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Podcast title mcmumbi's podcast
Website URL http://www.gcast.com/user/mcmu...
Description This is a podcast that provides subject-specific audio reviews of USMLE Step Two material based on Dr. Adam Brochert's "Crush Step 2: The Ultimate USMLE Step 2 Review." I am happy to say that this podcast is complete. There are supplmental images that I scarfed from 'round the Web available at http://picasaweb.google.com/mcmumbi/USMLEIIImages Watch for updates of images there, and for additional nuggets added here. 23 July, 2007 Occasionaly I make mistakes. Please forgive me. Major mistakes are corrected in version x.2 podcast episodes. Other mistakes are usually caught and corrected by the subsequent episode (the one after the error).
Updated Mon, 23 Jul 2007 19:42:02 +0000
Category Health
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Link to this podcast mcmumbi's podcast

Episodes

1. USMLE II Biostatistics I.2
http://www.gcast.com/user/mcmu... download (audio/mpeg, 17.70Mb)

Description: This is a do-over of the Preventive Medicine, Epidemiology, and Biostatistics podcasts I and II, which has malapropisms (sort of) during 2x2 table discussions. This one is MUCH cleaner. Please accept my apologies, and break out a pencil and paper.

2. USMLE II Oncology IV.2
http://www.gcast.com/user/mcmu... download (audio/mpeg, 10.40Mb)

Description: This one covers Multiple Endocrine Neoplasias. Much better than the previous Oncology 'cast that tried to cover those. MEN1: Pituitary, Pancreas, Parathyroid MEN2A: Two Medullae and Parathyroid MEN2B: Two medullae and Mucosal Neuromas. This 'cast covers other cancers with genetic predisposition. It cuts off abruptly because my battery died.

3. USMLE II Oncology III.2
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.20Mb)

Description: Bionic Oncology Version 3.2 - even better than the real thing. I will say some risk factors for cancers, and you will say where the cancer probably is. For example, the following are assocaited with what Cancer? Ni, Ra, U, As, Cr... Lung Cancer. You get the idea.

4. USMLE II Oncology II.2
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.15Mb)

Description: Better sound and better organization than in my previous Oncology II podcast. Blood Dyscrasias: AML: Auer bodies, DIC; ALL: Down Syndrome, fevers, three lines down; CML: Philadelphia Chromosome, huge white count, blast crisis, risk of Myelodysplasia; CLL: older men, lymphadenopathy, Smudge cells. And more, like Mycosis fugoides and Multiple Myeloma and Waldenstrom's Disease.

5. USMLE II Oncology I.2
http://www.gcast.com/user/mcmu... download (audio/mpeg, 13.06Mb)

Description: If you were like me, you were fed up with my confusing presentations for Oncology, especially the early ones. Add that irritating buzz, and those podcasts drove me MAD! So I've redone some of them. Here is: General Cancer facts. Lung Cancer. Work-up of a single pulmonary nodule.

6. USMLE II Bonus: Urinary
http://www.gcast.com/user/mcmu... download (audio/mpeg, 10.32Mb)

Description: Extra nuggets of info...common urine crytsals, Prostate CA stuff, BPH stuff, some false positives on urinalysis, and a little et cetera. I've completed version 1 of an image library for the USMLE II. It's too big (>8Mb) to put on my web site. If you want it, email me at rwm@uab.edu.

7. USMLE II Bonus: Arrythmias
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.41Mb)

Description: This podcast reviews a-fib and a-flutter as well as the classes of anti-arrhythmics. There are a few "What would you do in this situation?" scenarios.

8. USMLE II Ethics Considerations
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.98Mb)

Description: This simply describes some ethical considerations to keep close in mind. It's in an "I question, you answer" format.

9. USMLE II Laboratory Medicine
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Description: This reviews some common laboratory value considerations. There's also a bonus thought process with regard to VDRL testing in the general population v. a population with increased prevalence of SLE. What happens to specificity and PPV?

10. USMLE II Radiology
http://www.gcast.com/user/mcmu... download (audio/mpeg, 11.47Mb)

Description: I say what the suspected problem is, and you say the imaging modality is for (1) screening and (2) confirmation.

11. USMLE II Word Associations
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Description: In the same vein as the Signs and Syndromes podcast, this is common word associations. It's less than seven minutes long, so you can listen to it twice.

12. USMLE II Urology II
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Description: We ll start with Benign Prostatic Hypertrophy (BPH). What are the signs and symptoms? What are you going to do to treat acutely and chronically? What are the surgical options? Then we discuss cryptorchidism. Then we differentiate Hydrocele from Varicocele. Then we differentiate Testicular Torsion from Epididymitis. Then we discuss Erectile Dysfunction and Urethra Meatus anomalies. Last, we talk about urologic considerations in trauma, and the differential of painless hematuria.

13. USMLE II Urology I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.38Mb)

Description: We're starting Urology with a review of nephrolithiasis. Recall the different compositions of renal calculi, and some causes of each. What's your treatment? Then we'll cover non-lithiasis Urinary Obstruction, Potter's Syndrome, Renal Transplant issues (including types of rejection), and Immunosuppressive medications used post-transplant.

