Episode 4 - Brachial Plexopathy

Welcome back for episode 4! This one is going to cover some common Brachial plexus injuries that you are likely to encounter on Step. Here is a link to the episode.

This is a representation of the hand trick that I talk about in the episode:

    

Here is a diagram of the brachial plexus for reference.

This is a diagram of the claw hand (Klumpke's) and what kind of injuries can create this pattern.

Here is a diagram that shows Erb's Palsy.

Episode 3 - Acid Base Problems Part 2 (Winter's)

Alright well I deviated a little from the format for this one. Since I think we covered most of what you will need to know about Acid Base problems on the last podcast I cut the question at the beginning of this episode and just jumped straight into it. The only extra thing that will likely be required for an acid base question on step is going to be Winter's formula.

The equation for Winter's formula is:



Here is the link to Episode 3.

Episode 2 - Acid Base Problems Part 1

Hey guys and thanks for coming back for episode 2 of my podcast! I got some feedback from a handful of people and will be making some changes:

1. Episodes are going to be WAY shorter. I was originally thinking less than 30 minutes. Sounds like around 15 minutes is what people are looking for. This episode ended up being about 17 so that is much improved from Episode 1 that was 38.

2. Make it easier to study specific topics by putting the topic information in the title. While this might give some spoilers as to what is the correct answer for some of the questions, I think it is a good idea and will implement it unless people object.

3. End of podcast summary. This is something I meant to do last time. It is a great idea and every episode needs one.

Finally some people told me they didn't like my jokes, others said they found them entertaining. For now I will keep making some jokes as I see fit until there is an uprising.

Here is the link for episode 2.

After I have amassed enough episodes I will officially publish this so that it will be searchable in podcast apps.

Thanks and happy studying!!

Notes from episode 2:

Medbullets.com has great summaries on multiple step 1 topics I would recommend heading over there to review their acid base stuff.  However I will post the list of differentials for each disorder here as promised.

Respiratory Acidosis (hypo-ventilation)

• CNS depression
• Drugs
• Ischemia/Trauma
• Obesity hypo-ventilation
• Neuromuscular
• Neuropathy or myopathy
• Anatomical
• Chest wall abnormality
• Obesity
• Airway obstruction
• Epiglottitis/croup
• Foreign body/Tumor
• COPD/Severe asthma
• Lung disease
• Edema
• Pneumothorax
• Effusion

Respiratory Alkalosis (hyper-ventilation)

• CNS Stimulation
• Pain/Anxiety
• Drugs (salicylates)
• Infection
• Fever
• Peripheral stimulation
• High altitude
• Hypoxia
• Severe anemia
• Normal pregnancy
• Septic shock
• Lung disease
• Restrictive (sarcoid)
• Emboli
• Mild Asthma
• Pneumonia

NON-anion Gap Metabolic Acidosis

• Intrinsic
• Diarrhea
• RTA
• Drainage of bile of pancreatic secretions
• Extrinsic
• Glue sniffing
• Medications

Anion Gap Metabolic Acidosis

• CATMUDPILES

Metabolic Alkalosis

• Intrinsic
• Vomiting
• Mineralocorticoid excess
• Cystic Fibrosis
• Extrinsic
• Licorice ingestion (actually had a Uworld about this)
• Diuretics
• Anti-acid use

Episode 1

Hey guys here is episode 1 of my podcast. Sorry this one is so long, I will be shooting for 30 min an episode in the future. I haven't officially published the podcast yet so as of now you will have to download the MP3. Please let me know any feedback that you have! Here is a link to the first MP3 file Thanks!!