Acid/Base || USMLE

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  • Опубликовано: 7 фев 2025
  • ​​SUPPORT/JOIN THE CHANNEL: / @dirtymedicine
    My goal is to reduce educational disparities by making education FREE.
    These videos help you score extra points on medical school exams (USMLE, COMLEX, etc.)
    For educational purposes only; NOT medical or other advice.
    Some videos contain mild profanity and hyperbole solely used to assist with memorization. Viewer discretion advised.
    Opinions are entirely my own.
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Комментарии • 331

  • @medicineislifeee
    @medicineislifeee 8 лет назад +461

    I swear this changed my life. I NEVER get a single acid base question wrong anymore! Like for real. THANK YOU!

  • @desireejennings1713
    @desireejennings1713 5 лет назад +43

    I want to thank you for creating all these vids to help others. My brother introduced me to dirtyusmle and I have used ur teachings to teach my friend and she learns while I reinforce what i learned because of you. Teachers like u are what make the world better. I can honestly say that every single video of yours that i have seen has changed my life. When i pass my exam it will change my life even more, a better future not only for myself and for my family, but also for all the people i will be able to help one day. Thank you and please continue to make these great helpful videos!!! I ❤️ dirtyusmle!!!

  • @monikagk7398
    @monikagk7398 5 лет назад +35

    I’ve been trying to learn this for so many years that I literally gave up and accepted the fact that I’ll never understand it. This video is brilliant! Genius! It changed my life, thank you!

  • @paolagissellepicazoflores7760
    @paolagissellepicazoflores7760 4 года назад +12

    BLESS YOUR SOUL!! i love u random guy in the internet who just explained everything i have to know for a test tomrrow, sending lots of good vibes to you man

  • @atreustome5588
    @atreustome5588 3 года назад +12

    I'm a newly licensed ohysician and this helped me tremendously. THANK YOU!

  • @prettyme4001
    @prettyme4001 7 лет назад +14

    The best video I ever watched on youtube. I need not open books again to read about acid-base balance. Thank you very much sir!

  • @lordyflies9237
    @lordyflies9237 5 лет назад +18

    THIS IS LITERALLY SO AMAZING HOLY. you're an absolute genius

  • @devangna16
    @devangna16 6 лет назад +53

    This was always such a hard concept for me in Med school! but this video has clarified it so much for me. THANK YOU SO MUCH!!!!

    • @charlesmweli4496
      @charlesmweli4496 2 года назад

      Where are you madam Devanga isee your contribution in Acid base balance obvious even me had help to know in detail

  • @hritvikjain__3594
    @hritvikjain__3594 5 лет назад +4

    This is the best explanation what one could give to any acid base balance question :) . The best teacher for short tricks . Love from India 🇮🇳.

  • @suomynonaanonymous
    @suomynonaanonymous 7 лет назад +12

    you are my savior thank you for all of these videos your videos are the ONLY ones that get me to remember things

  • @carriejohnson8299
    @carriejohnson8299 2 года назад +4

    Hands-down, your most impressive video. This is an elite, creative tool

  • @okorojnr
    @okorojnr 6 лет назад +2

    Thanks for making this concept ridiculously easy that medical school professors try hard and fail to explain

  • @biloz2988
    @biloz2988 4 года назад +1

    It’s very short and sweet and to the point where you get most of the questions answered on a test but this is only the beginning of this huge topic. Good for starters.

  • @marknoble5386
    @marknoble5386 Год назад +1

    Used this today in rounds on the spot when the Consultant handed me the rapid ABG strip and asked me to interpret it… got it right and impressed everyone Cheers Dirty Medicine ❤️

  • @madhumithaayyappan5277
    @madhumithaayyappan5277 8 месяцев назад

    Thank you for this Dirty!!! I have no words. Sharing your videos with ALL my friends. Love from Singapore!!!

