The Prime Doctor

2.6K posts

The Prime Doctor

The Prime Doctor

@ThePrimeDoctor1

MD Internal MEDICINE

Katılım Mart 2016
73 Takip Edilen1K Takipçiler
Modern Health
Modern Health@modernHealthMe·
Can you identify the organ?
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CardiovascularCorner
CardiovascularCorner@TrackYourHeart·
1. The liver is enlarged. 2. The veins are blocked. 3. The portal pressure rises. Name the syndrome?
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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
C) 0.9% saline In a child with shock, start with an isotonic fluid bolus. 0.9% saline is preferred because it stays in the intravascular space and rapidly improves perfusion. Ringer's lactate can also be used, but normal saline is usually given first. 5% dextrose and 0.45% saline are not suitable since they do not effectively expand circulating volume.
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MEDCRUX
MEDCRUX@medcrux·
What is the fluid of choice for initial resuscitation in a child with shock? A) 5% dextrose B) 0.45% saline C) 0.9% saline D) Ringer's lactate
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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
Why muscles look bigger then smaller then bigger again during training? Initially, exercise causes exercise induced hyperemia. Increased blood flow and capillary dilation make the muscle look fuller and slightly reddish, giving a temporary increase in girth. In the early days, there is also fluid shift into muscle cells and mild inflammation, which adds to the apparent increase in muscle volume. After a few days to weeks, this effect settles. Reduced edema and normalization of fluid balance can make muscles look slightly smaller, even though adaptation is ongoing. With continued training, true muscle hypertrophy begins. There is an increase in muscle fiber size due to protein synthesis, leading to a sustained increase in muscle volume. At the same time, fat loss may reduce overall size initially, which can mask muscle gains. Over time, as fat decreases and hypertrophy progresses, muscles again appear larger, more defined, and fuller.
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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
Why muscles look bigger then smaller then bigger again during training? Initially, exercise causes exercise induced hyperemia. Increased blood flow and capillary dilation make the muscle look fuller and slightly reddish, giving a temporary increase in girth. In the early days, there is also fluid shift into muscle cells and mild inflammation, which adds to the apparent increase in muscle volume. After a few days to weeks, this effect settles. Reduced edema and normalization of fluid balance can make muscles look slightly smaller, even though adaptation is ongoing. With continued training, true muscle hypertrophy begins. There is an increase in muscle fiber size due to protein synthesis, leading to a sustained increase in muscle volume. At the same time, fat loss may reduce overall size initially, which can mask muscle gains. Over time, as fat decreases and hypertrophy progresses, muscles again appear larger, more defined, and fuller.
Modern Health@modernHealthMe

Why do your chest or muscles turn reddish when you train them?

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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
Favipiravir can do this. There are reports where favipiravir causes bluish discoloration of the cornea and even fluorescence under UV light, making the eyes appear blue temporarily. It’s not a true change in iris color, but a drug related optical effect. Usually reversible once the drug is stopped, but still worth getting the eyes examined to rule out corneal involvement.
Dr. AK 🇮🇳@docakx

How?

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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
Favipiravir can do this. There are reports where favipiravir causes bluish discoloration of the cornea and even fluorescence under UV light, making the eyes appear blue temporarily. It’s not a true change in iris color, but a drug-related optical effect. Usually reversible once the drug is stopped, but still worth getting the eyes examined to rule out corneal involvement.
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C.Alberto Ortega
C.Alberto Ortega@albertoortegana·
REAL CASE 🚨 🏥 You’re evaluating a 40-year-old patient when you find a calcium level of 11.8 mg/dL (normal: <10.5). 🔬 PTH is 115 pg/mL (normal: ~45 pg/mL) 📚 Bone density, creatinine clearance, and urinary calcium are all normal. 💬 What should your next step be? ✅ 1. Administer bisphosphonates ✅ 2. Parathyroidectomy ✅ 3. Observation ✅ 4. Give calcium-wasting diuretics 👉 Your answer? @Ausbones @Dr_Chibuike_M @Dr_Shiv_kumar_ @drobiy12 @hemo_shk @Ausbones @DrMedica_13
C.Alberto Ortega tweet media
Las Palmas de Gran Canaria, Spain 🇪🇸 English
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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
This is called maintaining adequate hydration in summer 🌞 🏝️
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CardiovascularCorner
CardiovascularCorner@TrackYourHeart·
One of the cleanest demonstrations of aortic–mitral valve anatomy.
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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
@modernHealthMe Any vital organ damage can tell you by showing pedal edema The heart disease, Liver failure, renal failure
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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
@docakx Angelina jolie when the world heard the news of her surgery
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Dr. AK 🇮🇳
Dr. AK 🇮🇳@docakx·
Who is the celebrity who had a condition and created awareness about that disease for you?
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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
@DocPriyamMD Lungs. Chronic hypoxia drives nail clubbing, so think long standing pulmonary disease first.
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Dr. Priyam Bordoloi
Dr. Priyam Bordoloi@DocPriyamMD·
When the fingertips start looking like this, which major organ is likely struggling?
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The Prime Doctor
The Prime Doctor@ThePrimeDoctor1·
Let's try to break it down: 1) Her tongue is twitching or more likely fasciculations, in this case hypocalcemia 2° to pancreatitis, hypokalemia due to enteritis or alcohol withdrawal syndrome 2) She might have had alcohol withdrawal seizures 3) Pancreatic insufficiency Waiting for @schowardjd response
Scott C. Howard@schowardjd

A woman in her 30s w/ AUD, alcohol-related pancreatitis, & anorexia nervosa presented after a seizure-like episode and was admitted to the ICU for severe metabolic derangements in the setting of diarrhea/enterocolitis. What is this finding and suspected diagnosis❔

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