Highest Yield Drugs for USMLE

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  • Опубликовано: 21 дек 2024

Комментарии • 181

  • @DirtyMedicine
    @DirtyMedicine  6 лет назад +419

    Correction: Red Man Syndrome is treated with anti-histamines.

    • @derrickcleland3181
      @derrickcleland3181 6 лет назад +31

      Also, G6PD deficiencies have a negative Coombs test. You said they were positive in your vid, in regards to isoniazid.

    • @AznCoolDragon
      @AznCoolDragon 6 лет назад +3

      For drug induced lupus, how about HIP Mums are Qute (for cute) when STONED on weed, lol

    • @doctorsmart936
      @doctorsmart936 6 лет назад +9

      Please...please...p450 mnemonic

    • @HT.100
      @HT.100 6 лет назад

      And vancomycin

    • @restinginn9906
      @restinginn9906 5 лет назад +7

      Correct, and SLOW INFUSION of vancomycin can prevent red man syndrome

  • @Reynosorex
    @Reynosorex 5 лет назад +18

    To this RUclipsr and all the people with their helpful comments, I sincerely Thank You.

    • @DirtyMedicine
      @DirtyMedicine  5 лет назад +12

      that's what this channel is all about.. a community for people to help each other learn more

  • @pyrexcookin
    @pyrexcookin 3 года назад +67

    For TB Treatment I expanded your mnemonic to RIPPER ONGLOW, the extra P and R representing Pyridoxine and Rifabutin. Those two line up with the L and W, respectively, to represent L=Lessen isoniazid's side effect (pyridoxine is simply b6 so you coadminister with isoniazid to lessen that b6 deficiency) and W=Weakened liver/immunity (rifabutin is given instead of rifampin in patients taking CYP450 liver metabolism-altering drugs - especially high yield for HIV patients due to protease inhibitor usage).

  • @yesihavequestions5752
    @yesihavequestions5752 2 года назад +33

    Pnemonic for remembering Lupus Drugs, Harry Potter Themed: Defense against the dark arts teacher DR LUPUS walks into the headmaster office after his LUPUS transformation. he says "Hi, Im Pretty Much Quitting" --> Hydralazine, Isoniazid, Procainamide, Methyldopa, Quinidine"
    Thank you Dirty Med for an AMAZING vid!

    • @earlkoh216
      @earlkoh216 8 месяцев назад +6

      Hi, rearranging the mnmo to Dr lupus saying: Hi I'm probably quitting meth.
      (It's easier to remember when the sound is identical eg, meth- methyldopa, rather than just the letters

  • @dr.poornaprajna
    @dr.poornaprajna 8 месяцев назад +8

    7 years down the line... yeah you are still helpful! Thanks dirty!

    • @EpicCrapTime
      @EpicCrapTime 5 месяцев назад +2

      always see you in mehlman, have u passed step 1

    • @dr.poornaprajna
      @dr.poornaprajna 5 месяцев назад +2

      @@EpicCrapTime I did pass :)

  • @BK914
    @BK914 7 лет назад +108

    Also for agranulocytosis Thionamides like PTU for treating hyperthyroidism. Thats another HY.

  • @anniedatoo
    @anniedatoo 6 лет назад +34

    I have my Step 1 in 15 days. I love your videos!!! Thank you!!! Keep making more!

    • @karataych0p
      @karataych0p 6 лет назад +1

      Hope you destroyed it!!!

    • @doctorevil6768
      @doctorevil6768 6 лет назад +5

      Omg I have mine in exactly 15 days, I’m sooo nervous

    • @Zain.Basi1
      @Zain.Basi1 6 лет назад +2

      Doctor evil How did you do ??

    • @abdulrahman-ji5ye
      @abdulrahman-ji5ye 6 лет назад +1

      A HAJI DATOO any suggestions . I will be appearing in 2 months

    • @user-jp7sc2vb9w
      @user-jp7sc2vb9w 5 лет назад +1

      A HAJI DATOO - how'd it go? Hope you aced it!

