Random non-MCAT and only peripherally related to the MCAT thread - Part 4

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Nikki2002

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A short quiz:

In the Random Non-MCAT thread you are allowed to discuss all of the following EXCEPT:

A.) Breaststicks
B.) the MCAT
C.) cake
D.) VD


If you chose B then congrats! You are ready to begin postwhoring in the Random non-MCAT and only peripherally related to the MCAT thread - Part Quatro 😎



ProzacKitty17.jpg
 
Arsenic said:
very true but in medicine people are never normal :laugh:

inflammation for example causes those capillaries to leak protein and so their osmotic pressure goes down. that same protein just went into the surrounding tissue so guess what... fluid is now drawn into the tissue --> swelling

or if you have a patient in kidney failure whose glomeruli are just dumping loads of protein into the urine and out of the body. the body now has less protein in the vessels to keep fluid within them --> edema

or a heart failure patient whose blood is backing up into their pulmonary circuit, the hydrostatic pressure in those vessels is now huge and totally overcomes osmotic pressure ---> pulmonary edema ---> shortness of breath ---> death 😱

there are a million ways they can ask this stuff, you can see that its huge in medicine. you'll see it on the usmle too, guaranteed.
Dude ..... information overload!! LOL

You mean our patients aren't going to be healthy and normal???? 😱
 
Arsenic said:
very true but in medicine people are never normal :laugh:

inflammation for example causes those capillaries to leak protein and so their osmotic pressure goes down. that same protein just went into the surrounding tissue so guess what... fluid is now drawn into the tissue --> swelling

or if you have a patient in kidney failure whose glomeruli are just dumping loads of protein into the urine and out of the body. the body now has less protein in the vessels to keep fluid within them --> edema

or a heart failure patient whose blood is backing up into their pulmonary circuit, the hydrostatic pressure in those vessels is now huge and totally overcomes osmotic pressure ---> pulmonary edema ---> shortness of breath ---> death 😱

there are a million ways they can ask this stuff, you can see that its huge in medicine. you'll see it on the usmle too, guaranteed.

I was thinking about that song "Under Pressure" by Queen the entire time while I read this

Hey A- man I have a question for you. I was looking at last year's MSAR and some schools list USMLE Step 1 as "optional" and others list Step 1 as "required" but step 2 optional. And then most have both required. What gives?
 
Arsenic said:
or if you have a patient in kidney failure whose glomeruli are just dumping loads of protein into the urine and out of the body. the body now has less protein in the vessels to keep fluid within them --> edema

This must be why pre-eclampsia patients have pitting edema. Right?

What's the difference between swelling and edema?
 
ironmanf14 said:
I was thinking about that song "Under Pressure" by Queen the entire time while I read this

Hey A- man I have a question for you. I was looking at last year's MSAR and some schools list USMLE Step 1 as "optional" and others list Step 1 as "required" but step 2 optional. And then most have both required. What gives?
eeek, i should have left my apt 15 minutes ago, i have to be somewhere but really quickly.... its just for graduation. my school for example only requires we pass step 1 to get out md. of course you need to pass all the steps to get licensed but as far as graduation goes, schools determine whether you have to pass 1 or 2 steps before they give you the degree.
 
Arsenic said:
eeek, i should have left my apt 15 minutes ago, i have to be somewhere but really quickly.... its just for graduation. my school for example only requires we pass step 1 to get out md. of course you need to pass all the steps to get licensed but as far as graduation goes, schools determine whether you have to pass 1 or 2 steps before they give you the degree.

ah ok I see, thanks!

don't be late because of me!
 
oxeye said:
This must be why pre-eclampsia patients have pitting edema. Right?

What's the difference between swelling and edema?
yes, pre-eclamptics are DUMPING protein in their urine big times. on top of that they have hypertension. its a nasty problem that kills a lot of pregnant moms and whose only cure is delivery of the baby.

swelling = localized edema, when we say edema in medicine we usually mean generalized.

ok with that... later people!
 
Who wants to answer another anal question?

On the real deal, does the BS number to 214 or 216?
(On PTs they go to 216 since the 2 writing count as a question)

I'm trying to calculate my progress time points.
 
I believe its til 214. Actually the paper version books of the AAMC tests give a better representation of how the real scantrons and stuff looks like. there are actually 3 separate scantrons and not 1 big long one.


The writing is not numbered the way it is on the pdf version of the practice tests.
 
Arsenic said:
yes, pre-eclamptics are DUMPING protein in their urine big times. on top of that they have hypertension. its a nasty problem that kills a lot of pregnant moms and whose only cure is delivery of the baby.

swelling = localized edema, when we say edema in medicine we usually mean generalized.

ok with that... later people!
I had pre-eclampsia both times. First daughter had to be delivered at 37 weeks, second at 35 weeks. I was weird, though - I had hypertension starting around 8-10 weeks along that would get progressively worse throughout the pregnancies. I was delivered both times when I started showing the other signs of pre-eclampsia.

