🚨 A patient has a prolonged aPTT You expect bleeding. Instead, they develop stroke, DVT, miscarriage. Welcome to the Antiphospholipid Antibody paradox where labs lie and physiology wins 👇 1️⃣ The name is a lie ❌ aPL do NOT attack phospholipids ✅ They target

A 19-year-old male presents with recurrent right-sided flank pain and 2 episodes of UTI in the past 1 year. Ultrasound shows bilateral hydronephrosis with a low-lying renal mass crossing the midline anterior to the aorta. CT angiography reveals multiple aberrant renal arteries

अहिरावण C.Alberto Ortega Dau⚕️ Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dr. HITESH YADAV Medzonetv Dr Ajay yadav Dr. Vikram Meena answer: 👉 B. Anderson-Hynes dismembered pyeloplasty is preferred without dividing the isthmus in most cases

अहिरावण Dr. Shiv_Kumar C.Alberto Ortega Dau⚕️ Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dr. HITESH YADAV Medzonetv Dr Ajay yadav Dr. Vikram Meena B – standard approach, no isthmus divide needed

अहिरावण Dr. Shiv_Kumar C.Alberto Ortega Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dr. HITESH YADAV Medzonetv Dr Ajay yadav Dr. Vikram Meena Anderson-Hynes dismembered pyeloplasty is preferred without dividing the isthmus, as supported by studies like those in PMC and Springer indicating its versatility and efficacy in anomalous kidneys.

The most common type of Stones of various organs: 1️⃣ Kidney → Calcium oxalate 2️⃣ Ureter → Calcium oxalate 3️⃣ Bladder (Adult) → Calcium oxalate 4️⃣ Bladder (Child – endemic areas) → Ammonium acid urate 5️⃣ Gall bladder → Cholesterol stone 6️⃣ Common bile duct → 2° cholesterol

Spinners don't age.!!

अहिरावण Dr. Akhil 🇮🇳 Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Medzonetv Dr Ajay yadav Dr. HITESH YADAV Dau⚕️ C.Alberto Ortega Dr. Vikram Meena Ans- C✅ Why? Parapneumonic effusion with pH 7.08, glucose 32, turbid fluid & neutrophilia = complicated empyema ( Lights criteria proves exudative PE) 👉🏻 antibiotics alone is not enough. Chest tube drainage required.

Salman Khan ki majority movies me uska nam 'Prem' kyu hai...

अहिरावण Dr. Shiv_Kumar Dr. Akhil 🇮🇳 Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Medzonetv Dr Ajay yadav Dr. HITESH YADAV Dau⚕️ C.Alberto Ortega Dr. Vikram Meena

अहिरावण Dr. Akhil 🇮🇳 Dr. Priyam Bordoloi Dr. Shiv_Kumar The Medics🩺💊💉🏥 Medzonetv Dr. HITESH YADAV Dau⚕️ C.Alberto Ortega Dr. Vikram Meena C) Insert intercostal chest drain (ICD). Low pH (7.08), low glucose, high LDH with turbid neutrophilic fluid indicate complicated parapneumonic effusion/empyema, which requires immediate drainage, not observation.

अहिरावण Dr. Akhil 🇮🇳 Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dau⚕️ Chaudhary Shafiullah C.Alberto Ortega Dr. HITESH YADAV Dr Ajay yadav Dr. Vikram Meena Ans - C Pulmonary Embolism 🚨 (ECG + Management) ECG clues in PE: • Sinus tachycardia (most common) • S1Q3T3 pattern • RBBB, RAD • T-wave inversion V1–V4 (RV strain) Patient is hemodynamically unstable (shock/syncope) 👉🏻Immediate systemic thrombolysis (Alteplase). Don’t

अहिरावण Dr. Akhil 🇮🇳 Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dr. Shiv_Kumar Dau⚕️ Chaudhary Shafiullah C.Alberto Ortega Dr. HITESH YADAV Dr Ajay yadav Dr. Vikram Meena A massive PE with cardiogenic shock. Immediate management: C. Systemic thrombolysis with Alteplase.

अहिरावण Dr Ajay yadav Dr. Shiv_Kumar C.Alberto Ortega Dau⚕️ Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dr. HITESH YADAV Medzonetv Dr. Vikram Meena B

अहिरावण 色々自粛中復活🌟 Dr. Akhil 🇮🇳 Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dr. Shiv_Kumar Dau⚕️ Chaudhary Shafiullah C.Alberto Ortega Dr. HITESH YADAV Dr Ajay yadav Dr. Vikram Meena C

अहिरावण Dr. Akhil 🇮🇳 Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dr. Shiv_Kumar Dau⚕️ Chaudhary Shafiullah C.Alberto Ortega Dr. HITESH YADAV Dr Ajay yadav Dr. Vikram Meena PE

अहिरावण Dr. Akhil 🇮🇳 Dr. Priyam Bordoloi The Medics🩺💊💉🏥 Dr. Shiv_Kumar Dau⚕️ Chaudhary Shafiullah C.Alberto Ortega Dr. HITESH YADAV Dr Ajay yadav Dr. Vikram Meena C. Immediate tPA. Strong suspicion for evolving PE with S1Q3T3, right axis deviation, and RBB.