veryhot_post - Medical Board Vignettes - Science and Research Author Topic: Medical Board Vignettes  (Read 3096 times)

Lorenzo

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Re: Medical Board Vignettes
« Reply #20 on: March 18, 2011, 03:14:33 PM »
yw, hehehe!


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Lorenzo

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Re: Medical Board Vignettes
« Reply #21 on: March 18, 2011, 03:16:50 PM »
do you remember the pneumonic for BRACHIAL PLEXUS damage?


DR. MACU


------

Damage to Radial Nerve = Drop Wrist

Damage to Median Nerve = Ape Hand

Damage to Ulnar Nerve = Claw Hand


Deepwater

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Re: Medical Board Vignettes
« Reply #22 on: March 18, 2011, 03:19:02 PM »
put some more. nalingaw ko. hehehe
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Lorenzo

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Re: Medical Board Vignettes
« Reply #23 on: March 18, 2011, 03:20:31 PM »
haha. nalingaw ka sa anatomy ? oy, you are indeed a geek eh? ;)

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Re: Medical Board Vignettes
« Reply #24 on: March 18, 2011, 03:25:39 PM »
buing... nice man ireview nga naay mkarelate gud... lahi sad ako remembering tool sa brachial plexus... Radial.n---wRist drop (R=R),  Ulnar n.--Claw hand (itakilid ang u= c) median n.---ape hand or waiters tip (balihon ang M=W)


Lorenzo

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Re: Medical Board Vignettes
« Reply #25 on: March 18, 2011, 03:26:55 PM »
Warning: This is sexual, but highly useful and well remembered by many, many male medics. bwahahaha


THE 12 CRANIAL NERVES


Mnemonic : Oh Oh Oh To Touch And Feel Virgin Girl's Vagina Ah Heaven!



O = Ocular
O = Optic
O = Oculomotor
T = Trochlear
T = Trigeminal
A = Abducens
F = Facial
V = Vestibulococchlear
G = Glossopharyngeal
A = Accessory
H = Hypoglossal

Lorenzo

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Re: Medical Board Vignettes
« Reply #26 on: March 18, 2011, 03:27:28 PM »

hehehe. cute. salamat, Doctora. :)

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Re: Medical Board Vignettes
« Reply #27 on: March 18, 2011, 03:29:44 PM »
Warning: This is sexual, but highly useful and well remembered by many, many male medics. bwahahaha[/i]


THE 12 CRANIAL NERVES

the ever famous.


Mnemonic : Oh Oh Oh To Touch And Feel Virgin Girl's Vagina Ah Heaven!



O = Ocular
O = Optic
O = Oculomotor
T = Trochlear
T = Trigeminal
A = Abducens
F = Facial
V = Vestibulococchlear
G = Glossopharyngeal
A = Accessory
H = Hypoglossal



Lorenzo

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Re: Medical Board Vignettes
« Reply #28 on: March 18, 2011, 03:29:49 PM »

dra, what do we call waiter's tip ?

;)

Lorenzo

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Re: Medical Board Vignettes
« Reply #29 on: March 18, 2011, 03:31:21 PM »
hahaha @ 'the ever famous'.

i remember during my 1st Medical Anatomy Exam.

We had to locate all the 12 nerves and then name them.

I started to name the nerves (but i said the mnemonic first!). My proctor's eyes got wide after hearing me. Bwahahahaha!

good times. good times.

Deepwater

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Re: Medical Board Vignettes
« Reply #30 on: March 18, 2011, 03:43:28 PM »

they have the same nerve involvement sa ape hand. so as with claw hand, also known as pope hand

Lorenzo

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Re: Medical Board Vignettes
« Reply #31 on: March 18, 2011, 03:45:51 PM »
I'd like to add something that i saw today (and was saddened by):


21 year old african american female comes in to the ER after failing to meet her dialysis appointment. Patient's history indicates that she has CHF (chronic heart failure), CRF (chronic renal failure) , both of which are secondary to her untreated hypertension. The patient came in because she was suffering from asthma. What drug would she be given if she suffered an acute asthma attack?


A: Albuterol



OT: I was really saddened today to see such a young person who has yet to live life already dying. Only 21 years old and already CHF and CRF.   :-\


Lorenzo

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Re: Medical Board Vignettes
« Reply #32 on: March 18, 2011, 03:46:38 PM »

very good! high yield ra ba ni sa USMLE. very high yield.

