Sreyes N
@sreyesnarayanan
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Glory in present without past regrets and future worries. UG Stanley RMP, Math-addict, Pluviophile, Baddies is bae, 24 in '24, Aspiring entrepreneur
Chennai
Joined December 2014
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Pinned Tweet
What I learnt today
#NEETPG
#T20WorldCup2024
special✨️
1) It is not over until it is done and dusted. We won it from 30 off 30 to winning by margin of 7 runs. The darkest hour is before dawn so keep calm and believe in providence
2) Rely on your experience in crisis🧵
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Mindblowing takeaway points from today class at DAMS
#MedTwitter
- Omeprazole must best be avoided for gastritis/pain abdomen in a patient on clopidogrel (Note for interns!). It has drug interaction reducing the action of clopidogrel
-Monteleukast can cause Chrug Strauss
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1) Your SR scolds you for writing HbA1c to an anemic patient because in such a patient the values will be falsely high. What investigation to order instead?
2) What is term for glycated albumin?
3) RBC transaminase levels are used to assay which vitamin deficiency?
#MedTwitter
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A tip taught by my college anatomy assistant professor in 1st year to remember intra and retroperitoneal organs(GIT). There is fascinating organisation even in the bizarre randomness created by nature✨️✨️
(PS: Apologies for my atrocious drawing skills😂)
#MedTwitter
#MedX
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3 chicken wires in MBBS 🐔
1) Hepatology: Chicken wire fibrosis= Liver cirrhosis
2) CNS: Chicken wire calcification+ Fried egg appearance in HP= Oligodendroglioma
3) Ortho: Chicken wire calcification= Chondroblastoma
Add more if you know✨️✨️✨️
#MedTwitter
#MedX
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Day 5 at DAMS and a beautiful day of Surgery revision. Mindblowing things I learnt today
1) In which surgery do you remove a normal appendix?
2) Why hypospadias must be corrected before "18 months"?
3) Can you wait and watch a testicular torsion?
Answers🔻🧵
#MedTwitter
#MedEd
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Inicet result....got the expected percentile but rank is far lower than expected(beyond chance🥲). The competition is even cutthroat this time💯.
What I learnt: not to keep percentiles as a target
#MedX
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Mindblowing things I learnt today✨️🧵
1) DOC a) Serotonin syndrome b) Cheese reaction
2) Macewen sign vs MacEvans sign
3) You are an intern posted at Psychiatry. SR demands "Tab Doxepine" but there is no tablet in dept. The PG asks you to "steal" it from any nearby dept✨️🧵
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Respected clinicians of Twitter, this question left me with more question than answers...Interesting question from
@marrow_med
💥
1) Can peptic ulcer/perforated ulcer be ruled out if there is no tenderness abdomen
2) Which is more common in clinical practice: Mallory or ulcer?
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ANSWERS
1) Plasma Fructosamine levels
2) Fructosamine : It is neither fructose nor an amine but glycated albumin😏
3) Pyridoxine deficiency
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A summary of "pearls" I felt important from the new Indian law code (BNS/BNSS) for
#NEETPG
, keeping it as brief as possible
Hope it helps. All the best folks✨️💥. Let's rock it❤️
#MedTwitter
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Yahan pe passed out MBBS doctors ka bhi reservation chalu hai NEET PG me..aap bhi😂🤣. True said tho, no reservations and only skill when it comes to saving a life💯
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All the motilities in Micro- All the lists
#MedTwitter
1) Darting: Vibrio cholera
2) Tumbling: Listeria
3) Gliding: Mycoplasma
4) Corkscrew: Spirochaetes
5) Swarming: Pseudomonas
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Why so much polarizing views on Sumer Sir, Deepti maam or Zainab maam teaching/marketing for that matter . They have achieved peaks of their field in their unique style...It doesn't matter what way one cracks the code, it only matters whether you crack the code💯
#MedTwitter
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Is one allowed to hold 2 PG degrees in India? Just had this question in mind and the quora gives mixed answers
#MedX
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Googled xray signs of "mitral stenosis" but didn't find any satisfactory answer.