14. USMLE II Vascular Surgery II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.97Mb)

Description: In this podcast, we talk about Leriche's Syndrome, Mesenteric Ischemia, Subclavian Steal Syndrome, Aortic Dissection, Cervical Rib, Superficial Thrombophlebitis, and Venous Insufficiency. What is Leriche's Syndrome? What is on your differential along with Mesenteric Ischemia? What malignancy is associated with migratory superficial thrombophelbitis? What's that sign called? What antibiotics would you use to treat cellulitis that arises out of an venous insufficiency ulcer.

15. USMLE II Vascular Surgery I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 15.80Mb)

Description: We start with Abdominal Aortic Aneurism (AAA) and Carotid Stenosis. Remember the magic numbers for AAA (5 cm) and Carotid Stenosis (>70%). Then we get a bonus interlude of risk factors and treatment for Coronary Heart Disease, prompted by the fact that what we're talking about are markers for generalized atherosclerosis. Then we cover Claudication.

16. USMLE II Neurosurgery II
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Description: Hydrocephalus and Spinal Cord pathologies (Trauma, Compression, Syringomyelia, and NT Defects.)

17. USMLE II Neurosurgery I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.46Mb)

Description: Differentiate the differnt types of bleeds. When would you do a Lumbar Puncture (LP), and more importantly, when wouldn't you do an LP? What kind of bleed could be associated with Polycystic Kidney Disease? What are four signs of basilar skull fractures? When are you going to go in and fix it? In general, what's your first imaging test when head bleed is suspected? Not in the podcast is this: one could suffere cerebral contusion or shearing forces injury to the parenchyma that would not necessarily show up on a CT scan.

18. USMLE II Orthopedics II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 24.84Mb)

Description: Charcot's Joints. Osteomyelitis. Septic Arthritis. Osteoporosis. Name the wrist bones and their locations (Bonus!). Describe a Colles' Fracture. Differentiate Congenital Hip Dysplasia from Legg-Calve-Perthes disease and from Slipped Capital Femoral Epiphysis.

19. USMLE II Orthopedics I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 19.08Mb)

Description: What fracture has the highest mortality rate? What do you do with a fracture? What's your treatment for open fracture? When do you do an open fracture reduction? Tell me everything you know about Compartment Syndrome. Whaddaya do with Ligamentous injuries of the knee? What are the most common locations of disk degeneration? What are the signs and symmptoms of each?

20. USMLE II Ophthalmology III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 15.00Mb)

Description: What on Earth is a Hordeolum? What about Chalazion? What's the difference? What's the classic finding of Herpes Simplex Keratitis? Talk about Herpes Zoster of the face, and ophtalmologic complications. Opthalmologic Cranial Nerve Palsies are covered here, he wrote, using passive voice. I give you six types of visual field defects, and you tell the location of the lesion.

21. USMLE II Ophthalmology II
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Description: We start with sudden, unilateral painless loss of vision. What are common causes? (Closed Angle Glaucoma, Migraines, Optic Neuritis, & Trauma) Consider three causes of the rare Sudden Bilateral Vision Loss. Gradual vision loss is caused by many things: Cataracts, Diabetes, Trauma, Meningitis and other infectious causes, Open Angle Glaucoma, Macular Degeneration, Optic Neuritis, Papilledema, Presbyopia, Uveitis. What is going to tell you whether your patient has Preorbital or Orbital Cellulitis? Which one is the true emergency?

22. USMLE II Ophthalmology I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.27Mb)

Description: We begin with Conjunctivitis. In a neonate, what are the time frames within which Chemical, Gonorrheal, and Chlamydial Conjunctivites occur? Then we discuss Open Angle v. Closed Angle Glaucoma. What are the key fundoscopic findings in DM? in HTN? The last subject for this podcast is unilateral, painless loss of vision. Causes include what?

23. USMLE II Otolaryngology
http://www.gcast.com/user/mcmu... download (audio/mpeg, 23.59Mb)

Description: We start this podcast with describing the three zones of the neck with regard to trauma. What are the dividing lines for these zones? Then we talk about hearing loss, sudden deafness, and vertigo. What bug causes Swimmer's Ear? What physical finding differentiates Swimmer's ear from Otits Media? What are the common bugs involved in Otitis Media? Who is the typical patient suffering from Nasopharyngeal Angiofibroma? Rhinitis may be allergic, bacterial, or viral. What bugs are most common? What's your Rx? The most common Sinusitis bugs are what? What's your Rx? (Check out the "Lung Stuff" podcast for further information on Sinusitis.) Differentiate UMN v. LMN disease in hemiplegia of the face. Evaluate a neck mass in a child and an adult. What might cause parotid swelling? I'll give you that one: Mumps, Neoplasm, Alcoholism, Sjogren's Syndrome, Sialolithiasis (but more common where?), Lymphadenopathy, and ever-enigmatic Sarcoidosis.

