Case discussion: why acidosis?
i did a robot nephrectomy and i kept my patient intubated at the end due to respiratory acidosis. she is elderly with the usual hypertension, DM on insulin, but also with bad pulmonary disease, a component of COPD and severe reduced dlco. on home o2 2L. room air saturation 79-84%
surgery uneventful. 400 ebl. 6 hour case in lateral position. 2.5L fluid.
On emergence, following instructions, having minute ventilation of ~5L, (RR 16, TV ~350-400), with no vent support, thru a 7.0 tube...
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Source: Student Doctor Network - April 11, 2024 Category: Universities & Medical Training Authors: waterbottle10 Tags: Anesthesiology Source Type: forums
Comprehensive ANKI deck based on ACCSAP and MAYO (Cardiology Board Prep)
WHAT DOES THIS DECK CONTAIN?
The deck contains about 3k high-yield cards seperated with tags/subtags following the ACCSAP format as shown below
General Principles of Cardiovascular Medicine
Arrhythmias
Coronary Artery Disease
Heart Failure & Cardiomyopathy
Valvular Disease
Pericardial Disease
Congenital Heart Disease
Vascular Diseases
Systemic Hypertension and Hypotension
Pulmonary Circulation Disorders
Systemic Disorders Affecting the...
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Source: Student Doctor Network - March 5, 2024 Category: Universities & Medical Training Authors: Salem Rama Tags: Cardiology Source Type: forums
Judicious IV ant-hypertensive use ideas?
Hello all.
I am an IM pharmacist at my hospital and have been tasked with working with our hospitalist team to work on judicious IV ant-hypertensive use. I am curious as to if any of you have done things at your hospital to work on limiting the use to just true hypertensive emergencies based on several studies that have come out that sometimes we do more harm than good treating asymptomatic hypertension in the hospital. I am not taking about ICU use - just med-surg floor use.
I know...
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Source: Student Doctor Network - October 26, 2023 Category: Universities & Medical Training Authors: Dred Pirate Tags: Internal Medicine and IM Subspecialties Source Type: forums
Hypertension management
Curious what anti-hypertensive agent others have had the best results with when the 1st line options (CCB, ACE/ARB, thiazide diuretic) have been either maxed out or aren't tolerated. By best results I mean combined efficacy and also tolerability. I understand patient specific factors play into this, but for the sake of this discussion I am trying to keep it general, presuming that the patient has essential hypertension, there is low suspicion for a specific secondary cause with work-up...
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Source: Student Doctor Network - July 20, 2023 Category: Universities & Medical Training Authors: ColonelForbin Tags: Internal Medicine and IM Subspecialties Source Type: forums
School list help: (cGPA 3.7, MCAT 520, ORM) Low and mid-tier MD preferred
Hey guys, I was just finishing my school list and was wondering if I could get some feedback. I am just aiming for mid or low-tier MDs for now and will consider DO after I complete AMCAS.
I graduated from UT Dallas in May 2022
State of Residency: Texas URM/ORM: ORM FAP: No Disadvantaged: economically yes
Academics
cGPA: 3.70 (Upward trend: 2.95/3.89/3.82/3.79)
sGPA: 3.68 (Upward trend: 2.68/3.85/3.82/4.0)
MCAT: 520 (132/127/131/130)
Leadership:
Created own tutoring...
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Source: Student Doctor Network - June 22, 2023 Category: Universities & Medical Training Authors: Hypertension!! Tags: What Are My Chances? WAMC Medical Source Type: forums
To Halt Epidemic of Hypertension Halt Salt Consumption Re: High salt intake and hypertension
(Source: BMJ Comments)
Source: BMJ Comments - June 17, 2023 Category: General Medicine Source Type: forums
Adults at lowest risk are NOT most likely to have undiagnosed hypertension
(Source: BMJ Comments)
Source: BMJ Comments - May 3, 2023 Category: General Medicine Source Type: forums
Anesthesia for suction embolectomy of the pulmonary artery
I got called to give anesthesia in Intervention radiology lab for a elderly with saddle pulmonary embolism on high flow oxygen. These patients are sick and have multiple comorbidties including previous Stroke, hypertension and hemodynamically unstable. First I was told please give sedation and monitor the vitals while the procedure is being done. Do other institutions have any protocols as to how to navigate here. Do general anesthesiologist take care of such patients or is it cardiac...
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Source: Student Doctor Network - April 2, 2023 Category: Universities & Medical Training Authors: undalay Tags: Anesthesiology Source Type: forums
Hypertension guidelines and black ethnicity
(Source: BMJ Comments)
Source: BMJ Comments - February 28, 2023 Category: General Medicine Source Type: forums
ARNG Medical clearance/MEPS concerns
Hey all. I'm an M4 looking to join the Guard during my residency and participate in STRAP. I've begun working with a recruiter. I have a couple things that I'm concerned may disqualify me:
1. Essential hypertension. I'm on low dose lisinopril which keeps my BP in range. I have no symptoms. The recruiter didn't seem to think this would be a problem but wanted to see if anyone else had more info on this.
2. Anxiety. I occasionally get mild anxiety which I've mentioned to providers...
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Source: Student Doctor Network - January 15, 2023 Category: Universities & Medical Training Authors: LoveAndSqualor Tags: Military Medicine Source Type: forums
Lifelong hypertension in China ?
(Source: BMJ Comments)
Source: BMJ Comments - January 14, 2023 Category: General Medicine Source Type: forums
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...
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Source: Student Doctor Network - November 9, 2022 Category: Universities & Medical Training Authors: Maybedoc1 Tags: Medical Students (MD) Source Type: forums
Chronic disease management
Hello everyone,
as someone from abroad can someone sum up all chronic diseases that are managed in american primary care ? I couldnt find any precise information about it on the net.
I know you manage hypertension, dyslipidemia, type 2 diabetes, COPD, astma, chronic kidney disease, hypothyreidism, coronary disease. What am I missing. I know it can differ from place to place but what diseases all family doctors manage ? Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - November 6, 2022 Category: Universities & Medical Training Authors: Lumbago90 Tags: Family Medicine Source Type: forums
Hypertension after Induction - Case Discussion
Hey guys I had a weird occurrence the other day and had to cancel a case. There probably aren't many explanations for what happened but I've been surprised by input on these forums before.
Patient is a 68 y/o female, 70kg, with a Hx of mild COPD (on stiolto), Hypertension, Hypothyroidism, and sleep apnea. She is scheduled for bilateral mastectomy with sentinel nodes for a 2 cm mass in the right breast, invasive lobular carcinoma. Hx both cataracts done in past 2 years. Hx hysterectomy and...
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Source: Student Doctor Network - July 22, 2022 Category: Universities & Medical Training Authors: DrOwnage Tags: Anesthesiology Source Type: forums
How do literature reviews look for MD/PhD applicants?
Hello All,
Breif introduction:
An undergraduate entering second-year; major is chemistry concentrated in biochemistry; GPA: 3.99; sGPA: 4.0; no MCAT yet; biomedical research intern for Aspirnaut at VUMC in Nephrology & Hypertension department (summer 2022); attends Berea College.
I am genuinely interested in synthesizing a literature review to contribute to an area of biomedical science, and to gain further insight into the desired field of interest. I understand that synthesis research...
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Source: Student Doctor Network - July 9, 2022 Category: Universities & Medical Training Authors: O.F. Hanson Tags: Pre-Medical (MD) Source Type: forums
