superman @TPTM

@loiceMututuvar1 Someone brought u up to believe he never contributed anything. I think it's best mopedzera roora namai, at least that's what you really want.

0 0 2 283 0

View Details

superman @TPTM

a month ago

@ntandobhebhe @NewsHawksLive So hurtful

0 0 0 19 0

View Details

superman @TPTM

a month ago

@VMusinachirevo They aren't.

0 0 0 90 0

View Details

Cozy @cosyposter

a month ago

reminder to stay caffeinated

250 1K 13K 705K 2K

View Details

doctor insta @doctorinstaha

a month ago

Important: Scalp veins should not be used casually in adults; choose an appropriate peripheral IV site unless there is a specific reason.

0 1 4 4K 1

View Details

superman @TPTM

a month ago

@VMusinachirevo Haa Mukoma Teddy, please don't do that. That's gaslighting. I don't think you know why the unfortunate happened. Would you be happy akazviuraya?

0 0 0 141 0

View Details

superman @TPTM

2 months ago

@cruyle19 @Munas_he @loiceMututuvar1 Hapana ma1. What's there to cover here? The guy is accepting responsibility and being encouraged to look deeper into the future.

0 0 5 65 0

View Details

superman @TPTM

2 months ago

@ChuksEmma947401 Please send

0 0 0 1 0

View Details

Lorwen Harris Nagle, PhD @LORWEN108

2 months ago

Look closer. This is what “change” looks like inside your brain: 1. Stop rehearsing disaster.

200 2K 16K 2.3M 17K

View Details

After many years of diabetes, sugars that suddenly look much better without any change in diet or medicine can feel like good news. But this can also happen in diabetes when the kidneys start to fail. The kidneys normally help clear insulin from the blood. When diabetes damages them, they no longer remove insulin as well. The insulin stays in the bloodstream longer and keeps lowering sugar. The blood sugar numbers look nicer because the kidneys are struggling, not because the diabetes has suddenly become milder. The apparent improvement can be a warning sign. The doctor does not want to miss it. If this happens, medicines are adjusted carefully and the kidneys are watched more closely.

0 5 47 4K 18

View Details

MEDCRUX @medcrux

3 months ago

Bilateral Renal Artery Stenosis 1. ACE inhibitors and ARBs (such as telmisartan) dilate the efferent arteriole, reducing intraglomerular pressure and lowering the glomerular filtration rate (GFR). 2. In bilateral renal artery stenosis (or stenosis of the only functioning kidney), the kidneys depend on angiotensin II–mediated efferent arteriolar constriction to maintain GFR. Blocking this mechanism causes a sharp fall in kidney function. 3. A rise in serum creatinine of more than 30% soon after starting an ACE inhibitor or ARB should raise strong suspicion for renovascular disease, particularly bilateral renal artery stenosis. 4. Patients often have resistant hypertension, widespread atherosclerosis, recurrent flash pulmonary edema, or an abdominal bruit. 5. Diagnosis is usually made with renal artery Doppler ultrasound, CT angiography, or MR angiography, depending on renal function and clinical circumstances. 6. ACE inhibitors and ARBs are not contraindicated in unilateral renal artery stenosis, but they must be used cautiously with close monitoring of serum creatinine and potassium. 7. A sudden, marked rise in creatinine after starting an ACE inhibitor or ARB is not just a drug side effect—it is an important clue to bilateral renal artery stenosis and should never be ignored.