High Yield Pediatrics Review for Step 2 CK & Shelf Exam (Part 1 of 2)

[@narjisnassar2614]

Thank you alot for your great effort. I'm writing here each system time appearing in the video for making it more time effecient for those who want to review by systems. Infectious: 00:00 Cardiology: 23:15 Respiratory: 28:47 GI: 37:06 Renal: 43:55 Neurology: 51:07 Hematology/oncology: 56:26

[@narjisnassar2614]

You can click on the time in this comment and it will refer you to the video exact time.

[@zmohammad8920]

🥰 thanks

[@fawziagbaria3078]

Can you do for part 2 as well ?

[@dr_ismail_wazir]

ty

[@encon92]

Allergy& Immunlogy 59:03

[@yunggalactus9945]

Today is Tuesday, and my SHELF is Friday. Like many of you, I am both happy to see so many topics I recognize AND scared of how many I'm still brushing up on. Thank you, Dr. HY, for organizing this whole mess of information. The worst part about these exams is getting organized...but you do it so well!

[@jofitch1759]

I’ve been using your videos since day one of clerkships and have been well above average on all of my shelf exams. I am confident that these videos have contributed significantly to my success. Fantastic work sir!

[@jclay567]

I’m in PA school and I use these to review for my End of Rotation exams and I can say the same. These videos are a gem 💎

[@Lenisse0105]

THANK YOU!!!! Some details: For botulism-> Prompt intubation is priority because respiratory failure is the first cause of death. Child < 1y/o Human-derived antitoxin, but if > 1 year old-> Equine-derived antitoxin. Dandy walker malformation is associated with consumption of warfarin during pregnancy

[@thesoccerpr03]

Man you just spit straight fire for a full hour. Thanks!

[@sahanaummadi1922]

Per Uworld 2024 Fidaxomicin and Vanc for C.diff! Metronidazole is not as first line anymore. Thanks for all the videos!!

[@Sachistar7591]

Bruh the last 10 min is EVERYTHING. Thank you so much.

[@olabayram]

The most high yield channel on youtube! These reviews saved me on my internal medicine and pediatrics shelves. Thank you Doctor High yield!

[@acebedotashannaaliessa7806]

hi doc, i dont care if you dont have any visual guides but you just saved me from sudden comprehensive exam for pedia 😭 i cant thank you enough.

[@nicolasb879]

Great work, thank you so much! Quick errata: CF is obstructive

[@AJ-te8hf]

Thank you! One thing that I noticed is that you mentioned topical erythomycin is the treatment for gonococcal conjunctivitis... I believe that's the prophylaxis and that the treatment is systemic abx (like ceftriaxone). Just going off of Uworld. But seriously, thank you so much for this! Super helpful!

[@malloryvesling179]

Chronic bilirubin encephalopathy (CBE, "previously referred to as kernicterus")... I was reading up on phototherapy on UpToDate while on a rotation in the NICU and came across the change in terminology so I thought I'd share 😊

[@freshurbanstyles]

Thanks so much doc!

[@seeker296]

Such a bad name change. And I've seen people get bashed for calling ascites "peritoneal effusion". Will medical terms ever be smart?

[@omega3pictures]

Transcript of the notes with extra tables here: drive.google.com/file/d/1o23GGK9FqvI7sy5r-ET1W_AVfNHv9Jq2/view?usp=sharing

[@aryanhemani]

Thank you so much!! Do you have the part 2 notes as well!?

[@abulhasanshadali.a5120]

Do you have part 2 notes?

[@hafsaqadri2996]

It says ‘file doesn’t exist’. Is there any alrernate? Thanks!

[@davidalvarez118]

I cannot see it :((

[@coleman2075]

Finally a good mnemonic to remember the RTAs!

[@yanxamo7873]

FYI - at 23:46 you're showing a post-ductal coarctation, which usually presents in adults & wouldn't benefit from PGE1 (flow through PDA would still get stuck at the coarctation). Infantile form is pre-ductal, so they get symptoms as the DA closes. Adult post-ductal form has inhibited flow throughout development so they develop collaterals without acute symptoms during DA closure.

[@adamayash7921]

But would they still benefit from PGE1 since that’ll delay the closure of the PDA, and as you mentioned they get symptoms as PDA closes?

[@bbajjjj]

Perfect timing for step 2! Great review, ty for posting.

[@DoctorHighYieldMD]

Bilal Bajwa crush it!

