Oh, Yes! Medic.

Today's episode I add more manifestations of ARF. Suggest me any other topic via DM on Instagram : @ohyesmedic 😁 thank you for your support!!

Get a brief information about Rheumatic Heart Disease.
What is the clinical presentations of rheumatic heart disease (RHD)?
What is pericarditis? What is Rheumatic Polyarthritis?

Rheumatic Heart Disease (RHD) is a chronic disease which the heart muscle and valves damage due to rheumatic fever caused by Streptococcus pyogene - a group A beta-hemolytic infection.
The cardinal anatomic changes of the valves include: 1. leaflet thickening, 2. commissural fusion and 3. shortening and thickening of the tendinous cords.
RHD is characterized by consistent involvement of myocardium, endocardium and pericardium into a pathologic process. The person may develop isolated diffuse or focal myocarditis, endocarditis and pericarditis.
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Most significant finding of RHD
- Mitral valvulitis can occur causing thickening of the leaflets. A murmur is created by increased blood flow across the thickened mitral valve. This can be distinguished from rheumatic mitral valve stenosis by the absence of an opening snap.
- The murmur is described as a 'low-frequency mid-diastolic murmur' which can be best heard at the mitral listening post with the bell of the stethoscope with the patient in the left lateral decubitus position at end of deep expiration.
As the rheumatic valvulitis resolves, the murmur disappears.
Rheumatic heart disease will most commonly reveal the murmur of mitral stenosis.
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Basal protodiastolic murmur in aortic regurgitation
Affection of aortic valve manifests with basal protodiastolic murmur, typical for aortic regurgitation which begins immediately after II tone. As for character – high frequent, blowing, diminishing. It’s auscultated best of all along left edge of sternum after deep inspiration at forward inclination of body.
Ultrasound examination at aortic valve’s valvulitis allows revealing diastolic fibrillation of mitral folds with small amplitude in 50% of children. In some patients thickening of echo signal from aortic valve folds and aortic regurgitation may be present. These signs are objective criteria of rheumatic endocarditis diagnostics.

I'm reading my internal medicine lecture notes on Acute Rheumatic Fever introduction including the etiology, pathogenesis, pathologic peculiarities on various tissues and clinical presentation.

What do you know about diabetes could make you think about this artificial pancreas. Shortly, it’s about a system of diabetes care.

In this episode, I simply stated about salivary glands and their differences. Thus, I also speak about the function of saliva and why do we need saliva?

I talked about Large Intestine and Rectum (also appendix). This is the last part of Alimentary Canal. ☁️👩🏻‍⚕️

The small Intestine has luminal digestion! 😲 It is different from the stomach organisation in several aspects! 🧐🤨🤓

Continue from the previous post; teeth Histogenesis, oesophagus and stomach.

This section is focused on Mucous layers, structure on lips 👄 , tongue😛, tonsils and teeth 🦷 🦷🦷.

Recording before the school day tomorrow. Medical school is not a playground, and yet, I still insist to start this thing which makes me feel like I'm definitely out of my mind when I started this.

But, what's more important in dreaming is that; You show up every time, no matter how suck you feel, no matter how much you want to give, (plus no matter how suck this podcast I did, you must listen to me!)

The road to great success is hard and boring and lonely; especially when you're doing things you never dreamed about.

Show up, dress up, get up!

Please stay that way.

I recorded sleepily and please appreciate it.

Super exhausted with school.

Don't forget to study, okay!

xx.

Still not sorry for not updating on Friday.
Can we just ban that Friyay from this podcast? - Let's do that!
Hahahah

So, what if I change this podcast into MMM instead?

Still recorded by: me
Song originally by: The Script - Superheroes

Embrace yourself is hard, I'm trying it too.

You gotta be studpid in order to learn smarter. Introverts gonna hate what I said here. And the Lazy people gotta love what I tell them here. I'm sharing what you'd be expecting on your first week in medical school.

Starting a podcast is a struggle. 🤕 It’s not a thing that you’re born with because it’s a skill that developed over times as you start it and practice your podcasting experience . This is not a podcast about how to start a podcast. I’m sharing my experience and confessing my fear of starting a podcast out of my medical school journey. The journey just begins and you wouldn’t want to miss it out! 🙌🏼 Tune in now.