Dr Gayatri Paralkar

Doctor, Dreamer, Foodie,

occasional writer- @Grinstinctual

[Conrad Fischer @SeeFisch]

Thyroglobulin is a marker of cancer

Thyroglobulin antibodies are a marker of autoimmune thyroid disease

[Conrad Fischer @SeeFisch]

Miracle Drug Class of 2022
SGLT2 inhibitors
Empagliflozin, Dapagliflozin, Ertugliflozin, Canagliflozin
*Lowers mortality in CHF with systolic dysfunction
*Decreases progression of chronic kidney disease (CKD)
*Use in CKD with proteinuria, even without diabetes

[Conrad Fischer @SeeFisch]

Hepatorenal Syndrome
*Severe liver disease/cirrhosis in question
*Labs consistent with pre-renal numbers: BUN/creatinine ratio >20:1, Urine sodium <20
*Treat with IV albumin, octreotide and the somatostatin analogue terlipressin
*Norepinephrine is used in those in the ICU

[Dr Joshua Walinjom @walinjom]

Treatment of  Clostridium difficile infection =

1. first-line therapy is oral vancomycin for 10 days
2. second-line therapy: oral fidaxomicin
3. third-line therapy: oral vancomycin +/- IV metronidazole

[Conrad Fischer @SeeFisch]

Keys to Paget's diagnosis
*Hearing loss from compression of 8th cranial nerve
*Alkaline phosphatase and urine hydroxyproline elevated

*GGTP and calcium normal

[Conrad Fischer @SeeFisch]

My summary of Colon cancer screening

[Dr Joshua Walinjom @walinjom]

Pioglitazone is contraindicated in heart failure.

It may cause fluid overload.

[Conrad Fischer @SeeFisch]

Strongyloides enters through the skin of bare feet and go through lymphatics to the lungs and are swallowed. The skin itches, lungs with pneumonia and eosinophils and GI tract with pain and diarrhea. You finally get to use ivermectin for a legitimate benefit.

[Manual Of Medicine @ManualOMedicine]

Primary Intracranial Tumors - Clinical Features, Treatment and Prognosis

#medtwitter #foamed #meded #neurotwitter

[Dr Joshua Walinjom @walinjom]

DVLA, Time Not to Drive:

1 Angioplasty = 1 week off
2 CABG = 4 weeks off
3 ACS = 4 weeks off
4 Pacemaker = 1 week off
5 ICD = 6 months
6 Catheter ablation arrhythmia= 2 days off driving
7 Aortic aneurysm > 6.5 cm = no driving
8 Heart transplant = do not drive for 6 weeks

[The Hindu @the_hindu]

The Supreme Court has allowed the criteria for #EWS quota, including income limit of ₹ 8 lakh, will be followed for #NEET 2021-22 admissions. | reports @kdrajagopal
https://t.co/w5RvCoalmY

[Dr Gayatri Paralkar @grinstinctual]

@GeologyTime @tichomancer

[CBS News @CBSNews]

A massive plume of ash billowed from Italy’s Mount Etna as it erupted on Saturday. Europe’s tallest and most active volcano has now erupted more than 50 times this year.

[theEMfellow @theEMfellow]

This cardiac thrombus seems to be having alot of fun. Heparin just seems cruel! @ultrasoundpod
#POCUS #FOAMed

[Dr Gayatri Paralkar @grinstinctual]

Just posted a photo https://t.co/armMX8gcj5

[Conrad Fischer @SeeFisch]

(YOU CANT MAKE THIS UP)
Propionibacterium acnes is now....... CUTIBACTERIUM ACNES!!!!

[Dr Gayatri Paralkar @grinstinctual]

We've come a long way from where we began
Oh, I'll tell you all about it when I see you again

#peace #friendship #charlieputh #wizkhalifa #seeyouagain #music #love #delhigram #winter https://t.co/9eHXzvLNRJ

[Dr Gayatri Paralkar @grinstinctual]

Just posted a photo https://t.co/jh2dcu2lB0

[Dr Gayatri Paralkar @grinstinctual]

Just posted a photo https://t.co/hppRX3MeEs

[Dr Gayatri Paralkar @grinstinctual]

Just posted a photo https://t.co/xMfq3uGH2i