Licensed MD, November 2022 @MDbyNov_2022
Licensed MD, November 2022 ✨ #PLE2022 philippines Joined September 2011-
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@Doctors__squad A. Septate uterus <Image source: @OsmosisMed, tinyurl.com/y4xc9kht>
Metformin remains the first-line drug of choice in type 2 diabetes mellitus
🚨 Management of Cerebral microbleeds ⚫️🧠 📚Everything you need to know in our new review article with @VCI_EricSmith in @StrokeAHA_ASA 👇 #NeuroTwitter #stroke #Neurology #neuropath #stroke #dementia #Alzheimers #biomarker #brain #MedStudentTwitter #AmyloidAngiopathy #CAA…
CXR DIFFERENTIALS 📌 What is the definition of WIDENED MEDIASTINUM on CXR? 🫁 More than > 6cm IMPORTANCE? May warrant additional tests, usually a Chest CT scan with contrast Source: @PulmPEEPs
List causes of raised troponin - NOT due to myocardial infarction :
@Nephron826 Perhaps it’s the workload(ie patient: physician ratio) & training culture (ie toxican, 24h duty). I heard newer grads prefers to have work-life balance. Maybe, it’s time to revisit the way training is being done w/c needs collective effort from gov’t (⬆️plantilla) & trng team 🙏
So who and when are we going to sound the alarm on the gradually dwindling number of medical/surgical/pedia residency/fellowship applicants in almost all major tertiary teaching hospitals? Hiking up their salaries seems not enough anymore! What gives? 🤷♂️ #sitdownandtalk
LUNG CANCER - QUICK NOTES 🫁 💡Any patient presenting with MALIGNANT PLEURAL EFFUSION is immediately considered STAGE 4 malignancy. Whether primary lung CA or metastatic. Treatment: usually palliative, depending on functional status #PulmoPearls #ForYourMDPractice
1/8 Preview of revised @IDSAInfo Complicated UTI Guidelines, including simpler definition ("infection beyond the bladder"). Men CAN have an uncomplicated UTI.
Treatment of Hyponatremia from @NephroMD #Nephpearls #KidneyWk 📌 Use of Hypertonic Saline (HTS) 📌 Management of severely symptomatic hyponatremia 📌 Pitfalls of correction 📌 Risk factors for rapid correction 👉 pubmed.ncbi.nlm.nih.gov/31606238/
IM taught me habits that ended up being really important 1. Whenever you check calcium immediately after check albumin, just make it a habit to check them at the same time. 2. ALWAYS compare labs to patient baseline 3. Read the previous note, but verify info w/pt
🫁 CXR findings suggestive of CLINICALLY DIAGNOSED PTB / active PTB? "CAL ME!" 1 Cavitation, Apical 2 Lymph nodes, enlarged >2cm 3 Miliary mottling 4 Effusion, pleural large >= 1/3 pleural cavity Even if Sputum: (-), but +S/Sx & CXR - may start TB tx #mnemoNIKS 📔NTP6
This is the day, this is the day, this is the day that the Lord has made! #MDbyNov2023
ngayon ba release ng results? #ple2023
Interpreting a complete blood count is an intimidating task. But with the right guidance, it can be simple. Here is a 6-step guide to understand your CBC:
PHILIPPINE GUIDELINES on PERIODIC HEALTH EXAMINATION - 2021 Immunization for Adults Special mention Dr @johnegonzales drive.google.com/file/d/15bZXoi…
Big day tomorrow! Trust yourself and lift everything to the Lord. Maniwala ka sa mga napag-aralan mo kasi madaming naniniwalang kaya mo. #PLE2023
Jonathan Chan @chanjonachan
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253 Followers 294 Following Blessed by His grace. 💯❤️| March 2023 PLE Passer. ⚕️🩺| Psalm 27:6 🙏📿✨ Licensed MD na �.. @_sparklesmd
287 Followers 313 Following Passed the October 2022 Physician Licensure Examination! #PLE2022 #LicensedMD2022StrugglingMD 🌸🏳.. @struggling_md
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107 Followers 967 Following Three things in human life are important. The first is to be kind. The second is to be kind. And the third is to be kind. ~ Henry JamesTOPE 💦 @MYSTERIOUSCUT16
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25K Followers 374 Following I talk about study strategies and productivity for medical students | Helped medical students with struggles in med school | Med school teacher | InternistJonathan Chan @chanjonachan
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287 Followers 313 Following Passed the October 2022 Physician Licensure Examination! #PLE2022 #LicensedMD2022Robert Dominic Gonzal.. @robertkaaatz
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193 Followers 288 Following EM specialist in ED UMC Maribor and Community Healthcare Center dr. Adolf Drolc Maribor, SloveniaEM Board bombs @EMBoardBombs
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128K Followers 2K Following Founded in 1929 by the Claretian Missionaries, the National Shrine of St. Jude brings together hundreds of thousands of devotees in a community of prayer & hopeIt’s not ED’s job to diagnose. Stabilise. Differentiate. Dispose.
