Rajesh B Kumar (@rajkbasudeo) 's Twitter Profile
Rajesh B Kumar

@rajkbasudeo

Nephrologist, Entrepreneur & Jugadi Innovator

ID: 123145311

linkhttp://www.drrajeshnephro.com calendar_today15-03-2010 04:23:57

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Turning the Tide (@turningthe_tide) 's Twitter Profile Photo

💧Fluid creep accounts for more fluid than resuscitation in ICU. But nobody prescribes it — and most don’t even notice it. The truth? 🧨 Most ICU patients don’t need routine maintenance fluids. Here’s what’s really going on 👇🧵

💧Fluid creep accounts for more fluid than resuscitation in ICU.
But nobody prescribes it — and most don’t even notice it.
The truth?
🧨 Most ICU patients don’t need routine maintenance fluids.

Here’s what’s really going on 👇🧵
Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🔚 Final Note: 🧠 Nails are not just cosmetic – they’re vascular, immunological, and diagnostic maps. Don’t ignore the tips of the fingers — they might point to the diagnosis. 📌 Save this thread 💬 Share with juniors 👣 Follow Aravind Palraj for more rheum pearls

Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🧵 10 Radiological Signs Every Rheumatologist Must Know Imaging doesn’t lie. Sometimes, it screams. Here are 10 classic radiological signs in rheumatology you should never miss 👇 #RheumTwitter #Radiology #MedTwitter #MSKImaging #Autoimmune Dr. Akhil 🇮🇳 Dr Ihab Suliman

🧵 10 Radiological Signs Every Rheumatologist Must Know

Imaging doesn’t lie. Sometimes, it screams.
Here are 10 classic radiological signs in rheumatology you should never miss 👇

#RheumTwitter #Radiology #MedTwitter #MSKImaging #Autoimmune <a href="/DrAkhilX/">Dr. Akhil 🇮🇳</a> <a href="/IhabFathiSulima/">Dr Ihab Suliman</a>
Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🧵 10 Rheumatology Diagnoses You Can Make Without a Single Positive Lab Yes — zero lab positivity. Because in rheumatology, clinical pattern is king. #RheumTwitter #MedTwitter #Autoimmune Dr Ihab Suliman Janet Pope

🧵 10 Rheumatology Diagnoses You Can Make Without a Single Positive Lab

Yes — zero lab positivity.
Because in rheumatology, clinical pattern is king.

#RheumTwitter #MedTwitter #Autoimmune <a href="/IhabFathiSulima/">Dr Ihab Suliman</a> <a href="/Janetbirdope/">Janet Pope</a>
William Aird (@williamaird4) 's Twitter Profile Photo

Ever wonder why bruises change color? Red → Blue → Green → Yellow → Brown That’s hemoglobin breaking down: 🔴 Oxy Hb → 🔵 Deoxy Hb → 🟢 Biliverdin → 🟡 Bilirubin → 🟤 Hemosiderin Your skin becomes a living chemistry timeline. #Hematology #MedEd

Ever wonder why bruises change color? 

Red → Blue → Green → Yellow → Brown

That’s hemoglobin breaking down:

🔴 Oxy Hb →
🔵 Deoxy Hb →
🟢 Biliverdin →
🟡 Bilirubin →
🟤 Hemosiderin

Your skin becomes a living chemistry timeline.

#Hematology #MedEd
Ashley Miller (@icmteaching) 's Twitter Profile Photo

🧵 "What really determines tissue perfusion?" – and why most explanations get it wrong. Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs. 👇

🧵 "What really determines tissue perfusion?"

– and why most explanations get it wrong.

Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs.
👇
Ashley Miller (@icmteaching) 's Twitter Profile Photo

🧵 What is Critical Closing Pressure — and why does it matter for perfusion? A thread to clear up one of the most misused and misunderstood ideas in circulatory physiology. 👇

🧵 What is Critical Closing Pressure — and why does it matter for perfusion?

A thread to clear up one of the most misused and misunderstood ideas in circulatory physiology.
👇
Dr. Hardik Patel 🩺💉 (@hardik4u24) 's Twitter Profile Photo

🔍Proteinuria in monoclonal gammopathy? Don’t miss the diagnostic clues! 🚰uAPR < 40%? Think tubular 🧪uAPR > 40%? Glomerular path ahead From cast nephropathy to MGRS, biopsy is 🔑 📉LC ≤10%= cast nephropathy 📊LC >10%= #LCPT 🧬 #MGRS = Biopsy it 📖doi.org/10.1016/j.lpm.…

🔍Proteinuria in monoclonal gammopathy? Don’t miss the diagnostic clues!

