Hamayail Ansari

This is an AMAZING case. We probably lose patients like this a lot without realizing what happened. The recognition of LVOT obstruction by echo is outstanding work. Then to switch from beta agonists (epi) to beta blockers (esmolol) saved this person's life. Takes guts to do that in the face of hypotension. In physiology we trust! Well done.

Is @UpToDate going to add an AI to search their database? The info is so reliable. If it just had an AI to help me find what I’m looking for it would be amazing.

Here's how to test yourself on USMLE Step 1 clinical topics (I’ll cover pharmacology and basic science later). Let’s take Cushing disease as an example. Obviously, learn the underlying cause of the disease (hypercortisolism). Then focus on recognizing the disease presentation. What does a patient with this disorder look like? What brings them to medical attention? What’s their most bothersome symptom? What do you find on physical exam? What are the abnormal labs? What shows up on imaging? Once you’ve got that down, REVERSE it. Suppose you are told a patient has Cushing disease. What symptoms, signs, and findings would you expect? Can you name them from memory? Going FORWARD AND BACKWARD through clinical presentations of disease is a fantastic way to learn. Next, return to a patient presenting with clinical features of the condition. What diagnostic test is most likely to be described? Do you understand what it’s testing and why it would be abnormal? Then focus on treatment. What is the treatment? More importantly, what CHANGES after treatment? Do hormone levels fall or rise? What symptoms will the patient notice improving? It's not to enough to know that "the condition improves." You need to get specific. Finally, do a vocabulary check. Don’t just memorize buzzwords like "hyperpigmentation." What does that look like if they show you a picture? Where on the body would it be seen? What other words could be used to describe it? Apply the same strategy to any feature of the condition. Think of every creative or indirect way a symptom, sign, or finding could be described. Step 1 is a test of medicine, but also a test of reading and vocabulary. This is how to learn disease. It's also how I teach disease states in Boards and Beyond videos and questions. Do this for all the disorders in First Aid and your foundation will be solid.

Made my first TikTok for all those medical students out there struggling to prepare for Step 1. tiktok.com/@jasonryan356/vid…