  • @abgethiopia5098
    @abgethiopia5098 3 года назад +2

    Thankyou so much for your amazing videos, as always
    Quick info regarding the first example, we have to calculate compensation whenever we encounter Metabolic acidosis by Winter formula. (1.5 * HCO3 + 8 +-2) . so the example u gave is not compensated . Its Metabolic Acidosis without compensation

    • @DirtyMedicine
      @DirtyMedicine  3 года назад +3

      The math wasn't checked in the example. It's moreso just the method

    • @pathtowardsmedicine5836
      @pathtowardsmedicine5836 2 года назад

      If we apply winters formula in first example then value of CO2 should be 23 and here in example is 28 which is above normal so it becomes a mixed disorder, right ?

  • @markyvn
    @markyvn 3 года назад +3

    Thank you so much, man. I really never understood this one over the years. You really helped a lot of struggling students here!

  • @birenchaudhary7637
    @birenchaudhary7637 4 года назад +2

    Thanks I tried bnb and was confused ...you simplified a lot....the thing I couldn’t get in one n half hour u made it clear in 8 minutes

  • @theseedround
    @theseedround 2 года назад

    You are a Gem! Some Heros don't wear capes. Thank you!

  • @bibihanifa874
    @bibihanifa874 3 года назад

    SUPERB EXPLANATION! I thought I have to sit with my slides, to understand, but this one was just on the go!!

  • @dannyd9964
    @dannyd9964 3 года назад

    You deserve Noble price for all your contribution to medical education rather than those stupid med schools sucking all the money they can.

  • @valeriyayabluchanska7131
    @valeriyayabluchanska7131 6 лет назад +1

    I love this. I’m done with steps, yet I rewatch this again. Thanks man!

  • @FrazAhmad24
    @FrazAhmad24 8 лет назад +12

    You should create some sort of step 1 review program. You are awesome bro.

    • @DirtyMedicine
      @DirtyMedicine  8 лет назад +48

      We might release a textbook if we can generate enough interest. It would NOT be all-inclusive (ie, it would NOT be like First Aid). It would contain the HIGHYIELD info from each section, complete with mnemonics, and then at the front of the book there would be a list of the top-100 most commonly tested facts

    • @FrazAhmad24
      @FrazAhmad24 8 лет назад +2

      Hope you guys release it before august 2017.

    • @ttrinix
      @ttrinix 7 лет назад

      keen

    • @SCC1606
      @SCC1606 6 лет назад +2

      @@DirtyMedicine hi! Where can I find your book?

    • @shymaaibrahim699
      @shymaaibrahim699 6 лет назад +2

      @@DirtyMedicine Good luck

  • @denisserojas1861
    @denisserojas1861 7 лет назад +3

    This is the single best explanation I've gotten on this topic, thank you!

  • @freedaboyoung3722
    @freedaboyoung3722 4 года назад

    Dirty, my king, all of our king, you have helped me understand something I never did before!!!

  • @franceszhao3406
    @franceszhao3406 7 лет назад +1

    Love this. Can tell that your thoughts are systematic and organized. Thanks.

  • @SanguineMedical
    @SanguineMedical 2 года назад +1

    A good trick: Is there an anion gap? It is good to look at this BEFORE ANY OTHER NUMBER to save time. Because, if there IS INDEED an anion gap, then you 100% have an anion gap metabolic acidosis

  • @mumhammadawaismushtaq8897
    @mumhammadawaismushtaq8897 4 года назад

    Oh Man. You are such a brilliant guy. No words to thank you. You Mad my day Sir. Stay blessed.

  • @luqi01
    @luqi01 6 лет назад +1

    I think this is very simplistic for what step 1 wants us to know.

  • @constancemckee6647
    @constancemckee6647 7 лет назад

    Thanks! I knew if I searched long and hard enough, someone would know of a way to help this sink in and make it easy to quickly figure it out in my head.

  • @juliansummers4884
    @juliansummers4884 7 лет назад +1

    Everything I need to know in such a simplified way! Thank you so so much!

  • @abdullah7282
    @abdullah7282 6 лет назад

    The way you simplified it is just.. AWESOME!

