Godfried Erycesar

A blessed doctor, movie lover

[doctor insta @doctorinstaha]

Slowing Progression of CKD:
Slowing CKD progression is a multipronged task that includes
1. Treatment of the underlying cause of CKD.
2. Blood pressure control.
3. Use of antiproteinuric therapy (ACE inhibitor/ARB, SGLT-2 inhibitor, MRA, or combination if appropriate).
4. Weight loss in patients with obesity.
5. Avoidance of nephrotoxins (iodinated contrast agents, NSAIDs, PPIs).
6. Management of other cardiovascular risk factors.

[doctor insta @doctorinstaha]

🩸 RBC Morphology & Associated Diseases.

[doctor insta @doctorinstaha]

Chronic Obstructive pulmonary Disease (COPD) Exacerbation Treatment.

[doctor insta @doctorinstaha]

Coagulation Tests and Disease interpreetation.

[Medicine Refresher @notes4medicine]

A High-Yield Clinical Guide to Primary Biliary Cholangitis (PBC) for the USMLE Step 2 CK

[Medicine Refresher @notes4medicine]

Approach to Biliary Disease: A High-Yield Clinical Guide for the USMLE Step 2 CK

[Aravind Palraj @Rheumat_Aravind]

Antiphospholipid Syndrome is not just “start warfarin and follow INR.”

Management depends on:
• Thrombosis type (arterial vs venous)
• Obstetric profile
• Antibody pattern (triple-positive risk)
• Recurrent events

Triple-positive APS → Avoid DOACs
Recurrent arterial events → Consider higher INR target
Catastrophic APS → Anticoagulation + steroids + PLEX + IVIG

APS care is risk-stratified medicine.

#APS #AntiphospholipidSyndrome #Rheumatology #Autoimmune @IhabFathiSulima @docakx

[Aravind Palraj @Rheumat_Aravind]

Perioperative medication management is a common dilemma in rheumatology.

Should methotrexate be stopped before surgery? What about biologics, JAK inhibitors, and steroids?

Key principles:
• Continue most conventional DMARDs
• Hold biologics for one dosing interval before major elective surgery
• Hold JAK inhibitors 3 days before surgery
• Minimize glucocorticoid exposure when possible
• Restart therapy after satisfactory wound healing and absence of infection

A practical, guideline-based summary for daily clinical practice.

#Rheumatology #MedEd @IhabFathiSulima @docakx #PerioperativeMedicine #Immunology #MedicalEducation

[Medicine Refresher @notes4medicine]

Approach to ASTHMA: A Quick High-Yield Clinical Guide for the USMLE Step 2 CK

[Abdelhamed Hamdy @Abdelhamed6261]

SGLT2i in GNs

[Abdelhamed Hamdy @Abdelhamed6261]

SGLT2i and Bone 🦴 Health

[Abdelhamed Hamdy @Abdelhamed6261]

CKRT weaning

[Abdelhamed Hamdy @Abdelhamed6261]

TPN in CKD coma

[Medicine Refresher @notes4medicine]

Anemia Workup Algorithm

[Abdelhamed Hamdy @Abdelhamed6261]

RAAS blockade in the kidney life-cycle–treatment
standard

[Medicine Refresher @notes4medicine]

Approach to Cardiac Arrhythmias: A Quick High-Yield Clinical Guide for the USMLE Step 2 CK

[Abdelhamed Hamdy @Abdelhamed6261]

How Tacrolimus reduces proteinurea

[Medicine Refresher @notes4medicine]

Approach to Anemia: A High-Yield Clinical Guide for the USMLE Step 2 CK

[Abdelhamed Hamdy @Abdelhamed6261]

CKD fruit guide

[Internal Medicine @pgMedicine]

SLE Management Made Practical

Treat the organ, not just the label.

Start with hydroxychloroquine, classify severity, taper steroids early, and focus on preventing damage.

#SLE #Lupus #InternalMedicine #Rheumatology #MedicalEducation