Wednesday, October 26, 2016
Tuesday, October 25, 2016
Study group discussion: Bradycardia
Saturday, October 22, 2016
Authors diary: IkaN's real name (Meaning and pronunciation of Nakeya)
IkaN from Medicowesome here!
This video and post is from the authors diary! :D
People have been asking me what my real name is and how I pronounce it so I thought of making a video on it.
There you go! :)
Wolff–Chaikoff effect mnemonic
Friday, October 21, 2016
Treatment of post traumatic stress disorder (PTSD) mnemonic
Thursday, October 20, 2016
Diagnosis vs. Prognosis! Which is which?
Wednesday, October 19, 2016
Step 2 CK: ADHD treatment
Tuesday, October 18, 2016
Monday, October 17, 2016
Study group discussion: Dopamine, prolactin, Parkinson's disease and Schizophrenia
A schizophrenic presents with galactorrhea. The patient’s medication regimen includes haloperidol. Blockade of which neurotransmitters is responsible for this patient's clinical presentation?
Dopamine. Since it is a Prolactin Inhibitor - Inhibition of Dopamine causes hyperprolatctinemia.
Doubt: Level of dopamine also decreases in Parkinson's disease. So can hyperprolactinemia also be seen in Parkinson's disease?
In Parkinson's, there is loss of dopamine only in the substantia niagra.
There are 4 main dopaminergic pathways in the CNS:
1. Nigrostrial pathway which is involved in Parkinson's disease.
2. Mesolimbic pathway involved in Schizophrenia.
3. Paraventricular pathway involved in satiety.
4. Tuberoinfundibular pathway involved in prolactin secretion.
Drugs can affect all pathways, that's why, the side effects. But Parkinson's only hits the nigrostrial pathway.
Sunday, October 16, 2016
Study group discussion: Dead space
What is dead space?
Physiologic or total dead space is the sum of anatomic dead space and alveolar dead space. Anatomic dead space is the volume of gas within the conducting zone (as opposed to the transitional and respiratory zones) and includes the trachea, bronchus, bronchioles, and terminal bronchioles; it is approximately 2 mL/kg in the upright position. Alveolar dead space is the volume of gas within unperfused alveoli (and thus not participating in gas exchange either); it is usually negligible in the healthy, awake patient.
Flexion of the head decreases dead space. Why?
Flexion of head decreases anatomical dead space. Therefore, physiological dead space will also be decreased.
Neck extension and jaw protrusion can increase the dead space twofold.
Supine position decreases dead space and the dead space increases in upright position. Why?
In upright position, there is decreased perfusion to the uppermost alveoli.
Intubation decreases dead space by 70 ml approx. Why?
The size of the ET tube is smaller than the trachea. Therefore, reduction in the dead space.
Administration of bronchodilator increases dead space. Why?
The conduction zone, from the nose to the respiratory bronchioles, is dead space. Bronchodilators dilate the brochus and bronchioles and not the alveoli, increasing dead space.
Certain anaesthetics, like halothane and sevoflurane, cause bronchodilation. Hence, an important concept and MCQ.
The cause of increased dead space in general anesthesia is multifactorial, including loss of skeletal muscle tone and loss of bronchoconstrictor tone.
That's all!
Pray that my goals are completed on a timely basis. I need your prayers.
-IkaN