Dr.Stranger (@_suicidaldoc) 's Twitter Profile
Dr.Stranger

@_suicidaldoc

28 | MD Med Resident | Alive till I decide to die |

ID: 1459629830

calendar_today26-05-2013 13:20:12

4,4K Tweet

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The Wolf of College Street (@aditya_gan3500) 's Twitter Profile Photo

It is a common misconception that the plantar response is THE sign of UMN pathology. The plantar is a polysynaptic reflex and a flexor response requires an intact corticospinal tract. But you can easily have significant UMN pathology without a plantar response. Secondly,

Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🧵 “ANA Positive ≠ Lupus: The Art of Interpreting Autoantibodies” ANA positivity is one of the most misunderstood findings in medicine. Here’s how to approach an ANA report systematically, clinically, and with confidence. 👇 #Rheumatology #ANA #Autoimmunity #MedEd Dr. Akhil 🇮🇳

Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🧵 Drug Combinations That Can Kill — Interactions You Must Never Miss We prescribe these daily. Get the combination wrong → bleeding, rhabdomyolysis, bone marrow suppression, cardiac arrest. Here are the 10 combinations you must always check for 👇 Dr. Akhil 🇮🇳 Dr Ihab Suliman

🧵 Drug Combinations That Can Kill — Interactions You Must Never Miss

We prescribe these daily.
Get the combination wrong → bleeding, rhabdomyolysis, bone marrow suppression, cardiac arrest.

Here are the 10 combinations you must always check for 👇
<a href="/DrAkhilX/">Dr. Akhil 🇮🇳</a> <a href="/IhabFathiSulima/">Dr Ihab Suliman</a>
Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

Clinical Rheumatology Thread for Busy GPs: Post 1 Early inflammatory arthritis(IA): the 3–3–3 rule •Onset ≤3 months •Morning stiffness ≥30–60 minutes •≥3 swollen joints (MCP/MTP common) If present, manage as IA: urgent rheum referral; NSAIDs if no contraindications.

Clinical Rheumatology Thread for Busy GPs:
Post 1
Early inflammatory arthritis(IA): the 3–3–3 rule
•Onset ≤3 months
•Morning stiffness ≥30–60 minutes
•≥3 swollen joints (MCP/MTP common)
If present, manage as IA: urgent rheum referral; NSAIDs if no contraindications.
William A. Wallace, Ph.D. (@drwilliamwallac) 's Twitter Profile Photo

The gut-brain axis is a bidirectional communication network between the gastrointestinal tract and the central nervous system. This dynamic system integrates neural, endocrine, immune, and metabolic signals, many of which are modulated by the gut microbiota. 🧠 1. Neural Pathway

The gut-brain axis is a bidirectional communication network between the gastrointestinal tract and the central nervous system. This dynamic system integrates neural, endocrine, immune, and metabolic signals, many of which are modulated by the gut microbiota.

🧠 1. Neural Pathway
Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🧵 Management of Scleroderma (Systemic Sclerosis) – 2025 Update 1/ Scleroderma (Systemic Sclerosis, SSc) is a chronic autoimmune connective tissue disease with fibrosis, vasculopathy, and autoimmunity at its core. Management is organ-specific and evolving with new evidence.

🧵 Management of Scleroderma (Systemic Sclerosis) – 2025 Update

1/
Scleroderma (Systemic Sclerosis, SSc) is a chronic autoimmune connective tissue disease with fibrosis, vasculopathy, and autoimmunity at its core.
Management is organ-specific and evolving with new evidence.
Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🧵Thread: Why Some Diseases Vanish in Pregnancy? Tweet 1 (Hook): Some diseases magically improve in pregnancy (like Rheumatoid Arthritis)… Others worsen (like Lupus). It’s one of the strangest puzzles of the immune system. Here’s the fascinating story 🧵👇 Dr. Akhil 🇮🇳

🧵Thread: Why Some Diseases Vanish in Pregnancy?

Tweet 1 (Hook):
Some diseases magically improve in pregnancy (like Rheumatoid Arthritis)…
Others worsen (like Lupus).

It’s one of the strangest puzzles of the immune system.
Here’s the fascinating story 🧵👇
<a href="/DrAkhilX/">Dr. Akhil 🇮🇳</a>
M. Bolton (@5_utr) 's Twitter Profile Photo

😬 Not quite. The reality: “If we repeated the trial indefinitely, and each time computed a 95% confidence interval in the same way, then 95% of those *varying* intervals would contain the true effect”

Cristiana Sieiro Santos (@cristianasieiro) 's Twitter Profile Photo

📝 The 2025 EULAR update on lupus nephritis management is out! ✅ 4 overarching principles ✅ 13 recommendations for clinical practice 🔗 ard.eular.org/article/S0003-…

📝 The 2025 EULAR update on lupus nephritis management is out!

