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  1. #1
    Primum non nocere Synapsin's Avatar
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    Misc. Med Thread Vol. 3: caribbean diabetus strikes back

    hello
    Last edited by Synapsin; 02-25-2016 at 03:02 PM.
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  2. #2
    Registered User TheJoshuaa's Avatar
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    I don't speak Carribean.
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  3. #3
    I don't lift santal0l's Avatar
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    IN.

    Holy fukin LOL @ that title
    RIP flapjako


    btw: you spelled Caribbean wrong.
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  4. #4
    Bigger than your GF Flapjacko's Avatar
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    rofl strong title.


    P.S. I was talking about indication for scoping inpatient (I'm on GI inpatient right now).
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  5. #5
    Registered User ViktorFrankl's Avatar
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    Originally Posted by Flapjacko View Post
    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
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  6. #6
    ★★★★★★★★★★★★★ amazingmuzmo's Avatar
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    That thread title is thick solid tight
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    Registered User the_Yush's Avatar
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    in on 1st
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    Maintenance Mode TheLongRun's Avatar
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    In. Just lmao @ the title.
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    Misc. OTO-HNS consult Dr. Horse's Avatar
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    in on 1th
    No sir, I don't like it.
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    ★ ★ ★ ★ ★ namechange2's Avatar
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    staying out of the ECF sextion, huh?
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    In on first page!

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  12. #12
    Registered User dxw's Avatar
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    foist page, u mugs


    Originally Posted by davetherave35 View Post
    staying out of the ECF sextion, huh?
    for Flapjacko's wellbeing
    Last edited by dxw; 02-24-2016 at 08:31 PM.
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  13. #13
    Prostatute, MD Peyronie's Avatar
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    IN ON FIRST PAGE

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  14. #14
    Registered User woodbarry's Avatar
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    in on first page. Pharm brah pretending to learn about med stuff.
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  15. #15
    Registered User Shortofdaybreak's Avatar
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    In on 1st page.
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  16. #16
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    I'll guard the door, what's this about?
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  17. #17
    Registered BIG BALLER WeekndOrNah's Avatar
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    First page!

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  18. #18
    sheriff srs zonee2k's Avatar
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    Originally Posted by TheJoshuaa View Post
    I don't speak Carribean.
    Originally Posted by santal0l View Post
    IN.

    Holy fukin LOL @ that title
    RIP flapjako


    btw: you spelled Caribbean wrong.
    Originally Posted by Flapjacko View Post
    rofl strong title.


    P.S. I was talking about indication for scoping inpatient (I'm on GI inpatient right now).
    Originally Posted by amazingmuzmo View Post
    That thread title is thick solid tight
    Originally Posted by TheLongRun View Post
    In. Just lmao @ the title.
    You phaggots better rep me and not OP, like when the attending gets cred for the poor residents hard work

    Edit: its all love medbrahs
    Last edited by zonee2k; 02-25-2016 at 05:36 AM.
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  19. #19
    sheriff srs zonee2k's Avatar
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    Lets try to see where everyone is at in their med careers.
    Ill start:

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  20. #20
    Maintenance Mode TheLongRun's Avatar
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    Originally Posted by zonee2k View Post
    You phaggots 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
    "Success consists of going from failure to failure without loss of enthusiasm."
    "Sometimes doing your best is not good enough. Sometimes you must do what is required."- Sir Winston Churchill

    I'm just a resident physician who likes to lift, look good, and geek out about nutrition.

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  21. #21
    I don't lift santal0l's Avatar
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  22. #22
    Registered BIG BALLER WeekndOrNah's Avatar
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    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.
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  23. #23
    Prostatute, MD Peyronie's Avatar
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    Originally Posted by WeekndOrNah View Post
    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."
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  24. #24
    Registered BIG BALLER WeekndOrNah's Avatar
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    Originally Posted by Peyronie View Post
    Something to the effect of "Thank you."
    How about a few more words or even sentences so they get their money's worth? lol
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  25. #25
    Registered User nathangreen's Avatar
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    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?
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  26. #26
    Registered User TheJoshuaa's Avatar
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    Originally Posted by nathangreen View Post
    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!
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  27. #27
    Maintenance Mode TheLongRun's Avatar
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    Originally Posted by nathangreen View Post

    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.
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    Registered User nathangreen's Avatar
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    Originally Posted by TheLongRun View Post
    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
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    Originally Posted by nathangreen View Post
    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
    Last edited by ViktorFrankl; 02-25-2016 at 01:07 PM.
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    Originally Posted by santal0l View Post
    IN.

    Holy fukin LOL @ that title
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