oluafolabi:


LOL. I hated Ganong even though it was the standard text for my school.
I used pocket Guyton and Sembuligan.

well, I use Ezeilo, Guyton and Ganong. I really hate Sembuligham.

Dbrainiac1:
Evening docs!
.
.
How does the deficiency of Glucose-6 phosphate dehydrogenase cause anaemia?

the enzyme is involved in the pentose phosphate pathway, results in the generation of NADPH a reducing equivalent. This is required by glutathione for the continuous removal of free oxygen radicals than destroys RBC membrane. The deficiency of G6PDH results in the continuous degradation of RBC leading to anaemia.

Gr8amechi:
let's not drag this any further, how can someone with 55 get admitted? You check am na this was not how it has been done in the past

besides me who got 64 (DE) my other DE in class now didn't get above 57. If the highest is 70 and the next highest is 50, wouldn't the next be picked?

Gr8amechi:
Bros which of the 300 level class the mb or d new one

the new one.

This is for those who use Ganong and Guyton. Ganong is respected likewise Guyton when it comes to physiology. Yet, both textbooks had very different explanation regarding neural control of respiration. Ganong said it is basically Pacemaker cells in the Pre-Botzinger complex in the medulla while Guyton and other texts like Ezeilo said it is inspiratory and expiratory grp of neurons in the medulla and the pontile centres. It has always being somehow to me, this is because both books are standard. What is your opinion on this.

1, 3, 4 and 6.

tope3x:
She looks like oloriburuku. ...that's it

mehn!!! I duly hope you know the meaning of that? Haba..that is God's creation. That is just too far. Mind putting up your picture.

Interesting15:
Guys, we need to be serious with our lives. Something happened yesterday. A woman that was hale and healthy during the day (she even attended a financial seminar). And when it's evening, she was just feeling little pains, and it was increasing, that she almost died. And she was like, 'is this how people die?

You don't know when death might come. Live your life for God. Accept Jesus Christ into your life today, before it's too late. So you can reign with Jesus Christ in His Kingdom Heaven.

This message might be for you.
What if you die tomorrow?

do you preach to people only by talking about death? By the way, you are derailing.

charleymed:

lols. you're good...it's funny how dynamic medicine is, almost everything seem to be correct.
MBBS-unijos.

at times it would seem beyond understanding, very frustrating. Hello to you guys over there...

charleymed:
You have a strong point bro...medicine is very dynamic.
what of am thinking of something like this.....normal; stroke volume 70ml and heart rate 75 beats/min=5250ml/min (cardiac output) and for Bradycardia; heart rate 40 beats/min and stroke volume 90ml=3600ml/min.
so do you think that the cardiac output has been increased? Lols.
That's why I'm still suggesting that in the presenting case, the TPR which increases as a result of sympathetic discharge to the blood vessels is a more appropriate parameter for assessing the increased blood pressure, not bradycardia.unless where clearly stated, that's in magnitude...both for heart rate and stroke volume.
Most of the time cardiac output tend to decrease with bradycardia depending on the magnitude. That's more reason why tachycardia (as a result of sympathetic discharge to the heart) is often associated with increased blood pressure.

I enjoyed your posit, yet this response does not normally occur in healthy individuals, it is a severe response to a severe condition whereby there is reduced blood flow to the centre regulating the CVS in the medulla. It would be unfair to just assume 90ml since this response is a severe one. Although, Ganong stated that this response and the CVS response to atrial natriuretic peptide are two counter-intuitive processes in CVS. You have to appreciate that the response is counter-intuitive. Other processes in CVS regulation follow normal reasoning as you are suggesting. I strongly like your reasoning, what sch, I rep Delsu by the way.

charleymed:

