drasim🩺 @stoicwazir.bsky.social · 13/09/2026We should really name Bluesky- The American Twitter(X). 001
drasim🩺 @stoicwazir.bsky.social · 08/09/2026After DECADES of propranolol being NUMBER ONE to prevent variceal bleeding in portal hypertension, we will see a replacement with carvedilol 000
drasim🩺 @stoicwazir.bsky.social · 03/09/2026Cedazuridine •cytidine deaminase (CDA) inhibitor •Always used with DECITABINE because it prevents the destruction of decitabine •Leukemia drug 000
Reposted by drasim🩺drasim🩺 @stoicwazir.bsky.social · 24/02/2025Although Homan's sign has traditionally been used in the assessment of patients with suspected deep vein thrombosis (DVT), this sign is neither sensitive nor specific; and is highly discouraged as the clot can dislodge and cause pulmonary embolism. 001
Reposted by drasim🩺drasim🩺 @stoicwazir.bsky.social · 22/02/2025TB drugs 💊 side effects: R-Rifampicin->Red orange secretion and urine I-Isoniazid->Peripheral neuritis P-Pyrazinamide->Hyperuricemia E-Ethambutol->Visual problems S-Streptomycin->Ototoxicity 001
Reposted by drasim🩺drasim🩺 @stoicwazir.bsky.social · 22/02/2025📍Hypocalcemia 👉an extremely low calcium level can cause tingling and spasm • Trosseau sign- Carpopedal spasm • Chvostek sign- Facial muscle spasm 001
Reposted by drasim🩺drasim🩺 @stoicwazir.bsky.social · 12/02/2025you can’t be beautiful and gastrointestinally stable 012
Reposted by drasim🩺drasim🩺 @stoicwazir.bsky.social · 09/02/2025Systemic Inflammatory Response Syndrome (SIRS) 🔹Non-specific (infections vs non-infectious) 🔹≥2 of the following: 🔸Temp >38°C or <36°C 🔸HR >90 bpm 🔸RR >20 or PaCO₂ <32 mmHg 🔸WBC >12,000/mm³, <4,000/mm³, or >10% bands 101
drasim🩺 @stoicwazir.bsky.social · 03/09/2026What to do about MULTI-drug resistant (MDR) gram negative bacteria •Resistant to ESBL drugs which is carbapenem •Ceftazidime/Avibactam + Aztreonam= Cefidericol •Meropenem/Vaborbactam = Imipenem/Relebactam 000
Reposted by drasim🩺Dr John Kiel | Medical Education @mededcases.bsky.social · 02/09/2026A firm lump in the arch of the foot may be plantar fibromatosis, a benign condition characterized by slow-growing fibroblastic nodules within the plantar fascia. 🔗 Link: wikism.org/Plantar_Fibroma #SportsMedicine #FootPain #Podiatry #Orthopedics #ClinicalPearls 361
drasim🩺 @stoicwazir.bsky.social · 02/09/2026ACETAMINOPHEN PATHWAYS 💠 gLUCOronidation - (maloko na) ADULT 💠 SUlfate conJUGAtion - (sujugaga 🍼) PEDIATRIC px 💠 oXXXidation - toXXXic NAPQI 💠 GLUTAthione conjugation - DETOX NAPQI 000
drasim🩺 @stoicwazir.bsky.social · 02/09/2026most naturally occurring sugars are: DEXTROROTATORY most naturally occurring amino acids are: LEVOROTATORY 000
drasim🩺 @stoicwazir.bsky.social · 01/09/2026Fosfomycin can be used in a SINGLE dose for UTI even it it is ESBL 000
drasim🩺 @stoicwazir.bsky.social · 30/08/2026Finerenone: We will hear A LOT about finerenone *Mineralocorticoid inhibitor (stops aldosterone) *Diabetes CKD *Probably glomerular disease in general 000
drasim🩺 @stoicwazir.bsky.social · 30/08/2026We will hear A LOT about PARP inhibitors in prostate cancer. *Olaparib, Rucaparib, Talazoparib *BREAST CANCER, Ovarian, Fallopian and PROSTATE (see a trend? Naughty bits!) 000
drasim🩺 @stoicwazir.bsky.social · 30/08/2026Hypoglossal nerve stimulation *For obstructive sleep apnea *Seems to cut symptoms in half *increasingly used to treat obstructive sleep apnea (OSA) *Activates upper airway muscles, predominantly the genioglossus muscle 000
drasim🩺 @stoicwazir.bsky.social · 30/08/2026The most SENSITIVE test for NEUROsyphilis is FTA. 99% sensitive. VDRL is SPECIFIC, but only 50% sensitive VDRL misses HALF of neurosyphilis 010
