High Yield Internal Medicine Shelf/Step 2 CK Review

[@TFrenchHughes]

Just came out of the shelf. This review was incredibly high yield. Better than Emma Holiday was for my NBOME shelf.

[@Doctor_Tim]

Thats awesome, I'm glad it was helpful!

[@vlacarde1]

esmolol is easily titratable. can make adjustments to the drip without long lasting repercussion since it's a very short acting beta blocker. you can really dial in your goals. THanks for the video! taking step 2 next week. super helpful

[@avibenshtein8718]

Hi Tim, I'm having my CK2 exam tomorrow. Your videos are just great for rapid review! thank you very very much!

[@Doctor_Tim]

Thank you, I'm glad they could be of help! Good luck on CK!

[@studywithmeasmr7991]

Dr. Tim! these reviews are so helpful! carried me thru OBGYN, Peds, and Psych. Have my Medicine self in a few days. Would love to see if you have pulmonary review. watching the other dedicated systems rn throughout the week. Thank you for the great presentations through out!

[@Doctor_Tim]

That's great to hear! Definitely have a pulmonary review in the works, that's a great suggestion!!

[@amanahuja2211]

how did the review work out for the IM shelf?

[@ogomoditseselema9980]

This review was amazing, thank you so much

[@nonnydeking7950]

LOVE IT.... would appreciate it more if you discuss all your slides rather than skipping cuz one student"s strength could be another's weakness. better to push for 1hr30mins with everything reviewed than

[@Doctor_Tim]

Thank you! Great thoughts, I think the plan is to end up doing multiple parts, that way we can cover what I skipped over and more. Hopefully that let's us get through all of the HY stuff

[@dr.dsquare8223]

Awesome work! please do a 2nd part. Much appreciated!

[@Doctor_Tim]

Thank you! Planning on doing a part 2 in the future, stay tuned.

[@Sam_1964]

Outstanding presentation

[@angm5258]

Would love to see a part 2, are you able to upload slides?

[@Doctor_Tim]

I will hopefully do a part 2 in the future! Making a simple website where slides will be downloadable, and it will be ready soon.

[@Doctor_Tim]

The slides are up on the website below. If you click on the "content" section, you should be able to download the PDF of the slides. Let me know if you have any issues! www.stepbystepmedical.com/

[@happsingh477]

Request for you sir : could you possibly make a video on EKGs / ECGs please ?

[@Doctor_Tim]

I will be working on a cardio topic soon, will definitely cover EKGs some, great thought!!

[@maksatidris534]

Hi, can you please give a source for the use of AC when Wells >4 in PE? Everywhere I've seen, you always do CTA first w/ those at a high pretest probability for PE. Heparin always comes after. Even up to date has this information.

[@Doctor_Tim]

Great question! The purpose for framing the information this way is that many times, the test makers want you to be aware that imaging should not delay treatment of anticoagulation in patients with high suspicion for PE. In real-life, however, given that AC has its own side-effect profile, imaging is often pursued first. Much of the way the information was presented is just to keep awareness high for when the test is formatted in a way that implies delaying anticoagulation.

[@zb6070]

hey, most test question I encountered due the CTA instead of anticoag@@Doctor_Tim

[@Imonaboattt900]

For the second question can you explain why the answer was NOT sarcoidosis? The explanation provided afterward basically showed that all the hints you gave applied to both, so I am curious as to what the reasoning to be used there to discriminate them

[@Doctor_Tim]

Great question. Sarcoid could definitely be considered solely based on the lab findings alone including the restrictive pattern and even reduced DLCO. The way to differentiate it from ILD was the history and demographic information. The age-range and "fine" crackles fits more with ILD and helps deter from sarcoid. They could show you a similar question with a young female with no prior history and that shifting of the background and demographic would be more typical of a sarcoid question!

[@Imonaboattt900]

@@Doctor_Tim Thank you Dr. Tim, great video btw, I've watched every single one, now IM is my last rotation

[@Doctor_Tim]

@@Imonaboattt900 That's great to hear! Best of luck on your rotation!

[@MedManiac1]

This is sooo good!!!

[@externaltv7255]

How would i like differentiate the symptoms of osteopenia in the elderly vs osteoarthritis or arthritis. When would you consider a dexa scan.

[@Doctor_Tim]

That's a good question! I'd say on most exams, a patient with osteopenia won't usually have many obvious symptoms. If anything, they would give you a fracture history or multiple risk factors (age, BMI, family history, etc.) For osteoarthritis, you usually get the classic history of joint pain worsened with activity and relieved with rest. They generally give you a higher BMI as a hint that obesity is playing a role as well. As far as when to do a DEXA scan, women over 65 is always an indication for a DEXA at least once. If they have fragility fractures (e.g.; ground level fall with fracture), a DEXA can also be useful. Lastly, if you see multiple osteoporosis risk factors, you can choose "calculate fracture risk" or FRAX score, which can help you decide on a DEXA scan in those

[@kiyapenanje1383]

Great summary.... can you do that for pediatrics?

[@Doctor_Tim]

Hey there, thanks! Check this link out, we covered pediatrics in a similar style of video as Internal Medicine. Part 2 for these is in the works as well! Pediatrics Shelf Review - kzbin.info/www/bejne/iYXGlnyhlKZkf8U

[@yugandharsajja297]

Thank you🙏🙏

[@bashairalhidri5955]

Thanks Doc! Such a great vid!!

[@mosesjacksonkarashani2642]

Cerebral salt wasting syndrome as a cause of hyponatremia . Is not often tested ?

[@Doctor_Tim]

Great point, this is a good one as well, often a complication of subarachnoid hemorrhage!

[@Glycam]

Where can I find the slides?

[@Doctor_Tim]

They should all be available to download as a PDF on www.stepbystepmedical.com Let me know if there are any issues!

[@Glycam]

Thank you

[@cfavo8]

DO you have pdf copy of your slides?

[@Doctor_Tim]

Yes! On the website, stepbystepmedical.com Just click on "content" and the slides should be downloadable from there!

[@richarddarrah2014]

“Surgery because it freaks me out…” lord please don’t ever be my doctor. Stanford type B is medical management, but glad to know that student thinks surgery for everyone.

[@JoslynDinkel]

Chill out, we’re all learning here.

[@rishabchawla1880]

Forget surgery, you sound like you would be an excellent psychiatrist. So empathetic!