May not be of practical value but
A very important viva question(asked when you present RHD case), in
#NEET
PG and 2 mark question
So just browsed books and putting it out here🧵
#MedTwitter
#MedX
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@prarit_v
Koi quack hi hoga...real ogcian would have made reels on topics like "Why everyone should undergo sterilization" ; "How not to irritate the ogcian during labor"; "10 reasons why not to call a lady doctor as sister"
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Kudos to the team💥💥💥
On a side note for
#NEETPG
, Etiology of Primary ameoebic encephalitis= Naegleria fowleri vs Granulomatous amoebic encephalitis= Balamuthia mandillaris (made a mistake in this day before so wanted to put it out alongside😅)
Great news 🗞️
First Indian — to have survived the deadly Primary Amoebic Meningoencephalitis (PAM), a brain-eating amoeba disease with a fatality rate of 97 per cent.
Good job by Dr.Abdul Rauf from BM Hospital, Kozhikode.
#MedTwitter
#MedX
#Kerala
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A month full of ironies, dilemmas, grinds & fun, sweet&sour, ups & downs. Suddenly all comes to an interval cliffhanger with AIR 4380. The most dramatic month of my life already and there are still 7 more days remaining this month..🧵
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3) In a subtype torsion of appendix of testes, we get the classic and specific "blue dot sign". The most common wrong answer is to operate, the correct mode of management is expectant management/wait and watch.
Mindblown I am🤯. Medical field is so intricately woven❤️✨️
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2) Hypospadias must be corrected before 18 months. It has 3 reasons
a) To correct the deformity before school going age to avoid social embarrassment
b) The baby is blessed with physiologic amnesia till 18 months age
c) Psychosexual development starts at 18 months
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QUANTA OF KNOWLEDGE⚛️
A tip for drugs causing cheese reaction (APPLE TIP)
A mphetamine
P henylephrine
P seudoephedrine
L inezolid
E phedrine
T yramine (present in cheese)
I soniazid
P henylpropanolamine
Basically MAO inhibitors+ APPLE TIP drugs= 💥Cheese reaction🧵
#MedTwitter
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Fishing all the fish in MBBS
1) Fish mouth : Scleroderma
2) Fish mouth valve: Severe mitral stenosis
3) Fish in stream: Vibrio cholera microscopy
4) School of fish: Hemophilus ducreyi
5) FISH: Fluorescent in situ hybridization
6) Takotsubo:Cardiomyopathy, akin to Jap. Fishing pot
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Sequential simple 3-5 minute videos for each week of embryonic development(1st to 4th weeks) which was of great use to me while revising embryology...Useful for first year medical students, NEET PG aspirants & docs
BTW this is how we were born✨️😵🧵👇
#MedTwitter
#Science
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@ArunInamadar
Pityriasis versicolor= Yellow fluorescence on Wood lamp= "Spaghetti and meatballs" in microscopy= Malassezia furfur= One of the only fungi to produce "superantigen"
✨️Feels elated when you read a topic today and then witness it (PS: I hope I am correct sir)
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What I learnt today💥🧵
1) "Drop metastases" seen in which tumor?
2) The Drug of choice for acute promyelocytic leukemia(AML M3)
3) Only FDA approved drug for Rett syndrome
#MedTwitter
#MedX
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What I learnt today🧵✨️
1) Earliest CNS sign of local Anesthetic systemic toxicity?
2) Agent of choice for Induction of general anesthesia in a battlefield
3) Identify the instrument
4) Drug to be taken prophylactically in nuclear disaster
#MedEd
#Anesthesiology
#medtwitter
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Waiting to login and giving choices first isn't going to give you your desired centre. But studying and marking the right choices is going to give you your desired branch.Guys, jaake padho and don't waste time on this
#NEETPG
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1) In urethral damage : As a part of Mitrafanoff procedure, appendicectomy of normal appendix is done to create an "appendiceovesical anastamosis"
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Pearls I learnt today✨️🧵
1) Drug which undergoes Hoffmann elimination?
2) Which non depolarising muscle relaxant drug is excreted in bile?
3) Fastest acting general Anesthetic ?
#MedTwitter
#MedEd
#Anesthesiology
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Interesting drugs🧵
•Male viagra = Sildenafil
•Female viagra = Flibanserin( F=F)
•DOC PMS = Paroxetine (P=P)
•DOC Premature ejaculation = SSRI = Dapoxetine
#MedTwitter
#drugs
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Life plans banane ke age me Marrow plan renew kar raha hoon😭
How are people getting married at the age of 22-23 and have their future so planned!? Am I the only one who doesn't even have a plan for tomorrow!?