24. USMLE II General Surgery II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 20.77Mb)

Description: What are the four types of hernias, and what is unique about each one? Which type is most risky for incarceration and/or strangulation? Which is most common in women? Which passes through Hasselbach's Triangle? Other topics include Pancreatitis, Perforated Ulcer, Splenic Rupture (What sign?), & Pulmonary Function considerations for surgery. The ABCDEs of Trauma. What are six life-threatening thoracic trauma problems? Those and four other thoracic trauma considerations are...considered.

25. USMLE II General Surgery I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.21Mb)

Description: Isn't that abdomen 'cute? Exceptions to cutting on an acute abdomen are three: Pancreatitis. Diverticulitis. Spontaneous Bacterial Peritonitis. If pain exists in one of the four abdominal quadrants, or in the epigstric area, what surgical pathology might be going on beneath the surface? Appendicitis. Small Bowel Obstruction v. Large Bowel Obstruction. What is the alphabet soup that you institute for a lot of these? NPO, NG tube, IV Fluids, CT with IV contrast. What are the 6 Fs for Cholecystitis? Fat, Female, Forty, Fertile, Flatulent, and Febrile.

26. USMLE II Gyneoclogy III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 20.31Mb)

Description: Think about the four quadrants of vaginal prolapse. Top shelf is cystic and enteric, bottom shelf is urethral and rectal. Anterior is urinary, posterior is gut. Listen to understand further. Polycystic Ovarian Syndrome. Infectious Diseases of the vagina and pelvis. Ambiguous Genitalia. What is a "bunch of grapes" presenting in the vagina? What is Leuprolide?

27. USMLE II Gynecology II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 21.29Mb)

Description: Dysfunctional Uterine Bleeding, Endometriosis, and then a work-up of Infertility. Leiomyoma, Menopause, and Pelvic Inflammatory Disease (PID). What is required for diagnosis of PID? What do you use to treat?

28. USMLE II Gynecology I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 19.40Mb)

Description: This podcast starts with Adenomyosis and Amenorrhea. Then we do a thorough work up for secondary amenorrhea. What are the dis/adantages of OCPs/IUDs? Evaluation of Breast Discharge. Mastitis. Evaluation of Breast Mass in younger v. older women.

29. USMLE II Cancer Screens, Adult Immunizations & Pod
http://www.gcast.com/user/mcmu... download (audio/mpeg, 10.44Mb)

Description: This one covers when to do some cancer screenings, and how frequently. Then we talk about adult immunizations. Then I review Cushing's Syndrome v. Cushing's Disease, as well as the mysterious location of McBurney's Point. I hope to address podcast errors en masse when necessary. Assistance, with gratitude, came from the future Dr. and current Mrs. Chagal Shaham.

30. USMLE II Prevention, Epidemiology, Biostatistics III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 25.34Mb)

Description: Correlation Coefficients, Chi-squares, t-tests, ANOVAs, Confidence Intervals, P-values, Power. Experimental, Prospective, Retrospective (case-controls), Case Studies, Cross-sectional surveys. Confounding, random/stratified, and several biases.

31. USMLE II Prevention, Epidemiology, Biostatistics II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 19.15Mb)

Description: CAUTION: I misspoke several times on this episode when I got to the 2x2 tables. Listen to Biostatistics I.2 for a more accurate, concise discussion. Odds Ratios, Relative Risk, Attributable Risk, Reliability, Validity, Normal Distributions with means, medians, modes and standard Deviations. 68, 95, 99.7

32. USMLE II Prevention, Epidemiology, Biostatistics I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 20.87Mb)

Description: CAUTION: I misspoke several times on this episode when I got to the 2x2 tables. Listen to Biostatistics I.2 for a more accurate, concise discussion. Define Incidence, Prevalence, Birth Rate, Fertility Rate, Death Rate, Neonatal Mortality Rate, Perinatal Mortality Rate, Infant Mortality Rate, Maternal Mortality Rate. Whom does Medicaid serve? Medicare? Now...break out your pencil and paper. Imagine a 2x2 table. Sensitivity tests for those without health. Specificity tests for those with health. (Listen to see what I mean.) Positive and Negative Predictive Values

33. USMLE II Geriatrics
http://www.gcast.com/user/mcmu... download (audio/mpeg, 7.89Mb)

Description: Old people got issues, and they are not to be taken lightly. 15% of the US population is now over 65. What medical issues are they likely to be dealing with. What can you do to help?

34. USMLE II Genetics II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.38Mb)

Description: X-linked Recessive Diseases include: Fabry's (A sphingolipidosis) Hunter's (A Micropolysaccharidosis) G6PD The Hemophilias Lesch-Nyhan (self-mutilation) Duchenne's/Becker's MD Wiscott-Aldrich Bruton's Agammaglobulinemia Fragile X and then there are multifactorial diseaseas, aren't there? Pyloric stenosis DMII Obesity NT Defects Schizophrenia Bipolar Disorder Cleft lip and palate (lots of pharma issues here too) Ischemic Heart Disease Alcoholism This podcast also has a brief review of the trisomies and Cri-du-chat.

