Epinephrine

5 ENT pearls that concerns people only in the morning. 1) “AM Nasal Block” Mechanism: Recumbency → venous pooling in inferior turbinates + parasympathetic tone; worse with allergic rhinitis or rhinitis medicamentosa. Quick fix: Hypertonic saline rinse on waking, intranasal

5 bedtime ENT pearls that concern people trying to sleep. 1. “Pillow-Sneeze Storm” (Dust-mite bedroom allergy) Mechanism: Dust-mite allergen concentrates in bedding; lying down → histamine-driven sneezing/runny nose/itch. Quick fix: Allergen-proof encasements

🧵 CHRONIC DIARRHOEA: The Complete Clinical Breakdown If you master this, chronic loose stools will never confuse you again 👇 #MedTwitter #FOAMed #InternalMedicine #Gastroenterology

KDIGO relaeses 2026 Clinical Practice Guideline for the Management of Anemia in CKD updating the 2012 guideline. 📌 Key Recommendation Summaries👇 1) Diagnosis & Evaluation of Anemia Screen all CKD patients for anemia at referral, with repeated testing during follow-up based

Cardiac axis made simple, training your eye, not just your memory. Credit: David Schaack

This is a must read. A study in the New England Journal of Medicine showed that simply following evidence-based guidelines reduced Vitamin D testing by 25.3% and saved nearly $112,000 (!!!) Vitamin D is one of the most "abused" test-and-treat practices in medicine. Low

Residents!!!! Here comes a nice one page cheat sheet to learn about IVIG. Everything in short. Save, learn, print and share. #MedTwitter,#MedEd , #Hematology, #HemeTwitter, #MedStudent

Hello friends! Citizens Generic Drugs vs Branded Drugs Quality Project: Results of all 131 drugs analysed, and the complete, original, quality test reports of all drugs are now available for your review and reading here at: meshindia.org/citizens-gener… There are two links right at

Enjoy! pubrica.com/wp-content/upl…

Available as a PDF on ResearchGate 🆓 🔗: researchgate.net/profile/Arumug…

Lp(a) is often taught in one line “Genetic, stable, risk enhancer” What Lp(a) really is Lp(a) is an LDL particle with an attached apolipoprotein(a) This additional protein makes it uniquely harmful It is Pro atherogenic Pro inflammatory Pro thrombotic This is why patients

Cortical areas and their functions! 🌟 Credit: يـزّن الغماس

In the ER or on the wards, "he's bleeding" isn't specific enough. Precision in terminology saves time and lives. Here is the complete breakdown of how we name blood loss based on where it’s coming from: 1️⃣The GI & Respiratory Heavy Hitters 🩸 Hematemesis: Vomiting of blood

Weakness doesn’t require memorizing endless diagnoses. Start by asking where the problem lives: UMN. LMN. NMJ. Muscle. A practical bedside framework 👇 youtu.be/kT0eC2tZ7QI

The primary pathological differences between the two main types of stroke: ischemic and hemorrhagic. instagram.com/p/DUl_E5Tkt2x/…

I BET YOU DIDNT KNOW THIS If your ICU patient is in sepsis, already on broad spectrum antibiotics + still worsening - You suspect Fungal cause In which case the DOC is not your friendly next door Fluconazole.. it is this very posh and expensive drug

Ten rheumatology clinical pearls every doctor should know. • Normal ESR does not exclude rheumatoid arthritis • Ferritin >10,000 → think MAS/HLH • CK can be normal in inflammatory myopathies • Severe headache >50 yrs → rule out GCA • Persistent monoarthritis → septic

Residency tip: Be the resident who knows where things are. Nobody teaches this in MBBS. No exam asks "where is the Ryle's tube kept in casualty at 2 AM." But residency will. While your batchmate is running floor to floor looking for an ABG syringe, you've already poked,

A patient with “recurrent mouth ulcers” walks into your OPD Most get symptomatic treatment Few get evaluated properly And almost everyone assumes “Mouth ulcers = vitamin deficiency” Reality? Recurrent aphthous stomatitis is primarily a T-cell mediated disease Let’s decode