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I had 120% intent to take up Derm after reading the subject and seeing the interesting cases. After reading this, my intent to take derm is 200%❤️
What is the daily routine of a dermatology resident
After sleeping 10 hours at night, resident get up at 8am in morning
Take a shower and apply ten different types of cleansers, moisturiser and sunblock and after having a sumptuous breakfast, resident reach the OPD at 9am
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Best of luck to all❤️❤️. Tomorrow shall be the end of a year of uncertainty and a "career deciding" day for many of us here✨✨. Let's give our best, believe in our progress and most important of all, catch a good sleep for a good concentration/intuitive superpower through
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What I learnt today in
#Medicine
✨️✨️
1) A person has poor fluency and repetition but good comprehension. Which Brodmann area of brain is affected?
2) Name of pulsating uvula sign in AR
3) Antimitochondrial antibodies seen in which condition?
#MedTwitter
#MedX
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What I learnt today✨️🧵
1) What is the medical management of choice for hypercalcemia of sarcoidosis?
2) Triad of necrotising enterocolitis
3) WHO regimen of choice for AIDS
#MedTwitter
#NEETPG2024
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3) b)Doxepine is a tricyclic antidepressant cum drug with potent antihistaminic activity(used for chronic eczema, pruritus etc). So expect to find it in DERMATOLOGY dept.
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For info this residency system was devised by Halsted..The person because of whom I'm quitting gen medicine/surgery as a prospective branch😤
I can read for 16 hours a day everyday but can't work for 24 hours even a single day and keep sane☠️
Who TF came up with the idea of 24hrs+ shifts for doctors & why have we just accepted it?!!
Like I cannot physically stay awake & continuously be in chaos with no peace & quiet for 24 hrs😭
And if I get a double emerg I have to do it for 48+ hrs continuously?
#MedX
#MedTwitter
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As this last evening of preparation draws to a close, heres to remind yourself and myself that tomorrow's exam is a cumulation of our 6yrs of collective efforts in MBBS which must have acquired the form of a strong intuition by now...here's to trust your intuition more than any
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All the Le Fort in
#MBBS
1)ENT: Le Fort classification of fractures, Le Fort maxillary osteotomy/approach to JNA
2) OG: Le Fort surgery for prolapse with long uterocervical length
3) Ortho: Le Fort Wagstaffe tubercle of fibula
Add more "Le Fort" if you know💥💥
#MedTwitter
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What I learnt today from this INI debacle ✨️..A strategy/motivation thread compiling bits of what I learnt from my mistakes, the advice toppers and my mentors- pinning it to my feed to serve as a reminder for me in my lows. Hope it helps you too
#MedTwitter
#MedX
#NEETPG
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Day 6 at DAMS and a beautiful trip down the memory lane of first year MBBS. The mindblowing facts I learnt/revised today🧵
#MedX
#MedTwitter
-Muscle which is the custodian of virginity : GRACILIS (abductor of hip joints/ syn. antirape muscle)
- Which substance absorption requires
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What I learnt today
#Ophthal
✨️🧵
1) Refractive error most commonly causing accommodative esotropia
2) Angiography picture of Central Serous retinopathy vs Cystoid macula edema
3) Retinoblastoma MC used 4 drug chemo regimen
#MedTwitter
#MedX1
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Unpopular opinion
#MedTwitter
:
We need to move on from archaic 24 hour shifts.Medical field needs 12 hr shifts. Period. I have personally seen incidents of patients losing lives just due to sleep deprived doctor's negligence.
Fun fact: Halsted devised radical mastectomy, but has a darker side to him, a cocaine and heroin addict. Yes we are in the footsteps of a drug addict's routine and I can never "normalise" it
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A STORY FOR MEDICOS (UG) and PG ASPIRANTS
Once in a village , there lived a young man named Ramlal. He once set out to dig a well enthusiastically.
He selected a good spot and cheerfully set to work, humming a tune.
After digging 15 cubits,....🧵🧵
#MedTwitter
#MedEd
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Start up idea: Unemployed MBBS/MD/MS doctors in a website/firm who offer "replacement" for interns/residents who want to take leave amidst heavy workload in exchange for their service fee/charges to work a day in that department🙃
#MedX
#medtwitter
#thoughts
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Signs of MS
1) Enlargement of left atrial appendage
2) Shadow in shadow sign
3) Pulmonary bay sign(pulmonary hypertension)
4) Kerley B lines(short horizontal lines in pulmonary hypertension)
5) Kerley A lines(long vertical lines running to hilum in severe pulmonary hypertension)
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Interesting things I learnt today✨️🧵
1) Weigert Meyer law associated to which organ system?