drasim🩺 @stoicwazir.bsky.social · 30/08/2026Blood cultures for VERTEBRAL osteomyelitis may reach FIFTY percent (50%) sensitivity. *Do THREE cultures *TEN milliliters in EVERY bottle *Analysis of 61 cases of vertebral osteomyelitis. AUPatzakis MJ, Rao S, Wilkins J, Moore TM, Harvey PJ SOClin Orthop Relat Res. 1991; 110
drasim🩺 @stoicwazir.bsky.social · 30/08/2026Nipocalimab *Treat generalized myasthenia gravis (gMG) *Warm Autoimmune Hemolytic Anemia *Blocks the neonatal Fc receptor *Speeds up breakdown and removal of harmful immunoglobulin 000
drasim🩺 @stoicwazir.bsky.social · 30/08/2026پیمز سانحے کے باعث ٹی ایم اوز کی تنخواہوں میں مجوزہ پندرہ فیصد اضافے کا فیصلہ کالعدم قرار دیا گیا ہے۔ پچیس فیصد کٹوتی کا پلان ہے۔ اطلاعات کے مطابق یہ فیصلہ ہمارے انتہائ دیانتدار مشیران کی طرف سے اس عتاب میں کیا گیا ہے کہ اس واقعے میں کسی ڈاکٹر کی انگلی کیوں نہیں کٹی۔۔ 000
drasim🩺 @stoicwazir.bsky.social · 28/08/2026THOUSANDS have been arrested for criticising Israel. ZERO have been arrested for raping children on the Epstein Island. 000
drasim🩺 @stoicwazir.bsky.social · 27/08/2026Children contracting HIV/AIDS after allegedly being treated with reused syringes at Valika Hospital in Sindh are horrifying. We demand an independent investigation and accountability for anyone responsible. Silence is not an option. #JusticeForChildren #JusticeForValikaChildren #Sindh #Children 020
Reposted by drasim🩺Al Jazeera English @aljazeera.com · 26/08/2026A nursery for critical infants — supposedly the safest place in Islamabad's PIMS hospital — turned into a deathtrap. aljazeera.comLocked inside: Grief and anger as Pakistan hospital fire kills 14 newbornsA nursery for critical infants — supposedly the safest place in Islamabad's PIMS hospital — turned into a deathtrap. 23614
Reposted by drasim🩺Reuters @reuters.com · 26/08/2026At least 15 infants killed in Islamabad hospital fire, local TV reports reut.rs/46tpGwtreut.rsAt least 15 infants killed in Islamabad hospital fire, local TV reportsAt least 15 infants were killed when a fire broke out at a state-run hospital in Pakistan's capital city Islamabad, triggered by a fault in air conditioning systems, local broadcaster Geo TV reported on Wednesday. 0216
drasim🩺 @stoicwazir.bsky.social · 26/08/2026At least 15 infants were killed after a fire broke out today morning in the maternity ward of Pakistan Institute of Medical Sciences (PIMS), a state-run hospital in #Islamabad. #Health #PIMS #Pakistan 110
drasim🩺 @stoicwazir.bsky.social · 25/08/2026یہ انگلینڈ کے ایک ہسپتال کی ایمرجنسی ہے۔ 🇬🇧 135 مریض موجود ہیں۔ 60 مریض انتظار کر رہے ہیں۔ ڈاکٹر کو دکھانے کے لیے انتظار: 4 گھنٹے 25 منٹ۔ یعنی صرف ہمارے ہاں نہیں بڑے اور ترقی یافتہ ملکوں کے ہسپتالوں میں بھی رش اور لمبا انتظار ہوتا ہے۔ صحت کا نظام چلانا دنیا بھر میں ایک بڑا چیلنج ہے۔ 000
Reposted by drasim🩺Mario D. Caldararo, MD @mariocaldararomd.bsky.social · 10/08/2026Is the bird’s beak sign really pathognomonic for achalasia? . . . No! Also seen in pseudoachalasia, a secondary type of LES obstruction from some other cause, usually malignancy. But Chagas disease, aortic aneurysm, and infiltrative diseases have also been reported. #pathognomonic #meded 111
Reposted by drasim🩺Mario D. Caldararo, MD @mariocaldararomd.bsky.social · 12/08/2026In 1887 Paget described a disease he called osteitis deformans after observing a number of older men who developed bone deformities, pain, and fractures. Now known as Paget's disease of bone. Fun fact: Occultist Aleister Crowley claimed Paget treated his dad's tongue cancer. #pathognomonic #meded 121
