Emma Holliday Internal Medicine W/ Her Slides| USMLE Step 1 2 Shelf Board Exam | PowerPoint Download

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[@doctorkwatson]

I'm using Discord for updates on the Emma Holliday videos, this way you guys can find everything in one place and add to it if desired. I will try to add the eratta to this pinned comment, but the Discord will be more updated. Discord: discord.gg/EHDTeFGDb8 Thank you for the support and input! linktr.ee/doctorkwatson Don't forget to subscribe to the channel! www.youtube.com/@doctorkwatson The Emma Holliday PowerPoint Downloads: doctorwatson.me/usmle-step-2-high-yield-study-guide/

[@dannien8403]

7:44 - cardiac biomarker for reinfarct is CK-MB, myoglobin is too nonspecific and no longer used

[@Low_pH]

FYI for HIV. Once some test + you start HAART right away. You don't wait anymore

[@graciemeyer1686]

Yes! You start it right away even if they have another thing going on (PCP, MAC, etc.) If they have TB or crypto though you want to treat those first and start HAART later. I got pimped on that :')

[@nourassaf2407]

1:07:18 Hemochromatosis has high serum Fe, *HIGH* serum Ferritin and low total Fe biding capacity (TIBC)

[@Nemo-yh6gt]

Thank you! Was tripped up by that

[@maggedmagged1]

Around 40:30 she says RA is transudative but according to UW Q16239 its exudative with low glucose high LDH - Preetkorani We treat every HIV+ patient with ART when they are diagnosed, no longer waiting for certain viral load or CD4 count threshold - Yentli Soto Albrecht 1:03:42 should be pneumatosis intestinalis - Justin go 1:45:14 polyarteritis nodosa is not ANCA positive but the rest of the info is correct (spares the lungs, hep B). the P ANCA positive ones are microscopic polyangiitis and churg-strauss - Silvio Martinez 1:02:16 should be vitamin b12 deficiency bec of terminal ileum involvement. Fe mostly absorbed in duodenum - Justin go 52:02 Intermittent vs Persistent (mild, moderate and severe) and then lastly, refractory - Omar Iqbal The v tach @20:00 ish, should be wide QRS - Armin Avdic 1:04:20 Pyoderma gangrenosum is associated with both Crohn’s and UC - Neem Baker 1:24.00 we do not use india ink stain for crypto anymore, we use PCR - Phil D

[@what_the_duckk]

Thanks for the updated video. I copy pasta'd this from the other Emma video but edited the times to fit this video. Cardio: 1:17 Pulm: 37:14 GI: 1:01:49 ID: 1:07:54 Renal: 1:28:54 Heme&Onc: 1:48:50 Rheum/Derm, Endo & Neuro: missing

[@meharunnizach6339]

Any idea where i can find the missing topics??

[@BeenJeffed]

27:20 electrical alternans indicates a pericardial effusion is present. It’s not until you have the clinical picture of hypotension, pulses paradoxus that you can say it’s tamponade. Not necessarily an error, just something I didn’t gather from the presentation (and got a q wrong bc of it)

[@agamjagota5471]

For the pleural effusion slide on 41:33: Exudative + Low Glucose= Consider bacterial infection or rheumatoid pleuritis. Exudative with lymphocytosis and elevated adenosime deaminase/IFN-y is suggestive of TB. It seemed like the slide was saying that transudative effusions should raise suspicion of these diagnoses, when it is exudative instead. Thank you for uploading this lecture review!

[@shaki6500]

Just an update: current guidelines for COPD O2 saturation is 88 to 92% ( not higher, research showed even 1-2 percent above this range will increase mortality of these patients drastically. Thank you so much for this amazing lecture!

[@MrCOOKIEMONSTA4]

Very important point! It’s sometime tricky to remember but it should be noted that in COPD patients chronic hypercapnia leads to reduced sensitivity of central and peripheral chemoreceptors to elevated CO2 thus shifting respiratory drive from the physiologic hypercapnic ventilatory drive to a predominantly hypoxic respiratory drive meaning low pO2 is the main driver of ventilation (IN THESE PATIENTS). Thus as @shaki6500 pointed out we maintain 02 sat between 88-92% so as not to eliminate the hypoxic ventilation drive completely.

