I guess this channel is the best for medical residents and I have experience of watching other channels.no body has explained so easily and from the very base.i have become fan and continuously taking help from lecs. I just wish that this channel covers each topic of every system.so much addicted to this now.Great job and thumbs up.Big fan of dr Eric.please continue it and just don't stop.wish to have great teachers like him.
You are the best! Thank you! Very vividly presented topics. I am following you since being a student & I am a huge fan. Good luck and keep it up! Your impact is significant.
You can not become a doctor by watching a couple of videos. It will take 6 years to get a degree and another 5 years of difficult training to be a good doctor.
Hey , thanks for the great overview and explanation. Are there any particular changes or additions regarding the content you discussed after the new ADA hyperglycemic crisis states guidelines systematic review that was published several months ago?
Wonderful, as always, sir. Medical student here from India, have deep appreciation for your efforts and the content which is always very well researched and worthy of being in a standard textbook. I've seen a few of our professors copy some of your slides sometimes, don't know how you'd feel about that. Wish you great health and success in life. (And if I may request you to post on some specific topics - please expand your series on interpretation of lab investigations, eg CSF; and perhaps a series on neurological diseases. I understand that you'll have a long list of prospective topics already, and thank you for considering viewer suggestions.)
Thanks for the comment. I know that my videos and slides are used in classes in many places. I'm happy when the videos are incorporated into a course, provided that the professor links to the original video on RUclips rather than ripping the video and reuploading it to a different site or to their school's private server. However, taking screen shots of the slides and incorporating them into their own lectures without attribution is not ok. Even after 10 years of seeing this done, I am still amazed at how many profs see this as an acceptable practice - even some of my own colleagues have used my work without attribution! However, having said that, unless someone is doing something truly over-the-top (e.g. selling my videos on DVD from their personal Facebook page - yes this happens!), no need to name specific individuals or schools. Thanks for the topic suggestions. As you acknowledged, I have a long list of requests, which grows longer all the time as topics get added faster than I can cover them. But I'm constantly reshuffling the priority of different ideas, usually based on a combination of what I am finding interesting at that moment, and local curricular needs at my own school. I'll keep the request for neuro topics in mind - in fact, I'm literally working on a video that spans neurology and toxicology today (influenced by a patient I saw last week).
@@StrongMed Very gracious of you to reply so much in detail. Regarding the plagiarism, its just been screenshots of slides though unattributed, and your frustration is entirely justified. Teachers here do not usually provide links or references to read up further on a topic during classroom lectures and prefer to suggest only textbooks, and I wish they'd consider internet sources too especially your channel. Things will likely improve with time, and I hope more students here discover what an excellent resource your channel is.
I was admitted to the ER with uncontrollable vomiting with a ketone strip indicating heavy ketones in my urine, due to gastric distress. WBC was 20k no fever. I was treated as an appendicitis patient.My brain was affected I was heavily confused and released after several hours due to covid crowding. My pcp followed up by prescribing anti-vomiting drugs Zofran and Phenergan and scopalomine. patches as my blood pressure went from 200/120 to 90/60 i was tachachardic. Did DKA cause permanent muscle and brain issues?
Very good video I’ve been a hospitalist for 3 years and this was still informative. I wasn’t clear, Did you mention DKA is being treated with sub q insulin? How are they addressing the IVF and are they just using a standard sliding scale?
I’m a hospitalist too .. sometimes people have mild dka which would have gap closed by the next bmp check on insulin drip.. only to be transferred to icu only for a few hours before having to be transferred down.. these mild cases usually get better with aggressive SQ insulin .. as for fluids just IVFs.. Also I imagine the degree of volume depletion in less in these milder cases
Thank you so much Dr. Strong for these videos! I have used them since I was in undergraduate studies now I am a PGY-1 in Internal Medicine. I wanted to ask, what other resources do you recommend for studying during intern year/residency in IM, for guidelines and to increase knowledge. Thank you!!
Yes, that's correct. This fluid may go by different names in other countries, but in the US it is most commonly referred to as "one half NS" or "half normal". (which of course is a misnomer since "normal saline" is not at all normal!)
The word "ketones" in a medical context refers to a group of 3 compounds (e.g. beta hydroxybutyrate, acetoacetate, and acetone) that the body makes in response to some combination of physiologic stress (e.g. elevated cortisol, elevated epinephrine), lack of insulin, and/or need for energy. Discussed @9:00.
I guess this channel is the best for medical residents and I have experience of watching other channels.no body has explained so easily and from the very base.i have become fan and continuously taking help from lecs. I just wish that this channel covers each topic of every system.so much addicted to this now.Great job and thumbs up.Big fan of dr Eric.please continue it and just don't stop.wish to have great teachers like him.
he is nice men
Man
You are the best! Thank you! Very vividly presented topics. I am following you since being a student & I am a huge fan. Good luck and keep it up! Your impact is significant.
I hope I learned this and became a doctor. This disease killed my dad. I miss him.
@@sunxnes I’m sorry your parents didn’t love you, you can’t say that shit to someone’s who’s lost a parent though
@@dans6938 I'm so sorry that insensitive comment you were referring to slipped through (it's now deleted). Thanks for pointing it out.
You can not become a doctor by watching a couple of videos. It will take 6 years to get a degree and another 5 years of difficult training to be a good doctor.
