Anjum Gardezi MD
@SyedGerdezi
Followers
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Following
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EndoHepatologist🧑⚕️ 🇵🇰 🇬🇧 🏴🇸🇦🔭 #MedEd . 👨🏫 #LiverMedicine #Photography 📷 #UniversityOfCardiff . AbuMariam👨👧👦 Abu Muaaz👨👩👧👧
United Kingdom.
Joined June 2010
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Pinned Tweet
Next level of advanced endoscopy.....!!!
304
3K
23K
How many pictures do u take during OGD?
#GITwitter
"Quality indicators during upper GI endoscopy "
DOI: 10.1177/1756284820916693
8
80
294
Sums up nicely; One of the most common referrals to GI services...!!
#IronDeficiencyAnaemia
.
#GITwitter
#MedEd
via
@AmerGastroAssn
4
93
243
Side effects of
#TACROLIMUS
, the most common drug used after
#LiverTransplant
in UK.
#LiverTwitter
.
2
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207
⭕MELD : INR+Bil +Cr.
☢MELDNa: MELD + Na.
❇MELD3: MELDNa+♀️+ Alb.
❇MELD3>☢MELDNa>⭕MELD.
New
#MELD3
👇👇
⬆️Mortality prediction.
⬆️Transplant allocation.
#LiverTwitter
#GITwitter
4
81
207
Diagnosis, Development, and Treatment of Portal Vein Thrombosis in Patients With and Without Cirrhosis.
#LiverTwitter
3
61
184
Whats ur take on using
#DOACs
in chronic liver disease?
Child Pugh C. 😱⛔
Child Pugh B. 🥶✅
Child Pugh A. 🥺✅
🚨 Not enough safety data.
👨🏫Altered metabolism in CLD.
Latest review" Portal vein thrombosis in Cirrhosis"
#Livertwitter
.
8
47
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Journey of the gallstones through the biliary tract and the associated symptoms.
Courtesy
@NatalieHua
#4KMedEd
#GITwitter
4
36
125
🔰Stent diameter & duraion of patency🔰
How do you choose among plastic stents during
#ERCP
. 🤔
▶️Diameter.
▶️Length.
▶️Type.
▶️Number.
#GITwitter
.
#HPBEndoscopy
.
4
44
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A beautiful 👶 phase of life brings everything else to a ⏸️ at present.....!!
New addition to
#Gardezis
.
#FamilyTime
. 💕
44
0
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So ...🔰🔰
Is normal saline really "OK".. in
#DCLD
with no "added salt" diet❓ 🤔
👨🏫One liter bag of normal saline has 9 g of salt (3.6 g Na) which is the equivalent sodium content in 20; 1.5 oz single serving bags of Lays
#LiverTwitter
#GiTwitter
Doi: 10.5665/sleep.4756
4
20
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🔥Gastric varices 🍇 🔥
🩸Classification
🩸Prevalence
🩸Blood supply
🩸Anatomy
🩸Risk of bleeding.
#LiverTwitter
#GITwitter
Via
@KM_Pawlak
0
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We did our 1st
#EUS_GE
@GwentLiverUnit
in Wales🏴
Extremely grateful to
@CaptCholangio
for his untiring efforts in developing therapeutic
#EUS
program &
@helpatologist
for going out of the way in helping us selflessly & bringing these niche skills in 🏴
@Srisha_Hebbar
@docdhir
21
9
91
Staging
#PancreaticCancer
👇
🔥The degree of contact between a pancreatic tumor & local blood vessels (superior mesenteric and portal veins; celiac, hepatic, superior mesenteric arteries) is important for defining optimal initial treatment.
#GITwitter
doi:10.1001/jama.2021.13027
1
29
87
#Ramadan2022
is starting tomorrow.
🤔Whats your advice for the patients with chronic liver disease who wish to fast?
Yes ✅️
No ❌️
How will you make fasting safe & easy for them? 🙏
My short doodle clip...! 🔆
#Livertwitter
#GITwitter
6
22
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Our new ERCP suite with some .
fancy toys.....!!!
#50inch
#4K
.
#LushCArm
.
@AneurinBevanUHB
@GwentLiverUnit
#GrangeUniversityHospital
.
10
3
85
Making life easy for nurses and ERCP assistants..... ask for your copy now..!
@CaptCholangio
's Guide to ERCP assisting.
@GwentLiverUnit
@AneurinBevanUHB
31
17
83
Thank you for a warm welcome & all the 💕 ...!!!
#1stDayAsAHepatologist
.
@GwentLiverUnit
@BallAngela8
@fidan_west
@adyeoman
30
3
81
Remember the day insafians? It ain't too far InshAllah. نَصْرٌ مِّن اللَّهِ وَفَتْحٌ قَرِيبٌ
#WeRejectBadshahat
3
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Do u agree? 🤔
🔰The term LFTs ( Liver Function tests) needs reviewing as not all of these LBTs " Liver Blood 🩸 Tests " actually represent liver function.
