Respiratory failure and non-invasive respiratory support during the covid-19 pandemic: vitamin D should be considered
(Source: BMJ Comments)
Source: BMJ Comments - July 2, 2020 Category: General Medicine Source Type: forums

UWorld Q 7601 Respiratory physiology
Pt evaluated for worsening SOB on exertion, 40-pack-year smoking hit. Lung are hyperresonant on percussion and there is diffuse wheezing on auscultation. CXR reveals a flattened diaphragm with a narrow mediastinum, there are decreased bronchovascular markings in the peripheral lung region. Why this is COPD? how to tell it is not restrictive lung diseases ? (Source: Student Doctor Network)
Source: Student Doctor Network - May 26, 2020 Category: Universities & Medical Training Authors: maggiesilverchow Tags: Step I Source Type: forums

Tee
hey guys, just a quick case just wondering what you guys think.. pt is scheduled for TEE/RHC by the cardiologist and you are asked to provide anesthesia. 37 yo F with coronary artery vasospasm: s/p LHC on 5/13 with 90% narrowing of the LAD. staged PCI revealed normal coronaries. acute systolic CHF: Patient in respiratory distress with bilateral crackles on exam. chest x-ray on 05/18 revealed new interstitial pulmonary edema. chest x-ray on 5/20 shows worsening infiltrates and/or edema... TEE (Source: Student Doctor Network)
Source: Student Doctor Network - May 22, 2020 Category: Universities & Medical Training Authors: jeesapeesa Tags: Anesthesiology Source Type: forums

A few pulmonary physiology questions...
Hopefully someone can help a rising fellow with a few topics (some basic) that have come up and I haven't been able to get a good explanation for: - How exactly does a CHF exacerbation cause hypercapneic respiratory failure? Pulmonary edema seems to be mainly a VQ mismatch issue and not increased dead space? - How exactly does ARDS cause increased dead space? Again, it seems like blood is still flowing through the pulmonary vasculature and it's more of shunt physiology developing with... A few pulmonary physiology questions... (Source: Student Doctor Network)
Source: Student Doctor Network - May 14, 2020 Category: Universities & Medical Training Authors: cavitarynodule Tags: Pulmonary / Critical Care Medicine Source Type: forums

COVID-19 associated thrombosis complicates respiratory failure
(Source: BMJ Comments)
Source: BMJ Comments - May 12, 2020 Category: General Medicine Source Type: forums

Re: Management of respiratory failure due to covid-19
(Source: BMJ Comments)
Source: BMJ Comments - May 10, 2020 Category: General Medicine Source Type: forums

Widening the drug trial net has the potential to reduce respiratory failure
(Source: BMJ Comments)
Source: BMJ Comments - May 9, 2020 Category: General Medicine Source Type: forums

Re: Management of respiratory failure due to covid-19
(Source: BMJ Comments)
Source: BMJ Comments - May 5, 2020 Category: General Medicine Source Type: forums

Respiratory Therapy (Pre-Med track) Good path for cards/pulm?
Hi guys, So I am a pre-med who is about to finish their undergraduate degree this May (BS in Psychology) with a 3.0gpa. I am greatly interested in non-interventionist cardiology and pulmonology so I think becoming an RT would be helpful to that cause. I one day hope to apply for medical school but I am well aware of the insane competition and that a gpa that low will have serious difficulty getting accepted. My plan was to do a post-bacc and work on the side as a scribe like everyone else... Respiratory Therapy (Pre-Med track) Good path for cards/pulm? (Source: Student Doctor Network)
Source: Student Doctor Network - April 19, 2020 Category: Universities & Medical Training Authors: PsychPop Tags: Cardiology Source Type: forums

House Physician a myth or a reality?
Hi everyone, I am a non-US IMG and I completed all my steps and I am currently enrolled in clinical research at Mt Sinai in NYC. I graduated in 2012 ,but was working as a full-time respiratory therapist until recently (June 2019). I tried the residency match 2 times already and did not receive any interview. I had a couple of red flags ( year graduation and 2nd attempts on step 2s), but I still have the drive to pursue this dream of mine. I would like to apply again next year and I think... House Physician a myth or a reality? (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2020 Category: Universities & Medical Training Authors: Geeky MD Tags: Internship, Residency and Fellowship Positions Source Type: forums

