Mitochondria is the Powerhouse of the cell

after ruling out anything cardiac in nature i went straight for a PE, these shorts are fun! thanks for doing them!

@pete3816

Жыл бұрын

Sure, but in doing that you are potentially missing differentials. It’s not actually about the diagnosis - it’s about the critical thinking and process to ensure sound clinical judgement.

@marksummers6903

4 ай бұрын

He always answers these almost at the very end, and he always asks unnecessary questions. These are scripted.

@aniyapeach

4 ай бұрын

​@@marksummers6903ofcourse the answer is gonna be at the end🙄 he's asking questions to get TO the answer duh

@MrBufellow

4 ай бұрын

​@@aniyapeach Despite your sass, you missed the point that he's talking about. Jake always finds the answer right at the end of the TIMER, not at the end of his questioning. It's suspicious that it always seems to be right when time is running out, even though there's been several times he could have gotten it much sooner.

@challengeyourmind3937

3 ай бұрын

It’s quite obviously scripted….

You know, to a non-doctor these may be impressive, but really...sharp chest pain with cough, PE should be the first differential to rule out, definitely before performing a gastroscopy...

@nowonder48

2 ай бұрын

So true! Social media is distracting, I was so confused when he said gastroscopy findings 😂

@susansue6531

2 ай бұрын

True

@solomzifobo123

2 ай бұрын

True.

@rogerschneider5971

Ай бұрын

Non-doctor here, but I was surprised he didn't ask for a CT before the upper endoscopy. You have to ask what's more emergent and how long you've gotta wait before the next test can be done. Time is wasted while that clot is doing damage so he can check for acid reflux.

@rnpenelope5672

5 күн бұрын

I actually got that one in the first 10 seconds. But most I don’t.

My favorite part is how sweet and excited he gets when he figures it out. Like a kid you just gave a giant lollipop to 🤣

@wojciechjakubowski6818

Ай бұрын

it's called acting dude :) it's all staged...

This young handsome , smart man gives me hope for the future ❤ A big Thank you to his parents 🙏

@npcarnivore

2 ай бұрын

Yes, thank you parents for providing the world with a son who can memorize scripts.

@headhuncho9

2 ай бұрын

@@npcarnivorego out and touch grass u sound absolutely miserable remember guys, anybody doing more than you will never criticize you for trying and learning

@npcarnivore

2 ай бұрын

@@headhuncho9 I’m grounding right now! Thanks for the suggestion!

@BlazinBen24

Ай бұрын

It's all glory and thanks to Jesus Christ, He was the one that created Him , believe in the gospel of Jesus Christ & you will be saved & repent

@sagittariusa581

Ай бұрын

The "handsome" part contributes nothing

The camera person is just as impressive as they also hold the same knowledge to be able to answer the questions appropriately

@challengeyourmind3937

3 ай бұрын

It’s scripted lol…

@stevegarcia2157

3 ай бұрын

Right…because it’s staged.

this hits home for me. couple years ago i got sick with Covid and got really sick after. bed ridden for weeks, blood clot in leg, broke off went to lung and yeah pulmonary embolism. almost died

@gailbourne5865

2 ай бұрын

I had 13 PE at the same time. They were caused by severe hyperthyroidism.

D-dimers are so important and dying out. Thanks for this video, keep those d-dimers coming v important.

@laviniaterec3028

Жыл бұрын

Not if you have cancer

@nadamijak9338

Жыл бұрын

D dimers have increased in australia

@mathnerdm

4 ай бұрын

From a physician, d dimers have little clinical relevance. They are too non-specific to have any significant use. If your clinical suspicion is high enough to be concerned for a PE, you'd skip a d-dimer in favor of imaging.

@DrivingMissLazy

4 ай бұрын

@@mathnerdm Some physicians have this guy's opinion. MDs aren't all created equal. Choose wisely!

@danpan6420

Ай бұрын

@@mathnerdmI had bilateral PE and my d-dimers were slightly increased but the chest pain was excruciating particularly on movement with sats at 78%. Imaging with contrast -clear bilateral PE.

