Re: Respiratory disease mortality in the United Kingdom compared with EU15+ countries in 1985-2015: observational study
(Source: BMJ Comments)
Source: BMJ Comments - November 29, 2018 Category: General Medicine Source Type: forums

hospital shadowing
Thread Starter hospital shadowing Follow 41 minutes ago 41m ago Quote: Originally Posted by faiima Thank you, I'm going to be on the Respiratory ward. (btw I'm 20 yo :) ) I only mention age because if you're below the age of 17 you legally can't visit ...
Source: The Student Room - September 13, 2018 Category: Universities & Medical Training Authors: fruitshoot Tags: Medicine Source Type: forums

Re: Recurrent lower respiratory tract infections in children
(Source: BMJ Comments)
Source: BMJ Comments - August 16, 2018 Category: General Medicine Source Type: forums

Don't have enough work experience for medicine ??
Thread Starter Don't have enough work experience for medicine ?? Follow 59 minutes ago 59m ago Hi, so I'm applying for medicine this year and currently revising for the ukcat in a couple weeks. As I decided late into year 12 that I wanted to pursue medicine, I'm concerned I don't have enough work experie...
Source: The Student Room - July 28, 2018 Category: Universities & Medical Training Authors: abb41289 Tags: Medicine Source Type: forums

Sux and hyperK
Thought I would post this case from ICU today for discussion. 42 y/o man with chronic cervical quadriplegia originally admitted for worsening sacral decub. Transferred to Icu 3 days ago for respiratory failure due to mucous plugging. Intubated on transfer without difficulty by someone else- got 200mg sux and 20 mg etomidate (he weighs about 100 kg). Had a bronch two days ago and suctioned out. Today cxr clear and looking fine on weaning trial. Extubated this AM and originally did... Sux and hyperK (Source: Student Doctor Network)
Source: Student Doctor Network - May 7, 2018 Category: Universities & Medical Training Authors: bigtuna Source Type: forums

Bad Volunteer Experiences?
I'm saying this because, I've been volunteering in the patient care program at a unit in a hospital. I've been made fun of several times by the nurses, respiratory therapists, and physical therapists there and I always hear them make sly remarks towards me, I even had two nurses laugh at me and I heard it and turned around and they stopped. I am a volunteer so there is not a lot I am trained to do but I try to keep busy and always ask if the nurses or unit clerks need help. One of the... Bad Volunteer Experiences? (Source: Student Doctor Network)
Source: Student Doctor Network - May 2, 2018 Category: Universities & Medical Training Authors: wonderment Source Type: forums

Has anyone ever had bad volunteer experiences?
I'm saying this because, I've been volunteering in the patient care program at a unit in a hospital. I've been made fun of several times by the nurses, respiratory therapists, and physical therapists there and I always hear them make sly remarks towards me, I even had two nurses laugh at me and I heard it and turned around and they stopped. I am a volunteer so there is not a lot I am trained to do but I try to keep busy and always ask if the nurses or unit clerks need help. One of the... Has anyone ever had bad volunteer experiences? (Source: Student Doctor Network)
Source: Student Doctor Network - May 2, 2018 Category: Universities & Medical Training Authors: wonderment Source Type: forums

How far do you go young febrile tachy pt?
This is always a preplexing subject and one I've done the whole gamut (h&p then street vs full body imaging and set of labs). Let's say, a 38 yo M comes in with fevers (tmax 102), generalized bodyaches, no respiratory symptoms, no urinary symptoms, no rashes. Denies drugs,alcohol, no daily meds. No exam findings. VS HR 130, BP 120/80, 98% RA. This is a relatively rare ED presentation but I see similar every couple months Options 1. Looks good must be viral, dc home without workup with... How far do you go young febrile tachy pt? (Source: Student Doctor Network)
Source: Student Doctor Network - April 29, 2018 Category: Universities & Medical Training Authors: shoal007 Source Type: forums

Cardiovascular/Respiratory Physiology
Thread Starter Cardiovascular/Respiratory Physiology Follow 26 minutes ago 26m ago Quote: Originally Posted by nexttime 1) The brain is highly adapted to ensure constant oxygen supply. Part of that is dilating to high CO2, and the inverse with low CO2. In terms of e...
Source: The Student Room - March 6, 2018 Category: Universities & Medical Training Authors: RR97 Tags: Medicine Source Type: forums

