dr @drswsayed
Medical Doctor Chile Joined February 2017-
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🧪𝗦𝗲𝗿𝗼𝗹𝗼𝗴𝗶́𝗮 𝗛𝗲𝗽𝗮𝘁𝗶𝘁𝗶𝘀 𝗕 – 𝗜𝗻𝘁𝗲𝗿𝗽𝗿𝗲𝘁𝗮𝗰𝗶𝗼́𝗻 𝗿𝗮́𝗽𝗶𝗱𝗮 ⬇️⬇️⬇️⬇️ 🔹 𝙈𝙖𝙧𝙘𝙖𝙙𝙤𝙧𝙚𝙨 𝙥𝙧𝙞𝙣𝙘𝙞𝙥𝙖𝙡𝙚𝙨 🧪𝙃𝘽𝙨𝘼𝙜 (𝘼𝙣𝙩𝙞́𝙜𝙚𝙣𝙤 𝙙𝙚 𝙨𝙪𝙥𝙚𝙧𝙛𝙞𝙘𝙞𝙚): indica infección activa. 🧪𝘼𝙣𝙩𝙞-𝙃𝘽𝙨 (𝘼𝙣𝙩𝙞𝙘𝙪𝙚𝙧𝙥𝙤 𝙙𝙚…
¿Cómo ventilar pacientes obstructivos y asmáticos?👩🏼⚕️👨🏽⚕️ Estrategias no invasivas / invasivas para el manejo de pacientes con asma e insuficiencia respiratoria aguda inducida por EPOC evitando / limitando la hiperinflación dinámica: 💥Mecánica respiratoria e intercambio de gases…
🧬𝗠𝗲𝘁𝗮𝗯𝗼𝗹𝗶𝘀𝗺𝗼 𝗱𝗲𝗹 𝗰𝗮𝗹𝗰𝗶𝗼 𝘆 𝘀𝘂𝘀 𝗮𝗹𝘁𝗲𝗿𝗮𝗰𝗶𝗼𝗻𝗲𝘀🧩 ⬇️⬇️⬇️⬇️ 🔹 𝙍𝙚𝙜𝙪𝙡𝙖𝙙𝙤𝙧𝙚𝙨 𝙥𝙧𝙞𝙣𝙘𝙞𝙥𝙖𝙡𝙚𝙨 🔸𝙋𝙏𝙃 (𝙥𝙖𝙧𝙖𝙩𝙝𝙤𝙧𝙢𝙤𝙣𝙖): ↑ resorción ósea, ↑ reabsorción renal de Ca²⁺, ↑ síntesis de calcitriol. ♦️𝙑𝙞𝙩𝙖𝙢𝙞𝙣𝙖 𝘿…
🧠💧𝗙𝗹𝘂𝗷𝗼 𝗱𝗲𝗹 𝗟𝗖𝗥💧🧠 ⬇️⬇️⬇️⬇️ 🔹 𝙋𝙧𝙤𝙙𝙪𝙘𝙘𝙞𝙤́𝙣 ✅Se produce en los 𝙫𝙚𝙣𝙩𝙧𝙞́𝙘𝙪𝙡𝙤𝙨 (plexos coroideos). 📌Ventrículos laterales → 3er ventrículo → 4º ventrículo. 🔹 𝘾𝙞𝙧𝙘𝙪𝙡𝙖𝙘𝙞𝙤́𝙣 1️⃣.LCR fluye desde los ventrículos hacia el espacio…
🧵 Diagnostic Algorithm for Neutropenia 🧮 Confirm definitions: neutropenia ANC <1.5×10⁹/L (mild 1.0–1.5; moderate 0.5–0.99; severe <0.5); agranulocytosis <0.1. Risk rises as ANC ↓ and duration ↑. 🔁 Cyclic neutropenia? Do CBCs 2–3×/wk for 4–6 wks; classic ~21-day cycles;…
The Ischemic Cascade: •⬇️perfusion •Diastolic dysfunction •Systolic dysfunction •ECG changes •Angina
Hypertension and Heart
‼️𝗗𝗶𝘀𝗯𝗮𝗹𝗮𝗻𝗰𝗲𝘀 𝗘𝗹𝗲𝗰𝘁𝗿𝗼𝗹𝗶́𝘁𝗶𝗰𝗼𝘀⚡💧🩺 ⬇️⬇️⬇️⬇️ 🔑 𝙑𝙖𝙡𝙤𝙧𝙚𝙨 𝙣𝙤𝙧𝙢𝙖𝙡𝙚𝙨 📌𝙆⁺: 3.5–5.0 📌𝙉𝙖⁺: 135–145 📌𝘾𝙡⁻: 97–107 📌𝙈𝙜2⁺: 1.3–2.1 📌𝘾𝙖2⁺: 9.0–10.5 📌𝙋: 3.0–4.5 📈 𝙃𝙞𝙥𝙚𝙧 ➡️𝙆⁺: arritmias, debilidad ➡️𝙉𝙖⁺: “Grande e…
DRUG INDUCED HYPO-NATREMIA: 🫧🫧Think of sodium as the ultimate event planner in your body, the one who keeps everything orderly, balanced, and running on time. Sodium knows how to keep water in the right places: not too little, not too much, just the perfect hydration vibe.…
‼️🌬️𝗘𝘅𝗮𝗰𝗲𝗿𝗯𝗮𝗰𝗶𝗼́𝗻 𝗮𝘀𝗺𝗮́𝘁𝗶𝗰𝗮 𝘀𝗲𝘃𝗲𝗿𝗮⚠️ ⬇️⬇️⬇️⬇️ 🔹 SABA + SAMA + esteroides + O₂ 🔹 Si mod-severa → MgSO₄ + ingreso 🔹 Falla / hipercapnia → UCI + NIPPV → posible intubación 🔹 VM: FiO₂ 100%, PEEP < 5, TV 6–8 ml/kg, Pplat < 30 ⚠️ Usar ketamina,…