  • @reamsalehalkhmess1643
    @reamsalehalkhmess1643 6 лет назад +3

    oh my god dude thank you!!!!!! I spent so much time trying to understand it but u explain it within minutes 😍 ty

  • @TheAzoz2012
    @TheAzoz2012 6 лет назад +1

    you don't know how much this video was helpful, thank u so much

  • @ziaullahkhalid9395
    @ziaullahkhalid9395 5 лет назад

    Simply amazing.. Never got a/b balance so easier. Thumbs up. Thanks

  • @roshnichiru
    @roshnichiru 6 лет назад +1

    Love your voice. And thank u for teaching this in a simple way.

  • @sabanaveed2297
    @sabanaveed2297 11 месяцев назад

    One of the best video for interpretation of abgs .. thankyou ❤

  • @nurinathirah6312
    @nurinathirah6312 6 лет назад +5

    GOSH THIS VIDEO IS AMAZINGGGG THANK YOU FOR MAKING MY LIFE EASIERRRR

  • @sadianusrat1237
    @sadianusrat1237 3 года назад

    You are a magician! I actually understood this. I am so jealous of the future gens who will sit for step1 because by then you will have so many more videos. BUT THANK YOUUUU

  • @smrti7864
    @smrti7864 7 лет назад +1

    Your explanation was very clear and easy to understand with good logic that'll make me remember it as well. Thanks a lot!! -Medico

  • @mahaqalbani4867
    @mahaqalbani4867 4 года назад

    Thank u so much. I never thought I could ever understand the acid base balance. U made my life so much easier.

  • @ahmadbakri9868
    @ahmadbakri9868 6 лет назад

    Thank you so much! You don't know how much you have changed my life!

  • @kbyrn77
    @kbyrn77 Год назад

    Listen to me my professor made this fun and I still could not comprehend. The way you explained this is amazing and simple thank you so much.

  • @ralphemerson869
    @ralphemerson869 4 года назад

    BRILLIANT. You, sir, are a genius.

  • @ghostintheshell1431
    @ghostintheshell1431 6 лет назад

    You're awesome! I finaly figured out AB regulation,and with this short and simple video. You rock! 👌😄

  • @adrianaangulo5437
    @adrianaangulo5437 4 года назад

    Awesome!! Finally I got it! Thank you very much!!! God bless you!!

  • @lanninghoneycutt5416
    @lanninghoneycutt5416 3 года назад

    I also think of ROME changes (Respiratory opposite, metabolic equal) and just use your pH to know if it is acidosis/alkalosis

  • @Jkoal69
    @Jkoal69 3 года назад

    No bullshit straight to the point and effective! Thank you!

  • @noxaccio4988
    @noxaccio4988 Год назад

    I didn't realize it was this easy this entire time, I never got this concept before!

  • @kushagra92
    @kushagra92 5 лет назад +1

    No wait.
    It cant be this easy
    I HAVE BEEN SHITTING ON ACID BASE QUESTIONS SINCE 3YEARS AND THISSSS :')
    May God bles you!

  • @annab.8097
    @annab.8097 Год назад

    You’re genius!!! Thank you for your videos!

  • @LoganDavid
    @LoganDavid 6 дней назад

    Brilliant. Articulate. Concise.

  • @dwain310
    @dwain310 5 лет назад

    VERY VERY impressive....banged out 5 problems effortlessly

  • @nihalthokchom2462
    @nihalthokchom2462 4 года назад +1

    We all owe you big time, Sir! ❤️

  • @Rauffarhaan
    @Rauffarhaan Год назад

    The first real thing I truly understood about acid base 😅❤
    Thanks Dirty medicine

  • @az71003
    @az71003 6 месяцев назад +2

    MAY GOD BLESS YOU

  • @coolkari181
    @coolkari181 7 лет назад +22

    In love with your voice ! 😍 Also great video

  • @Hellastorytella
    @Hellastorytella 4 года назад

    This video is an easy method to never get a acid-base problem wrong, ever again.