Lorenzo

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Re: Medical Board Vignettes
« Reply #33 on: March 18, 2011, 03:51:01 PM »
I'd like to add something that i saw today (and was saddened by):[/u]


21 year old african american female comes in to the ER after failing to meet her dialysis appointment. Patient's history indicates that she has CHF (chronic heart failure), CRF (chronic renal failure) , both of which are secondary to her untreated hypertension. The patient came in because she was suffering from asthma. What drug would she be given if she suffered an acute asthma attack?


A: Albuterol



OT: I was really saddened today to see such a young person who has yet to live life already dying. Only 21 years old and already CHF and CRF.   :-\


for the first 5 minutes, this patient did not talk to me. i came to her bed to take her H&P pero she would not talk. luoy kaayo. i told her that her failure to take her anti-hypertension pills and chf pills are hurting her. she is so young. she looked at me today after i said to her, "you are still very young, so very young.  you can still enjoy your life , but you have to protect your life..."

ingon sija nako, "i dont want to die...i just dont want to die.."

luoy kaayo. its kind of hard sometimes when dealing with cases like this. after finishing her history, i let the nurse continue the dialysis.

 luoy kaayo.    :-\

Deepwater

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Re: Medical Board Vignettes
« Reply #34 on: March 18, 2011, 03:53:59 PM »
I'd like to add something that i saw today (and was saddened by):[/u]


21 year old african american female comes in to the ER after failing to meet her dialysis appointment. Patient's history indicates that she has CHF (chronic heart failure), CRF (chronic renal failure) , both of which are secondary to her untreated hypertension. The patient came in because she was suffering from asthma. What drug would she be given if she suffered an acute asthma attack?


A: Albuterol



OT: I was really saddened today to see such a young person who has yet to live life already dying. Only 21 years old and already CHF and CRF.   :-\

this is really unfortunate. how did she get CHF? tambok ni sya? african americans have the highest risk of cardiovascular problem and hardest to treat depending on their inherited genes. ambot lng sad pero so far mao ako nabantayan. have to update myself more with US statistics.


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Re: Medical Board Vignettes
« Reply #35 on: March 18, 2011, 03:56:49 PM »
sure mo asthma to basin nagcongestive heart failure sya. wla pajud dialysis, basin ni.inom daghan fluids mao na nagdyspnea. mao pud na ka-paet kay non-compliant mga patients also because mahal sad tambal.

Lorenzo

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Re: Medical Board Vignettes
« Reply #36 on: March 18, 2011, 03:59:30 PM »

not morbidly obese, her weight was normal for her age and height. long term untreated hypertension. non-compliant history of not taking her medication led to chf, with chf, ning manifest ijang CRF.

Edematous kaajo.

~~~

Very sensitive kaayo ning african american population, because they react differently to chf / hypertension medication.

normally i would prescribe my patients (hypertensive patients) : Ace inhibs (Lisinipril, Captopril), ARBS (losartan).

however, for African americans, they do not do well with Aceinhibs. They do really well with : CCBs, and Diuretics (Hydrocholorthiazide).

Note: importante jud i monitor ilang uric acid levels when they're on HCT; kai mag hyperuricemic cases; gouty attack.



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Re: Medical Board Vignettes
« Reply #37 on: March 18, 2011, 04:00:32 PM »
lisod kaayo asthmatic pajud. ang pagkahypertensive ani cguro wlay check-up check-up. taas cguro cholesterol sad ani bataa.


Lorenzo

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Re: Medical Board Vignettes
« Reply #38 on: March 18, 2011, 04:01:20 PM »

oo asthma kai gi tagaan ug albut, na wa ijang symptom. asthmatic man pood to sija sa ijang history.

pero yes, you are right, dra, one has to be cautious in seeing all possibilities. thanks.

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Re: Medical Board Vignettes
« Reply #39 on: March 18, 2011, 04:03:23 PM »

oo. ang problema kai non-compliant kaajo. preventable man jud ni ijang crf . unta ning take to sija sa ijang CHF medication sa una. sus ijang lab values...hyperprotenemia ...beyond high levels.

gi admit nako, gi order jud nako ang dialysis kai she missed her dialysis kono 2 days ago.




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