[@step_zero]

hypercoag in nephrotic is because they pee out antithrombin3. love the videos you are a life saver

[@gimedatnow]

I've been away from clinical work for four years doing graduate research - this was such an incredibly helpful, concise review. Thank you!

[@inaram8511]

VitaminA Pneumonia Subacute panencaphalitis Aspergillous: eosinophilia Allergic pul: heoptysis asthma Aspergillioma hemptysis dyspnea cough upper lung Invasive: chest pain

[@koree225]

idk why but i am 3 weeks away from step 1 and i am watching these videos in my study breaks, not sure its the best idea before step one but it definitely helps to get some extra info and a method for approaching some concepts

[@robinsonraymundojr.4543]

How was your step 1?

[@carlheinrich6673]

45:30 light microscope histology will normally not show any significant changes but electron microscopy will show effacement of podocyte foot processes in MCD

[@serenadipty]

thank you!!! so organized and straight to the point. I watch your videos and take notes before starting uworld for each clerkship. it's a nice review and overview

[@habib080]

cardio 23:16 pulm 28:45

[@stevegerrish6720]

Thanks for the help I was happy with my score and think your videos contributed greatly.

[@gilfunk_]

pretty sure these are the only reason I passed my shelf

[@DoctorHighYieldMD]

Haha Happy to help out!

[@bassamtheodory3438]

45:30 "on histology you see podocyte etc..." Not right. On regular histology, MCD is normal, this is HY exam trick question. On electron microscopy, you see podocyte. Just wanted to highlight that. Outstanding review session!

[@medstudenthelp4635]

This is amazing work, without any waste of time I loved this thank you very much

[@justinlee2838]

your videos are very well done. i hope you get the recognition you deserve

[@essence7s]

Your videos are very helpful. Thank you Dr. Vuu! 😊

[@zSchreckensszene]

I've got Family Med on Friday so I'm going to Build on @Narjis Nassar's posterity and fill these in. Anyone who wants to beat me to it is welcome to do so Infectious: 00:00 - 2:53 = Sinusitis - 7:17 = Impetigo - 20:32 = Tick Bites Cardiology: 23:15 Respiratory: 28:47 GI: 37:06 Renal: 43:55 Neurology: 51:07 Hematology/oncology: 56:26 Allergy/ Immunology: 59:03

[@samirnacer9206]

Please pin 📍

[@brittanycampbell7982]

This was SO good! Thank you thank you!

[@andrewmahabir589]

Added part which I'm seeing more now in infants who can't stand yet what you'll do to increase the TPR is do a knee to chest with the legs flexed. Older kids yeah they'll do squatting.

[@arabiantiger]

0:40 Truelearn for Level 2 said the treatment for bacterial meningitis in a newborn was ampicillin + cefotaxime (or ceftazidime or cefepime). The video's answer is also correct but moreso for neonatal PNA/Sepsis. I hate how specific these questions try to be when there are multiple answers. thank you to Dr. HY nonetheless

[@ferasaljohani4357]

Perfect review! Thank you and please make more

[@American-Dream-Rider]

Regarding PPD test, the expansion of swelling/erythema of the PPD injection site is in millimeters not centimeters!

[@theshortcut101]

Hi thank you for the video!! You mentioned cystic fibrosis is a restrictive lung disease, but from my readings it appears to be an obstructive lung disease? @36:52, up to date also says its obstructive?

[@Supsup516]

hey doc thanks for the reviews! a suggestion for improvement would be adding more of those "tables" for visuals while you talk over them.

[@DoctorHighYieldMD]

thanks for the great suggestion, will keep that in mind

[@serellamadole]

Amazing video! Thank you so much for making this! ❤

[@rawaneid4313]

really thank you for these helpful reviews :)

[@Skepticalstudent45]

Correct me if I’m wrong, but current guidelines seem to suggest that antibiotic prophylaxis is no longer indicated in these groups.

[@jaiprakashbharal5498]

Great effort untiring

[@devonsmith8574]

Anyone create an anki deck on this? :)

[@nikitajhawar]

This is great!! When's part 2 coming out?

[@DoctorHighYieldMD]

unknown hopefully soon. I still have to finish editing it

[@gzxszsh2032]

new update for croup; all patients regardless of severity get steroids, and then add epi if in mod/severe distress

[@ShanilR]

@36:00 CF = restrictive or obstructive? i thought it causes bronchiectasis = obstructive

[@ilovelukebryan100]

what specialty are you my king?