Would the use of Precedex expand the group of non-anesthesiologist from administered deep sedataion?
The profile of precedex is such that respiratory drive is preserved unlike propofol, fentanyl, ketamine, and midazolam. Yet it still provides sedation, hypnosis, and analgesia. Would it be fair to speculate that a more generalized use of precedex and the expiration of its patent in 2019 (current cost is $40/vial) driving its cost down will possibly make it dummy proof to the extent that providers like periodontist could safely administer deep sedation in their office? (Source: Student Doctor Network)
Source: Student Doctor Network - February 26, 2018 Category: Universities & Medical Training Authors: GCS8 Source Type: forums

Hypoxic Respiratory Failure (COPD exac, CHF Exac, Pneumonia)
This is one of the most common diagnosis I admit as a hospitalist, and often my patients usually have COPD, & CHF. They end up getting treated for both COPD exacerbation and CHF exacerbation and sometiems if the CXR is unclear (edema vs infection), they get treated w/ abx as well. Lot of waste and side effects. Besides the obvious fever, WBC count, what else do you guys use to confidently discriminate between these etiologies. Procalcitonin is one lab I use. Wheezing (could be present... Hypoxic Respiratory Failure (COPD exac, CHF Exac, Pneumonia) (Source: Student Doctor Network)
Source: Student Doctor Network - February 18, 2018 Category: Universities & Medical Training Authors: bananas85 Source Type: forums

Can ya help me with this Step 1 question?
A 5-year-old boy is brought to the physician by his parents because of an 8-month history of difficulty walking. His parents say that he limps when he walks and has a waddling gait; he also has difficulty standing. When getting up from a sitting position, he uses his hands to walk up his thighs and push his body into a standing position. His mother is an only child but she has an uncle who became bedridden as a child and died of respiratory arrest. Physical examination of the boy shows... Can ya help me with this Step 1 question? (Source: Student Doctor Network)
Source: Student Doctor Network - February 14, 2018 Category: Universities & Medical Training Authors: neuroace Source Type: forums

Effects of a single preoperative teaching session designed to demonstrate how to breathe on the risk of postoperative respiratory complications after upper abdominal surgery.
(Source: BMJ Comments)
Source: BMJ Comments - February 6, 2018 Category: General Medicine Source Type: forums

Re: Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial
(Source: BMJ Comments)
Source: BMJ Comments - February 1, 2018 Category: General Medicine Source Type: forums

Medical work experience?
Thread Starter Medical work experience? Follow 3 hours ago 3h ago Quote: Originally Posted by Democracy So general medicine just means adult medicine. You'll get to see a wide variety of patients from all the different general medical specialties e.g. cardiology, re...
Source: The Student Room - January 6, 2018 Category: Universities & Medical Training Authors: Jessyoltay Tags: Medicine Source Type: forums

please Help! understand interpreting Blood Gas from "the ICU BOOK"
hello..i want to ask you all..i have been reading Marino's "The ICU BOOK" for a while now. and i am now reading how to interpret Blood Gas from that book. now, my confusion is: 1. in stage 1 : rule 3, Marino tells us that " if either the pH or PCO2 is normal, there is mixed metabolic and respiratory acid base disorder" and... "if the PCO2 is normal, the direction of change in pH identifies the metabolic disorder" i don't really understand this...how can he come up with that statement? for... please Help! understand interpreting Blood Gas from "the ICU BOOK" (Source: Student Doctor Network)
Source: Student Doctor Network - December 14, 2017 Category: Universities & Medical Training Authors: ketap Source Type: forums

Physiotherapy or Medicine?
Thread Starter Physiotherapy or Medicine? Follow 4 hours ago 4h ago I'm in both lol. I studied physio and worked as a physio for a couple of years, then decided to apply to medicine. I actually got in (undergrad course, theres no way I would have via the gamsat route!!) and currently in 4th year. Quite ...
Source: The Student Room - December 11, 2017 Category: Universities & Medical Training Authors: ahorey Tags: Medicine Source Type: forums

Respiratory exchanges: is Chloride Shift in RBCs an example of ACTIVE or PASSIVE transport?
Hello there, I'm here again. I was wondering if "chloride exchangers" in Red Blood Cells are an example of active transport or not. In particular, to make things easier, let's say that I'm only focusing on what happens in systemic capillaries. Since on my books I couldn't find anything, I searched for some informations on the internet and I got this:... Respiratory exchanges: is Chloride Shift in RBCs an example of ACTIVE or PASSIVE transport? (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2017 Category: Universities & Medical Training Authors: greenmatter Source Type: forums

