Dr Arvind Kumar

Dr Arvind Kumar Medicine questions related discussion for USMLE,Indian PrePG examination,UPSC,MCI screening test,preMDS exams

04/04/2026

Direct from OPD

( rheumatology , clinical medicine , medicine , dr arvind kumar )

28/03/2026

Latest update on diabetes

( ADA , diabetes , type 1 diabetes , GLP-1 RA , ozempic , dr arvind kumar )

27/03/2026

Unlocking rule of 2 diagnosis

( cvs , medicine , clinical sign , infective endocarditis, dr arvind kumar )

26/03/2026

Rule of 2 diagnosis

( cvs , medicine , clinical sign , RA factor , murmur , dr arvind kumar )

24/03/2026

Surviving Sepsis Campaign 2026.
Key Differences: 2026 vs 2021 Guidelines

🟢 1. More Individualized Antibiotic Strategy (Major Change)

2021:
• “Give antibiotics ASAP (within 1 hr)” → broad application

2026:
• Stratified approach:
• Shock → immediate
• Possible sepsis → evaluate first (≤3 hr)
• Low suspicion → defer antibiotics

🟢 2. Screening Tools Shift

2021:
• qSOFA already discouraged, but still commonly used

2026:
• Strong recommendation:
• NEWS/NEWS2 preferred
• qSOFA clearly inferior (low sensitivity)

🟢 3. Early Vasopressor Concept Expanded

2021:
• Fluids first → then vasopressors

2026:
• Allows:
• Concurrent early vasopressor in unstable shock
• Supports peripheral vasopressor use

( sepsis, SSC , septic shock , medicine , dr arvind kumar , surviving sepsis campaign guidelines 2026)

13/03/2026

New update on anemia refractory to erythropoietin in CKD.

( Anemia , CKD , erythropoietin resistant, dr arvind kumar )

12/03/2026

Rule of 2 diagnosis

( medicine, clinical signs , splenomegaly, JAK2 mutation , dr arvind kumar )

In yesterday’s India vs England T20 match, there was a small moment that many people might miss — but it revealed a lot ...
06/03/2026

In yesterday’s India vs England T20 match, there was a small moment that many people might miss — but it revealed a lot about character.

When the catch was completed near the boundary, Shivam Dube could easily have celebrated wildly and taken the spotlight.
After all, the final catch was in his hands.

But he did something different.

He paused.
He waited.
He looked toward Axar Patel.

Because he knew the truth:
That catch was not his alone — it was a team effort.

Only when Axar came and hugged him did Dube celebrate.

What This Reveals About Character

In life, many people:

• Rush to take credit
• Highlight their own role
• Forget the team that helped them succeed

But true character is revealed when someone says:

“This success is not mine alone.”

That is integrity.
That is humility.

The Real Life Lesson

Success rarely belongs to one person.

Behind every achievement there are:
• Teammates
• Mentors
• Supporters
• Invisible contributors

People with small character take full credit.
People with great character share it.

[ T20 World Cup, India in final , cricket ]

04/03/2026

Rule of 2 diagnosis

[ Liver Disease, Bile duct pathology, jaundice , rule of 2 diagnosis, medicine , Dr Arvind Kumar]

Address

Plot No 448 First Floor Sec-19 Dwarka
Delhi
110075

Website

http://www.healthfirstdwarka.com/

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