💡It is a good practice to correlate positive Urine Albumin with Specific Gravity. 👉🏻As SG >1.030 can lead to falsely Positive Urine Albumin ✅Better to go with ACR #Medtwitter

Conventional factor prophylaxis for Hemophilia A and Hemophilia B Link - www1.wfh.org/publications/f…

Leukodepleted vs. Irradiated Blood ✅Leukodepleted:Removes most WBCs → Prevents febrile reactions, CMV transmission & alloimmunization ✅Irradiated:Inactivates lymphocytes → Prevents TA-GVHD ⚠️TA-GVHD is still a risk in leukodepleted🩸 Immunocompromised pts need irradiated🩸

Saw a pt with Aortic valve calcium (Agatston unit) report IDK why it was advised It has very specific indications Criteria for SEVERE AS - AVA <1 cm² Mean gradient >40 (depends on AV flow) In HFrEF or severe MR - ⬇️Flow leading to ⬇️Mean grad (<40) discordant finding - do AVC

NT pro BNP in heart failure 💎 Good negative predictive value ♦️Falsely low in Obesity ♦️Falsely high in Renal Failure ♦️Increases with Age ♦️Raised in AF even without HF #Medtwitter

Sigmoid volvulus How to manage ? 👉🏻Take care of Airways 👉🏻IV fluids ✅ No peritonitis / no perforation → Endoscopic decompression followed by Elective sigmoidectomy ⚠️ Unstable / peritonitis / gangrene / perforation → Emergency resection (primary anastomosis or Hartmann’s)

In a patient of hepatic encephalopathy, ⚠️avoid animal proteins rich in AAA (red meat, organ meats, fish) ✅ prefer vegetable & dairy proteins or BCAA formulations Why ? Animal proteins are rich in Aromatic Amino Acids which ⬆️ false neurotransmitter production and ammonia load

I’m a Gastroenterology SR. Here Are 10 Questions That Expose the ‘Gut Health’ Myth. A must read thread 🧵

Now what ? ✅Calculate FIB-4 FIB4 = <1.3 👉🏻 reassess periodically (in 1-2 years) But if >1.3 go for VCTE (Fibroscan) LSM <8 = reassess periodically ⚠️ LSM >8 or FIB4 was >2.67 refer to Gastroenterologist/Hepatologist ✅Lifestyle modification for all #Medtwitter #AASLD #EASL