HY USMLE Q

Поделиться
HTML-код
  • Опубликовано: 4 дек 2024

Комментарии • 17

  • @Mehlmanmedical
    @Mehlmanmedical  День назад

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

  • @TheMohan004
    @TheMohan004 15 часов назад +1

    Wont there be hyperventilation during MI?

    • @Mehlmanmedical
      @Mehlmanmedical  15 часов назад +1

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

  • @Hellastorytella
    @Hellastorytella День назад +1

    Good morning and good question!!

  • @drkundanrathore1613
    @drkundanrathore1613 День назад +2

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

    • @jamesvithoulkas9151
      @jamesvithoulkas9151 День назад

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

    • @drkundanrathore1613
      @drkundanrathore1613 День назад +1

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

    • @jamesvithoulkas9151
      @jamesvithoulkas9151 День 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  День 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

  • @sitthuson
    @sitthuson День 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.

  • @creativehub-n7c
    @creativehub-n7c День назад

    Got the answer. Thank you.

  • @user-cd8lc7qk6w
    @user-cd8lc7qk6w День назад

    Thank you Mike ❤my favourite topic

  • @alanwaterman1328
    @alanwaterman1328 День назад

    Excellent revision. Thanks

  • @shakespeares2085
    @shakespeares2085 День назад

    High yield one ❤❤❤❤

  • @amogeramogus
    @amogeramogus День назад

    thanks dr mike