Misc. Med Thread Vol. 3: caribbean diabetus strikes back

[Synapsin]

hello

[TheJoshuaa]

I don't speak Carribean.

[santal0l]

IN.

Holy fukin LOL @ that title
RIP flapjako


btw: you spelled Caribbean wrong.

[Flapjacko]

rofl strong title.


P.S. I was talking about indication for scoping inpatient (I'm on GI inpatient right now).

[ViktorFrankl]

rofl strong title.


P.S. I was talking about indication for scoping inpatient (I'm on GI inpatient right now).

What does the canook guidelines on screening butt scopes have to do with inpatient scope indications? Come on now bruv

[amazingmuzmo]

That thread title is thick solid tight

[the_Yush]

in on 1st

[TheLongRun]

In. Just lmao @ the title.

[Dr. Horse]

in on 1th

[namechange2]

staying out of the ECF sextion, huh?

[SwiftRick]

In on first page!

Wooo i made it

[dxw]

foist page, u mugs

staying out of the ECF sextion, huh?

for Flapjacko's wellbeing

[Peyronie]

IN ON FIRST PAGE

*DIK DOC CREW*
*STREAM TEAM CREW*
*GUNIT CREW*

TFW submitting NRMP rank list with one program ranked. Feels good mayne.

(inb4 gen surg prelim and borderline suicidality)

[woodbarry]

in on first page. Pharm brah pretending to learn about med stuff.

[Shortofdaybreak]

In on 1st page.

[Redfish225]

I'll guard the door, what's this about?

[WeekndOrNah]

First page!

MD2020 brah reporting in

[zonee2k]

I don't speak Carribean.

IN.

Holy fukin LOL @ that title
RIP flapjako


btw: you spelled Caribbean wrong.

rofl strong title.


P.S. I was talking about indication for scoping inpatient (I'm on GI inpatient right now).

That thread title is thick solid tight

In. Just lmao @ the title.

You *******s better rep me and not OP, like when the attending gets cred for the poor residents hard work

Edit: its all love medbrahs

[zonee2k]

Lets try to see where everyone is at in their med careers.
Ill start:

MS2 Europe

[TheLongRun]

You *******s better rep me and not OP, like when the attending gets cred for the poor residents hard work

Edit: its all love medbrahs

Can confirm. Am resident (PGY-1) now

[santal0l]

Good luck to all 4th years who sealed their fate as of last night. Don't forget to pray to your NRMP overlords.

[WeekndOrNah]

Odd question:

My dad has a client who is aweir of my medical aspirations. Said client asked my dad this morning about me and my dad said I got accepted and will begin matriculating, so the client gave my dad $300 to pass on to me as a congratulatory gift (lol)

What should I write on the Thank You card?


Also fuk that reminds me, I gotta email all my LoR writers.

[Peyronie]

Odd question:

My dad has a client who is aweir of my medical aspirations. Said client asked my dad this morning about me and my dad said I got accepted and will begin matriculating, so the client gave my dad $300 to pass on to me as a congratulatory gift (lol)

What should I write on the Thank You card?


Also fuk that reminds me, I gotta email all my LoR writers.

Something to the effect of "Thank you."

[WeekndOrNah]

Something to the effect of "Thank you."

How about a few more words or even sentences so they get their money's worth? lol

[nathangreen]

Odd request, but does anyone know of a site with downloadable mp3's of the heart murmurs listed in first aid?

Trying to get accustomed to listening to them and recognizing them. The problem I've had is most sites either don't have downloads, crappy quality, to much detail, not enough detail, etc etc

Can anyone point me in the right direction?

[TheJoshuaa]

Odd request, but does anyone know of a site with downloadable mp3's of the heart murmurs listed in first aid?

Trying to get accustomed to listening to them and recognizing them. The problem I've had is most sites either don't have downloads, crappy quality, to much detail, not enough detail, etc etc

Can anyone point me in the right direction?

NEJM has a good journal article with links to heart sounds, I'll try to find it

edit: www.nejm.org/doi/full/10.1056/NEJMra1302901
Apparently it was lung sounds, not heart. Sorry!

[TheLongRun]

Trying to get accustomed to listening to them and recognizing them. The problem I've had is most sites either don't have downloads, crappy quality, to much detail, not enough detail, etc etc
Can anyone point me in the right direction?

The only thing I'd add is that while it's good to learn the sounds, on all the Steps they provide very obvious clinical history that's s/o the respective murmur. So don't stress if you can't get the sound when exam time comes around. Same story with EKG's...the clinical background should have you with your answer before you even see the media/hear the audio.

[nathangreen]

The only thing I'd add is that while it's good to learn the sounds, on all the Steps they provide very obvious clinical history that's s/o the respective murmur. So don't stress if you can't get the sound when exam time comes around. Same story with EKG's...the clinical background should have you with your answer before you even see the media/hear the audio.

This was the idea I was getting from doing practice questions. I didn't even need to listen to the sounds to know the answer, but I wasn't sure if they were all going to be like that. Thanks for the heads up

[ViktorFrankl]

Odd request, but does anyone know of a site with downloadable mp3's of the heart murmurs listed in first aid?

Trying to get accustomed to listening to them and recognizing them. The problem I've had is most sites either don't have downloads, crappy quality, to much detail, not enough detail, etc etc

Can anyone point me in the right direction?

I've heard good things about murmur lab. In my experience, the artifact in recording / playback really diminishes from any time I've tried to learn from recordings though. A cards / peds cards rotation is where I've gotten the most learning done. That said, I know at least one cardiologist now who doesn't carry a steth anymore, just uses a pocket ultrasound. I wouldn't get overly hung up about heart sounds. If you can pick up systolic vs diastolic, radiation patterns, be cognizant of worrisome features (diastolic, new murmur + fever or in pt w/risk for bacteremia, ventricular heave, s/sx heart failure, lancisi's sign, etc) you'd he in a really strong place for a student. Lots of words, but gist is recognize murmur and be able to describe it in very basic terms, then put it in some sort of clinical context to risk stratify the likelihood that it's pathologic. My 2c, others may disagree

Edit: and should be able to describe loudness. Super simple / easy to remember and apply rule. For systolic murmurs, Grade 1 - softer than s1/s2; grade 2 - equal to s1/s2; grade 3 - louder than s1/s2 but no thrill; grade 4 - +thrill; grade 5 - audible with stethoscope half off chest; grade 6 - audible with steth off chest. Diastolic murmurs are graded 1-4, but just rough it, theyre all pathologic so need work up regardless

Double edit: thought this was for clinical stuff. If it's for uworld/step, agree with the above. You don't have to be good at actually hearing heart sounds at all. Usually know what the heart sound is going to be before even listening based on stem

[Synapsin]

IN.

Holy fukin LOL @ that title
RIP flapjako


btw: you spelled Caribbean wrong.

literally c/ped it from last thread