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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Nov 19

How a common nutritional deficiency turned an air hostess into a beggar
1. A few years ago, a smartly-dressed man entered my OPD with a shabbily-dressed woman, introducing her as his wife. Her hair was unkempt, clothes untidy and she wore a pair of torn sandals.
#MedTwitter

2. The gentleman further added: "She was an airhostess in a German airlines, whom I met while flying as I frequently flew to Germany for business. She was 25-yr old, pretty and it was love at first sight, culminating in #marriage. Things started to change within a few months."

3. She developed progressive #memory impairment, mostly for recent events. She had problems in calculation, speaking, and used to get lost in familiar places. One day, she left home to visit a well-known friend's place, but never reached there. She didn't return home either.

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Nov 18

Why do a few young, physically active, seemingly healthy people suffer from heart attack?
1. A person with normal body weight, doing regular running, cycling, or working out in gym, is not immune to heart attack, as a few recent reports suggest. Here are some of the reasons why:

2. Hypertrophic obstructive cardiomyopathy (HCM)
HCM accounts for 40% cases of sudden cardiac death (SCD) in young athletes. Unfortunately over 80 % of affected individuals are asymptomatic before SCD, which often occurs during exercise or in its aftermath.
#running #fitness

3. Cardiac arrhythmia
About 15-20% cases of SCD occur due to cardiac #arrhythmia (abnormal heart rhythm). In patients younger than 35, the most common cause of SCD is a fatal arrhythmia, usually in the context of a structurally normal #Heart.

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Nov 16

Brain #stroke caused during cold water bath in a 68-year old person with High BP

1. Winters are here and many people need to take bath in cold water. #Cold water #bathing can also be a part of cultural ritual. It is safe; however, in some cases; it can lead to serious diseases.

2. Here, I am sharing my experience of treating a person with stroke (which he suffered during cold water bath). 68-year old man was brought with a history of right-sided weakness and inability to speak for 26 hours.
#MedTwitter #neurotwitter #internalmedicine

3. Symptoms started within minutes of him taking dip in a holy river as part of cultural ritual. He was previously well except for #hypertension, for which he was taking medicines. He was initially treated at a local hospital and referred one day later as he did not improve.

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Nov 15

Clinical Case for junior #doctors and residents
17-year old girl, 1 year history of imbalance while walking, sways to either side. Tendency to fall while washing her face. Hearing impairment for 6 months. No positive family history
Diet: Pure #vegetarian
#MedTwitter #neurotwitter

Patient was asked to do tandem gait

Patient was asked to stand with feet close together and eyes closed.
What are the signs shown? Differential diagnosis? Tests needed to confirm diagnosis? Treatment plan?

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Nov 14

#diabetes and #Neurology
1. Peripheral #neuropathy can be the first manifestation of diabetes. 50-70% of diabetics suffer from neuropathy. Pain and burning sensation of feet are common symptoms. Numbness of feet can predispose to ulcer formation.
#WorldDiabetesDay #Medtwitter

2. Diabetes is a common risk factor of #stroke, seen in 30% of stroke cases. Diabetes leads to poorer outcome in stroke patients- longer length of hospital stay, higher risk of complications, higher risk of death due to stroke and greater disability in stroke survivors.

3. Diabetes is associated with higher risk of dementia including Alzheimer's disease. The risk of mild cognitive impairment (MCI) and conversion of MCI to dementia is higher in diabetics. Longer duration of diabetes and uncontrolled diabetes further increase the risk of dementia.

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Dr Sudhir Kumar MD DM🇮🇳

@hyderabaddoctor

Nov 12

How I (a #neurologist) helped a student pass in #Mathematics, which his Mathematics teacher couldn't manage

1. A 15-year old boy was brought to my clinic by his parents asking for some "pill" that would improve his interest and skill in mathematics, enabling him to pass exams

2. He was a bright class 10th kid doing well in all the subjects except in mathematics. His scores were 85-90% in other subjects, with <30% in mathematics. This appeared odd to me. On enquiry, the boy told "my mind switches off when solving complex mathematical problems".

3. The boy continued "my mind keeps on lapsing into absent-mindedness several times during exams" and "before I realize- the time is up". As per his teachers & parents, his answer sheet had many areas of ineligible scribbling. The initial part of answer would be correct though.

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Dr Sudhir Kumar MD DM🇮🇳

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Dr Sudhir Kumar MD DM🇮🇳

Dr Sudhir Kumar MD DM🇮🇳

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