is neurofibromatosid high yield?

  • @otto9875
    @otto9875 3 ปีที่แล้ว +2

    elevated ICP Tx = mannitol or Hypertonic saline

  • @rimse272
    @rimse272 3 ปีที่แล้ว +1

    I don't get the hyperventilation part. Can someone explain why hyperventilation lowers the ICP? i don't get the logic stated in the video

    • @mane6377
      @mane6377 3 ปีที่แล้ว +6

      Remember co2 is a cerebral vasodilator .
      So hyperventilation = decreased co2 = vasoconstriction = decreased ICP (hope it helps)

  • @32ahmmed
    @32ahmmed 4 ปีที่แล้ว

    Thx

  • @raziel33581
    @raziel33581 3 ปีที่แล้ว +2

    “Yeah!” Someone really excited about what “yeah, yeah” he is saying “yeah”

  • @laiela5939
    @laiela5939 ปีที่แล้ว

    Which song is in beginning

  • @alih6953
    @alih6953 3 ปีที่แล้ว

    Sorry the Link does not work anymore

  • @maabhussein9910
    @maabhussein9910 11 หลายเดือนก่อน +1

    ♥️♥️

  • @davidash2158
    @davidash2158 5 ปีที่แล้ว +4

    What are those parrot sounds in the background?

    • @DoctorHighYieldMD
      @DoctorHighYieldMD  5 ปีที่แล้ว +6

      David Ash oh it might be feedback or my gf haha

  • @randomkandor
    @randomkandor 2 ปีที่แล้ว

    great video as always, that viewer should have muted though - pretty distracting

  • @IncineratedHam
    @IncineratedHam 4 หลายเดือนก่อน

    Absence doesn't have postictal state

  • @StudyOfWombo
    @StudyOfWombo 4 ปีที่แล้ว +49

    Dr. High Yield I love you man but please don't make another video where you're facetiming. The audio feedback is terrible

    • @suhass1259
      @suhass1259 3 ปีที่แล้ว

      He made sure, "she saw this" lol Still Fire tho

  • @step_zero
    @step_zero 3 ปีที่แล้ว

    dopeness

  • @LaurenDay54U
    @LaurenDay54U หลายเดือนก่อน +2

    The girl in the background with her mic ALWAYS on causing feedback, her side conversations, and constantly saying “YEAH” is driving me absolutely insane. EVERY. SINGLE. VIDEO.

  • @kalpanagosai1709
    @kalpanagosai1709 2 ปีที่แล้ว

    For myasthenia gravis apart from edrophonium test latest UWorld also has this ice pack test…ptosis improves with placing ice over the eyelid. Can anyone please help me with differentiating between transient synovitis vs systemic juvenile arthritis…i know it isn’t topic from this video but somehow i always get it wrong…thanks in advance.

    • @Idlaff
      @Idlaff ปีที่แล้ว +1

      transient synovitis, likely history of recent viral illness (urti), usg can show joint effusion. systemic jia; rash, hepatosplenomegaly, lymphadenopathy, in addition to arthritis. hope this helps.

  • @The_inner_ascent
    @The_inner_ascent 3 ปีที่แล้ว +3

    21:50 lol its ok

    • @gettygets872
      @gettygets872 3 ปีที่แล้ว +1

      I always wonder, why is the word "retardation" funny ? This reminds me of why certain words become politically incorrect for no reason. Pop culture (movies, music) cause medical terms to change for no reason and then (in medicine) we have to learn new terms when there's nothing wrong with the word. It's what in people's minds and how they react that should change.

  • @NiteFire91
    @NiteFire91 ปีที่แล้ว +4

    Does anyone else hear this girl talking randomly?

    • @hayaalany9796
      @hayaalany9796 ปีที่แล้ว +2

      I’m thinking this is from a private tutoring group?

  • @thewhopper256ify
    @thewhopper256ify 3 หลายเดือนก่อน

    The chick saying “yEaH” to everything is so annoying