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More from @AdiG1993

Aditya Ganguly MD I Internist

@AdiG1993

Jul 9

1) I was reading a bit of neurology today, for exams and general knowledge.

I have always maintained a lively interest in medical history and the development of this great profession of ours.

2) I was also influenced by the fact that we have a patient admitted at present, with generalized chorea under evaluation.

Common differentials have been ruled out but we haven't made the elusive diagnosis yet.

So a bit of reading was in order.

3) Neurogenetics is one such topic which has grown by leaps and bounds within the last few decades.

Clinical diagnoses of yesteryears can now be confirmed by genetic tests --> thanks to the work of certain stalwarts like Prof. Anita Harding.

Read 10 tweets

Aditya Ganguly MD I Internist

@AdiG1993

Jul 5

1) It must be hard being an MBBS student nowadays with everybody criticizing you for not having enough clinical knowledge/not going to the wards etc etc.

I don't think we should blame them for circumstances beyond their control.

2) Medical science has expanded so rapidly that you must now run, just to stay in the same place. Basic knowledge has also changed with along with our ideas of complications. Its no longer 'a simple case of anything'.

3) You will need an MBBS course lasting at least a decade if you need people to master all the skills that MBBS students of decades earlier could master. Medical science has far outpaced our capacity to learn.

Read 9 tweets

Aditya Ganguly MD I Internist

@AdiG1993

Jul 3

1) A terrible crash at the Grand Prix today, but thankfully no lives were lost --> and it is all thanks to this man.

2) Who was he?

Dr Eric Sidney Watkins |(1928-2012) , commonly known in Formula 1 (F1) as Professor or Prof Watkins was an English neurosurgeon.

He was the FIA F1 Safety and Medical delegate, head of the F1 medical on track team and first responder for a period nearly 26 years.

3) He is most famous for treating Ayrton Senna, the Brazilian three-time F1 champion who died in 1994 in a crash at the San Marino Grand Prix in Italy. He was only 34 at that time.

Here is a pic of the two together!

Read 9 tweets

Aditya Ganguly MD I Internist

@AdiG1993

Jul 3

1) Gen med residents are taught to think of secondary hypertension, especially primary hyperaldosteronism, if the following conditions are met.

- young onset HTN (age < 40)
- family history
- resistant HTN
- hypokalemia

2) First of all, young onset HTN is a controversial term nowadays --> with the rise of fast food and sedentary lifestyles with pediatric obesity and metabolic syndrome --> it is entirely possible that the age may need to be shifted even lower!

@DrSarahAlam

3) This study, done in AIIMS with @DrSarahAlam as the lead author looked at PA epidemiologically.

202 patients with young onset HTN (YH) were evaluated.

Surprisingly the mean age was 43.9+/- 10.9 years!
pubmed.ncbi.nlm.nih.gov/33393127/

Read 12 tweets

Aditya Ganguly MD I Internist

@AdiG1993

Jul 2

1) Another case of the silent killer.

A middle aged relative of mine has been forgetting things recently --> he doesn't remember where he put his keys, his assistant's name or what he had for lunch that day.

2) His daughter calls me up and schedules a meeting.

Its borderline Alzheimers --> she worries!

What will happen to him? Is there anything to be afraid of? Should we consult a neurologist?

3) First things first --> I say.

Let me evaluate him and see what needs to be done.

Turns out he is HTNsive on meds for more than a decade, since the time he had his first stroke --> no documents available from that time.

Read 8 tweets

Aditya Ganguly MD I Internist

@AdiG1993

Jun 30

Bilateral locomotor brachialis in a middle aged patient with severe hypertension and severe dizziness under eval ? post circulation stroke --> 280/170 mmg Hg (manually measured 4 times by 4 different people)

HTN is a killer!

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#clinics