Dr. Ravishankar Kumar

Dr. Ravishankar Kumar a Medical doctor who graduated in 2017 and I graduated my studies in India. I like sharing medical education.I hope you like my page.

All contents are copyrighted. Contact: ravishankarkumarsingh0@gmail.com Hii friends welcome to Our Channel Dr. Ravishankar Kumar. I am Dr. Ravishankar Kumar from G.D.M.H. MEDICAL COLLEGE & HOSPITAL PATNA BIHAR (INDIA). I am here to provide you an ample of medical study material. On this channel I will provide you all the material concerning the medical students. The topics will be explained easily in Hindi as well as in English. Also I will be there to clear all your queries drop your comments in the comment box. I'll be very happy to respond those quarries. Please like, share and subscribe channel. For business enquiry - Ravishankarkumarsingh0@gmail.com
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Ravishankar Kumar

28/12/2025

Fraternal twins (dizygotic twins) start with two separate eggs released during ovulation, each fertilized by a different s***m, creating two unique zygotes (fertilized eggs). Each of these zygotes develops independently, forming two distinct embryos, each with its own placenta and amniotic sac, then implants into the uterine lining around day 6-10 post-fertilization, resulting in twins that are as genetically different as regular siblings.
Fertilization & Early Development
Double Ovulation: The woman's ovaries release two eggs in the same cycle.
Two S***m, Two Eggs: Two different s***m fertilize these two separate eggs.
Two Zygotes: This creates two unique zygotes (fertilized eggs), each with different DNA.
Cell Division (Cleavage): Each zygote starts dividing, forming a solid ball of cells called a morula, then a blastocyst (a hollow ball of cells).
Separate Sacs: Each blastocyst develops its own protective amniotic sac and placenta (chorionic sac).
Implantation
Around 6-10 days after fertilization, each blastocyst burrows into the uterine lining (endometrium).
This implantation process can sometimes cause light spotting (implantation bleeding) and cramping, though not always.
Key Characteristics
Genetics: Genetically unique, like any two siblings born at different times.
S*x: Can be the same s*x or different s*xes.
Appearance: May look very different from each other.
Placenta: Each twin has its own placenta and umbilical cord.
Dr. Ravishankar Kumar

Understanding Episiotomy – Simple DefinitionAn episiotomy is a surgical incision made in the perineum (the area between ...
28/12/2025

Understanding Episiotomy – Simple Definition

An episiotomy is a surgical incision made in the perineum (the area between the va**na and the a**s) during the second stage of labor to enlarge the va**nal opening and assist childbirth.

🛑Purpose of Episiotomy

It may be done to:
• Prevent severe uncontrolled perineal tears
• Speed up delivery in fetal distress
• Facilitate delivery in breech or shoulder dystocia
• Help during instrumental delivery (forceps/vacuum)
• Allow more space for delivery in rigid perineum

🛑Types of Episiotomy

1. Mediolateral Episiotomy (Most common)
• Cut at 45-degree angle from the va**nal opening
• Less risk of extending into a**l sphincter
• Preferred in many countries
Pros: Prevents 3rd/4th degree tears
Cons: More bleeding and pain

🛑Midline Episiotomy
• Straight cut downward toward the a**s
Pros: Less bleeding, easier to repair
Cons: Higher risk of extending into re**um (3rd/4th degree tears)

🛑Indications
• Fetal distress needing quick delivery
• Instrumental delivery
• Rigid perineum
• Shoulder dystocia assistance
• Large baby (macrosomia)
• Premature baby (to protect head)

🛑Procedure Steps
1. Perform when perineum is stretched and head crowning
2. Give local anesthesia if no epidural
3. Make incision during contraction
4. Deliver baby
5. Inspect for tears
6. Repair in layers (va**nal mucosa → muscle → skin)

🛑Nursing Care After Episiotomy

Pain relief
• Ice packs for first 24 hours
• NSAIDs or prescribed a**lgesics
• Sitz bath (warm water) after 24 hours

Perineal care
• Keep area clean and dry
• Perineal wash after urination/defecation
• Change maternity pads regularly

Monitor for
• Infection: redness, swelling, discharge
• Hematoma
• Wound dehiscence
• Excessive pain

