Dr_Tej 🩺 MD

🇮🇳 NATION FIRST JAI HIND- MBBS MD GENERAL MEDICINE 🩺

[Fundamental Investor ™ 🇮🇳 @FI_InvestIndia]

This Scene has its own Fanbase 🔥🔥🔥

How I wish this could be actually implemented in real life. We would have a Healthier Bharat 😭😭😭

#FI

[Karthik Balachandran @karthik2k2]

Likely Krait (கட்டுவிரியன்) bite, which can have delayed effect. Since the venom is presynaptic neurotoxic, time is of essence. After the muscle paralysis / respiratory failure sets in giving anti snake venom won't help.

Standard ASV would cover krait, but administering it to a pregnant woman in a small rural setup has its own challenges.

Refer early, if there's a suspected snake bite.

[ميد | MED💉🎓 @Medical_MD1]

Quick Review

Abnormal Gait Patterns🚶🧐

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[Dr RP Singh, MD @rpsingh1894]

Most clinicians focus on the ST segment.

Experts start with the QRS complex.

It reveals:
🩺 Conduction disease
🫀 Ventricular enlargement
⚡ Cardiomyopathy
💉 Previous MI
🧪 Hyperkalemia

Think systematically—not randomly.

📌 Save this ECG guide.

#ECGChallenge #FOAMed #CardioTwitter #MedTwitter

[Medicine Refresher @notes4medicine]

A Quick High-Yield Clinical Approach to Osteoarthritis (OA) for the USMLE Step 2 CK

[Dr Vivek Pandey @vivekortho007]

That is one of major reason why most docs avoid working in govt set up!
Unruly dehati pro max MFs all around who would not be bothered if there is no infra in form of sanitation, road, electricity, good hospital and schools for decades in their region and would not question their local corporator, MLA, MP or bureaucrats. Infact, most would be pissing in pants while talking to them with folded hands, but would assault with impunity on a doctor who is helpless and powerless and would have done whatever he could in prevailing conditions and third-class facilities of govt hospital!
Gradually, most smaller and affordable hospitals and clinics are closing due to such instances and frightening expensive regulations, and these MFs will have no money to go to big private set up where they will be beaten black and blue if they raise hands over staff or break a property!
Karma!

[MedicoNotes @MedicoNotes]

🫀 CHEST PAIN: 7 Causes You Must Never Miss

Chest pain is one of the most common medical emergencies. The challenge is identifying life-threatening causes quickly.

❤️ 1️⃣ STEMI
• Crushing central chest pain
• Radiation to arm/jaw
• Associated sweating & nausea

🩸 2️⃣ Aortic Dissection
• Sudden “tearing” chest pain
• Radiates to the back
• BP difference between arms

🫁 3️⃣ Pulmonary Embolism
• Pleuritic chest pain
• Dyspnea & tachycardia
• Risk factors: DVT, surgery, immobility

❤️ 4️⃣ Pericarditis
• Sharp pleuritic pain
• Worse lying flat
• Better leaning forward

🫁 5️⃣ Pneumothorax
• Sudden pleuritic chest pain
• Breathlessness
• Reduced breath sounds

🔥 6️⃣ GERD
• Burning retrosternal discomfort
• Worse after meals or lying down
• Improves with antacids

🦴 7️⃣ Costochondritis
• Localized chest wall pain
• Reproducible on palpation

🚩 Red Flags
• Severe sudden pain
• Shortness of breath
• Syncope
• Hypotension
• Radiation to arm, jaw, or back

💎 Exam Pearl:
Always exclude STEMI, Aortic Dissection, PE, Pneumothorax, and Pericarditis before considering benign causes.

📚 Learn Cardiology the High-Yield Way with the MedicoNotes Cardiology Book.

🌐 Visit our website: https://t.co/2UQyCbb6in

#Cardiology #ChestPain #ECG #MRCP #MedicoNotes

[︎ ︎venom @venom1s]

> Flight Lieutenant got martyred
> Wife took the 21 lakh money cheque and left before his last rites
> His father said they were supposed to get married next year
> Wife said they secretly did a court marriage

Parents gave their lives to raise their son.

But they won't get anything, while she will get all the money even though she couldn't stay until his last rites?

And these women are called goddesses?

