othrymr

counting to ☠️

[othrymr @0th27]

Ya Allah, I know I am a sinner and I dont deserves any of your blessing but please keep my loved ones in healthy and under your protection😢😭.

[othrymr @0th27]

boleh kah sispa MO yg judge ko onya physical appearance?

[Medical Notes @A25ma22]

New TB Guidelines (2025)

[othrymr @0th27]

now 1 handle 5 order from MOs 2 SPC..
while these 5 MOs n 2 SPCs handling 1 same needs HO..

fuck..

[Dr.Haitham Hamoud | د.هيثم @hemo_shk]

🔴ABG Analysis

[othrymr @0th27]

this dept 99% HO dependent..

[othrymr @0th27]

Mak is stress..

Refer paeds kena marah🫣

[othrymr @0th27]

IDK about Hari Raya!!!! I just wanted O&G posting abis cepat!!!!
Cepat lah 1/7🥲😢🥱

[Keith Siau @drkeithsiau]

2026 AHA guidelines for acute PE 🆕🔢

1️⃣ Clinical assessment
2️⃣ Well’s score
3️⃣ New AHA/ACC clinical categories
4️⃣ Management

https://t.co/Txsjw3nCGB

[Dr. Shiv_Kumar @Dr_Shiv_kumar_]

Breakdown of this ECG :

What the ECG Shows

✅ Inferior STEMI
STE in II, III, aVF
Reciprocal ST depression in I, aVL
STE in III > II → favors RCA over LCx

✅ Posterior Wall Involvement
ST depression in V1–V3
Tall R waves in V1–V2 (posterior Q equivalent)

👉 This = posterior extension of inferior MI

✅ Lateral ST Elevation (V5–V6)

There is STE in V5–V6

But why?

So this is not a “pure” inferior MI.

What Pattern Is This?

👉 Infero-posterolateral STEMI

Now the key question:

If RCA is culprit, why lateral wall involved here ?

The Explanation :-

It depends on coronary dominance.
In a dominant RCA.

RCA supplies:
▶️Inferior wall
▶️Posterior wall (via PDA)
▶️Sometimes posterolateral branches

If the occlusion is:
👉 Proximal RCA before the posterolateral branch

Then you get:
Inferior STE
Posterior STD (V1–V3)
Lateral STE (V5–V6)

So lateral wall involvement can still be RCA especially in a dominant system.

Now look at aVR, it seems like there is ST depression is there?

What does it signifies?

In the setting of:
STE in II, III, aVF
Reciprocal STD in I, aVL
Posterior involvement

👉 ST depression in aVR usually reflects transmural inferior injury vector directed away from aVR.

#MedTwitter #MedX #ECG #cardiology

[othrymr @0th27]

nnti sa MO sa tdk mau jdi HO independent!! BODOH!

[othrymr @0th27]

MOs sendiri mixed pt blood then kata its ok..

Klu HOs yg buat cnfirm registra tu marah kawkaw!!!

Kimak!!!!

[othrymr @0th27]

tggl d Likas ni buat social eneygy aq drain betul😂🤣

[othrymr @0th27]

3MOs vs 1HO

then ko cakap be multitasking and I was like”Kagebushin Nojutsu”(dlm hati)

[Dr. Fahad Khaliq @Pert_Boo]

In DKA you give 5-8 litre fluid
1 litre 1st, next 2 hrs, next 2 hrs, next 4 hrs, next 4 hrs, next 6 hrs

K+ 10mmol/hr, but OMIT 1st fluid bag

Insulin @ 0.1 U/kg/hr

↓Ketones by ≥0.5/hr & glucose by 3 mmol/L/hr

+Dextrose when RBS < 14mmol

Give S/C LMWH ppx

Follow for more!

[othrymr @0th27]

1 thing for sure!!!

surgery is not my thing!!!!

Kimbet🤣😂

[othrymr @0th27]

LOL… CME is a must for HO and now u asked sepa jaga ward..

[othrymr @0th27]

klu lah surgical mcm ni aq tdk boleh adapt mcm mnalah O&G dorg kata 100x tougher…

[othrymr @0th27]

Ko refer tht sub spc for specific drugs needed for tht pt, now u sndiri tukar and nak update dorg u tukar tht drugs..

LOL.. doesnt make sense

[othrymr @0th27]

as HO even opinion ko valid and evidence based ttp lah diam and jgn bising.. sbb apa? well u r HO, iya iya lah…

[othrymr @0th27]

lololol