Arun Valsan Profile picture
Aug 4, 2022 14 tweets 5 min read Read on X
PSVD vs NCPH
For: Dr Christina Ripoll
Against: Dr Akash Shukla
@INASL_Liver #inasl2022
🔥🔥🔥
Hotly debated!
Whats PSVD?
Histopathology of PSVD
For: histopath included
Natural history
Are there presymptomatic stages? Is it a continuum?
Summary: For PSVD!
Against PSVD
Summary: Against PSVD
Some expert thoughts!
✓Prof CE Eapen: NCPH an "Indian" ds. NCPH isn't strictly a sinusoidal pathology
✓Prof Dhiman: Earlier studies HPE non mandatory
✓Prof Acharya: Just semantic revision! Ehpvo NCPH nrh fnh are all diff entities
@ajay_duseja is it right to combine etiologies?
Again similar to nafld vs mafld conundrum

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More from @DrArunKValsan

Dec 26, 2023
@ICICIPruLife is the worst insurance company in India. Pls do not be a victim of their harassment. Sharing my personal experience with this bogus company. I tried everyday to co-operate with them. Sharing this so that you guys won't fall prey. A 🧵
I bought term insurance for 5cr in end October 23 online. Immediately, Mr Shadab, a customer relationship manager was assigned. All went smooth till medicals, which I completed on the date allotted
I made all payments incl advance payment for 3months. I was told that everything is ok and that my policy would be issued soon. Initially they told me to show 3mon salary slip/6mon bank statement. I shared salary slip. I got confirmation that all is ok
Read 16 tweets
Aug 27, 2023
🔴🟠🟢 Hepatology bedside pearls

45M
CIN CKD
Came to the OPD waiting area
Diagnosis was straight forward

How many of you have seen this sign?
A tweetorial 🧵 Image
🟠Labs confirmed my clinical diagnosis of acute pancreatitis( lipase -8000, amylase-3546)
A close DD in CKD would be an aortic aneurysm rupture
☢️Always palpate pulses, EKG
🟢 Mohammedan's prayer sign
✅Entrapment of inflammed pancreas between distended stomach(?ileus) against lumbar vertebrae
Image source ppt-online.org/370225
Image
Read 18 tweets
Aug 5, 2022
HBV: Easy to understand, difficult to treat!😄
@norahterrault: Functional cure, novel therapies
@SengGeeLim1: qHBsAg for stopping NUCs
Goals of Rx
Preferred Rx
Read 11 tweets
Aug 5, 2022
Who else but @ajay_duseja to deliberate on NASH pharmacotherapy
Brilliant as always!
🔥🔥🔥
Who needs pharmacotherapy?
What is the standard of care?
Read 7 tweets
Aug 4, 2022
SIG: INASL 2022
Thrombophilia evaluation: @drshalimar
Ac PVT: Dr Puneeta Tandon
Key takeaways
Read 8 tweets
Aug 4, 2022
INASL 2022

Decompensation prevention: @JasmohanBajaj
Recompensation: Prof Yogesh Chawla
🔥🔥🔥
Key takeaways
✓ BB everyone without CI
✓Statin in all ex DC
✓Antibiotic prophylaxis
✓PPIs only if strong indications
✓Vaccinate all
Recompensation definition
Read 5 tweets

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