Iron Deficiency Without Anemia (IDWA) is a silent epidemic, especially in WOMEN of childbearing age, adolescents, & children.
Fatigue, poor concentration, & hair loss may be the only signs.
Studies show ferritin <50 ng/mL is key.
Don’t wait for anemia , treat the deficiency!
Morning stiffness in RA explained:
⬆️ Inflammatory cytokines (IL-6, TNF-α) peak early morning (3-6 AM)
⬇️ Cortisol (natural anti-inflammatory) is at its lowest
⏸️ Overnight immobility → inflammatory mediators accumulate in joints
Result: Stiff, inflamed joints at dawn ✅
Something my senior said really stuck with me: “If a patient comes to the ED, it means they’re having the worst day of their life. So, always be empathetic.”
Take it easy, everyone.
Medicine is about learning, growing, and doing our best for patients.
Empathy and professionalism go hand in hand . We are all here to make a difference, not to compete or argue .
Acute MI post-cocaine?
Risk is highest in the 1st hour!
Thrombolysis safe ,but assess for hidden injuries & bleeding risks (e.g., cerebral bleed, aortic dissection)
Avoid beta blockers early ,they worsen vasospasm & coronary resistance.(alpha effect unopposed-↑↑ BP)
#MedTwitter
Not all “thin” or “fat” bodies r the same
4 body phenotypes:
TOTI: Thin outside,thin inside
TOFI: Thin outside,fat inside
FOTI: Fat outside,thin inside
FOFI: Fat outside,fat inside
TOFI individuals may have “normal” BMI but harbor metabolic risks (NAFLD, insulin resistance etc)
आज गोंदिया को उत्तर से दक्षिण जोड़नेवाले निर्माणाधीन पुलिया का अधिकारियों के साथ ऑन द स्पॉट निरीक्षण कर रेकॉर्ड टाइमिंग में ओवर ब्रिज कार्य पूर्ण करने के निर्देश दिये. यह पुलिया ४० फिट चौड़ा और पुराने पैटर्न पर बनाया जा रहा है.
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