Loner001 🍁

You are welcome friends

Doctors are not pastors. We don’t have to practice what we preach. So yes, I will advise you to sleep 8 hours, eat well and manage your stress. While I run on 3 hours of sleep, have a cold sandwich from yesterday by 2am and pure adrenaline 🙂

@MoarSahitoPTI Metformin can impair vitamin B12 absorption over time, so supplementation helps prevent anemia and neuropathy.

CBC made simple 🩸 Start with hemoglobin, then follow the pattern—RBC indices, WBCs, and platelets. Don’t chase one number. Think clinically.

Last night while on ER duty, a man presented with multiple BEE stings. He was tachycardic and complaining of a tightness in his throat. What is the first priority in his management?

⚡ Quick patterns • Prerenal: BUN/Cr > 20, low Na⁺ • Intrinsic: BUN/Cr ~10–15, high FeNa • Postrenal: Variable, think obstruction

🔹 E – Electrolytes Na⁺, K⁺, HCO₃⁻, Ca²⁺, PO₄³⁻ → balance tells the story 🔹 A – Acid–Base ↓ HCO₃⁻ + ↑ Anion gap → metabolic acidosis (common in CKD) 🔹 U – Urine Protein, RBCs, WBCs, casts → localize pathology

Renal Function Tests made simple 🧠🩺 Think in systems: 🔹 G – Glomerular (Filtration) ↑ BUN, ↑ Creatinine, ↓ eGFR → filtration problem 🔹 T – Tubular (Reabsorption/Secretion) Urine electrolytes & markers → tubular injury

Right- vs left-sided heart failure

🧠 Huntington’s vs Parkinson’s — don’t mix them up! Hyperkinetic vs hypokinetic Chorea vs tremor Early dementia vs late High-yield for exams & clinics 👇 #MedTwitter #Neurology #PLAB #USMLE #MedicalEducation #Doctors #Medicine

Viruses causing Cancer

Approach to polyuria

👉 Vancomycin is infused slowly to prevent Red Man Syndrome due to histamine release. 👉 Rapid infusion triggers non–IgE-mediated histamine release from mast cells → Red Man Syndrome (RMS)

DKA in ER = don’t delay 🚑⚠️ Not just sugar ↑ — it’s fluid loss + acidosis + electrolyte chaos Manage in order 👇 Fluids → K⁺ → Insulin #MedTwitter #EmergencyMedicine #DKA #Diabetes #CriticalCare #NEETPG #PLAB #USMLE #MedicalEducation #MedEd

Septic Shock ⚡️

Types of Shock | BP Changes, HR Patterns & Key Nursing Signs

Must know basics

I am seeing H pylori test joining widal tests in the archives of medical tests

Diagnosis of Diabetes

Liver Function Tests don't have to be confusing. A simple way to remember enzyme elevation patterns is the CAO approach: C- Chronic hepatitis➡️ Mild elevation of all enzymes A - Acute hepatitis➡️Marked⬆️ AST & ALT O- Obstructive jaundice ➡️Marked ⬆️ALP & GGT