Great doctor 👍🏽

@Willynilly_69

2 ай бұрын

It’s scripted

I would also have asked if the patient was coughing up anything. She said vitals were normal but I would expect possibly reduced oxygen saturation

As an ER nurse for 12 years, after 7-8 seconds into the 60 seconds, I already guessed the PE ...💪💪proud of myself 😂😂

Respect I hope other doctors take you as an example

Pulmonary embolism was my first guess, 3 seconds, not a doctor 😂

@danpan6420

Ай бұрын

Same here but based on my personal experience of bilateral PE. Pain is excruciating and every movement makes it even worse.

He definitely over thought that one ha. D dimer was the right question to ask about

There would likely be sinus tachycardia on ECG in the event of a PE

@qaishamarsha8186

5 ай бұрын

Also there would be the S1Q3T3 but not always 😂 sinus tachy and some fever are expected. Cough? He said cough 😂

@callum4387

4 ай бұрын

Sinus tachy is only 44% sensitive for a PE so more then half of PEs will not have sinus tachy on an ECG

@Cutsail

4 ай бұрын

PEs big enough to cause symptoms and be obvious on CT will cause sinus tachy. Not sure what literature you're quoting. Most PEs are subclinical to begin with.@@callum4387

@Cutsail

3 ай бұрын

@asmazinabelheddad3916 Majority of PEs are also asymptomatic. A PE like the one he is describing will have the sinus tachy probably 100% of the time in an otherwise heart healthy patient.

@Willynilly_69

2 ай бұрын

That’s not anything to worry about to to bad it stated “notable” findings

Thank you so much for doing these!! As med student sometimes I feel lost when I'm studying but when I get these diagnosis right it makes me so happy and content that I actually have learnt something!! It makes me so happy like a little child given a candy lol!! Thanks!

@lcard9516

3 ай бұрын

Then you are in the right profession, it feels like completing a puzzle

@user-ly1bi3qi3p

2 ай бұрын

Apparently, you haven't sic "learnt" the English language......there's no such word. Learned is the word you're looking for!

@lcard9516

2 ай бұрын

@@user-ly1bi3qi3p learnt is British, hopefully you learnt something. And yes, there is such a thing.

@user-ly1bi3qi3p

2 ай бұрын

@@lcard9516 😂this is actually America! We actually teach conjugation of verbs😂 do you have teeth?????

@lcard9516

2 ай бұрын

@@user-ly1bi3qi3p chill , it’s not that deep, sorry to make you cry

PE straight off the gate. 😂

His use of logic in incorporating algorithms correctly is impressive. His speed of analysis and fund of knowledge and intellect is God given.

@rosemberglucena94

2 ай бұрын

Dude, this Is scripted

Love this serie so much as a medical student, you earn a subscribe, keep this going :)) And thsnks for the subtitle

I love this segment. Wish all doctors knew this much. Most just tell you to eat better and exercise and take more fiber.

@letendreelliott8778

3 ай бұрын

Fiber? Fiber is only useful for intestinal transit. That’s their only purpose, to make you sh*t better. They literally have no purpose in the body at all, which is why they are useful at intestinal transit, fibers aren’t even digested and go straight down, fastening waste disposal.

@run4walk

2 ай бұрын

Doctors do know this much, it's just that the overwhelming majority of presentations are from people that just need to eat better and exercise.

I will be honest, once you're done with your USMLEs all it takes is 30 secs to answer these differentials. As soon as they ruled out ABGs I knew this was a pulmonary emboli because it's very rare to see sharp chest pain with coughing in an MI/cardiac cause. This is the beauty of doing 7000+ Uworld questions and countless anki decks.

Shit, it took a while to get to the lungs for a patient presenting with cough

@1986verity

4 ай бұрын

They look first for things that can get you killed soon.

@daniel69

4 ай бұрын

She dead

@surlespasdondine

3 ай бұрын

A cough can be heart related

Handsome and smart

I’d say there’s probably a medical situation of some kind. I prescribe treatment, with potential medication

D-dimer was my first question...lol

I immediately thought costochondritis, and seemed to be correct right up until they said D-dimer was positive

Here in Finland I was interned into a psychosis ward with a heart attack and lobotomized with neuroleptics

I had PE myself - the chest pain is excruciating not just severe.