Patient Education
• Avoid constipation → high fiber, fluids
• Stool softeners
• Avoid s*xual in*******se until healed (4–6 weeks)
• Perform Kegel exercises to strengthen pelvic floor
Dr-Ravishankar Kumar

Big thanks to Abubakar Sadik Muhammad, Sharmistha Roy, ابو سعيد, Lavine Dron, Nge Ngoma, Kûttÿ Ãngêl, Rohit Kumar, Divya...
28/12/2025

Big thanks to Abubakar Sadik Muhammad, Sharmistha Roy, ابو سعيد, Lavine Dron, Nge Ngoma, Kûttÿ Ãngêl, Rohit Kumar, Divya Kumari, Sandra Amy, Pherteemerh IB, Jeetendra Prasad, Sunny Harun, Rahul Raj, Purushottam Singh, Adebayo Imole, Priya Kumari, Purushottam Singh, Aj Ajay, Reuboka Retsepile, No Promesis, Grace Douglas, Anish Kumar, Ghania Singh, Gautam Kumar, Yahaya Ayuba, Hussaini Ibrahim, ጵስጢስ አላጲስ አጋጲስ, Shahzad Ahmad, Kennasaa Qalbeessaa

for all your support! Congrats for being top fans on a streak 🔥!

What does this mean?Taking care of your spine through conscious movement, yoga, and proper postural alignment not only r...
27/12/2025

What does this mean?
Taking care of your spine through conscious movement, yoga, and proper postural alignment not only reduces pain, but also improves the internal functioning of your entire body.

• Eyes, tongue, nose, mouth, ears
• Neck and shoulders
• Throat, tonsils, and thyroid gland

Thoracic (upper back) region
• Heart
• Lungs
• Liver
• Gallbladder
• Adrenal glands

Lumbar and sacral region
• Stomach
• Kidneys
• Small intestine
• Colon
• S*xual organs
• Feet and overall body stability
Dr. Ravishankar Kumar

Herniated Spinal DiscThis medical illustration shows a herniated (or slipped) disc between two vertebrae in the human sp...
26/12/2025

Herniated Spinal Disc
This medical illustration shows a herniated (or slipped) disc between two vertebrae in the human spine. The disc's soft, jelly-like center (nucleus pulposus) has pushed through a crack in the tougher outer layer, compressing a nearby spinal nerve root. This pressure can cause significant pain, numbness, and weakness, often radiating down a limb.
Dr. Ravishankar Kumar

⭐ Hypoparathyroidism1. Aetiology (Causes)• Most common: Post-surgery or radiation to the neck (iatrogenic).• Congenital:...
25/12/2025

⭐ Hypoparathyroidism

1. Aetiology (Causes)

• Most common: Post-surgery or radiation to the neck (iatrogenic).
• Congenital: e.g., DiGeorge syndrome.
• Autoimmune/systemic destruction: e.g., haemochromatosis.

⭐ 2. Pathophysiology

↓ PTH → ↓ Calcium (hypocalcaemia) + ↑ Phosphate.

⭐ 3. Key Clinical Features

• Symptoms of hypocalcaemia:
– Tingling, muscle twitching, cramps, tetany.
– Lethargy, mood changes.
– Prolonged QT interval.
• Chvostek sign → facial twitch when tapping cheek.
• Trousseau sign → carpopedal spasm with BP cuff.

⭐ 4. Investigations

• Serum: ↓ Ca, ↑ PO₄, ↓ PTH, normal ALP.
• Check Mg (low Mg can also cause hypocalcaemia).

⭐ 5. Management (Stepwise)

1️⃣ IV calcium gluconate → if severe symptoms.
2️⃣ Oral calcium + Vitamin D (long-term).
3️⃣ Recombinant PTH → expensive but effective (use if refractory).

⭐ Bonus: Pseudohypoparathyroidism

• Looks like hypoparathyroidism but PTH is high.
• Cause: target organ resistance to PTH.

⭐ Hyperparathyroidism Short Table

Primary

• ↑ Ca | ↓/↑ PO₄ | ↑ ALP | ↑/normal PTH
• Management: Surgery (1st line).

Secondary (CKD)

• ↓ Ca | ↑ PO₄ | ↑ ALP | ↑ PTH
• Management: Treat cause: phosphate binders, calcium, Vit D.