🚰uAPR &lt; 40%? Think tubular
🧪uAPR &gt; 40%? Glomerular path ahead

From cast nephropathy to MGRS, biopsy is 🔑

📉LC ≤10%= cast nephropathy
📊LC &gt;10%= #LCPT

🧬 #MGRS = Biopsy it

📖doi.org/10.1016/j.lpm.…
AJKD (@ajkdonline) 's Twitter Profile Photo

On the #AJKDBlog, catch up on these commentaries with: - Diana Mahbod, MD, CPE, FASN, FNKF asks whether vadadustat could reshape anemia management - Mahmood & Morales discuss intensive BP control in CKD - Akshta Pai asks how old is too old to be a living kidney donor? bit.ly/3XNJ0Qs FREE

On the #AJKDBlog, catch up on these commentaries with:

- <a href="/DiMiRenalMD/">Diana Mahbod, MD, CPE, FASN, FNKF</a> asks whether vadadustat could reshape anemia management
- Mahmood &amp; Morales discuss intensive BP control in CKD
- Akshta Pai asks how old is too old to be a living kidney donor? 

bit.ly/3XNJ0Qs FREE
Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🧵 CRP vs Procalcitonin – Inflammation vs Infection? Both rise in systemic illness. But they don’t speak the same language. Let’s break down when to use CRP, when to trust Procalcitonin—and when both lie. 👇 Dr Ihab Suliman Dr. Akhil 🇮🇳 Janet Pope the EMCrit Crew Dr Andrew Suleh MD

🧵 CRP vs Procalcitonin – Inflammation vs Infection?

Both rise in systemic illness.
But they don’t speak the same language.

Let’s break down when to use CRP, when to trust Procalcitonin—and when both lie. 👇
<a href="/IhabFathiSulima/">Dr Ihab Suliman</a> <a href="/DrAkhilX/">Dr. Akhil 🇮🇳</a> <a href="/Janetbirdope/">Janet Pope</a> <a href="/emcrit/">the EMCrit Crew</a> <a href="/andrewsuleh/">Dr Andrew Suleh MD</a>
Dr Nilesh Nolkha (@nileshnolkha) 's Twitter Profile Photo

🧵 ANA Testing in Rheumatology — Masterclass for Doctors & MedTwitter 1/ 📢 What’s ANA? ANA = Anti-Nuclear Antibodies. It’s a surrogate marker for >50 nuclear antigens (Ro, Sm, dsDNA, La, Scl-70, etc). ✅ Can be positive in many CTDs ❌ Positive ≠ disease ❌ Negative ≠ rule

🧵 ANA Testing in Rheumatology — Masterclass for Doctors &amp; MedTwitter

1/ 📢 What’s ANA?
ANA = Anti-Nuclear Antibodies.
It’s a surrogate marker for &gt;50 nuclear antigens (Ro, Sm, dsDNA, La, Scl-70, etc).
✅ Can be positive in many CTDs
❌ Positive ≠ disease
❌ Negative ≠ rule
Nick Mark MD (@nickmmark) 's Twitter Profile Photo

This is a fascinating case: A 60 yo man presents with paranoia, new-onset facial acne & cherry angiomas, fatigue, insomnia, ataxia, and polydipsia. He has an extremely unusual diet.🧂 His labs are👇 (note that anion gap!): What could be going on? 1/

This is a fascinating case:

A 60 yo man presents with paranoia, new-onset facial acne &amp; cherry angiomas, fatigue, insomnia, ataxia, and polydipsia.

He has an extremely unusual diet.🧂

His labs are👇 (note that anion gap!):

What could be going on?
1/
Ashley Miller (@icmteaching) 's Twitter Profile Photo

1/21 Acid–base interpretation often feels like a maze. But there’s a simple way to make sense of it at the bedside. It starts with pH, strong ions, and base excess.

Ashley Miller (@icmteaching) 's Twitter Profile Photo

🧵 Part 2. Heterogeneity vs Colliders in Critical Care RCTs 1. The puzzle Critical care RCTs keep failing. The usual explanation? “Patients are too heterogeneous.” That’s partly true — but there’s a deeper problem. Part 2 of a 3-thread series on why ICU trials fail and why

Leonardo V. Riella (@lvriella) 's Twitter Profile Photo

We’re proud to share 3 historic breakthroughs Mass General Transplant ✅3rd kidney xenotransplant completed at MGH — patient thriving at 90 days ✅7+ months dialysis-free: longest survival w/ a pig kidney ever ✅FDA clears larger trial eGenesis MassGeneral Medicine Mass General Surgery Mass General Brigham Nephrology