Re: Acute respiratory distress syndrome
(Source: BMJ Comments)
Source: BMJ Comments - November 21, 2017 Category: General Medicine Source Type: forums

Always suspect in Emergency Medicine the Acute Respiratory Distress Syndrome: Saves Lives
(Source: BMJ Comments)
Source: BMJ Comments - November 20, 2017 Category: General Medicine Source Type: forums

Junior doctor help
Thread Starter Junior doctor help Follow 5 hours ago 5h ago Quote: Originally Posted by Casie1234 For a normal ward day shift how many SHO's are likely to be on duty? or is there just one; It depends and varies - according to hospital, specialty, ward a...
Source: The Student Room - November 13, 2017 Category: Universities & Medical Training Authors: ecolier Tags: Medicine Source Type: forums

Am I Being Reasonable, Or Am I setting myself Up For Disappointment?
Hey, everyone. I was hoping to get some options on my perhaps nontraditional plan to enter the PA feild. I'm a 22 year old, who is about to start junior year for my bachelors of science in respiratory therapy. I actually have an associates of applied science in mental health/human services which I just obtained in 2016. This was because when I first entered (community) college thought I wanted to be a therapist. However after getting a clinical associate job at a level one trauma center, I... Am I Being Reasonable, Or Am I setting myself Up For Disappointment? (Source: Student Doctor Network)
Source: Student Doctor Network - November 1, 2017 Category: Universities & Medical Training Authors: JustinSane Source Type: forums

Diabetic Ketoacidosis, Notochord and more
Sorry for the lengthy post but I have some concept questions that I'm not too sure about. Any explanations would be greatly appreciated! 1) Why does diabetic ketoacidosis (high serum glucose levels) increase respiratory rate, decrease blood pressure and increase heart rate? I thought that high glucose levels would increase blood pressure but that's not the case. 2) Notochord (mesoderm derived) forms the vertebral column and skull (or spine), whereas the neural tube develops into the... Diabetic Ketoacidosis, Notochord and more (Source: Student Doctor Network)
Source: Student Doctor Network - October 10, 2017 Category: Universities & Medical Training Authors: datgirl1 Source Type: forums

Medicine at Glasgow vs Edinburgh?
Thread Starter Medicine at Glasgow vs Edinburgh? Follow 2 hours ago 2h ago Quote: Originally Posted by TomSuffolk Thanks for the response :H I'm wide-tracking here a bit, but how beneficial is it to intercalate? I know I've got a while until I need to think about...
Source: The Student Room - September 17, 2017 Category: Universities & Medical Training Authors: Asklepios Tags: Medicine Source Type: forums

Steroids do not reduce lower respiratory symptoms in non-asthmatic adults, study finds.
(Source: BMJ Comments)
Source: BMJ Comments - September 11, 2017 Category: General Medicine Source Type: forums

Re: Steroids do not reduce lower respiratory symptoms in non-asthmatic adults, study finds
(Source: BMJ Comments)
Source: BMJ Comments - September 10, 2017 Category: General Medicine Source Type: forums

Suggestions for a new watch
I like having a good watch for respiratory and heart rates, I'd like something that can stand the rigors of a messy clinical environment (saliva, blood etc). I like a leather rather than metal wrist band. Suggestions? (Source: Student Doctor Network)
Source: Student Doctor Network - September 5, 2017 Category: Universities & Medical Training Authors: sliceofbread136 Source Type: forums

NBME 6 Question Help
Q-35 A newborn is in severe respiratory distress immediately following delivery. She was born at 35 weeks' gestation to a 35-year-old woman, gravida 2, para 1, aborta 1, who did not receive prenatal care. The newborn's pulse is 60/min, and respirations are irregular and labored. Examination shows pallor with perioral cyanosis, anasarca, hepatosplenomegaly, and scattered petechiae. Cord blood hemoglobin is 4 g/dL, and reticulocyte count is 18%. A direct antiglobulin (Coombs') test is... NBME 6 Question Help (Source: Student Doctor Network)
Source: Student Doctor Network - July 8, 2017 Category: Universities & Medical Training Authors: Inbox Source Type: forums

high spinal sedation
25 year old G1P0 37 weeks for epidural in L and D room. after placement and test dose the level was brought up with 8mL of 0.25% bupiv. Shortly thereafter, the patient became hypotensive (60/40), complained of numbness in her hands, and experienced progressive respiratory distress. You think it may be a high spinal. After opening fluids and giving vasopressors you decide to intubate. Airway is secured uneventfully. What now? (Source: Student Doctor Network)
Source: Student Doctor Network - July 3, 2017 Category: Universities & Medical Training Authors: Jeff05 Source Type: forums

