Category: Dr M R Sifat

  • 🧠 TIA & Stroke Management: Updated Evidence-Based Approach

    🧠 TIA & Stroke Management: Updated Evidence-Based Approach

    Transient IschemIic Attack (TIA) āĻšāϞ⧇, āĻ•āĻ–āύ āϕ⧀āĻ­āĻžāĻŦ⧇ Antiplatelet āĻ¸ā§āϟāĻžāĻ°ā§āϟ āĻ•āϰāĻŦ⧇āύ? ✅ Latest guidelines āĻŦāϞāϛ⧇, high-risk TIA āĻŦāĻž minor stroke āĻšāϞ⧇ āĻĻā§āϰ⧁āϤ dual antiplatelet therapy (DAPT) āĻļ⧁āϰ⧁ āĻ•āϰāĻž āωāϚāĻŋāϤāĨ¤ ✅ Evidence-based āϚāĻŋāĻ•āĻŋā§ŽāϏāĻž āĻĒā§āϰāϝāĻŧā§‹āĻ— āĻ•āϰāϞ⧇ stroke recurrence ⧍ā§Ģâ€“ā§Šā§Ļ% āĻĒāĻ°ā§āϝāĻ¨ā§āϤ āĻ•āĻŽāĻžāύ⧋ āϏāĻŽā§āĻ­āĻŦāĨ¤ 🆘 1. Acute TIA/Stroke Management (Within 12 Hours) 🔹 First-Line Therapy: Dual Antiplatelet Therapy (DAPT) High-risk…

  • Asthma  āĻāĻŦāĻ‚ COPD āϏāĻŽā§Ÿā§‡ āĻ…āϏāĻŽā§Ÿā§‡ āϰāĻ™ āĻŦāĻĻāϞāĻžā§Ÿ…

    Asthma āĻāĻŦāĻ‚ COPD āϏāĻŽā§Ÿā§‡ āĻ…āϏāĻŽā§Ÿā§‡ āϰāĻ™ āĻŦāĻĻāϞāĻžā§Ÿ…

    🔹āĻ…āύ⧇āĻ• āϏāĻŽāϝāĻŧ asthma āϰāĻžāϤ⧇ āĻāĻŦāĻ‚ COPD āϏāĻ•āĻžāϞ⧇ āĻŦ⧇āĻļāĻŋ āĻŦ⧇āĻĄāĻŧ⧇ āϝāĻžāϝāĻŧāĨ¤ āϕ⧇āύ āĻāĻŽāύ āĻšāϝāĻŧ? āϚāϞ⧁āύ āϏāĻšāϜāĻ­āĻžāĻŦ⧇ āĻĻ⧇āĻ–āĻŋ! āϰāĻžāϤ⧇ āĻļā§āĻŦāĻžāϏāĻ•āĻˇā§āϟ āĻŦ⧇āĻĄāĻŧ⧇ āϝāĻžāĻ“āϝāĻŧāĻžāϰ āĻ•āĻžāϰāĻŖāϗ⧁āϞ⧋: ➡ Parasympathetic dominance: āϰāĻžāϤ⧇ parasympathetic nervous system āĻŦ⧇āĻļāĻŋ active āĻšāϝāĻŧ, āĻĢāϞ⧇ bronchoconstriction (āĻļā§āĻŦāĻžāϏāύāĻžāϞāĻŋ āϏāĻ‚āϕ⧁āϚāĻŋāϤ āĻšāĻ“āϝāĻŧāĻž) āĻŦ⧇āĻĄāĻŧ⧇ āϝāĻžāϝāĻŧāĨ¤ ➡ Cortisol level ↓: Cortisol (natural anti-inflammatory hormone) āϰāĻžāϤ⧇ āĻ•āĻŽā§‡ āϝāĻžāϝāĻŧ, āĻĢāϞ⧇ inflammation āĻŦ⧇āĻĄāĻŧ⧇ airway hyperreactivity āĻŦāĻžāĻĄāĻŧāĻŋāϝāĻŧ⧇…

  • Multiple Myeloma āĻ“ Kidney Failure – āϕ⧀āĻ­āĻžāĻŦ⧇ āϘāĻŸā§‡?

    Multiple Myeloma āĻ“ Kidney Failure – āϕ⧀āĻ­āĻžāĻŦ⧇ āϘāĻŸā§‡?