Difficult Airway - Covid, Angioedema, ETT Exchange
Thoughts on the following case: Morbidly obese patient in ICU, thick neck+Covid, respiratory failure, high vent settings (20 PEEP, 70% FiO2). Called by ICU attending to exchange ETT because it becomes kinked when turning the patient prone, and randomly when turning the patient's head in certain directions when supine. Patient also with severe angioedema of the tongue, which is protruding several centimeters from the mouth, firm, immobile, making access to the oropharynx impossible. Patient... Difficult Airway - Covid, Angioedema, ETT Exchange (Source: Student Doctor Network)
Source: Student Doctor Network - April 9, 2020 Category: Universities & Medical Training Authors: inflamesdjk02 Tags: Anesthesiology Source Type: forums

Nutritional Recommendations for Covid-19
Hello everyone. I am deeply concerned about the covid-19 pandemic. I have maintained an interest in nutrition for over a decade and probably contracted covid-19 myself about 16 days ago in Durham, NC. My case was mild, with about 25% respiratory impairment at its worst on the seventh day of the illness. Due to lack of availability of testing kits for non-severe cases I can't confirm whether it was actually c-19 however I did suffer at 75% loss of smell plus the repiratory impairment so... Nutritional Recommendations for Covid-19 (Source: Student Doctor Network)
Source: Student Doctor Network - April 6, 2020 Category: Universities & Medical Training Authors: cdmguy Tags: Family Medicine Source Type: forums

California Health Corps asking for medical students
Governor Newsom Announces California Health Corps, a Major Initiative to Expand Health Care Workforce to Fight COVID-19 | California Governor Governor signs executive order to expand health care workforce and staff at least an additional 50,000 hospital beds needed for the COVID-19 surge Medical doctors, nurses, respiratory therapists… www.gov.ca.gov Any idea on what the role will be ? (Source: Student Doctor Network)
Source: Student Doctor Network - March 31, 2020 Category: Universities & Medical Training Authors: libertyyne Tags: Medical Students - MD Source Type: forums

COVID-19 and Medical Decision Making
Just had a string of night shifts at my ER in Northern California. It was thankfully quiet. Saw 1/hr. Each shift there were a few patients wondering if they had COVID-19. The purpose of this post is to ask how all of you guys are thinking about medical decision making in this new world. Because how I'm handling respiratory complaints now is much different than how I did 6 months ago or even 3 months ago. Here is one of my cases: 69 yo woman, healthy, remote history of follicular... COVID-19 and Medical Decision Making (Source: Student Doctor Network)
Source: Student Doctor Network - March 21, 2020 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums

Plaquenil for corona?
I'm hearing reports that Plaquenil with antibiotic help with treating coronavirus? Correct me if i'm wrong... but... what? lol we are using anti-malarial/RA and anti-bacterial drugs to treat viral infections now? In Vitro Antiviral Activity and Projection of Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe Acute Respiratory Syndrome ... - PubMed - NCBI (Source: Student Doctor Network)
Source: Student Doctor Network - March 20, 2020 Category: Universities & Medical Training Authors: VictorOfHungerGames Tags: Pharmacy Source Type: forums

Covid-19
Can we start a COVID-19 discussion? There is one case at my hospital so far. He got sick initially with a prodrome of cough, malaise... presented two weeks later to ED with severe respiratory symptoms. Got admitted, bilateral infiltrates more in the peripheries. WBC normal with lymphopenia. Flu, RSV and general viral panel negative. Tested two days after admission for COVID-19 which came back positive. Community infection with no travel or sick contact. His hypoxia escalated quickly... COVID-19 (Source: Student Doctor Network)
Source: Student Doctor Network - March 14, 2020 Category: Universities & Medical Training Authors: GluteusMaximus90 Tags: Critical Care Source Type: forums

ACE-inhibitors may facilitate COVID-19 related respiratory distress syndrome beside increasing the risk of infection
(Source: BMJ Comments)
Source: BMJ Comments - March 12, 2020 Category: General Medicine Source Type: forums

Preventing severe respiratory distress
(Source: BMJ Comments)
Source: BMJ Comments - March 9, 2020 Category: General Medicine Source Type: forums

Autopsy for pneumonia (COVID-19, SARS-CoV-2)
How are you handling autopsies (especially for pneumonia), in the context of COVID-19 / SARS-CoV-2? I worry about infected patients without a diagnosis of COVID-19. Of note, here are CDC's guidelines: Coronavirus Disease 2019 (COVID-19) Coronavirus disease 2019 (COVID-19) is a virus (more specifically, a coronavirus) identified as the cause of an outbreak of respiratory illness first detected in Wuhan, China. www.cdc.gov Postmortem activities should be conducted with a focus on a...
Source: Student Doctor Network - February 28, 2020 Category: Universities & Medical Training Authors: Path of Most Resistance Tags: Pathology Source Type: forums

how to study respiratory physiology
What resources do people use for understanding resp physiology? (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2020 Category: Universities & Medical Training Authors: e2468 Tags: Medical Students - MD Source Type: forums

