HY USMLE Q

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  • Опубликовано: 6 дек 2024

Комментарии • 19

  • @Mehlmanmedical
    @Mehlmanmedical  4 дня назад

    Our New USMLE Telegram group (link valid at least at time of this clip): t.me/+mSDYK3fV2wdkNmY0
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    Mehlman HY Cardio PDF: mehlmanmedical.com/hy-cardio/
    Mehlman HY Internal Med PDF: mehlmanmedical.com/hy-internal-medicine/

  • @TheMohan004
    @TheMohan004 3 дня назад +1

    Wont there be hyperventilation during MI?

    • @Mehlmanmedical
      @Mehlmanmedical  3 дня назад +1

      Even if there is from pulmonary edema that’s not primary or salient acid base disturbance

  • @imranbhatti3174
    @imranbhatti3174 2 дня назад

    Please make a video on what is next best step in management of subarachnoid hemorrhage in 2CK... This question is constantly appearing now these days and different resources write different things.

  • @drkundanrathore1613
    @drkundanrathore1613 4 дня назад +2

    how long does it take to set up "compensatory Respiratory Alkalosis" ?

    • @jamesvithoulkas9151
      @jamesvithoulkas9151 4 дня назад

      Minutes. The only thing that has to change is the respiratory rate, assuming no underlying pulmonary pathology.

    • @drkundanrathore1613
      @drkundanrathore1613 4 дня назад +1

      @@jamesvithoulkas9151 what if someone confuse it with resp alkalosis in this question? or the word compensatory will always be there?

    • @jamesvithoulkas9151
      @jamesvithoulkas9151 4 дня назад +1

      @ it is helpful to consider the primary acid-base disturbance. In this question, the hypotension in the setting of myocardial infarction suggests shock, which implies lactic acidosis due to anaerobic metabolism since the tissues are poorly perused. The primary disturbance is therefore metabolic acidosis, regardless of respiratory compensation.
      It is easier to do this when you are given a pH and can identify the primary disturbance (acidosis vs alkalosis) and then consider other data points such as serum HCO3, PCO2, etc to identify the source of the derangement. In certain cases like salicylate toxicity, however, you may have a combined respiratory and metabolic acid base disturbance resulting in a normal pH, which can be potentially confusing.

    • @Mehlmanmedical
      @Mehlmanmedical  4 дня назад +1

      Respiratory compensation isn’t same as respiratory alkalosis. If you say the latter, it implies there’s a pathology there, like with aspirin where it’s mixed

  • @Hellastorytella
    @Hellastorytella 4 дня назад +1

    Good morning and good question!!

  • @sitthuson
    @sitthuson 4 дня назад +1

    At first glance, I thought ST-elevation of II, III, and aVF indicated RCA infarct but the answer was not there. so now we have to look at other leads? ST elevation of Anterior precordial leads indicated LAD. Thus the best answer is LAD, which also makes sense because LAD branches out of RCA.

    • @innocencedirector
      @innocencedirector 4 дня назад +3

      Bro you’re cooked

    • @a_hmd01
      @a_hmd01 2 дня назад

      Ok but also PDA is a brach of the RCA 😂😂😂, why picking LAD when ECG is very indicative of inferior M.I (2,3,avf) (PDA)

  • @user-cd8lc7qk6w
    @user-cd8lc7qk6w 4 дня назад

    Thank you Mike ❤my favourite topic

  • @creativehub-n7c
    @creativehub-n7c 4 дня назад

    Got the answer. Thank you.

  • @JOHNTOWER76
    @JOHNTOWER76 4 дня назад

    fantastic question MIKE ,always good stuff

  • @shakespeares2085
    @shakespeares2085 4 дня назад

    High yield one ❤❤❤❤

  • @alanwaterman1328
    @alanwaterman1328 4 дня назад

    Excellent revision. Thanks

  • @amogeramogus
    @amogeramogus 4 дня назад

    thanks dr mike