Mustansir⚕️

Fascinated by the human body; terrified by the syllabus. | Final year MBBS @ GMERS Gotri | Documenting my INI-CET & NEET PG prep so I don't lose my mind🩺📚

[Mustansir⚕️ @latrogenicMind]

3rd year is memorizing post-mortem lividity (FMT) and how to build latrines (PSM).
​Final year is the terrifying realization that patients are breathing and actually expect you to know things.
​I survived the latrines. Here’s why I’m documenting what comes next. 🧵👇

[Mustansir⚕️ @latrogenicMind]

@CricStatements Thanks for correcting

[Mustansir⚕️ @latrogenicMind]

The biggest paradox in Pharma: Giving Thiazide DIURETICS to treat Nephrogenic DI.
​Why give a water pill to someone peeing 15L/day?

[Mustansir⚕️ @latrogenicMind]

To defend your BP, the Proximal Tubule (PCT) kicks into overdrive, reabsorbing massive amounts of Na+ & water upstream.
​Because the PCT hoards the water early, very little fluid actually reaches the broken Collecting Ducts.
​Less fluid delivered = Less urine.

[Mustansir⚕️ @latrogenicMind]

Thiazides block Na+/Cl- in the DCT, causing a mild, intentional volume depletion. The body senses this and panics.

[Mustansir⚕️ @latrogenicMind]

@leiomyomaa And also see minesota is a proper progression to sb tube by providing 2 aspiration channels to prevent aspiration pneumonia.
Linton is not used much bcz only one balloon is there so only used in isolated gastric varices

[Mustansir⚕️ @latrogenicMind]

@leiomyomaa I just try to make a pictographic memory in these cases and just try to wrap some story or actual progression logic around it...the mnemonics tend to be more confusing and can be forgotten in exam

[Mustansir⚕️ @latrogenicMind]

@leiomyomaa Imp additional point :Remember to deflate esophageal balloon every 12hrs or else perforation can occur

[Mustansir⚕️ @latrogenicMind]

@zahid7052 In my uni a question came like
A person who has taken pre exposure prophylaxis earlier due to his job...now that he presents with grade 3 dog bite.whats the mx?
This is confusing bcz in pre exposure prophylaxis we have not given immunoglobulin,so do we have to give it now or not

[Mustansir⚕️ @latrogenicMind]

Category III dog bite (bleeding). Patient had a full Rabies vaccine course 3 years ago. Next step?

[Mustansir⚕️ @latrogenicMind]

@yeager2004eren @zahid7052 It is given in park

[Mustansir⚕️ @latrogenicMind]

Ik this is very theoretical cuz my pedia hod said we always give immunoglobulin no matter what

Can anyone say what really happens in clinical practice

[Mustansir⚕️ @latrogenicMind]

Everyone sees "Category III" & clicks "RIG + Full Course." 🤡
​Stop. RIG actively harms them here. It neutralizes the antigen before memory B-cells wake up, blunting the natural immune response.
​Mgmt: ZERO RIG. Just 2 boosters (Day 0 & 3). 🐕💉

[Mustansir⚕️ @latrogenicMind]

@KartikG46538239 No immunoglobulin

[Mustansir⚕️ @latrogenicMind]

@diplomacyyapper I used to be very good in pharmac,got a distinction too but now after 1 year i have forgotten most of it

[Mustansir⚕️ @latrogenicMind]

MBBS is the only place where you can study a topic for 6 hours, explain it to someone, feel confident… and forget it completely by next week.

[Mustansir⚕️ @latrogenicMind]

@geniusiyke_fd First exception

[Mustansir⚕️ @latrogenicMind]

@TrackYourHeart Boerhaave syndrome
Just studied this yesterday😄
Macklers triad=subcutaneous emphysema+chest pain+retching

[Mustansir⚕️ @latrogenicMind]

The Window Period 🚨

Classic INI-CET trap:

The burglar has left → HBsAg (−)

But the new locks aren't ready → Anti-HBs (−)

So what’s left?

📹 IgM Anti-HBc (+)

During the window period, IgM Anti-HBc is the key positive marker.

When in doubt, check the footage.

[Mustansir⚕️ @latrogenicMind]

NEET PG / INI-CET: Hep B serology is one of those topics you think you know until a PYQ gives you a combination of + and − signs and your brain just stops working.

There’s a much easier way to make sense of it.
Think of Hep B as home invasion

[Mustansir⚕️ @latrogenicMind]

The Core 📹

Anti-HBc = your security camera footage.

The vaccine contains surface antigen, NOT core antigen.

So:

💉 Vaccine → Anti-HBs (+), Anti-HBc (−)

🦠 Natural infection → Anti-HBc (+)

Core antibody = proof that the real virus showed up.