Welcome. This is Devine. This is episode 500 of the Devine Intervention

Podcasts. Into these podcasts we're going to be continuing the rapid review

series for the USMLE Step 2,

2, second, step 3 exams.

And this is going to be series 108.

You know, this is a very meaningful podcast. And I feel like a lot of people have gotten a lot of

benefit from this podcast over the years and I'm just truly grateful to God for

how far we have come I mean I never like thinking back to when I meet episode one and now this is

basically 500 episodes later. I'm just really grateful for the impact that this podcast has

made in many people's lives. So today the game plan is to make this a pretty

high-yield rapid review to go over a lot of very pertinent stuff for the USMI exams.

And the thing that's going to happen is I'm going to try to spend some time.

Again, really going into some things that are probably fall under the more technical aspect of things for people.

But again I think you're going to get a lot from this like you have from many of the other podcasts that I have made.

Okay, so let's start off with a few questions on cardiac

pressure. So what if they give you a question about a patient? They tell you that

two weeks ago you know this patient patient had myrioneria and had some, you know, had a productive cough,

but that now this person over the last two days his legs have swollen and you're told that he has

been having shortness or breath and that he now requires like two or three pillows

to sleep comfortably at night.

And then you're told that on cardiacoscotation,

you can hear a lot of pulmonary crackles

...