  • @deathkissgoodbye
    @deathkissgoodbye 6 лет назад +82

    Loop earrings = loop ototoxicity

  • @catherweenie
    @catherweenie 8 лет назад +51

    Don't know how I ended up here but I'm a pharmacy student and wanted to say that this video is great! The mnemonics were useful too.

  • @tejjoshi5250
    @tejjoshi5250 6 лет назад +43

    Just an edit to the Class IC antiarrhythmics - they cause QRS prolongation but have no effect on the QT interval.

  • @mazeed9526
    @mazeed9526 5 лет назад +2

    no matter what first thing I do is pressing like button on your video n then start watching cuz I know its gonna be a great video .......

  • @Gymnopediea
    @Gymnopediea 7 лет назад +14

    You make this so much more interesting. Definitely donating!

  • @Zain.Basi1
    @Zain.Basi1 7 лет назад +3

    this channel needs wayyyyyy more attention
    God bless

  • @kristenortega4329
    @kristenortega4329 6 месяцев назад +1

    For the Rx in Drug-Induced Lupus: "AM I HIGH?":
    -Anti-arrhythmics (procainamide & quinidine)
    -Methyldopa
    -Isoniazid
    -HIGH-dralazine

  • @shahzeebajahan4094
    @shahzeebajahan4094 6 месяцев назад

    Thanks!

  • @rayblade6383
    @rayblade6383 6 лет назад +6

    Your videos are amazing... You have a knack for teaching. Brilliant, seriously brilliant!

  • @redache467
    @redache467 4 года назад +6

    Red man syndrome is also rarely caused by morphine. Both morphine and vancomycin do that by IgE-independent mast cell degranulation.

  • @michaeltalamo1297
    @michaeltalamo1297 6 месяцев назад +18

    For the Drug Induced Lupus Drugs I think of a hunter with a drug-covered stone (His-stone) and remember "When you see a wolf (lupus), Quick (Quinidine) Men (Methyldopa) go for it's HIP (Hydralazine, Isoniazid, Proacainamide)" Hope that helps someone else!

    • @Sempapax
      @Sempapax 4 месяца назад +1

      Hip Melt Quick

  • @Giantcrabz
    @Giantcrabz 7 месяцев назад +2

    im a pharmacist and i take celebrex for years, and I didn't think of it for gastric ulcers. Brilliant. My brain no good after night shift 😅

  • @xeraxesmylio940
    @xeraxesmylio940 3 года назад +1

    @7:42: Hydration Quietly Processes Ice into Meth, causing LUPUS
    May not be chemically true, but it helped me remember the agents of drug-induced lupus.

  • @alexandrakotsonis5373
    @alexandrakotsonis5373 3 месяца назад +2

    Celecoxib --> "we are CELEbrating no ulcers!"

  • @anas.n23
    @anas.n23 5 месяцев назад +1

    Drug-induced lupus can be remembered as LOOP . Now people who’ve seen HULA HOOPs , those big LOOPS kids rotate around their HIPs [ Hydralazine , Isoniazid , Procainamide ) .
    Loop for Lupus can also help remember Wire LOOPing seen in m/c glomerulonephritis due to SLE ( DPGN )

  • @stephanquintin7013
    @stephanquintin7013 2 года назад +2

    Lupus inducing drug pneumonic: "Lupus at the IMP HQ" as in the "imp(demon fairy) head quarters" I just remember the imps from ruinscape. May be too niche but helps me.

  • @billalahmed3719
    @billalahmed3719 5 лет назад +15

    Excellent video! You mentioned how Isoniazid can trigger G6PD deficiency hemolysis, and you also mentioned that it might manifest with a positive coombs test, but I don't know if it would have a positive coombs test. My understanding is that isoniazid is causing oxidative stress that the G6PD-deficient RBC cannot handle (because it lacks glutathione) and will therefore hemolyse. This is different than a hemolytic anemia where there are antibodies against some antigen on the RBC (it is in this case where you'd get a positive coombs test).
    Let me know your thoughts!

  • @annakoren1626
    @annakoren1626 2 года назад +2

    Isoniazid causes the b6 deficiency which is a pathway needed for formation of protoporphyrin and that leads to sideroblastic anemia.

