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INTRAVENOUS THROMBOLYSIS (fibrinolytic therapy) can be successfull if given
A. Within 30minutes to 12 hrs in STEMI
B. Within 3-4.5 hrs in Acute ischemic stroke
C. Within 14 days in Pulmonary embolism
Choose the ā ļøcorrect statement/s among the above.
#Medtwitter #MedEd
A. Within 30minutes to 12 hrs in STEMI
B. Within 3-4.5 hrs in Acute ischemic stroke
C. Within 14 days in Pulmonary embolism
Choose the ā ļøcorrect statement/s among the above.
#Medtwitter #MedEd
ā
ļøTRUE statement/s among the above three
Fibrinolytic agents are plasminogen activators(PA) that act by converting plasminogen to plasmin. Plasmin then degrades the fibrin matrix of thrombi and produces soluble fibrin degradation products resulting in clot lysis.
Drug of choice for ANAPHYLAXIS in a patient with no response to Epinephrine?
Patient is on Propranolol 60 mg BD for essential tremors.
#MedTwitter #emergencymedicine #CriticalCare
Patient is on Propranolol 60 mg BD for essential tremors.
#MedTwitter #emergencymedicine #CriticalCare
Which drug should be given?
#MedTwitter #MedEd #MedicalStudentTwitter #IMGs #IMG #medicaleducation #medicalinternship #medicineresidency #internalmedicine #doctors #madaktari #Medicos #medicina #mƩdecins #Medizin #Likitoci #medicine #medical #FOAMed #FOAMim #FOAM4GP
#MedTwitter #MedEd #MedicalStudentTwitter #IMGs #IMG #medicaleducation #medicalinternship #medicineresidency #internalmedicine #doctors #madaktari #Medicos #medicina #mƩdecins #Medizin #Likitoci #medicine #medical #FOAMed #FOAMim #FOAM4GP
Anaphylaxis is a severe, life threatening systemic hypersensitivity reaction characterized by being rapid in onset with potentially life threatening airway, breathing, or circulatory problems and is usually, although not always, associated with skin and mucosal changes.( ICD-11)
27 yrs old patient, detected to be pregnant when she missed her periods one day back. She has Graves disease on Rx for past 3 years, presently on Carbimazole 5mg daily and not on propranolol. She was euthyroid with Rx for past 1 year. Best strategy ?
Present reports š
Present reports š
A. Stop carbimazole and monitor by weekly/fortnightly TSH, FT4 levels and follow up.
B. Switch to PTU 50mg bd and do FT4, TSH after 2 weeks and review
C. Switch to PTU 50 mg bd + LT4 50mcg OD. TSH, FT4- 4wkly
D. PTU 50mg BD and Propranolol XL 20mg , Monthly TSH,FT4-followup
B. Switch to PTU 50mg bd and do FT4, TSH after 2 weeks and review
C. Switch to PTU 50 mg bd + LT4 50mcg OD. TSH, FT4- 4wkly
D. PTU 50mg BD and Propranolol XL 20mg , Monthly TSH,FT4-followup
1/š§µ Letter to Young Scientists
Are there professional trends in academia that are robbing scientists of joy & vocational success?
When #scientists burnout, it robs pts of answers to their problems & increasing their suffering.
Letās discussā¦
Ā
#AcademicTwitter
Are there professional trends in academia that are robbing scientists of joy & vocational success?
When #scientists burnout, it robs pts of answers to their problems & increasing their suffering.
Letās discussā¦
Ā
#AcademicTwitter
2/ The goal of science is to determine the truth about question no one knows the answer toā¦so that we can make things better for others.
I thought I'd share a few thoughts about discernment and the scientific process that I learned while graying š«
Ā
#ScienceTwitter
I thought I'd share a few thoughts about discernment and the scientific process that I learned while graying š«
Ā
#ScienceTwitter
3/ Discovery in medicine, for example, is not a job. It is not work.
It is creating art. It's painting.
And when we are being artistic, most of us enjoy diving all the way in & immersing ourselves without undo distraction.
Ā
#MedTwitter
It is creating art. It's painting.
And when we are being artistic, most of us enjoy diving all the way in & immersing ourselves without undo distraction.
Ā
#MedTwitter
1/ ICU Rounds ā°: QUESTION for YOU š
An #overdose patient admitted to #ISeeYou (deliberate misspelling) is now safe for transfer to floor. Do you bless triage decision & move on to your next pt? Or is there more to your job this morning?
#MedTwitter #tipsfornewdocs #pulmcc
An #overdose patient admitted to #ISeeYou (deliberate misspelling) is now safe for transfer to floor. Do you bless triage decision & move on to your next pt? Or is there more to your job this morning?
#MedTwitter #tipsfornewdocs #pulmcc
2/fin ICU Rounds:
You have 1 shot in helping this person before his transfer. Was medical tx enough or should it include you šŖdown to listen...To prove itās an āI SEE š YOUā? How do you know thereās not more you can do unless you sit down &š?
#medicalstudenttwitter #meded
You have 1 shot in helping this person before his transfer. Was medical tx enough or should it include you šŖdown to listen...To prove itās an āI SEE š YOUā? How do you know thereās not more you can do unless you sit down &š?
