M. Maheer Mubashir

cure sometimes, treat often and comfort always. KEMU

[M. Maheer Mubashir @maheerium]

Prothrombin time is the best determinant of risk at 48-72 hours after ingestion in cases of paracetemol overdose.
(reflects the functional and synthetic capacity of liver, best predicts the risk because of short half life of factor VII, which is involved in extrinsic pathway)

[M. Maheer Mubashir @maheerium]

Pericarditis and myopericarditis are usually viral or idiopathic.
First-line therapy is NSAIDs + colchicine.
Glucocorticoids are reserved for refractory cases, NSAID contraindications (eg. CKD), or specific causes due to higher recurrence risk.

[M. Maheer Mubashir @maheerium]

Pheochromocytoma can remain silent until triggered (eg, anesthesia, surgical manipulation). Screen with plasma/urine metanephrines. If elevated, confirm with CT/MRI for adrenal mass.

[M. Maheer Mubashir @maheerium]

@hashimfaisal799 🫡

[M. Maheer Mubashir @maheerium]

Pneumococcal meningitis is associated is high mortality+morbidity, especially sensorineural hearing loss. Use steroids to reduce the risk of SNHL.
Contacts do not require prophylaxis, compared to meningococcal meningitis, in which rifampin is given to contacts as prophylaxis.

[M. Maheer Mubashir @maheerium]

Abdominal swelling, mild ankle edema, hypertension and mild proteinuria in a young female should raise suspicion for nephrotic syndrome.
But get a urinary beta-hCG to rule out pregnancy first.
Hypertension and proteinuria suggest pre-eclampsia.

[Dr Ahmad Rehan Khan @AhmadRehanKhan]

𝗨𝗿𝗴𝗲𝗻𝘁 𝗗𝗼𝗻𝗮𝘁𝗶𝗼𝗻 𝗥𝗲𝗾𝘂𝗲𝘀𝘁:

A young Pakistani physician came to the U.S. full of dreams preparing for the Match and completing her observerships. But today, instead of chasing her goals, she is fighting for her life. She urgently needs a liver transplant, and her family cannot face this alone.

This is our moment to stand with her. To remind her she is not alone. That her community is here, ready to lift her up.

💙 Fundraising Goal: $250,000

How You Can Help:

Donate whatever you can, no amount is too small.

Share this message with your friends and networks so it can reach more hearts.

Together, we can give her hope. Together, we can save her life.

Donation is being handled by @APPNA

👉 Donate directly here:
Click to Support

https://t.co/Uw7XwWBs3q

#Match2026 #MedTwitter #MedEd

[M. Maheer Mubashir @maheerium]

A key sign that distinguishes Pulmonary embolism from a Panic attack on the boards is Cyanosis. PE results in V/Q mismatch that can cause ↓O2 and cyanosis. Hyperventilation due to panic attack causes ↑O2 and hypocapnia which can result in distal paresthesia, dizziness and LOC.

[M. Maheer Mubashir @maheerium]

@ex_moonshot A Step 2CK tip is a practical pearl to help you diagnose/manage clinical scenario/question on exam day.
A Step 2CK fact is guideline or evidence-based information you’re expected to know.
Hope it answers the question.

[M. Maheer Mubashir @maheerium]

STEP 2CK Fact:

In patients on dual antiplatelet therapy, prior Gastrointestinal Bleeding, peptic ulcer disease, active H. pylori, and age >65 raise the risk of upper GIB.
Proton pump inhibitors lower this risk in high-risk patients.

[M. Maheer Mubashir @maheerium]

STEP 2CK Tip:
Tachycardia-induced cardiomyopathy may occur in patients with persistent tachyarrhythmias and sustained rapid ventricular rates. Treatment: Restore sinus rhythm or tightly control ventricular rate, which often results in partial or complete recovery of LV function.

[M. Maheer Mubashir @maheerium]

a right bundle branch block–like pattern. Placement of an implantable cardioverter-defibrillator (ICD) is recommended for patients who present with syncope.

[M. Maheer Mubashir @maheerium]

Brugada syndrome is a condition that may lead to syncope and sudden cardiac death in individuals with structurally normal hearts. Characteristic ECG findings include more than 2 mm of coved ST-segment elevation in the right precordial leads, accompanied by T-wave inversion and

[M. Maheer Mubashir @maheerium]

Hemolysis can cause intracellular potassium to be released extracellularly, giving a false positive. Redrawing of arterial blood with care to prevent hemolysis is the next best step.

[M. Maheer Mubashir @maheerium]

If you see a patient with severe hyperkalemia (>8mEq/L) with a normal EKG on the exam, it should raise the possibility of pseudohyperkalemia. Almost all patients with a serum K > 8 mEq/L have EKG changes. The next best step is to get a blood redraw and repeat electrolytes.

[M. Maheer Mubashir @maheerium]

11 years.
feeling old already.
#MyTwitterAnniversary

[M. Maheer Mubashir @maheerium]

@hussnain_m_10 Congratulations Husnsain bhai!

[M. Maheer Mubashir @maheerium]

@HuzaifaKhann5 you deserve all the great things in life Huzaifa bhai! Congratulations ♥️