All right, welcome to episode 618 of the Divine Intervention Podcasts.

In today's podcast, I'm going to be continuing the rapid review series for the US Emily Step 2C and Step 3 exams.

This is going to be series 128.

If you notice, I've been trying to pump out a ton of these recently because it's just a very efficient way to throw in the material that again is just popping up a lot on the USMLEs these days.

So what if they give you a question about a patient?

And they tell you that this person is a 76 year old male and that, you know, over the last three hours, his wife has noticed that he has been out of it,

right? He has been out of it. And that, you know, that his symptoms started very suddenly.

And that she notices that whenever she, you know, that on his left side, he says that his left

side feels very, very weird. You know,

his left side feels very, very weird, and that the right side of his face also feels weird.

And then they tell you that on physical examination, this person was, you know, that the person

has like no pain or pinprick sensation on the left upper, in the left upper extremities, left lower extremities.

And they ask you for the most likely diagnosis.

Well, I would really hope on your exams, you're picking an answer that talks about right pontine stroke or right aeika stroke, right?

So this person has a brainstem stroke. And one of the classic ways you

know that a person is dealing with a brain stem stroke is that you're going to see pain and

temperature loss. You're going to see the upper and low extremities affected together, right? That pretty

much rolls out a cortical stroke as the etiology of the person's problem, right? Because if you were a cortical

stroke, then you'll see either an MCA distribution stroke, just the upper extremities, or an ACA

distribution stroke, just the lower extremities. But we see that here, the upper and lower

extremities are affected, right? Especially when they give you cranial nerves that are impacted,

that's going to be some kind of stroke that is below the cortex, right? It's going to be like some kind of brainstem stroke, especially when they're throwing cranial nerves. So for this Eichita stroke question that I'm talking about, what cranial nerve should they throw in? Well, typically on the USM lees, they're going to throw in something related to cranial nerve number seven, right, the facial nerve. Because remember, the facial nerve is in the lateral pawns. I'm going to throw in something related to crinion nerve number seven, right? The facial nerve.

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