Such a well written editorial this in @Open_HeartBMJ Superb..!!…
a must read for everyone... #MedTwitter #Cardiology
interesting points a 🧵👇
Metabolic acidosis is a chronic condition that
many people in the Western world have but
do not realize it... It occurs when there is
retention of acid in the body, which leads to
a depletion in the bicarbonate stores of the
body. Ways to test for low-grade metabolic acidosis👇
what are the Four main mechanisms that compensate for chronic latent metabolic acidosis?
what is the potential renal acid load (PRAL) of #foods
(mEq of acid/3.5 oz.)... #vegetarian stuff is good!!
what are the Strategies for suppressing the dietary acid load?
what are the harms of low-grade metabolic acidosis? How a more alkaline diet benefits patients with chronic kidney disease !
what are the harms of low-grade metabolic acidosis?.. continued...
A greater emphasis on low-grade metabolic acidosis should be provided during medical school so that clinicians are more aware of this condition and how to treat it... #edutwitter

• • •

Missing some Tweet in this thread? You can try to force a refresh

Keep Current with Dr Vikram Sakaleshpur kumar 🇮🇳

Dr Vikram Sakaleshpur kumar 🇮🇳 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!


Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @vikkypaedia

26 Nov… a superb article with many many learning points..#neurotwitter #MedTwitter #AcademicTwitter #scicomm
key points in the review article "Localization in focal epilepsy"👇
Cortical zones defined in presurgical evaluation
This is such a fantastic Summary of semiological signs by symptomatogenic zone on mesial and lateral structures. DLPFC, dorsolateral prefrontal cortex; SMA, supplementary motor area.
Read 6 tweets
26 Nov
B.1.1.529 seems to have gone from 0.1% to 50% in just a couple of weeks, when it took Delta several months to achieve that..!!

Brace up folks..!!

Things are getting worrisome folks..!! Read and understand this thread..!!
Read 12 tweets
25 Nov
#Covid outbreak in SDM Med college, Dharwad, #Karnataka after a student college festival.. many infected… @MoHFW_INDIA @DHFWKA @ICMRDELHI #news
Yesterday Day 1
URTI like symptoms !
Contact tracing done
Around 100 tests positive inc staff, students n other primary contacts !

All stable till now..!!
Yeah, the student festival was named ….

The Déjà vu…!!

Take care folks..!! @ProfSomashekhar @vipintukur @VincentRK @GKangInd @naveenthacker @iapindia @RajeevJayadevan
Read 5 tweets
7 Jun
Residual #SARS-CoV-2 🦠 ags detected in GI and liver tissues from 5 recovered pts with #COVID-19.… @vipintukur @AskDrShashank @VirusesImmunity
#SARS-CoV-2 nucleocapsid protein (NP) was detected in the colon, appendix, ileum, haemorrhoid, liver, gall- bladder and lymph nodes from 5 pts who recovered from COVID-19, ranging from 9 to 180 days after testing -ve for SARS-CoV-2. #MedTwitter Image
Although resp transmission is responsible for most COVID-19 inf, there is ⬆️ evidence of COVID-19 causing GI & hepatic manifestations, as studies reported the presence positive SARS-CoV-2 RNA in anal swabs & stool samples, despite NP or sputum specimens testing -ve for the virus
Read 4 tweets
3 Jun
Multisystem inflammatory syndrome in children is driven by zonulin-dependent loss of gut mucosal barrier.. @vipintukur @ProfSomashekhar @naveenthacker @iapindia @INDIANJOURNALO4 @VirusesImmunity @EditorIndPed @ICMRDELHI @MoHFW_INDIA @iiscbangalore Image
Weeks after #SARS-CoV-2 inf or exposure, some children develop a severe, life-threatening illness called Multisystem Inflammatory Syndrome in Children (#MIS-C). GI symptoms are common in MIS-C pts & severe hyperinflammatory response ensues with potential for ❤️ complications.
👉🏽As proof of concept, they treated a #MIS-C patient with #larazotide, a #zonulin antagonist, & monitored impact on antigenemia and clinical response.
👉🏽in MIS-C, prolonged + of SARS-CoV-2 in t GI tract ➡️ to release of zonulin, a biomarker of intestinal permeability,
Read 14 tweets
30 May
This gentle man is Sir William Osler.. He has frequently been described as the “Father of Modern Medicine” and one of the "greatest diagnosticians ever to wield a stethoscope". What did he hv to say about #India ? @sanjeevsanyal @vipintukur @naveenthacker @EricTopol @mvankerkhove Image
His fascination for #India, The land of #Vishnu had no bounds..!! At each & every intellectual commentary he mentions about his interest in the values #India was known for @ProfSomashekhar @iapindia @IndianMedicalAs @MoHFW_INDIA @VirusesImmunity Image
In one of his essays; “Of India, of "Vishnu-land," what can one say in a few minutes? To the Hindoos we owe a debt which we can at any rate acknowledge; and even in medicine, many of our traditions and practices may be traced to them”. @drharshvardhan @PMOIndia @BharadwajSpeaks Image
Read 11 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Thank you for your support!

Follow Us on Twitter!