Ok. Thanks. I guess the bradycardia in this case is not as a result of the CNS ischaemic response directly, I think I understand what you meant now. It's actually stroke volume that's dependent on Frank-Sterling law of heart not cardiac output as I thought initially, so I'm clarified on that now. But I still have a problem with your answers...bradycardia in most will not increase cardiac output, since cardiac output is largely dependent on the heart rate, which is not elevated in bradycardia. Though elevation of blood pressure as a result of CNS ischaemic response is feasible, but this mainly due increased total peripheral resistance(increased sympathetic discharge to the blood vessels), because bradycardia in most cases does not increase cardiac output, and blood pressure is a product of cardiac output and TPR.

the response basically wants to increase blood pressure. B.P is a product of cardiac output and TPR. So on one hand TPR is increased by sympathetics while cardiac output is increased by inducing bradycardia which might seem counter-intuitive. Now, if tachycardia is induced, it wud mean less time to fill the heart with blood, therefore by inducing bradycardia, more blood enters the heart therefore more blood is pumped out therefore increasing cardiac output. I understand that cardiac output is a product of stroke volume and heart rate, but increasing stroke volume is more important than just increasing the heart rate with less blood to pump.

charleymed:
I get you now. I guess I didn't understand your question at first. Thanks.
But I will appreciate if you can through more light on why blood supply to the vasomotor centre only, is affected. or is it that a particular artery is occluded or thrombosed? ?
And secondly, I don't understand how bradycardia (decreased heart rate) increases stroke volume.
Finally, the sympathetic discharged from the vasomotor centres to the blood vessels (increased TPR) is quite understandable, but the ensuing bradycardia without the involvement of hering-bruer reflex is not that clear to me.
so, please clarify.

reduced blood supply to the VMC due to hypotension induces the response explained in order to increased blood supply to the neurons of the VMC,
With bradycardia, more blood fills the atria, therefore more blood fills the ventricles therefore increasing stroke volume (this increases cardiac output which is stroke vol * heart rate, but the vol is more imp), note that blood pressure is dependent on cardiac output and peripheral resistance.

Jolllyjoy:
How come am just seeing this??

the forum used to be very informative dear....

DOCTORPRESH:
Okay Sire!! Seems DE is a surer bet, wish I had what it takes to apply via DE, but no probs sha... I'll be a medic soonest..

wishing you success on that truly. #Success

During CNS ischaemic response, there is reduced blood flow to the vasomotor centres which is bad. This centre therefore induce the response, i.e. Increased peripheral resistance (sympathetic effect on blood vessels) but reduces the heart rate (bradycardia). Bradycardia obeys the Frank-Sterling law of the heart under physiological range by increasing end-diastolic volume, therefore increasing stroke volume, when this is considered with increased peripheral resistance, arterial blood pressure rises greatly. I appreciate the responses so far.

DOCTORPRESH:
ah no cum understand again oo, u said it's merit and 55 isn't merit..
That aside, are u a DELSU medic? What level, pls?

the person who had 55 got medicine (DE) likewise my friend who got 64(DE), but my friends name was first on the list indicating hierarchy of score. I am a delsu medic (300L).

I would like to hear your opinion on this. A man is undergoing CNS ischaemic response (increased peripheral resistance, but bradycardia to increase arterial blood pressure). What is the essence of bradycardia in elevating blood pressure? What law is being obeyed? Just your thoughts.

Now, I am sick and tired of this nonsense argument about career courses and which is better. I am appealing to medical students on this forum to stop arguing with those who always argue about the importance of their course to medicine. We've derailed way too much. Other fields are appreciated on this forum as long as you are updating people's knowledge, you guys might as well create your own forum (just saying). No one discusses questions again, no one brings medical situations and opinions any longer. All you guys do is to argue how dentists collect higher salary than doctors. I strongly feel my fellow medical students are above this depraved reasoning and arguments. Let us make this forum academic, informative and truly medical. Thank you.

natdswiftest123:
. Am from delta state

why don't you choose Delsu, I feel you have a better chance here. Come home jare. Just try to get almost the same score for jamb, then prepare for Eng, Maths, Phy, chem, bio and some current affairs for delsu post-utme. Wishing you success dear.

