puloriasumit@24

@IlliasulK @DrAkhilX @IhabFathiSulima @CelestinoGutirr @Urchilla01 Scleritis

What is your diagnosis? Painful red eye, no blurring of vision.. @DrAkhilX @IhabFathiSulima @CelestinoGutirr @Urchilla01

Abolishing the reservation system in India, especially in life-critical professions such as medicine, is an idea that deserves serious debate. Reservation was introduced at the time of framing the Constitution, initially for a period of 10 years. It has now continued for over 75 years and, in many ways, has turned into a competitive vote-bank issue. In the interest of fairness and merit, the Supreme Court of India should consider reviewing the system and take cues from the Supreme Court of the United States while re-examining its future.

Today Supreme Court is hearing the 73% reservation case in Madhyapradesh. BJP govt has requested to lift the stay on the appointments & give an interim relief by allowing 73% reservation. GC students + YFE are fighting for equality. Hope justice prevails 🙏 #SaveEqualityInMP

Huge Embarrassment for Mohan Yadav in Supreme Court today Supreme Court refused MP Government plea to remove the stay on 73% Reservations. For now, a small win for General Category !

@IlliasulK @DrAkhilX @IhabFathiSulima @Urchilla01 @CelestinoGutirr Psoriasis, nail changes also seen - oil drop right middle and ring finger

This is the Dorsum of hand in diffrent time frame..,So what is the diagnosis? @DrAkhilX @IhabFathiSulima @Urchilla01 @CelestinoGutirr

@RheumattDoc PAN

A 37-year-old female presented with 2 weeks of progressive bilateral foot drop, burning paresthesia, weight loss, dusky discoloration over the dorsum of the foot, and gangrene of fingers. On examination: • Bilateral ankle dorsiflexion 0–1/5 • Patchy sensory loss • Absent ankle reflexes Labs: • ESR/CRP elevated • Mild anemia • NCS: Axonal sensorimotor neuropathy (mononeuritis multiplex pattern) What are your differentials? How would you treat? #RheumattDoc #MedTwitter #RheumTwitter #Medicine #rheumatology @DrAkhilX @IhabFathiSulima @CelestinoGutirr @DurgaPrasannaM1 @Urchilla01

@IlliasulK @IhabFathiSulima @hemo_shk @MoarSahitoPTI @MRCEMPREP @DrBassemKurdi @mohammadalmogbi @Dr_Alhatlani @osemagnum @DrAkhilX ? Palmar psoriasis, neck pain - psoraitic arthritis axial spA

This patient presented with neck pain. What is your diagnosis? Comment below.👇 @IhabFathiSulima @hemo_shk @MoarSahitoPTI @MRCEMPREP @DrBassemKurdi @mohammadalmogbi @Dr_Alhatlani @osemagnum @DrAkhilX

@Abhilasha21822 Combination of folitrax plus folic acid 🤣, they should be avoided on the same day , yaha toh combo dediyaa

These strips give me evidence-based anxiety. Yes🤣 …they scare me. Why? Tell me in the comments 👇 (Spoiler: it’s not the side effects.)

@Janetbirdope MDA 5

#ClinicalPearl This could make you weak! ULcerating lesions make one suspicious of a bad subset #Diagnosis in 1 #picture

You stayed silent when Reservation increased to 70%. You stayed silent when SC/ST Act got more draconian. You stayed silent when Caste Census was announced. This Republic Day, don't be silent. SAY NO TO UGC REGULATIONS.

@Abhilasha21822 DISH

Mechanical low back pain HLA-B27 negative Pelvic X-ray ✅ Question: 👉 SpA or NOT SpA? What do you think? 🤔 #GuessTheDiagnosis #AxialSpA #RheumTwitter

@DrRachit1994 Old age male with anemia , first want to rule out GI causes , though gut feeling says his bone marrow will give the final result possibly MDS

@DrRachit1994 Option 1 and 5 are out as he is having iron supplements and blood transfusion

A 67 year old gentleman, resident of Western Gujarat, presented to us with complaints of effort intolerance since 6 months.He is on regular followup with the internist for Diabetes mellitus, hypertension and coronary artery disease.He has also received multiple courses of hematinics and biweekly blood transfusions.Peripheral smear examination revealed microcytic anemia.What should be the approach in this case ? 1) iron studies to confirm IDA 2)stool occult blood testing on 3 samples 3)colonoscopy right away 4)bone marrow examination right away 5)Hemoglobin HPLC @AnemiaAware @ishbtish @TheIACH @apiindia @abouabdrahman0

@IlliasulK @DrAkhilX @IhabFathiSulima @CelestinoGutirr @Urchilla01 @Janetbirdope @NEJM GCA with tounge infarct

Spot diagnosis in an elderly with headache? Comment your answer below ⬇️ and repost to teach others. #ElderlyCare #HeadacheRedFlags #SpotDiagnosis #MedTwitter #ClinicalPearls @DrAkhilX @IhabFathiSulima @CelestinoGutirr @Urchilla01 @Janetbirdope Image from @NEJM

Many patients and even relatives often say that doctors from earlier generations were better, that they did not need so many tests and could just look at the patient and write medicines. I always smile when I hear this because medicine has never been about guessing, it has always been about precision. If you were a shooter and your relative stood in front of you with an apple on their head, would you shoot blindfolded or use a laser guided system? Of course, you would choose the laser, not because you doubt your skill but because accuracy matters when a life is at stake. That is exactly what modern doctors do. Tests are our laser guidance system. They help us confirm what we suspect, rule out what we must not miss and plan the right treatment for the person sitting in front of us. Medicine has evolved. We now understand that two diseases can look identical but need completely different treatments. We know that one abnormal test can change the entire course of management. We know that guessing, no matter how experienced the doctor, can cost a life. Older doctors practiced in a very different era. There were fewer known diseases, fewer available drugs and patients often came at later stages when diagnoses were obvious. Today, illnesses appear earlier, there are many lookalikes and treatments are far more specific. That is why evidence matters. So when we order tests, it is not about chasing reports, it is about chasing the truth. We do not test to make money, we test to make sure your treatment is right, safe and complete. Medicine is not about being old school or new school. It is about being right. 🎯

@Abhilasha21822 Internodes are involved - lupus Nodes involved - DM

A young girl walked in with joint pain. Her labs were still pending. Her story was still unfolding. But one look at her hands —we have a diagnosis. Sometimes it’s the colour of a rash. Sometimes it’s the place it chooses to sit. Sometimes… that’s enough to guide you.

Men facing false cases, but till now there are no resolution in #AtulSubhash case his wife free.

@IlliasulK SCLE rash of lupus

Clinical Challenge of the Day 🔥 A 50-year-old man presents with oral ulcers, acute kidney injury, and proteinuria — and now develops these striking lesions over his chest. 🧠 What’s your diagnosis? 💬 Comment your thoughts below ! #Rheumatology #Immunology #Sullysrounds #MedX #Medtwitter #Mnemonics #Medicine #History @DrAkhilX @IhabFathiSulima @Janetbirdope #MedTwitter #RheumTwitter @CelestinoGutirr @ArunInamadar

@Amansharmapgi @dpgi_chandigarh @IndianRheum @IJRheum @raja_1980 @DurgaPrasannaM1 @drdpshenoy @jainavinash @abledoc @drvishal82 @drsuniltaneja Congratulations sir

Honored to take charge as President of Indian Rheumatology Association at IRACON 2025, Yashobhumi—grateful for my mentor Prof. Pardeep Bambery, my wife Sushmita, and my sister Kusum by my side. Excited to serve and advance our field! #IRACON2025 #Gratitude #Rheumatology