[Internal Medicine @pgMedicine]

Hypertensive disorders of pregnancy

[CardiovascularCorner @TrackYourHeart]

Wide QRS Tachycardia? It's Not Always VT
This ECG panel compares V₁ and V₆ leads in both LBBB-type and RBBB-type QRS morphologies across common causes:
1️⃣ Ventricular tachycardia (VT)
2️⃣ SVT with aberrancy
3️⃣ SVT with preexcitation (WPW)
4️⃣ SVT with baseline abnormal ECG
5️⃣ SVT with hyperkalemia
6️⃣ Ventricular pacing

Observe how the QRS morphology changes with each condition. Certain clues like AV dissociation, fusion beats, or extreme axis favor VT, while others may suggest supraventricular origin.

This chart is a great reference for ECG interpretation, especially in acute settings.
Reference: Zipes & Jalife, Cardiac Electrophysiology: From Cell to Bedside

[Internal Medicine @pgMedicine]

Peripheral Signs of Chronic Severe Aortic Regurgitation: Bedside Markers of Wide Pulse Pressure and Hyperdynamic Circulation

[Srinivas Mahesh Prasad Nephrologist @NephPrasad]

PARVOVIRUS B19 in Kidney Transplant Recipients

#NephTwitter #Nephrology #Transplant #MedTwitter

[د.وعــد الحـربـي @promisealharbi2]

ركزوا في ذي المعلومة
بعض الممارسين يشغل نفسه بطلب serum iron الي يتغير ممكن من يوم ليوم
ولا يطلب الادق والاهم ferritin

LOW SERUM IRON ALONE NON SPECIFIC

Always Interpret it With TIBC & FERRITIN

[Internal Medicine @pgMedicine]

Renal Tubular Acidosis (RTA): Approach to NAGMA

[Medical Notes @A25ma22]

acute asthma exacerbation algorithm

[Keith Siau @drkeithsiau]

PPIs: When to start and how to stop 💡

[MedicoNotes @MedicoNotes]

🧠 RIGHT MIDDLE CEREBRAL ARTERY (MCA) ISCHEMIC STROKE

Rapid recognition of acute ischemic stroke is critical because timely reperfusion therapy improves functional outcomes and reduces disability. The right MCA supplies the lateral frontal, parietal, and temporal lobes of the nondominant hemisphere in most individuals.

1️⃣ Typical Clinical Features

➊ Contralateral (left-sided) hemiparesis affecting the face and arm more than the leg
➋ Left facial weakness (central facial palsy)
➌ Contralateral (left-sided) hemisensory loss
➍ Left hemispatial neglect, inattention, and impaired awareness of deficits (anosognosia)
➎ Left homonymous hemianopia or visual field deficit
➏ Rightward gaze preference due to involvement of the frontal eye fields
➐ Dysarthria may be present; aphasia is less common unless language dominance is atypical

2️⃣ Guideline-Based Stroke Recognition

➊ Face: Sudden facial droop or asymmetry
➋ Arm: Sudden arm weakness or drift
➌ Speech: Sudden speech disturbance, dysarthria, or language difficulty
➍ Time: Activate emergency medical services immediately and document the time last known well

3️⃣ Acute Stroke Management Pearls

💡 Right MCA strokes classically produce LEFT hemiplegia, hemisensory loss, visual field deficits, and hemispatial neglect.

💡 According to AHA/ASA guidelines, eligible patients with acute ischemic stroke should be urgently evaluated for intravenous thrombolysis (within the appropriate treatment window) and/or mechanical thrombectomy for large-vessel occlusion when indicated.

💡 Brain imaging (non-contrast CT or MRI) should be obtained emergently to differentiate ischemic from hemorrhagic stroke and guide treatment decisions.

🚨 Time is Brain: Approximately 1.9 million neurons may be lost each minute during untreated large-vessel ischemic stroke. Early recognition, rapid transport to a stroke-capable center, and prompt reperfusion therapy are essential.

📚 For high-yield Neurology notes and exam preparation, visit:
https://t.co/2UQyCbbE7V

#Stroke #Neurology #MedEd #MedicalEducation #FOAMedplw

[Deepak Gupta 💫 @Deepgupta08]

This girl is at fault, how can anyone make u do this if you really don't want to?? Agr shaadi sudha ho , bahar ke ksii mard se contact ni hai , ghr pe reh rhe ho fir ye kase kr lega koi? Never Marry such girl🤡🤡🤡🤡

[Warlock Hindu @WarlockHindu]

This is how Bollywood welcomed Katrina Kaif. Barely 17-18, she was bound by contract to shoot explicit scenes in her debut film Boom.

Gulshan Grover spent 2 straight hours "practicing" kissing scenes with the teenager, while Amitabh Bachchan watched, laughed, and cheered it on.

[💜Music is Love💜 @Hoainguyen888]

B Unique Crew just shut down America’s Got Talent! 🇺🇸🔥 Watch till the end… you won’t believe it! 😱