💉A beautiful infographic of " Liver biochemistry " by
@LiverFellow
@HershShroff
#LiverTwitter
1
21
78
▶️Sever Alcoholic Hepatitis.
🚨For Lille Model.
🤔Day 4
vs
💁♂️Day 7
🤔Bloods from day of admission
Vs
🤷♂️Bloods from start of steroids.
🔰🔰🔰🔰
👨🏫Role of
Admission NLR in decision making.❓ 😬
#livertwitter
#Gitwitter
Via
@JosephHabibi_MD
@LizzieAbyMD
1
30
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0
18
74
Susceptibility⬆️ to Infections in
#Cirrhosis
.
🔰Internal factors
Immune dysfunction 🧬
Bile flow⬇️
Changes in gut microbiota🔬
🔰External factors
PPIs⬆️
ETOH 🍺
Frailty 👨🦯
Antibiotics 💊
Admissions⬆️🏥
Invasive procedures 💉
#LiverTwitter
DOI: 10.1056/NEJMra2021808
0
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1
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The magician of
#EUS
world
@DrLakhtakia
showing his masterly skills of EUS-HGS at
#EuroEus2023
(PS. 15 min for the whole procedure)
#NextGenEus
#Milan
6
9
73
Many Congrats to
@adyeoman
on this well deserved achievement.
@WAGE_media
@fidan_west
@DrJamalAhmed
@Hep4real
@docdai
@helpatologist
19
9
71
Dear
#JuniorDoctors
in
@Wales
🏴 You do deserve what you are asking for, all the hard work you do infact warrants more than this.
We got your back….!! 💪And holding the fort in your absence 🧌
@GwentLiverUnit
@TheBMA
#JunioDoctorStrikeWales
.
@issypips
@fidan_west
@reah2207
6
3
70
@zackferguson
Always have a great respect to GPs whenever i see such a case in Medical Assessment Unit.
It is very easy to act bossy with all the tests and scans in pocket but with nothing in hand and making clinical judgments, needs great courage and classic medicine.
0
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69
Complex biliary stones.🧐
👇
#SPYGlass
#Cholangioscopy
EHL (Electrohydralic Lithrotripsy)
Vs
Holmium Laser Lithotripsy (HLL)
HLL > EHL➡️Harder Stones
HLL > EHL💰
HLL > ⏰ ⬆️
Not enough comparative data!
#HPBEndoscopy
#GITwitter
4
13
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1
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Hot 🔥 off the press 📝…!!
@AmCollegeGastro
guidance on Management of Acute
#Pancreatitis
... :
| ACG
0
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65
last hour is very important....!! With the most impact on your next 5 years.....!! Go & Vote.
#BallayPeThappa
.
http://t.co/SPXbWYVvHH
2
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No one dies in a land but with Allah's will..!! Indeed you were the lucky one's.
#Makkah
http://t.co/bNjZeaUr9F
0
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Latest recommendations on
#Endoscopy
in patients with anti-platelet or anticoagulant therapy.
#GITwitter
3
24
60
What ever you say but he was the most successful captain.
#ThankYouMisbah
http://t.co/lOZIejswkN
7
59
55
How do you estimate 📏 polyp size during
#endoscopy
.🔭....!!
Via
@EndoCollabcom
#GITwitter
@ASGEendoscopy
1
20
53
Our new registrar
@JMIAhmed93
kicks off his debut 👨🎓 in UGI endoscopy today.
@AneurinBevanUHB
...!!
Wish him luck with training. ! 🙏
#GITwitter
@BSGTrainees
@WAGE_media
6
2
51
4 months into training and our HPB fellow
@singtomebebey
is already doing fab with 115ERCPs. 4/4 this morning..👌 🌟
@GwentLiverUnit
@CaptCholangio
@fidan_west
@adyeoman
7
0
51
CCT General Medicine ✅
CCT Gastroenterology ✅
CCT Hepatology ✅
Finally.........!!! 😁
22
1
49
When you are called to save someone from a life threatening bleed and; you manage do it, it feels like "mission accomplished" in choosing the speciality with an instant feedback when you have made a difference.
#Gastroenterology
💕
#Ensoscopy
💕
5
2
50
What's your startgey for getting an optimal occlusion cholangiogram?
☯️🎈 catheter to the hilum.
☯️ Continuous suction.
☯️ 💉 contrast till u fill the duct and see it 🌊 through the Sphincterotomy.
☯️Now inflate 🎈
☯️Pull back to the ampulla.
Courtesy
@helpatologist
5
12
50
What would u like to check for
#TIPS
and ⁉️
🔰MELD
🔰CT for venous mapping.
🔰ECHO.
Anything else. ??
#LiverTwitter
doi:10.1001/jama.2016.20899
0
8
48
One year today, this little champ came into my life 💙❤ and fought like a warrior for the first week of his life in paediatric ITU.
Thank you so much
@AneurinBevanUHB
#RoyalGwentHpspital
#NHS
for making this year beautiful for us by all your care & follow ups.
