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A Medical H&P - Example 2
An example of an oral presentation of a medical H&P, with two levels of detail: A thorough 7-10 minute presentation that would be typical of a clerkship medical student, and a more to-the-point 3-5 minute presentation that would be typical of an experienced resident (or an intern on a busy service that doesn't have time for the "complete" H&P)
Переглядів: 1 473

Відео

A Medical H&P - Example 1
Переглядів 2,9 тис.День тому
An example of an oral presentation of a medical H&P, with two levels of detail: A thorough 7-10 minute presentation that would be typical of a clerkship medical student, and a more to-the-point 3-5 minute presentation that would be typical of an experienced resident (or an intern on a busy service that doesn't have time for the "complete" H&P)
Cardiovascular Exam Demo (Strong Exam)
Переглядів 3,9 тис.14 днів тому
A demonstration of the flow and content of the core cardiovascular exam, including pulse assessment, JVP, carotid auscultation, and cardiac auscultation. #physicalexam #osce #cardiology
How to Identify Fake Experts
Переглядів 4,4 тис.21 день тому
A physician discusses strategies to discern true experts on a topic from those who have been mislabeled as such.
The Medical H&P (History and Physical)
Переглядів 4,6 тис.Місяць тому
An overview of the structure, organization, and content of the traditional medical history and physical, including common variations and differences between the oral presentation and written note. Related Videos Deep dive on summary statements: ua-cam.com/video/BLRFdX_NKRs/v-deo.html Deep dive on problem lists: ua-cam.com/video/fMug-dBvbmE/v-deo.html
Presentations and Notes - An Introduction
Переглядів 4,5 тис.Місяць тому
An introduction to a brief course primarily for medical, PA, and NP on patient oral presentations and written notes. To be included in this ongoing series are H&Ps, SOAP notes/presentations, a netter alternative to SOAP, and discharge summaries.
Kate's Cancer Diagnosis - It's None of Our Business!
Переглядів 8 тис.Місяць тому
A doctor discusses what the public should know about Princess Kate's new cancer diagnosis. #katemiddleton #princewilliam #royalfamily
The Cardiovascular Exam / Heart Sounds (Strong Exam)
Переглядів 10 тис.Місяць тому
A deep dive on the "core" cardiovascular exam - the exam of the heart and blood vessels that one would perform on a new primary care patient, or on a patient being admitted to the hospital for an issue not directly related to the heart. I discuss pulses, edema, JVP, carotid bruits, and heart sounds and murmurs. 0:00 Introduction 1:06 Review of anatomy 4:11 Pulses 11:56 Edema 15:21 JVP 27:05 Car...
The Cardiovascular Exam - Pulsus Paradoxus & Special Maneuvers (Strong Exam)
Переглядів 6 тис.2 місяці тому
Discussion of the physiology of special cardiovascular exam maneuvers, along with demonstrations, and review of the evidence from the medical literature. 0:00 Introduction 0:41 Orthostatic hypotension 4:35 Signs of hypovolemia (e.g. capillary refill, passive leg raise) 7:57 Signs of heart failure (e.g. proportional pulse pressure, abdominojugular reflux) 10:16 Cardiac tamponade and pulsus parad...
What Huberman Gets Wrong About Health
Переглядів 15 тис.3 місяці тому
Andrew Huberman has the most popular health podcast in the world, but like many health and wellness influencers, he promotes a fundamental misconception. I can't predict what the comments section will look like on this video, but be aware my comments are moderated. Respectful critical comments are fine, but anything profane, inflammatory, or just irrelevant will be removed. And as always, comme...
I Walked Through the World's Largest Heart
Переглядів 4,5 тис.3 місяці тому
