Vishnu Koneru MD Profile picture
Trainee DM Rheumatology, JIPMER | MD Peds, PGI | MBBS, @aiims_nd |
Aug 5, 2023 โ€ข 5 tweets โ€ข 1 min read
๐Ÿ”ด Political mob assaults JIPMER Consultant ๐Ÿ˜”

Details๐Ÿ‘‡ Image The child a case of Global Developmental Delay with hypotonia was posted for MRI, suffered cardiac arrest, revived and shifted to PICU.
Attenders started creating lot of fuss, barging in to ICU despite many requests not to do so(1/4)
Apr 2, 2023 โ€ข 9 tweets โ€ข 3 min read
๐—ฆ๐—ฝ๐—ผ๐˜๐˜€:-
๐—ช๐—ต๐—ฒ๐—ฟ๐—ฒ to see? ๐—–๐—ฎ๐˜‚๐˜€๐—ฒ? ๐—ฆ๐—ฒ๐—ฒ๐—ป in?

๐—ž๐—ผ๐—ฝ๐—น๐—ถ๐—ธ spots vs
๐—•๐—ถ๐˜๐—ผ๐˜ spots vs
๐—•๐—ฟ๐˜‚๐˜€๐—ต๐—ณ๐—ถ๐—ฒ๐—น๐—ฑ spots vs
๐—ฅ๐—ผ๐˜๐—ต spots vs
๐—–๐—ต๐—ฒ๐—ฟ๐—ฟ๐˜†-๐—ฟ๐—ฒ๐—ฑ spots vs
๐—–๐—ผ๐˜๐˜๐—ผ๐—ป-๐˜„๐—ผ๐—ผ๐—น spots

A short thread ๐Ÿงต Koplik spots/Koplik's sign

-->Clustered white lesions opposite lower 1st & 2nd ๐—บ๐—ผ๐—น๐—ฎ๐—ฟ๐˜€ & ๐—ฐ๐—ผ๐—ป๐—ท๐˜‚๐—ป๐—ฐ๐˜๐—ถ๐˜ƒ๐—ฎ looking like grains of salt on a wet background

Cause: Prodrome viral ๐—ฒ๐˜…๐—ฎ๐—ป๐˜๐—ต๐—ฒ๐—บ

Seen: 2-3 days before the rash itself & pathognomonic for ๐— ๐—ฒ๐—ฎ๐˜€๐—น๐—ฒ๐˜€
Mar 25, 2023 โ€ข 7 tweets โ€ข 2 min read
๐Ÿ“Erythema ๐—บ๐—ฎ๐—ฟ๐—ด๐—ถ๐—ป๐—ฎ๐˜๐˜‚๐—บ vs
๐Ÿ“Erythema ๐—บ๐—ถ๐—ด๐—ฟ๐—ฎ๐—ป๐˜€ vs
๐Ÿ“Erythema ๐—ถ๐—ป๐—ณ๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐˜€๐˜‚๐—บ vs
๐Ÿ“Erythema ๐—บ๐˜‚๐—น๐˜๐—ถ๐—ณ๐—ผ๐—ฟ๐—บ๐—ฒ vs
๐Ÿ“Erythema ๐—ป๐—ผ๐—ฑ๐—ผ๐˜€๐˜‚๐—บ vs
๐Ÿ“Erythema ๐—ถ๐—ป๐—ฑ๐˜‚๐—ฟ๐—ฎ๐˜๐˜‚๐—บ

A short thread ๐Ÿงต ๐—˜.๐—บ๐—ฎ๐—ฟ๐—ด๐—ถ๐—ป๐—ฎ๐˜๐˜‚๐—บ

Annular evanescent ๐—ป๐—ผ๐—ป-tender ๐—ป๐—ผ๐—ป-itchy macule with erythematous serpiginous border & central clearing
On trunk & extremities,๐—ป๐—ฒ๐˜ƒ๐—ฒ๐—ฟ face

๐—–๐—ฎ๐˜‚๐˜€๐—ฒ-Acute Rheumatic Fever(in ~6%)
also Psittacosis,Hereditary Angioedema