#usmle

MOST RECENT

A 4-year-old girl is brought to the pediatric clinic by her mother who reports that her daughter has decreased appetite, lethargy, and an enlarging belly. Physical examination reveals a large, firm, irregular, nontender mass in the child’s abdomen. A CT-guided biopsy reveals neoplastic “small blue cells.” The child’s malignant neoplasm is removed and the surgical specimen is shown in the image. Which of the following laboratory tests would be useful in monitoring this patient for recurrence of disease?

1) Serum acetylcholine
2) Serum α1-antitrypsin
3) Serum potassium
4) Urinary angiotensin
5) Urinary vanillylmandelic acid

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No olvidemos a las personas con necesidades especiales. Este corto, muestra la necesidad y la facilidad que se les da si nosotros los tenemos presentes en sus necesidades. Increíble vídeo. 👏
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A 40-year-old woman with a history of diabetes complains of recent changes in her bodily appearance. A photograph of the patient is shown in the image. Laboratory studies reveal elevated serum corticosteroids and low serum corticotropin. Administration of dexamethasone does not lower serum levels of corticosteroids. This patient most likely has a tumor that originates in which of the following anatomic locations?

1) Adrenal cortex, zona fasciculata
2) Adrenal cortex, zona glomerulosa
3) Adrenal cortex, zona reticularis
4) Adrenal medulla
5) Anterior pituitary

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If I can’t get ahead of the avalanche, I literally get buried y’all. I got close though. I got a ton outside of schoolwork done today as well. Tomorrow, you’ll see numbers in each column with the fucking anki card review at 0. 💊
It’s difficult to keep everything in your head but 3 years to study medicine is nothing for a lifetime of #surgery 💊
Firecracker: 8, case ✔️
Anki: 1383
Kaplan:-
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Imatinib (Gleevec) is a pharmaceutical used for chronic mylogenous leukemia with the BCR-ABL (9:22) translocation. However, it can also be used for C-kit positive gastrointestinal stromal tumor and inhibiting PDGF in other myeloproliferative disorders. 💊
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#study #studygram #summerstudy #premed #premedstudent #premedlife #premedical #medical #medicalschool #medicalstudent #medicine #futuredoctor #gradschool #mcat #usmle

Sample regisstration system (SRS) *Largest demographic survey in country mandated to provide annual estimates of fertility as well as mortality indicators at state & national level. *Dual record system *SRS pilot basis(1964-65) and running full sclae from 1969-70. *Revision of SRS sampling frame is undertaken every 10 years based on latest census *Sample design adopted for SRS is a unistage stratified random sample without replacement *Death rate: maximum Odhisa(8.7), minimum J&K (4.3) *IMR: Max Odisha(56), Minimum Kerela(11)

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#pgmedicalentrance #pgmedicalentrancepreparation #residencylife

Did you celebrate #prideweekend today?! 🌈 I did!! But also squeezed in a #podcast episode of #ITB on #podbean during a coffee break. ☕️🍰 .
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#happypride #sundayfunday #loveislove #coffeebreak #studyonthego #studysmart #studywheneverwherever #medicine #USMLE #COMLEX #boardexam

TEAM ANESTHESIA 🏥😷



I just finished my last trauma night call as a CA-1 (first year anesthesia resident) yesterday morning. In our CA-1 year, we do two weeks of night trauma call at our level one trauma hospital in San Francisco. 🏥🚑 If you were following my stories, you probably have seen our sacred OR 1 which is our operating room reserved for the most urgent of traumas. 🙇🏻‍♀️🙏🏼 Normally when a trauma rolls into the emergency room, our trauma anesthesia and surgery teams will get the page and we will meet the patient in the ER. If the patient can't protect their airway, I will intubate the patient and then I'll follow patient to the CT scanner to evaluate for further injuries that we cannot glean from physical examination. If a patient presents with an injury requiring emergent surgery (ie. penetrating wounds with uncontrolled bleeding), we'll skip the CT scanner and rush the patient to OR 1.