A tour of the Giant Heart of Philadelphia's Franklin Institute - the most iconic exhibit of America's most iconic science museum. Heart diagram adapted from heart_diagram-en.svg by ZooFari. Downloaded from Wikimedia Commons. Provided under CC BY-SA 3.0. The Franklin Institute's Official Site: www.fi.edu/en #cardiology #bigheart #FranklinInstitute
Body Temperature - What You've Been Taught is Wrong! (Strong Exam)
Переглядів 5 тис.4 місяці тому
A discussion of the assessment and interpretation of body temperature, including problems with thermometer inaccuracies, and common myths about normal temperature and the definition of a fever. @0:00 Introduction @0:31 Thermometers and their accuracy @4:21 Normal range of temperature and definition of a fever @10:38 Etiologies of fevers and hypothermia @12:06 Common pitfalls/mistakes References...
O2 sat and Pulse Oximetry (Strong Exam)
Переглядів 7 тис.4 місяці тому
A discussion of the principles and limitations of pulse oximetry, the normal range of oxygen saturation, and general etiologies of a reduced O2 sat (i.e. hypoxemia). 0:00 Introduction 0:28 General principles of pulse oximetry 2:23 Comparison between pulse ox and ABGs 4:02 Limitations of pulse oximetry 10:06 The normal range of O2 sat 11:41 Etiologies of hypoxemia (low O2 sat) 12:43 Common pitfa...
Pulmonary Exam Demo (Strong Exam)
Переглядів 6 тис.4 місяці тому
A demonstration of the core pulmonary exam, appropriate for the first visit with a new primary care patient. #physicalexam #osce #respiratoryexam
The Pulmonary Exam / Lung Sounds (Strong Exam)
Переглядів 15 тис.5 місяців тому
A deep dive on the "core" pulmonary exam - the exam of the lungs that one would perform on a new primary care patient, or on a patient being admitted to the hospital for an issue not directly related to the lungs. I discuss abnormal respiratory patterns, signs of respiratory distress, barrel chest, clubbing, and of course, lung auscultation (e.g. crackles, wheezes, rhonchi, etc...) @0:00 Introd...
What is a normal heart rate? (Strong Exam)
Переглядів 7 тис.5 місяців тому
What is a normal heart rate? (Strong Exam)
Interpretation of the Respiratory Rate (Strong Exam)
Переглядів 7 тис.5 місяців тому
Interpretation of the Respiratory Rate (Strong Exam)
A Patient's General Appearance (Strong Exam)
Переглядів 10 тис.5 місяців тому
A Patient's General Appearance (Strong Exam)
General Physical Exam Practices (Strong Exam)
Переглядів 25 тис.5 місяців тому
General Physical Exam Practices (Strong Exam)
A Practical & Evidence-Based Physical Exam (Strong Exam)
Переглядів 16 тис.5 місяців тому
A Practical & Evidence-Based Physical Exam (Strong Exam)
The woman who faked a brain tumor to avoid prison - UPDATE
Переглядів 55 тис.8 місяців тому
The woman who faked a brain tumor to avoid prison - UPDATE
An Approach to Acute Diarrhea
Переглядів 15 тис.8 місяців тому
An Approach to Acute Diarrhea
A Doctor's 100 Pet Peeves About Hospital Medicine (50-1)
Переглядів 7 тис.9 місяців тому
A Doctor's 100 Pet Peeves About Hospital Medicine (50-1)
A Doctor's 100 Pet Peeves About Hospital Medicine (100-51)
Переглядів 9 тис.9 місяців тому
A Doctor's 100 Pet Peeves About Hospital Medicine (100-51)
Can AI outperform Stanford Medical Students? (My own research!)
Переглядів 5 тис.9 місяців тому
Can AI outperform Stanford Medical Students? (My own research!)
A woman faked a brain tumor. Reddit docs are sending her to prison.
Переглядів 164 тис.10 місяців тому
A woman faked a brain tumor. Reddit docs are sending her to prison.
Can ChatGPT solve medical mysteries? (Featuring Adam Rodman)
Переглядів 5 тис.10 місяців тому
Can ChatGPT solve medical mysteries? (Featuring Adam Rodman)
Should Peter Hotez debate RFK Jr?
Переглядів 10 тис.10 місяців тому
Should Peter Hotez debate RFK Jr?
I hate cardiomyopathy
Переглядів 10 тис.11 місяців тому
I hate cardiomyopathy
Acute Agitation (Rapid Response Calls)
Переглядів 12 тис.11 місяців тому
Acute Agitation (Rapid Response Calls)

