💊 👨‍🏫 Antibiotics Lectures: www.medicosisperfectionalis.com/products/courses/antibiotics/

"Medicine does make sense when explained properly" Seriously man, out of all the textbooks, websites, and professor explanations none of them could explain it well enough that it made sense and yet, you managed to explain it so well, thank you. Earned yourself a new follower for sure!

@MedicosisPerfectionalis

4 ай бұрын

I appreciate you so much!

medicine = everything makes sense once explained correctly. oh goodness this is so true

@MedicosisPerfectionalis

5 жыл бұрын

The best comment ever...You made my day!

@MedicosisPerfectionalis

4 жыл бұрын

Hahaha 😁 ...Thanks!

CPP Normal Range : 70-100 mmHg, ICP Normal Range: 5-15 mmHg, B-Brandypnea, and A- CT scan of the head. CPP = Mean Arterial Pressure (MAP) - Intracranial Pressure (ICP). MAP = (Diastolic BP x 2) + Systolic BP / 3. Thank you.

@WizKidNas

3 жыл бұрын

Nursing student here! Why CT over Xray? (probably a dumb question)

@MedicosisPerfectionalis

3 жыл бұрын

CT over x-ray for which condition?

@WizKidNas

3 жыл бұрын

@@MedicosisPerfectionalis In your case study example at the end (last two questions).

@chasealfman

3 жыл бұрын

@@WizKidNas In general, X-rays shows bones well, but aren’t very good at finding soft tissue problems. Specifically, for this patient: elevated BP + bradycardia in a patient with a positional headache...Medicosis is telling us that there is Cushing Signs in the setting of what could be a brain bleed (or something sloshing around in his head). That’s bad. And likely a brain problem, not a skull problem. CT better for soft tissue (and actually fantastic at picking up acute bleeds)

@grayhero1

Жыл бұрын

CPP

“Start to cry and weep, just for a second because we don’t have time” 😅😅😅😂😂😂😂😅😂😅😂

@MedicosisPerfectionalis

3 жыл бұрын

Haha 😂

@pixzelmedia

Жыл бұрын

😂 😂 😂 😂

@healer6697

Жыл бұрын

😂😂😂😂

@katech9836

11 ай бұрын

😂😂😂😂

@xo_ashleynicole255

10 ай бұрын

This made me laugh 🤣

As an EMT student, I didn't understand why bradycardia happened even with the extreme hypertension, this helped a ton. Thank you!

@MedicosisPerfectionalis

10 ай бұрын

Glad it helped! Thank you so much watching!

🧠 Neurology playlist: kzread.info/head/PLYcLrRDaR8_cQG-7JbGaeXsXGgBpK-Yzl&si=hAKOlNyei9Zpc5A2

It's incredible when you understand something you thought was very difficult, almost impossible. Thanks for the lecture! From Brazil here! :)

@MedicosisPerfectionalis

4 жыл бұрын

Wow 🤩 That’s awesome 👏 Thank you so much for watching! Can you please help me by sharing?

Have been going through your work for the last couple of days. It's amazing how detailed your lectures are, and how deep you go in elucidating subjects. I just want to tell you my sheer appreciation for the amazing job you do despite it probably not paying you back enough. I hope you will continue doing this!

@MedicosisPerfectionalis

4 жыл бұрын

Sure! Thank you so much...What a great comment 😊

🧠 Neuroanatomy Playlist: kzread.info/head/PLYcLrRDaR8_cBHy0sWaCaLmOlJb9gzmA2&si=lnnSJhJJTUcfKl5b 🥼 Clinical Neurology Playlist: kzread.info/head/PLYcLrRDaR8_cQG-7JbGaeXsXGgBpK-Yzl&si=Qoi97evsN9uz-9Te 💀 Anatomy Playlist: kzread.info/head/PLYcLrRDaR8_cxbxAwLSQSx9v28Ezv3gQB&si=jqigBoyauPcen27C

How can I forget what he just taught with his great sense of humor. lol. Thanks a lot!

@MedicosisPerfectionalis

3 жыл бұрын

My pleasure 😇

One of the best explanation i have ever heard. Straight to the point. Easy to understand. All the best. New subscriber here.

@MedicosisPerfectionalis

4 жыл бұрын

Thank you so much 😊 Welcome 🙏

Amazing lecture. thanks for putting your valuable time and effort to help others. All the best wishes for every aspect of your life. Love from Bangladesh.

"good things happen to those who wait". - medicosis perfectionalis 2018

@MedicosisPerfectionalis

4 жыл бұрын

Haha 😂

Just came across this video while studying for Step 1. Simple, effective, fun explanation. Teachers like you make studying pleasant. Needless to say you have gained me as a subscriber. Thank you. P. S. I love your voice and accent.

