Summary Statements and Semantic Qualifiers (Strong Diagnosis)

[@kennethhahn4722]

M2 here stumbling across this, great video and thanks for making the knowledge accessible! Probably the best teaching I've received so far on summary statements. Appreciate how you distilled what seems like an intuitive topic (semantic qualifiers) into digestible, applicable content. Keep up the awesome work!

[@BlackWoldxD]

I've got a subject called clinical reasoning and I couldn't think of semantic qualifiers and descriptors for chest pain without getting confused. This video really helped me clarify the concept. Thank you, truly!

[@StrongMed]

You're very welcome! You may also like this video of mine on the clinical reasoning approach to patients presenting with acute chest pain: kzbin.info/www/bejne/Y5qZaJiooc-Bj6s

[@lakewaterlapping]

Fantastic video; thank you, Dr. Strong

[@Mayesyy]

Thank you Dr. Strong for your incredibly helpful videos. Could you please teach students on how to better respond precisely and effectively to pimping whilst on the wards. I.e. the best way to approach and formulate a quality response under pressure and to better anticipate what the pimper is attempting to teach in order to provide a better response. I have found that I prepare and study the relevant content nights before, but sometimes find the educator leaves an atomic dust storm of confusion following a session. Other times, it is like you can read the educators mind and provide the correct answers, all the time. Whether it is because my brain is more systematic and is on the same wavelength with the more systematic styled pimper as opposed to a more erratic pimper, I am not sure. More likely, my responses need improvement as I probably do not know the topic as well as I thought I did heading into the session. In any case, it is complex and I (as would others) would love some helpful tips on how to approach different styles of quizzing. Thanks once again for the highly valuable information you post on this channel.

[@oussamakad4988]

Thank you for yet another great series

[@arinazarian2781]

Great video! Can you make a variation of this but on effective IPASS sign outs? Would be really helpful for both new night float residents and new interns.

[@mustafadiaa7116]

Great video

[@MacaroniCheesato]

Fantastic structure

[@benjaminvuk]

Thank you for great lecture! What books would you recommend for learning Clinical Reasoning?

[@StrongMed]

Unfortunately, there really isn't a great, truly introductory, text on the field of clinical reasoning. There are solid books like Symptom to Diagnosis by Stern et al, and Frameworks in Internal Medicine by Mansoor - though they focus more on the approach to specific problems rather than a discussion of the clinical reasoning process. Learning Clinical Reasoning by Kassirer is more for an intermediate learner, and has some really nice case-based discussions. And for advanced folks (residents and beyond), Medical Decision Making by Sox, et al is great (and will be a source for some of my videos in part 3 of this series), but is relatively math heavy. I like it, but much of it is too abstract to be clearly applicable at the bedside.

[@benjaminvuk]

@@StrongMed Thank you for your kind answer!

[@jinghuang2000]

@@StrongMed Thank you Dr. Strong, that's very helpful! I am wondering if there are any books for pediatric clinical reasoning or diagnostic frameworks? or books for women's Health?

[@StrongMed]

@Jing HUANG, I'm sorry, but I don't know of any.

[@alexcao3479]

🎉

[@ΆγιοςΧίλαριος]

14:46 CO2 24-30??? Does this mean PCO2 normal range is 24-30?

[@StrongMed]

That's a great question which I'm amazed doesn't come up more often! On a metabolic panel (a.k.a. "chem 7" or "chem 8"), while we often colloquially refer to that value as the "bicarb", what's actually being reported is the total CO2 in the blood (and thus labs officially report it as "CO2" or ocassionally as "tCO2", not "HCO3-"). The total CO2 is mostly in the form of bicarbonate ion, with small amounts is carbonic acid and dissolved CO2 gas. On the other hand, the HCO3- that's reported on an ABG (or VBG) is just the HCO3- (as calculated from the Henderson-Hasselbalch equation). This is why labs' reported normal range of "bicarb" on a metabolic panel is always a little higher than their reported normal range of bicarb on an blood gas. For example, our hospital lab's normal "bicarb" (i.e. total CO2) on a chem 8 is listed as 24-30, whereas their normal range for HCO3- on an ABG is listed as 22-26. This book chapter talks a little more about it: www.ncbi.nlm.nih.gov/books/NBK308/ (The normal range for pCO2 - partial pressure of CO2 in arterial blood - is usually given as 35-45 mmHg or 4.7-6.0 kPa.)

[@DrOscarPacheco]

Simple and uncostly (except for the time invested, which is money, in a certain way) tools to get nearer a diagnostic. Usual for old doctors...

[@mohdrizwanullahkhan1511]

Nsaids may exacerbate asthma

[@ethanbiederman9194]

awesome video