DIP Ep 659: USMLE Step 2/3 Review Series 138

Divine· Host0:00

All right. Welcome. Uh, my name is Divine. This is episode six hundred and fifty-nine of the Divine Intervention podcast. And in today's podcast, we're gonna be continuing the rapid review series, uh, for the USMLE step two CK and step three exams. Uh, this is gonna be series one hundred and thirty-eight. All right. So what if they give you a question about a patient, and they tell you that this patient says that for the last three months, uh, she has been noticing, uh, just like a lot of flecks of blood in her stool. And this person is sixty-seven years old. It's like a sixty-seven-year-old female. And then you're told that this patient, whenever she, um, you know, wh-when you do a physical examination, you hear-- you, you notice that her neck pulses are very weak and that you can hear a systolic murmur at the right upper sternal border. If you see something like this, what should you be thinking about? Well, I really hope that you're thinking about a person that has Heyde syndrome. Right? A person that has Heyde syndrome. Right? Uh, Heyde spelled H-E-Y-D-E. Heyde syndrome, right? Basically, um, this is a person that w- the way it's gonna present on your exams is, it's gonna present with a combination of a person having aortic stenosis. So typically, it's gonna be in an older person on the exams. Aortic stenosis and GI bleeding, right? Aortic stenosis and GI bleeding. Aortic stenosis and GI bleeding, right? So what's the thing that causes the problem? Well, the thing that causes the problem is that the person will basically have, um, von Willebrand factor multimers