Basharat Iqbal

MBBS , MD Pediatrics and Neonatology
SKIMS Srinagar

[Aditya Gupta @DrAditya2935]

Milestones

You can try to read revise and remember them 20 times and you’ll forget them 25 times.

But for gross motor milestones - a simple stick figure can help you figure out everything.

See the stick figure given below. Just remember - 3,6,9,12.

3 months - Neck control
6 months - Trunk control - Sit with Support
9 months - Knee Control - Stand with Support.
12 months - Feet control - walk with support.

A child would be able to stand with support only once it gains ability to sit without support.

So sit without support comes one month earlier - at 8 months.

Similarly- you’ll only be able to walk with support - once you’re able to stand independently.
Hence, stand independently comes at 11-12 months.

In Toto, this becomes

3 - NECK control

6 - Sit with support. (Trunk control)

8 months (9-1) month - Sit without support

9 - Stand with support (knee control)

11 months (12-1) - Stand independently

12 - Walk with support. (Feet control)

That’s it - you’ll now never forget Gross motor milestones for 1st year.

[Basharat Iqbal @basharatiqbal54]

@Khargosh_12 @Iqbalomania Iqbal was a copy cat , stole Nietzsche's work then started propaganda poetry against him.

[Basharat Iqbal @basharatiqbal54]

@Optimistic399 Apne exam nahi diya tha ?

[Aditya Gupta @DrAditya2935]

Take a deep breath. You’ll see your abdomen moves out and so does your chest. Why ? Diaphragm goes down - lungs expand and diaphragm going down causes abdomen to go out.

Whenever there is a respiratory pathology - the lungs won’t expand as fully while the diaphragm contracts.
The diaphragm contraction pushes abdomen while chest doesn’t move.

This causes the lag between abdomen and chest movement. When lag becomes significant- abdomen is put, chest is not - when chest expands - abdomen goes back - creating see saw.

And why do we do this?

Let me know how pull you know about respiratory distress in preterm.
You can have a newborn with normal saturation and HR actually tiring himself out before it’s too late.
You Need an examination finding allowing what interventions do be done .

Low Silverman Anderson - 02
4-6 - CPAP
> 7 - intubate ASAP.

And even on 02 and CPAP- it helps - whether the distress is improving or not.

If the scores go down on CPAP/02 - it’s working - if not - it’s not.

[AJG - The American Journal of Gastroenterology @AmJGastro]

NEW! ACG Clinical Guideline: Hepatic Encephalopathy
@JasmohanBajaj, et al.

📕 https://t.co/R3HtWm1Z63

@ArunJesudian @YucaSpice @pohungVChen @Robert_J_Wong @ebtapper @MLongMD

[Massimo @Rainmaker1973]

Traditional street performers in India have trained goats to perform balancing acts since the 16th century.

[Dr.Priyanshu Jaseja @PJaseja]

Why do optic nerves cross in the midline?
1/n
.
.
.
The answer is --- Depth perception aka stereopsis

[Massimo @Rainmaker1973]

Iguana photobomb

[Basharat Iqbal @basharatiqbal54]

Wheelchair bound challenging Usain Bolt for 100 meter sprint !

[Dr Wajahat Ahmed MD @Oncologycorner]

I challenge this guy to bring his best Open merit Candidate from my field and let’s have a public debate about the subject.

[pocus.sg @pocus_today]

Focused Cardiac Ultrasound - Basic Views
#useit #FOCUS
Get it on the app store - useit app

[Basharat Iqbal @basharatiqbal54]

Imagine being retarded

[Dr Wajahat Ahmed MD @Oncologycorner]

I challenge this guy to bring his best Open merit Candidate from my field and let’s have a public debate about the subject.

[Basharat Iqbal @basharatiqbal54]

@OmarAbdullah Ab konsi galli du

[Dr sthanu subramanian @drsthanus]

A formula and a Venn diagram used to classify liver injury based on the ratio of two liver enzymes, Alanine Aminotransferase (ALT) and Alkaline Phosphatase (ALP), to their respective upper limits of normal (ULN).

*** R-value.

A hepatocellular injury is indicated by an R-value greater than 5.

A cholestatic injury is indicated by an R-value less than 2.

A mixed pattern of injury is indicated by an R-value between 2 and 5.

https://t.co/C3CnRrzNus

[Basharat Iqbal @basharatiqbal54]

@basiitzargar For God's sake know world before you utter anything , chrysanthemum has got cities in China but no , Biggest, Largest, first etc

[Dr sthanu subramanian @drsthanus]

The mechanisms by which ammonia and potassium levels influence hepatic encephalopathy (HE).

How a decrease in potassium (K+) leads to an increase in ammonia, which can then enter the central nervous system (CNS) through active transport and passive diffusion, ultimately leading to hepatic encephalopathy.

https://t.co/Ao7AjHjfYc

[Dr sthanu subramanian @drsthanus]

Flowchart for the management of community-acquired pneumonia (CAP) in non-pregnant adults.

@PyrlsApp

[Dr sthanu subramanian @drsthanus]

A diagnostic schema for syncope.

https://t.co/MBtb4KRrgp

[Keith Siau @drkeithsiau]

Paracetamol (acetaminophen) remains the safest analgesic to take in liver failure and in pregnancy.

[Basharat Iqbal @basharatiqbal54]

@AbrarAbbas__ JEE advanced would ask something in same graphs , too difficult.

[Basharat Iqbal @basharatiqbal54]

@nasira_138 Night kar che sir