Harshil Patel

PGY 1 Internal Medicine

[Tony Breu @tony_breu]

1/14
Why can't you use direct oral anticoagulants (DOACs) in patients with mechanical valves (MVs)?

DOACs have been one of the most important advances in my career. And yet, the presence of a MV is one of the few contraindications.

The reason highlights the unique nature of thrombus formation in those with a MV and provides insights into the evolution of human hemostasis.

[Sanjeev Sethi @SethiRenalPath]

Basics of Glomerulonephritis (GN). GBM is key.

All patterns can be explained by glomerular basement membrane (GBM) & type of injury.

Let’s do one at a time

CRESCENTIC GN

1. Results from breach/break of GBM (red arrow)

2. Injury is sudden & severe

Eg-ANCA & anti-GBM GN

[Dr. Bhaumik Kamdar @kamdar_j]

For people pissing on ICUs
Now go & complain, why should diarrhoea require an ICU?
Call it death trap, debt trap, whatever you like.
CCM is our last & only hope.

[Harshil Patel @Harshil44103147]

Most satisfying medical therapy for me during the first year of Residency in Medicine is reversal of neurological deficit after thrombolysis #Neurology
Tenecteplase is real gem

[Dr. Om Lakhani, MD, DNB (ENDO) @omlakhani]

Let me tell you a very important clinical pearl:

“Elevated triglyceride levels are a direct and important marker of insulin resistance at the adipose tissue”

Remember this.

[Harshil Patel @Harshil44103147]

Where is bangalore when it is needed the most #BookMyShow

[Harshil Patel @Harshil44103147]

Aukat 😂 #BookMyShow

[Harshil Patel @Harshil44103147]

@kamdar_j Severe TVD?

[Harshil Patel @Harshil44103147]

@kamdar_j LoL 😂 post post call day Booze hits ✈️

[Joe @josephradhik]

My aurora borealis.

My Mumbai.

[Harshil Patel @Harshil44103147]

Maybe i m mad but Rum hits diff in summer #OldMonk

[Harshil Patel @Harshil44103147]

@goparva Congratulations 🥂

[Harshil Patel @Harshil44103147]

@JahnviRenuka Wait for residency to start 🥲

[Harshil Patel @Harshil44103147]

@JahnviRenuka Padhai karo padhai !! 🌚

[Harshil Patel @Harshil44103147]

Rare mid JR1ship good days 🥃❤️

[. @elcrankopunko]

anderson what a guy. torturing three generations of ind batsmen. white ramadhir singh

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai7]

India is the only country where distance is measured in time !

[Harshil Patel @Harshil44103147]

Going home for the first time in residency but never knew that i will miss ahmedabad more than my hometown!! Nostalgia

[Keh Ke Peheno @coolfunnytshirt]

Asking the batsman for a DRS.. Only a pakistani 🤡

https://t.co/cgyOlSRTHI