  • @zakariyairfanullah4287
    @zakariyairfanullah4287 4 года назад +4

    Hey man. Absolutely love your content and recommend it to everyone I know. You had a dope diabetes pharm video that I can’t seem to find anywhere. Really hope you could link me to it, or upload it again ASAP. Thanks!

  • @WhyNot-si4pj
    @WhyNot-si4pj Год назад

    9:43 Class Ic antiarrhythmic drugs do NOT block K+ channels or prolong the cardiac action potential along with the QT interval .

  • @WasabiSniffer
    @WasabiSniffer 7 месяцев назад

    A bunch of stuff started to link together for me. Thanks!

  • @WhyNot-si4pj
    @WhyNot-si4pj Год назад

    10:19 Quinidine is more common to cause drug induced thrombocytopenia than hemolysis ; while DAPSONE causes hemolysis in G6PD patients

  • @davidszandzik9784
    @davidszandzik9784 7 лет назад +16

    "Quin Proclaimed he IS stoned on hydra meth"

  • @HusseinBerjaoui
    @HusseinBerjaoui 5 лет назад +17

    2019 and still as relevant

    • @pranuthiratna4722
      @pranuthiratna4722 4 года назад +2

      Hussein Berjaoui 2020 and still as relevant 🐾

    • @HusseinBerjaoui
      @HusseinBerjaoui 4 года назад

      @@pranuthiratna4722 Step 2 soon and maybe this is a sign that it's still as relevant haha

    • @Chelsea-gs7qj
      @Chelsea-gs7qj 4 года назад +5

      2021 and still relevant

    • @Time2ChooseYou
      @Time2ChooseYou 2 года назад

      Keeping this comment alive in 2022~ :D

    • @MostafaDawa
      @MostafaDawa Год назад

      2023 and still relevant

  • @ginidosi1
    @ginidosi1 2 года назад +2

    my mnemonic for Rx induced SLE --> "stoned on HIP QUIck METH
    stoned= antihistone abs
    H= Hyydralazine
    I=Isonaizid
    P=Procainamide
    QUI= Quinidine
    METH= Methyldopa
    Hope this helps someone :)

  • @matthewl.4269
    @matthewl.4269 4 года назад +2

    Super helpful video!
    Also, I'd recognize a Philly accent anywhere...are you from Philly?

  • @Purpleporkypine
    @Purpleporkypine 3 года назад +3

    Any change for updated version? :)

  • @MidnightMimosa1
    @MidnightMimosa1 3 года назад +1

    + to the color drugs -> Yellow vision from digoxin toxicity

  • @niceangel9779
    @niceangel9779 4 года назад +1

    du bist der Hammer buddy 👍👍👍💜

  • @ericnguyen7927
    @ericnguyen7927 5 лет назад +1

    Don't forget about Cyclosporine/Tacrolimus with nephrotoxicity!

  • @pumpkinheadjrb
    @pumpkinheadjrb 3 года назад +2

    Need a slide on CYP450 inducers and inhibitors! I get a question on that every 100 questions.

  • @nibajuste3311
    @nibajuste3311 3 года назад +1

    macrolides prolong the QT interval except azithromycin

  • @emmanuelmeribole4104
    @emmanuelmeribole4104 2 года назад +2

    Thank you so much for these videos … I just passed my step 1

    • @Lana-vh5kr
      @Lana-vh5kr 2 года назад +1

      Congrats, Which other videos do you recommend watching?

    • @emmanuelmeribole4104
      @emmanuelmeribole4104 2 года назад +1

      @@Lana-vh5kr I also used randy Neil to brush up biostats… and the review portion of FA.
      But dirty medicine helped me most..
      Even the biohacks for 260 videos

    • @Lana-vh5kr
      @Lana-vh5kr 2 года назад

      Did you watch all of dirty medicine videos? Also can I ask you about what you thought about the exam, what didnyou feel they concentrated on the most?