    Multiple Myeloma āĻ“ Kidney Failure – āϕ⧀āĻ­āĻžāĻŦ⧇ āϘāĻŸā§‡? đŸ”Ŧ Multiple Myeloma āĻšāϞ āĻāĻ• āϧāϰāύ⧇āϰ plasma cell cancer, āϝ⧇āĻ–āĻžāύ⧇ abnormal monoclonal light chains (Bence Jones proteins) āĻ…āϤāĻŋāϰāĻŋāĻ•ā§āϤ āĻĒāϰāĻŋāĻŽāĻžāϪ⧇ āϤ⧈āϰāĻŋ āĻšāϝāĻŧāĨ¤ āĻāχ light chains āϗ⧁āϞ⧋ āĻ•āĻŋāĻĄāύāĻŋāϤ⧇ āĻ—āĻŋāϝāĻŧ⧇ āϜāĻŽāĻž āĻšāϝāĻŧ⧇ renal failure āϏ⧃āĻˇā§āϟāĻŋ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤ āϕ⧀āĻ­āĻžāĻŦ⧇ āĻ•āĻŋāĻĄāύāĻŋ āύāĻˇā§āϟ āĻšāϝāĻŧ? 1ī¸âƒŖ Light Chain Cast Nephropathy (Myeloma Kidney) āĻ•āĻŋāĻĄāύāĻŋ light…

  • 🕌 āĻŦāϝāĻŧāĻ¸ā§āĻ• āĻŽāĻžāύ⧁āώ⧇āϰ āϜāĻ¨ā§āϝ⧇ āϰāĻžāĻŽāĻžāĻĻāύ⧇āϰ āĻ–āĻžāĻŦāĻžāϰ āϕ⧇āĻŽāύ āĻšāϤ⧇ āĻĒāĻžāϰ⧇?🌙

    🕌 āĻŦāϝāĻŧāĻ¸ā§āĻ• āĻŽāĻžāύ⧁āώ⧇āϰ āϜāĻ¨ā§āϝ⧇ āϰāĻžāĻŽāĻžāĻĻāύ⧇āϰ āĻ–āĻžāĻŦāĻžāϰ āϕ⧇āĻŽāύ āĻšāϤ⧇ āĻĒāĻžāϰ⧇?🌙

    🕌 āĻŦāϝāĻŧāĻ¸ā§āĻ• āĻŽāĻžāύ⧁āώ⧇āϰ āϜāĻ¨ā§āϝ⧇ āϰāĻžāĻŽāĻžāĻĻāύ⧇āϰ āĻ–āĻžāĻŦāĻžāϰ āϕ⧇āĻŽāύ āĻšāϤ⧇ āĻĒāĻžāϰ⧇?🌙 āĻŦāϝāĻŧāϏ āĻŦāĻžāĻĄāĻŧāĻžāϰ āϏāĻžāĻĨ⧇ āϏāĻžāĻĨ⧇ metabolism, digestive efficiency, āĻāĻŦāĻ‚ immune function āĻ•āĻŽā§‡ āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇, āϤāĻžāχ āϰ⧋āϜāĻž āϰāĻžāĻ–āĻžāϰ āϏāĻŽāϝāĻŧ āĻŦāϝāĻŧāĻ¸ā§āĻ•āĻĻ⧇āϰ āϜāĻ¨ā§āϝ proper nutrition & hydration āĻ…āĻ¤ā§āϝāĻ¨ā§āϤ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖāĨ¤ āϝāĻĻāĻŋ chronic conditions (diabetes, hypertension, kidney disease, arthritis) āĻĨāĻžāϕ⧇, āϤāĻŦ⧇ doctor’s consultation āĻ›āĻžāĻĄāĻŧāĻž āϰ⧋āϜāĻž āϰāĻžāĻ–āĻž āωāϚāĻŋāϤ āύāϝāĻŧāĨ¤ āϏ⧁āĻ¸ā§āĻĨ āϏāĻŋāύāĻŋāϝāĻŧāϰ āϏāĻŋāϟāĻŋāĻœā§‡āύāϰāĻž āϝāĻĻāĻŋ…

  • Russell’s viper āύāĻŋāϝāĻŧ⧇ āĻĒā§āϰāĻĢ āĻ­āĻžāχāĻ­āĻž!

    Russell’s viper āύāĻŋāϝāĻŧ⧇ āĻĒā§āϰāĻĢ āĻ­āĻžāχāĻ­āĻž!

    Written by : Dr M R Sifat DMC | 14-15MBBS, BCS (Health), FCPS P-1 (Medicine)CEO & Co Founder Of MediVerse āχāĻĻāĻžāύ⧀āĻ‚ āĻāĻ•āϟāĻž āϏāĻžāĻĒ⧇āϰ āωāĻĒāĻĻā§āϰāĻŦ āĻŦāĻžāĻ‚āϞāĻžāĻĻ⧇āĻļ⧇ āĻŦ⧇āĻĄāĻŧ⧇ āϗ⧇āϛ⧇, āύāĻžāĻŽ āĻļ⧁āύ⧇āĻ›? āĻœā§āĻŦāĻŋ, āĻ¸ā§āϝāĻžāϰāĨ¤ Russell’s viper (Daboia russelii ) āϗ⧁āĻĄ, āĻĻ⧇āĻļ⧇āϰ āĻ–ā§‹āρāϜ āĻ–āĻŦāϰ āϰāĻžāĻ–ā§‹ āĻĻ⧇āĻ–āĻ›āĻŋ, āϤ⧋, āĻāχ āϏāĻžāĻĒāϕ⧇ āφāĻŽāϰāĻž āϕ⧀ āύāĻžāĻŽā§‡ āĻĄāĻžāĻ•āĻŋ? āϚāĻ¨ā§āĻĻā§āϰāĻŦā§‹āĻĄāĻŧāĻž, āĻ¸ā§āϝāĻžāϰāĨ¤ āχāϝāĻŧ⧇āϏāĨ¤ āφāĻšā§āĻ›āĻž āĻāχ āϏāĻžāĻĒāϕ⧇ āĻĻ⧇āĻ–āϞ⧇…