#medicalstudenttwitter #meded
P.S. Often rounds are too busy and we have to keep moving. So I jot down š a āto doā item on my patient list: āgo backā ā
@drdangayach 1/ ANSWERS: How to create your best ACADEMIC MEDICAL READING program? @drdangayach
Hereās what I have done >30 yearsā¦there are three types of reading: daily reading, journal reading, & book readingā¦stay tuned
#tipsfornewdocs #medtwitter #medicalstudenttwitter #pulmcc #meded
Hereās what I have done >30 yearsā¦there are three types of reading: daily reading, journal reading, & book readingā¦stay tuned
#tipsfornewdocs #medtwitter #medicalstudenttwitter #pulmcc #meded
@drdangayach 2/ Why care to read scientific literature more effectively & thoroughly? Applied knowledge at the bedside is how you āspeakā for your patient ā maximizing her dignity & respect. Reducing suffering through knowledge is mercy. The eyes are your lamp, use them to read and shine!
@drdangayach 3/ I got depressed as a young MD when I saw docsā journals piling up in plastic wrappers, unread. I vowed never to let that happen because my patients deserve better. So bought into Oslerās mantra to āset reading habits early & youāll be set for life.ā
1/ Rikers Island Prison & #COVID19:
The New Yorker: bit.ly/3fgxnt3
Many think of inmates as young strong healthy dangerous men, when in reality they are often #AGING, sick, and definitely #VULNERABLE. Covid on top of this is a time š£
#geriatrics #MedTwitter #pulmcc
The New Yorker: bit.ly/3fgxnt3
Many think of inmates as young strong healthy dangerous men, when in reality they are often #AGING, sick, and definitely #VULNERABLE. Covid on top of this is a time š£
#geriatrics #MedTwitter #pulmcc
2/ Rikers Island Prison & #COVID
#Anxiety & #Fear. You canāt implement effective social distancing in an room that houses dozens of men. You cannot implement effective social distancing when those ~40 men are using the same sinks.
#medicalstudenttwitter
#Anxiety & #Fear. You canāt implement effective social distancing in an room that houses dozens of men. You cannot implement effective social distancing when those ~40 men are using the same sinks.
#medicalstudenttwitter
3/fin Rikers Island Prison & #COVID19
You cannot implement effective social distancing in a prison when staff interact with them & has to touch them in course of day. This isnāt going to play out well. Read article. #empathy starts here. I donāt know the solution!
#disparity
You cannot implement effective social distancing in a prison when staff interact with them & has to touch them in course of day. This isnāt going to play out well. Read article. #empathy starts here. I donāt know the solution!
#disparity
1/ Brain š§ #COVID19: Op-Ed w @danielalamas & š tweets 2&3
āDelirium is mistakenly written off as a sidekick of major illnessāan innocent bystander to real problems. #Delirium is not innocent.ā
bit.ly/39GD3LS
#medtwitter #tipfornewdocs #medicalstudenttwitter #pulmcc
āDelirium is mistakenly written off as a sidekick of major illnessāan innocent bystander to real problems. #Delirium is not innocent.ā
bit.ly/39GD3LS
#medtwitter #tipfornewdocs #medicalstudenttwitter #pulmcc
2/ Brain š§ #COVID19: Op-Ed pt #1
My 1st EVER tweet š April 2020 (below) featured Tisha Holt w #COVID19 texting on vent. Her permission granted: she remains on O2 & suffering PTSD. She Zooms in for our CIBS ICU Support group to help w #PICS. Are you following COVID survivors?
My 1st EVER tweet š April 2020 (below) featured Tisha Holt w #COVID19 texting on vent. Her permission granted: she remains on O2 & suffering PTSD. She Zooms in for our CIBS ICU Support group to help w #PICS. Are you following COVID survivors?
3/fin Brain š§ #COVID19: Op-Ed pt #2
Pt permission granted: Adam Killion survived vent and COVID to make it w wife Beth to sonās š©!! See him rehabbing & w family here. There is so much HOPE. Letās work together to cultivate this hope through service to our amazing patients!
Pt permission granted: Adam Killion survived vent and COVID to make it w wife Beth to sonās š©!! See him rehabbing & w family here. There is so much HOPE. Letās work together to cultivate this hope through service to our amazing patients!
1/ CXR rounds #16 ā°:
1. What famous CXR finding is found on these 2 films?
2. What does it mean and what dz is #1 cause?
3. What would you hear w your stethoscope?
#medstudenttwitter #tipsfornewdocs #pulmcc
1. What famous CXR finding is found on these 2 films?
2. What does it mean and what dz is #1 cause?
3. What would you hear w your stethoscope?
#medstudenttwitter #tipsfornewdocs #pulmcc
2/ CXR rounds #16 ā°:
1. The Double Density sign
2. HUGE left atrium wrapping around behind the right atrium from mitral stenosis as a complication post Rheumatic Fever
3. Decrecendo Crescendo Diastolic Heart murmur
Bonus? What is Rheumatic Fever? š next...
1. The Double Density sign
2. HUGE left atrium wrapping around behind the right atrium from mitral stenosis as a complication post Rheumatic Fever
3. Decrecendo Crescendo Diastolic Heart murmur
Bonus? What is Rheumatic Fever? š next...
3/fin Med Trivia ā°: RHEUMATIC FEVER š„µ
Iām tired of typing so just read the criteria and look at the rash and memorize the time course. I had a patient with mitral stenosis from rheumatic fever yesterday which prompted this trip trivia!
#tipsfornewdoctors #MedTwitter #MedEd
Iām tired of typing so just read the criteria and look at the rash and memorize the time course. I had a patient with mitral stenosis from rheumatic fever yesterday which prompted this trip trivia!
#tipsfornewdoctors #MedTwitter #MedEd
