iSantino

[iSantino @sando_samwel]

“If you're guided by the spirit of honesty and query, and every word you say is reflective to what you believe to be the truth, then the pathway walk on is golden pathway to success”
-Dr. Jordan B. Peterson

[Modern Health @modernHealthMe]

A diabetic patient with constipation asked me:

“Doc, isn’t lactulose a type of sugar? Then why are you giving it to me for constipation? Won’t it increase my sugar levels too?”

How will you explain this to him?

[Alpha ScienceFox @AlphaScienceFox]

First line pharmacological treatment for generalized anxiety disorder is:

A. Diazepam
B. Propranolol
C. SSRI
D. Haloperidol

[Modern Health @modernHealthMe]

Performance anxiety (e.g., fear before public speaking) is best managed with?

A. Propranolol
B. Lithium
C. Clozapine
D. Valproate

[Modern Health @modernHealthMe]

What do you see?

[Dr. Medica🩺 @DrMedica_13]

Do you know?

✨✨✨

[Dr. Medica🩺 @DrMedica_13]

Do u know? Doctor 🧑‍⚕️

✨✨✨

[Dr. Medica🩺 @DrMedica_13]

Diagnosis?

✨🫀✨

[Anime Updates @animeupdates]

'That Time I Got Reincarnated as a Slime' Season 4 New Anime Officially Premieres April 3, 2026!

The Anime will be split into 5 cours

[Dr. Medica🩺 @DrMedica_13]

Spot Diagnosis?

✨

[Modern Health @modernHealthMe]

What are likely causes?

[nervemed @nervemed]

Name the triad.

[Dr. Medica🩺 @DrMedica_13]

✨ Dr Medica | Clinical Sign Quiz ✨

A test is demonstrated in the video.

👉 What is the name of this test & most likely diagnosis?

#ClinicalQuiz #Neurology #MedEd

[Dr. Medica🩺 @DrMedica_13]

What is your Diagnosis?

#MedEd #MedX #Diagnosis

[Dr. Medica🩺 @DrMedica_13]

Which ECG leads shows the inferior wall of heart 🫀?

#quiz #Diagnosis

[Dr. Medica🩺 @DrMedica_13]

✨ Dr Medica | Clinical Case Quiz ✨

A video shows a child with multiple soft, circular papules on the face present since birth, occurring in a familial pattern.

👉 What is the most likely diagnosis?

A) Neurofibromatosis type 1
B) Tuberous sclerosis
C) Familial multiple discoid fibromas
D) Cowden syndrome

#ClinicalQuiz #GeneticDisorders #MedEd

[Dr. Medica🩺 @DrMedica_13]

Wnat is your Diagnosis?

#Quiz #MedEd

[iSantino @sando_samwel]

@DrMedica_13 Lithotomy position

[Dr. Medica🩺 @DrMedica_13]

✨ Dr Medica | Clinical Cases

A patient is shown with multiple yellowish nodular lesions over tendons and eyelids.

👉 What is your diagnosis?

Options:
A) Type I hyperlipoproteinemia
B) Familial hypercholesterolemia
C) Diabetes mellitus
D) Hypothyroidism

#ClinicalDiagnosis #MedQuiz #InternalMedicine #LipidDisorders

[Modern Health @modernHealthMe]

What's wrong with his skin?

[Haji Siyamuddin ANSARI @DrsansariOrd]

Complications of large-volume paracentesis (LVP):

1. Paracentesis-induced circulatory dysfunction (PICD) — most important

Effective hypovolemia due to splanchnic vasodilation

Leads to:

Hypotension

Renal dysfunction / AKI

Hyponatremia

Faster re-accumulation of ascites

Prevention: IV albumin (≈ 6–8 g per liter removed when >5 L drained)

2. Hemodynamic complications

Hypotension

Tachycardia

Syncope

3. Renal complications

Acute kidney injury

Worsening hepatorenal physiology

4. Electrolyte disturbances

Hyponatremia

Hypokalemia (less common)

5. Bleeding

Abdominal wall hematoma

Rarely hemoperitoneum

Higher risk with coagulopathy, but overall uncommon

6. Infection

Local site infection

Rarely secondary bacterial peritonitis

7. Ascitic fluid leak

Persistent leakage from puncture site

8. Visceral injury (rare, ultrasound reduces risk)

Bowel perforation

Bladder injury

---

Key exam pearl:

> Large-volume paracentesis without albumin → PICD → renal failure & hyponatremia

Bottom line:
LVP is generally safe, but albumin replacement is essential to prevent circulatory and renal complications.