35. USMLE II Genetics I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.27Mb)

Description: These are Autosomal Dominant, with 50% chance of an offspring getting it from an affected parent: vWD MEN Achondroplasia NFT Marfan's Huntington's Familial Hypercholesterolemia Familial Polyposis Coli Adult PKD Hereditary Spherocytosis Tuberous Sclerosis Myotonic Dystrophy And these are Autosomal Recessive, with a 25% chance of offspring getting it from the unaffected parents: Sphingolipidoses (except for what?) Mucopolysaccharidoses (except for what?) Glycogen Storage Diseases CF Galactosemia Amino Acid Disorders SCD Child PKD Wilson's Hemachromatosis 21-OHylase Deficiency (males, precocious Puberty, etc.)

36. USMLE II Pharacology III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 7.07Mb)

Description: Analgesics and NSAIDS, with a brief overview of considerations for Oral Contraceptive Pills (OCPs).

37. USMLE II Pharmacology II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.94Mb)

Description: This is an audio awesomeness of pharmacology. Poisonings and Antidotes, Baby. And again. Common side effects of common drugs are also reviewed, and then re-reviewed.

38. USMLE II Pharmacology I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 20.05Mb)

Description: First we talk about common drug interactions. Do you know what Thiazide and Loop Diuretics have in common? What drugs should you NOT take with each? What acid-base derangements do you expect with each? What drugs should you not take with MAOIs? What drugs enhance or depress Liver Enzyme activity? What considerations (i.e. Risks and Benefits) do you have with Hormone Replacement Therapy (HRT)?

39. USMLE II Pediatrics III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.49Mb)

Description: Testes, one, two...testes, one, two... Metabolic Disorders and Congenital Disorders. Puberty, and Precocious Puberty. And a few other little kid things.

40. USMLE II Pediatrics II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 13.88Mb)

Description: Fluoride, Hearing & Vision Screening, and other stuff to watch kids for regularly. Vaccinations! Lead Poisoning...

41. USMLE II Pediatrics I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 12.38Mb)

Description: Developmental Milestones are the emphasis of this podcast. Anemia, "Anticipatory Guidance," and APGAR scores are also addressed here.

42. USMLE II Immunology
http://www.gcast.com/user/mcmu... download (audio/mpeg, 25.32Mb)

Description: This podcast reviews the four types of Hypersensitivity Reactions. Then we check out HIV/AIDS. Last, we look at some primary immunodeficiencies (e.g. IgA Deficiency, Bruton's Agammglobulinemia, DiGeorge's Syndrome, SCID, etc.)

43. USMLE II Neurology V
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.12Mb)

Description: Seizures! Simple, Partial. Complex, Partial. Absence. Tonic-Clonic. Febrile. Multiple Sclerosis, Peripheral Neuropathies, Syncope, Vitamin Deficiencies.

44. USMLE II Neurology IV
http://www.gcast.com/user/mcmu... download (audio/mpeg, 17.82Mb)

Description: Upper Motor Neuron Disease (UMN) v. Lower Motor Neuron Disease (LMN). Cerebellar Disorders. Floppy Baby. Guillain-Barre. Huntington's. Muscular Dystrophies. Parkinson's. Where is Chorea originating in the brain? What about Hemiballismus? What about an Intention Tremor?

45. USMLE II Neurology III
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Description: Delirium v. Dementia. Headaches. Myasthenia Gravis v. Eaton-Lambert Syndrome.

46. USMLE II Neurology II.1
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.26Mb)

Description: Cranial Nerve Palsies. What CNs are involved in the Blinking Reflex? The Gag reflex? What is Tic Douloureux, and what is the treatment? If your right CN XI is palsied, which way do you have difficulty turning your head?

47. USMLE II Neurology II (bad news)
http://www.gcast.com/user/mcmu... download (audio/mpeg, 3.90Mb)

Description: Starts with cranial nerve palsies. I got to the Abducens nerve, then I got a phone call, and then I stopped.

48. USMLE II Neurology I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 20.37Mb)

Description: Lumbar Puncture findings with regard to cells, glucose, protein, and pressure. Strokes and stuff.

49. USMLE II Dermatology II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 12.46Mb)

Description: Closing out dermatology with identification exercises.

50. USMLE II Dermatology I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 30.64Mb)

Description: Basic definition of dermatological lesions, then some specific identification exercises.

51. USMLE II Infectious Diseases II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 11.89Mb)

Description: I apologize that these are out of order. Every now and then, through some fault that is surely my own, a podcast is truncated to about 2:30...This one's now back up to snuff. I give the genus, you give the antibiotic. That's the first ID game we'll play today. For example: Bacterioides? Metronidazole.

52. USMLE II Infectious Diseases VII (Plus!)
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.52Mb)

Description: Staphylococcal Infections ends the Infectious Diseases series. And there's a bonus! There are several pregnancy pearls included as a result of doing some ExamMaster questions this afternoon.

53. USMLE II Infectious Diseases VI
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Description: Streptococcal Infections.