    • @emmanuelmeribole4104
      @emmanuelmeribole4104 2 года назад +1

      @@Lana-vh5kr I watched the topics I felt like I needed clarification on … because I was pressed for time.
      Every exam is different, mine was focused on pathology and drugs of abuse with about 2 questions on biostats per block

    • @Lana-vh5kr
      @Lana-vh5kr 2 года назад +1

      Can I also ask how much you scored in NBMEs? I'm sorry for all the questions, I'm taking my exam soon and I'm so stressed

  • @ast1848
    @ast1848 8 лет назад +5

    Great vid, liked the fb page as well!

    • @DirtyMedicine
      @DirtyMedicine  8 лет назад +1

      Thanks, Ash!

    • @drkrunalpatelortho
      @drkrunalpatelortho 7 лет назад

      DirtyUSMLE
      For drug induced lupus
      Think some Quin is taking drug and going to SLEep
      Quins HIP My Dickinson
      Quinine
      Hydralazine
      Isoniazide
      Procainamide
      Methyl dopamine
      Sickle is like stone so anti Histone abody

  • @caracara4478
    @caracara4478 6 лет назад +2

    hi! keep up the good work
    please make a video on antibiotics( mech, adv effects, indications, route and drugs of choice in various infections)

  • @hassanabdigedi4502
    @hassanabdigedi4502 6 месяцев назад

    Thanks more help full ❤

  • @parvinmustafayev2004
    @parvinmustafayev2004 8 лет назад +1

    Great Job! As well Your english is very understandable! Please keep it up !!!!

  • @nikakovach3991
    @nikakovach3991 Год назад

    Thank you! Could you make a video about restriction fragment length polymorphism analysis? Pls!

  • @osamaal-faqeh3462
    @osamaal-faqeh3462 2 месяца назад

    thanks, that's amazing ❤❤

  • @KnightMD
    @KnightMD 3 года назад

    E-thambutol.....E-ye
    iNh..... Neuro
    Pyrazinamide... Gout (PG)

  • @isag4913
    @isag4913 8 лет назад +1

    Thank you! Really helpful for a quick review.

  • @Brendonherring522
    @Brendonherring522 5 месяцев назад

    Never heard of that loop diuretic, but triamterene is safe for those with sulfa allergies

  • @OneGirlRecipes
    @OneGirlRecipes 4 года назад +6

    Is this still good to go for 2020? I'm taking step in a month lol

  • @Sasukeloverxxx
    @Sasukeloverxxx 4 года назад +1

    Literally JUST had a UW question with mesna

  • @pinokosthewife
    @pinokosthewife 6 лет назад

    Another good mnemonic: HMLN sounds like "pied piper of HMLN" (HaMeLiN?). It works, moms, pied pipers...

  • @hageraltaher281
    @hageraltaher281 3 года назад

    You are amazing, thank you so much 💗

  • @syrono
    @syrono 8 лет назад +2

    Thank you Very much sir, helped alot

  • @kristinsyed6875
    @kristinsyed6875 6 лет назад +1

    Great review! for redman syndrome give anti-histamines.

  • @mominaafrede4335
    @mominaafrede4335 8 лет назад

    wow! loved the video for step 1 pharm! which other videos of yours would you say are as high yield as this from your channel? thanks so much!!!

  • @cr1538
    @cr1538 6 лет назад +1

    This is amazing!! Thank you!!

  • @ryankelly8077
    @ryankelly8077 5 лет назад +1

    You’re the man

  • @monika246
    @monika246 6 лет назад +1

    Your all the videos are high yield!!

  • @saeedabdulaziz5318
    @saeedabdulaziz5318 5 лет назад +1

    For drug induce lupus SHIPP My Queen ( sulfonamide, Hydralazine, Isoniazid, Proconamide, Phenytoin, Methyldopa, quinidine)

  • @Nita36989
    @Nita36989 6 лет назад +1

    Vancomycin causes ototoxicity, quinidine causes cinchonism

  • @takyc7883
    @takyc7883 4 месяца назад

    super video

  • @tawfeekb24
    @tawfeekb24 2 года назад

    thank you king

  • @athulya6613
    @athulya6613 6 лет назад +1

    Can you prepare a video on anti cancer drugs. I find it very difficult to recollect

  • @t.w.8174
    @t.w.8174 5 лет назад

    great video. thank you.

