Loved the medicine and knowledge on IM, kind of hated the day to day
MS2 in my clinical year trying to figure out what I want to do with my life. Just got done my inpatient IM rotation and I had some mixed thoughts. I went in thinking I was going to like it, but I’m conflicted. I loved talking about the physiology of all these diseases, I loved how broad the knowledge was, etc. The knowledge base that they have is immense, but the day to day is kind of a drag.
Talking about hepatorenal syndrome, heart failure, pulmonary hypertension, sepsis, etc was my jam...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 9, 2022 Category: Universities & Medical Training Authors: Maybedoc1 Tags: Medical Students (MD) Source Type: forums
Lange for CA1
Is Lange cover to cover a good foundation base for CA1? I'm through about 60% of it and its a good easy read but I do forget chapters as soon as I read them. I'm also finding it a little lacking on in-depth topics (i.e. pulmonary hypertension). I have Barash and I was wonder if I should out just reading chapters in that, although it is a little dense and detail-heavy.
Any CA2-3s with any advice on how to supplement Lange? (Source: Student Doctor Network)
Source: Student Doctor Network - June 24, 2022 Category: Universities & Medical Training Authors: burnermdaccount Tags: Anesthesiology Source Type: forums
Best programs for pulmonary hypertension?
What are the best fellowship programs for someone interested in a career in pulmonary hypertension? (Source: Student Doctor Network)
Source: Student Doctor Network - October 31, 2021 Category: Universities & Medical Training Authors: gollummd Tags: Pulmonary / Critical Care Medicine Source Type: forums
A curious case of chronic thromboembolic pulmonary hypertension, rheumatic heart disease, and nephropathy.
(Source: BMJ Comments)
Source: BMJ Comments - June 1, 2020 Category: General Medicine Source Type: forums
two resp questions
Hi -
1) Why does destruction of "lung parenchyma" in COPD lead to pulmonary hypertension? The way I am envisioning it, is that there is simply less tissue so the blood vessels have less resistance and should therefore NOT lead to hypertension. Perhaps you can paint a better picture for me.
2) Shunting increases the A-a gradient as mentioned in First Aid. I wanted to clarify and confirm with yall that they are talking about BLOOD SHUNTING (aka R to L shunt, specifically as seen in the...
two resp questions (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2018 Category: Universities & Medical Training Authors: aashkab Source Type: forums
Pulmonary Hypertension Devices
So for pHTN we have:
inhaled NO
inhaled milrinone
inhaled Ilioprost (carbacyclin deriv of Pg I2)
inhlaed flolan (also PgI2 )
Does anyone have experience with the devices used to nebulise these in the OR. What do they look like? How to set up/troubleshoot?
The IV formulations are just on a regular pump - any other wisdom on these?
Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - November 18, 2017 Category: Universities & Medical Training Authors: Newtwo Source Type: forums
Do you think this medical physiology class will be helpful for the MCAT?
This is a newly offered class with part of the description being "medical physiology for undergraduates." The syllabus includes the following topics: neurophysiology, endocrine system/hormones, Cushing's and Addison's Disease, the heart, electrical activity of the heart, cardiac cycle, hemodynamics, blood pressure, capillary exchange, integration of cardiovascular physiology, pulmonary hypertension, respiratory system, oxygen/carbon dioxide transport, high altitude physiology, renal system,...
Do you think this medical physiology class will be helpful for the MCAT? (Source: Student Doctor Network)
Source: Student Doctor Network - July 25, 2016 Category: Universities & Medical Training Authors: futuredoc520 Source Type: forums
Severe pulmonary hypertension for elective surgery.
Pt is 73yo M with severe pulm htn scheduled for hernia repair.
Pt has hx of COPD, CAD, and a-fib. Heart cath from a month ago shows pulmonary artery pressure in the 60s and about 60% stenosis of LAD that did not meet criteria for intervention. Echo showed nl LV EF, moderate TR, and severe pulm HTN. Pt can climb a flight of stair, but occasionally uses 2L O2 at home.
Pt went to see cardiologist prior to procedure, who wrote a note saying patient is at high risk for general anesthesia and...
Severe pulmonary hypertension for elective surgery. (Source: Student Doctor Network)
Source: Student Doctor Network - May 13, 2016 Category: Universities & Medical Training Authors: Chloroform4Life Source Type: forums
Pulmonary Hypertension
Anyone diagnosed with pulmonary hypertension after lung transplant? I just had a routine echocardiogram and my cardiologist said I have mild pulmonary hypertension, which he does not think needs to be treated at this point. Curious to know if this is common after transplant. I understand that it is common in end stage CF, so I most probably had it at that point, but supposedly a lung transplant would fix that. Any input would be appreciated. (Source: Cystic Fibrosis Transplants Forum)
Source: Cystic Fibrosis Transplants Forum - March 17, 2015 Category: Respiratory Medicine Authors: CFfisherman Tags: Transplants Source Type: forums
How to interpret an ECG rapidly? Part IV – The Axis
Rapid ECG Interpretation Part IV – How to identify the ‘Axis’ quickly There are two easy ways to identify the axis of an ECG, the axis in both the ‘Horizontal’ & the ‘Frontal’ planes. Generally, Axis refers to the ‘Mean Frontal Plane QRS axis’ (or vector) during ventricular depolarization. As we recall when the ventricles depolarize (in a normal heart) the direction of current flows leftward and downward because most of the ventricular mass is in the left ventricle. We like to know the QRS axis because an abnormal axis can suggest disease such as pulmonary hyp...
Source: Doc2Doc BMJ Cardiology - February 5, 2013 Category: Cardiology Authors: Dr. K. Ashutosh Source Type: forums
