medicine

/medicine388

This is a space for doctors and medicine lovers

What do you think about family who are not telling the patients the truth about the disease they have to “protect them”?
Massive nationwide shortage of IV fluid due to Baxter’s North Carolina plant getting damaged from Helene. They make 60% of the national supply.

Running low on basic IV fluids everywhere. Both Normal Saline and Lactated Ringers.
Might be a hot take, but it’s a bit annoying to see specialists have takes on things that they don’t encounter and deal with on a daily basis.

An orthopedic surgeon having an opinion on LDL levels is like a car mechanic having an opinion on the wing tip design of a plane.

The only time they’ve ever seen a patient with high LDL is on the USMLE practice test review book. Just understanding mechanisms doesn’t mean you know what real life practice is like.
The answer ⁉️ 👇

"Fewer than 100 individuals worldwide are believed to have Rh null"

Read more about it here...

https://www.verywellhealth.com/rarest-blood-type-8649722
Hyperstructures and Fidenzas forming in our bodies. Well for those that took COVID vaccines from Pfizer & Moderna.

https://www.ijvtpr.com/index.php/IJVTPR/article/view/102/291
Wow, this is wild. Any thoughts on this?
I also wonder if medications like Sovaldi, which is discussed, are as expensive as they are in the USA. I didn't even know there was a medication that could cure Hep C.

https://www.404media.co/right-to-repair-for-your-body-the-rise-of-diy-pirated-medicine/?fbclid=IwY2xjawFHVlZleHRuA2FlbQIxMQABHf_fQDe22-MEDvhRs3RXijQACCSj6j4zCpUJ7BKnJ0jQkRvUW_zsey7cAw_aem_gMAfVj8pNuTab54ue86cDQ
PDE inhibitors work by blocking the action of phosphodiesterase enzymes, which are responsible for breaking down cAMP & cGMP.

In the case of drugs like sildenafil (Viagra), increased cGMP levels lead to relaxation of smooth muscle in the blood vessels of the penis, enhancing blood flow and facilitating erection!

Say thanks😅
This is inspired by another case I saw today

It’s a thread cause I can’t possible cover it in a single cast

Intussusception

Introduction

Intussusception is a condition where part of the intestine folds into an adjacent section, leading to a blockage. This can disrupt blood flow and lead to severe complications if untreated.
It’s generated from two latin words

Intus: within
Suscipere: to receive

Symptoms
- Severe abdominal pain: Sudden, intense, and recurring.
- Vomiting: Often follows episodes of pain.
- Bloody stool: "Red Currant jelly" appearance due to blood and mucus.
- Abdominal swelling: Tenderness or bloating in the abdomen.
- Lethargy: Fatigue, particularly in children.

Risk Factors:
- Age: Most common in infants (6 months to 3 years).
- Gender: Higher incidence in males.
- History of intussusception: Increases recurrence risk.
- Viral infections: Especially gastrointestinal viruses.
- Intestinal abnormalities: Conditions like tumors or polyps.
had a wonderful conversation with @sjlver today about https://healthlearn.org/

he is working hard to improve patient outcomes by educating primary healthcare workers in nigeria and other countries

i felt inspired by his thoughtfulness and ability to pull together interdisciplinary experts
Nifedipine, on the other hand, is a calcium channel blocker used primarily to treat high blood pressure and angina (chest pain). It works by relaxing the muscles of the heart and blood vessels. It’s important to avoid grapefruit and grapefruit juice while taking nifedipine, as they can increase the medication’s effects and side effects⚠️
For the random drug of the day, we have:
Lisinopril- it is an angiotensin-converting enzyme (ACE) inhibitor commonly prescribed to treat high blood pressure and heart failure. It works by relaxing blood vessels, allowing blood to flow more easily, which helps to lower blood pressure and reduce the strain on the heart.
⚠️However, there can be side effects
Talking about something a bit rare today because of a Px I clerked today, to raise awareness on rare conditions

Ectopic Pancreas
An ectopic pancreas is a condition where pancreatic tissue is found outside its normal location in the abdomen, typically in the stomach (in the case I saw the pyloric antrum)

Risk Factors:
Genetics: Family history of pancreatic disorders.
Underlying Conditions: Presence of other gastrointestinal disorders may increase risk.

Symptoms:
Abdominal Pain: Discomfort or pain in the stomach area.
Nausea/Vomiting: Digestive issues that may arise.
Gastrointestinal Bleeding: In severe cases, bleeding in the digestive tract.
Depending on the location might present with symptoms of Gastric outlet obstruction

Prevention:
Routine Screening: For those with a family history or symptoms, regular check-ups can help with early detection.
Healthy Lifestyle: Maintaining a healthy diet and avoiding excessive alcohol consumption may reduce risk factors related to pancreatic health.
I'm actually happy about this...

