PGY - 2 MD General Medicine @SJHDELHI MBBS-GSMC KEMH | SportsEnthusiast | PADI Certified Scuba Diver | Fide Rated Chess player | Black Belt 🥋 | Skating |
Mar 11, 2023 • 13 tweets • 3 min read
Had an interesting case recently which left me with a lot of things to ponder on!
A 50yr old Male, brother of a sanitary worker of our ward, a worker himself visited the OPD with complaints of increased fatigue & shortness of breath even with mild exertion since a month.
1/N
He had previously visited the Medicine OPD and was quickly referred to the Cardiology Department suspecting a heart issue and on patients demand. Entire cardiac consultation had come out to be normal. BP, ECG, TpI, BNP, CXR and 2D ECHO - no abnormality was detected. 2/
May 26, 2022 • 5 tweets • 2 min read
Got some time to read up a bit. So here we go -
Sustained Monomorphic Ventricular Tachycardia
CF as described in my case - hypotension, syncope & some might even be able to maintain BP
Usually VT with HR > 200 - Hypotension
<150 - can be compensated unlesd LV dysfunction 1/n
Pathophysio - usually focus is an area of fibrosis due to old infarct/inflammation or prior cardiac surgery
Rarely reentry in a diseased purkinje system.
Mechanism - Re entry circuits
DDs 1. SVT with LBBB or RBBB 2. SVT with an accessory pathway
To differentiate 👇
2/n
Apr 24, 2022 • 13 tweets • 4 min read
We welcome all the awareness about #COVID19 and the change it has brought in the way masses give importance to healthcare. But what is silently eating poor people of India? It's much more morbid than COVID, it's #tuberculosis !
Sharing a recent case that broke me😕 1/n
34/M history of fever recurring as soon as antipyretics stopped, shortness of breath gradual onset, progressively increasing, now even at rest. H/o weight loss of over 10kgs in 2 months.
Diagnosed as typhoid first somewhere based on 1:80 titres (another nuisance) 2/
Mar 31, 2022 • 19 tweets • 5 min read
Starting internship? Aiming to get a decent rank in NEET PG/NEXT 2023?
Congratulations on passing one of the toughest exams i have ever given in my life.
Keep one thing in mind - the movie begins now!
The internship/1st attempt is usually the best attempt!
A thread 1/n
Make sure you are well aware of the internship schedule for the entire year, which postings? What duties will be heavy? Where you will get more time to study?
Eg. I had casualty in March 2021 and Medicine in May 2021 - so i knew i shouldn't be harsh on myself if i can't study 2/
