Manfredy Mapunda

i prayed more and say less God did the rest🙏❤

[RaHeeM @Cowwbama]

6UPCAB
5UJUWG
596ZLP
59ZT56
68DZCD
5NJQRV
6GS3BP
5KMSBN
59C9LE

[Ọládélé 🇳🇬👑 @Theoladeledada]

Here are all the unique Sporty booking codes for my World Cup group stage stat-based predictions (I’m not a gambler — just data analysis picks from stats and my football knowledge):

1.ZX122U
2.RPZ89C
3.S0ZNSH
4.LGH4DJ
5.W39E29
6.PGWBSL
7. R1ASEA
8.RHUCB9
9.XY9Z6Z
10.LX5NAA
11.VKHBQZ
12.H41PSV

Goodluck guys

[angel bellerin02 @angelbellerin02]

Nitajieni hotel kubwa kubwa dar zenye fukwe nzuri nikachill weekend hii 🙂‍↔️

5ATJ4S

[Dr M Shujat Rasool @DrMShujat]

In severe anemia, oxygen delivery to tissues falls significantly. To compensate, the body increases cardiac output by raising heart rate and stroke volume. Over time, this persistent high output state puts excessive workload on the heart and can eventually lead to high output heart failure, even if the myocardium itself is normal.

This is why some severely anemic patients present with:

Tachycardia
Bounding pulse
Flow murmur
Dyspnea
Pedal edema

Not every heart failure patient has primary cardiac disease. Sometimes the heart fails because the body keeps demanding more and more from it.

[RxOfLife💉 @Chiragrx07]

Subacute combined degeneration.

Classic triad: Megaloblastic anemia + combined UMN (spasticity, hyperreflexia, Babinski) + LMN (neuropathy, flaccid weakness, areflexia in legs) signs.

B12 is essential for myelin & DNA synthesis - posterior/lateral column damage (UMN + sensory ataxia) + peripheral neuropathy (LMN).

Impact: Reversible if caught early; delayed Rx = permanent disability.

Check serum B12, MMA, homocysteine + treat aggressively with IM injections.

Common in vegans, elderly, pernicious anemia, or malabsorption. Never miss this one!

[د. هشام خالد @ajlkfad2333]

C. Crohn disease

**→ ** Clinical: Chronic diarrhea, abdominal pain, weight loss (young adult)
**→ ** Perianal disease: Fistulae, abscesses, and skin tags (highly characteristic)
**→ ** Oral ulcers: Common extraintestinal manifestation
**→ ** Distribution: Skip lesions (segmental, discontinuous inflammation)
**→ ** Radiology: String sign and cobblestone appearance
**→ ** Pathology: Transmural inflammation ± non-caseating granulomas
**→ ** Key point: Strong association with perianal disease
Diagnosis: Crohn disease

[د. هشام خالد @ajlkfad2333]

Diagnosis: Hemolytic Uremic Syndrome (HUS)

➔ Definition: Hemolytic Uremic Syndrome characterized by microvascular thrombosis.
➔ Classic Triad:
➔ MAHA: Microangiopathic hemolytic anemia.
➔ Thrombocytopenia: Platelet consumption.
➔ AKI: Acute kidney injury due to renal microthrombi.
➔ Pathophysiology: Endothelial injury → platelet activation → microthrombi formation.
➔ Common Cause: Shiga toxin–producing E. coli (post-diarrheal HUS).

[Dr. Muhammad Moor @MoarSahitoPTI]

Ceftriaxone 2g BID + Vancomycin 1g BID + Dexamethasone 4mg TID

This combination is most commonly used for which condition.? 🤔

[Dr M Shujat Rasool @DrMShujat]

IV Labetalol ➡️ Emergency Doses👇

➡️ General Hypertensive Emergency

• 20 mg IV over 2 min
• Then 20–80 mg every 10 min
• Max: 300 mg
• Infusion: 0.5–2 mg/min

➡️ Intracerebral Hemorrhage / Hemorrhagic Stroke

• 10–20 mg IV over 1–2 min
• Repeat or start infusion if needed

Ischemic Stroke (when BP lowering indicated)

• 10–20 mg IV over 1–2 min
• May repeat once

➡️ Severe Pre-eclampsia / Eclampsia

• 20 mg IV
• Then 40 mg after 10 min
• Then 80 mg every 10 min if BP remains high
• Max: 220–300 mg

➡️ Aortic Dissection

• 20 mg IV bolus
• Then infusion 0.5–2 mg/min
• Goal HR <60/min before vasodilators

➡️ Hypertensive Emergency with AKI

• 20 mg IV over 2 min
• Then 20–80 mg every 10 min
• Or infusion 0.5–2 mg/min

➡️ Avoid / Use cautiously in:

• Asthma or active bronchospasm
• Bradycardia
• Heart block
• Acute decompensated heart failure

[Dr Ajay yadav @SameerYogi14]

@docakx Pneumocystis jirovecii pneumonia (PCP) A classic AIDS-defining opportunistic infection presenting with progressive dyspnea, dry cough, and low-grade fever, especially when CD4 counts fall below 200 cells/µL.

[Dr. August Bones @Ausbones]

Name the classic clinical triad of Normal Pressure Hydrocephalus (NPH).

[Dr Ajay yadav @SameerYogi14]

@Chiragrx07 Prayer Sign - seen in diabetic cheiroarthropathy due to long-standing diabetes mellitus.

[RxOfLife💉 @Chiragrx07]

@DrNovinoTailor The key reason is the urinary loss of natural anticoagulant proteins, especially:-

Antithrombin III (most important)
Protein C
Protein S

Because the damaged glomerulus allows these proteins to leak into the urine, the blood becomes hypercoagulable.

[Manfredy Mapunda @ManfredyMapund2]

@UTDIMole Toni kroos

[Dr sthanu subramanian @drsthanus]

A boy in his teens presented with progressive darkening of nails of both hands and feet for the past 3 months.

No history of any exposure to dyes or work in factory, trauma.

He was a non-vegetarian.

Other systemic examination was unremarkable.

Thoughts?

[Safiullah @ChShafiullah15]

Cyanosis indicates?

A- Lack of oxygen in body

B- Lack of water in blood

C- Lack of oxygen in blood

D- Lack of blood in body

[MEDCRUX @medcrux]

Tocolytics = Drugs Used To Stop Preterm Labour

Easy trick:

“No Tension During Tiny Labour”

A high-yield OBGYN thread every med student should know 🧵

[Dr. AK 🇮🇳 @docakx]

Patient of Acute Myeloid Leukemia.
What is this?

[KING OF ALL SPORTS @Emmanuel_Tips]

Never fight against an unknown person 🤯🤯🤯

[Dr Ihab Suliman @IhabFathiSulima]

A 7-year-old boy was brought to clinic because his parents noticed that his left leg had been “growing bigger and longer every year.”
What is the diagnosis?