Dr Rishit K. Harbada

doctor#internal medicine#nephrologist#books#🇮🇳
glomcon fellow#

[Dr Rishit K. Harbada @RishitDr]

@anujtiwari11 Best wishes

[Dr Rishit K. Harbada @RishitDr]

@Narayansgpgims Heartiest congratulations sir. Very well deserved.

[Dr. Hardik Patel 🩺💉 @hardik4u24]

🔖#Albuminuria ⁉️

🕵️Interpretation, follow-up, and initial treatment 🩺

#CKD #NephTwitter #MedEd #BMJVisualSummary

[Dr. AK 🇮🇳 @docakx]

Is there a doctor on board❓️

How to handle inflight🛩 medical emergencies❓️

[Satyendra Dhar, MD SFHM @DharSaty]

DIABETES MANAGEMENT IN CHRONIC KIDNEY DISEASE (CKD):

⚕️It’s the oldest trick in the internal medicine playbook: diabetes mellitus tiptoes in like a charming new roommate, promising it’ll be no trouble at all just a little “extra sugar” in the bloodstream, nothing the kidneys can’t handle. 🫘

⚕️At first, the glomeruli, ever the overachievers, roll up their sleeves and filter like Olympic champions, silently processing the sweet surplus without a single complaint. But diabetes is no ordinary tenant, it’s that guest who “forgets” to leave, starts inviting hypertension and dyslipidemia over for long weekends, and before you know it, the place is swarming with advanced glycation end-products like glitter at a kid’s birthday party everywhere, permanent, and impossible to clean up. 🫘

⚕️Years of these hyperglycemic house parties slowly turn the kidneys from sleek, high-efficiency espresso machines into rusty French presses, still functional, but sputtering, leaky, and vaguely resentful of their life choices.🫘

⚕️The management plan becomes a carefully choreographed dance: keep HbA1c in check without inducing hypoglycemia, rein in the blood pressure before it throws another wild RAAS party, and introduce SGLT2 inhibitors, part bouncer, part kidney bodyguard, to slow the chaos. 🩺💉🩹

⚕️Dietary counseling sneaks in like a stern librarian, shushing excess salt and phosphorus, while insulin dosing gets recalculated like a tricky tax return. It’s a delicate balancing act where the goal is simple: keep both the diabetes and the CKD from turning the nephrology ward into their permanent vacation home.🩹💉⚕️
#usmle #MedTwitter #MedEd #Medstudent #Medical #kidneytreatment #diabetes #DiabetesAwareness #educationmed #renalpath #diabetic

[Jasmine Sethi @JasmineNephro]

👍Approach to Renal tubular acidosis

https://t.co/bFpmtAwiRu

@NDTsocial @hjanders_hans

[Ahmed Mohsen @drahmedmohsen85]

🚫💊 Not all Beta Blockers are good for hypertension!
Follow this thread
(1)

❌ Atenolol may lower BP readings but ↑ central aortic pressure → ↑ stroke risk 🧠

✅ Better choices:
🏅 Carvedilol (Alpha+Beta blocker)
🏅 Nebivolol (↑ NO → Vasodilation)

[Aravind Palraj @Rheumat_Aravind]

🦴 Parathormone (PTH) raises serum calcium by:
• ↑ Bone resorption
• ↑ Renal Ca²⁺ reabsorption
• ↑ Vitamin D activation → ↑ gut Ca²⁺

🔁 Chronic PTH → bone loss (hyperparathyroism)
⏱️ Intermittent PTH (teriparatide) → bone gain!

#Endocrinology #Rheumatology #Osteoporosis @IhabFathiSulima @DrAkhilX @RaghunandanEkbo

[ERM @Owner_X429]

Haematurea

[Dr Joshua Walinjom @walinjom]

Dietary approach to stop hypertension (DASH) Diet which is a combination diet rich in fruits, vegetables, legumes, low fat dairy products and low saturated fats can reduce the blood pressure by about 11mmHG.

[Dr. Hardik Patel 🩺💉 @hardik4u24]

🚨Endocrine Hypertension: More Than Just BP🚨

From resistant HTN to adrenal tumors—when should you suspect & how do you approach? 📊🔎

📖Borozan et al., Current Hypertension Reports (2025)
🔗https://t.co/BUYpg2pZ18 🆕

#Hypertension #Endocrinology #Nephrology #MedX #MedTwitter

[Dr Rishit K. Harbada @RishitDr]

@happiedoc Heartiest congratulations💐🌹

[Dr. Hardik Patel 🩺💉 @hardik4u24]

Preventing Contrast-Induced Acute Kidney Injury🫘 (#CI-AKI) Guide 🩺📊

🔗 https://t.co/Sdnndi1soU

#MEHRANscore #ContrastAKI #CA-AKI #AKI #Nephrology #MedTwitter

[Women in Nephrology-India @WomenNeph_india]

⭐️Approach to prenatal presentation
⭐️Approach to postnatal presentation - febrile UTI

▶️Top down vs Bottom up approach
▶️Top down ⬇️radiation

[Sol Carriazo, Neph. @Nefrontera]

#TorontoPKD2024

👉🏽Who is at risk for rapid progression in ADPKD?

👉🏽KDIGO indications for starting Tolvaptan

By Dr. Vicente Torres

#nephtwitter #PKDPearls

[NephroPOCUS @NephroP]

SECONDS checklist for systematic interpretation of kidney #POCUS!
It’s always a pleasure to collaborate with friends at @ASARUC1 and teach #POCUS
#FOAMed

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai7]

An easy way to remember serum protein electrophoresis for #MedstudentTwitter !

In myeloma, the thumb goes ⤴️ and the pinky finger goes ⤵️

To know more than this, follow along 👇🏼

#MedTwitter

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[Dr Rishit K. Harbada @RishitDr]

@nihardesai7 @BrownJHM @NicoGagelmann @PanktiMehta24 @DoctorBhavsar @wowuniqueorns @drkeithsiau @PeterItebimien @MorphologyAmigo @Prasshmehta Superb thread... Excellent

[Dr Joshua Walinjom @walinjom]

Electrolytes and ECG changes:

[Hans-Joachim Anders @hjanders_hans]

Now online at @NDTsocial @HerrmannMd

Immune checkpoint inhibitor-associated nephritis - treatment standard

🧐A subset of patients will require additional steroid-sparing therapies for corticosteroid-dependent or refractory ICI-AKI.

▶️https://t.co/Xe3MTF1QiD