Dr. Udayanath Gouda

The Brain doesn't care about your intention It's only care about your repetition Repeat what you want to remember Repeat Who you want to become ❤️🙌 #MedX

Myerson's sign #MedX

Pedal edema #Stemmersign #MedX #MedTwitter

3. Common SGLT2 inhibitors include: Empagliflozin Dapagliflozin Canagliflozin Ertugliflozin #MedX #MedTwitter

2.

MOA of SGLT2i in heart failure 🔥 🧵 1. #MedX

📍Under conditions like heart failure - ketone bodies utilised as fuel as requires less metabolic processing Furthermore , it's a sympathetic overdrive condition, lipolysis occurs in response to increased catecholamines Lipolysis -> fatty acids -> ketone bodies hence used by❤️

📍During myocardial ischemia(MI) - it utilises glucose as fatty acids require more oxygen to metabolise, and the heart is already in survival mode with deficit of oxygen Per molecule of oxygen consumed - glucose yields 6.3 ATP - fatty acids yield 4.1 ATP

@TrackYourHeart .

A patient was admitted with a stroke. What is the reflex and what does it imply?

Stunned myocardium - Acute brief ischemia, heart is shocked However flow is restored to heart either spontaneously/ through interventions Still left ventricular dysfunction is noted Takes days to weeks for the heart to recover

Screening age has been lowered to 45 And stool based test are added for screening modalities. ✅ Stool based test - mt-sRNA and ng-mt-sDNA #MedX #MedTwitter

Uhthoff’s phenomenon is seen in: #MedX Uhthoff’s phenomenon :- Neurological symptoms worsen with heat.

💠 Temprature dependent conduction block aka uhthoff's phenomenon seen in MS Why ⁉️ 1️⃣Increased temperature alters sodium channel kinetics and shortens action potential duration 2️⃣demyelinated fibers highly sensitive to physiological changes that leads to conduction block and worsen the previously affected neurological deficit 💯✨

"Heart ❤️ is an omnivore" Heart utilised different substrates as fuel under different conditions 📍Under normal circumstances - Fatty acids as ⛽ , most energy dense 1 molecule yields as much as 106 Atps compared to glucose that yield 32 atp per molecule

Previous DVT with PE in 2011; recurrent postpartum PE after C-section in 2017 she survived all . A Champion on and off the court ✨💯 #MedX

@DrsansariOrd @IhabFathiSulima This is gottrons papule I don't think above mentioned image is gottrons papule It possibly due to Vit B12 def

@IhabFathiSulima Gottron's papules, a characteristic sign of dermatomyositis.

What is happening?

mTOR inhibitor used in transplant patient

@IhabFathiSulima Tinea versicolor ??

What is the description or diagnosis?

@drsthanus 🙌💯

Snakebite and Pregnant women. According to the official National Health Mission (NHM) and World Health Organization (WHO) guidelines for India, pregnant women with snakebites must be treated with the exact same dosage and clinical protocol of Anti-Snake Venom (ASV) as non-pregnant patients. The risk of withholding treatment far outweighs the risk of ASV administration, as what is beneficial to save the mother's life is essential to preserve the life of the fetus. *Pregnancy-Specific Complications & Management. 1. Multidisciplinary Team: Treatment must involve a coordinated effort between an emergency physician, obstetrician, pediatrician/neonatologist, and general surgeon. 2. Anaphylaxis Care: If the mother experiences an allergic reaction to ASV, standard rescue protocols apply. However, obstetricians carefully monitor the use of severe vasoconstrictors like high-dose epinephrine, as they can suddenly reduce placental blood flow. 3. Fetal Monitoring: Medical teams use continuous cardiotocography (CTG) or serial obstetric ultrasounds to check the fetal heart rate and look for signs of abruption, placental hemorrhage, or fetal distress. 4. Obstetric Complications: The team remains highly vigilant for early miscarriage, premature labor, or internal uterine bleeding caused by vasculotoxic venoms. karger.com/cra/article/2/…

Components of babinski #MedX

Got to know about - In hyperacute period following UMN dysfunction the babnsiki may be absent. It may take hours or days to emerge . 💯🙌 🧵 #MedX