Eric | MBChB(RCSI), FESC, FACC

Your heart is my concern.

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@Amir_Xomenoc @RoyChibuike 50cc? In 500NS? This is deadly because it will spontaneously drop the B/S. Put the patient of a sliding scale in intervals of 30min. And monitor!

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@SolomonSerwanjj Mulinayo ku bu poloti eyo?

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@albertoortegana If the proximal dilation represents clinically significant obstruction, stabilize first with bowel rest, IV fluids and urgent gastroenterology/surgical assessment. A predominantly fibrotic fixed stricture may ultimately require endoscopic dilation or surgery,

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@albertoortegana The long, markedly narrowed terminal ileum represents the classic“string sign” (Kantor sign) of Crohn disease. Ileocolonoscopy with terminal ileal biopsies
MR enterography or CT enterography to define the stricture and look for fistula/abscess
CBC, CRP/ESR.

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@DoctorMed0 Retinoblastoma of the left eye.

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@TrackYourHeart the anterior precordial T-wave abnormality, especially V2–V4, together with chest pain occurring 2 days earlier. This fits Wellens syndrome, a high-risk pattern associated with critical proximal LAD stenosis. Wellens Syndrome

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@Doctors__squad d. Ventricular tachycardia. The rhythm strip shows a very regular, rapid, wide-complex tachycardia with a uniform QRS morphology, consistent with monomorphic ventricular tachycardia.

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@Doctors__squad Calcinosis cutis, with CREST/systemic sclerosis an important underlying cause

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@Frances98392343 There are repetitive saw-tooth flutter waves, particularly visible in the inferior leads II, III and aVF and in V1.A very regular narrow-complex tachycardia sitting close to 150 bpm should immediately raise suspicion for atrial flutter with 2:1 conduction

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@IhabFathiSulima Impella percutaneous ventricular assist device. Impella device. It unloads the left ventricle by actively pumping blood from the LV into the ascending aorta, reducing LV preload/pressure and myocardial workload while augmenting systemic cardiac output.

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@thediabetes_doc B.Long-term metformin therapy reduces intestinal absorption of vitamin B12. While B12 levels can begin falling earlier, clinically significant deficiency typically becomes more relevant after several years of therapy, with risk increasing with higher dose and longer duration

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@kh505043 a rounded intracavitary mass surrounded by a crescent of air within a pre-existing right upper-lobe cavity. This is the classic air-crescent/Monod sign of an aspergilloma. Pulmonary aspergilloma (Aspergillus fungus ball) developing within a post-TB cavity.

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@Kaf_Dan @DrJNELLY95 @CelestinoGutirr @Gideonthesquire @TNatseli @Arnold_Khaukha @OcenWilfre3668 @CBryahn @paulageimo @OnapOscarOlum @onesmus_bogere The key point is that the prior jaundice makes kernicterus highly relevant, but it should not prematurely close the differential, especially with fresh stimulus-induced opisthotonus

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@Kaf_Dan @DrJNELLY95 @CelestinoGutirr @Gideonthesquire @TNatseli @Arnold_Khaukha @OcenWilfre3668 @CBryahn @paulageimo @OnapOscarOlum @onesmus_bogere Consistent with severe dystonia/opisthotonus, with chronic bilirubin encephalopathy (kernicterus) an important possibility given the previous neonatal jaundice. Kernicterus can cause later dystonia, choreoathetosis and auditory neuropathy. Chronic bilirubin encephalopathy

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@Kaf_Dan @DrJNELLY95 @CelestinoGutirr @Gideonthesquire @TNatseli @Arnold_Khaukha @OcenWilfre3668 @CBryahn @paulageimo @OnapOscarOlum @onesmus_bogere stabilize ABCs and minimise triggering stimulation; check glucose, electrolytes including Ca/Mg, renal/liver function, CK and blood gas; investigate infection and tetanus where indicated; obtain MRI brain and EEG/video-EEG if seizures are suspected.

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@AbsaUganda @PeterNkambo @StanChartUGA Will you pay for my ticket to return back to pick the card ? I won’t be able to transact after 16th, what if wrong with you people ?

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@AbsaUganda @PeterNkambo @StanChartUGA I filled in this information on Tuesday till today no response has been given

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@AbsaUganda @PeterNkambo @StanChartUGA I was abroad and I asked ABSA Team if I could delegate, they said no, I was told to travel back and get my card which I did. I filled in that form where to pick the card til now I haven’t gotten any update, I wasted time coming back.

[Eric | MBChB(RCSI), FESC, FACC @ericbarente]

@d37986 @Drperoxide1 @DrOribaDan @dr_katumwa @Solo_MDofficial @m_kabweru43739 @rkalyes1 @alexkiko18 Those X-ray findings, particularly the upturned apex + concave pulmonary artery segment + pulmonary oligemia, are the classic radiographic pattern associated with Tetralogy of Fallot