abhra chowdhury
@abhra_chowdhury
Rheumatologist , Traveller , photography enthusiast , low carb doctor
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🔥 Fever + Cytopenia — a diagnostic minefield. When every line on the CBC tells a story, can you decode the underlying rheumatic or immune cause? 👇 #RheumTwitter #MedTwitter #RheumRounds #ClinicalPearls #Autoimmunity #Immunology #Rheumatology #MedEd #HemeRheum #DermRheum…
🧵 Autoimmune vs Infection — How to Tell the Difference FAST Fever, rash, cytopenia, organ dysfunction? Is it a flare or an infection? In autoimmune patients, this is life or death. Here’s how to think clearly under pressure 👇 #Rheumatology #MedTwitter #CriticalCare…
📝 Clinical Pearl: 🧪 ENA can only be positive in ANA negative pts if RO ab positive [Otherwise if ENA pos its likely a false pos +] 🧪 Ribosomal P abs can also be positive in ANA Neg pts [Cytoplasmic] @Janetbirdope #ACR25 #MedTwitter #Rheumatology
![LastManStand85's tweet image. 📝 Clinical Pearl:
🧪 ENA can only be positive in ANA negative pts if RO ab positive [Otherwise if ENA pos its likely a false pos +]
🧪 Ribosomal P abs can also be positive in ANA Neg pts [Cytoplasmic]
@Janetbirdope #ACR25 #MedTwitter #Rheumatology](https://pbs.twimg.com/media/G4gITRiW0AAzE00.jpg)
𝗦𝗽𝗿𝗼𝘂𝘁𝗲𝗱 𝘃𝘀 𝗨𝗻𝘀𝗽𝗿𝗼𝘂𝘁𝗲𝗱 𝗟𝗲𝗴𝘂𝗺𝗲𝘀 🔵 Sprouting is the process of soaking and germinating seeds/ legumes until they develop small edible shoots. 🔵 When any seed or legume is sprouted it changes its whole nutrient profile. 🔵 Let's look at some major…
First ever guidelines for #diet in #constipation ▶️59 recommendations ▶️4 systematic reviews ▶️Included 75 RCTs ▶️6 years of work ▶️Endorsed by @BDA_Dietitians @PCSGastro Led by @EiriniDimidi @JHND_Official👉 onlinelibrary.wiley.com/doi/10.1111/jh… @NGMJournal👉 onlinelibrary.wiley.com/doi/10.1111/nm…
👁️🗨️ Dry eyes in Rheumatology — small symptom, big impact. Artificial tears aren’t all the same! 💧 ✅ Non-preserved drops = less inflammation ✅ Combo > single ingredient ✅ Hyaluronic acid > saline ⏱️ 2–3 hourly is optimal 🩸 Serum tears help in severe cases Simple steps.…
Which patients should be on SGLT2 inhibitors (SGLT2i) ⁉️ ✅ Check out the SGLT2i Cold 🥶 Map from @ISNeducation @ISNkidneycare #RKDSummit #Nephpearls 👉🏼 theisn.org/initiatives/to…
Sattu: Is it a Good Source of Proteins? Sattu, a humble powder made from roasted Bengal gram (chana), has been a dietary staple in Bihar, Jharkhand, and Eastern Uttar Pradesh for generations. Once known as the “poor man’s protein,” it is now regaining attention as a natural,…
What's your take on taking sattu as breakfast from Protein intake lens? Back home, sattu with milk(either in liq or solid form) and sattu drink with pyaz, mirch nimbu was very popular 150gm sattu with water can give 35gm protein at ~600 cal and milk can give 45g P at 750 cal
Poor man’s myositis panel👇 #Rheumatology #Immunology #Sullysrounds #MedX #Medtwitter #Mnemonics #Medicine #History @DrAkhilX @IhabFathiSulima @Janetbirdope @Lupusreference @RheumNow #MedTwitter #RheumTwitter @CelestinoGutirr
ANA staining pattern = poor man’s myositis panel. Clinical correlation is 🔑 🧐 Suspect myositis but can’t afford a costly antibody profile?🤷♀️🤷♀️ 👉 Smart approach = Clinical clues + CPK/LDH + ANA pattern 🔬 ANA can guide you towards the likely autoantibody!
𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 𝗽𝗲𝗿𝘀𝗼𝗻𝘀 𝘄𝗶𝘁𝗵 𝗿𝗵𝗲𝘂𝗺𝗮𝘁𝗼𝗶𝗱 𝗮𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀 𝘄𝗶𝘁𝗵 𝗮 𝗵𝗶𝘀𝘁𝗼𝗿𝘆 𝗼𝗳 𝗰𝗮𝗻𝗰𝗲𝗿 ◦ Conventional synthetic DMARDs: - Methotrexate is generally considered safe in patients with a history of cancer, with earlier concerns about…
#Immunosuppressive medication management at the time of live-attenuated virus #vaccine administration
🦴 Not all Arthritis is the same! 🔴 Inflammatory Arthritis (e.g. Rheumatoid) – Immune system attacks joints 🔥 – Redness, swelling, warmth – Stiffness worse in the morning ⏰ – Can affect many joints, even young people ⚪ Degenerative Arthritis (Osteoarthritis) – “Wear & tear”…
Approach to cutaneous vasculitis diagnosis (The green arrow means “yes”, and the red arrow means “no”. ANCA, antineutrophilic cytoplasmic antibody; Ig, Immunoglobulin; DIF, direct immunofluorescence)
Summary of The Management of ANCA #Vasculitis #Rheumatology 👇👇Thanks for sharing.
Know your rights! Thanks to @livemint for such helpful info-graphic!
Did you know? If you cancel a flight ticket within 24 hrs of booking, you are entitled to a full refund. @sashindnj gives you a small brief of your rights as a flyer. livemint.com/money/personal…
IF #Denosumab treatment stopped (needs careful consideration)- these steps may be helpful 👇🏼 #Osteoporosis
In India, some are vegetarians, some are non-vegetarians But one thing unites us all: GRAINS. Breakfast: grains. Lunch: grains. Dinner: grains. Snacks? Still grains. Rice, roti, poha, upma, idli, dosa, thepla, paratha, bread, biscuits, samosa, kachori etc Grains in every form,…
Dear friends, good morning Sunday! An announcement. Please read till the end. The Citizens Protein Project - 2 A call for public participation and support Many of you may have heard of The Citizen's Protein Project. It was citizen's science at its best. We conducted an…
🔺CTD-ILD radiological signs to look out for 👀 #CTD #ILD #UIP #NSIP #Fibrosis #scleroderma #systemicsclerosis #Sjogrens #Lupus By @IlliasulK
Big Pharma’s worst nightmare just came true: Trump and RFK Jr. exposed a decades-long scam bleeding Americans dry. The room fell silent when Trump revealed why we pay 10X more than Europe for identical drugs. You won’t believe what you’re about to hear. A Thread 🧵
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