Re: Controlling antibiotic prescribing for lower respiratory tract infections
(Source: BMJ Comments)
Source: BMJ Comments - June 15, 2017 Category: General Medicine Source Type: forums

NBME exam at the end of first year?
Hi everyone, the school I attend gives us an NBME exam that covers the material we have gone over in our first year (systems based) which includes biochem, immuno, heme/onc, micro, cardiac, respiratory and renal. The NBME exam had faculty-selected questions, where all of the questions had a correct response of 80% or more on the USMLE. I was just wondering if anyone had experience with these kinds of exams and how well they can predict true USMLE performance? (Source: Student Doctor Network)
Source: Student Doctor Network - June 12, 2017 Category: Universities & Medical Training Authors: pericardium Source Type: forums

Controlling antibiotic prescribing for lower respiratory tract infections. Assessing collateral damage at the same time is helpful.
(Source: BMJ Comments)
Source: BMJ Comments - May 30, 2017 Category: General Medicine Source Type: forums

Penicillin would be the right prescription! Re: Antibiotic prescription strategies and adverse outcome for uncomplicated lower respiratory tract infections: prospective cough complication cohort (3C) study
(Source: BMJ Comments)
Source: BMJ Comments - May 26, 2017 Category: General Medicine Source Type: forums

Pulmonary Embolism ABG Question
Sorry in advanced if this is a stupid question. I've been trying to figure out why a PE is considered respiratory alkalosis. I thought it would be a metabolic acidosis with respiratory compensation. Isn't the mechanism for a pulmonary embolism: PE -> decrease PO2 -> lactic acid generation(metabolic acidosis) -> tachypnea (respiratory compensation) I would appreciate any help on what I am missing. This has really been nagging at me today. (Source: Student Doctor Network)
Source: Student Doctor Network - May 18, 2017 Category: Universities & Medical Training Authors: Photonic Source Type: forums

Aspirin toxicity
FREE 150 SPOILER ALERT: I will be forever grateful if someone clarifies a timeline of aspirin toxicity (i.e. going from respiratory alkalosis to metabolic acidosis). Just did the free 150 where someone with 3 hours post aspirin overdose presents with metabolic acidosis. On the other hand, Uworld clearly states that the 12 hours is the transition (Source: Student Doctor Network)
Source: Student Doctor Network - May 6, 2017 Category: Universities & Medical Training Authors: yankees527 Source Type: forums

Is it hopeless for me to apply to medical school?
So here's my story. I'm a community college transfer that recently got accepted to UCSB as an Economics major. I've always had a growing interest in the biological sciences, however, I decided to pursue Econ. In finals week of spring semester of my freshman year, I heard my dad going through respiratory arrest(death rattles) downstairs and passed it away as snoring, and so basically I could've saved him, but didn't. I've had some B's, but mostly A's up to this point, and in summer school,... Is it hopeless for me to apply to medical school? (Source: Student Doctor Network)
Source: Student Doctor Network - April 3, 2017 Category: Universities & Medical Training Authors: creationliberty Source Type: forums

max dose for ativan
had an incident today where this patient in ER jumping and going crazy so doctor decided to give ativan 4mg iv push x4 times I was kind of scared that patient might undergo respiratory depression but nurse was screaming to verify hope pt is okay (Source: Student Doctor Network)
Source: Student Doctor Network - March 25, 2017 Category: Universities & Medical Training Authors: skarndghks2017 Source Type: forums

Fire during intubation
So I have this patient with respiratory failure who I am preoxygenating with nasal cannula prior to RSI. I took the cannula off and intubated the patient and he developed ventricular fibrillation immediately afterwards. Code was called and the nurse shocked him. Patient came back to sinus rhythm with the shock but bang at the same time the patient's bedsheets caught fire. Nurses frantically tried to extinguish the fire and then I who was at the head of the bed picked up the sheets and shook... Fire during intubation (Source: Student Doctor Network)
Source: Student Doctor Network - March 18, 2017 Category: Universities & Medical Training Authors: Nephro critical care Source Type: forums