Enlisted Medical Chalk Talks
What are some short 10-15 minute lessons y'all do for your enlisted medical (Corpsmen/Medics)? I'm looking for things that they'll find either interesting, useful in their job, or both. This is separate from skills training. Stuff like acute pain control, back pain red flags and what they mean, the approach to a red eye, upper respiratory/sinus complaints, "it burns when I pee," etc. (Source: Student Doctor Network)
Source: Student Doctor Network - January 11, 2020 Category: Universities & Medical Training Authors: flightdoc09 Tags: Military Medicine Source Type: forums

M1 QBanks in Traditional Curriculum
Happy New Years! I just had a question about doing QBanks in a traditional curriculum. I find that it’s tough for me to answer a lot of the questions in USMLE RX and Amboss because even their non path questions have a lot of path in them. What do you think of the strategy of doing Pathoma chapters 1-4 and then the relevant Pathoma chapter for a given block (say respiratory), doing a bunch of questions in that unit? I am going to be done with most of Costanzo, Sketchy Micro and Sketchy Pharm... M1 QBanks in Traditional Curriculum (Source: Student Doctor Network)
Source: Student Doctor Network - January 1, 2020 Category: Universities & Medical Training Authors: greentealeaves Tags: Medical Students - MD Source Type: forums

FDA warning on Gabapentin.
in case you didn't see this last Thursday... Gabapentin and Pregabalin: Drug Safety Communication - Due to Serious FDA is warning that serious breathing difficulties may occur in patients using gabapentin or pregabalin who have respiratory risk factors. www.fda.gov Neurontin, Gralise, Horizant (gabapentin) and Lyrica, Lyrica CR (pregabalin): Drug Safety Communication - Serious Breathing Problems Click to expand... ... Click to expand....
Source: Student Doctor Network - December 23, 2019 Category: Universities & Medical Training Authors: Ducttape Tags: Pain Medicine Source Type: forums

Re: E-cigarettes are independent risk factor for respiratory disease, study finds
(Source: BMJ Comments)
Source: BMJ Comments - December 18, 2019 Category: General Medicine Source Type: forums

Re: The impact on respiratory health of e-cigarettes
(Source: BMJ Comments)
Source: BMJ Comments - November 22, 2019 Category: General Medicine Source Type: forums

Re: What are the respiratory effects of e-cigarettes?.. Even less if you don & #039;t inhale or use Nicotine Salts
(Source: BMJ Comments)
Source: BMJ Comments - November 22, 2019 Category: General Medicine Source Type: forums

Re: What are the respiratory effects of e-cigarettes?
(Source: BMJ Comments)
Source: BMJ Comments - November 18, 2019 Category: General Medicine Source Type: forums

Bicarb in ketoacidosis
I don't personally use bicarb for metabolic acidosis from dka or aka... but the intensivists and culture at my hospital is to do it for just about any acidosis. Thoughts? Case example: Had a pt with AKA with pH 6.9 pCO2 30 something +kussmaul respirations.. I pushed D5LR as she had a metabolic and respiratory acidosis I didn't feel comfortable giving bicarb. Obviously when she arrived to the ICU it was immediately given without a second thought. (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2019 Category: Universities & Medical Training Authors: migm Tags: Emergency Medicine Source Type: forums

Case discussion
Another case discussion for the experts here on this forum. 75 year old with atrial fibrillation on Eliquis, brought in with fractured hip. Orthopedic surgery books the procedure 3 days later (unclear why delayed) for hemiarthroplasty. Labs are fairly OK, nothing absurd. Hct 28, On TTE 1 day ago, there is large pericardial effusion (unknown etiology) with evidence of right atrial collapse, right ventricle inversion, respiratory variations. Diffuse hypokinesis, with LVEF 35%. However... Case discussion (Source: Student Doctor Network)
Source: Student Doctor Network - November 3, 2019 Category: Universities & Medical Training Authors: waterbottle10 Tags: Anesthesiology Source Type: forums

RRT TO DO? Need advice.
I am in need of some advice. I graduated with my degree in biomedical sciences in 2017, original goal was to become a PA which led me to receive my respiratory therapy license to gain some patient experience. I currently work in a level 1 trauma center where I work in ER and Trauma and have really contemplated on switching career paths to possibly applying to medical school instead of PA programs. I unfortunately can’t score well on the mcat, first time I took the exam I studied for 3 months... RRT TO DO? Need advice. (Source: Student Doctor Network)
Source: Student Doctor Network - November 2, 2019 Category: Universities & Medical Training Authors: RRT95 Tags: Pre-Medical - DO Source Type: forums