2) Drug of choice toxoplasmosis in pregnancy?
3) Can Malignant hyperthermia run in families? (Which chromosome)
#MedTwitter
#MedEd
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"She looks too pretty try to catch her" doesn't count....that's a classic✨️
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1) a) Cyproheptidine b) Phentolamine(alpha adrenergic blocker)
2) Macewen sign= Crackpot skull= Hydrocephalus/raised ICT
VS
McEvans sign= Sign of alcoholism= Differentiates intoxication from coma= Pinching skin of face/neck leads to transient dilatation of pupils in intoxication
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What I learnt today (Hematology special)✨️🧵
1) Peripheral smear in orotic aciduria "___cytic, ___ chronic RBCs"
2) A dentist asked "laughing gas" cylinder for his clinic use. What anemia can this gas cause?
3) Moa a) Apixaban b) Argatroban c) Atosiban
#medtwitter
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@thenerdnxetdoor
For me amiodarone
1) Class III antiarrhythmic
2) Peripheral deiodinase inhibitor
3) Causes blue man syndrome
4) Causes Jod Basedow effect(hyperthyroidism)
5) Causes pseudocirrhosis
Ek drug ke itne saare gun🥵
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Interesting nuggets of psychiatry I learnt today🧵✨️
1) Which hormone i) increased in anorexia nervosa ii) decreased in narcolepsy?
2) 2 drugs with antisuicidal property
3) You asked use of Lithium to a hematologist. What will be his first answer?
#MedTwitter
#MedX
#psychiatry
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Things I learnt today🧵✨️
1) Electrolyte imbalance causing pseudo p pulmonale?
2) Which is called Silk route disease?
3) Etymology of the word lupus in SLE?
#MedX
#medtwitter
#MedEd
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What I learnt today🧵✨️
1) Most congenital GI tract anomalies are associated to polyhydramnios as the fetus can't "drink" its urine contributing to increased amniotic fluid.Exception to this rule?
2) All 'target'signs in MBBS?
3) All Christmas trees in MBBS?
#MedTwitter
#MedEd
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@manish__aman
Count me in the plan✨️. I am also planning to materialise such a thing in near or distant future. A teaching hospital where residents can learn without fear of seniors or toxicity shit...just learning and no hierarchy bullshit ka drama
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#MedTwitter
#MedMnemonics
Named culture media for diphtheria
"Tonsil Has PseudoMembrane"
T= Tinsdale
H= Hoye
P= Potassium tellurite agar
M= McLeod
#NEETPG
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•Grey baby syndrome = Chloramphenicol
•Red man syndrome = Vancomycin
•Yellow baby syndrome = Sulfonamides
•Yellow/discolored teeth = Tetracycline
•Blue man syndrome = Amiodarone
•Green urine = Phenol poisoning
•Orange red urine = Rifampicin
•Coffee urine = Nitrofurantoin
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Many chennai waale got in kurnool,nellore etc (out of their options). In such cases try to reach the venue at least 24 hours prior and book lodging in advance. The prices could spike toward the exam date (just speaking from some personal experiences I had before)
#NEETPG
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What I learnt today✨️
1) Which is the longest tapeworm?
2) Which bacteria has tumbling vs corkscrew motility?
3) Which fungus
a) Can invade lymphatics?
b) Has "superantigens"?
#MedTwitter
#MedX
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Arteries with three parts and muscles dividing them
1) Maxillary: Divided by lateral pterygoid
2) Axillary: Divided by pectoralis minor
3) Subclavian: Divided by scalenus anterior
Add more if you know!
(PS: The notes below are images from Google I found useful)
#MedTwitter
#MedX
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All medical stalwarts and respected seniors on X, when do you generally achieve financial independence in your medical subfield? And what is "your definition" of financial independence?
#MedTwitter
#thoughts
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#Neurology
What specific region of the brain is responsible for that song running in your head when you are giving an exam/focused activity? (Not an entrance question but just my inquisitive mind)
#MedTwitter
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What I learnt today✨️🧵
1) Open cardiac massage is a clean/clean contaminated/contaminated/dirty wound?
2) Components of MEN 5 syndrome?
3) What is Guerin sign vs Guerin fracture?
#MedTwitter
#MedX
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Three interesting things I learnt today🧵👇
1) Large biphasic QRS complexes seen in biventricular hypertrophy: ------ phenomenon?
2) Kussmaul sign vs Kussmaul breathing?
3) Antidiabetic drug category approved for heart failure?