Reposted by drasim🩺Mario D. Caldararo, MD @mariocaldararomd.bsky.social · 19/08/2026Hutchinson's sign history. Hutchinson first described his "melanotic whitlow" in 1886, and it was called "Hutchinson's melanotic whitlow" until 1981, when the American dermatologist Alfred Kopf (who gave us the ABCDs of melanoma) first wrote it as "Hutchinson's sign." #pathognomonic #meded 111
Reposted by drasim🩺Mario D. Caldararo, MD @mariocaldararomd.bsky.social · 24/08/2026Are Negri bodies pathognomonic for rabies? Close, but not strictly. Rabies-like neuronal inclusions have been found in a non-rabid man and in a child with Reye syndrome; immunofluorescence and electron microscopy were negative. Light microscopy alone cannot establish rabies. #pathognomonic #meded 011
Reposted by drasim🩺Mario D. Caldararo, MD @mariocaldararomd.bsky.social · 21/08/2026The continuous machinery murmur. A murmur persisting through systole and diastole. Classically from PDA. Also: ruptured sinus of Valsalva, coarctation w collaterals, coronary artery fistula, pulmonary AVM, and mammary arterial souffle of pregnancy or lactation. #pathognomonic #meded" 112
Reposted by drasim🩺Journal of Hospital Medicine @jhospmedicine.bsky.social · 22/08/2026Are we still giving antibiotics for too long? 💊⏱️ Evidence for shorter courses continues to grow. So how short is too short? 🔗: shmpublications.onlinelibrary.wiley… ✍️: @WAaronManning, @MattMil81732351 🖼️: Catie Glatz #SHM #JHM #MedED #IDTwitter 242
Reposted by drasim🩺American Academy of Family Physicians (AAFP) @aafp.org · 22/08/2026Vaccinations for adults are a critical, yet often underutilized, component of preventive care. As a family physician, you play a central role in improving adult vaccination rates. Explore our resources, including clinical guidance and a shared decision-making framework: bit.ly/4wUpIcA 043
drasim🩺 @stoicwazir.bsky.social · 24/08/2026This posture has terrified doctors for centuries. It's called opisthotonus and is a medical emergency. It is a severe hyperextension posture seen in tetanus due to generalized muscle rigidity from tetanospasmin toxin of Clostridium tetani. #MedSky 000
Reposted by drasim🩺Charles Keener @charleskeener.bsky.social · 23/08/2026Israel pours cement into wells and springs vital to Palestinians in the Occupied West Bank to make farming and even living impossible. Zionism is an evil as great as any in human history. 611109507
drasim🩺 @stoicwazir.bsky.social · 14/08/2026Harlequin color change/ Harlequin phenomenon. It is a benign, transient vascular phenomenon in healthy newborns characterized by a sharp midline division of pale and erythematous skin due to immature autonomic capillary regulation. #MedSky #Peadsky 000
drasim🩺 @stoicwazir.bsky.social · 14/08/2026International Overdose Awareness Day is on August 31. Join the many voices around the world calling to #EndOverdose by sharing resources on overdose prevention. #IOAD2025 #OverdoseAware 011
Reposted by drasim🩺UEFA Champions League {bot} @championsleague.xmirror.bot · 09/08/2026Wait for Neuer's arrival 🫨 #SuperCup 011
drasim🩺 @stoicwazir.bsky.social · 10/08/2026Myerson’s sign-It is also known as Glabellar tap reflex. It refers to persistent blinking upon continuous tapping of the glabella due to a lack of sensory habituation. It is a classic primitive reflex indicating extrapyramidal dysfunction, most commonly associated with Parkinson's disease. #MedSky 000
drasim🩺 @stoicwazir.bsky.social · 08/08/2026Beckwith-Wiedemann syndrome 📍 Macroglossia with an umbilical wall defect is a classic clue 🧠 Caused by abnormal genomic imprinting at chromosome 11p15 ⚠️ Watch for neonatal hypoglycemia and embryonal tumors 000
drasim🩺 @stoicwazir.bsky.social · 07/08/2026Trump is now filing an emergency motion to stop his own lawsuit against the BBC because the BBC is looking into his finances during discovery. 000
