Welcome. My name is Divine. This is episode 582 of the Divine Intervention Podcasts. In today's podcast,

we're going to be continuing the series on the USMLA Step 2, CK, Step 3, Rapid Review. This is going to be

series 120. Again, these podcasts is pretty high yield. There's something you should not ignore. I think you'll help you tremendously on your exams.

So let's jump right into it.

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

patient, they give you like an image and they tell you that this patient, know for the last you know is a newborn and

this newborn you know had a lot of seizures you know within the first few hours of birth and they

give you a chest x-ray and you notice on the chest x-ray that, you know, it's just all black.

And you notice that you, they tell you that, ooh, you see a reduced a supermedia

spinal or radio density.

What should you be thinking about?

Well, I would hope you're saying, oh, divine, this is the George syndrome, right?

So remember, in the George syndrome, your third and your fourth are pharyngeal pouches do not form.

So if your third and your fourth pharyngeal pouches do not form, you do not form a parathyroid gland, and you do not form a thymus.

Make sure you can recognize a thymus on a newborn chest x-ray.

You know, many of you know it as the sales sign.

It's not enough to just know the sales sign.

Make sure you can recognize it.

And one thing I've always encouraged people to do is when you see a newborn chest x-ray,

just always look at the very tippy top.

Because I don't know if whatever reason, the tippy top of chest x-rays is like one region that many people just ignore.

But many times our friends at the NBMs have some very interesting things that they love to hide there.

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