med-struck

[med-struck]

Realized this is missing from my feed.

I'm an MD now, alhamdulillah!!

It wasn't a piece of cake but it's definitely doable!

[med-struck]

I miss connecting with my colleagues. I miss how in Pakistan my colleagues were my closest friends.

[med-struck]

What fascinates me about the US healthcare system is the use of technology in healthcare. Like in cardiology, stethoscope has become obsolete and a portable echo probe connected to the phone is what's used to diagnose murmurs and stuff.

[med-struck]

Did you know? Drinking large amounts of tea or coffee can theoretically lower thiamine body stores.

[med-struck]

Did you know? Thiamine deficiency is more common in cultures that rely heavily on a rice-based diet.

[med-struck]

Always see an echo of the patient before varicose veins procedure, or the glue can go to the heart through PFO or any other hole of the heart, and cause stroke.

#cardiology

[med-struck]

Before varicose veins procedure, the patients should wear compression stockings for 6 weeks.

[med-struck]

Remember the small talk with the patient and note it down for future visits (for example, talks about daughters, loves skiing)

[med-struck]

In STEMI, there are always reciprocal changes in the other leads. ALWAYS MAKE SURE OF THAT before classifying it as a STEMI

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Cardiomyopathy: weakness of the heart; EF: <35%.

Medical management of cardiomyopathy (for the first 3 months):

ACEi

ARBs

Aldosterone antagonists

BiDil (hydralazine + nitrates)

Or cardiomyopathy can lead to CHF and of course we don't want that

[med-struck]

CTA and cardiac cath are both great. CTA has the edge of being cheap, quick and a good visualization. But cardiac cath has the benefit of being both diagnostic and therapeutic at the same time.

#cardiology

[med-struck]

So my attending told me this and I don't ever want to forget it.

Indications of permanent pacemaker? They are the following:

1. Heart rate less than 40 (and the most common reason for that is old age)

2. Sinus pauses for less than 3 seconds in sinus rhythm; pauses less than 5 seconds in atrial fibrillation

3. A symptomatic patient with any type of heart block

4. Mobitz type 2

5. AV dissociation (3° heart block, or ventricular tachycardia)

(All come under sick sinus syndrome)

6. Chronotropic incompetence (failure of the heart to comply with physical activity)

#cardiology #med school #studyblr #med student #med-struck

[med-struck]

My dreams are attainable and I will reach them. My dreams are attainable and I will reach them. My dreams are attainable and I will reach them. My dreams are attainable and I will reach them. My dreams are attainable and I will reach them. My dreams are attainable and I will reach them. My dreams are attainable and I will reach them. My dreams are attainable and I will reach them.

[med-struck]

Diabetics

Just had a UWorld question where a 61-year-old diabetic had an HbA1c of 5.8%. I’m sorry UWorld, but I don’t know if I’ve seen any diabetic with that good of glucose control.

[med-struck]

Happy studying for Usmle guys and hope everyone matched today ;)

[med-struck]

Omg I'm going through the same phase

I had two US rotations lined up, more or less. One for the distant future, one for May.

Now, neither doctor is answering my messages. I feel actually heartbroken.

Without a SLOE, there’s no point in applying this year. What am I gonna do.

[med-struck]

It's kind of really depressing how my USMLE Step 2 prep still sucks even after months of studying. I have not given up. I still study. And I will study more InshaAllah. I will keep learning from my mistakes InshaAllah even if I make them ten times.

I will not give up! May Allah help me, and you, ameen.

Coffee time to boost my brain!

#medblr #usmle step 1 #studyblr #usmle #step 1