🇮🇳 Amiya

Be Good n do Good. Live & let live.... Nature Lover🌴🏝️🌧️ ✈️Caravan,World & Beyond... Humanity&Harmony. it's better to being human than human being.

[Dr RP Singh, MD @rpsingh1894]

🚨 A patient visited OPD with this unusual presentation.

On examination, vitals and the rest of the neurological/systemic examination were normal, except for this intermittent abnormal neck posture.

The neck repeatedly goes into hyperextension with deviation to the left, but returns to normal between episodes.

⏱️ Symptoms have been occurring on and off for >24 hours.

No:
• Pain
• Breathlessness
• Swelling
• Previous medical illness
• Recent illness
• Medication use
• Alcohol/drug use
• Animal bite
• Significant industrial exposure

🧠 What is the most likely diagnosis?

A. Cervical dystonia
B. Acute dystonic reaction
C. Focal motor seizure
D. Tetanus

What would be your next step in this patient? 👇

[Revenue & DM Department, Government of Odisha @rdmodisha]

ଜମି କିଣିବା ପୂର୍ବରୁ ଏହି ସବୁ ଯାଞ୍ଚ, ଆପଣଙ୍କ ଟଙ୍କା ଓ ଭବିଷ୍ୟତକୁ ବଡ଼ ଚିନ୍ତାରୁ ବଞ୍ଚାଇପାରେ। RoR, ମାଲିକାନା, EC, ଜମିର କିସମ ଓ ଦଲିଲ—ସବୁ ତଥ୍ୟ ମେଳ କରନ୍ତୁ।

ଜମି କିଣନ୍ତୁ ନିଶ୍ଚିନ୍ତରେ, ଯାଞ୍ଚ କରନ୍ତୁ ସମ୍ପୂର୍ଣ୍ଣ ଭାବେ। ସଚେତନ ରୁହନ୍ତୁ, ନିରାପଦ ଜମି କାରବାର କରନ୍ତୁ।

#OdishaRevenue #LandRecords #LandAwareness #SafeLandTransaction

[Dr M Shujat Rasool @DrMShujat]

CETIRIZINE (Sleepy): Rule of 3
1. Runny nose, sneezing, itching, dust allergy. Fast but sleepy.
2. Take at night with water. Food is OK. Avoid alcohol & driving.
3. Safety: Kidney failure, dry mouth, weight gain with long use.

LORATADINE (No Sleep): Rule of 3

[Vitus Nnaemeka @VitusNnaemeka1c]

You’ve ever gone to buy vitamin B12 and seen names like methylcobalamin and cyanocobalamin, you may have wondered,Which one should I choose?

Let’s break down the difference between these two forms of vitamin B12 in simple terms. 👇🏾

[NOMAD @Kababhadu]

@thenextnerdoor Endoxifen is the active metabolite of Tamoxifen. It is approved only in India for acute bipolar mania, based on short-term trial data.
Internationally, it is a clinical-stage investigational drug being studied for breast cancer, not bipolar disorder. It is not fda approved .

[🇮🇳 Amiya @amiyaksgem]

@Mohitjhasangam 😜😳

[Dr M Shujat Rasool @DrMShujat]

OMEPRAZOLE: Rule of 3
1. Take 20/40 mg 1x daily, 30 min before breakfast, plain water, not milk, empty stomach, full effect in 3/4 days
2. Best for active ulcer, GERD, H pylori
3. Blocks clopidogrel, avoid after stent, long use can lower magnesium, B12

PANTOPRAZOLE: Rule of 3👇

[Meded Daily @MededDaily42640]

TRIGLYCERIDES

[Anuja Jaisswal @AnujaJaiswalTOI]

On World Heart Day, cardiac surgeon Dr Naresh Trehan spoke to me about what really shapes heart health. His message: it’s not about extreme diets or punishing workouts. Know your risks, stay active, maintain a healthy weight, manage stress and get checked before symptoms become a warning. @timesofindia @TOIHealth_Plus @saikat_81 @medanta

#WorldHeartDay #HeartHealth #CardiacHealth #DrNareshTrehan #Medanta #interview

[Dr PARVEEN YOGRAJ @dr_yograj]

