Hi there! My name is Renata. I'm an IMG (International Medical Graduate) from Peru. These are my notes on Step 1.
Feel free to reblog them, correct me and share your personal notes.
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Thanks! Have fun studying!
Hi guys! I’ll be absent for a while (maybe a couple of months! Don’t know yet…)
I won’t be answering any messages for a while either! But if there’s something to correct about my posts! Please let me know! Take care!
Osmotic Diuretics: =/=> water reabsorption throughout the tubules, but mostly in the proximal tubule (mannitol)
Carbonic Anhydrase Inhibitors: proximal tubule, =/=> C.A (acetazolamide, dorzolamide)
Loop Diuretics: thick ascending loop of Henle, =/=> Na+/K+/2Cl- transporter (furosemide, ethacrynic acid)
Thiazides: early distal tubule, =/=> Na+/Cl- symporter (hydrochlorothiazide, indapamide)
K+ sparing agents: distal nephron (late distal tubule + colecting ducts). Aldosterone receptor antagonist (spironolactone) or =/=> Na+/K+ exchange (amiloride, triamterene)
The proximal tubule, is the place in the nephron where many organic anions and cations are SECRETED and CLEARED from circulation. Also -and most importantly- is the place when 2/3 of Na+, H20, K+ and Cl- is reabsorbed as well as 80-90% of HCO3-
To remember which drugs are cleared at this level, I came up with this mnemonic, that I’m sure a lot of you guys are going to enjoy (and my BFF is gonna love me for this one)
Think of “Michael FASsbender PiPi”= FAS PP
you are welcome
Think about going to A CAMPing place with him
you are welcome again
It’s really annoying that I can’t figure out how to respond to replies now that Tumblr’s gone and updated (without doing a screencap, that is; and yes I know there’s supposed to be some easy way now but I swear it doesn’t work over here, I’ve looked at everything).
You don’t have antisocial PD, and you’re not psychotic either. I also highly doubt that you’re schizotypal; the flash card doesn’t say it, but the mnemonics for remembering the differences between schizoid, schizotypal, schizophrenic, and schizoaffective disorders are as follows:
SchizoiD = Distant
SchizoTypal = magical Thinking
Schizophrenic = at least two classic psychotic features (hallucinations, delusions, disorganized speech [loose associations], disorganized/catatonic behavior, negative symptoms [flat affect, social withdrawal, lack of motivation, lack of speech or thought]) for at least six months
Schizoaffective = schizophrenic + a mood disorder (either depression or bipolar, basically)
You can think of it as a continuum:
Schizoid < Schizotypal < Schizophrenic < Schizoaffective
Distant —> distant + odd thinking —> more odd thinking (i.e., psychosis) —> schizophrenic psychosis + bipolar or depressive mood disorder
Furthermore, brief psychotic disorders (usually stress-related) last <1 month; schizophreniform disorder is 1-6 months; and then if the symptoms persist longer than 6 months, that’s when a patient can be properly diagnosed with schizophrenia (after ruling out all other possible medical and drug-related causes of psychosis, of course—and there are many).
From my interactions with you and observations of your blog, you don’t exhibit any “magical thinking” (precursor to psychosis), so…
Thank you dude! I really appreciate your kind words! And btw, I love your blog! Both the surf and EMS posts! keep it awesome