Why do you want to be a doctor and not a nurse?
Thread Starter Why do you want to be a doctor and not a nurse? Follow 34 minutes ago 34m ago Quote: Originally Posted by Ldeb1403 Emergency medicine pretty much guarantees that you will see patients of all ages -- in fact the ACCS training pathway requires both adul...
Source: The Student Room - October 17, 2019 Category: Universities & Medical Training Authors: ForestCat Tags: Medicine Source Type: forums

Registered Respiratory Therapist to Medical School?
Hello, I am a RRT and I am wondering if anyone has made the move from RRT to later become a MD? Is it possible? How did you do it? Does having experience as a RRT help with getting in? Any advice would be greatly appreciated. I am 25, 3.5 GPA with a BS in Ex. Physiology (waste of time) and a Associates of Respiratory Care. I have about 2 years of experience as a registered RT. (Source: Student Doctor Network)
Source: Student Doctor Network - October 2, 2019 Category: Universities & Medical Training Authors: sighingoutloud Tags: Nontraditional Students Source Type: forums

Re: What are the respiratory effects of e-cigarettes?
(Source: BMJ Comments)
Source: BMJ Comments - October 1, 2019 Category: General Medicine Source Type: forums

Should we get a gas?
Work at a large community hospital. Elderly female last night with obvious LVO and on CTP a huge amount of MCA territory brain at risk (almost the entire hemisphere). GCS is 11 at best. She is going for EVT. I'm with her in scanner and she starts looking a little worse, some grunting respiration and increased respiratory effort. I decide to intubate for airway protection before she goes up to lab. RT comes in and says "Should we get a gas first?" and then scoffs when I say "no". When... Should we get a gas? (Source: Student Doctor Network)
Source: Student Doctor Network - September 29, 2019 Category: Universities & Medical Training Authors: migm Tags: Emergency Medicine Source Type: forums

Systems-Based Curriculum Online Resources
I was wondering if anyone has questions for MSK (muscles and bones) and different resources for each block if you have a systems-based curriculum. My school provides little to no resources for practice questions which has been extremely frustrating. I have been doing poorly and they suggest making my own. I am not good at making questions and wondering if anyone has textbook recommends for like cardio, MSK, and respiratory for an MS1 student. Board prep resources I have tried but do not... Systems-Based Curriculum Online Resources (Source: Student Doctor Network)
Source: Student Doctor Network - September 28, 2019 Category: Universities & Medical Training Authors: Dhooy7 Tags: Medical Students - DO Source Type: forums

Re: Should point-of-care ultrasonography replace stethoscopes in acute respiratory failure?
(Source: BMJ Comments)
Source: BMJ Comments - September 16, 2019 Category: General Medicine Source Type: forums

Re: Effectiveness and safety of electronically delivered prescribing feedback and decision support on antibiotic use for respiratory illness in primary care: REDUCE cluster randomised trial
(Source: BMJ Comments)
Source: BMJ Comments - August 17, 2019 Category: General Medicine 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 - August 17, 2019 Category: General Medicine Source Type: forums

4PM Case
Called to ICU in a small hospital for an urgent intubation on a 74 year old patient in respiratory distress, SpO2 97 on 50% O2, aerophagia, copious viscous yellow secretions being coughed up, and he is obviously dyspneic. There is a high pitched rattle when he coughs or inspires deeply. He presented yesterday with some dyspnea that has worsened considerably throughout the day. No prior history of respiratory distress or respiratory disease. The CT is attached. (Source: Student Doctor Network)
Source: Student Doctor Network - July 27, 2019 Category: Universities & Medical Training Authors: algosdoc Tags: Anesthesiology Source Type: forums

Medical Malpractice Case
Entire medical record, lawsuit, etc... is here: Case 10: Shortness of Breath – medmalreviewer Med mal cases require a HIPAA waiver so the records are available to the public, this site publishes them. TL;DR 33 year old woman seen in ED for respiratory distress. Tons of comorbidities. Given Dilaudid for pain. Results don't show any acute emergency (depending on who you ask). Discharged from the ED. Sitting in ED lobby... Medical Malpractice Case (Source: Student Doctor Network)
Source: Student Doctor Network - July 16, 2019 Category: Universities & Medical Training Authors: bbc586 Tags: Educational Quizzes and Case Studies Forum Source Type: forums

