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Aditya Ganguly MBBS MD II Internist Profile picture
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Sep 15 • 4 tweets • 1 min read
ECG spotter!

#MedTwitter
#CardioTwitter
#ECG
Its WPW pattern --> Derpak Sir has provided a methology to localize the Kent bundle --> I can't call it WPW syndrome for there is no hx of pre excited NCT.
*Deepak Sir
Technically hx suggestive of any arrythmia.

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More from @AdiG1993

Aditya Ganguly MBBS MD II Internist Profile picture
Sep 17
1) Its NEET PG time and midrankers and fresh candidates will have a collective meltdown once again.

So I have a new thread, fresh from the oven for all these people.

Keep reading.
2) If you are a midranker --> you get a maximum of 7 days to decide whether you want to continue counselling or not.

Thats it.

Done.

If you have decided to continue counselling, forget about the next NEET.

Take whatever you get and leave the rat race.
3) If you decide to try one more time --> at the end of 7 days --> stop worrying about counselling and what you are getting in R1 etc etc.

If you manage to get the subject of choice in a not so favourite institute --> you get 1 day only to confirm your decision to take it up.
Read 11 tweets
Aditya Ganguly MBBS MD II Internist Profile picture
Aug 30
1) Pregnancy is a significant sociocultural event in human society.

It marks the sacred connection between one generation and its offspring.

This is what most people think.

Let me tell you why its not --> through the lens of evolutionary medicine.
2) Pregnancy is actually a vicious battle between two partially related genetic entities --> the mother and its fetus.

Neither side shows mercy or takes prisoners.

We will focus on the battle for fuel at the fetomaternal interface in this Tweetorial.
3) First of all --> the physiology.

The pregnant female usually experiences reset homeostasis --> with fasting blood sugar (FBS) gradually falling till the week 12 --> then it stabilizes till term.

But PPBS shows sharper, more sustained rise, along with rising insulin levels!
Read 33 tweets
Aditya Ganguly MBBS MD II Internist Profile picture
Aug 29
1) The best thing about #MedTwitter is that a lot of hematologists and medical oncologists put out a lot of Tweetorials explaining what they do!

If you are gen med resident in India, these two subjects are most likely the ones you least focus on, in your curriculum.
2) Shrouded in mystery, they lead to many misconceptions and in many cases, therapeutic nihilism.

I might be wrong, but this is my experience, after having interacted with many residents over the past 3 years.
3) But this has changed in the past 6 months and I have definitely improved my knowledge --> this has been helpful in clinical practice as well!

I am no longer restricted to the Hodgkin vs non Hogdkin dichotomy!

I now understand what SUVmax is!
Read 5 tweets
Aditya Ganguly MBBS MD II Internist Profile picture
Aug 28
I love deep dives and I mean it!

My latest focus --> Hodgkin's lymphoma.

This is the original series of 7 cases published by Thomas Hodgkin.

#MedTwitter
#HemeTwitter
#hematology
#Hodgkinlymphoma Image
For reference!

ncbi.nlm.nih.gov/pmc/articles/P…
@nihardesai7 you should read this.
Read 4 tweets
Aditya Ganguly MBBS MD II Internist Profile picture
Aug 27
1) Morning sickness --> another pearl from evolutionary medicine.

Nausea and vomiting (n/v) in early pregnancy are so common --> they are regarded as almost physiological.

But could they have an evolutionary benefit?
2) Firstly, its not called morning sickness anymore.

Its n/v of pregnancy aka NVP.

Why?

Because it takes place at all times of the day and night.
3) We have a graphical representation of the usual course of NVP here.
Read 16 tweets
Aditya Ganguly MBBS MD II Internist Profile picture
Aug 26
1) Inspired by @AaronGoodman33

Middle aged male gets tired easily, had a hx of TLOC on sudden standing up, low grade fever × past 1 year

Clinical exam --> gradual darkening of skin and oral mucosa.

What is your diagnosis?

#MedTwitter
What are your differentials?

What labs +/- imaging would you request?
I am surprised nobody thought of hemochromatosis.

Unexplained fatigue and postural hypotension --> hemochromatic cardiomyopathy

Low grade fever --> hemochromatosis renders you susceptible to infection

Hyperpigmentation --> hemoCHROMATOSIS
Read 7 tweets

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