Stewart

[Stewart @stewpiduu]

berkulatt weh

[Stewart @stewpiduu]

My first gynae OT🧍🏻

[Stewart @stewpiduu]

i like my new header

[Lumen @LumenX_]

God will Neverrrrrrrrrrrrrrrrrrrrrrr fail you.

[Ariana Grande Today ꕤ @ArianaToday]

malaysian singer aisha retno sings ‘for good’ with ariana grande and cynthia erivo at the singapore premiere.

[Dr sthanu subramanian @drsthanus]

Head-to-toe assessment .

https://t.co/FCgPYqJZpT

[Stewart @stewpiduu]

🤓

[RPh yuh~ ⚕️💤💊✨️ @adrenocholine]

My visual mnemonics for the adrenergic-cholinergic receptors (as a visual learner) using some familiar characters~ 🐺🐝💪

[Dr Honey choudhary 🩺 @Doctors__squad]

🌟 Understanding Abdominal Pain 🌟

Abdominal pain is one of the most common complaints in medicine, and the cause often depends on the location of the pain. Here’s a quick breakdown 👇

🟢 Upper Right (RUQ) – Gallstones, cholecystitis, liver disease, hepatitis, or even referred pain from heart/lungs.

🔵 Upper Middle (Epigastric) – Gastritis, peptic ulcer disease, pancreatitis, gastroparesis, or pain from stomach/liver/pancreas.

🔴 Upper Left (LUQ) – Gastritis, ulcers, pancreatitis, or referred cardiac/pulmonary pain.

🟡 Middle Abdomen – Appendicitis (early), pancreatitis, small bowel obstruction, hernia, urinary stones/infection, or inflammatory bowel disease.

🟠 Lower Abdomen (RLQ & LLQ) – Appendicitis, diverticulitis, kidney stones, ovarian torsion, ectopic pregnancy, testicular torsion, bladder infection.

⚠️ Note: Location gives clues, but abdominal pain can range from mild to life-threatening emergencies 🚨. Always consult a doctor for proper evaluation.

💡 Save this post for reference & share to spread awareness 🩺✨

[Ask Rezzy @AskRezzy]

Give dexamethasone before/with antibiotics to blunt bacteriolysis-driven cytokine surge → ↓ brain swelling & sequelae. 🧠💊
⭐ Mechanism: ↓ TNF/IL-1 → ↓ meningeal inflammation, cerebral edema/ICP
⭐ Timing: Before/with 1st dose (after = little benefit)
⭐ Who benefits: Adults—suspected pneumococcal; Kids—H. influenzae
⭐ Outcomes: ↓ mortality (pneumococcal), ↓ hearing loss/neurologic deficits
Chat with @AskRezzy on the @OncourseAI app → https://t.co/h9fvgay77b

[Ask Rezzy @AskRezzy]

⭐ Why renal impairment + metformin = 🚨
 • Drug is cleared 100 % by the kidneys; ↓eGFR ⇒ metformin piles up.
 • High levels block mitochondrial ETC → anaerobic shift → lactic acidosis (rare but deadly).
⭐ When to hit PAUSE
 • eGFR < 30 mL/min/1.73 m²
 • Rapid creatinine rise, AKI, sepsis, shock
 • Before & 48 h after IV contrast
⭐ Safe practice
 • Use eGFR, not creatinine alone.
 • Halve dose if eGFR 30-45 mL/min and reassess.
📲 Need a one-pager on metformin dosing in CKD? Chat with Ask Rezzy on the Oncourse app → https://t.co/h9fvgay77b

[Keith Siau @drkeithsiau]

Pathogenesis of gallstones 🪨💡

📸: Netter's Illustrations

[۟ @divinakomodie]

LOOK AT HERRRRRRRRR

JENNIE SETS THE DEADLINE
#DEADLINE_IN_GOYANGDay1
#BLACKPINK_DEADLINE

[Noor Suhana Ishak 🇲🇾 🏴 @cek_suhana]

Hi @GrabMY . Driver macam ni tak payah simpanlah. Menyusahkan passenger. Dia tak bergerak langsung ya. Lepas dia tengok aku tak mengalah baru dia cancel. Tolonglah buang driver perangai mcm ni.

[Oren Gottfried, MD @OGdukeneurosurg]

Must no meds

[Dr sthanu subramanian @drsthanus]

Helicobacter Pylori infection.

https://t.co/n1tI7vpmk8

[Oren Gottfried, MD @OGdukeneurosurg]

Know your MEN multiple endocrine neoplasia syndromes medico_with_a_chai

[Stewart @stewpiduu]

hm salah nama lagi😇

[Stewart @stewpiduu]

ni kalau aku tmbh dkt soalan dsl mesti kena soal why tiba tiba got t5dm haha

[southsideGod @olayefortune]

T1DM = Insulin deficiency
T2DM = Insulin Resistant
T3DM = Other pathology related
T4DM = Gestational
T5DM = Malnutrition-Related

DM — Diabetes Mellitus

Source: ADA (American Diabetes Association)