[@Slik-Rik-V]

He just finished gen surg

[@teaismyatp]

Love your videos! Thank you so much.

[@LL-jw5in]

For cavernous sinus thrombosis we should do MR venography first right? If CI or unavailable then do CT

[@kelseybrennan420]

This is perfect! Thank you so much

[@gj5311]

Do you also need a persistent temperature over 104°F to diagnose bacterial sinusitis?

[@DoctorHighYieldMD]

You need to put the whole picture together. Usually doesn't resolve within a 1 week. There is purulent discharge, leukocytosis, fevers. Verses viral will not have these signs and symptoms.

[@stevencanalesd.o.4984]

@@DoctorHighYieldMD Also a period of symptoms getting better then getting worse a telling sign of bacterial sinusitis

[@lorrainemiranda4931]

Hi doc! What is the management of the complete heart block of the baby with Neonatal Lupus? It is a pacemaker? Thanks in advance

[@AG-en5y]

Much love ❤️ ❤️

[@abnoosmoslehshirazi8948]

youre so goooood omg thank you

[@abeeralmusleh5985]

migraine in children mostly bilateral !

[@seymabayram3748]

How can I study step 1 , in 2 months. I am img and I have good grades in med school I mean I have good basis but just 2 months for study , so really want to hear from you , please help

[@DoctorHighYieldMD]

Make sure you set a study schedule and stick to it. If you use your 2 months wisely you can increase your score a lot. Make sure to know First Aid and read it front to back. do all the UWorld questions preferably twice or atleast do your incorrects on the second round. During the second round, even though the questions are familiar, make sure you train your mind to understand the vignettes and why the right answer is right and why the others are wrong. Learn the concept of these high yield questions. Use process of elimination. Practice the questions on timed mode because it forces you to read and think faster which you will need in the exam. Make sure to spread out and take practice NBMES and UWSA throughout your 2 months and take them under real test conditions to gauge your progress. Do not be afraid to take them even if you feel you aren't ready. You would rather see your score early than later so you have time to make improvements. Last piece of advice is to know your weaknesses from the NBMES, UW, and personal experience. A way to know is the questions you hate to do most or don't want to see are where you will most likely be weak. Face those head on and eliminate them and you will see a big jump in score. Wishing you all the best and that you get the score you want!!

[@seymabayram3748]

@@DoctorHighYieldMD really thanks , these are high yield recommendations , have a nice day !

[@shinichikudou4536]

How'd it go?

[@azkarislam]

How to differentiate between HIV and SCID ?

[@MinhNguyen-bd7uv]

SCID their lymphocyte count will be WAY lower. Just like in adults with HIV the kids can start getting sick before their CD4 count plummets to nothing. In SCID the T and B cell count will be super low with the T cells even lower than the B cells.

[@suomynonaanonymous]

Love your vids

[@georginaruiz8300]

Thank u Can u give me some advices for step 1

[@georginaruiz8300]

Some good videos please

[@RedBaronOwnz]

study

[@tanyatantry7423]

that's what's up!

[@ignitedmedical7415]

thank you dear!

[@regppMD]

Thank you very much ❤❤❤

[@menehune1025]

You are from Hawaii?

[@LiverKicker]

Legend.

[@amakaugoh3955]

thank u

[@atifarif2001]

Thanks!

[@DoctorHighYieldMD]

user np

[@lifeinscrubs2218]

Ily

[@ProjectIMG]

Neuroblastoma doesn’t have HTN

[@ProjectIMG]

It’s normotensive

[@DoctorHighYieldMD]

@@ProjectIMG Not necessarily. Neuroblastoma can have hypercatecholamine secretion which can manifest as weight loss, sweating, flushing, and HTN. The boards often like to have you differentiate between this and Wilms tumor. So make sure you remember that this will cross the midline and includes signs such as opsoclonus and myoclonus. Whereas Wilm will not cross midline and is associated with WWAGR (widemann, wilm, aniridia, genital, renal). Hope this helps!

[@ProjectIMG]

Doctor High Yield, M.D. ok thank you. Uworld mentions that neuroblastoma is normotensive & pheochromocytoma is hypersentive. But yes you are right UTD mentions HTN :) thank you , great videos

[@DoctorHighYieldMD]

@@ProjectIMG no problem!!

[@aminkeykha5546]

بسیار زیبا سخنرانی کردی ❤️

[@joziegab907]

E

[@drfazal82]

Bacteria is not consuming glucose😂