@MedicosisPerfectionalis

Жыл бұрын

I am honored!

You are the one who make medicine makes sense ❤️❤️

@MedicosisPerfectionalis

2 жыл бұрын

Thank you 😊

Thank you!! Laughed when you said to cry a little LOL

@MedicosisPerfectionalis

Жыл бұрын

Thank you ☺️

Very well explained! Learned this in physiopathology class last week

@MedicosisPerfectionalis

5 жыл бұрын

Cool! Keep slaying it!

@benbenny4256

4 жыл бұрын

you mean pathophysiology.....

انا هكتب بالمصري معلش علي النعمة بنعمة ربي انت عظيم انا بتابعك من مصر وعايز اقولك "عظمة علي عظمة يا ست " زي ما الجدع قالها لام كلثوم

Love the way you are passionate about teaching and enjoying medicine....! Great

@MedicosisPerfectionalis

2 жыл бұрын

Thank you 🙏

As a medical student from Belguim, I gotta say thanks xD

@MedicosisPerfectionalis

4 ай бұрын

My pleasure!

i'm studying for my post grad after doing mbbs. this was helpful. thank you.

@MedicosisPerfectionalis

4 жыл бұрын

My pleasure 😇 Good luck with your career 👍

This is fantastic. Could you talk a little about the timeline of this process? For example I’m guessing stomach ulcers take time to form so can a person have Cushing signs but still be alert and orientated? For example , the question at the end has a person experiencing a Cushing a triad but a gcs 15 and has been suffering this for 3 weeks . I’m a uk paramedic and we tend to associate these symptoms only with acute onset and greatly reduced gcs patients. Thank you

I just discovered your channel, your explanation is just PERFECT thank you 👌🏻❤️

@MedicosisPerfectionalis

Жыл бұрын

My pleasure 😇

The only video on youtube which ist explaining why and how heartfrequence, Vasoconstriction occures and you even mention those important receptores! great work ym friend. Btw: are you studying medicine?

@MedicosisPerfectionalis

6 жыл бұрын

Yup! I am a medical student...and I can’t thank you enough for your great words and encouragement...You made my day! Good luck with everything 🍀

Really good videos, sir! You explain everything so well, and in not very lengthy videos to leave one bored...love the jokes in between! :)

@MedicosisPerfectionalis

5 жыл бұрын

Excellent! Thanks for letting me know! 😊

Thanks for this video! This was entertaining and I understood it very well! I laughed at “start to cry and weep for seconds” so much 🤣

@MedicosisPerfectionalis

3 жыл бұрын

Haha 😂

Wow I just discovered this channel while studying for my exams and looking for a better explanation. Everything makes so much sense, 1000x better than all my lectures!! Also the crying joke 😂😂😂👌 New subscriber here 🙌

@MedicosisPerfectionalis

2 жыл бұрын

Thank you!

Very well explained Med. You the best!

@MedicosisPerfectionalis

Жыл бұрын

Thank you 🙏

Thank you ! You explained it so beautifully

@MedicosisPerfectionalis

Жыл бұрын

You’re very welcome ☺️

You are amazing, best teacher ever! Thank you so much, you are helping me a lottttttttttt!! from Brazil :D

I suggest that you put the link to the answer of the questions in the description box, because I can't search for a Facebook post from 2018 in 2021 lol Thank you for the video, it is so helpfull

1 billion thanks 🙏🙏 the best explanation ever, thank you for all your effort 🙏🙏🙏

@MedicosisPerfectionalis

3 жыл бұрын

My pleasure 😇

Can't fast forward or skip this video Everything explained so perfectly and your sense of humour ofcourse is amazing 😂😂 Time well spent watching this video ❤❤❤

Aah you've made this so easy!

Incredible work as always , thank you from the deep cerebral arteries medicosis!

@MedicosisPerfectionalis

5 ай бұрын

You’re always welcome!

thank you so much. Last two 1-b 2-a

Awesome video, and you have a good sense of humor. My 36 year-old son has been diagnosed with first mold toxicity, but his lowered immune system let a diagnosis of Lyme, Babesia, and anaplasmosis. Then, he got Covid after Christmas in Jan. 2022, and his head pressure went through the roof. He’s still in horrible pain, and it’s 8 months later. He’s seeing 4 different types of specialist doctors, and is being treated for these infections, but no one can figure out what, exactly is causing this excruciating pain. He sleeps with ice packs, has lost a lot weight, and barely gets up. He does have forward head posture, and I’m not sure if that’s keeping the pressure in his brain, but he complains all day long when he doesn’t sleep. He also has horrible nightmares, hallucinations (cut back his meds), delusions, paranoia, depression, anxiety, and I’m going nuts, as his mother! He’s had meningitis at age 7, several severe TBIs, and now this. I was told it was either the mold or the Babesia, but I also think, by his neck placement, it could be cervical instability. He won’t go back to the upper cervical chiropractor I was taking him to, although his neck felt better, but maybe I should try it again. He’s going for neurofeedback and hypnosis, but I’m not sure these will work if there’s a physical problem. Can ANYONE tell me what this could be? He’s ready to jump off a bridge and can’t stay by himself for more than an hour. He’s scared to death! I am too!