  • @dr.en8
    @dr.en8 2 месяца назад

    Drug Induced Lupus MNEMONIC: HYDRA Is ProMe Queen.
    (The mnemonic rhymes with the drug's names)

  • @thepacemaker8165
    @thepacemaker8165 4 года назад

    Great work!!

  • @paulrodriguez168
    @paulrodriguez168 Год назад

    The two O's in oto-toxicity look like loops => loop diuretics

  • @rheyanabranch
    @rheyanabranch 3 года назад

    Drug induced lupus: I think of the lupus wolf. "My Happy Pup - Quit it"

  • @Rena0530
    @Rena0530 3 года назад +1

    First Aid 2021 has gout as adverse effect of Loop Diuretics, but it makes sense to me what you're saying - gout is an adverse effect of Thiazides because they decrease Ca excretion. Could you please clarify if gout shows up with Loop Diuretics? I see that you don't have gout as an adverse effect of Loop Diuretics here.

    • @alaads5944
      @alaads5944 Год назад

      gout attacks are side effects of both drugs, as they both compete for secretion with uric acid , leading to it's accumulation -----> increased gout attacks

  • @kkalright
    @kkalright 7 лет назад

    From what i learned Loop diuretics can also preceipitate gout

  • @Rena0530
    @Rena0530 3 года назад

    Looks like Quinidine no longer is contraindicated with G6PD deficiency

  • @zho0616
    @zho0616 7 лет назад +32

    10:49..isoniazid does ton of shit LOL

  • @mourilshah2054
    @mourilshah2054 5 лет назад +1

    For Anti Tb drugs
    Rifampin - Red-orange secretions
    First letters
    Isoniazid - causes hepatitis increases ALT and AST and B6 is an important cofactor for those so B6 is deficient and leads to neurological symptoms along with sideroblastic anemia
    Pyrazinamide - Weak acid , so competes with gout for tubular secretion leading to hyperuricemia worsening Gout
    E (ye)thambutol - optic neuritis

  • @jeremias3461
    @jeremias3461 7 лет назад +11

    Can anyone confirm if 1c arrhythmics prolong QT? I thought it was just 1a

    • @muhammadsiddiqui8720
      @muhammadsiddiqui8720 6 лет назад +1

      I would like a confirmation as well. Class Ic drugs are pure Na+ channel blockers so they would cause QRS prolongation, not QT prolongation.

    • @hira5108
      @hira5108 6 лет назад +15

      1A significantly prolongs QT whereas 1C slights prolongs it mainly due to QRS widening (reference: uworld)

    • @onuhcynthia3758
      @onuhcynthia3758 2 года назад

      @@muhammadsiddiqui8720 it’s actually a QT prolongation rather than a QRS prolongation. Class 1a and 1c does that.

    • @onuhcynthia3758
      @onuhcynthia3758 2 года назад

      Sorry I made a mistake, it’s class 1a and class 3 that prolong QT, class 1c doesn’t.

  • @phytx01
    @phytx01 3 года назад

    writing articles and publishing them in a journal (is that what's included in research work please advise) is that a valuable asset to our cv for residency in highly competitive specialties? Please advise.

  • @FG-ng1cy
    @FG-ng1cy 7 лет назад

    Thank u.could u make video regarding psychiatric drugs.thank u

  • @costia321
    @costia321 7 лет назад

    what happened to your other pharmacology videos?

  • @newmanlord7130
    @newmanlord7130 2 года назад

    Then USLME is conducted chronic,prior.