Its both guys and ladies. I feel it is a way for those who lack the capacity to express themselves in public to say all the crap they've always had inside. Besides, its an online forum, therefore they feel anonymous. Really annoying.

muheewa:
See as She ugly............... MonKey..

you called someone ugly, but you are not man enough to put up ur pic...says a lot about you.

.

natdswiftest123:
Gudevening medics...great work so far, this platform has been a source of inspiration to me this past few months. I've always wanted to study medicine which by God's grace I know I will but it has been tough so far. I had 283 n 68% in jamb and putme this year but I was admitted for medlab in uniben..pls I need ur advice on how to cope with this course and writing jamb, I'm really scared I might not be able to score above par in jamb because of the courseload...tanxs

what state are you from? By the way, I bow at your jamb score o, wow, nice.

Is engineering accredited in DELSU? a friend is interested in electrical engineering. Is there a way of verifying?

DOCTORPRESH:
WOW!! Congrats to them.. Does that mean they use diiferent cut off point for DE candidates?? And how does DE candidates calculate their aggregate?
Pls reply....

nothing like aggregate for DE applicants, only their post-DE result is used since they do not write UTME only post-DE. Besides, medicine admission this year via DE is basically MERIT, my frd (yoruba) got highest and was given. It's just about aiming for high scores.

@House, I need quick info regarding Electrical engr in Delsu, besides has engineering being accredited? Does Delsu offer Electrical engr? A friend intends choosing delsu. Thanks. Cc @Alkarulez.

DOCTORPRESH:
Those who gained what with 55??

medicine via DE. @Amaechi, we are here exchanging Info to educate people interested in delsu, "no be quarrel". Besides, nobody LOOKS like he is looking for adm or he is admitted. Fine, sorry for assuming u're seeking for admission. Lol

Gr8amechi:
don't mind the guy

lol, cool off bro. This is not a quarrel, just laying down my own posit. A friend of mine gained medicine (yoruba) gained med via DE with 64, I know those who gained with 55. If you weren't giving, you try next year. But really, just calm down.

heykims:

Welldone bros, but I have issues with these your topics
1. Factors Influencing the Preference of Medically Qualified Over Non-Medically Qualified Teachers in Nigerian Medical Schools - did u expect non-medically qualified individuals to be employed as lecturers in medical schools, is it even a valid question?

2) Prevalence of Stress Among Students: A Comparative Study Between Medical Students and Non-Medical Students in Nigeria Universities- Stress isn't a definitive diagnosis in medicine, I believe definitive health conditions like anxiety disorders, depression with standard criteria for diagnosis should be used.
I don't know if u are a doctor or not but I think your topics require more scrutiny.

I strongly feel what @LomaXx is referring to is:
A: a doctor (mbbs) lecturing on physiology instead of a dude who studied physiology, got a M.Sc and Phd and starts lecturing medical students.
B: we have semi-quantitative means of quantifying variables in sciences when definite measures are not needed sometimes, such as mildly acidic, strongly acidic or using the + sign to indicate the quantity. So people might as well say not too stressful, quiet stressful, very stressful OR +, ++, +++ etc. Just my thoughts though.

shadowgwalker:
but e no go pass my igbo ppl oh!! I mean, my weed people ooh. Don't ger it twwisted cos any tribe takes igbo.

only one question to you, would you be man enough to put up your real names and your real picture and be tagged against your statement? You guys just say anything on the internet these days, pretty disappointed at my fellow Nigerian youths. More noise less sense.

TruthHurts1:
Come on sharrap there. Nigeria bad pass any other country

Really, the way you guys post unconfirmed reports here uhn, so Nigeria is the worst country in the world, and you can feel free browsing, typing away on forums while still being in Nigeria brother. Why don't you try visiting Somalia, Syria etc. Abeg, you guys should calm down and stop spoiling Nigeria, yes we have issues, but it is not bad like that.

Preciousone4ril:
As a final year med stud in uniben wit barely months to go.i can say one thing for a fact medicine humbles all. For d aspirants keep d fire burning, d race is yet to start. Dont burn out just yet.

#Fact boss, after crossing into 300L Delsu med I really understand boss. Success to you bro, success to all.