54. USMLE II Infectious Diseases V
http://www.gcast.com/user/mcmu... download (audio/mpeg, 12.37Mb)

Description: A bronchilitis CXR looks like COPD CXR in a 0-18 month old. Epiglottitis has a "Thumb sign" on lateral neck film. Croup could have a steeple sign on frontal neck film. Know the bug etiologies too, especially after listening here.

55. USMLE II Infectious Diseases IV
http://www.gcast.com/user/mcmu... download (audio/mpeg, 20.67Mb)

Description: Ladies and Germs: I introduce to you...Infectious Rashes!! Cephalocaudal spread? Think Measles or Rubella. Centripetal spread? Including palms and soles? Rocky Mountain Spotted Fever...Yeah, Baby. (Think Austin Powers' voice there.) Four days of high fever, then a chest and abdomen rash? Roseola. Measles light? Rubella. Post-streptococcal sandpaper rash on the abdomen? Scarlet fever.

56. USMLE II Infectious Diseases III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 29.08Mb)

Description: Pneumonia, Syphilis, Endocarditis, Meningitis. Simple as that.

57. USMLE II Obstetrics V
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Description: This starts with a nice summary of fetal heart monitoring. Then we cover breach presentations and postpartum issues like breast feeding, Chorioamnionitis, hemorrhage, fever, and Uterine Atony.

58. USMLE II Infectious Diseases I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 23.61Mb)

Description: Here I review, multiple times, several commonly questioned infectious disease processes. I also review different Gram staining and morphologies of some common microorgansims. I also review some conditions, main causitive organisms, and primary treatments.

59. USMLE II Obstetrics IV
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Description: What to think when considering surgery in the pregnant patient...what to do about third trimester bleeding...what malpresentations are, and how to manage them...what's a biophysical profile (of a fetus) And what is this whole Labour & Delivery thing?

60. USMLE II Obstetrics III
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Description: This one covers a plethora of pregnancy possibilities. Cholestasis, Hydatidiform Moles, Oligo- and Polyhydramnios, and more.

61. USMLE II Obstetrics II
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Description: This starts with quick review of the plusses and minuses of amniocentesis versus chorionic villus sampling, including a review of alpha fetoprotein. Then we cover GDM, Ectopics, Hyperemesis Gravidarum, Transvaginal Ultrasound, and the good and bad drugs for pregnant women.

62. USMLE II Obstetrics I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 26.47Mb)

Description: Signs of pregnancy, laboratory work-up for pregnancy, physiologic changes of pregnancy, prenatal care, abortion definitions, and everything you ever wanted to know about alpha fetoprotein.

63. USMLE II Rheumatology II
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Description: Autoimmune diseases that are characterized by arthritis. Fibromyalgia, Polymyositis, & Polymyalgia Rheumatica, and last but not least, Paget's Disease of bone.

64. USMLE II Rheumatology I
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Description: Osteoarthritis, Rheumatoid Arthritis, Gout, Psuedogout, Septic Arthritis. Which one has needle-like, non-birefringent crytsals in the joint? Which one has birefringent rhomboid crytsals in the joint? What X-ray findings would you see with Osteoarthritis? What joints are most often involved in Rheumatoid Arthritis? There are also several septic arthritides discussed.

65. USMLE II Hematology V
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.54Mb)

Description: I did inadvertently cut off the bit about Eosinophilia and Basophilia. The focus of Heme V, however, is coagulopathies. Listen to this one a few times to help discern between the likes of hemophilias, Lupus, Thalassemia, Liver Failure, von Willebrand's Disease, Warfarin & Heparin, etc. I will add an Eosinophilia and Basophilia bit to the beginning of another pdocast. Look for that to be added on 6 July, 2007. Cheers!

66. USMLE II Hematology IV
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.72Mb)

Description: This is the fourth of five in a hematology series. We did an overview of anemia. We then covered microcytic anemia and normocytic anemia. Now it's macrocytic anemia. What antibodies do you find with B12 Deficiency Anemia? What is a key difference between B12 Deficiency and Folate Deficiency? This episode also discusses different types of transfusions, and when they might be appropriate. This episode closes out with Disseminated Intravasuclar Coagulation and Eosinophilia and Basophilia, but it sounds like I got cut off at the end there.

67. USMLE II Hematology III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 15.26Mb)

Description: Autoimmune Hemolysis. Sickle Cell Disease. Spherocytosis. End Stage Renal Disease. Aplastic Anemia. Myelophthistic Anemia. G6PD Deficiency.

68. USMLE II Hematology II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 11.87Mb)

Description: This is all you ever would want to know about Microcytic Anemia. Think metal poisoning. It could be Iron. It could be Lead. Then there's that inflammatory process that leads to Anemia of Chronic Disease.

69. USMLE II Hematology I
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Description: Here we cover, in broad strokes, Anemia. Signs and symptoms are included. What tests should one order? What are classic findings on a peripheral blood smear? What on Earth is a(n) Reticulocyte Index? What are clues to the presence of hemolytic anemia?

70. USMLE II Oncology VI
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Description: Miscellaneous Neoplasms. 'Nuff said.

