Remember , never give Intravenous Iron Infusions in a setting where you dont have emergency services. Patients can sometimes have severe anaphylactic reactions leading to mortality. In addition, a crash cart having epinephrine IM injection is a must. In many countries its a common practice to give IV iron in clinics with no support. Additionally try using Carboxymaltose combination rather than most commonly used iron sucrose( venofer) very commonly having allergic reactions.
#MedTwitter
Medical student and residents, please dont ignore this.
Metformin, one of the commonest medicines used for the management of diabetes mellitis and for a a few other reasons, results in vitamin B12 deficiency 😲
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Niacin, the B vitamin that was previously used to improve lipid profile and reduce the risk of heart disease, promotes arterial inflammation and cardiovascular risk through its metabolites
https://t.co/ZZw51MgO0y
@NatureMedicine
A🧵 on alkali therapy.
First a Question❓️
A patient of diabetic ketoacidosis presented in a stupourous state with hypotension.
ABG ➡️ pH -7, HCO3 - 9 mEq/L, K-5mmol/L.
Along with other measures a decision was made for alkali therapy with sodium bicarbonate.
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Thoughts of not wanting to live are real. They exist in our loved ones, our family, friends, colleagues, in our community, in our societies at large, and sometimes even in ourselves. But what if I told you those thoughts also exist in the Quran? In Chapter Maryam, she cries out:
Apparently, the auto-PEEP ICU story sparked many people's interest. So, I should share another classic auto-PEEP story published in NEJM back in 1993. However, the term "auto-" probably originated from something else... Keep reading to find out what I mean:
Having lots of body hair makes it harder for biting insects such as mosquitos to get a good chomp of you. It's pretty intuitive, but there's also a science paper documenting this
[full paper: https://t.co/7B7JOUdPiP]
[video: https://t.co/1aKoEbR6cK]
https://t.co/1on44VseLm
Hey medicine residents.
Lets simplify the commonly used blood components.
1. Whole blood collected from donor is centrifuged by a machine to seperate rbcs from the plasma(platelet rich).
Over the years, I developed a habit of subconsciously reciting واللہ المستعان whenever I faced something that disturbed my peace. But I was never aware of the background story of such powerful word until only recently when I heard about it in a lecture on Surah Yusuf.
The best days of my medical life were when I used to sit in library in MBBS reading Bedside Cardiology by Jules Constant - not to impress anyone but only for my own thirst of knowledge.
That particular time had something genuine & real.
I reminisce them often.
Hi #MedTwitter !
You’re an intern and your resident has told you to send PT/INR for a patient with liver failure.
You find out that you have to send the sample in this funky blue capped container ⤵️
Why?
Short 🧵 on why we do what we do!
albumin-corrected calcium level is *less* accurate than the uncorrected total calcium level 🤯
I think we all know that that albumin-corrected calcium is junky and you need an iCal to really know the biologically active calcium level... but I didn't realize how bad it is 😬