КОМЕНТАРІ

  • @davidstanford4885
    @davidstanford4885 Годину тому

    I have been in 10 major auto accidents. Several back surgeries plus elbow rebuild in 80s and metal in left shoulder. I've heard all the excuses used to keep from prescribing pain meds,even when I wasn't looking for it

  • @javiercarlosrodriguez
    @javiercarlosrodriguez 2 години тому

    This is good

  • @yasminyouyuo
    @yasminyouyuo 5 годин тому

    Thank you Doctor ❤❤ I got excited seeing a new video from u

  • @omygod9062
    @omygod9062 6 годин тому

    Van elzakker is very good on this

  • @workuabageda1623
    @workuabageda1623 8 годин тому

    👏👏👏

  • @stephanthomasvarghese2643
    @stephanthomasvarghese2643 10 годин тому

    Thanks!

    • @StrongMed
      @StrongMed 9 годин тому

      You're very welcome! And thank you!

  • @rajamohanradhakrishnan206
    @rajamohanradhakrishnan206 11 годин тому

    Simple and thorough knowledge Sir. Thank you so much. ❤

  • @piyushsonone7
    @piyushsonone7 День тому

    Very knowledgeable presentation in essay way thanks 🙏

  • @YeguadelaSierra
    @YeguadelaSierra День тому

    I must be stupid compared to some of the others here because this is a little more hard for me to understand exactly I have a lot of pain in my epigastric area and I've had it for hours now it's more painful than my labor with either of my kids hurts I was fine all day long ate dinner and a few hours later I had this is pain but I have had it before but it didn't last this long was just as painful I took pepto thinking it was indigestion and later tried an alka seltzer hoping that it is still indigestion and that the pepto just wasn't working for it but now I wonder if I should go see a Dr if it doesn't go away soon or what

  • @Weirdisjustabrownandyellowword

    I think I have mild symptoms of this, but it still has a significant effect on my daily life. I need to get assessed by a medical professional.

  • @szxnv
    @szxnv День тому

    :)

  • @dityacivilizacii
    @dityacivilizacii День тому

    Also, what is health? If someone lost a limb, but otherwise has no medical issues, are they more “healthy” than someone with heartburn? Is someone with bad teeth less healthy than someone with diagnosed general anxiety? What is less healthy, skin cancer or Alzheimers? Health is multifaceted, and some aspects of it may be luck or genetics, some a result of hard work. I’m talking as a person with near perfect teeth just by brushing them twice a day and occasionally flossing. At the same time, as a person taking a bunch of pills and working with psychotherapist for more than 5 years to overcome my cPTSD.

  • @drektatrivedi4085
    @drektatrivedi4085 2 дні тому

    Greetings from india. Highly informative lecture❤❤❤❤❤

  • @aa22aa22aa22xman
    @aa22aa22aa22xman 2 дні тому

    ❤ thanks 😊 Sir ❤

  • @mohammedalolabi499
    @mohammedalolabi499 2 дні тому

    You’re such a great teacher

  • @ChloeJoe-qm2dm
    @ChloeJoe-qm2dm 2 дні тому

    Really helpful,thanks❤

  • @PrincessLorie
    @PrincessLorie 2 дні тому

    I spotted the fake right away and I'm just a nurse. It also pisses me off because my FIL died from glioblastoma, 8 days from diagnosis to death.

  • @maggiehuff9661
    @maggiehuff9661 2 дні тому

    Sjogrens should be added in Connective Tissue Disease

  • @rachurisuresh1014
    @rachurisuresh1014 3 дні тому

    1. What if shock does not improve after resuscitation , boluses 2.once resuscitation phase is completed when to start maintenance fluid

  • @dillonscott227
    @dillonscott227 3 дні тому

    It should be mentioned that although joints may stiffen with age, many hypermobile people have injuries sustained due to ligament laxity that leaves joints - particularly the ankles and knees - with increased instability that can worsen with age and often requires prosthetic bracing to prevent falls and serious injuries.

  • @Matthew-ky6it
    @Matthew-ky6it 3 дні тому

    When would you percuss? Only if you hear something abnormal on auscultation?

    • @StrongMed
      @StrongMed 3 дні тому

      I might go as far as saying percussion has almost no role in the practice of medicine in developed nations in the 21st century. Here's why: 1. There is virtually no clinically significant finding that percussion will pick up that wouldn't either be picked up on history or on auscultation.* 2. Anyone with new respiratory symptoms (e.g. dyspnea, hemoptysis) on history, or with an abnormal auscultation should get a chest X-ray. (may not be standard practice in resource-limited areas). 3. There is no pathology that percussion provides additional information to a chest X-ray. 4. Until recently, percussion still had a role in identifying the location of a known effusion at the bedside immediately prior to thoracentesis. But now we use ultrasound for that. (This is obviously not available in all parts of the world.) * The one debatable exception would be picking up hyperresonance in someone with subclinical (i.e. presymptomatic) COPD/emphysema. Although this possible role is suggested by the literature, I'm underwhelmed by its usefulness because the only treatment for subclinical COPD is smoking cessation, which a doctor should be recommending to their patient anyway, irrespective of chest percussion findings.

