van_Jumah

into non fiction books+movies & series
ex football fan

[Sir'D @SirD___]

DKA MANAGEMENT

Mnemonic: FIKAP

• Fluids (NS)
• Insulin
• K+ Replacement (KCL)
• Acidosis Correction (Bicarbonate)
• Prevent deterioration by treating the cause (Infection, Dehydration etc)

[Tim Denning @Tim_Denning]

Habits I stole from my millionaire boss when I was 33:

1. Be quiet in most meetings

[cheruiyotkb @cheruiyotkb]

Money isn’t just mathematics. It’s a series of decisions made on hard days.

▪️Income isn’t stable every month
▪️Emotions affect spending
▪️Family responsibilities are real
▪️Emergencies show up unplanned

Practical money habits are:

▪️Save for bad months, not perfect ones
▪️Make rules for emotional spending
▪️Plan money with dependents in mind
▪️Keep emergency cash accessible in MMF

[Peter Munene @munene_pm]

𝗘𝗹𝗲𝗺𝗲𝗻𝘁𝘀 𝗼𝗳 𝗖𝗵𝗮𝗽𝘁𝗲𝗿 𝗢𝗻𝗲. 𝗧𝗵𝗲 𝗜𝗻𝘁𝗿𝗼𝗱𝘂𝗰𝘁𝗶𝗼𝗻 𝗖𝗵𝗮𝗽𝘁𝗲𝗿, 𝗘𝘅𝗽𝗹𝗮𝗶𝗻𝗲𝗱: 𝟭𝟮 𝗖𝗼𝗿𝗲 𝗖𝗼𝗺𝗽𝗼𝗻𝗲𝗻𝘁𝘀 𝗘𝘃𝗲𝗿𝘆 𝗗𝗶𝘀𝘀𝗲𝗿𝘁𝗮𝘁𝗶𝗼𝗻 𝗖𝗵𝗮𝗽𝘁𝗲𝗿 𝟭 𝗦𝗵𝗼𝘂𝗹𝗱 𝗔𝗱𝗱𝗿𝗲𝘀𝘀

[MEDCRUX @medcrux]

Quincke's Sign

1. Quincke's sign is the presence of capillary pulsations visible in the nail bed when gentle pressure is applied to the distal nail.

2. It is a classic sign of severe aortic regurgitation (AR) and occurs because of a wide pulse pressure caused by increased stroke volume and rapid diastolic runoff.

3. The sign appears as alternating blanching and flushing of the nail bed, synchronous with each heartbeat.

4. Quincke's sign is one of several peripheral signs of chronic aortic regurgitation, along with Corrigan pulse, De Musset sign, Duroziez sign, Traube sign, and Müller sign.

5. The underlying mechanism is high systolic pressure with low diastolic pressure, producing exaggerated pulsatile flow through peripheral capillaries.

6. Although highly suggestive, Quincke's sign is not specific and may occasionally be seen in other high–cardiac output states such as thyrotoxicosis or severe anemia.

7. In a patient with suspected aortic regurgitation, echocardiography is the investigation of choice to confirm the diagnosis, assess severity, and evaluate left ventricular size and function.

[Reads with Ravi @readswithravi]

Kobe Bryant once said:

“Everyone wants to be a beast. Everyone wants to be the best. But very few people are willing to do what it actually takes. Because what it takes is boring. It is waking up at 4:00 AM. It is shooting the same shot a thousand times. It is watching the film when you are tired. People fall in love with the result, but they hate the process. You have to fall in love with the boredom. You have to fall in love with the repetition.

If you can find joy in the mundane work that no one else sees, the lights will eventually shine on you.”

[Reads with Ravi @readswithravi]

I’m in love with this sentence:

“After getting what you manifested, ask for discipline to keep it and wisdom to multiply it.”

[Dr M Shujat Rasool @DrMShujat]

A child accidentally swallows a small button battery from a toy.

What is the FIRST safe thing to give while rushing to the ER?

A) A glass of warm milk
B) Two teaspoons of pure honey
C) A spoonful of mustard
D) Plenty of plain water

[Dr. David Nyambane @dr_mogzy]

Tukisoma Pharmaceutical Chemistry mlikuwa ward rounds internal medicine kumanage 1st grade hypertension 😂😂😂 then mnapeana labetalol na it just needs a Losartan which a pharmacist corrects in seconds 😂😂😂

[Reads with Ravi @readswithravi]

“He who cannot obey himself will be commanded.”

— Friedrich Nietzsche

[Medzonetv @Medzonetv]

Pregnant woman seizing.

BP 170/110.

Drug of choice?

[Mao Deh @DehMao]

@sholard_mancity https://t.co/dZx75ijhn3

[Sholla Ard 🇰🇪 @sholard_mancity]

@peterwakaba The Association of retirement benefits schemes vs the hon AG & 3 others

Supreme court petition number
SCPT/E017/2024

[Atem @AtemPsyche]

A rule of thumb:

The smarter you are, the quicker you dive into the deep end.

Usually, smart people rationalise themselves into inaction. Because their excuses are so well-constructed they convince themselves not to do the work.

But...

If you can "turn off" your brain and just go for it, you'll succeed ten times faster.

[Kenny | Accent Investing @AccentInvesting]

@Markmanson This hits home. It’s easy to disguise consumption as progress. The reality is that 1 hour of sloppy execution will teach you more than 10 hours of perfect reading. Build first, patch later

[Enigma @StoicEnigmas]

@bluewmist "You are responsible for your actions, but you are not your mistakes."

[Health_fitness @lhealthfitness]

Beginner back workout at home.

[Muscles_builder @_MusclesBuilder]

These 2 hips exercises will determine how well you’ll move in 10 years.

[Muscle_body_fit @muscle_body_fit]

Brutal ABS Workout 💥