#MedTwitter
#MedEd
#MedX
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This was one of the longest day of classes at DAMS. From 9 am, almost 12 hrs and it is still going on🔥. Urology has so much to say✨️
#MedTwitter
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Pls suggest a good book/notes/concept book or video for antiarrhythmics.
Purpose: Getting a good conceptual hold for
#NEETPG
and
#INICET
entrances
#MedTwitter
#MedX
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For those juniors flaunting that Park textbook of PSM is tough, go and read Park test of squint(level pe la dega tumhe🥲)
#MedTwitter
#Ophthalmology
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Interesting facts I learnt today🧵✨️
1) Drug of choice pseudomembranous colitis
2) Which side effect of opioid is dose independent?
3) What neurotransmitter causes the redness behind Redman syndrome caused by vancomycin?
#MedTwitter
#MedEd
#MedX
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Multiple endocrine tumors, thyroid cancers and what not😶
#MedTwitter
#MEN
Women have periods, pregnancy, and menopause.
What do MEN have???
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What I learnt today:
1) Named classification for gastroesophageal junction tumors
2) Tyrosine kinase inhibitor drug for immune thrombocytopenia?
3) Bishop Koop operation is done for a GI condition X which is associated to a disease Y. Find X,Y (Clue: 65 roses🙈)
#MedTwitter
#MedX
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What I learnt today✨️🧵
1) Which bone had been used as an indicator of viability of fetus in past?
2) For which corrosive poisoning gastric lavage can be done ?(though not followed in my hospital protocol)
3) Who discovered poroscopy?
#MedX
#MedTwitter
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What I learnt today✨🧵
1) Triad of normal pressure hydrocephalus?
2) Site of lesion in a man who forgets to clean left side of his body while bath and draws clock like shown below?
3) There are 4 friends. Who is saying truth?👇🧵
#MedTwitter
#neurotwitter
#NEETPG
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@manish__aman
If you aspire to be a physician then worth it...then 200% yes...else not(remember there are 3 other giants named surgery og and peds too and you might feel not having invested your time later on)...go for simpler sources like prepladder, dams etc
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Eponymous and named signs of hollow viscera rupture/intestinal perforation/pneumoperitoneum
#MedTwitter
#radiologicalillustration
#MedEd
#NEET
#PG
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This poem makes even more sense as I revisit it in the neet pg aspirant pov
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@bheekamkurmi27
Is it normal to discriminate a junior and senior? We give respect (sir/madam) to seniors and professors...otherwise I generally treat anyone as a colleague....works beautifully in building a bond.
Showing superiority has never built a bond in medical practice/surgery except fear
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ANSWERS
1) Perioral numbness
2) Ketamine (war zone anesthetic)
3) High flow nasal cannula ( not CPAP machine though they look similar)
4) Potassium iodide
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@baffled_nisha
Definitely not marrow because I have seen my pgs studying on Marrow for their MD exam. It is out of our league. We need to know something of everything, so I strongly vouch for DAMS. No experience with prepladder so can't say
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Disease Pearls
#ENT
Topic: AUDITORY NEUROPATHY
Context: Asked in INI PG
Triage zone: Rarely asked and seen topic🦠
#MedTwitter
🧵
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Was solving an mcq on "Uchida technique of sterilisation" and just then "en UCHI mandai la surrrr" played on TV....still laughing my guts out🤣
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Answers
1) Medulloblastoma
2) All trans retinoic acid (ATRA)
3) Trofinetide
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Nice tip...hyperglycemia= More insulin= More K+ pushed into cells= Hypokalemia
Associated tips-
1) in aLKalosis= LK(low K+) and vice versa due to K+-H+ antiporter in I cells of DCT [only acidotic cause= RTA]
2) Mostly ⬇️K => ⬇️Mg also
3) ⬇️K:Weakness & ⬆️K:Arrhythmia
(mc feature)
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Anyone in this platform with any contact of an AIIMS Delhi Biophysics dept JR/SR/faculty
#MedTwitter
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Interesting things I learnt today✨️
1) Is skin turgor a reliable marker of dehydration in a)Child b) Adult c) SAM Child
2) Antibiotic causing interstitial nephritis?
3) Gold standard investigation of Mullerian disorders of uterus
#MedTwitter
#MedX
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Fun fact: Halsted devised radical mastectomy, but has a darker side to him, a cocaine and heroin addict. Yes we are in the footsteps of a drug addict's routine and I can never "normalise" it
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