Dr Belio

medical Doctor . specialized in pediatric surgery. #mufc #Ronaldodiehard

[Joe Rogan Podcast News @joeroganhq]

Me: "I'm going going to play some soccer with the guys."

Her: "Why are you packing your gloves?"

Me: "It's complicated..."

[Yoko @Kibet_bull]

Alfred Keter is one of the best signings of Linda Mwananchi. Wherever he gets the mic he doesn’t disappoint, he even cooks Ruto in his presence.

[Dr Belio @belioeliud]

@tweetcunha Will you be still alive?

[Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) @rkalyes1]

🩺 🫁 We can now treat TB in a period of 4 months instead of 6 months!

[The Kenya National Examinations Council (KNEC) @KNECKenya]

Now you can access, download and verify your KCSE certificate online.
Sign up today and start verify your certificate instantly.
Here attached is the procedure.
#KCSE
#integrity

[CardiovascularCorner @TrackYourHeart]

Treatment of Essential Hypertension (Adults)

Step 1
◻️ Age <55 years: Start an ACE inhibitor (ACEi) or ARB (ARB if ACEi is not tolerated).
◻️ Age ≥55 years or Black African/Black Caribbean ethnicity: Start a calcium channel blocker (CCB).

Step 2
◼️ACEi/ARB + CCB
◼️ If a CCB is not tolerated, use a thiazide-like diuretic instead.

Step 3
◻️ ACEi/ARB + CCB + thiazide-like diuretic

Step 4 (Resistant Hypertension)
◻️ If serum potassium is ≤4.5 mmol/L: Add low-dose spironolactone.
◻️ If serum potassium is >4.5 mmol/L: Consider an alpha-blocker or beta-blocker, or seek specialist advice.

Key point: Use either an ACE inhibitor or an ARB, never both together.

Reference: NICE Guideline NG136: Hypertension in adults: diagnosis and management (updated February 2026).

[CardiovascularCorner @TrackYourHeart]

Which antihypertensive is preferred in a patient with both hypertension and gout?
a) Hydrochlorothiazide
b) Atenolol
c) Losartan
d) Amlodipine

[Dr. Khaled @kh505043]

What is the first-line treatment for localized hyperhidrosis (armpits and palms)?

· A) Botox injections
· B) Aluminum chloride
· C) Surgery
· D) Oral pills

[Dr Belio @belioeliud]

@MuekeA25494 @KNECKenya Even me ... @KNECKenya kindly reply to this

[Waleed Tariq @supportbrain1]

Asthma Management.

USMLE Algorithm Series.

[🦠 Dr. Ahmed Alanazi @o_o_dr]

Croup (Laryngotracheobronchitis) 🫁👶

A common pediatric airway emergency and a high-yield SMLE topic.

Think Croup in a child with:
▫️Barking cough 🐶
▫️Hoarseness of voice
▫️Inspiratory stridor
▫️Symptoms worse at night
▫️Low-grade fever

Most common cause:
🦠 Parainfluenza virus

Diagnosis:
✅ Clinical diagnosis
❌ Routine imaging is not usually needed.

Management:
💊 Dexamethasone for all severities
💨 Nebulized epinephrine for moderate/severe cases

Classic clue:
Barking cough + stridor in a young child = Think Croup ✅

Full pediatric summary 👇
https://t.co/iQY7FLGuJb

[🦠 Dr. Ahmed Alanazi @o_o_dr]

💊 Drug of the Day #20: Dapagliflozin (Farxiga®)

Dapagliflozin is an SGLT2 inhibitor that improves glycemic control and provides important cardiorenal protection in patients with diabetes, heart failure, and chronic kidney disease.

⚙️ Mechanism of Action:
Inhibits SGLT2 in the proximal renal tubule, leading to:
⬇️ Glucose Reabsorption in the Kidney
⬆️ Urinary Glucose Excretion
⬇️ Blood Glucose Levels
⬇️ Cardiac Preload and Afterload

✅ Uses:
• Type 2 Diabetes Mellitus
• Heart Failure (HFrEF & HFpEF)
• Chronic Kidney Disease (CKD)
• Reduction of Heart Failure Hospitalization Risk

⚠️ Common Side Effects:
• Genital Fungal Infections
• Urinary Tract Infections
• Polyuria
• Dehydration
• Hypotension

🚨 Important Warning:
May cause Euglycemic Diabetic Ketoacidosis (euDKA). Stop the medication 3 days before major surgery and monitor renal function and hydration status.

💡 Exam Pearl:
SGLT2 inhibitors provide cardiorenal protection beyond glucose lowering, reducing heart failure hospitalization and slowing CKD progression, even in some patients without diabetes.

#DrugOfTheDay #Pharmacy #Cardiology #Nephrology #SMLE #SPLE

[Medical Notes @A25ma22]

pediatric dose

[Dr Belio @belioeliud]

@OfficialBHAFC We are not signing him for more than 50m

[Dr Belio @belioeliud]

@KNECKenya Please what is wrong with the E- certificate platform

[Dr Belio @belioeliud]

@Furious_red_ Absolutely 💯

[Patrice Evra @Evra]

Guys, I was being a gentleman... but some Arsenal fans are getting too comfortable
You finally won the war after 22 years of banter 😂🏆
Now let's start another 50 years of banter about the Big Ears Cup
#ilovethisgame #arsenal #banter

[Dr.Salam Rahhal @DrSalamRahhal]

❗️GERD
❗️GASTRITIS
❗️PUD

[🦠 Dr. Ahmed Alanazi @o_o_dr]

Important