Could have mentioned McGinn-White sign or S1Q3T3, but would have gave it away quick!

My 36 years old son died from this 7 years ago. How do you diagnose a mother’s shattered heart?

@adeelkiani426

3 ай бұрын

I send u all the love and hugs 🤗

@mindynickels57

3 ай бұрын

@@adeelkiani426 Thank you. The grief never ends.

@thatguy720

3 ай бұрын

God bless you 🙏🏼

@nafees_nusrat

3 ай бұрын

my prayers are with you and your son.

@lcard9516

3 ай бұрын

broken heart syndrome

Love these thought provoking vids.

When he said sharp I yelled pulmonary thromboembolism 😂😂😂✨✨

This is attractive to watch. I love seeing scientific brains work.

LISTEN TO LUNG SOUNDS IN PRIMARY ASSESSMENT!!!!!!!!!!!!!

He will be a great doctor!

You should do another series and instead of timing it, ring up the cost of each test to see how cheaply you can get to the right diagnosis,

@vesnavich1

2 ай бұрын

No lie.

@jeffreywenger281

2 ай бұрын

@@vesnavich1 I didn't mean that as a critique of this medical student who clearly knows his stuff, but it would be interesting.

@vesnavich1

2 ай бұрын

@@jeffreywenger281 Yes it would

I want this to be me😭

I was thrown by cough, which is not a common presentation of PE. Hemoptysis is relatively specific but not sensitive at all. (Of the many dozens of PEs I’ve seen, no more than 1 or 2 of them had hemoptysis.) What is more common than cough or hemoptysis? Risk factors, DVT findings, sinus tachycardia, decreased SpO2.

I would guess PE quicker than he did. Are you making a few simpler clips now for GPs? I would have expected some change in vitals, pulse, O2, RR? Good fun though. Thank you for doing them.

Went pe before you started with differential of pneumonia! Usually tricky but this was an easy one for you

He is a handsome doctor.

Brilliant. What medical school did this young man attend?

Normally you have tachicardia on ECG and HTAP on thé cardiac echography.

@user-ly1bi3qi3p

2 ай бұрын

Tachycardia

@laviniaterec3028

2 ай бұрын

@@user-ly1bi3qi3p thanks for the absolutely necessary correction.

"Sorry doc, her insurance doesn't cover for these test. So we couldn't get them" is how I imagine the convo goes here in the US

@AccountInactive

4 ай бұрын

Ya know how I know you're IGNORANT AS HELL? I had the majority of these tests done recently for what would turn out to be physical manifesting symptoms of anxiety/panic disorder I never knew I had. I paid cash and did not pay more than $1000.

@connerl5609

4 ай бұрын

Hospitals get whatever they want typically, then send the bill later. If you don’t have enough coverage, you’re stuck with what’s left. If you’re too poor, the hospital writes it off as a tax return. They by law cannot deny lifesaving treatment due to lack of coverage

I wish it was this simple on the outside world

Love this, keep them coming!👍

I subscribed today! Thank You for being here. You're food for my brain.lol😄

I got this one!

I got it in 15 seconds. Give me my MD! 😂

D dimer would be one of the first test, no? Endoscopy before pulmonary tests

Straight away I thought PE

I had that at chest pain and coughing

At least this one i had some ideas on tests and what will happen if yes or not , for the first tine i felt not too slow😊😊

Do you post the one he doesnt succeed solving?

I want him as my Dr. Yum

@Willynilly_69

2 ай бұрын

Gay af

start the timer after the situation is presented.

Omg you need to do my diagnosis. I ve been to ten doctors already

Incredible

Originally thought PE cardiac being ruled out confirmed it, my fastest guess yet

You have a cool channel.

PEs present with hypoxia. So would you call that a stable vital?

My guess was right!

Pulmonare embolism without chest x-ray modificat Ion?

I was shouting P.E !!! lol

I’m an x respiratory therapist and I got this in 27 seconds.

