1/n Tweetorial on Checklist for advanced therapies for inflammatory bowel disease

Here is what I summarized. Credits to @Bealoquebea and @avstmd as I used some of their tweets for this presentation. I am sure there are areas of uncertainty, please do share your thought I am sure we have read this book. Personally this book converted me into a believer of checklists

Recently I had an opportunity to speak on Anemia in IBD at the IBD Conference in Delhi organised by @CCF_IN and APAGE. Here is a tweetorial focused on Iron deficiency anemia in IBD Anemia is common in Inflammatory Bowel disease, most frequently due to Iron deficiency.
Battling disease activity, diagnosis and management of anemia often take a back seat
Key msg- Screen for anemia at the time of IBD Diagnosis
doi.org/10.1097/01.mib…

Here is a tweetorial on Antitubercular therapy (ATT)-related hepatitis. This is based mainly on a lecture I took for DNB residents
Here we begin
1/n⤵️ Three of the four first-line drugs are potentially hepatotoxic
Many of the second-line drugs are also recognized to cause hepatotoxicity
Those in blue font are potential hepatotoxins

@DCharabaty @MondayNightIBD @southasianIBD @P_DeepakIBDMD @IBDimmunology @nehagastrord @ibdesis @ownyourcrohns @FITWITMD @crohnsbabble @rebelliousgut @ibdseb @drsumitbhatia @DrAnjaliPandit A1/n One of the most difficult clinical situations which a clinician could encounter: the two entities are remarkably similar
At our center almost half of such situations the underlying condition is ITB and in the rest half CD
Crossed fingers @DCharabaty @MondayNightIBD @southasianIBD @P_DeepakIBDMD @IBDimmunology @nehagastrord @ibdesis @ownyourcrohns @FITWITMD @crohnsbabble @rebelliousgut @ibdseb @drsumitbhatia @DrAnjaliPandit @deepakjgastro @shivaramsingh @drroshanag @stevenbollipo @drkeithsiau @doctorboletoh @Rajatgastro @KailashKolhe @DrAnuraagJ A 2/n ITB versus CD
Clinical clues may offer some clarity .....but never a certainty regarding the underlying cause of the symptoms @realTBpeople
#Tuberculosis #IBD
#MNIBD #GITwitter #Medtwitter

Death by Whatsapp

As health professionals it is our duty to correct misinformation but please remember most of us are tired and drained. It is not easy to stand up to and fight the pandemic of misinformation in each of the residential and family groups We should always share responsibly but the responsibility increases manifold during these torrid times.

This is something a well intentioned citizen shared on whatsapp group of our society.

Not only it promotes an unknown medicine but argues against 'running' after oxygen

1/ n Differrentiating intestinal TB and Crohn disease can be tough be we have made progress.... #Tuberculosis #IBD journals.lww.com/eurojgh/Abstra… 2/nMicrobiological diagnosis of ITB is possible in only 20-40% cases. Discriminating Intestinal TB and Crohn disease is tough and most clinicians in endemic countries encounter this confusion commonly 😕. . #Tuberculosis