P.A. One Day 💉

[flo-nelja]

Good books

So, the “worst book you had to read for school” thread makes me sad, since there’s so many books I love in the list.

So, do people want to play with me and say their favorite book they had to read for school?

[vergilliusrex-deactivated201812]

Antigone by Jean Annouilh

[skeleton-richard]

To Kill a Mockingbird by Harper Lee.

[shredsandpatches]

Henry IV part 1.

[cakesandfail]

Macbeth

[lilliburlero]

Robert Browning, Men and Women

[arcadiaego]

The Tempest.

[christyimnotred]

1984 

[biiigwinged]

Hamlet.

[actualmermaid]

either The Handmaid’s Tale or The Things They Carried.

[liz-squids]

Not a book, but a poem: “Five Bells” by Kenneth Slessor.

(Man, you guys read Proper Literature ‘n’ Shit in high school! My year twelve Advanced English class wasn’t allowed to read Shakespeare’s tragedies because the teachers said we wouldn’t appreciate them. Not that I’m complaining about doing Julius Caesar, precisely, but I’d had my baby goth heart set on Hamlet.)

[sugarfey]

Hamlet and Rosencrantz and Guildenstern Are Dead.

[teandcrackers-deactivated202112]

Things Fall Apart by Chinua Achebe. Also, “Po-on” by F. Sionil Jose is a great book to read if you want to learn Philippine history in a fun way. ALSO The Prophet by Kahlil Gibran. 

[oswinchester-221b]

The Bronze Horseman by Paulina Simmons

[ashwilliamsrighthand]

The Old Man and the Sea by goddamn Ernest Hemingway

[sunshine-and-fuckin-rainbows]

Macbeth for sure.

[meanwhileonwednesday]

The Chrysalids by John Wyndham and probably Fahrenheit 451 by Ray Bradbury (but I was on oxycontin at the time and haven’t read it since so I don’t know if I have a good grasp on how it actually was)

[emarsh0004]

The Great Gatsby. 💙

[perfusetheramus-deactivated2020]

Pharmacology quick reference

[perfusetheramus-deactivated2020]

Pharmacology quick reference

[iguanamouth]

i havent shaved my legs in a really long time and while i was babysitting my skirt edged up a bit and the seven year old i was watching said “ew you should shave that hairs not supposed to be there” and i said “well if its not supposed to be there then why does it grow there?” and he was really silent for a long time and then finally said “lets watch sonic the hedgehog”

[level27rogue-deactivated2020112]

tumors grow, are they supposed to be there?

its called “evolution”, just because its there doesnt mean its useful or wanted.

[geekandmisandry]

Local Man Compares Leg Hair To Cancer, Genuinely Thought It Was A Smart Argument. More At Six.

[emarsh0004]

^^^The real MVP 😂😂😂

[sarcasticbabywhispererjess]

"My dad just had surgery yesterday and they already have him out of bed, walking in the halls. That can't be good for him."

[ringo-obsession]

Turn your handwriting into a font

I discovered this by accident and I thought it was really funny and cute:

1. Download the template from MyScriptFont website

2. Write out the alphabet and numbers in your style, using a black marker (felt pen). This is mine:

3. Scan the template  4. Upload to the MyScriptFont website, name it, set the format and click “send file” 5. Download it to your computer and install

And check out my result!

[traumbelrum-deactivated20240801]

reblogging for writers that want to invent their own font. 

[digiti-minimi]

What's the best review book for pance exam? I have Lange. When is a good idea to start studying for pance?

These were my two favorites:

Step-Up to Medicine (not designed specifically for PANCE, but still great):https://www.amazon.com/dp/1609133609/ref=cm_sw_r_awd_u8GewbJ48T6JN

A Comprehensive Review For the Certification and Recertification Examinations for Physician Assistants:https://www.amazon.com/dp/145119109X/ref=cm_sw_r_awd_k9GewbMTAMFZ0

I used both of these during didactic as supplemental study materials, but don’t worry about specifically studying for PANCE until you’re on rotations. The best thing to do is study each subject while you’re on that particular rotation (with a little extra thrown in for the subjects that don’t have their own rotation). That way when you go to study before taking the PANCE, you’ve seen everything at least once before and can do a comprehensive but concise review.

I also used PAeasy and Exam Master questions to study, but these were free through my school. I’m not sure how much these cost if not covered, but they were EXTREMELY helpful.

[sussurros-da-noite]

[midnightsandcupsofcoffee]

i find this so amazing

[behindthechart]

Put on some gloves. -Me, every time I see this on my dash.

[medxclusive]

Heart Transplant in a 15 seconds video!!

[nursingistheshit]

When I’m going through the boring admission questions and my adorable old grandma casually mentions she smokes weed

[copingnurse-deactivated20240217]

ICU nurses...

[miss-vortex]

Snow donuts are a phenomena which occur when the wind blows snow over a snowy layer of ground and other snow and material is collected along the way until large rings or ‘rolls’ are formed

[chelly-egg]

It’s lovely to know we live in a world with snow donuts.

[mj-md]

Not medicine, but still cool!

[captaincantaloupe24]

90% of my studying

[pa-clife]

So very accurate

[murphysmedical]

“On exam, you hear an an abdominal bruit in the epigastric area, and palpate a pulsatile mass...”

Aortic aneurisms are scary. 

[emarsh0004]

I would probably shit or piss my pants. Like right there.