  • @yuneed5076
    @yuneed5076 3 дні тому

    very useful. please make more videos of these acute settings

  • @segunpeters6201
    @segunpeters6201 3 дні тому

    Thank you!

  • @beth4698
    @beth4698 4 дні тому

    The symptoms are just beginning to be understood. Meaning a long way to go to find some effective treatments. Mine as well as most of Lyme patients got worse after very long years of antibiotic treatments. Gut is definitely implicated here as 70% of immune system is in the gut. If you can slowly heal your leaky dysbiotic gut maybe it will help to some extent. But hard to recolonized your gut after good bacteria have been killed by antibiotics but some were able to do it depending on your severity.

  • @nagarajvairagade6581
    @nagarajvairagade6581 4 дні тому

    Nice explanation Sir

  • @Shivmov
    @Shivmov 4 дні тому

  • @fjs1111
    @fjs1111 5 днів тому

    Absolutely awesome Doctor Strong, awesome!!

  • @margarytaiastrebynska3223
    @margarytaiastrebynska3223 5 днів тому

    ❤❤❤❤❤❤❤ спасибо вам огромное ❤️.. вы находка ❤

  • @nkkhan6008
    @nkkhan6008 5 днів тому

    Sir llz ribs opacity kya hota hai please reply.....

    • @StrongMed
      @StrongMed 4 дні тому

      Is this Hindi written phonetically with the Latin alphabet? I'm sorry, but I don't understand.

  • @islamyoucef9444
    @islamyoucef9444 5 днів тому

    is there any wroten document for this presentation Dr Strong please

    • @StrongMed
      @StrongMed 5 днів тому

      I'm sorry, there isn't.

  • @shomokhal-otaibi9144
    @shomokhal-otaibi9144 5 днів тому

    The best

  • @aliotako1647
    @aliotako1647 6 днів тому

    Niceee

  • @thelongbow141
    @thelongbow141 6 днів тому

    This was a masterpiece.

  • @Ella4620
    @Ella4620 6 днів тому

    Thank you!

  • @epsomtuzud.3932
    @epsomtuzud.3932 7 днів тому

    Can collagen supplements help?

    • @StrongMed
      @StrongMed 6 днів тому

      Unfortunately, there is no evidence that collagen supplements help any form of EDS.

  • @allabout1783
    @allabout1783 7 днів тому

    I wonder, what's stopping my Lecturers from teaching me like this

  • @maqsudaliqulov
    @maqsudaliqulov 7 днів тому

    Hi Dr.I wanna enroll this course.Please contact me soon.I will wait

  • @abanoubnabil8366
    @abanoubnabil8366 7 днів тому

    Your video is very helpful doctor ❤

  • @heminhimdad
    @heminhimdad 7 днів тому

    very helpful, thanks for the video!

  • @akshayonly
    @akshayonly 7 днів тому

    excellent

  • @dg12344
    @dg12344 7 днів тому

    I would spend more time in excluding DDs for progressive exertional dyspnea and peripheral oedema. "She reports no orthopnea,PND or associated exertional chest pain.She also reports no reduction in UOP/frothy urine,no yellowish discoloration of eyes and no overt bleeding manifestations.She also has no long term cough or wheezing.' Doesn't take a lot of time to say that.

  • @jonathandball
    @jonathandball 7 днів тому

    Non medic here, so I apologise if this is obvious.....As the patient is tachycardic, wouldn't the effect of epinepherine, although helpful in elevating BP, be unwise? How would one restore a healthy relationship between heart rate and BP in this instance? Thanks.

