Dr. Kishan Raghuvanshi

Medical globetrotter with a poetic heart 🌍 | On a path to the NHS 🇬🇧 | #MedTravelPoet 🩺✈

[Inferam @InferamAI]

interesting

[Bhajan Marg @RadhaKeliKunj]

From a village in Kanpur to the sacred banks of Vrindavan...
The extraordinary journey of a 13-year-old boy who renounced everything to seek Divine Love.
The spiritual odyssey of Shri Hit Premanand Govind Sharan Maharaj Ji

[Oren Gottfried, MD @OGdukeneurosurg]

EkG basics

[Atal @ZabihullahAtal]

Avoid Direct Copying ChatGPT or any AI text

AI-generated text is easily spotted within seconds.

Here's a smart hack to make your content more human-like and avoid detection:

[Keith Siau @drkeithsiau]

Selected classification systems for upper GI endoscopy
https://t.co/WBhvuHS8BA

[Open PICU @OpenPicu]

🫀MOA of different vasoactive drugs🫀

#Cardiology #PedsICU # inotropes

[Oren Gottfried, MD @OGdukeneurosurg]

Diagnosis of fevers +

[Rabih Ghazi, MD @Rabihghazi_95]

#WedGastroGuide💩

Transjugular Intrahepatic Portosystemic Shunt (TIPS)
- @AASLD 2023 Guidance

TIPS Main Indications⁉️
🔸Variceal bleed refractory to 💊or endoscopic management
🔸Ascites refractory to Na-restriction and 💊 (Spironolactone 400 mg/day + Furosemide 160 mg/day)
🔸Budd-Chiarri
🔸Others

TIPS Contraindications⁉️
🔸Absolute: congestive HF, severe TR, severe pulmonary HTN, severe uncontrolled HE, systemic infection
‼️Higher MELD score -> higher mortality with TIPS. No clear cutoff but ~18

Pre-TIPS Workup⁉️
🔸CT scan (for mapping), TTE, MELD score, and others

Hepatic venous-portal gradient (HPVG)⁉️
🔸1-5 mm Hg➡️Normal✅
🔸> 5 mm Hg ➡️ portal hypertension
🔸> 10 mm Hg ➡️clinically significant portal hypertension
🔸> 12 mm Hg ➡️increased risk of variceal bleeding🩸

TIPS for Variceal Bleeding⁉️
‼️Variceal bleeding ➡️ goal HVPG < 12 mm Hg or >50% reduction from baseline.
‼️Dilate stent starting at 8 mm and up to 10 mm to achieve gradient goals
‼️If unable to reach HVPG <12 mm Hg➡️add non-selective beta blockers

Complications⁉️
🔸Procedure-related (e.g. vessel injury)
🔸TIPS dysfunction
🔸Hepatic Encephalopathy (higher risk with lower post-TIPS HVPG)
🔸Worsening of liver function
🔸Cardiac overload

AASLD Guideline https://t.co/9tPAfJaSvv

TIPS Liver Fellow Network @LiverFellow
https://t.co/h57hqaLdka
#MedTwitter #MedEd #GITwitter #LiverTwitter

[Oren Gottfried, MD @OGdukeneurosurg]

Surgery sutures

[Jasmine Sethi @JasmineNephro]

👍Cirrhosis Overview

@PyrlsApp

[Dr Waqar Khan @WaqarKh55444902]

The p waves in ecg.

[Dr Honey choudhary 🩺 @Doctors__squad]

Nerve Palsies of the Hand. 🖐️

[Dr Honey choudhary 🩺 @Doctors__squad]

PUPILLARY RESPONSE 👁️

[Mujeeb Zubair, MD @MujeebZubair]

Heart RESTART 🫀🫀

Heart coming out of ventricular fibrillation ⚡️

[Dr Honey choudhary 🩺 @Doctors__squad]

Pediatric dosing 📌

[Dr Honey choudhary 🩺 @Doctors__squad]

EMERGENCY MEDICATIONS 💊

[Oren Gottfried, MD @OGdukeneurosurg]

Four triads to remember

[Dr. AK 🇮🇳 @docakx]

🌟 Metabolic dysfunction–associated steatotic liver disease ( MASLD ) - Criteria for definition

MASLD : Update and impact of new nomenclature on the AASLD practice guidance on NAFLD https://t.co/VFVjPW2XzC