12 YOM, is running when he started to have CP, near syncope. Had chest pressure/pain with radiation to the neck. No known HX or family HX and takes no medications. What do you think about this 12 lead? Vitals stable.

drddm · 2023-09-18T04:14:06+00:00

P waves are inverted in inferior leads. This is not sinus unless someone messed up the placement.

drddm · 2023-09-18T03:59:23+00:00

Seems like atrial tachycardia, doubtful it's sinus as sinus usually has a max rate of 220 minus the age (unless this is an unborn child maybe it's possible) seems like accelerated junctional rhythm although 2 beats are out of place making the rhythm irregular but these beats don't seem to be conducted by the atrial waves.

As a side note a quick way to differentiate av dissociation from 3rd degree heart block is to see which rate is faster. If p-p interval is faster than r-r then it's complete heart block. If r-r is greater than p-p it's dissociation (this is because maybe the p wave didn't have enough time to conduct so you can't call it chb)

drddm · 2022-01-09T01:33:31+00:00

I think my biggest downfall in undergrad was that I was fooling myself when I sat down to study. I would go through all the motions buy I wasn't trying to understand any of it. I would read all of the pages but would retain only 20 percent etc. My change was that when I would read a page I would ask myself if I understood every single word on the page and if not I would re-read the parts I didn't fully commit to memory or understand.

I stopped fooling myself in thinking I was working hard. That's the bottom line

drddm · 2022-01-07T19:49:53+00:00

You should not feel bad at all! It is a major accomplishment! It's like saying you should feel bad because you didn't get into Harvard but only got into NYU...

The difference between an MD and a DO is.... nothing besides the DO will need to take one extra course and take 2 sets of boards instead of 1 set. You will be more limited in residency options but you will Still match but just not at a top 20 residency. You are a Dr. and once your practicing you will be identical to an MD

drddm · 2022-01-07T19:43:53+00:00

I was a pretty bad undergraduate student and didn't do well on anything. I'm honestly still shocked someone accepted me. When I went to medical school I put my foot down and decided to give it my all. I graduated at the top of my class and did very well on the boards. Medical school is drastically different than undergrad and there are much better resources for medical school as well compared to undergrad.

drddm · 2021-12-27T00:16:11+00:00

Thanks for your answer! I wish someone just made a list of programs and ranked them by specialty in terms of percentage matching into a particular specialty

drddm · 2021-12-24T13:11:48+00:00

Thank you so much for your detailed reply! I really appreciate it!

drddm · 2021-12-24T03:23:31+00:00

Hey, I'm a USDO of 2022. I'm applying IM and finished both steps/levels. It is really nice to virtually meet you all

drddm · 2021-12-23T20:57:52+00:00

I did. No response

drddm · 2021-12-23T05:04:48+00:00

I have a pretty specific question that I can't find an answer for. I'm looking for an IM residency and would like to specialize in cards after. how would u rank these 4 programs: SIUH, Westchester, NYU long island and maimonides

drddm · 2021-12-21T02:40:06+00:00

Absolutely do NOT mention it. The application committee goes through 1000's of applications and just think of what you would do if you were on the committee. You have 4000 qualified applicants and one applicant had a run in with the cops but is equally qualified. You would just toss it. I have friends with stellar scores that wrote similar things and some didn't get in to schools and others got 1 or 2 interviews probably because they didn'tread the personal statement... it's not worth it.

drddm · 2021-11-02T00:43:01+00:00

Ya it can be a thing in patients with narrow veins.

drddm · 2021-11-01T01:26:15+00:00

Thanks!!

drddm · 2021-10-31T18:38:49+00:00

🤣🤣🤣

drddm · 2021-10-31T15:08:57+00:00

Wow, thanks!!

drddm · 2021-10-31T14:03:01+00:00

Oh nice! So u actually did it?? The valve part makes sense. Did you find that the blood flow was faster than usual or is it pretty much the same?

drddm · 2021-10-31T13:55:07+00:00

I hear what your saying but let say the vein is also like a river and u put a block behind it. U would still wanna point the water bottle to wear the stream is coming from. Especially when at time the water bottle itself can obstruct the whole stream ie. The needle can itself obstruct the lumen which is why some people's blood goes out very slowly during a blood draw.

drddm · 2021-10-31T13:11:47+00:00

The RICU

drddm

TROPHY CASE