Divine Intervention Episode 31-Comprehensive 3rd Year NBME Medicine shelf Review Session 3

[@justinlee2838]

i honestly believe this guy may the widest breadth of medical knowledge on the planet.

[@ActuarialNinja]

Right up there with Dr Goljan and Sattar :)

[@Preppygirl8909]

Tryyyuyyyuuyyyuoiiiooooo😂okkkl😅oportunidad que bbbbnnmmbbbbbnnnnnmxzZzzzznbb❤hqhahdhddgshdhdhejehhe😂😂😢h go ghcnjhhcgcggy

[@blakedotguidry]

Divine, your name is not a misnomer. You are a godsend. My entire class watches your videos. You are going to be a household name in the upcoming generation of physicians and i truly thank you from the bottom of my heart for all of the time and effort you put into these videos and your podcasts. You have saved my rear end SO MANY TIMES.

[@Juju10985]

he is the best ❤

[@venkateshwaranv6897]

Ehrlichia is transmitted by the Lonestar tick (Ambylomma) which is a HARD tick Other disease transmitted by the HARD tick include, Ixodes tick transmits Anaplasma ,Babesia and Borrelia burgdorferi Dermacentor ticks transmits RMSF Tularemia can be transmitted by both Dermacentor or Ambylomma ticks SOFT tick transmits Endemic Relapsing fever Other arthropod vectors include Mite- Scrub typhus ,Rickettsial pox Louse- Epidemic relapsing fever ,Epidemic typhus,Trench fever Flea-Endemic relapsing fever,Plague

[@yrvgymnastics]

Thank you

[@dwaynegarcia9986]

Honestly, you have a gift my man, so many concepts that I did not understand or connections a did not make you made them clear.

[@ahmedadnan6144]

3:02:57 according to the First Aid, phlebotomy is actually used for polycythemia vera. According to UWorld Q,ID 2883, Serial phlebotomy is the mainstay of treatment for PV; it creates a relative iron deficiency and reduces hematocrit levels to normal range.

[@chelsycalhoun4422]

Such a good thorough review! Suprised it doesn't have more views!

[@thatmd]

The 4 people that disliked this video need a literal divine intervention! Thank you so much Divine!

[@hasibakarimi98]

I don’t know how to thank you Divine. Thank you so much for sharing your amazing work with us 😇 it’s utterly helpful. God bless you 🙏

[@jaipatel2]

@2:54:35 When they are talking about lytic bone lesions I like to remember it using LTK pronounce lytic stands for Lung thyroid Kidney. and then Breast can do both lytic and blastic

[@chevyxo]

The smartest man in the whole world !!! 😍🙌🔥

[@arazani92]

Unreal how you can just go through all this information and you know it so well. So inspiring! Thanks for all these videos and your podcast!!

[@davidwu3247]

I feel like every generation of med students has their "Prophet of Pedagogy" in years past it was Goljan then came Jason Ryan then came Dr Sattar then came Andrew (sketchymicro) our generation... is Divine!!

[@AAT_Gospel]

Read Hebrews chapter 1.

[@chidiakusobi6581]

Effortlessly high yield my lord! Thank you Divine :)

[@hobo603]

Your understanding of the material is honestly amazing. Can't thank you enough!

[@berniegodoy9374]

Serial Phlebotomy is main stay of treatment for polycythemia vera, hydroxyurea can be added for patients at high risk of thrombosis

[@laurenrowe7234]

Great video! Small correction at 2:10:30-nephrotic syndrome as the etiology of ascites presents with SAAG < 1.1 because serum albumin is low. SAAG >1.1 is portal HTN or CHF

[@yrvgymnastics]

Correct

[@kerolossamer5412]

Amazing .. r u still recommend this videos untill 2024 ?,, i love it actually

[@venkateshwaranv6897]

The Pentad of fever ,anaemia, thrombocytopenia,renal failure and neurological symptoms is for TTP ,NOT HUS

[@ApurvaPopat]

Thats super solid fire divine... Loads of love - Dr. Apurva USMLE Tutor.

[@aedanhannabeshoi]

@2:24:40 Salmonella is not the most common osteomyelitis bug in Sickle, it's still Staph A, However, Salmonella is specific for sickle osteomyelitis. Annoying little factoid Also No longer Give metro for C diff, now its straight to Vanco and then Fidamoxacin

[@yrvgymnastics]

1:54:20 : following information is from Amboss: Confirmation of diagnosis Histopathological analysis of tissue biopsies is required to confirm the diagnosis of lung cancer; cytology may be confirmatory in select cases. Obtaining samples: Less invasive methods are preferred. Pulmonary lesions Central: bronchoscopy with transbronchial biopsy Peripheral: needle aspiration guided by endobronchial ultrasound or CT Pleural effusion: thoracocentesis with cytology of the effusion; pleural biopsy if cytology is negative Metastasis to other organs (e.g., mediastinum, lymph nodes): percutaneous or surgical biopsy, bone marrow biopsy if there is suspected bone marrow infiltration Lesions that cannot be accessed using less invasive techniques : mediastinoscopy, anterior mediastinotomy, or VATS Findings: Confirms the diagnosis and identifies the SCLC or NSCLC subtype (e.g., adenocarcinoma, squamous cell carcinoma, large cell carcinoma)

[@Dr_Shin]

Taking step 2 soon and damn I wish I had the knowledge of divine

[@yrvgymnastics]

Antibiotic treatment for salmonellosis prolongs fecal excretion of the pathogen. Therefore, it is only indicated for severe nontyphoidal Salmonella infections (e.g., in patients with systemic manifestations or ≥ 9 episodes of diarrhea per day, and those who require hospitalization).