  • @rachelbeaulieu2327
    @rachelbeaulieu2327 9 месяцев назад

    You are the best! Thank you for this!

  • @woolypig1328
    @woolypig1328 4 года назад

    Hi Dirty, I might be wrong about this, but if you use Winters formula to calculate the range of CO2 for compensation, this CO2 value should be between 33-37. However CO2 here is beyond this range, so theoretically speaking I don't think this is a compensation.

    • @DirtyMedicine
      @DirtyMedicine  4 года назад

      The numbers are totally made up for the sake of illustrating how the numerator/denominator change. The actual calculated and reference values are irrelevant for the purpose of this video.

  • @Kelvixm
    @Kelvixm 11 месяцев назад +1

    A 58 years old man was brought to the emergency with confusion and lethargy. His temperature is 36.7 C, blood pressure is 86/58 mmHg, pulse is 120/min, and respirations are 10/min. pH is 7.59, pCO2 49 mmHg and p0285mm Hg. Which of the following condition best describe his acid base status ? How to solve this when hco3 isn't given

    • @az71003
      @az71003 6 месяцев назад +3

      Primary disorder: Metabolic alkalosis (high pH)
      Compensation: Respiratory acidosis (elevated pCO2)

  • @Seeingtrees
    @Seeingtrees 5 лет назад +1

    Have to say amazing work with your videos
    You've helped me A LOT. Please keep posting videos more consistently ❤

  • @χαραλαμποςβαλσαμης

    You sir just made my life so much easier ! Thank you !!!!

  • @anatomatt3209
    @anatomatt3209 6 лет назад

    wow, this is a really clear explanation. Amazing. I never really understood this before. Thank you so much for this

  • @saleemchoudry5922
    @saleemchoudry5922 3 года назад

    I love you. Thank you. I was about to throw my computer out the window. 5.5 weeks till USMLE ⚰

  • @felixlbaseballlacenmartine6292
    @felixlbaseballlacenmartine6292 5 лет назад

    oh my god. i cant believe this. incredible im not going to miss any other acid base questions.

  • @shokhzodbozorov4252
    @shokhzodbozorov4252 4 года назад

    It's a very, very, very, very, very, very, very great. THANKS A LOT!!

  • @nehanarayan6933
    @nehanarayan6933 2 года назад

    my life has become so easy after this vedio , thank you

  • @valarmorghulis364
    @valarmorghulis364 4 года назад

    I just scrapped 4 pages I had written of high yield acid base concepts..this is all we need ..plus winters formula and the compensations...

  • @gavinbarringer849
    @gavinbarringer849 2 года назад

    This changed how I look at everything thanks

  • @innominadojustis2224
    @innominadojustis2224 4 года назад

    Wow simply AMAZING, thank you so much you are something else 👏🏻👏🏻👏🏻

  • @dr.mastooraqayoomi937
    @dr.mastooraqayoomi937 2 года назад

    Vvvvvv nice lecture, I had a lots of confusion in this topic , now it solved
    I must to say,ماشاءالله

  • @theobserver5600
    @theobserver5600 5 лет назад +2

    This is literally the best! Thank you so much💜

  • @saltylikesalineicurn
    @saltylikesalineicurn 7 лет назад +5

    I think I love you. Thank you for this!!!

  • @hurrahfidh
    @hurrahfidh 7 лет назад +1

    Exam day after. I can't tell you how thankful I am, that I came across this video. Thankyou so much! Do you have any advice for me? Biostat is a bit of a problem for me..

  • @akmaralsadykan3500
    @akmaralsadykan3500 Год назад

    You are the best ❤. Thank you for your videos, they are so helpful

  • @lawrencemichael5571
    @lawrencemichael5571 7 лет назад

    This is better than that tic tac toe technique! Thanks!

