If you've done MBBS :You are in top 0.1% of the population If you've done MD after MBBS: You are in the top 0.01% of the population If you've done DM after MD,MBBS: You need to get a life

Daraxonrasib- The new weapon in the armamentarium against pancreatic cancer is creating ripples across the med onc community I would like to take this opportunity to remind you how incredible Oncology residency is: In the 1 st year ,you hear about the names of all these fascinating drugs In the 2nd year , you learn how to pronounce the names of all these drugs In the 3rd year , you understand how to prescribe all these fantastic molecules And after you pass out, you get to know that all these "fascinating" drugs have become redundant..and you go back to learning how to pronounce these new drugs again

There is no test in the world to differentiate between SIADH and CSW The only way you can come to a conclusion is by giving a trial of fluids and see the response If the patient improves its spot on Cerebral Salt Wasting and if the patient deteriorates it is multiple Consumer court visits

In the face of global unrest , India is facing a severe shortage of platinum agents It is a sad time for most oncology centres EXCEPT for that one institute we all know that will come out with the SUBPLAT trial-" Substitution of platinum drugs with other chemotherapy agents in war affected areas- A real world study of 1000 patients" ☠️

1. High CRP /procalcitonin = infection 2. Low CRP/procalcitonin = no infection 3. ESR is useful 4. Granuloma = TB 5. Flucloxacillin is superior to cefazolin 6. Antibiotics prevent infection (infection prevention prevents infection: mainly hand hygiene)! 7. Perhaps contrast-induced nephropathy (not my area of expertise) 8. You need three drugs to treat HIV (not a major issue, but two will mostly do just fine) 9. Pyuria = UTI 10. Bacteriuria = UTI 11. Positive BAL/sputum/tracheal tube cultures = pneumonia 12. You need cephalexin (use cefadroxil)! *** And as always -Longer is better -IV > oral

One of the BIGGEST sources of confusion of diuretic therapy with ascites is getting the dosing wrong. For CHF spironolactone is 25 mg. In Ascites we START at 100 mg and go to maximum of 400 a day. Furosemide is added with 40 mg and maximum 160 mg

If you are single you often feel left out ,unhappy , sometimes even miserable You are unable to thrive, blossom and reach your full potential ! That is why Myeloma decided to not be single . It chose to be multiple- Multiple myeloma, multiple lesions ,multiple tumors It decided to be savage af and wreak havoc 😈

You are about to give parenteral B12. Which electrolyte must be checked first and what complication are you trying to prevent?

Medical guidelines have destroyed critically thinking in medicine.

Heard many south indian songs but Monica Belluci always hits different! I think idolizing Western stars in Indian songs is the secret ingredient to a hit song recipe

People who diss clinical examination as part of the diagnostic algorithm probably were never taught it properly, consequently are shit at it, and have also probably never diagnosed anything based on clinical exam in their entire lives...

This is where I write most of my tweets -over a cup of caffeine The calm ambience and aroma of coffee gives me the motivation to provide insights into medicine residency, write medical humour and trigger uptight medtwitter specialists

I would be impressed if you knew how to read an MRI Brain film But I would be bamboozled if you knew how to read an MRI spine Try identifying the pathology here

Diuretics come much much later in the treatment of fluid overload The first and foremost thing is to correctly estimate the Input- Output balance The reason why Govt hospitals fail in this in contrast to corporate is because the balance is calculated by Nurses:- The Nurse to patient ratio in corporate is 1 : 3 In govt it is 1 :20! - This is where mistakes occur Folks, We dont need a higher Doctor:Patient ratio We need a higher Nurse:Patient ratio

For the Specialist not trained in the Gen Med here is an important but overlooked tip for your patient's Creatinine problems: If the BUN/Creatinine ratio is >20- Give Fluids. The Creatinine will normalize after 24 hours If the BUN/Creatinine ratio is <20- Call the nephrologist. This is not your patinet to treat !

What agent do you use for luminal treatment of an amebic liver abscess ..that is available in India ? Curious to know @Gastronaut___ @anujtiwari11 @Gaurz3

Knya med is going All out on marketing their new line of stethoscopes- claiming theirs have sharper acoustics,better clarity and more comfort What they dont realise is that medicos don't buy Littman for its superior acoustics They buy it for Brand Value and the Glory that comes from having a Littman wrapped around your neck 🌟

All corporate hospitals, DNB institutes have a Code Blue system- Wherein an alarm is announced across the hospital whenever a patient collapses,and all available doctors are supposed to rush immediately to the incident site But no such system exists in government hospitals- Not because of lack of infrastructure , but because if a Code Blue system was implemented in govt institutes the whole hospital would be ringing with sirens...24/7 !

Dear Juniors , The most common cause of T inversion in leads 2,3,aVF is not Inferior Wall MI ..it is Incorrect Limb Lead placement Which is why you should know how to do ECG and not leave it to the nursing staff ..😀

Now watching #AspirantsSeason03 on Prime