  • @alexandrakotsonis5373
    @alexandrakotsonis5373 3 месяца назад

    Dilated CM also in post delivery/preg moms! super HY

  • @irfansonu2020
    @irfansonu2020 5 лет назад +1

    Which book should I read for pharmacology

    • @AhmedMohamed-zi9mn
      @AhmedMohamed-zi9mn 5 лет назад

      Lippicoat pharmacology

    • @zuhairyassin505
      @zuhairyassin505 5 лет назад

      tripathi you can never go wrong with it has the pathophysiology and medical pharmacology

  • @pavelpavel6822
    @pavelpavel6822 3 года назад

    Thanks

  • @junaidmushtaq9421
    @junaidmushtaq9421 5 лет назад +2

    very HY , IN last medical exam 5-6 questions appear from these HY points,,

  • @tkhan2392
    @tkhan2392 6 лет назад

    Please make a video on Chemotherapeutic drugs and their cancer/disease indication

  • @wasek152
    @wasek152 7 лет назад +2

    class 1c causes QT or QRS prolongation, does it act on k channel?

    • @ariannealexander9175
      @ariannealexander9175 6 лет назад

      class IC is a Na+ channel blocker

    • @ravisinha6776
      @ravisinha6776 5 лет назад

      Yah Class 1C does NOT prolong QT As far as I remember. Out of the Anti-arrthymics, the ones that cause prolonged QT are Class 1A, and Class 3 ( which are K+ channel blockers ) with the EXCEPTION OF AMIODARONE. Class 1C is all about state dependence meaning when your heart rate starts to go up like during exercise, that's when Class 1C works - so it's state dependence and this will lead to a DELAYED depolarization at higher heart rates, but wont' do anything for the potassium channels in phase 3. And so it has strong SODIUM CHANNEL BLOCKAGE.

  • @KatherineSinahon
    @KatherineSinahon 2 года назад

    Thiazide : HyperGLUC
    Loop : HyperGLU

  • @makeupjunkie5066
    @makeupjunkie5066 5 лет назад

    I like "RIPE ONGO" mnemonic

  • @asdbabel9792
    @asdbabel9792 7 лет назад

    excellent

  • @josephmeade7055
    @josephmeade7055 5 лет назад

    Do we use Agatroban or Protamine Sulfate for heparin induced thrombocytopenia?

    • @FlawlessNJ
      @FlawlessNJ 5 лет назад +1

      Agatroban or lipuridin for HIT, protamine sulfate is used in heparin OVERDOSE to reverse its effect NOT in HIT. Good luck!

    • @ravisinha6776
      @ravisinha6776 5 лет назад +1

      @@FlawlessNJ I can totally see them asking this as a question as it might confuse students while in a TIMED mode

  • @sarahc.1998
    @sarahc.1998 7 лет назад

    Extremely helpful. I need help in biochemistry as well 😰😭😥

  • @monika246
    @monika246 5 лет назад

    Thiazides causes hypercalcemia but it is also used in hypercalciuria right?explain please

    • @DirtyMedicine
      @DirtyMedicine  5 лет назад +1

      Thiazides cause hypercalcEMIA (emia = blood, so "too much calcium in the blood). HypercalciURIA (uria = urine, so "too much calcium in the urine) is a different entity entirely. The mechanism is inhibition of Na/Cl co-porter, which disrupts the membrane potential preventing Calcium from being excreted into the urine (so Calcium builds up in the blood).

  • @alejan95dyna
    @alejan95dyna 8 лет назад +24

    I need a cardiac function curve video explaining everything. i dont understand shit about it. please please PLEASE

  • @Mo-ez3hs
    @Mo-ez3hs 4 года назад

    all love

  • @lumbarspine4637
    @lumbarspine4637 7 лет назад

    Super

  • @jay_sooning
    @jay_sooning 6 лет назад +1

    DANK. CERTIFIED HIGHEST OF HIGHEST YIELD

  • @phuongpupa4734
    @phuongpupa4734 6 лет назад

    thaibinh 20/6/2018

  • @camillococcia2706
    @camillococcia2706 8 месяцев назад +1

    Eyethambutol!

  • @yevchornenkyy4805
    @yevchornenkyy4805 8 лет назад

    Do you have print out books or is your information available in text format?

  • @rickypen
    @rickypen 2 года назад

    Marry me
    edit: accidently posted this in the video YT automated after lol in case u saw it there

  • @Be1smaht
    @Be1smaht 2 года назад

    Siadh is treated by thiazides