5 cognitive fallacies in hemodynamic management 🧵 1⃣We think there are 4 categories of shock 2⃣We see only norepi-doses and BP 3⃣We think ⬆️norepi 🟰shock 4⃣We stop after diagnosing...

1/4 #GI #GIbleed #urea Elevated BUN: creatinine ratio favors UPPER over lower GI bleed. Why? 1) Hb in stomach --> amino acids (aa). 2) aa absorbed by small intestine. 3) aa tr...

Head Injury increases the Long-term Mortality Risk in Community-Dwelling Adults 1. Even a single #head #injury could increase the risk of all-cause #death by 66%, as reported in a...

I spoke about 'Pulmonary Disorders in Kidney Diseases' at #ISNCON22, the annual conference of Ind Society of Nephrology yesterday - a quick recap #PRS https://t.co/jGfWPSMgsZ

Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know: What is the primary mechanism by which supplemental oxygen can increase PaCO2...

[Dr] B M Hegde was awarded the Padma Bushan by Govt of India in 2021 for contributions to medical science and healthcare A 🧵 In this video, the Cardiologist proves himself a disg...

1/ Talk about dangerous liaisons! Abnormal brain vascular connections can be dangerous A #tweetorial about an important abnormal connection: dural arteriovenous fistulas (dural AVF...

GIVE ME A DEATH CERTIFICATE - Lahari Mahasaya Chandramohan De, a neighbour of Yogiraj was a young man who had passed his medical examination and returned home. One day, Chandramo...

1/16 🤔Why does subarachnoid hemorrhage lead to deep/inverted "cerebral T-waves"? This ECG finding is so dramatic. But as we will see, these patients often have normal hearts. Why...

#EULAR2022 WIN session Sarcoidosis – an update for rheumatologists https://t.co/m2pOVzf3ka

1/14 Rapid Response Series, #3: Hypoxia How many times on rounds have you been asked, “What are the 5 causes of hypoxemia”? 🤔 #MedTwitter #TipsForNewDocs

1/15 🤔Why are splenic metastases so rare? I always saw the spleen as a lymphoid organ similar to lymph nodes. If the latter are major sites of metastases, why not the former? Why...

One common objection to vaccination goes like: "I'm healthy. I'll overcome disease naturally." People believe that because we evolved to deal with viruses, we don't need to immuni...

MGRS (Monoclonal Gammopathy of Renal Significance), MGDS (Dermatologic Significance), MGCS (Clinical Significance) etc are NOT names of diseases. They are concepts: That a monocl...

@TuesdayNightIBS Rome brought up this term with Rome IV in 2016. It identifies medications that work on the brain-gut axis or the brain or gut

@AbAnand9 Yes, there are tests - like this, but its impossible to test for all (easily) Culturing is another way - but as you know some bacteria dont culture well There has to be...

1) MIRACLE-GRO FOR TUMORS MICROMETASTATIC DISEASE WITHOUT A PRIMARY TUMOR: EPIGENETIC MANIPULATION OF ONCOGENES AND MICROVASCULAR TRANSFORMATION It is one thing to plant a seed....

🧵Strain is defined in three dimensions; longitudinal, circumferential and transmural (radial). Each strain component defines deformation in one dimension. It is, however, absurd to...

#IssaTweetorials How does drug therapy affect atrial flutter (AFL)? 1/8 - Typical AFL is an intra-atrial peritricuspid macroreentry that is independent of the AVN. - Drugs used in...

1/🧵 This is the incredible story of an anesthesiologist who, in 1946, purposefully paralyzed himself using curare. Though conditions were controlled, by the end of the experiment...

Where does lactate come from and how to approach elevated lactate levels: a 🧵 @accpchest #CHESTCritCare

How should we adapt the ventilator during CPR? 🔸PEEP 0 (⬆️ venous return) 🔸FiO2 100, Vt 8/kg (adequate oxygenation) 🔸RR 10 (adequate ventilation) 🔸Pmax 60 (allows Vt during co...

The Glasgow Coma Scale is a widespread and important tool for discussing conscious level. After all, "what's the GCS?", barked the stereotypical neurosurgeon at the cowering FY1. B...

Tweetorial: An amp of 8.4% NaBicarb in the ICU 💉. Panacea or poison? #NephTwitter #askrenal #medtwitter @askrenal Normally, at a pH of 7.4, what is the concentration of H+ in t...