5
0
49
A ⬇️
#FODMAP
diet was ranked first for efficacy across all endpoints studied, compared with alternative interventions in patients with
#IBS
Latest systematic review
@Gut_BMJ
#GITwitter
Image
@JAMA_current
0
18
48
Reperfusion injury can be another reason for abnormal LFTs immediately post Liver transplantation.
#ScopingSundays
#LiverTwitter
Hypothermic oxygenated perfusion (HOPE) protects livers from initial oxidative injury.
1
6
47
A scoping guru once told me.
👉Pulling back will take u forward.
And
👉Going slow will take you faster.
It has always worked for me.
What about you??
@ScopingSundays
#scopingsundays
6
4
47
High dose PPIs 💊 for 8-12 weeks, more effective as 1st line therapy in managing
#EoE
. ?
👇👇
Via
@UEGJournal
0
7
47
Swallowing difficulty, not that simple isn't it 🤯.... DDs of
#Dysphagia
...!!
The basic principle of " common things common" may save you although, keep zebras in mind while looking for 🐎.
Via
@EndoCollabcom
#GITwitter
2
15
46
1
15
45
Dominant strictures in
#PSC
& thin grounds of
#ERCP
🔭
#LiverTwitter
#HPBEndoscopy
DOI: 10.1016/j.livres.2019.03.004
0
4
45
This is what you call a " Satisfying " moment in the life of an
#ERCPist
.
Keeps you going.....!!!
8
4
46
Cannulation in
#ERCP
simplified for trainees & the trainers via compact disc 💿 💿 method.
➡️Choosing the right angle.
➡️Finding your way gently.
➡️No forceful pushing.
#GITwitter
#livertwitter
Courtesy
@tberzin
@videogie
0
12
44
Improvising ways to stop worrying about a slow turnover in between ERCPs...!! 🙄
10
4
43
Elegance, beauty & charisma...!! All in one pic.....!!!
3
21
37
The most important thing to learn in
#ERCP
training is
When to stop
&
When not to do the procedure.
#ErCPWibes
.
0
2
42
Although the evidence is quite old, this remains " The " evidence and I want to paste it at the front doors of all hospitals.....!!!
Via
@ebtapper
@AASLDtweets
#livertwitter
5
10
40
Excellent revision on
#ColdSnare
polypectomy by
#ScopingSundays
With loads to take home.
🙏🙏🙏
@drdalbir
@BilalMohammadMD
@ScopingSundays
@HarisMD14
@KM_Pawlak
@SultanMahmoodMD
@abdullahaabbasi
1
18
43
Why we don't stop Aspirin before endoscopic procedures.
Excellent talk by
#AndyVeitch
.
#Wage2021
@WAGE_media
#GITwitter
0
10
42
@my_ueg
has come up with this lovely checklist 📑pre
#ERCP
.
It will be interesting to know🧑🏫
❓️How many ERCPists actually cover all this
❓️Who mentions Mortality 🙋♂️
🤔What's your consent procedure?
@UEGJournal
13
6
41
Siewart classification of oesophageal cancers.
#GITwitter
.
DOI: 10.1007/s00261-011-9784-z
Via Ulla.M et al.
0
12
41
A true soldier doesn't fight because he hates what lies in front, But coz he Loves What lies Behind ...!!
#ImPakArmy
http://t.co/uFvGrAnb4V
0
41
31
Is the rough rule of " scope can traverse " the oesophageal stricture, enough not to stent short oesophageal strictures above GOJ⁉️
Or there is a proper scoring- parameters/assessment used for this decision making.
#GITwitter
2
13
40
9
2
39
At the highest peak peak of
#England
#ScafellPike
.
#LakeDistrict
Snowdone--Highest in
#Wales
Ben Nevis - Highest In
#Scotland
: Next. 🚶♂️
3
1
39
From
#BSGLIVE2022
, just landed into the
#Hepatology
🌎 universe at
#ILC2022
and guess which
#LiverTwitter
🌟 struck me at the entrance to
@ExCeLLondon
.
Welcome to London
@ebtapper
🎊
@EASLnews
0
3
39
20
0
38
Today marks the completion of my 1st year as a Hepatologist with
@AneurinBevanUHB
#ISurvived
⚡☄ due the amazing & very supportive team of
@GwentLiverUnit
Can't stress any more upon choosing the right people to work with.
And the learning continues. ......
6
3
39
I am supposed to talk about
" Things i wish i had learnt/ known earlier on while training in
#ERCP
to a cohort of budding ERCPists. "
Feel free to pitch in some suggestions please.
Thanks alot 😊🙏
#GITwitter
#Livertwitter
@helpatologist
@TarunRustaGI_MD
@BilalMohammadMD
16
8
39
The foremost objective of fasting is to establish the spiritual righteousness, Fear of Allah (Taqwah)...!!
#Ramadan
0
15
32
@GwentLiverUnit
is taking the Liver Medicine to next level.
Our fantastic IR team recently did 1st successful
#BRTO
in 🏴
#Wales
Hoping for many more success stories of better patient care in times to come. 🙌
@AneurinBevanUHB
#LiverTwitter
6
7
37