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
< div class="feedflare" > < a href="http://feeds.bmj.com/~ff/bmj/comment?a=Vz7YIzdNI38:WsKStiWRXfg:yIl2AUoC8zA" > < img src="http://feeds.feedburner.com/~ff/bmj/comment?d=yIl2AUoC8zA" border="0" > < /img > < /a > < a href="http://feeds.bmj.com/~ff/bmj/comment?a=Vz7YIzdNI38:WsKStiWRXfg:dnMXMwOfBR0" > < img src="http://feeds.feedburner.com/~ff/bmj/comment?d=dnMXMwOfBR0" border="0" > < /img > < /a > < a href="http://feeds.bmj.com/~ff/bmj/comment?a=Vz7YIzdNI38:WsKStiWRXfg:F7zBnMyn0Lo" > < img src="http://feeds.feedburner.com/~ff/bmj/comment?i=Vz7YIzdNI38:WsKStiWRXfg:F7zBnMyn0Lo" border="0" > < /img > < /a > < a href="http://fe...
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
Re: Antibiotics for acute respiratory tract infections in primary care
(Source: BMJ Comments)
Source: BMJ Comments - July 10, 2016 Category: Journals (General) Source Type: forums
Serum procalcitonin to guide antibiotic administration for respiratory tract infections in primary care.
(Source: BMJ Comments)
Source: BMJ Comments - July 6, 2016 Category: Journals (General) Source Type: forums
Altius Test 1 Question 7 Section 1
Can anyone explain to me why A is correct??
Hyperventilation occurs in response to respiratory acidosis because hyperventilation:
A) increases blood pH by decreasing CO2 concentrations
B) increases blood pH by decreasing HCO3- concentrations
C) decreases blood pH by decreasing CO2 concentrations
D) decreases blood pH by decreasing HCO3- concentrations
I thought the answer was B ://
This equation was given in the passage:
CO2 + H2O <----> H2CO3 <-----> HCO3- + H+ (Source: Student Doctor Network)
Source: Student Doctor Network - June 15, 2016 Category: Universities & Medical Training Authors: fhussain9 Source Type: forums
UPDATE! cGPA 3.95 scGPA 3.87. 512 MCAT
Hi all,
This is actually an update from a previous post.
cGPA: 3.95 and sGPA: 3.87 per AACOMAS
Got official MCAT score today: 127/130/125/130 = 512
CA resident, foreign born (now a citizen)
Hispanic (Predominantly Mexican, part Spanish (also might have some Portugese in there according to family history), first college grad in family, 26 y.o.
4 year degree: BSU
Working as respiratory therapist at major Trauma I hospital (~3,120 clinical hours).
Research...
UPDATE! cGPA 3.95 scGPA 3.87. 512 MCAT (Source: Student Doctor Network)
Source: Student Doctor Network - June 14, 2016 Category: Universities & Medical Training Authors: drm5t 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 - May 28, 2016 Category: Universities & Medical Training Authors: Straw Hat Source Type: forums
Today's Anesthesia Consult
70 yo obese (120kg) male with schizophrenia, 4pk/day smoking history times 40yrs, ex-miner without respiratory precautions, and HTN. HE is scheduled for a colectomy secondary to recurrent polyp which has changed color but is not yet cancer per GI. Airway is a Gr III with large full beard as well. Sitting in the pre-op clinic he is SOB and has to take a couple big breaths before answering questions. He has been sitting for an hour. Work up includes PFT's which show severe COPD and...
Today's Anesthesia Consult (Source: Student Doctor Network)
Source: Student Doctor Network - May 18, 2016 Category: Universities & Medical Training Authors: Noyac Source Type: forums
High Flow Nasal Cannulas
Educate me on the use of this device versus non invasive ventilation when used to prevent (re)intubation for patients in respiratory distress.
Any success stories? Any failures?
How much flow is in a Bipap? (Source: Student Doctor Network)
Source: Student Doctor Network - May 16, 2016 Category: Universities & Medical Training Authors: urge Source Type: forums