71. USMLE II Oncology V
http://www.gcast.com/user/mcmu... download (audio/mpeg, 11.53Mb)

Description: Female cancers, including ovarian, endometrial, and I go back to review breast again. Diethylstilbesterol increases risk of what? For whom?

72. USMLE II Oncology IV
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.22Mb)

Description: Prostate Cancer and Cancers of the organs in the abdomen.

73. USMLE II Oncology III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 22.19Mb)

Description: The quality of this podcast was grating on my nerves, so I redid it. Look for USMLE II Oncology 3.2. The tumor marker bit is good, though. Let's say that someone has small cell Lung Cancer...what derangement would you expect to see on their basic metabolic panel? Tumor Markers!! Sorry the audio is a little soft on this one. The buzzing that was going on for the last three podcasts has dimmed somewhat, which is a relief to my bilateral acoustic schwannomas.

74. USMLE II Oncology II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 19.12Mb)

Description: The quality of this podcast was grating on my nerves, so I redid it. Look for USMLE II Oncology 2.2. Multiple Endocrine Neoplasias: The MENs. Remember them? Think about types of Colon Cancer, like Turcot s Syndrome or Gardener s Syndrome. Think about some familial cancers. What are risk factors for Breast Cancer? For Cervical Cancer? For Clear Cell Cancer? For Colorectal Cancer? For Endometrial Cancer? Etc.

75. USMLE II Oncology I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 23.70Mb)

Description: The quality of this podcast was grating on my nerves, so I redid it. Look for USMLE II Oncology 1.2. What are the common cancers in kids, adult males, & adult females? Think about the emergency of Cord Compression. Describe characteristics of Lung Cancer. Describe in a verbally tabulated way what characterizes Blood Dyscrasias. Down Syndrome with three lines down? Think Acute Lymphocytic Leukemia (ALL) that sort of thing. And more.

76. USMLE II Renal Part Deux
http://www.gcast.com/user/mcmu... download (audio/mpeg, 14.09Mb)

Description: Urinary Tract Infections, Kidney Stones, and more.

77. USMLE II Renal Failure
http://www.gcast.com/user/mcmu... download (audio/mpeg, 25.12Mb)

Description: Is it prerenal? Is it in the renal parenchyma? Is it post-renal? What is causing this renal failure? What are sequelae associated with renal failure?

78. USMLE II Adrenal Endocrinology
http://www.gcast.com/user/mcmu... download (audio/mpeg, 20.06Mb)

Description: I had a little epiphany while studying this one. It involved Adrenal Corticotrophic Hormone and Melanocyte Stimulating Hormone. My skin got all hyperpigmented. It was awesome.

79. USMLE II Thyroid Endocrinology
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.74Mb)

Description: This reminds me of primary versus secondary endocrine dysfuction. Then it gets all slow or hyper, depending on whether it's hypothyroid or hyperthyroid.

80. USMLE II Lung Stuff
http://www.gcast.com/user/mcmu... download (audio/mpeg, 30.64Mb)

Description: Obstructive v. Restrictive Disease. Emphysema. Finding a single pulmonary nodule on X-ray. ARDS. Pneumonia. Sinusitis. (Check out the Otolaryngology one for further information on Sinusitis.) Neonatal Respiratory Distress. C.F. Pleural Effusions. A few other nuggets. You'll breathe much easier after this one. Dedicated to E.L. Blanco

81. USMLE II Signs, Symptoms, and Syndromes
http://www.gcast.com/user/mcmu... download (audio/mpeg, 12.89Mb)

Description: McBurney's Point is 2/3 down from the umbilicus heading toward the right Anterior Superior Iliac Spine. I said it wrong multiple times on this podcast. Forgive me. Otherwise, this is a fun one. Charcot's Triad? Know it. Kehr's sign? Got it. Rovsing's? No problem. Assorted others for your rapid review.

82. USMLE II CHF and Arrythmias
http://www.gcast.com/user/mcmu... download (audio/mpeg, 29.10Mb)

Description: What is the difference between Left-sided and Right-sided Heart Failure? Can you describe the ECG findings for primary heart block? Mobitz I and II? Wolff-Parkinson-White syndrome? You will be able to after listening to this.

83. USMLE II Valvular Dz, DVT, Coags
http://www.gcast.com/user/mcmu... download (audio/mpeg, 19.84Mb)

Description: This is a nice review of some of the heart murmurs you'll hear, and what they mean. I also cover DVTs and Coagulation Disorders.

84. USMLE II Chest Pain and MI
http://www.gcast.com/user/mcmu... download (audio/mpeg, 13.34Mb)

Description: Teasing out the differences between cardiac and non-cardiac chest pain. What would you do if your patient is having a Myocardial Infarction? How do you know? What other problems cause chest pain?