@SteveSaxony

3 ай бұрын

dont go to a chiropractor, im a doctor and they cause serious damage, sometimes fatal. chiropractors are not doctors but pretend to be.

Great video, you make medicine easy.

@MedicosisPerfectionalis

5 жыл бұрын

Thanks a ton for your encouragement :)

Good video,,now I understood why HR is reduced…Bravo!👏

@Medicosis your work is amazing your videos helped me with almost every difficult topic i had trouble understanding . Can you make a video on how to quickly diagnose different types of luekemias as well ? lookin forward to your answer

@MedicosisPerfectionalis

3 жыл бұрын

Thank you so much 😊 That’s a good idea 💡

I love the way this is presented -

@MedicosisPerfectionalis

2 жыл бұрын

Thank you 🙏

you are the best...true medicine becomes easy when it s well explained ,,thx a lot ,,BRAVO

@MedicosisPerfectionalis

4 жыл бұрын

Thank you so much 😊

Thank you sir Easy to understand and straight to the point

@MedicosisPerfectionalis

3 жыл бұрын

My pleasure 😇

Really good video, thanks for the help.

@MedicosisPerfectionalis

5 жыл бұрын

My pleasure 😇

Good explanation , keep up the work ! :)

@MedicosisPerfectionalis

6 жыл бұрын

Thanks 😃

Q1: normal cerebral perfusion pressure is 60-80 mm Hg Q2: normal intracranial pressure is 5-10 mm HG Q3. none of these are expected in the physical exam findings Q4: This patient needs STAT CT scan of head

@zoek2136

Жыл бұрын

Thank you Dr. Elaine

New grad in the ICU here! Great video much needed! :)))

@MedicosisPerfectionalis

2 жыл бұрын

Thank you so much 😊

Great videos straight to the point thank you

@MedicosisPerfectionalis

4 жыл бұрын

Thank you so much 😊

Beautifully explained...thanku so much for making this so easy

@MedicosisPerfectionalis

2 жыл бұрын

My pleasure 😇

Perfect!

AMAZING! THANK YOU!

@MedicosisPerfectionalis

Жыл бұрын

My pleasure 😇

Your videos are life saving ❤

only you make medicine easy ,many thanks

wow. you are really amazing , this is the first time i see your page and it`s awesome. thanks a lot for all these videos. keep it up

@MedicosisPerfectionalis

6 жыл бұрын

Thank you for your kind words...I wish you all the best!

omg i love the pics.

Excellent and concise explanation. Thank you so much!

I like your sense of humour. Very well explained. Thanks.

@MedicosisPerfectionalis

5 жыл бұрын

HaHa! Thank you 😊

you are amazing, thank you!

@MedicosisPerfectionalis

3 жыл бұрын

My pleasure 😇

Great topic, thank u!

@MedicosisPerfectionalis

6 жыл бұрын

Thanks...I am glad you liked it...Good luck!

Great video! Thank you!

@MedicosisPerfectionalis

5 жыл бұрын

Katherine Okeefe You’re very welcome 😊

Amazing! such nicely explained thank u

@MedicosisPerfectionalis

5 жыл бұрын

My pleasure! I really appreciate that.

I love youu ,great as usual thank uu

@MedicosisPerfectionalis

5 жыл бұрын

Appreciate it 😊

Dude, you are natural

@MedicosisPerfectionalis

5 жыл бұрын

😃 Thanks

Can the irregular breathing usually depressed RR, be directly because of cerebral ischemia? In an attempt to cause vasodilation?

you gained a subscriber ! congratsss

@MedicosisPerfectionalis

4 жыл бұрын

Thanks, dear :)

"please calm down and wait"

@MedicosisPerfectionalis

5 жыл бұрын

😃😃

@nanoukituandamakombele5943

4 жыл бұрын

I really like it as well,,,his sense of joke a good one to keep the learners more focus ,,,please calm down and wait ,,,, if you fail after this explanation blame yourself ..lol

Will baro receptor reflex not reduce sympathetic activity(by acting on vmc)?

