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Med Student - Blog Posts
I recently started using a cane everyday and so my previously invisible disability is suddenly visible. I also started medschool. It's been a while since I was properly social so I have questions...
People don't walk next to me. And if they accidentally do, they leave to walk next to someone else even if that means squeezing in three people on the sidewalk. No one talks to me if it's not to ask me "what's wrong". I have really tried to make an effort and talk to people but I don't know what to do.
Can it have something to do with my disability and my cane? Like they're scared to say the wrong thing? Or maybe it's because they've sensed the autism?;)
I love bsd sm it ain't even a joke anymore
- • - • - • - • - • - •-
i n t r o d u c t i o n
I AM THE BIGGEST RYUUNOSUKE WORSHIPPER 😤😤😡😡🤬
(they're sooo cute omfg omfg 💞🎀✨)
My name is Ethereal and I LOOOVEEE bsd ♡
Im sooooo obsessed with this frickin show, it's not even a joke anymore (it was never a joke to even start with lmao)
Pls worship Ryuunosuke he deserves it .·´¯`(>▂<)´¯`·.
Btw, love y'all <3
♡ 𝓔𝓽𝓱𝓮𝓻𝓮𝓪𝓵 𝓗𝓮𝓻 ♡
💗💗💗
RYUUNOSUKE AKUTAGAWA, MY GOODNESS.
Just girly stuff... ♡
trying to figure out what i want my career to be 😞 life seems so hard
Medication vial 1 - Me 0
This apparently means I'm officially an anaesthetist so I'll be putting that on my application next year
Cytochrome P450 Inducers & Inhibitors
The main ones can be remembered using "CRAP GPs spend all day on SICKFACES.COM".
Cytochrome P450 Inducers
These induce CYP450 activity, and thus reduce the concentration of drugs which are metabolised by this system.
Carbemazepine Rifampicin Alcohol (chronic use) Phenytoin Griseofulvin Phenobarbitone Sulphonylureas, St John's Wort, Smoking
Also topiramate.
Cytochrome P450 Inhibitors
These inhibit CYP450 enzyme activity and thus increase the concentration of drugs which are metabolised by this system.
Sodium valproate Isoniazid Cimetidine Ketoconazole Fluconazole Alcohol (acute use), Amiodarone, Allopurinol Chloramphenicol Erythromycin Sulfonamides, SSRIs Ciprofloxacin Omeprazole Metronidazole
Also grapefruit, cranberry juice, diltiazem, verapamil, clarithromycin.
Common Interactions
Medications which commonly interact with CYP450 inhibitors and inducers are:
Warfarin
Phenytoin
Combined Oral Contraceptive Pill (COCP)
Theophylline
Corticosteroids
Tricyclic antidepressants
Statins
Lamotrigine
Midazolam
Hypokalaemia ECG changes
U have no pot and you have no T but you have a long PR and a long QT
Low potassium causes:
U waves (small deflection immediately after T wave)
Flattened/inverted T waves
Prolonged PR interval
Apparent prolonged QT interval (due to fusion of T and U waves)
Also:
Increased P wave amplitude
Widespread ST depression
Branches of external carotid artery
Some Anatomists Like F*cking, Others Prefer S & M
Superior thyroid artery
Ascending pharyngeal artery
Lingual artery
Facial artery
Occipital artery
Posterior auricular artery
Superficial temporal artery
Maxillary artery
The superior thyroid, ascending pharyngeal, lingual and facial arteries are ANTERIOR branches.
The occipital and posterior auricular arteries are POSTERIOR branches.
The superficial temporal and maxillary arteries are TERMINAL branches.
“Some Anatomists Like F*cking, Others Prefer S & M”
is a mnemonic my professor just mentioned in class for the branches of the external carotid artery askjvb;askjbv;
Cranial nerves mnemonic
On, on, on, they travelled and found Voldemort guarding very ancient horcruxes.
Olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, hypoglossal.
On - Olfactory nerve (CN I)
On - Optic nerve (CN II)
On - Oculomotor nerve (CN III)
They - Trochlear nerve (CN IV)
Travelled - Trigeminal nerve (CN V)
And - Abducens nerve (CN VI)
Found - Facial nerve (CN VII)
Voldermort - Vestibulocochlear nerve (CN VIII)
Guarding - Glossopharyngeal nerve (CN IX)
Very - Vagus nerve (CN X)
Ancient - Accessory nerve (CN XI)
Horcruxes - Hypoglossal nerve (CN XII)
Basic pharmacology of neuromuscular junction
ACh acts on N2 receptors (ligand-gated Na+/K+ receptors)
Block Na+ channels that propagate nerve impulse - local anaesthetics (lidocaine), tetrodotoxin
Inhibit ACh release - tetanus toxin, botulinum toxin
Competitive antagonists - vecuronium
N2 agonists - suxamethonium
Flaccid paralysis
Only cleared by plasma cholinesterase
Reversible anticholinesterases - edrophonium, neostigmine, physostigmine
Block activity of AChE
Diagnose and treat myasthenia gravis and treat glaucoma respectively
Irreversible anticholinesterases - organophosphates (pesticides, nerve gases)
Long-lived flaccid paralysis
Treat with pralidoxime within 10 minutes - cleaves OP-AChE complex
Carpal bones mnemonic
So Long Till Pinky, Here Comes The Thumb
Scaphoid
Lunate
Triquetrum
Pisiform
Hamate
Capitate
Trapezoid
Trapezium
(going anti-clockwise in this diagram)
Can - Citrate
I - Isocitrate
Keep - α-Ketoglutarate
Selling - Succinyl-CoA
Sex - Succinate
For - Fumarate
Money - Malate
Officer - Oxaloacetate
oh we are starting my favorite topic in biochemistry the tca cycle because whenever someone’s like :( it’s so hard to remember the intermediates :( i get to tell them about Can I Keep Selling Sex For Money Officer
good afternoon from your resident med student. had the first phase of my research competition at 10am today. pretty simple and was very general so I’m sure I (and almost everyone else who signed up) passed. currently studying mechanisms of ventilation. will be taking a quick lunch break soon.
last day of the first week back at uni. as much as I love gloomy weather, it’s been reflecting on my mood a bit too much. have a lot of studying to do over the weekend + USMLE prep.
Нappy women's day and remember there is nothing we cannot achieve
My vacation is over. I'm about to break out into new school routines
Here we go again
✨Darya 🇧🇾, 21
✨Pediatric faculty 2/6
🚑Paramedic
Anatomy exam scratches my back.
So lazy day, still cant wake up and recover from the night shift ...
Today i bought a pen for my tablet . Thats a thing 🥺💕
Tough day but who'll kick that ass except me
Keep pushing