85. USMLE II Shocking!
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.86Mb)

Description: Shock: Hypovolemic, Cardiogenic, Septic, Neurogenic, and Anaphylactic. Think about the signs and symptoms of each, initial treatment, and what you would measure to differentiate between different kinds of shock. So think about Cardiac Output (CO), Peripheral Vascular Resistance (PVR), Pulmonary Capillary Wedge Pressure, and Systemic Venous Oxygen Saturation. Last, think about what dopamine, alpha, and beta agonists you might use to control pressures.

86. USMLE II Vitamin Deficiency & Toxicity
http://www.gcast.com/user/mcmu... download (audio/mpeg, 16.17Mb)

Description: All the vitamins, the sign and symptoms of having too much of 'em or too little of 'em.

87. USMLE II Potassium Issues
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.11Mb)

Description: What does hypokalemia do to you? What does hyperkalemia do? What do you do to correct it? What other considerations do you have to think of?

88. USMLE II Calcium, Mag, Phos
http://www.gcast.com/user/mcmu... download (audio/mpeg, 17.55Mb)

Description: What are signs of hypocalcemia? What about hypercalcemia? And the lesser players, Mag and Phos? What do you think of them?

89. USMLE II Sodium Issues
http://www.gcast.com/user/mcmu... download (audio/mpeg, 15.92Mb)

Description: Hyponatremia and Hypernatriemia. Remember to check volume status. Think about the hormones that affect total body water and Na, specifically.

90. USMLE II Acid-Base Derangements
http://www.gcast.com/user/mcmu... download (audio/mpeg, 12.08Mb)

Description: A short one about Respiratory and Metabolic derangements in acid-base balance.

91. USMLE II Smoking and Drinking
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.51Mb)

Description: This one talks about all the risks of smokin' and drinkin'. Cancers, lung diseases...etc.

92. USMLE II Cholesterol II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 8.75Mb)

Description: This is a rapid review of what was in the last podcast, in a different format. Thanks to Adam Brochert, MD, for his book "Secrets of USMLE Step II."

93. USMLE II Cholesterol I
http://www.gcast.com/user/mcmu... download (audio/mpeg, 26.44Mb)

Description: Hyperlipidemia is sort of memory-heavy. Organizing the risk factors, Coronary Heart Disease (CHD) Equivalents, and stratifying them against LDL levels is the key for me. That and the rule of thirty. Listen and you'll see what I mean. There's an error on the audio too. Total Cholesterol = HDL + LDL + (Trig/5). I forgot the /5 in the audio.

94. USMLE II Diabetes Mellitus
http://www.gcast.com/user/mcmu... download (audio/mpeg, 23.56Mb)

Description: I just made this one. Of course that time reference means nothing to you. Diabetes Mellitus Types one and two are reviewed here, including complications and treatments. This is a most important review here.

95. USMLE II GI VII Pediatric GI with Neonatal Jaundice
http://www.gcast.com/user/mcmu... download (audio/mpeg, 21.68Mb)

Description: The final USMLE II Review for GI topics - neonatal jaundice. How very yellow of me.

96. USMLE II GI VI Biliary, Esophagus, Hepatic
http://www.gcast.com/user/mcmu... download (audio/mpeg, 17.97Mb)

Description: This take the subject matter of GI V, and adds focus. Clearly I wasn't focused for V. Listen to this one. It's better. This is a review of a review. It's kind of like painting over the holidays in a wall after you've finished painting. So let's break out the binoculars and look back at the esophagus diseases, liver diseases, and biliac [sic] diseases.

97. USMLE II GI V Biliary and Esophagus
http://www.gcast.com/user/mcmu... download (audio/mpeg, 13.95Mb)

Description: There's a little bit of a lack of focus in this podcast. For a better review of the same subjects, go to GI VI. Further review. You can't get enough bile up in here.

98. USMLE II GI IV Biliary Tract
http://www.gcast.com/user/mcmu... download (audio/mpeg, 1.08Mb)

Description: Moving on today from the Liver to the Biliary Tract. USMLE II Review of conditions and drugs that can impede the biliary tract, Charcot's Triad, and what-not.

99. USMLE II GI III Hepatic Disease
http://www.gcast.com/user/mcmu... download (audio/mpeg, 23.19Mb)

Description: Mcmumbi's USMLE II Review featuring hepatitis, serum markers for liver disease, liver failure complications, and more!

100. USMLE II GI I GERD, PUD, HH
http://www.gcast.com/user/mcmu... download (audio/mpeg, 12.67Mb)

Description: This is the first in a series of Gastroenterology review for the USMLE Step Two review. This particular episode includes Gastroesophageal Reflux Disease, Peptic Ulcer Disease, and Hiatal Herniae. Note the cool, Latinesque spelling on that last word.

101. USMLE II GI II Bleeds, Diarrhea
http://www.gcast.com/user/mcmu... download (audio/mpeg, 22.90Mb)

Description: Mcmumbi's USMLE II Review featuring upper and lower GI tract bleeding as well as the ever-popular diarrhea.

102. USMLE II Hypertension
http://www.gcast.com/user/mcmu... download (audio/mpeg, 18.11Mb)

Description: Twenty minutes of high blood pressure, with mcmumbi as your USMLE II Review host.