Scary stuff.
 
oxeye said:
I had pre-eclampsia both times. First daughter had to be delivered at 37 weeks, second at 35 weeks. I was weird, though - I had hypertension starting around 8-10 weeks along that would get progressively worse throughout the pregnancies. I was delivered both times when I started showing the other signs of pre-eclampsia.

Scary stuff.

Eek. Scary stuff. That's the price you pay for having such cute babies. 🙂

Anyway, I'm back (temporarily), I'm going to leave in like 15-20 minutes.

How are my fellow randomites? 😀
-Dr. P.

P.S.: Congrats on the score Brett. I give you the Mr. Pibb salute.
 
gujuDoc said:
I believe its til 214. Actually the paper version books of the AAMC tests give a better representation of how the real scantrons and stuff looks like. there are actually 3 separate scantrons and not 1 big long one.


The writing is not numbered the way it is on the pdf version of the practice tests.
Thanks guju. I have seen the actual forms, just forgot. Thanks for the reminder.
 
oxeye said:
I had pre-eclampsia both times. First daughter had to be delivered at 37 weeks, second at 35 weeks. I was weird, though - I had hypertension starting around 8-10 weeks along that would get progressively worse throughout the pregnancies. I was delivered both times when I started showing the other signs of pre-eclampsia.

Scary stuff.

Awwww sorry you had to go through that but on the bright side of things you are healthy and you have 2 healthy beautiful looking daughters.
 
Arsenic said:
med school guju is like highschool, people regress. :laugh:

think about it, you're spending 4 YEARS with the SAME 150 people or whatever. totally like highschool.

you're right though, very few med students that i know still look at SDN and those that do look at the USMLE or residency forums. the only reason i'm still on here is because i'm a mod, otherwise there would be no reason for me to be in the premed section anymore. its funny though, a lot of people that i've talked to know about sdn from when they applied to med school but the overwhelming majority havent been on for years and dont remember their usernames.

tell us how you really feel!! 😛 😛 😍
 
Hey all. What is happening to this thread? (Other than the fact that, you know, some big test is coming up or something 😛 ) I think Pre-Allo's poor attempt at mimicing us is actually working...currently better than the original.

Don't die Part 4! We love you! Really we do. I have been away. The others have been bogged down as well. Don't go toward the light. We are here for you.
 
TypeA said:
Hey all. What is happening to this thread? (Other than the fact that, you know, some big test is coming up or something 😛 ) I think Pre-Allo's poor attempt at mimicing us is actually working...currently better than the original.

Don't die Part 4! We love you! Really we do. I have been away. The others have been bogged down as well. Don't go toward the light. We are here for you.

It will never die.

Hey, even the Great Bambino had his slumps
 
Let's get the facts straight. Pre-Allo will never have ANYTHING remotely similiar to the awesomenesseses of this thread. Period. End quote. Forward slash.

On that note, I'm depressed at the odds of us hitting 10k by Saturday morning. 🙁
 
Arsenic said:
yes, the more stuff within a vessel like protein, the greater the osmotic pressure. so for example, say that the osmotic pressure within a capillary is 10. because of the protein, fluid will be drawn in and that causes a pressure of 10. you would need a pressure of 10 pushing OUT of the capillary to stop the movement of fluid into it. so you see, the more protein like albumin is in the capillary, the greater the pull of fluid into the capillary and so the osmotic pressure is greater.

i hope that all makes sense. if you just remember that the more protein or whatever you have in the capillary, the greater the osmotic pressure and the more fluid that will be drawn in, youre good. hydrostatic pressure within the capillary would oppose osmotic pressure and is due to the heart and vasoconstriction. if your osmotic pressure within a capillary was 10 (pulling fluid in) and your hydrostatic pressure within that capillary was 15 (pushing fluid out), youd have a gradient of -5, meaning that fluid is being pushed out of the capillary at a net 5 of pressure.... ie, edema.

its a little more complicated than that in med school since the tissues also have their own osmotic and hyrdrostatic pressures that you have to compare to that of the capillaries but i think if you just understand what i posted here, you should be ok for the mcat.

gracias
 
oxeye said:
I had pre-eclampsia both times. First daughter had to be delivered at 37 weeks, second at 35 weeks. I was weird, though - I had hypertension starting around 8-10 weeks along that would get progressively worse throughout the pregnancies. I was delivered both times when I started showing the other signs of pre-eclampsia.

Scary stuff.

wow that is VERY scary!!! i'm so glad everything turned out OK 🙂


lil cuties
 
oxeye said:
I had pre-eclampsia both times. First daughter had to be delivered at 37 weeks, second at 35 weeks. I was weird, though - I had hypertension starting around 8-10 weeks along that would get progressively worse throughout the pregnancies. I was delivered both times when I started showing the other signs of pre-eclampsia.