[gifbro]

[4gifs]

Magic! [video]

[emarsh0004]

How I feel when I watch cardioversion.

[mynotes4usmle]

ANTIBIOTICS CHEAT SHEET :)

Also, REMEMBER!!!!

* Sulfonamides compete for albumin with:

Bilirrubin: given in 2°,3°T, high risk or indirect hyperBb and kernicterus in premies

Warfarin: increases toxicity: bleeding

* Beta-lactamase (penicinillase) Suceptible:

Natural Penicillins (G, V, F, K)

Aminopenicillins (Amoxicillin, Ampicillin)

Antipseudomonal Penicillins (Ticarcillin, Piperacillin)

* Beta-lactamase (penicinillase) Resistant:

Oxacillin, Nafcillin, Dicloxacillin

3°G, 4°G Cephalosporins

Carbapenems 

Monobactams

Beta-lactamase inhibitors

* Penicillins enhanced with:

Clavulanic acid & Sulbactam (both are suicide inhibitors, they inhibit beta-lactamase)

Aminoglycosides (against enterococcus and psedomonas)

* Aminoglycosides enhanced with Aztreonam

* Penicillins: renal clearance EXCEPT Oxacillin & Nafcillin (bile)

* Cephalosporines: renal clearance EXCEPT Cefoperazone & Cefrtriaxone (bile)

* Both inhibited by Probenecid during tubular secretion.

* 2°G Cephalosporines: none cross BBB except Cefuroxime

* 3°G Cephalosporines: all cross BBB except Cefoperazone bc is highly highly lipid soluble, so is protein bound in plasma, therefore it doesn’t cross BBB.

* Cephalosporines are "LAME“ bc they  do not cover this organisms 

L  isteria monocytogenes

A  typicals (Mycoplasma, Chlamydia)

M RSA (except Ceftaroline, 5°G)

E  nterococci

* Disulfiram-like effect: Cefotetan & Cefoperazone (mnemonic)

* Cefoperanzone: all the exceptions!!!

All 3°G cephalosporins cross the BBB except Cefoperazone.

All cephalosporins are renal cleared, except Cefoperazone.

Disulfiram-like effect

* Against Pseudomonas:

3°G Cef taz idime (taz taz taz taz)

4°G Cefepime, Cefpirome (not available in the USA)

Antipseudomonal penicillins

Aminoglycosides (synergy with beta-lactams)

Aztreonam (pseudomonal sepsis)

* Covers MRSA: Ceftaroline (rhymes w/ Caroline, Caroline the 5°G Ceph), Vancomycin, Daptomycin, Linezolid, Tigecycline.

* Covers VRSA: Linezolid, Dalfopristin/Quinupristin

* Aminoglycosides: decrease release of ACh in synapse and act as a Neuromuscular blocker, this is why it enhances effects of muscle relaxants.

* DEMECLOCYCLINE: tetracycline that’s not used as an AB, it is used as tx of SIADH to cause Nephrogenic Diabetes Insipidus (inhibits the V2 receptor in collecting ducts)

* Phototoxicity: Q ue S T  ion?

Q uinolones

Sulfonamides

T etracyclines

* p450 inhibitors: Cloramphenicol, Macrolides (except Azithromycin), Sulfonamides

* Macrolides SE: Motilin stimulation, QT prolongation, reversible deafness, eosinophilia, cholestatic hepatitis

* Bactericidal: beta-lactams (penicillins, cephalosporins, monobactams, carbapenems), aminoglycosides, fluorquinolones, metronidazole.

* Baceriostatic: tetracyclins, streptogramins, chloramphenicol, lincosamides, oxazolidonones, macrolides, sulfonamides, DHFR inhibitors.

* Pseudomembranous colitis: Ampicillin, Amoxicillin, Clindamycin, Lincomycin.

* QT prolongation: macrolides, sometimes fluoroquinolones

[mynotes4usmle]

Reblogging for the 100th time!!!! (sorry)

I’ve made some corrections and added ABs that didn’t include before!!! Here’s the link if you want to download the corrected chart:  [Antibiotics doc]

Also, I’m gonna add a couple of things that didn’t mention before:

* MRSA: Ceftaroline, Telavancin, Dalbavancin, Oritavancin, Vancomycin, Linezolid, Tidezolid, Daptomycin, Tigecyclin.

* Skin MRSA: TMP/SMX, Clindamycin, Doxycycline, Linezolid

* FQ: Gemi, Levo, Ciprofloxacin cover Pseudomona but do NOT cover anaerobes. Moxifloxacin covers anaerobes but do NOT cover Pseudomona.

* Ertapenem DOES NOT cover Pseudomona

* mAcrolides DO NOT cover stAph.

* ciPRofloxacin DOES NOT cover stReP

* Cefoxitin, Cefotetan: the only 2°G cephalosporins that cover anaerobes. Also deplete prothombin, so there’s increase risk of bleeding. 

* VRE: Tigecycline, Linezolid, Quinupristin/Dalfopristin, Daptomycin

* ESBL: (BLEE en español)  carbapenems, beta lactam+beta lactamase inhibitors

Dear @md-admissions (I’m mentioning you, since you and I share a passion for ID) & Medblr fam: Are there any corrections and/or additions that you would like to mention? Thanks :) 

[emarsh0004]

What I do when the attending is being a tool.

(Behind his back of course) 😉