103. USMLE II Psychiatry
http://www.gcast.com/user/mcmu... download (audio/mpeg, 49.31Mb)

Description: This is more USMLE II Review. I would like to credit Dr. Dr. Adam Brochert for his texts "USMLE Step 2 Secrets" and "Crush Step 2." It is on these texts that the backbone of these podcasts are based.

104. USMLE II Emergency Medicine
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.37Mb)

Description: This is the first in a series of USMLE Step II review podcasts. Sooo exciting. Pretty fun, really. This is ten minutes of hypothermia, hyperthermia, frostnip, & frostbite.

105. Last Night Randomness
http://www.gcast.com/user/mcmu... download (audio/mpeg, 7.33Mb)

Description:

106. Antivirals Overview
http://www.gcast.com/user/mcmu... download (audio/mpeg, 19.08Mb)

Description:

107. Autonomic Receptors
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.63Mb)

Description:

108. Autonomicus Fantasticus
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.20Mb)

Description:

109. Basic Immunology
http://www.gcast.com/user/mcmu... download (audio/mpeg, 26.46Mb)

Description:

110. CNS Tumors
http://www.gcast.com/user/mcmu... download (audio/mpeg, 15.20Mb)

Description:

111. MHC HLA Beauty
http://www.gcast.com/user/mcmu... download (audio/mpeg, 8.86Mb)

Description:

112. Gram Positive Bacilli
http://www.gcast.com/user/mcmu... download (audio/mpeg, 21.80Mb)

Description:

113. Gram Positive Cocci
http://www.gcast.com/user/mcmu... download (audio/mpeg, 30.65Mb)

Description:

114. USMLE Random Facts IV
http://www.gcast.com/user/mcmu... download (audio/mpeg, 10.37Mb)

Description:

115. Kidney Fun
http://www.gcast.com/user/mcmu... download (audio/mpeg, 12.34Mb)

Description:

116. Twelve Minutes of USMLE
http://www.gcast.com/user/mcmu... download (audio/mpeg, 11.12Mb)

Description: This is a tight little mix of clinical cases to ponder on your way toward smashing the USMLE1.

117. USMLE Random Facts III
http://www.gcast.com/user/mcmu... download (audio/mpeg, 30.44Mb)

Description: This is simply more explanations from missed questions. It helps me to focus on the essence of the questions...and the answers.

118. Glomerular Nephritides
http://www.gcast.com/user/mcmu... download (audio/mpeg, 21.37Mb)

Description: This is a summary trying to make sense of the ten or so glomerular nephritides. I start by looking at immunofluorescence. Then I get into EM. Then I talk about the age of teh patient. Hopefully repetition will be the key to success in differentiating all these.

119. Lots of Gaps
http://www.gcast.com/user/mcmu... download (audio/mpeg, 28.96Mb)

Description: I call this lots of gaps because that is what my last quiz score reflected...lots of gaps in my understanding. But I have a ways to go, and a good bit of time to get there. So not bad. This 'cast has explanations associated with most of the questions I missed from a recent 50 point quiz.

120. etc. and Lung Drugs
http://www.gcast.com/user/mcmu... download (audio/mpeg, 27.12Mb)

Description:

121. USMLE Random Facts II
http://www.gcast.com/user/mcmu... download (audio/mpeg, 16.38Mb)

Description:

122. Random (Important) USMLE Facts, PKU & Cysteine
http://www.gcast.com/user/mcmu... download (audio/mpeg, 23.48Mb)

Description:

123. More Sugar Stuff...
http://www.gcast.com/user/mcmu... download (audio/mpeg, 22.94Mb)

Description:

124. Glycolysis
http://www.gcast.com/user/mcmu... download (audio/mpeg, 16.99Mb)

Description: Glycolysis in all of it's splendor. Get it? Splendor? Sugar substitute?

125. Enzymes and Carbs
http://www.gcast.com/user/mcmu... download (audio/mpeg, 17.09Mb)

Description:

126. Cardiacness
http://www.gcast.com/user/mcmu... download (audio/mpeg, 30.03Mb)

Description: In preparation for the first step of United States Medical Licensure, I am preparing for the "Boards Step 1" exam. It's a comprehensive final covering all the material I learned in the last two years. I guess there are over 100,000 taking it this month. This is a bit about the action potential that characterizes cardiac muscle contration, about antihypertensive drugs, and...a few other random cardiac things.

127. Ten Minutes of TCA
http://www.gcast.com/user/mcmu... download (audio/mpeg, 9.10Mb)

Description:

128. Skin, Muscle & Bone
http://www.gcast.com/user/mcmu... download (audio/mpeg, 47.18Mb)

Description: This is a rapidly-paced summary of a lot of the information needed to succeed in my exam today, on skin, muscle, and bone. Gotta love the review man. And it gives you a glimpse of the volume of information needed to be learned to establish the basis of knowledge on which lifelong medical learning occurs.

129. Ploughing to the Future
http://www.gcast.com/user/mcmu... download (audio/mpeg, 8.28Mb)

Description: A personal story, and a reflection on the last few days events.