The patient had no history of significant medical illness. He was lean and thin-built. Clinical examination in the ED revealed no significant findings, with normal oxygen saturation on room air. Echocardiography showed no regional wall-motion abnormality, and acute coronary

This guide compares three common Disease-Modifying Antirheumatic Drugs (DMARDs): Methotrexate, Leflunomide, and Sulfasalazine, highlighting their uses, risks, and necessary monitoring. instagram.com/p/DWUTJLHjBUA/…

Erdheim–Chester disease...Imaging.

Dr. AK 🇮🇳 Ketogenic diet 👉🏻 sudden carb restriction → ketosis → can trigger Prurigo Pigmentosa Presentation:- Itchy, red reticulated rash (neck, chest, back) Tx: Reintroduce carbs (key) Oral doxy/minocycline Topicals = limited benefit Avoid: Gradual carb reduction Stay hydrated

We are going to hear a LOT more about methotrexate for sarcoidosis. And not just for second line therapy if steroids fail. We are going to hear about methotrexate for sarcoidosis as FIRST-line therapy. This is a GAME CHANGER or in my case "a book and class changer"

👉Don't worry about the broken ribs while performing CPR, ribs can be fixed later, asystole can't 5 cm downward movement of the ribcage at the centre Rate of compression 100/min 👉Don't worry about giving rescue breaths if you're single handedly performing CPR Focus on

This visual summary from The BMJ outlines the updated NICE guidelines for the assessment and prevention of falls in older people.

A quick reference for common tumor markers, pin.it/55HNrqQGl

The number of referrals to ID doctors for latent tuberculosis has exploded. What happened? Read the latest from Paul Sax: voices.nejm.org/doi/full/10.10…

Diabetic peripheral neuropathy is a common, debilitating disorder. This review covers its epidemiology and risk factors #MedEd bmj.com/content/392/bm…

What is this condition? Patient has Rheumatoid Arthritis.

Dr. AK 🇮🇳 Classic Scleromalacia Perforans. It’s essentially necrotizing scleritis without inflammation (painless). That bluish hue isn't pigment it's the underlying uvea showing through the severely thinned, necrotic sclera. A grim reminder of how systemic RA can get

Body’s Warning Language ⚠️ Pause. Pay attention.Change something. 👉Unusual fatigue – feeling drained even after rest. 👉Digestive changes – persistent bloating, constipation, or loss of appetite. 👉Sleep disruption – waking often, or not feeling refreshed. 👉Skin signals –

This is what a “protein-first” vegetarian meal looks like. • Paneer for high-quality protein • Curd for gut + metabolic support • Dal for fiber + amino acids • Raw vegetables for micronutrients & glucose control This exact approach helped bring: • HbA1c: 7.9% → 5.6%

Tophaceous gout This patient’s serum urate level was 9 mg/dL (normal range 4.0–8.0) despite allopurinol therapy, with normal levels of lipids, urea, and creatinine. Polarized light microscopy of aspirated synovial fluid showed monosodium urate crystals, thus confirming the

Do you know? 🍠 One medium sweet potato gives 100–400% of your daily Vitamin A essential for eyes,skin & immunity It provides 300–500 mg potassium (helps regulate BP) its fibre supports gut health. It has only 86 kcal per 100g

Andexanet the REVERSAL agent for factor Xa inhibitors has been REMOVED from the market

Endocrine approach Organise causes into the HPO axis, making localisation easy Based on the causes- remember history, physical examination, and lab tests Bingo- you can now make UptoDate-like flowchart yourself...

People who stay physically active live longer. Just 150 min/week of activity can reduce early death risk by ~30%. Sedentary lifestyle is the real silent killer. #Longevity

This flowchart provides a diagnostic framework for identifying the cause of joint pain by categorizing symptoms based on their location, clinical signs, and fluid analysis. openmed.co.in/2021/01/joint-…