paheli
It'sAllAboutGoodKarma
Topics: 192
Posts: 2,582
|
Adrenomedullin:
a member of the calcitonin family of bioactive peptides. it is hypotensive. first identified in pheochromocytomas. it is expressed in adrenals, lungs and kidneys. elevated in some patients with pulm hypertension.
There are 3 defense mechanisms against hypoglycemia. 1. dec insulin levels 2. inc in glucagon level and 3. inc in epinephrine. in diabetes type 1, the first 2 of these 3 are lost. hence, the only warning that patients have of imminent hypoglycemic attack is autonomic in nature via release of epi. the symptoms produced include palpitations sweating, tremors etc
Fasting / Starvation: Phase 1 - energy provided by liver glycogenolysis, up to 24 hrs of fasting
Phase 2 - gluconeogenesis. duration depends upon body;s glycogen stores and level of activity
Phase 3 - ketone bodies. preferred source of energy after 1 week of starvation.
Phase 4 - prolonged starvation, whereby skeletal muscle protein is used as source of energy, via ketone bodies. loss of 50% muscle mass is usually lethal, and the person can usually only survive ~ 3 weeks of starvation.
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
| medocuk
IM-RES
Topics: 26
Posts: 1,467
|
I like what is going on here. And no way am I forgetting you. I told you I will be hounding on you.
Reading some of the stuf now I am wondering if I actually did read for step one.
|
| doc499
Forum Senior
Topics: 11
Posts: 214
|
Wow Paheli good job there?When r u taking ur exam and r u doin UW too?
|
| simi
Forum Elite
Topics: 53
Posts: 357
|
paheli dear howz the study going...nice stuff here...i will be coming back after doing explanations to read this stuff...keep going r u doing well
|
| paheli
It'sAllAboutGoodKarma
Topics: 192
Posts: 2,582
|
Autoantibodies:
anti-21-alfa-hydroxylase : can be found in Addison's dz. results in dec aldosterone and cortisol, and inc ACTH.
anti-GAD [glutamic acid decarboxylase] : present in DM type 1. responsible for destruction of beta cells of pancreas.
anti-IF : found in pernicious anemia. vit B12 not absorbed.
anti-TG [thyroglobulin] : found in Hashimoto's thyroiditis, causing hypothyroidism.
anti-TSH receptor : found in Graves dz, resulting in hyperthyroidism.
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
| paheli
It'sAllAboutGoodKarma
Topics: 192
Posts: 2,582
|
thanks, everyone, for the kind words of encouragement.
medoc: i've seen your spankin' new journal in step 3 forum. nice!! will pop in soon, with a nice journal-warming present. you are in a hallowed league now. neck's giving me trouble looking up all the way up there!!
doc499: i will be blocking my date any day now. just need to gather my strength before i do it! anyway, i have done uw before, not all of it though. am currently working my way through kaplan qbank. and it's taking ages. i would highly recommend that you start with the qns as early as you can. coz it's time-consuming and time's what you run out of closer to the end.
simi: i do hope that these bits of info help you. i know you're in the final lap now. these little notes of mine are not in any way complete, as you can see. but i'm trying to jot down small facts that we're likely to forget. and hopefully, putting it in a public place like my journal, my hope is it will help more than just me. suggestions for improvement are always welcome!
another hope of mine with these notes is to try and keep things in the prep journal thread a little active. admittedly, i only keep my own journal moving, but maybe things here will start picking up slowly. i think too many have left all at once. and, it's definitely palpable. of course, it's to be expected. so, if we work hard, we can move up too! i know i can't wait to finish with step 1!!
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
| milee99
Forum Guru
Topics: 48
Posts: 1,076
|
hi
how's it going??
___________________
If you really want something, you will find a way. If you don't, you will find an excuse.
|
| medocuk
IM-RES
Topics: 26
Posts: 1,467
|
Heyyyyyyyyy Was so nice to see you there. How are you? How is it going up here. This is where the action is. I miss you all.
|
| Mydream
Forum Elite
Topics: 10
Posts: 331
|
hi paheli,
how are u doing ? its nice to see these HY things here..
yes i ws planning for nov end..bt didnt get a date. now its in first wk of dec..i am doing UW now. really getting difficult to go thru explanations and then studying .time is soo short.
so i might not post regularly as i am studying randomly.
have u fixed a date ? keep up the hard work !!