#Hypothyroidism is a condition characterized by the insufficient production of thyroid hormones. This Review summarizes the epidemiology, pathophysiology, clinical presentation, and treatment of primary overt hypothyroidism in nonpregnant adults. ja.ma/3VfueRS
🔬𝗟𝘂𝗽𝘂𝘀 𝘆 𝗮𝘂𝘁𝗼𝗮𝗻𝘁𝗶𝗰𝘂𝗲𝗿𝗽𝗼𝘀🧬 ⬇️⬇️⬇️⬇️ En 𝙇𝙀𝙎, casi todos los pacientes presentan autoanticuerpos: 📌ANA: 99% 🧬 (muy sensibles, poco específicos) 📌Anti-dsDNA: 70% 🧪 (específicos, marcan actividad) 📌Anti-Smith: 38% 🎯 (altamente específicos) 📌Anti-RNP:…
RECUERDA TODOS los ANTIHIPERTENSIVOS de ESTA MANERA 🩺💊
🚨 𝗦𝗶́𝗻𝗱𝗿𝗼𝗺𝗲 𝗖𝗼𝗿𝗼𝗻𝗮𝗿𝗶𝗼 𝗔𝗴𝘂𝗱𝗼 (𝗦𝗖𝗔) ⬇️⬇️⬇️⬇️ 👨⚕️ 𝙎𝙏𝙀𝙈𝙄 (𝙄𝘼𝙈 𝙘𝙤𝙣 𝙚𝙡𝙚𝙫𝙖𝙘𝙞𝙤́𝙣 𝙎𝙏) 💊Aspirina 300 mg ⏱️<12h: Angioplastia primaria (si <120 min) o fibrinólisis. 💉Antitrombínico + doble antiagregación (prasugrel/ticagrelor/clopidogrel).…
📊𝗜𝗻𝘀𝘂𝗹𝗶𝗻𝗮𝗜𝗩 𝗲𝗻 𝗨𝗖𝗜 – 𝗔𝗹𝗴𝗼𝗿𝗶𝘁𝗺𝗼 𝗽𝗿𝗮́𝗰𝘁𝗶𝗰𝗼✅ ⬇️⬇️⬇️⬇️ 🔹 𝙄𝙣𝙞𝙘𝙞𝙤: ‼️Si glucosa >180 mg/dL → comenzar insulina IV. ➡️Dosis inicial: Glucosa (mg/dL) ÷100 = U/h. 🔹 𝘼𝙟𝙪𝙨𝙩𝙚𝙨 𝙨𝙚𝙜𝙪́𝙣 𝙜𝙡𝙪𝙘𝙤𝙨𝙖 𝙖𝙘𝙩𝙪𝙖𝙡: ✅240 → ↑ +3 U/h…
🩸Hematology for The Non-Hematologist🩸 (A practical educational series for internal medicine trainees and physicians) Episode 10: Chronic Myeloid Leukemia… wait, another leukemia? What even is this one? 😵💫 Listen up - 🧵
THYROID STORM ⚡️Endocrine equivalent of a medical thriller: when an overactive thyroid suddenly shifts into overdrive, the body essentially hits “warp speed.” Heart rate races like it’s auditioning for a marathon, temperature spikes as if the patient is auditioning for a sauna,…
#Hypothyroidism is a condition characterized by the insufficient production of thyroid hormones. This Review summarizes the epidemiology, pathophysiology, clinical presentation, and treatment of primary overt hypothyroidism in nonpregnant adults. ja.ma/47mJ4gB
📌 𝗘𝗱𝗲𝗺𝗮 𝗴𝗲𝗻𝗲𝗿𝗮𝗹𝗶𝘇𝗮𝗱𝗼: 𝗮𝗹𝗴𝗼𝗿𝗶𝘁𝗺𝗼 𝗱𝗶𝗮𝗴𝗻𝗼́𝘀𝘁𝗶𝗰𝗼 ⬇️⬇️⬇️⬇️ 🔎 El enfoque inicia con la 𝙥𝙧𝙚𝙨𝙞𝙤́𝙣 𝙫𝙚𝙣𝙤𝙨𝙖 𝙮𝙪𝙜𝙪𝙡𝙖𝙧 (𝙅𝙑𝙋): 👉 𝙅𝙑𝙋 𝙣𝙤𝙧𝙢𝙖𝙡 •🧪 Revisar 𝙖𝙡𝙗𝙪́𝙢𝙞𝙣𝙖 𝙨𝙚́𝙧𝙞𝙘𝙖 y 𝙥𝙧𝙤𝙩𝙚𝙞́𝙣𝙖𝙨…
Wernicke's Encephalopathy is a condition primarily caused by thiamine deficiency in alcoholics. Its symptoms follow the "GOA" sequence: Gait (Ataxia) Ophthalmoplegia (Eye signs) Altered mental state (Confusion) instagram.com/p/DN0kjg0UEa4/
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