Clonazepam vs Zolpidem: Same Goal, Very Different Sleep Pills
——————————————-
@DocPriyamMD comparing clonazepam and zolpidem for sleep makes an important point: both can be prescribed for insomnia, yet they are not interchangeable. Understanding how they differ in timing, duration, and risks helps patients use them more safely if a doctor decides they are needed.
Clonazepam is a long-acting benzodiazepine. It is usually taken at night and can be taken after dinner; there is no empty-stomach rule. Because it stays in the body for many hours, it may help people stay asleep through the night. The trade-off is residual grogginess the next day. The same drug is also used for panic attacks and seizures, so its effects go beyond simple sedation.
Zolpidem is a shorter-acting “Z-drug” designed more specifically for sleep. It should be taken only when you are getting into bed and have a full 7–8 hours available to sleep. It works faster on an empty stomach; food can delay its onset. While it typically causes less next-day hangover than clonazepam, it has a well-documented (though uncommon) risk of complex sleep behaviors such as sleepwalking or sleep-driving with no memory of the event.
Both medicines require a prescription. Both can cause dependence if used regularly. Mixing either with alcohol is dangerous. They are generally intended for short-term use while the underlying sleep problem is addressed.
Sleep medicines can reset a disrupted clock when insomnia is severe, but they are not a first-line or long-term solution for most people. Lifestyle changes, consistent sleep schedules, and treating the root cause remain the foundation.
My opinion: — For sleep, medicines should always be avoided if possible. They do help in setting the sleep clock right when used carefully and briefly. Melatonin 3 or 5 mg or certain herbal preparations are also better options for many people who need a milder nudge toward better rest.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​#MedTwitter #MedEd #MedX #Psychiatry @IhabFathiSulima @ompsychiatrist @ajaykraina @mekarora @sanjoychakra @VishalU15 @sowmiyasid

[Dr. Priyam Bordoloi @DocPriyamMD]

Clonazepam is a benzodiazepine. It enhances GABA signalling at GABA-A receptors and stays in the body much longer, which can mean drowsiness the next morning. There’s no standard insomnia dose; Many sleep guidance lists 0.5-2 mg/day as a range. Watch for poor coordination, falls, memory problems and dependence. After regular use, stopping abruptly can cause withdrawal seizures.

Zolpidem is a Z-drug. It also acts at GABA-A receptors but favours those containing the alpha-1 subunit and leaves the body faster. For standard tablets, FDA starting doses are 5 mg for women, 5-10 mg for men and 5 mg in older adults, taken just before bed. Dizziness, next-day impairment and dependence can occur. Rarely, someone may sleepwalk or drive without remembering it later; that carries a boxed warning.

Alcohol, opioids and taking the two together increase the risk of dangerous sedation.

[Dr. Priyam Bordoloi @DocPriyamMD]

Clonazepam and zolpidem can both be prescribed for sleep. But they are very different.

CLONAZEPAM:
• For sleep, usually taken at night
• After dinner is fine; no empty-stomach rule
• Lasts longer; may leave you groggy tomorrow
• Also used for panic and seizures

Zolpidem ↓

[Dr RP Singh, MD @rpsingh1894]

Drung interactions!!

[Nurse Chris 💥 @chiemezuo27576]

Summary on stroke 🧠🟡🔥

Stroke study guide 💥

[Health Wealth @TheHWChannel]

You've been checking your BP wrong your whole life — and it might be silently damaging your kidneys.

People diagnosed with high BP walk around with it uncontrolled. And most of the times, the reason is bad measurement. Wrong hand position. Wrong cuff placement. Talking during the reading. Eating before the test. Every mistake adds to some error.

India's top cardiologist @Dr_AshokSeth breaks down the exact right way to check BP at home — hand position, cuff placement, timing, and the one myth about "left hand only" that everyone still believes.

If you or someone in your family checks BP at home, you need to watch this before your next reading.

Watch full podcast with @Sonal_MK here: https://t.co/hOEGUcenzA

[DrNadaSalma⚕ @drNadaSalma]

🧡Comparison of Diabetes Mellitus Medications 🧡
#الحقوق_محفوظة

[Dr M Shujat Rasool @DrMShujat]

AZITHROMYCIN: Rule of 3
1. 3 day course. Best for throat/chest/ear/nose infection.
2. Take empty stomach/with food. No milk/antacid for 2hr.
3. Max 500mg day1 then 250mg. Causes loose motion. Skip doses = creates mutant superbugs.

AUGMENTIN: Rule of 3👇

[Meded Daily @MededDaily42640]

RENAL FUNCTION TEST

[Akanksha Awasthi @Ak_anksha_90]

Check nerves blockage with a BP machine.

[Mr. Kayros @mr_kayros]

ASPIRIN: SMALL TABLET, BIG IMPACT! 💊❤️