___________________
"your results in life are always directly proportional to the amount of effort and hard-work that you put in"
|
| kity
Certified.............
Topics: 32
Posts: 1,064
|
hi paheli..
seeing you are in full swing... thats goooood
Keep working hard.. GL
happy studies
___________________
NO PAIN .. NO GAIN ..
|
| paheli
It'sAllAboutGoodKarma
Topics: 192
Posts: 2,582
|
Acid production:
- ketoacids: in DKA. [less common in DKA is lactic acid production]
- formic acid: methanol ingestion
- glycolic acid, oxalc acid: ethylene glycol ingestion
In starvation: Epi mainly inc glycogenolysis, Cortisol mainly inc gluconeogenesis
In neonates: normal vitals and biochemistry vary significantly:
- pH range: 7.11 to 7.36
- PO2 range: 8 to 24 mmHg!!!
- PCO2 range: 27 to 40 mmHg
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
| paheli
It'sAllAboutGoodKarma
Topics: 192
Posts: 2,582
|
milee99, medoc, mydream, kity: thanks you guys, for brightening my day!
milee: what are you reading now?
medoc: hope you made some progress with the paperwork errand. i know how things can get. as dr fisch would say - Persist!
mydream: you can use that extra week to really boost your score. good luck!
kity, where's your exam exp?? looking forward to reading it!
well, just got done with a set of phys qns from qbank. my score is soooo not enough. where do i tighten the strings? i mean, HOW?? no idea, but will plod along.... am off to face the rest of my day now. will be back when i have extra stuff to write up. take care, folks!!
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
| medocuk
IM-RES
Topics: 26
Posts: 1,467
|
It is all about persistence and perseverence. You will get past this. Don't you worry. and you will do well. I was talking to me btw. :P
Go for it girl. Would love to see you going at it.
|
| kity
Certified.............
Topics: 32
Posts: 1,064
|
my experience... mmmm... not sure.. but it was weird for sure.. most of Qs style not in any Q bank... & tested topics were soo diff from others.. you may b I am using blocking defence mech right now.. but I guess after I have the results.. I will be in better position to analyze it all.. so wait till I get results .. till then if any specific Qn .. you are more than welcome to ask..
___________________
NO PAIN .. NO GAIN ..
|
| simi
Forum Elite
Topics: 53
Posts: 357
|
paheli...how r u the qs in q bank going on...my way of tightening the strings is i read the explnations of the qs which i got wrong n if needed go back to books n read the whole topic ...it is time consuming but definitly increase ur scores...keep moving
|
| ShweHope99.9998
Forum Fanatic
Topics: 12
Posts: 2,700
|
Hi PHL , physio Qs especially Q bank are for learning , so do make sure understand them , then try after a while to see u get the point or not .
Study well, do not lost the track by expend too wide in each & every small topics, see the big picture .
GL
|
| medocuk
IM-RES
Topics: 26
Posts: 1,467
|
And where are you?
|
| milee99
Forum Guru
Topics: 48
Posts: 1,076
|
i am still stuck on behavioral science
___________________
If you really want something, you will find a way. If you don't, you will find an excuse.
|
| keepgoing
Forum Fanatic
Topics: 81
Posts: 2,068
|
hello paheli my friend how are u?
hows study?mm i see u carcking code of physio bank good man no probs dont lse hopes u will do great later on..
happy studying!!!