    • @StrongMed
      @StrongMed 7 днів тому

      This is a good question, and it's not an obvious answer. All "pressors" - a general category of hemodynamically active medications - act to increase either vascular resistance (i.e. cause vasoconstriction of arteries), increase contractility (i.e. how forcefully the heart contracts), and/or heart rate. Most pressors have more than one action, with the predominant effect being dose-dependent. At normal doses used in septic shock, norepinepherine (the drug mentioned in this presentation) acts more on vascular resistance than on heart rate. So while it will likely increase the heart rate, this change will be modest compared to the vasoconstriction. The balance between vasopressor and heart rate effects is a little less favorable with epinepherine, which is partially why norepinepherine is preferentially used in septic shock over epinepherine. I have a video that discusses the pharmacology and use of pressors in detail, but there's a table that summarizes their actions relevant to this question here: ua-cam.com/video/WHGURz11-nE/v-deo.html

    • @jonathandball
      @jonathandball 7 днів тому

      @@StrongMed Thank you for the detailed explanation. Much appreciated! 👍

  • @nickgowen7737
    @nickgowen7737 7 днів тому

    Great work Dr. Strong as always. I particularly appreciate that you are demonstrating both the longer form and the shorter form of a good presentation. While I don't disagree with anything you said about the longer form being more preferred by many internists on a slower or more time-having service, I personally always prefer the shorter 3-5 minute version. Many of my colleagues would argue that the 3-5 minute version is too difficult for junior students and that they may miss things when trying to be that brief, but I believe in pushing students to learn the skills necessary to get down to the 3-5 minute style sooner. Either way, you've demonstrated both brilliantly, and these videos will help many learners at many levels of training. I do disagree with your fictional trainee who thinks FENa is helpful in differentiating ATN from prerenal azotemia (which I suspect reflects your own opinion), but reasonable people can disagree on that point as long as learners don't forget urinalysis. Also if a learner said "pain out of proportion" to me in any setting about either context that phrase is used (here for nec fasc or in other settings for acute mesenteric ischemia), I would push that learner to tell me what they meant by out of proportion. I'm assuming your fictional learners would have handled those questions though, so I won't judge them.

    • @StrongMed
      @StrongMed 7 днів тому

      Dr. Gowen, I'm always happy to see you stop by! Thanks for the comments. Here's how I would summarize my opinion on the 3-5 min vs. 7-10 presentation: if it's going to be done well, the 3-5 minute version is preferable, but if it's going to be done poorly, the 7-10 minute one is. That's because important details are less likely to be left out entirely, and errors in reasoning are easier to classify and correct the more time someone spends explaining their thought process. Certainly, at some point, learners need to make that transition from long to short presentations, and I don't know where the sweet spot is for encouraging the shorter one. At our institution, it seems to be during sub-Is, but maybe it should be earlier as you suggest.

    • @nickgowen7737
      @nickgowen7737 7 днів тому

      @@StrongMed Yes you are 100% correct. I think I use questions to get the other information I want regarding reasoning error, which works well for me but can sometimes make the students nervous if I'm not very careful with the technique. I have too little patience for longer presentations, a bit of a personal flaw that influences my attitudes and practices. I think I might push learners too quickly toward the shorter version, and there is a risk of them flying with it before they are ready. My approach has advantages, but it has the disadvantages you mention. But now my life is easier as I can direct them to your videos here to get more nuance about how to do each version well, and hopefully how to manage the transition better. As someone who spends most of my time with learners and thinks of myself as mostly a clinical educator, I can appreciate how much hard work goes into making these videos. We are lucky to have you sir.

  • @ClaireKarue-wi9bj
    @ClaireKarue-wi9bj 7 днів тому

    Thank you😄

  • @leonardotedesi972
    @leonardotedesi972 8 днів тому

    One of the best videos on pv loop. Thank you very much

  • @StephanieLockler
    @StephanieLockler 8 днів тому

    I haven't been diagnosed but I have signs of this daily I might miss a few days a week it's horrible im going to see if my dr can see if I have this

  • @omidahomi712
    @omidahomi712 8 днів тому

    Awesome! Thank you Dr.Strong!

  • @dg12344
    @dg12344 8 днів тому

    In the presentation shouldn't you note the PaO2/FiO2 to exclude sepsis induced ARDS?

    • @StrongMed
      @StrongMed 8 днів тому

      Thanks for a good point. Pulm/CC doc might want this included, particularly since her O2 sat of 92% on 4L suggests she may actually have mild ARDS (although "sepsis-induced non-cardiogenic pulmonary edema" is a non-specific term that would include ARDS). This oral presentation was based on a teaching case in which an ABG was not included in the presented data, which in retrospect was an oversight.

  • @ATA-wi2lh
    @ATA-wi2lh 8 днів тому

    Huberman is a grifter, period. A real scientist would know to stay in their own lane. Huberman persistently and confidently steps out of his lane.

  • @user-zw2qs7ud4q
    @user-zw2qs7ud4q 8 днів тому

    Все понятно!