[@venkateshwaranv6897]

Phlebotomy is indicated for ALL patients with polycythemia vera. Other indications include porphyria cutanea tarda and hemochromatosis (as rightly said in the video).

[@deandrebrown4521]

This guy is responsible for so many medical degrees lol

[@_WooWho]

The savagery when Divine warns "I wish you all the best with that" when people go "Ohh, this is only Step 1 stuff..." just about killed me.

[@Swaglex9689]

For Polycythemia Vera treatment I believe they have changed it to phlebotomy and low dose NSAIDs.

[@janstudies3826]

Q at 1:39:10 for tx of EHEC-induced HUS - why is antibiotics used over supportive treatment. (I though tx for EHEC and HUS is always supportive??) Love the reviews!! 😊

[@jorgesalazar790]

HUS CORRECTION: Is a triad not a pentad (TTP) : Hemolytic anemia + thrombocytopenia + renal failure and the treatment is supportive as you said!

[@ahmedadnan6144]

2:57:58 according to the First Aid, MEN1 associated with parathyroid adenoma and MEN2A associated with parathyroid hyperplasia. UWorld Q, ID: 2585 confirm this statement.

[@ashwinkola5173]

Absolutely amazing review, but i had a question regarding one of the concepts. You mention that AV fistulas present as pulsatile masses, yet uworld states that it's aneurysms that are more likely to present as pulsatile masses, while AV fistula would present with no mass and a continuous bruit. Seeing as the uworld chart is more recent, should we go with that on the exam? Thanks in advance!

[@sasharemo5705]

@ 1:39:20 -Do we treat EHEC with antibiotics?or is it generally supportive . I'm confused as treating it might INCREASE RISK for HUS . please clarify this! Thanks

[@nicolasb879]

You are correct, do not treat EHEC with abx, he made a mistake there

[@Pio0o0oxx123]

You're DA MAN!

[@nicolasb879]

Is the most important modifiable risk factor for atherosclerosis HTN or smoking? Thought it was HTN (2:57:30)

[@Lifeabetterlife31]

One of the Uworld questions mention that free T4 would be decreased when pregnancy arises in a patient with hypothyroidism and that levothyroxine doses need to be increased due to this. In 2:16:30 was mentioned that free T4 remains normal. Can someone explain or correct me if I'm wrong?

[@rusinoe8364]

I wonder if he has a photogenic memory...

[@rk19987]

god bless you, you are amazing

[@bboysaif8]

Do you see neurologic problems with HUS or TTP or both? I've just read it in TTP.

[@yasminecrime3911]

fever & neurologic problems are associated with TTP not HUS

[@drgamalahmed9347]

No sound, In all videos, what is going on? Help anyone. I don't have this problem with any other videos. So why this?

[@shayaan9111]

put both earbuds in its not working with just one

[@MysticMango412]

3:02:49 I thought treatment for PV was Phlebotomy?

[@JB-cn1if]

What’s the HUS mnemonic? And why didn’t Dr divine say it out loud?

[@Yaqrabhajahtb]

What about the audio

[@iamtenrose7479]

Thank you!

[@gumnam1406]

I luv you divine :)

[@dreamingpaper]

1:58:13 Divine was ahead of the times

[@bloomprinceton]

i thought hus no antibiotics are given? 1:38

[@yrvgymnastics]

Please don’t ever use terminology as better or worse for murmurs, the correct way to say is, increase or decrease in intensity

[@rachelcarrasquillo283]

"Sound better" for murmurs is a super confusing term to use.

[@yrvgymnastics]

Definitely

[@yrvgymnastics]

For MVP and HCM, increasing preload decreases the intensity of the murmur

[@rachelcarrasquillo283]

Hypertrophic osteoarthropathy is associated with adenocarcinoma.

[@user-ls5yk9wy6w]

Sarcoidosis => anterior uveitis does not cause afferent pupillary defect bro Thanks for your great vidoes

[@davidkatz2543]

🐐🐐

[@usmleislife3396]

I can’t hear anything..

[@irg4576]

No sound 😢

[@NS-yt1vy]

How can we get the audio fixed on this???

[@shayaan9111]

put both headphones in

[@NS-yt1vy]

@@shayaan9111 I found that it has to do with apple products. The sound did not work on mac, iphone or ipad. Something about how the audio was filed. However I did get it to work when I watched it on firestick, windows computers, etc... Good luck everyone.

[@fayezjabboure1925]

MVP

[@dresmailqasem]

No voice!!!!

[@divineinterventionpodcasts]

Literally just tested this out. It works on my windows PC.

[@arr3122]

@@divineinterventionpodcasts Nop. I cant hear either.

[@theitdocchannel540]

DR.ESMAIL QASEM I can’t hear anything too

[@shayaan9111]

@@divineinterventionpodcasts if using earphones need to connect both in to hear fine