Very informative data....You can get the point of each topic ... Thanks Dr.Strong
Very informative video. It would be greatly appreciated if you could also include SI units.
This is so good! I really appreciate the added info on hospital protocol as well as general management
Thank you Dr Strong so wonderful lecture . So great clinical point and new , Yours are the best lecture in medicine.
Hey , thanks for the great overview and explanation.
Are there any particular changes or additions regarding the content you discussed after the new ADA hyperglycemic crisis states guidelines systematic review that was published several months ago?
Wonderful, as always, sir. Medical student here from India, have deep appreciation for your efforts and the content which is always very well researched and worthy of being in a standard textbook. I've seen a few of our professors copy some of your slides sometimes, don't know how you'd feel about that.
Wish you great health and success in life.
(And if I may request you to post on some specific topics - please expand your series on interpretation of lab investigations, eg CSF; and perhaps a series on neurological diseases. I understand that you'll have a long list of prospective topics already, and thank you for considering viewer suggestions.)
Thanks for the comment. I know that my videos and slides are used in classes in many places. I'm happy when the videos are incorporated into a course, provided that the professor links to the original video on RUclips rather than ripping the video and reuploading it to a different site or to their school's private server. However, taking screen shots of the slides and incorporating them into their own lectures without attribution is not ok. Even after 10 years of seeing this done, I am still amazed at how many profs see this as an acceptable practice - even some of my own colleagues have used my work without attribution! However, having said that, unless someone is doing something truly over-the-top (e.g. selling my videos on DVD from their personal Facebook page - yes this happens!), no need to name specific individuals or schools.
Thanks for the topic suggestions. As you acknowledged, I have a long list of requests, which grows longer all the time as topics get added faster than I can cover them. But I'm constantly reshuffling the priority of different ideas, usually based on a combination of what I am finding interesting at that moment, and local curricular needs at my own school. I'll keep the request for neuro topics in mind - in fact, I'm literally working on a video that spans neurology and toxicology today (influenced by a patient I saw last week).
@@StrongMed Very gracious of you to reply so much in detail. Regarding the plagiarism, its just been screenshots of slides though unattributed, and your frustration is entirely justified. Teachers here do not usually provide links or references to read up further on a topic during classroom lectures and prefer to suggest only textbooks, and I wish they'd consider internet sources too especially your channel. Things will likely improve with time, and I hope more students here discover what an excellent resource your channel is.
Literally yesterday had my clinical rotation on hyperglycemic crises :'v hahaha. Anyways, it will help me review the topic. Thank you Dr Strong!!!!
Great topic. Seen commonly in the E.D.
I was admitted to the ER with uncontrollable vomiting with a ketone strip indicating heavy ketones in my urine, due to gastric distress. WBC was 20k no fever. I was treated as an appendicitis patient.My brain was affected I was heavily confused and released after several hours due to covid crowding. My pcp followed up by prescribing anti-vomiting drugs Zofran and Phenergan and scopalomine. patches as my blood pressure went from 200/120 to 90/60 i was tachachardic. Did DKA cause permanent muscle and brain issues?
Awesome content. Thank you so much for this. Ken Sawyer FNP-C
Great lecture. Can you shed some light on un-resolving acidemia in DKA? Thanks.
The general consideration is that acidemia secondary to uncomplicated DKA will resolve with fluids and insulin in
@@StrongMed it makes sense. Thank you so much for answering!
Very good video I’ve been a hospitalist for 3 years and this was still informative. I wasn’t clear, Did you mention DKA is being treated with sub q insulin? How are they addressing the IVF and are they just using a standard sliding scale?
I’m a hospitalist too .. sometimes people have mild dka which would have gap closed by the next bmp check on insulin drip.. only to be transferred to icu only for a few hours before having to be transferred down.. these mild cases usually get better with aggressive SQ insulin .. as for fluids just IVFs.. Also I imagine the degree of volume depletion in less in these milder cases
One of my all time favorite admissions
thank you great effort
Why is there a volume deficit not attributable to free water loss here? Thank you in advance.
Love you so much sir.
Whats the difference between calculating serum osmolality versus measuring serum osmolality--?
Excellent
Amazing thanks ☺️
Great video
Thank you so much Dr. Strong for these videos! I have used them since I was in undergraduate studies now I am a PGY-1 in Internal Medicine. I wanted to ask, what other resources do you recommend for studying during intern year/residency in IM, for guidelines and to increase knowledge. Thank you!!
Thanks😊
When do you start bicarb drip in the algorithm
thank you so much! 9/9/2022
Great
1/2 NS - you mean 0,9/2= 0,45% NS?
Yes, that's correct. This fluid may go by different names in other countries, but in the US it is most commonly referred to as "one half NS" or "half normal". (which of course is a misnomer since "normal saline" is not at all normal!)
Tq
What are KETONES??
The word "ketones" in a medical context refers to a group of 3 compounds (e.g. beta hydroxybutyrate, acetoacetate, and acetone) that the body makes in response to some combination of physiologic stress (e.g. elevated cortisol, elevated epinephrine), lack of insulin, and/or need for energy. Discussed @9:00.
Niceee
13:57
i would like ur video but its at 420.... nice
Any Diabetics watching this, to scare themselves to keep taking their meds or just me?
Thanks 😊