Ang laking tipid ng pagbabaon ng kape sa duty! UCC Iced Creamy 3-in-1 + 1.5 tsp of Nescafe Gold 7. Sometimes I add Almond Milk if I want it creamier 😊
Verapamil should NOT be used in Ventricular Tachycardia. Except in Fascicular VT.
1st step in assessing a thyroid nodule: DO TSH. This helps you in deciding whether or not you should do a radionuclide scan. ELEVATED/NORMAL: NO SUBNORMAL/LOW: YES #endocrinology #thyroid #mustknow #ATA2015
Guidelines are meant to "guide" you. It's not a replacement for clinical acumen.
Leniency is where it’s difficult for me. If a resident doesn’t examine patients before doing surgery, how do you correct that? Would you let a surgeon who doesn’t know anatomy operate on your loved one? What makes it harder for many trainors: nobody’s really taught how to do it.
A thin line… but being firm is different from being mean. Correcting work ethics is different from attacking the person. Being understanding & empathetic is different from being too lenient. Med is difficult enough. Training is difficult enough. Why do we make it even harder?
“Pediatrics (Over)Simplied.” A Quick Guide to survive Pediatrics, may it be for Medical School, Clerkship/Internship, Boards, and Residency. Slowly but surely. 🥹 #Pediatrics #Buzzwords #Mnemonics
To the PLE boardtakers: Best of luck! Find time to relax tonight. Don’t overwork the brain. Pinagsisihan ko ‘yang lack of sleep during my time. Always remember, you’re doing well. Just tread on. Sabi nga nila “malayo pa, pero malayo na.” Lakasan lang ang loob 🧠🫀 #PLE2023
11 important Test to do in hypertensive patients : 1.Serum electrolytes (Na, K, Ca) 2. Serum creatinine 3. Urinalysis 4. Urine albumin/creatinine ratio (optional) 5. Fasting glucose or hemoglobin A1c 6. Lipid profile 7. TSH 8. ECG 9. Echocardiogramphy (optional) 10.…
Flail chest @ingPocilgasx @TLHM_MD
Warfarin + high INR: INR > 8.0 (no bleeding) = - stop warfarin, - give oral vitamin K 1-5mg, -repeat dose of vitamin K if INR high after 24 hours, - restart when INR < 5.0
Indications for ET intubation in #PediatricTrauma 📍 GCS <8 📍 Respi failure 📍 Impending airway compromise 📍 Lack of neuromuscular respiratory drive 📍 Significant hypovolemia w/ depressed sensorium 📍 Unstable patients in need of CT 📍 Transport of critically injured #EMed
2 happy parasites. Any guesses what they are?
-Normal Axis = QRS axis between -30° and +90°. Abnormal axis deviation, indicating underlying pathology, is demonstrated by: -Left Axis Deviation = QRS axis less than -30°. -Right Axis Deviation = QRS axis greater than +90°. -Extreme Axis Deviation = QRS axis between -90° and…
The smallest details can spell the difference between life and death. We might get away with not knowing our patients through and through. But it's the patient who suffers from our negligence.
With human lives. Admittedly, I miss out on a lot of small or even important details in our day to day. But the intention should always be to put out your best work for the patient because lives are at stake. Especially in IM, knowledge ang puhunan.