[@Low_pH]

@1:21:08 Note prophylaxis is no longer recommended for MAC if below 50

[@user-tl5iy9ln6r]

it is if the patient doesnt start ART asap

[@doctorkwatson]

Hey guys! PP link below. I streamed this one day while I was studying and thought, "hey, other students would probably like this". I tried to show the slide after said the answer since I always loved how she made it interactive, but I know I was not perfect with the timing. Sorry about that! Let me know if you want an upload a perfectly timed video, what kind of videos you want in the future, updates to the lecture, and whatever else you want to talk about. Her powerpoints and step 2 guide: doctorwatson.me/usmle-step-2-high-yield-study-guide/ Everywhere else to find me: linktr.ee/premedveg Errata:

[@victorialiederbauer305]

1:07:04 Antimitochondrial Ab is associated with PBC, but now goes by Primary Biliary Cholangitis and not Primary Biliary Cirrhosis. Also it is not associated w/ UC (this was said verbally), that is just Primary Sclerosing Cholangitis. PBC is associated with autoimmune conditions like SLE and Sjogrens. Finally, according to first aid, PBC is treated with Ursodeoxycholic acid (slows progression of disease), while the bile resins (ie cholestyramine) are for the pruritus. Thank you again for putting the slides in the lecture together! Super helpful! :)

[@seeker296]

PBC is also associated with UC. 30x higher according to the first study on a basic Google search. Not as strong as psc, but still closely associated

[@rachelcarrasquillo283]

TB treatment is 2 months of RIPE and 4 months of rifampin plus isoniazid.

[@eggsyaquino7638]

Thank you

[@LorenzoCarnio]

Thank you so much!

[@yugandharsajja297]

Thank you.

[@Greanestbean]

Thanks!

[@user-ip9fl9bn6l]

1:00:11 NSCLC is a far more common cause of pancoast tumor ( Superior Sulcus Syndrome ) than small cell.

[@bobbithursam390]

primary sclerosis cholangitis more common in UC & has pANCA, not primary biliary cholangitis which has AMA

[@seeker296]

PBC is also associated with UC, just not as strongly

[@rachelcarrasquillo283]

no it is not@@seeker296

[@sy1511]

Hi!! would you possibly be able to share the slides? If not, no worries!

[@drabdullahrajput7197]

Wow madam thanks a lot

[@drabdullahrajput7197]

@@doctorkwatson 😍😍😍💞💞

[@alan4019]

polyarteritis nodosa does not have ANCA

[@deathkissgoodbye]

Fellow Rossie here, I don't know if you know this. We have access to kaplan step 2ck on demand videos. For Internal medicine shelf exam videos, Emma Holiday teaches those on behalf of Kaplan.

[@alan4019]

hemochromatosis has high ferritin

[@Jefe2024]

🐐

[@trashcan_mary6705]

How old are these videos and are they uptodate?

[@pinetinav9083]

37:00 inizio

[@seemashaw9666]

🤩🤩

[@selin7882]

Are transudative or exudative effusions more indicative of tuberculosis?

[@hamdiking174]

Exudative

[@moriahgottman5167]

Exudative with pleural fluid predominantly lymphocytes is TB-pathognomonic

[@soccerchamp81]

asthma always do ICS not SABA alone! Thank you !

[@BD2024xx]

I think the acid base slide is incorrect. I think if both of the values PCO2 and bicarb were both low it could either be respiratory acidosis OR metabolic acidosis.

[@iraaguleria8281]

if Co2 is low it cant cause acidosis because co2 is an acid and bicarb is a base

[@sameral1651]

I need the slide if any one can send it to me

[@thephilosophersjourney2595]

Bro, just watch the video. 😂

[@sameral1651]

@@thephilosophersjourney2595 😂

[@mdf96]

Is this lecture updated?

[@M16xDr0pSh0tz]

nice cropping fkn cropped half the slide

[@rachelcarrasquillo283]

Don't be rude.

[@direonlowry744]

Critiques cost, honey. We just say "thank you" for free things.