RN to MD Progress/Support Thread
So I'm stealing someone else's idea and making a progress thread for all us RN to MD/DO hopefuls. Feel free to post a little about yourself, where you work, your progress / timeline, interests, or anything else pertaining to nursing. Myself: 27, male, Florida / St. Pete area, I've worked on a Medical Respiratory floor for almost two years now. I'm sure I could make myself content for a little while if I went to the ICU or ED but eventually I'd want more. I have a few C's in sciences prior... RN to MD Progress/Support Thread (Source: Student Doctor Network)
Source: Student Doctor Network - December 22, 2016 Category: Universities & Medical Training Authors: Straw Hat Source Type: forums

Hypotheticall speaking...
So I know the answer is to leave out the anesthetic but just curious what would happen. Coming from a PMR background I'm a little uncertain of the exact concentrations needed to cause issues. Hypothetically speaking, if you injected 2cc 0.25% Marcaine intrathecally at T4-5 or T5-6 would you shut down the patient's respiratory/cardiovascular system? I've got a end stage cancer patient that comes in for q3 month thoracic epidurals and his epidurogram always looks a little strange. Never had... Hypotheticall speaking... (Source: Student Doctor Network)
Source: Student Doctor Network - October 6, 2016 Category: Universities & Medical Training Authors: clubdeac Source Type: forums

RRT to MD/DO
I am currently doing my clinicals for my RRT program with a minor in chem. I have taken a&p 1 and 2, gen chem1 and 2, organic 1 and 2, phys 1 and 2 last of all is stats. I currently have a 3.89 in the program just really love respiratory and plan to attend med school after a year or two after I graduate to hopefully become a pediatric pulmonologist. I am just wondering if anyone has any experience with this track knowing that it is not the typical one. Thanks so much for any input ahead of... RRT to MD/DO (Source: Student Doctor Network)
Source: Student Doctor Network - September 30, 2016 Category: Universities & Medical Training Authors: kawi609 Source Type: forums

Re: Acute respiratory conditions driving up paediatric admissions . . . and other stories
(Source: BMJ Comments)
Source: BMJ Comments - September 27, 2016 Category: Journals (General) Source Type: forums

Physical Exam Manuevers and Detecting abnormal findings as a medical student
So one of things we are expected to do on my service is the routine checks. For OB this includes being the sentinel for magnesium toxicity since DTRs are present before coma and respiratory depression...this includes reflexes, heart, and lungs. On my first check I was able to hear the lungs but not the heart (not sure exactly why). Then, tendons literally took 10 minutes and I got lucky in the end and elicited a brachioradialis) So when I entered my first note I said lung sounds negatives... Physical Exam Manuevers and Detecting abnormal findings as a medical student (Source: Student Doctor Network)
Source: Student Doctor Network - September 6, 2016 Category: Universities & Medical Training Authors: Backtothebasics8 Source Type: forums

Oxygen supplementation in COPD and V/Q mismatch
I understand COPD patients are mainly dependant on the PO2 levels for the respiratory drive and high flow oxygen supplementation can cause decreased stimulation of peripheral chemoreceptors leading to decreased ventilation. I came across a statement saying high flow oxygen supplementation INCREASES the physiological dead space, leading to increased V/Q mismatch. How does this happen? From my understanding, physiological dead space represents the alveoli that are ventilated but poorly... Oxygen supplementation in COPD and V/Q mismatch (Source: Student Doctor Network)
Source: Student Doctor Network - August 6, 2016 Category: Universities & Medical Training Authors: Paramyxovirus 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

Re: Safety of reduced antibiotic prescribing for self limiting respiratory tract infections in primary care: cohort study using electronic health records
(Source: BMJ Comments)
Source: BMJ Comments - July 21, 2016 Category: Journals (General) Source Type: forums

Antibiotics for respiratory tract infections in primary care: checking for previous alert organisms and stopping antibiotics when a viral infection is confirmed is best practice.
(Source: BMJ Comments)
Source: BMJ Comments - July 14, 2016 Category: Journals (General) Source Type: forums