Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile
Dr. Shiv_Kumar

@dr_shiv_kumar_

MBBS | Internist loading… ♻️| ECG detective 🕵️‍♂️ 🫀| Tweets ≠ Medical advice

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calendar_today18-11-2022 01:42:41

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Manish Yadav (@dr_manish_ydv) 's Twitter Profile Photo

A 23-year-old male presents with fever (101°F), pleuritic chest pain relieved on leaning forward, and a pericardial friction rub. He had a sore throat 3 weeks ago. Echocardiography shows minimal pericardial effusion. Which of the following is the most likely etiology of the

A 23-year-old male presents with fever (101°F), pleuritic chest pain relieved on leaning forward, and a pericardial friction rub.

He had a sore throat 3 weeks ago. Echocardiography shows minimal pericardial effusion.

Which of the following is the most likely etiology of the
Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

Decoding this ecg :- Inferior STEMI, decoded and proven on angiography: • STE in II, III, aVF → Inferior wall MI • ST depression + tall R in V1–V2 → Posterior extension (mirror image, not AIVR) • V1–V2 morphology mimicking BBB / ventricular rhythm → ischemia-related

Manish Yadav (@dr_manish_ydv) 's Twitter Profile Photo

Fish Mouth in Medicine:✅ 1. Chronic Mitral Stenosis 2. Pylorus in Gastric carcinoma (diffuse type) 3. Anus in Hirschsprung disease 4. Aortic valve in Syphilitic Aortitis 5. Vertebrae in Osteoporosis & Sickle Cell Anemia #NEETPG #MedTwitter

Fish Mouth in Medicine:✅

1. Chronic Mitral Stenosis 

2. Pylorus in Gastric carcinoma (diffuse type)

3. Anus in Hirschsprung disease

4. Aortic valve in Syphilitic Aortitis

5. Vertebrae in Osteoporosis & Sickle Cell Anemia

#NEETPG #MedTwitter
shakil Ahmed (@shakiled) 's Twitter Profile Photo

A 70-year-old patient on beta-blockers presents after a fall. Vital signs: HR: 72 bpm BP: 90/60 mmHg Shock Index is 0.8. The patient appears confused and diaphoretic. What is the best explanation? A. Shock index rules out hypovolemia B. Beta-blockers may mask The

Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

Right lower lobe atelectasis There is some loculated pleural fluid posterolateral as a result of hematothorax. Notice the abnormal right border of the heart. The right interlobar artery is not visible, because it is not surrounded by aerated lung but by the collapsed lower lobe,

Right lower lobe atelectasis

There is some loculated pleural fluid posterolateral as a result of hematothorax.
Notice the abnormal right border of the heart.
The right interlobar artery is not visible, because it is not surrounded by aerated lung but by the collapsed lower lobe,
Alberto Ortega (@albertoortegana) 's Twitter Profile Photo

A 45-year-old man presents with a 2-week history of cough and fever, associated with loss of appetite and weight loss. This is his chest CT scan. What is the description of this CT scan? What is the diagnosis? #MedTwitter #FOAMed अहिरावण Dr. Shiv_Kumar Dr. Akhil 🇮🇳

A 45-year-old man presents with a 2-week history of cough and fever, associated with loss of appetite and weight loss.
This is his chest CT scan.
What is the description of this CT scan? What is the diagnosis?
#MedTwitter #FOAMed 
<a href="/dr_manish_ydv/">अहिरावण</a> <a href="/Dr_Shiv_kumar_/">Dr. Shiv_Kumar</a> <a href="/DrAkhilX/">Dr. Akhil 🇮🇳</a>
Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

A 50-year-old male with a history of hypertension and a 50-pack-year smoking history presents with cramping pain in his calves that occurs after walking two blocks and is relieved by 5 minutes of rest. On exam, the skin on his legs is thin and shiny, and the pedal pulses are

A 50-year-old male with a history of hypertension and a 50-pack-year smoking history presents with cramping pain in his calves that occurs after walking two blocks and is relieved by 5 minutes of rest. On exam, the skin on his legs is thin and shiny, and the pedal pulses are
Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

A 42-year-old male with acute necrotizing pancreatitis presents on day 3 with worsening dyspnea. He is tachypneic and hypoxic. ABG on room air shows: • PaO₂ = 55 mmHg • PaCO₂ = 32 mmHg • pH = 7.48 Chest x ray attached. Pulmonary capillary wedge pressure is 10 mmHg. Serum

A 42-year-old male with acute necrotizing pancreatitis presents on day 3 with worsening dyspnea. He is tachypneic and hypoxic. ABG on room air shows:
• PaO₂ = 55 mmHg
• PaCO₂ = 32 mmHg
• pH = 7.48

Chest x ray attached. Pulmonary capillary wedge pressure is 10 mmHg. Serum
Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

A 60-year-old male presents to the clinic for a routine check-up. On examination, you notice a prominent pulsation in the epigastric area. On palpation, you feel a pulsatile, expansile mass above the umbilicus. He is asymptomatic but has a 40-pack-year smoking history. What is

A 60-year-old male presents to the clinic for a routine check-up. On examination, you notice a prominent pulsation in the epigastric area. On palpation, you feel a pulsatile, expansile mass above the umbilicus. He is asymptomatic but has a 40-pack-year smoking history.
What is
MedLearn Hub (@medlearnhub) 's Twitter Profile Photo

🔷Sturge-Weber syndrome (SWS)- It is a neurocutaneous disorder. • Pathophysiology- Somatic mosaic mutation in GNAQ. Leptomeningeal angiomas cause cortical irritation, ischemia & progressive atrophy. ∆ C/F- Unilateral facial port-wine stain over forehead & upper eyelid,

Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

Breakdown of this question :- The Correct Answer: B (Chronic Respiratory Acidosis with partial compensation) In Acute Respiratory Acidosis, the CO2 rises suddenly (e.g., an opioid overdose). Because the kidneys haven't had time to react (which takes 24–72 hours), the

Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

Breakdown of this question : B (Right Upper Lobe Collapse due to a Central Mass) Why C is Ruled Out? A Large Pleural Effusion would typically show a "Meniscus sign" (a concave upward curve of fluid) and a dense, uniform "white-out" of the lower lung fields. It also tends to

Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

The Correct Answer: B (High-dose Trimethoprim-Sulfamethoxazole) Why D is Ruled Out? Amphotericin B is a potent antifungal used for systemic infections like Cryptococcus or Aspergillus. However, the organism causing this specific "ground-glass" pattern Pneumocystis jirovecii

Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

Breakdown of the Ans:- The Correct Answer: B (Rheumatic Heart Disease) Why B is Ruled In? The Murmur: A mid-diastolic rumble at the apex is the signature of Mitral Stenosis. The loud S1 occurs because the stiff leaflets are wide apart at the start of systole and slam shut.

Dr. Shiv_Kumar (@dr_shiv_kumar_) 's Twitter Profile Photo

Breakdown of the answer :- The Correct Answer: B (Dilated Cardiomyopathy; S3 gallop) Why B is Ruled In? The Anatomy: "All four chambers significantly enlarged" is the literal definition of dilation. The heart becomes shaped like a "basketball" rather than a "football." LVEF