  • āϕ⧇āω āĻāĻ•āϜāύ āφāĻĒāύāĻžāϰ āĻŦ⧁āϕ⧇ āϛ⧁āϰāĻŋ āĻĸ⧁āĻ•āĻŋāϝāĻŧ⧇ āĻĻāĻŋāϞ ! āϤāĻ–āύ āϝ⧇āχ āϭ⧁āϞāϗ⧁āϞ⧋ āĻ•āĻ–āύ⧋ āĻ•āϰāĻŦ⧇āύ āύāĻž !!

    āϕ⧇āω āĻāĻ•āϜāύ āφāĻĒāύāĻžāϰ āĻŦ⧁āϕ⧇ āϛ⧁āϰāĻŋ āĻĸ⧁āĻ•āĻŋāϝāĻŧ⧇ āĻĻāĻŋāϞ ! āϤāĻ–āύ āϝ⧇āχ āϭ⧁āϞāϗ⧁āϞ⧋ āĻ•āĻ–āύ⧋ āĻ•āϰāĻŦ⧇āύ āύāĻž !!

    Written by : Dr M R Sifat DMC | 14-15MBBS, BCS (Health), FCPS P-1 (Medicine)CEO & Co Founder Of MediVerse āϕ⧇āω āĻāĻ•āϜāύ āφāĻĒāύāĻžāϰ āĻŦ⧁āϕ⧇ āϛ⧁āϰāĻŋ āĻĸ⧁āĻ•āĻŋāϝāĻŧ⧇ āĻĻāĻŋāϞ!! (āϤāĻ–āύ āϝ⧇āχ āϭ⧁āϞāϗ⧁āϞ⧋ āĻ•āĻ–āύ⧋ āĻ•āϰāĻŦ⧇āύ āύāĻž) āϕ⧋āύ Chamber āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āĻŦ⧇āĻļāĻŋ āĻ•ā§āώāϤāĻŋāĻ—ā§āϰāĻ¸ā§āĻĨ āĻšāĻ“āϝāĻŧāĻžāϰ Chance āĻŦ⧇āĻļāĻŋ, āĻāĻŽāύ āĻĒā§āϰāĻļā§āύ MRCP āĻ•āĻŋāĻ‚āĻŦāĻž Viva āĻŸā§‡āĻŦāĻŋāϞ⧇ āĻĒ⧇āϞ⧇āĻ“ āĻ…āĻŦāĻžāĻ• āĻšāĻŦ⧇āύ āύāĻž, āĻ•āĻžāϰāĻŖ āϟāĻĒāĻŋāĻ•āϟāĻŋ āϖ⧁āĻŦ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖāĨ¤ āϏāĻžāϧāĻžāϰāĻŖāϤ…

  • Topic About Valve Replacement !!

    Topic About Valve Replacement !!

    Written by : Dr M R Sifat DMC | 14-15MBBS, BCS (Health), FCPS P-1 (Medicine)CEO & Co Founder Of MediVerse āϏāϚāϰāĻžāϚāϰ āφāĻŽāĻžāĻĻ⧇āϰ āϝ⧇ Cardiac valve āφāϛ⧇ āĻāϗ⧁āϞ⧋ Change āĻ•āϰāĻžāϰ āĻĻāϰāĻ•āĻžāϰ āĻšāϝāĻŧ āύāĻžāĨ¤ āĻ•āĻŋāĻ¨ā§āϤ⧁ āĻŦāĻŋāĻĒāĻ¤ā§āϤāĻŋ āĻŦāĻžāϧ⧇ āϤāĻ–āύ, āϝāĻ–āύ āϕ⧋āύ⧋ valve āϖ⧁āĻŦ Severely Stenosed āĻšāϝāĻŧ⧇ āϝāĻžāϝāĻŧ, āĻ…āĻĨāĻŦāĻž Regurgitation āĻĻ⧇āĻ–āĻž āϝāĻžāϝāĻŧāĨ¤ āϝ⧇āĻŽāύ, āĻāĻ•āϜāύ āĻŽāĻžāύ⧁āώ⧇āϰ Aortic valve Stenosis; āϏ⧇āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇ āĻĒāĻ°ā§āϝāĻžāĻĒā§āϤ…