Are volunteers ethically allowed to do this?
I volunteer at a free medical clinic for low income and uninsured individuals. My position is in the back office, where we call patients in from the waiting room to interview them and record basic vitals in their chart before they see the doctor. I ask the patient's birthdate to confirm, then take height, weight, blood pressure (automatic), temperature, and record respiratory rate. On rarer occasions I do finger pricks to test blood sugar for diabetic patients, or ask female OBGYN patients a... Are volunteers ethically allowed to do this? (Source: Student Doctor Network)
Source: Student Doctor Network - June 23, 2019 Category: Universities & Medical Training Authors: blueberry4104 Tags: Pre-Medical - MD Source Type: forums

Put on 3 PIP plan, what can I do.
So, my residency did not start off well. I did a horrible surgery intern year that I barely made it out alive but ended up pregnant unexpectedly. Then I transferred to my surgery program pregnant. I ended up with Preeclampsia w/HELLP and delivered my baby 2 months early. I was only allowed 3 months off because I could not take FMLA leave since I just transferred to a new program. Fast forward 6 months my son was very sick with respiratory issues and I was taking care of him alone during... Put on 3 PIP plan, what can I do. (Source: Student Doctor Network)
Source: Student Doctor Network - June 21, 2019 Category: Universities & Medical Training Authors: divajai Tags: General Residency Issues Source Type: forums

Tandem resuscitative hysterotomy and thoracotomy in peripartum cardiomyopathy-mediated cardiac arrest
A case report published in this month's Annals: young, pregnant woman arrives at an academic center after being intubated for hypoxemic respiratory failure at a referring facility. Arrests on/shortly after arrival. They deliver the fetus, crack mom's chest... both leave the hospital within 3 weeks, without significant deficits... Tandem resuscitative hysterotomy and thoracotomy in peripartum cardiomyopathy-mediated cardiac arrest (Source: Student Doctor Network)
Source: Student Doctor Network - May 23, 2019 Category: Universities & Medical Training Authors: SpacemanSpifff Tags: Emergency Medicine Source Type: forums

Advance Scheduling in ER: Ex. Mondays=Respiratory Illness, Tuesdays=Intestinal Problems/Surgical Recoveries, Wednesdays=etc.
My question is, in addition to the walk-in patients who arrive in an emergency department due to an unexpected emergency, are there usually also scheduled visits to the emergency department, or pre-planned days for specific illnesses, such as intentionally scheduling patients for intestinal surgery on a specific day so that if they are in need of the emergency department during recovery, they are likely to arrive on the same day or day after? If this question does not make sense, another... Advance Scheduling in ER: Ex. Mondays=Respiratory Illness, Tuesdays=Intestinal Problems/Surgical Recoveries, Wednesdays=etc. (Source:...
Source: Student Doctor Network - May 11, 2019 Category: Universities & Medical Training Authors: wormboge Tags: Pre-Medical - MD Source Type: forums

WAMC 3.40/515 MD & DO (career changer)
· cGPA: 3.40, GPA: 3.45 · MCAT: 515(129/127/130/126 on AAMC Practice Test, taking real MCAT on May 18) · White female, NY Resident · Clinical Experiences: 1. Medical Assistant: 500 hours, ongoing full-time job that I will continue during my gap year. Hands on clinical experience doing patient intake (vitals & histories, presented to physician before exam) and doing basic clinical procedures (X-ray, EKG, Respiratory procedures (spirometry... Click to expand... WAMC 3.40/515 MD & DO (career changer) (Source: Student Doctor Network)
Source: Student Doctor Network - April 26, 2019 Category: Universities & Medical Training Authors: alicante Tags: What Are My Chances? WAMC Medical Source Type: forums

Chances to match in FM
Hello, IMG seeking PGY-1 position which are my chances to match in this speciality with this background ? Step 1 233 Step 2 225 ( 2nd attempt) Step 2 CS passed (2nd attempt) Step 3 passed Graduation Med school 2012 Graduation respiratory therapy school 2018 MD and Registered Respiratory Therapist J-1 needed Start in July Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - April 3, 2019 Category: Universities & Medical Training Authors: Geeky MD Tags: Family Medicine Source Type: forums

Re: Respiratory disease mortality in the United Kingdom compared with EU15+ countries in 1985-2015: observational study
(Source: BMJ Comments)
Source: BMJ Comments - February 12, 2019 Category: General Medicine Source Type: forums

Respiratory disease in the Long Term Plan
(Source: BMJ Comments)
Source: BMJ Comments - January 14, 2019 Category: General Medicine Source Type: forums