Dr Imtyaz

27/02/2026

FEMALE PELVIS BONE.

26/02/2026

26/02/2026

METABOLISM OF BILIRUBIN.

25/02/2026

A 48 y/o man developed progressive painful hand ulcers over 6 months, with new exertional dyspnoea. He had fingertip and dorsal hand ulcers, elbow and oral ulcers, and a violaceous periorbital rash.
❓ What is the most likely diagnosis ❓
👉 ANSWER: https://manualofmedicine.com/spot-diagnosis/painful-hand-ulcerations-shortness-breath/

24/02/2026

Urticaria is a common hypersensitivity skin disorder characterized by transient wheals, itching, and sometimes angioedema.
It may be acute or chronic, spontaneous or triggered by infections, drugs, foods, physical factors, or autoimmune conditions.
Understanding the clinical classification and common triggers helps in accurate diagnosis, patient counseling, and long-term management—especially in chronic urticaria, which is often idiopathic.
⚠️Disclaimer- For educational purposes only. Not medical advice. Consult a qualified healthcare professional.

24/02/2026

LOW TESTOSTERONE.

21/02/2026

Shock
Important notes

20/02/2026

🚨📝Prone Positioning in Severe ARDS — Beyond Oxygenation.⤴️

Think Guyton, not just PaO₂.

In severe ARDS, proning is a hemodynamic intervention, not merely a ventilation strategy.

🔴 ↑ Intra-abdominal pressure → ↑ Mean systemic filling pressure (MSFP)
🔴 Venous return shifts rightward — preload becomes phenotype-dependent
🔴 Dorsal lung recruitment → ↓ Pulmonary vascular resistance
🔴 RV afterload reduction → potential ↑ cardiac output
🔴 Impact differs in pulmonary vs. extra-pulmonary ARDS

Prone positioning is not hemodynamically neutral.
Volume status, abdominal compliance, and RV function determine whether CO rises or falls.

ICU takeaway:
Assess stressed volume. Evaluate RV. Anticipate MSFP shift.
Prone with physiology — not protocol alone.

20/02/2026

....✍️

19/02/2026

The solution to all my problems 🤲

fans Hasanpur - हसनपुर

19/02/2026

How to read ECG in simple 10 steps