@careneh33

3 ай бұрын

It took me 2 seconds to make the right guess after she said chest pain and coughing.

@peterc4082

3 ай бұрын

@@careneh33 No 1 diff would be infectious cause. But it depends on where you are in the world. Over here it's likely TB.

@Willynilly_69

2 ай бұрын

I mean duh you’re a respiratory therapist.. you a ton about one type of practice. He has to know a little about multiple types of issues

@peterc4082

2 ай бұрын

@@Willynilly_69 It's BS. You don't ever have seconds to make a diagnosis in a stable patient. In an unstable patients you run multiple tests concurrently. So someone is doing an ECG while someone else is pulling a D-Dimer and Trop-T and a portable CXR is organised to exclude other causes, etc. So even with these you can rule in or rule out pulmonary embolism, pneumothorax, pneumonia, aortic aneurism and coronary ischemia/MI.

PE mostly associated with ECG findings!!

❤ 60-second digonosise

Hes so happy about a PE!😂

My pug just died from this. Coughing & gulping for air 💔

❤ Jake

I guessed correctly from the get go. Yay me 😂😂

Vitals were normal? If the patient is presenting with symptoms wouldn’t we expect to see some unstable vitals? Just asking so I can learn

@tinahickman6300

3 ай бұрын

I would expect to possibly see decreased oxygen levels if it's PE

I’ve always be frightened that I’ll be in an accident & I can’t get over I have Complex Regional Pain Syndrome in my right leg happen in 06 foot is in state of Equis & wheelchair (big sign so know) lidocaine gel patch & a fentanyl. Leg looks mottled while & purple for periods. If he can’t diagnose me I have to make more of something I’m not sure of 😅so people know, & people can be distracted

PE has ecg changes!!

I know how to put on a Band-Aid.

I literally heard chest pain and cough and thought PE straight away. Go me!

If there are no notable ECG findings, how can he consider an MI ??

He is born to be a doctor

Throw in a casual endoscopy on the ER , yeahhh

If I watch these videos everyday, I am sure I can graduate from medical school

I got this correct I'm 1 for 50 now 😂😂

Hey Jake. I have a daughter who, when she falls asleep, feels like she stops breathing which wakes her up all night long. She has asthma and uses an inhaler. Any idea what her problem could be? She's had blood tests, heart tests, lung x-rays, MRIs all good.

@njk9989

Жыл бұрын

Sleep Apnea?

If you do a gastroscopy on a patient that presents with these symptoms before ruling out pulmonary embolus, then thats a big mistake with fatal consequences

Most Drs: Take this pain reliever for 2 weeks. Come back if the pain doesn't go away. Probably a bug. 🤑

i adore you❤❤❤,

“Does she present with a vulnus sclopetarium,(GSW) or sharp metal object causing a incised wound “.. could be biased by location, check patient intake notes.

Exactly what I was thinking too 🤔🤣. This chap is ace! Can he be my doctor 🙏🏼

Quiz for Ehlers Danlos Syndrome

I wish I was intelligent and good looking like him.

took me 10 seconds to determine that.

Earlier this month, ny friend's wife died of a PE. It was sudden. She was 38.

@vesnavich1

2 ай бұрын

How awful

Yay i feel so smart i got it correct

I just had a severe PE. Not fun I almost died. I am 42 and thin and athletic.

Took me 2 seconds only. 😮

There should either be sinus tachy or S1Q3T3 for PTE

@callum4387

4 ай бұрын

Nope - sinus tachy is 44% sensitive for PEs S1Q3T3 is terrible - not sensitive or specific - only about 20% sensitivity

@shubhanglalitkumar1642

3 ай бұрын

@@callum4387 ohh okayy. Gott itt👍. Thanks brotherr

He went to upper endoscopy before CT?

This can be done faster by an algo.

Okay that will cost me 6000 dollars smh

@ejakathebeast

Жыл бұрын

Way more then that for the tests that were ran lol

Why would the chest xray not show the clot?

Hey dude, if all of these reels are NOT fakes...great future...