Edited by keepgoing on 10/22/07 - 12:41 AM
___________________
"Deh Shiva Var Mohe Ahey ,Shubh Karman Te Kabhun Na Tarun ,Na Darun Arson Jab Jaye Laroon, Nischey Kar Apni Jeet Karoon"
|
| P4a99
Forum Fanatic
Topics: 43
Posts: 2,422
|
I thought you may like this:
"Reviewing this stuff (cramming) without achieving deep understanding at each level (internalizing) is like renting an apartment for a month at a time when you know you’re living in the neighborhood for the next ten years. Why waste your money? Instead of paying just enough each month, it’s worth it to go into debt (time-wise) to own it. Every day after that, the investment pays for itself, but you have to make it that first time. I’m not here to rent the knowledge; I’m here to own it , and every criticism I ever make of review materials is in that light."
"I was up till 1am or 2am each night and we were both up and at the library by 8:30am, so they were long days. But they were fun days, because you get to see every puzzle piece again only this time (after two years) you know what the fucking picture on the box is supposed to be. It’s amazing how much everything starts sliding into place. "
"I’m not going to question my attitude about the whole thing. I still think the way to prepare for the USMLE is to be enthusiastic for the chance to show the world what you’ve learned and to be excited for the opportunity to give two months to simply “reviewing.” Despite the hard work involved and my inability to articulate it in the form of an application essay, I love science. And despite the transient wish for a cat’s simple life of breathing, complaining, and rubbing against things, I know that none of that is what I really want. This, trully, is the greatest thing I could be doing right now. "
"Falling behind means knowing less .
Excuse my hubris, but I was trying to be the first to avoid this. I am taking 9 weeks were others take 7. I could have sworn it’d be enough. Parkinson, however, couldn’t care less. I give you his Law: “work expands so as to fill the time available for its completion.” Truer words, truer words. But that’s not an option. I’m not postponing my test to allow time to catch-up. I’m not going to drop other interests like writing about this experience. I’m not going to learn less. Something’s got to give.
It’s probably appropriate, then, to introduce a new law.
Medical Student’s Law: “Sleep contracts as work expands.”
___________________
2008 Step 1 Study Plan Discussion ..... I am a moderator not a source for download links. Please do not ask me for any.
|
| paheli
It'sAllAboutGoodKarma
Topics: 192
Posts: 2,582
|
hi shwe! long time since you've graced my journal. though i understand that you're busy, but i do love it when you come by! btw, what are you currently studying.
kity: i'll look forward to your score then, before your experience. it'll be inspiratory!
medoc: i hope that you're able to wrap all the loose ends, and in good time. i can't wait for you to start your prep coz that will egg me on too! [ok, did that sound selfish? i wasn't trying to be.]
milee: i've left you a message at your journal, dear. let's get through this roadblock together!
keepgoing: it simply wonderful to have you back. i've missed you!! i've replied to your pm. please check your inbox.
excellent write up, p4a99!! thanks for posting it here. this is the kind of stuff i like!!
is it from that med student's blog? i like his new law....
Edited by paheli on 10/22/07 - 03:02 AM
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
| P4a99
Forum Fanatic
Topics: 43
Posts: 2,422
|
Yes, it is.
Wait till you read his comments on behavioral science!
___________________
2008 Step 1 Study Plan Discussion ..... I am a moderator not a source for download links. Please do not ask me for any.
|
| paheli
It'sAllAboutGoodKarma
Topics: 192
Posts: 2,582
|
looking forward to it....! thanks a lot!!
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
| medocuk
IM-RES
Topics: 26
Posts: 1,467
|
No it doesnt sound selfish at all. I have benefitted from positive energy and having people work their butt around me was very motivating. I know what you mean. I have promised myself to get started coming monday. this week just too much is happening. So hang in there. Do your bit and you would have not seen the end of me.
So tell me what r u doing? how far away from the exam are you> what is your winning strategy? How much time do you have to do what it takes?
U don't need to tell me really. Just get your answers.
|
| paheli
It'sAllAboutGoodKarma
Topics: 192
Posts: 2,582
|
medocuk wrote:
So tell me what r u doing? how far away from the exam are you> what is your winning strategy? How much time do you have to do what it takes?
U don't need to tell me really. Just get your answers.
*smile* you're just the best!
thanks!
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
|
|
| |
| | | | | | | | | | | | | | | | | | | | | | | | | |
