Pradeep shenoy m
@pradeepshenoyNephrologist @ K S Hegde Medical Academy, Nitte university,
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1/10 A young man presents with hematuria and is found to have these painful skin lesions on physical exam.
🫘FSGS Classification academic.oup.com/ndt/advance-ar… @NDTsocial @hjanders_hans
🎯Catheter related blood stream infections in dialysis pubmed.ncbi.nlm.nih.gov/30837242/ @CJASN
🫘🙌Interpretetion of SPEP ⏬Full link to our blog onconephindia.in/pdf/SPEP-blog.… @KidneyBalance @VinBhargava #OncoNephrology
✨🔴Kidneys: The Second Liver in Glucose Production and they are Glucose Powerhouses too❤️ 💡Contrary to common belief, the liver is not the only gluconeogenic organ, although it does produce 80% of the endogenously derived glucose. 💡The remaining 20% is produced by the…
American Heart Association proposes to omit the following terminologies in it's latest scientific statement (May 2024) ❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙪𝙧𝙜𝙚𝙣𝙘𝙮 ❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙘𝙧𝙞𝙨𝙞𝙨 Use of subjective emotive language such as 𝙘𝙧𝙞𝙨𝙞𝙨 and…
I hear clinicians say the physical exam is dead.☠️ This is just not true 🛑 Here are the 10 most important clinical exam findings in the ICU A 🧵 (and some things you can probably stop doing...) #medtwitter #foamed
🔴" The Management of Chronic Heart Failure in Patients with CKD" A 2024 Updated Review #openAccess imrpress.com/journal/RCM/25… #CardioEd #Cardiology #FOAMed #meded #MedEd #Cardiology #CardioTwitter #cardiotwitter #cardiotwiteros #CardioEd #MedTwitter #MedX
Check out this month's blog. Dawn of precision medicine in podocytopathy. Also understand how to detect a SPIN in a RCT. t.ly/nttCA @tukaramj @LastNeph @vskeskar @arvindcanchi @hswapnil @nephromythri @MayuriTrivedi80 @anupamayj @SreejithDr @vjha126 @pradeepshenoy
Educational 🧵 on a topic very close to my heart - thrombotic thrombocytopenic purpura (TTP). Not medical advice. Always open to feedback and corrections. #MedX #Hematology #BenignHematology #TMA #TTP #MedTwitter #InternalMedicine #Match2024
It is very common to hear “insulin resistance” in clinical practice. 🧐The challenge lies in assessing it! One can argue that this diagnosis can be clinical and based on history and physical exam. What about labs? Follow the 🧵 for 4🧪 tests to assess insulin resistance
Want to spend weekend productively? MKF academy + MNG Presents 🔥Research Methodology workshop🔥 Learn with stalwarts @tukaramj @vskeskar @Ubkhanna @drmjkulkarni @SreejithDr @manirath Dr Fernando/Lobo Best thing - Its Hybrid🤩 Join on Zoom using ID - 89089603424 Password-148658
🔴💡Corrected Creatinine: Enhancing AKI Diagnosis in ICU 💡1/8 In critically ill patients, the dilution of Serum Creatinine (sCr) by fluid accumulation may lead to underestimation of the severity of AKI and increases the time required to identify a 50% relative increase in sCr.…
Case: #Hyponatremia nephsim.com/case-13-introd… Tonicity: Effective osmoles (e.g. Na, glucose) Osmolality: Eff + ineffective osmoles (e.g urea, alcohol) Psuedohyponatremia: dilutional lab error that occurs when protein/lipids ⬆️ (a blood gas analyzer avoids this) #Nephrology
Facial rashes that look like lupus but are not ! 🧵🦋 1. Rosacea 🥵 🔹Look for telangiectasia 🔹Involvement of the nasolabial folds 🔹Flushing with spicy foods, heat, & sun exposure #MedTwitter #RheumTwitter
Reason #7876468 why #pocus is important: People often don’t present with classic symptoms. Take this middle aged man who presented to an outside hospital with diarrhea, hypokalemia and palpitations. Potassium was below 3 and in the ED developed sustained VT.
You've probably heard "don't give lactated ringers because it raises lactate" This statement is ~98% false, but there's one crucial practice-changing fact that you need to know. A 🧵 all about lactic acid and lactated ringers! 1/
🌟 GOUT - Treatment Algorithm and pharmacotherapy 🔸️Acute gout flare should be managed with NSAIDs and/or Colchicine. Urate lowering therapy during an acute gout flare can furthur exacerbate the arthritis. 🔸️Recommended diet qnd lifestyle modifications for hyperuricemia…
🔴Selecting the Optimal MRA in CKD 💡Key consideration during selecting Spironolactone, Eplerenone and Finerenone ✨Finerenone for reduction of cardiovascular and kidney outcomes in diabetic CKD until severe renal failure (eGFR >25ml/min/1.73m2) (K <4.8mEq/l) ✨Eplerenone for…
🌟Heart Failure with Reduced Ejection Fraction - Guideline Directed Medical Therapy - Drug dosages 🔸Initiating dose and target dose of drugs used in HFrEF - GDMT -ACEi -ARB -ARNI -β blockers -SGLT2i -MRA -Ivabradine -Isosorbide dinitrate + Hydralazine -Vericiguat From : 2024…
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