Thank you sir...Thank you so much

Good explanation But no need to cry when you see cushing reflex...try to give mannitol Intubate paralyse and ventilate and transfer to a nerosurgicalcenter as soon as possible....

Your videos are always so concise and informative, thank you so much! :D

@MedicosisPerfectionalis

4 жыл бұрын

My pleasure 😇

@shahan8185

2 жыл бұрын

Yeah short and to the point

Will MABP not rise above ICP due to increase in peripheral resistance (when the arteriole is getting compressed due to ICP)

Super explanation 👏👏

@MedicosisPerfectionalis

3 жыл бұрын

Thank you so much 😊

Wow! I remember describing periods of not breathing when lying in bed at night to my physicians on my diagnosis. Nothing more was mentioned about it. Thanks for the information!

@MedicosisPerfectionalis

4 жыл бұрын

You’re welcome! Please talk to your doctor.

What causes the systolic and diastolic be widened? Why the widened pulse pressure?

you explained very well thank you

@MedicosisPerfectionalis

3 жыл бұрын

My pleasure 😇

how about ALP is 317 down to 306 down to 292 with hepatek food supplement intake.what might be the problem?is it my liver or theres other?please give me some advise how to get the normal ALP of 240.thanks

Which anti-hypertensive drug is the most appropriate and which to avoid for this type of condition?

Can you explain how the parasympathetic ns starts working while the sympathetic ns is giving a fight or fight response? Doesn't one supresses the other??

Great explanation 🤗

@MedicosisPerfectionalis

3 жыл бұрын

Thank you so much 😊

Thanks alot Good efforts

@MedicosisPerfectionalis

5 жыл бұрын

Thank you so much :)

That "good things happen to those who wait" is nice😂👍

@MedicosisPerfectionalis

11 ай бұрын

:)

Can Anyone explain how the widening pulse pressure makes sense with bradycardia and HTN? Is it because the vessels are so squeezed that it depletes the vessels of fluid during diastole? I'm just a little confused.

Pressure on respiratory centrum - > irregular breathing, but how exactly does it work? What is the mechanism?

I have Brachycardia of 49 BPM and pre-hypertension and history of traumatic brain injury with suspected CTE

What do u mean" HTN will press on your respiratory center"? The pressure is exerted on the blood vessels from the inside. Or do blood vessels just next tho the resp center expand due to HTN and craete mass effect?

thank you!

@MedicosisPerfectionalis

6 жыл бұрын

Absolutely 😃

Great work man, I still don’t understand one thing: why there is still HTN in stage 3 if the baroreceptor are stimulated in stage 2?

@rocconroll4570

4 жыл бұрын

@@blaklytstudios Thanks!

You are doing great job , love and support from pakistan ❤️

Awesome Vid. Thank you. My question is on Respiratory response. You say "irregular respirations" . Does this mean Tachy or Brady? I've heard Cheyne-Stokes Resp is the response to ICP with Cushing's Triad. Can you confirm / correct?

@MedicosisPerfectionalis

5 жыл бұрын

Great question, intracranial hypertension can be associated with hyperpnea, hypopnea or apnea. It doesn’t matter, but it’s usually hypopnea (up to the point of apnea)...As regarding cheyene-stokes breathing, yes, it can happen in cases of intracranial hypertension, and don’t forget that cheyene stokes contains apnea (it’s hyperpnea with deep breathing followed by apnea)...Hope it helps!

@edwardherrera846

5 жыл бұрын

In later stages of cushion's triad the respirations become "irregular". Tachypnea, hypopnea, are regular (just outside the norm of respiratory rate). You might see periods of normal respirations followed by apnea or tachypnea/hypopnea. Or you might see an actual pattern like cheyene stokes which is a pattern of irregular respirations.

thank you

You’re always a life saver. Do you have a video on the treatment?

@MedicosisPerfectionalis

Жыл бұрын

Thank you…I’ve talked about the treatment of intracranial hypertension in my Emergency Medicine Course: www.medicosisperfectionalis.com/

Wow.. thank you so much, sir.

@MedicosisPerfectionalis

2 жыл бұрын

My pleasure 😇

Sweet and short!

@MedicosisPerfectionalis

4 жыл бұрын

Thank you so much 😊

But how can the patient maintain a high BP when brady occours? - emt student

Why is parasympathetic activation only causing decrease in Heart rate and not Hypertension? Coz baroreceptor activation should also cause hypotension?

Great video!

@MedicosisPerfectionalis

2 жыл бұрын

Thank you 🙏

Awesome video

@MedicosisPerfectionalis

5 жыл бұрын

Thanks a ton! Happy to hear that! Please subscribe:)

Case of the day answers 1)b because there will be irregular breathing as well 2)a to rule out the cause of increased icp

AMAZING