Uzma.

Some rise by sin,and some by virtue fall.
PGY-2 | IM 🩺🇵🇰

[Uzma. @_uakbar]

@thediabetes_doc D

[Uzma. @_uakbar]

@USMLERounds B

[Uzma. @_uakbar]

@theladytsuyu 🙋‍♀️

[Uzma. @_uakbar]

@RoyChibuike Hemochromatosis

[Uzma. @_uakbar]

@Chiragrx07 Bananas are rich source of potassium. Patients with ckd cannot effectively excrete K leading to hyperkalemia which may cause life threatening arythmias/cardiac arrest.

[RxOfLife💉 @Chiragrx07]

🩺 Medical Mystery of the Week 💫

Ever heard of 6H’s Syndrome after giving Ferinject (ferric carboxymaltose)? 🤔

This popular IV iron can trigger a surprising cascade:-

Elevated FGF23
Hypophosphatemia
Hyperphosphaturia
Hypocalcitriolemia
Hypocalcemia
Secondary Hyperparathyroidism.

What’s really happening here, and why should every internist know about it?

[Uzma. @_uakbar]

@Chiragrx07 B

[Oshaz @ThisisOshaz_]

Work hard in silence so that when it doesn’t work out, no one can mock or humiliate you.

[Uzma. @_uakbar]

@rpsingh1894 B

[Uzma. @_uakbar]

@Chiragrx07 C GBS

[Dr. Priyam Bordoloi @DocPriyamMD]

Treating numbers instead of patients is a massive clinical trap👇

• ​The 80/50 Danger: A BP of 80/50 can mean two completely different things. If the patient is 65, pale, breathless, and confused, he is in Shock. His organs are actively starving for oxygen and we have minutes to start IV fluids and pressors.

• ​The 80/50 Normal: But if that 80/50 is a young 25-year-old woman sitting comfortably and scrolling through her phone? That is just her physiological baseline. Many young, healthy women have chronically low BP. If she is asymptomatic, it’s not an emergency.

• ​The 200/120 Trap (Asymptomatic): If the high BP patient feels fine, it is not an emergency. We actually phased out the term "Hypertensive Urgency" because it made doctors panic. Now we call it Severe Asymptomatic Hypertension. Their brain has adapted to this high pressure over years. If you rapidly drop it to 120/80, you will literally cause an ischemic stroke. We take days to lower it safely with oral meds.

• ​The 200/120 Crisis (Emergency): The only time that 200/120 jumps to the front of the line is if there is active end-organ damage. Crushing chest pain, sudden weakness or breathlessness means it's a true Hypertensive Emergency (like a heart attack or torn aorta). Then we use IV drugs.

​The Golden Rule: The monitor only gives you a number. The patient tells you the emergency. Never treat a blood pressure reading without looking at the person attached to the cuff.

​Hi, I am Dr. Priyam. I break down complex medical science and advocate for Evidence-Based Medicine. Follow me for more clinical truths.

[Uzma. @_uakbar]

@DoctorMed0 C

[Uzma. @_uakbar]

@DoctorMed0 Osteosarcoma

[Uzma. @_uakbar]

@Chiragrx07 C

[Uzma. @_uakbar]

@DocPriyamMD Dvt leading to Pulmonary embolism

[Dr. Priyam Bordoloi @DocPriyamMD]

A patient asked: "If sore throats are strictly caused by viruses or bacteria, why does drinking ice-cold water or sleeping under a direct AC instantly trigger one?"
The answer surprises almost everyone.

[Uzma. @_uakbar]

@SyedHamadAhmad3 B

[Uzma. @_uakbar]

@DoctorMed0 DIC/consumptive coagulopathy

[Uzma. @_uakbar]

@DoctorMed0 Amiodarone

[Uzma. @_uakbar]

@DoctorMed0 Right upper lobe of lung showing cavitation most likely pulmonary tuberculosis.
Ddx
Lung abcess
Cavitating bacterial pneumonia eg Staph aureus
Squamous cell carcinoma lung
Aspergillosis