On trauma night call, we're working about 80 hours/week, but it's been a fun and exciting experience. Earlier in the week, people usually are not fighting so if we're lucky, we can lay down in the call room for a bit. But the thing is, we never know what the night will bring. One minute, we can be sleeping and the next minute, we'll get the page for a gun shot wound in the ER. 📟 I'll throw on my glasses and my trauma backpack and rush to the ER. 👓🎒Once in the ER, I'll gown up and put a face shield on because penetrating wounds (ie. gun shot wounds, stab wounds, etc) can get messy. If we have one patient who was shot, there's usually more to come from the same incident. It's like going 0 to 💯 mph in seconds, but anesthesiologists are adrenaline junkies at heart. It's not just traumas we tend to. We also go to code blues 🔵 and intubate in the ICU. At night, there's only one anesthesia team so this is it, guys! You're stuck with us! 😷🎒❤️



It was our last night call as a team and our attending treated us to dinner. #lastsupper 🍽👩🏻‍⚕️👨🏽‍⚕️👨🏻‍⚕️👨🏼‍⚕️🎒🎒

From @medicalcortex
The others chasing him are:
7:00
7:10
7:15
7:20
7:22 ( you think you will wake up here because its breaking the pattern) *lol*
8:00
8:05
8:10
8:15
at this point you missed the lecture/class
12:00 to decrease the guilt of sleeping till 2 pm

@medicalcortex

#usmle #resident #medicine #surgeon #medschool
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HOW TO READ A CHEST X-RAY – Great help during Clinical Rotations and Intern Year.

It is important to not rely on the radiologist report entirely and have some basic knowledge of a chest x-ray. It is one of the most ordered and easily accessible imaging test and can reveal a lot of intricate details.
Often this is not properly taught in school and students find themselves lost while reading it so here’s the breakdown. (PART ONE)
1. VIEW – Is the x-ray taken from the front of the patient or the back. ★ PA (posterioranterior) – Patient is facing the cassette and the x-ray tube 6 feet away behind the patient. This is the preferred method of viewing any lung pathology. ★ AP (anteroposterior) – This view is reserved for the critically ill patients in the hospital, those unable to stand upright. The heart shadow is magnified in this view as it is closer and the mediastinum is often appearing widened.
2. INSPIRATION OR EXPIRATION? – ★ A good CXR should be taken while patient is in deep inspiration phase as it aerates the lung well.
3. ROTATIONS – ★ Measure the distance from the medial end of each clavicle to the spinous process of the vertebra to see if they are at the same level.
4. INSPIRATIONS – ★ There should be 9-11 posterior ribs visible to consider the CXR to be in adequate inspiration. Look for hyperinflation (commonly seen in COPD) patients
5. EXPOSURE – ★ one needs to be able to identify both costopherenic angles and lung apices.
6. PENETRATION – ★ Should be able to visualize the thoracic vertebrae behind the heart to have good penetration.

Confidence can become pretty scarce in med school. A vast majority of the time I would describe myself as determined, but insecure; hardworking, yet worried. Will I become the physician I am working so hard to become? How will I handle the inevitable mistakes to come? Will I survive boards? Will I match? Many have thrived throughout these four years and somewhere deep inside I know I will, too. There are just a few very important hoops to jump through. This white coat reminds me of just how far I’ve already come. I have worked hard to have the privilege to wear that white coat. My dreams, ambitions, & passion are woven in that white coat. Sometimes I try to remind myself that I most definitely will become the best physician I can be; the very best version of me. As you go through each stage of this process, remember that you are absolutely capable. Let yourself feel that confidence every now and then, especially those times when you feel less than deserving. Just remember that white coat.

Last time out before step 2 hibernation. At least I got pizza 🍕

Yes ma’am I understand you’ve been waiting five full minutes to see a doctor but currently there are two codes going on, five ambulances lined up, and a STEMI on the way 🙅🏽‍♂️ also, we aren’t serving dilaudid today, sorrs.

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medics .

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I don’t want the day to come to an end without first doing another post regarding the so mentioned equations for Step 1🎉
It is now turn for the POSITIVE AND NEGATIVE PREDICTIVE VALUE!📗
Again, the 2x2 table is just to make it easier to understand and as a visual aid🤓
Keep up with this equations, they are fun once learned!
Go go go team!💯



No quiero que termine el dia sin antes realizar otra publicación de las tan mencionadas ecuaciones para aprobar el Step 1🎉
Ahora es el turno de POSITIVE AND NEGATIVE PREDICTIVE VALUE📗
Otra vez, la tabla de 2x2 es para entender mejor y como ayuda visual🤓
¡A recordar estas ecuaciones, son divertidas una vez aprendidas!
¡Vamos vamos vamos equipo!💯



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First year mbbs student at Kakatiya medical college, warangal, Telangana
Follow me on @charan__57

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