Scary stuff.
yeah once you have pre-eclampsia with one pregnancy you have something like a 20% chance of getting it with a 2nd. now that you've had it with 2 pregnancies you have like a 40-60% chance of getting it with a 3rd. docs watch pre-eclamptics like hawks these days, dont worry. glad it all turned out well for you oxeye. 🙂
 
Nikki2002 said:
there u are! 😍

how have you been?
this week has been monstrous, 4 count them 4 different presentations for different residents/attendings. one of those is a formal case report... serious stuff. plus all the clinic stuff.... ahhhh, i cant wait until this weekend! i havent been able to study at all with all the damn presentations and other responsibilities, it sucks.
 
Arsenic said:
busy doc, just really really busy. i'm sooo 😴

whoa 4 presentations in one week? that's just wrong. sorry things have been so crazy for you! I hope the clincal stuff is going well.


i went to orientation today and they handed out a set of notes for molecular and cell bio--it is like the most gigantic packet of powerpoint slides i have ever seen in my life but it only covers until sept. 1st. This is going to be painful
 
Nikki2002 said:
whoa 4 presentations in one week? that's just wrong. sorry things have been so crazy for you! I hope the clincal stuff is going well.


i went to orientation today and they handed out a set of notes for molecular and cell bio--it is like the most gigantic packet of powerpoint slides i have ever seen in my life but it only covers until sept. 1st. This is going to be painful
yep, its the volume of material that got me too when i first started. i expected the stuff to be hard and it really isnt, its on par with undergrad. its just the volume of info you have to go through thats crazy. dont worry sweetie, you'll adjust. we all adjust. 😍 :luck:
 
lol you guys are hilarious.

I'm not a broccoli fanatic or anything. When I first made this account, I was going to pick something I love to eat, like ice cream or cookies, as my username, then I realized that if I did so, I would crave my username every time I logged on. So, I decided to go with broccoli instead since it's healthy and I can't afford to add more triglycerides to my waist line.
 
Arsenic said:
this week has been monstrous, 4 count them 4 different presentations for different residents/attendings. one of those is a formal case report... serious stuff. plus all the clinic stuff.... ahhhh, i cant wait until this weekend! i havent been able to study at all with all the damn presentations and other responsibilities, it sucks.


wow, things really do change in med school. Looking foward to the weekend so you can study :laugh:
 
ironmanf14 said:
wow, things really do change in med school. Looking foward to the weekend so you can study :laugh:
:laugh: :laugh: :laugh: :laugh: :laugh: :laugh:

yeah, dude... right now a day where i can wake up whenever and just sit home and read would be freaking heaven. you have the stress of oral exams and the shelf exam at the end and no time to study so you start freaking out.
 
Arsenic said:
yep, its the volume of material that got me too when i first started. i expected the stuff to be hard and it really isnt, its on par with undergrad. its just the volume of info you have to go through thats crazy. dont worry sweetie, you'll adjust. we all adjust. 😍 :luck:
aw thanks for making me feel better--i really appreciate that 😍 if i get in i won't have to retake molecular bio and neuro though so that will be sweet. This school i'm going to seems to be very nice--I was really impressed. I'm excited--i just want to get the mcat over with--saturday night will be soooo nice 😍
 
Arsenic said:
yeah once you have pre-eclampsia with one pregnancy you have something like a 20% chance of getting it with a 2nd. now that you've had it with 2 pregnancies you have like a 40-60% chance of getting it with a 3rd. docs watch pre-eclamptics like hawks these days, dont worry. glad it all turned out well for you oxeye. 🙂

Which is why my OB suggested that I don't have any more kids. 😉 It was worse the second time around too - my blood pressure got worse a lot faster even while I was taking more medication to control it than I did the first time.

My doctor really did keep a close eye on me. I had appointments every two weeks from early on, then twice a week in the third trimester. So I knew I was in good hands. 🙂
 
oxeye said:
Which is why my OB suggested that I don't have any more kids. 😉 It was worse the second time around too - my blood pressure got worse a lot faster even while I was taking more medication to control it than I did the first time.

My doctor really did keep a close eye on me. I had appointments every two weeks from early on, then twice a week in the third trimester. So I knew I was in good hands. 🙂

well.... if you ever decide to have another kid, remember.... $129.95. 😀
 
Nikki2002 said:
aw thanks for making me feel better--i really appreciate that 😍 if i get in i won't have to retake molecular bio and neuro though so that will be sweet. This school i'm going to seems to be very nice--I was really impressed. I'm excited--i just want to get the mcat over with--saturday night will be soooo nice 😍
😍 😍

that mcat is gonna be hurting on sunday after you guys kick its ass saturday
 
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