Raghav Gupta

[Raghav Gupta @RaghavGupta2004]

@PJaseja LBBB

[Raghav Gupta @RaghavGupta2004]

@PJaseja So this was pseudo obstruction right ?

[Raghav Gupta @RaghavGupta2004]

@PJaseja So what is this sir then?

[Raghav Gupta @RaghavGupta2004]

@PJaseja Not sure
But maybe some autoimmune conditions where antibodies bind them together and cause this

[Raghav Gupta @RaghavGupta2004]

@PJaseja 1) Repeat fasting plasma glucose just in case there was some lab error
2) Find and correct the cause of anemia
3) We may do continuous glucose monitoring or look for other alternatives like glycated albumin or fructosamine to give a better idea for the same?

[Raghav Gupta @RaghavGupta2004]

@PJaseja t(21,21)

[Raghav Gupta @RaghavGupta2004]

@PJaseja HOCM with PRKAG2 mutation
Danon syndrome
Fabry

[Raghav Gupta @RaghavGupta2004]

@PJaseja Fanconi bickel is GLUT 2 defect leading to impaired transport of glucose inside liver

[Raghav Gupta @RaghavGupta2004]

@PJaseja CyTB has TB specific antigen like ESAT 6 which is usually not shared by other NTM and BCG vaccine so gives less false positive results as compared to mantoux where PPD is used

[Raghav Gupta @RaghavGupta2004]

@PJaseja Widespread immune activation and cytokine release might reactivate memory T cells leading to reactivation of bcg scar

[Raghav Gupta @RaghavGupta2004]

@PJaseja School mein GK book mein tha yeh humare 6th standard mein and we used to brag in front of each other after learning it will correct spellings 😅😅

[Raghav Gupta @RaghavGupta2004]

@PJaseja Cut off for massive splenomegaly
More than 8 cm below coastal margin
More than 20 cm in diameter
More than 1 kg in weight

[Raghav Gupta @RaghavGupta2004]

@PJaseja Congratulations sir 🎉🎉

[Raghav Gupta @RaghavGupta2004]

@PJaseja 1) Testing with anti H antibody to detect bombay blood group ( normal O will show agglutination while bombay blood group won't)
2) it is associated with LAD type 2
3) defective in fucosyl transferase enzyme leading to deficient sialyl Lewis X

[Raghav Gupta @RaghavGupta2004]

@PJaseja Levamisole induced vasculitis ( p anca positivie)