✅ 4 overarching principles
✅ 13 recommendations for clinical practice

🔗 ard.eular.org/article/S0003-…
Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🧴 Tight skin, salt-and-pepper pigmentation, and tapering fingers? These are classic skin clues to Systemic Sclerosis (SSc) — and the mnemonic “SCLERODERMA” helps you remember them all. 👇 See the full infographic to master it. #SystemicSclerosis #Rheumatology #DermRheum #MedEd

🧴 Tight skin, salt-and-pepper pigmentation, and tapering fingers?

These are classic skin clues to Systemic Sclerosis (SSc) — and the mnemonic “SCLERODERMA” helps you remember them all.

👇 See the full infographic to master it.
#SystemicSclerosis #Rheumatology #DermRheum #MedEd
Autoinmunes Medicina Interna Parc Taulí (@autoinmi_tauli) 's Twitter Profile Photo

🚨EULAR recommendations for the management of SLE with kidney involvement: 2025 update ⏩Early biopsy - multidisciplinary care ⏩GC taper target: ≤5 mg/day by 4–6 months ⏩Mycophenolate or low-dose CYC + Belimumab or Voclosporin or Obinutuzumab ard.eular.org/article/S0003-…

🚨EULAR recommendations for the management of SLE with kidney involvement: 2025 update

⏩Early biopsy - multidisciplinary care
⏩GC taper target: ≤5 mg/day by 4–6 months
⏩Mycophenolate or low-dose CYC + Belimumab or Voclosporin or Obinutuzumab

ard.eular.org/article/S0003-…
Dr. Nikhil agrawal (@nikhil218039) 's Twitter Profile Photo

🧵 Enteric (Typhoid) Fever — A Complete Clinical Update for Indian Doctors Still one of the biggest public health challenges in India. Let’s break down what every clinician should know — from pathogenesis to vaccination.

Mattias Mandorfer (@mattiasmandorf1) 's Twitter Profile Photo

😀🇦🇹 multisociety (gastroenterology & hepatology, diabetology & obesity) consensus on MASLD (& MetALD!) 🤝Well-aligned with EASLnews CPGs 😟Reimbursement currently restricted to semaglutide for T2DM 🤔Reimbursement in our country? 🖇️: rdcu.be/eLAde #LiverTwitter

😀🇦🇹 multisociety (gastroenterology &amp; hepatology, diabetology &amp; obesity) consensus on MASLD (&amp; MetALD!)
🤝Well-aligned with <a href="/EASLnews/">EASLnews</a> CPGs
😟Reimbursement currently restricted to semaglutide for T2DM
🤔Reimbursement in our country?

🖇️: rdcu.be/eLAde

#LiverTwitter
Ravi Kumar (@ravi00151) 's Twitter Profile Photo

💡 2025 EULAR Lupus Nephritis Updates – Key Changes 1️⃣ Steroid Minimization 💊 • Strong emphasis on low-dose, short-taper corticosteroid regimens during induction to reduce toxicity. 2️⃣ Targeted / Novel Therapies 🧬 • Voclosporin added for induction with MMF in active LN. •

💡 2025 EULAR Lupus Nephritis Updates – Key Changes

1️⃣ Steroid Minimization 💊
• Strong emphasis on low-dose, short-taper corticosteroid regimens during induction to reduce toxicity.

2️⃣ Targeted / Novel Therapies 🧬
• Voclosporin added for induction with MMF in active LN.
•
Dr.Mukesh , MD , DM (@dr_immuno29) 's Twitter Profile Photo

⚡EULAR 2025 Update: Lupus Nephritis (SLE Kidney Involvement) 1️⃣ New Structure: 4 principles + 13 recommendations (evidence-graded). 2️⃣ Core Approach: 🔹 Early biopsy, expert care, & HCQ for all. 🔹 Rheumatology–nephrology team care. 🔹 Aim: prevent CKD, reduce flares, improve

⚡EULAR 2025 Update: Lupus Nephritis (SLE Kidney Involvement)

1️⃣ New Structure: 4 principles + 13 recommendations (evidence-graded).

2️⃣ Core Approach:
🔹 Early biopsy, expert care, &amp; HCQ for all.
🔹 Rheumatology–nephrology team care.
🔹 Aim: prevent CKD, reduce flares, improve
Aravind Palraj (@rheumat_aravind) 's Twitter Profile Photo

🔹 Lupus Nephritis updates - 2025 snapshot: 1️⃣ MPAA now preferred over CYC for induction 2️⃣ Add BEL to MPAA for higher remission & fewer flares 3️⃣ Voclosporin joins CNIs as an approved option 4️⃣ Focus on steroid-sparing regimens 5️⃣ Taper steroids ≤5 mg/day by 6 months 6️⃣