Divine Intervention Episode 23 Comprehensive Psych NBME 3rd Year Shelf Review

[@jessegabrieltecson8066]

Lithium TOXICITY treatment: first line is dialysis (gets rid of Li) Lithium induced POLYURIA (non life-threatening): K-sparing diuretics (preserves Li Lvls in blood) Source: UpToDate

[@kelseymorris2305]

Q2: Amboss and many resources mention that tarditive dyskinesia tx is stopping the drug thereafter switching to a SGA -> namely quetiapine or clozapine. Just want some clarification here :) Thanks for your channel!

[@PepsiT98]

God bless you for these amazing videos, Divine.

[@JABDUDE]

For people having audio problems, I think the issue is that the recording was done in some form of surround sound. Try using headphones or speakers , anything other than your phone and it should sound much better!

[@NS-yt1vy]

headphones don't make it better either.

[@M16xDr0pSh0tz]

get better headphones@@NS-yt1vy

[@phantastiquely]

Hyperphosphorylated tau proteins are associated with Alzhemiers, regular tau proteins are associated in frontotemporal dementia. Awesome videos thank you for this

[@spgargano]

amboss says pick bodies in FTD are "round cytoplasmic inclusions of aggregated hyperphosphorylated tau proteins." Not sure if this is updated info or not from when this comment was made but thought id throw it out there

[@PPRGUN09]

Nah, pick bodies are also hyperphosphorylated tau proteins.

[@heribertocantu9437]

Q29B is Borderline, not Bipolar.

[@heyda1352]

Thank you man for everything. 21 07 2024

[@connorbyrley9576]

Dis was in my recommendation I have no idea what the hell this is

[@danieldonascimentoaraujo3221]

Medical subjects Lol

[@dreamingpaper]

welcome to med school

[@GiggityCrabbityGiggity]

Medical school :)

[@seanjackewicz9958]

Now you're almost a doctor

[@seeker296]

This is a medical school flotation device. The fact that it washed up on your shore without a body should concern you...

[@muaazchoudhary]

Isnt SOD1 associated with ALS? I thought ApoE4 was linked with alzheimers?

[@lexi6797]

SOD1 is associated with both ALS and Familial Alzheimers

[@Afro_Sensei]

Amazing review Divine!

[@amnakhan9929]

Sod 1 is associated with ALS, alzheimers is presenilin 1 and 2 probably

[@KalikaMahato]

dont you think the first art major is delusional not schizotypal? Scizotypal usually not very social i thought

[@Wiley224]

Very helpful. Thank you for these videos

[@jeffersonawah5929]

God bless you Doc

[@goldenkeys3]

So helpful! Thank you so much :)

[@blinked025]

If low levels of orexin are associated with narcolepsy, how does blocking it's receptor make sense in terms of treatment?

[@divineinterventionpodcasts]

Suvorexant is used for treating insomnia. It induces a sleepy state by essentially replicating what you see in narcolepsy.

[@dangmike1800]

Nacrolepsy is treated with modafinil a stimulant

[@hyunjeankim4324]

Is SOD1 really associated with Alzheimer's? I couldn't really find much about that....

[@divineinterventionpodcasts]

You're right. The SOD1 mutation is associated with ALS (Lou Gehrig's Disease).

[@sameral1651]

You are a outstanding

[@jeremystephan1247]

@22:54 Wouldn't an acute dystonia present with muscle spasm picture rather than "repetitive movement?" I get the time line you are referring to for acute dystonia since this is 2 days after getting new anti psychotic medication, but repetitive movement almost reminds me of akathisia more than dystonia.

[@harrisonzhu3300]

Nah I would put repetitive movement with AD. Akathesia is like hyper symptoms yknow

[@sameral1651]

thanks divive so much , can we get the slide

[@yunggalactus9945]

For 14A, isn't naltrexone an acceptable answer as it works on opioid receptors? I have seen other questions/guides mention it as an agent for reducing opioid cravings, though I know it's more commonly given to alcoholics.

[@rashmika8776]

Naltrexone is used to prevent Opioid relapse since it is an opioid receptor antagonist so in cases where people feel as if they might start using again. For withdrawal sx we need to treat supportively first and then use Methadone + Buprenorphine to manage withdrawal symptoms as they are long acting opioid agonists

[@sabzzz444]

For Q2 schizotypal, why couldn't this be "Delusional disorder"? tHANK YOU for amazing review

[@carolinekernell3445]

delusional disorder maintains the functioning and ADLs, this guy went from As to Ds in school

[@melissaf4891]

Hello Divine! for Q9 and 10 how do I differentiate ETOH and cocaine intoxication?

[@melissaf4891]

nevermind, i'm good

[@hectorp6885]

I can't hear the video

[@user-vh5hy4mo1j]

how to differentiate delusional disorder from schizotypal???

[@Stevenonymous]

delusional disorder is just a fixed delusion with no change in functioning, schizotypal is a person with magical thinking who you would describe as "weird" like their dress strange even

[@dr.manuelsosadr.joquito1537]

The audio its not listening

[@DubbedDemon]

Why is the audio recording so weird on these videos

[@divineinterventionpodcasts]

Correction (at 1:17:43), I misspoke and mentioned bipolar disorder. Actually meant to say borderline personality disorder. However, dialectical behavioral therapy is the correct therapy as mentioned a few seconds after my word blunder. Many thanks to the commenter who spotted this.

[@heribertocantu9437]

DivineIntervention USMLE Podcasts and Videos Great videos, extremely helpful!

[@jimmgold5610]

Superoxide dismutase mutation is found in ALS not Alzheimer's ....Cheers!

[@divineinterventionpodcasts]

@@jimmgold5610 Yes that's correct. Thanks for pointing this out. Apologies for the error.

[@kavijackson868]

Might want to fix the audio of this video.

[@egy1soccer1ramy]

@@jimmgold5610 & APOe4 is associated with increased risk of Alzheimer's

[@bluelover6565]

Is this review based off of DSM4 or 5? Really enjoyed your videos!

[@divineinterventionpodcasts]

It's based on DSM-5.

[@bluelover6565]

@@divineinterventionpodcasts Wow a response from the legend himself! Thanks so much! You saved me on the medicine shelf!! Love your videos!

[@alexkumi6954]

Can this be used for STEP 1 preparations

[@danieldonascimentoaraujo3221]

Absolutely!

[@eniolaenioluwabo7784]

Cant hear anything. With phone and PC

[@divineinterventionpodcasts]

Works well on my phone/PC. Has been working well for months.

[@Yatzse74]

Me too, not sure how to fix this!

[@Yatzse74]

Found my Fix for the sound issue. in accessablity optoipns my (play stereo a sound as mono was clicked) hope this helps.

[@R14iify]

For some reason it worked on my headphones but I couldn't hear it on speakers

[@NS-yt1vy]

doesnt work for my phone or PC either

[@ghasaqkareem]

48:00

[@danieldonascimentoaraujo3221]

1:11