Dr. Persie

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[Dr. Persie @private_relay]

Through the darkness of future pasts
The magician longs to see
One chants out between two worlds
“Fire, walk with me”

[Allison Fitzgerald, MD, PhD @allisonoconn]

Today I learned that patients with steroid-induced osteoporosis carry a higher risk of fracture even when they have the same bone mineral density as a patient with primary/postmenopausal osteoporosis.

[Dr. Persie @private_relay]

the most annoying feeling 😡 - when you bow down to tie your shoelace and stuff from your whit coat drops on the hospital floor. 😭

[Dr. Persie @private_relay]

non-invasive methods of assessing hepatic fibrosis.
#NEETPG #upsccms

[Dr. Persie @private_relay]

@beababoobis i do, respect for the director and efforts behind it.

[Dr. Persie @private_relay]

serum albumin is a marker for CLD, and not a good indicator of acute or mild hepatic dysfunction, bcz it has long half life of 18-20 days therefore only used as a marker for CLD. for acute we can use PT.
#medtwitter #NEETPG

[Dr. Persie @private_relay]

@MasalaFry69 bro if im not trippin’ this is what you posted.
lol

[Dr. Persie @private_relay]

with moderate intensity statin i mean - a statin dosage that can reduce LDL by 30-50% eg. 5-10mg rosusvastatin or 10-20mg atorvastatin.#medtwitter #mbbs #pharmacology

[Dr. Persie @private_relay]

initiate moderate intensity statin therapy regardless of lipid levels in patients aged 40-75 yrs with DM
#medtwitter #mbbs

[Dr. Persie @private_relay]

@MasalaFry69 errors in your post:-
LDL prevents peroxidation ❌
Ox LDL is part if repair ❌
cholesterol sent to kidneys ❌
other parts partly correct.
and i dont have time to argue but i think you should go through biochem once.

[Dr. Persie @private_relay]

@MasalaFry69 and cleared by the kidney you said, thats im not aware of, i mean what book are you reading bro, that says kidney started clearing LDL, since when. also i dont know whats the source of your post

[Dr. Persie @private_relay]

indications to start high-intensity statins :- #medtwitter #mbbs #pharmacology #medicine

[Dr. Persie @private_relay]

initiate moderate intensity statin therapy regardless of lipid levels in patients aged 40-75 yrs with DM
#medtwitter #mbbs

[Dr. Persie @private_relay]

@PJaseja sometimes the brain itself stop extracting stuff, after the mind numbing toil, no matter how hard i try

[Dr. Persie @private_relay]

#NEETPG #upsccms ig HIV and Hep. C are only associated with development of lymphoid malignancies. what do you say ?

[Dr. Persie @private_relay]

if only one option then mark sulfasalazine
#upsccms #NEETPG

[Dr. Persie @private_relay]

pause and absorb cardiology flow chart
courtesy @ambossmed
#medtwitter #mbbs

[Dr. Persie @private_relay]

total urinary coproporphyrin is normal in Dubin johnson, the inner story is interesting :-
increased excretion of coproporphyrin 1 and decreased excretion of coproporphyrin 3, overall its compensated therefore total is normal, in contrary to Rotor syndrome.
#medtwitter #mbbs

[Dr. Persie @private_relay]

did you know dialysis isn’t just for the kidneys, liver failure too require the same by the name of MARS (molecular absorbent recirculating system)
#medtwitter #mbbs

[Dr. Persie @private_relay]

in any liver pathology PT (prothrombin time) is affected all the first - bcz factor VII has the shortest half life.
and PT is a measure of factors II, V, VII, X.
#NEETPG #medtwitter

[Dr. Persie @private_relay]

the tremors we check in patients who’re on antipsychotic meds, to check for extrapyramidal side effects of the drug, one must note, the fine tremors have other DDx as well - Anxiety neurosis, grave’s, pheochromocytoma
#medtwitter #mbbs