I've worked with a lot of head and neck cancer surgeons. This is actually great public health awareness.

Overall, oral, head and neck cancers account for nearly 4% of all cancers in the United States (https://cancer.uillinois.edu/april-is-oral-head-and-neck-cancer-awareness-month/)
Happy September
It’s another day to cast about a random drug and thankfully today, I don’t need to say much seeing as we’re all familiar!
Appendicitis occurs when the appendix becomes inflamed due to blockage or infection.

This can lead to severe lower right abdominal pain, often starting near the navel.

Other symptoms include nausea, vomiting, fever, and loss of appetite.

If untreated, the appendix can rupture, causing life-threatening complications.

Risk factors include being between 10-30 years old, having a family history of appendicitis, or gastrointestinal infections.

While appendicitis can't be fully prevented, maintaining a high-fiber diet with fruits and vegetables may reduce the risk of blockage. If symptoms arise, seek immediate medical attention.
Will be doing a class of (random) drugs series, starting today and will be casting in /medicine

They are a class of medications used to treat infections caused by parasitic worms (helminths). They work by disrupting the microtubules in the cells of the parasites, which are essential for their survival!
No survival=no illness
Understanding Diabetes

Diabetes is a chronic condition that affects millions of people worldwide. While it can't be cured, there are ways to manage and even prevent it.

Types of Diabetes:
1. Type 1 Diabetes: An autoimmune disease where the body attacks insulin-producing cells.
2. Type 2 Diabetes: The body becomes resistant to insulin, leading to high blood sugar levels.
3. Gestational Diabetes: Develops during pregnancy due to hormonal changes.

Risk Factors:
1. Family History
2. Obesity
3. Physical Inactivity
4. Age
5. Ethnicity
6. History of Gestational Diabetes

Prevention Strategies:
1. Maintain a Healthy Weight
2. Exercise Regularly
3. Eat a Balanced Diet (whole grains, fruits, vegetables)
4. Limit Sugar Intake
5. Stay Hydrated
6. Manage Stress

While some risk factors can't be changed, many can be managed through lifestyle changes. By understanding diabetes and taking proactive steps, you can reduce your risk and live a healthier life.

Share with someone you care about!
🩺 Rheumatoid Arthritis (RA): An Autoimmune Disorder to Know 🦠

Rheumatoid Arthritis is a chronic autoimmune condition where the immune system mistakenly attacks the joints, causing pain, swelling, and stiffness. Over time, it can lead to joint damage and other complications.

Symptoms:
- Joint pain & stiffness (especially in the hands, wrists, and knees)
- Morning stiffness lasting over 30 minutes
- Fatigue & overall weakness

Risk Factors:
- Genetics, smoking, gender (more common in women)
- Obesity can worsen symptoms

Prevention:
- Quit Smoking: Reduces the risk of developing RA.
- Maintain a Healthy Weight: Reduces stress on joints and lowers the risk.
- Stay Active: Regular exercise can improve joint health and reduce symptoms.

Early Diagnosis: Key to slowing down the progression and managing the condition effectively.

Learn more & take charge of your health! 💪
📱Telemedicine: Healthcare at Your Fingertips 🩺

Telemedicine allows you to connect with your doctor from anywhere using video calls, messaging, and mobile apps.

Benefits:
- 🏡 Convenience: Get care from the comfort of home.
- 🌍 Accessibility: See specialists without traveling.
- ⏱️ Time-Saving: Skip the waiting room.

Services:
- 💻 Online consultations
- 💊 Prescription renewals
- 📈 Remote monitoring

Embrace the future of healthcare—explore telemedicine options with your provider today! 🚀
I've come to hate iron pills so much more as I lay here in wringing stomach pain.

I need an alt to this horrible meds.
We need, we really need
Number of lives that’s ended due to this condition💔…Pain
On Tuesday I will be talking about diseases and conditions and for today we are centered on a cardiovascular condition.

🩺 High Blood Pressure (Hypertension): What You Need to Know🩺

Hypertension is a silent killer affecting 1 in 3 adults worldwide. It often shows no symptoms, but it can lead to serious health issues like heart disease, stroke, and kidney damage if left untreated. Understanding the risk factors, symptoms, and prevention is crucial for maintaining heart health.

Risk Factors:
- Unhealthy diet (high sodium, low potassium)
- Lack of exercise
- Smoking & excessive alcohol
- Stress, obesity, family history

Symptoms: Often none! But watch for headaches, chest pain, and shortness of breath.

Prevention Tips:
- Reduce Sodium: Avoid too salty foods
- Exercise Regularly: At least 150 mins/week.
- Manage Stress: Try meditation or deep breathing.
- Quit Smoking & Limit Alcohol

Action: Regular monitoring & lifestyle changes can save lives! 🫶🏻🤍