Bhuvanesh Kahar MD(@DocereMedicine) 's Twitter Profileg
Bhuvanesh Kahar MD

@DocereMedicine

MBBS (SMS MEDICAL COLLEGE JAIPUR), MD (Gen. Medicine) Physician | Born to serve the peoples | Recent Medical updates | Be consistent |

ID:359303650

linkhttp://www.doceremedicine.com calendar_today21-08-2011 10:35:00

771 Tweets

50 Followers

442 Following

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🎉 3,000 GEM Giveaway for Each Person on February Event! 🎁

🌟 We're thrilled to announce a fantastic giveaway to celebrate February! Get a chance to win 3,000 GEM for each participant! 💎

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Ankle - Brachial index used for evaluating Peripheral Arterial Disease.
ABI < 0.9 diagnostic of PAD
< 0.8 associated with increased systolic pressure .

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Lancisi sign - prominent v wave in JVP is also called cv wave . Found in Tricuspid Regurgitation
Freidrich sign - predominant y descent in JVP, found in chronic constrictive Pericarditis
Absent Y descent in JVP is found in cardiac Tamponade

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LOW glycemic Index foods which are good for diabetics


✓खिरा (Cucumber)15
✓टमाटर (Tomato)15
✓फूलगोभी (Cauliflower)15
✓पालक (Spinach)15
✓मूली (Radish)15
✓बैंगन (Eggplant)15
✓खरबूजा (Muskmelon)65
✓तरबूज (Watermelon)75
✓सेब (Apple)38
✓नाशपाती

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Preventive Measures for
1. स्वस्थ खानपान (Healthy Diet)-->समृद्ध फलों, सब्जियों, पूरे अनाज और कम तेल वाले खाद्य पदार्थों का सेवन करें। नमक, चीनी और प्रोसेस्ड फूड से बचें।
2. व्यायाम (Regular Exercise)दिन में कम से कम 30 मिनट तक योग, व्यायाम, ध्यान या चलने-फिरने का

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National Early Warning Score (NEWS)--> 6 parameters used in to asses the condition of patients in Emergency department
1. Respiratory rate
2. Oxygen saturations
3. Temperature
4. Systolic blood pressure
5. Heart rate
6. Level of consciousness

#sepsis National Early Warning Score (NEWS)--> 6 parameters used in to asses the condition of patients in Emergency department 1. Respiratory rate 2. Oxygen saturations 3. Temperature 4. Systolic blood pressure 5. Heart rate 6. Level of consciousness
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Arterial Lactate in septic patients:
Normal < 2 mmol/
# > 2.0 mmol/L shows poor tissue Hypoperfusion and associated with organ failure and death in sepsis.

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Septic patients monitoring in ICU
qSOFA score range 0 to 3 points, with 1 point each for
1. Systolic BP <100 mm Hg
2. Tachypnoea >22/min
3. Altered mentation
qSOFA score _> 2 in infected patient confirm sepsis and shows more mortality

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SGLT-2 Inhibitors side effects profile-
1. Genital Infections
2. Urinary Tract Infections
3. Hypoglycemia
4. Dehydration
5. Ketoacidosis
6. Polyuria
7. Hypotension
8. Dizziness
9. Nausea/Vomiting
10. Increased LDL cholesterol
11. Urinary frequency
12. Bladder Cancer
13. Bone

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Cardioprotective Effects of SGLT-2 Inhibitors

1. Glucose Control
- Reduces hyperglycemia
2. Sodium and Fluid Homeostasis
- Increases urinary excretion of sodium and water (natriuresis)
- Reduces fluid overload in heart failure
3. Cardiorenal Protection
- Reduces inflammation in

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