All right, welcome. My name is Divine. This is episode 612 of the Divine Intervention Podcasts.

In today's podcast, I'm going to be going to be continuing the rapid review series

for step 2, Ski, and step three. This is going to be series of 125. Again, I know I started

a series of medically major and God willing, we're going to continue that.

So let's jump right into it.

So what if they give you a question about a patient and you're told that this patient, you know, presents, you know,

he has not seen a physician in the last three years, but that is coming in today because his abdomen has been swollen for the last two months

and the swelling has gotten progressively worse. And you're also told that, you know,

abdominal examination discloses a fluid wave and all these things. And then the ask you a risk

factor question, they say which of the following is the most important risk factor for this patient's presentation.

Well, I would really hope that you're going to pick the answer that talks about alcohol consumption, alcohol consumption, right?

So this person has probably developed cirrhosis, and that cirrhosis has led to portal hypertension,

which is creating the abdominal complaint that the patient has, right? Remember, alcohol causes a lot of problems, right?

Literally causes a lot of problems. Like literally, after smoking, alcoholism is the second

most, you know, common preventable risk factor for death and just the bad quality of life

in the U.S. So by quality of life, I mean something more like morbidity, right? So alcohol is like

number two. What do you think is number one? Number one is going to be smoking, right? Number one is

going to be smoking, right? There are so many ways they can test alcoholism on your exams, right? Alcoholism on

your exams, right? Like, for example, they can test it in the context of fetal alcohol syndrome,

right? Alcohol is the most common teradogen. Oh, really? Yes, it is. Alcohol is literally

the most common terranogen, right? And it can cause you to have cirrhosis, right? All that

cirrhosis can damage the liver that can lead to hepatocellular carcinoma, right? That can lead to

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