  • @igortheman9825
    @igortheman9825 4 года назад

    Absolutely magnificent explanation I raise the hat up for you dude

  • @金子裕介-g7n
    @金子裕介-g7n 6 лет назад

    Thank you for your medical lecture. I get a strategy of USMLE.

  • @drbinagi
    @drbinagi 5 лет назад

    The best summary ever. Kudos

  • @drikramullah676
    @drikramullah676 6 лет назад

    best ever video on such a confusing concept,thanku

  • @kifropu
    @kifropu 6 лет назад

    Thank you very much!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! i've struggled with these questions for a while, but thanks to you i know what to do now

  • @PravinKSingh
    @PravinKSingh 3 года назад

    Boom, u made it so simple @DirtyMedicine… 🧡 4m 🇮🇳

  • @dr.mohammadabubakarsiddiqu7238
    @dr.mohammadabubakarsiddiqu7238 6 лет назад

    Wow....for the1st time I have seen it and immediately subscribed....

  • @stephenjamestordecillas883
    @stephenjamestordecillas883 10 месяцев назад

    Absolutely genius. Thanks for sharing ❤

  • @sKHANcreative
    @sKHANcreative 4 года назад

    Love you man!! this is awesome!!! changed my life

  • @zeezee9239
    @zeezee9239 5 лет назад

    I wish every teacher taught it this way life wud b so much easier i m the happiest person nw ... i always messed up these mcqs 😢

  • @uzairmalik4652
    @uzairmalik4652 4 года назад +3

    Bro I love you wallahi

  • @rupeshboddapati
    @rupeshboddapati 5 месяцев назад

    You are a savior man!

  • @Sun_Singh
    @Sun_Singh 5 лет назад +1

    This is awesome!! But I don't think this method works for some questions that force you to calculate using Winters formula. Cuz I ran into some of them and it was very annoying

  • @eakkaya204
    @eakkaya204 6 лет назад +1

    You are perfect! But I still have one question; If pH = 7.63 HCO3=26.9 CO2 = 25
    We will call this alkalosis but respiratory or metabolic? How can we decide ? Or is it important to know the etiology in here ?? Thank for everything , I hope someone can answer me! :)

    • @ezrabuckman2843
      @ezrabuckman2843 6 лет назад

      bump I'd like to know too

    • @nathanboslem255
      @nathanboslem255 6 лет назад

      This would be a Metabolic Alkalosis with Compensatory Respiratory Acidosis

    • @nonimd6239
      @nonimd6239 6 лет назад

      Answer this please

    • @docthind4765
      @docthind4765 6 лет назад +3

      It is a mixed acid-base disorder since pH is high it is alkalaemia and carbon dioxide is low hence it is respiratory alkalosis and for this bicarbonate should be low for compensation to be exact three points below normal for acute respiratory alkalosisAnd 7.5 points below normal for chronic respiratory alkalosis but pH is high here so it is a mixed acid-base disorder of respiratory alkalosis and metabolic alkalosis and that also explains very high pH

    • @eakkaya204
      @eakkaya204 6 лет назад

      Doc Thind Thank you for your answer

  • @umbishdino6682
    @umbishdino6682 3 года назад

    cant believe i actually understand acid base, thankyou

  • @Ehsanhoque2079
    @Ehsanhoque2079 Год назад

    You are great. God bless you

  • @bookishhuman2832
    @bookishhuman2832 7 лет назад +1

    So helpful. Thank you, from Pakistan.

  • @mohammadakbarkhan5233
    @mohammadakbarkhan5233 5 лет назад

    YOU ARE THE REAL HERO MAN!

  • @Maria.Kameneva
    @Maria.Kameneva 5 лет назад

    I just LOVE you, dude! You're genius!

  • @aimanharoon8559
    @aimanharoon8559 3 дня назад

    I think you just changed my life

  • @drlakshmim7240
    @drlakshmim7240 3 года назад

    Can never thank you enough for this!! wishing you the best🤗

  • @micaelabush6653
    @micaelabush6653 3 года назад

    Life changed!!!! Thank you!!