Tertiary

• ↑ Ca | normal/↑ PO₄ | ↑ ALP | ↑ PTH
• Management: Surgery; cinacalcet as adjunct.
Dr. Ravishankar Kumar

24/12/2025

Which Spine is Male?
Dr. Ravishankar Kumar

24/12/2025

Types of Hernia
Dr. Ravishankar Kumar

🔬 Organ-Specific Cancer Biomarkers & Their UsesCancer biomarkers help clinicians detect cancer early, guide treatment de...
24/12/2025

🔬 Organ-Specific Cancer Biomarkers & Their Uses

Cancer biomarkers help clinicians detect cancer early, guide treatment decisions, and monitor therapeutic response. Each biomarker is often linked to a specific organ or cancer type, making it a powerful tool in precision oncology.🧑‍🔬🔬

🧬 Key Organ-Specific Cancer Biomarkers

🟦 Prostate – PSA (Prostate-Specific Antigen)
• Early detection and monitoring of prostate cancer.

🟪 O***y – CA-125 (Cancer Antigen 125)
• Diagnosis, staging, and follow-up of ovarian cancer.

🟧 Liver – AFP (Alpha-Fetoprotein)
• Biomarker for hepatocellular carcinoma and germ cell tumors.

🟩 Breast – HER2/neu, BRCA1/BRCA2
• HER2 guides targeted therapy.
• BRCA mutations indicate hereditary breast & ovarian cancer risk.

🟫 Pancreas – CA 19-9
• Used in prognosis and monitoring of pancreatic cancer.

⬛ Colon/Rectum – CEA (Carcinoembryonic Antigen), KRAS Mutation
• CEA helps track colorectal cancer recurrence.
• KRAS mutation guides therapy selection.

⬜ Lung – EGFR Mutation, ALK Rearrangement
• Crucial for planning targeted therapies in lung cancer.

🟨 Thyroid – Thyroglobulin, Calcitonin
• Thyroglobulin monitors papillary & follicular thyroid cancers.
• Calcitonin is elevated in medullary thyroid carcinoma.

🎯 Why They Matter

Enable organ-specific early detection
Support precision and personalized treatment
Track therapy response and disease recurrence
Improve overall survival outcomes✨🧬
Dr. Ravishankar Kumar
**um

TO TREAT PREGNANCY HEMORRHOIDS.✅  use sitz baths, ice packs, witch hazel pads, and over-the-counter creams for relief, w...
23/12/2025

TO TREAT PREGNANCY HEMORRHOIDS.

✅ use sitz baths, ice packs, witch hazel pads, and over-the-counter creams for relief, while ✅ focusing on fiber-rich foods
✅ plenty of water, and regular,
✅ gentle exercise to prevent straining and keep stools soft.
✅ avoiding long periods of sitting or standing.

Always check with your doctor or midwife before using new treatments, as they can also recommend safe pain relievers or stronger topical treatments if needed.
Dr. Ravishankar Kumar
**um

22/12/2025

Echocardiogram
An echocardiogram (also called an echo or heart ultrasound) is a test that checks your heart’s structure and function. An echo can diagnose many heart problems, including cardiomyopathy and valve disease. There are several types of echo tests, including transthoracic and transesophageal. Talk with your provider about the type that’s best for you.
Dr. Ravishankar Kumar

✅ A vacuum-assisted delivery (or ventouse) uses a soft suction cup attached to the baby's head to help guide them throug...
21/12/2025

✅ A vacuum-assisted delivery (or ventouse) uses a soft suction cup attached to the baby's head to help guide them through the birth ca**l during a difficult or prolonged labor, acting as an alternative to forceps when pushing isn't progressing or the mother/baby needs help.

✅ A doctor or midwife places the cup, applies suction, and gently pulls with contractions, helping the baby descend while the mother continues to push, used when labor stalls or for maternal health reasons like high blood pressure.

❄️How It Works❄️

✔️Placement: A soft, flexible cup is placed on the baby's head.
✔️Suction: A vacuum is created to hold the cup in place.
✔️Traction: The healthcare provider gently pulls on the cup's handle with contractions as the mother pushes.
✔️Release: Once the baby's head is delivered, the suction is released, and the rest of the body follows.

❄️When It's Used (Reasons for Assistance)❄️

✔️Prolonged Labor: The pushing stage (second stage) is taking too long.
✔️Maternal Health: The mother can't push effectively due to exhaustion, heavy epidural, or conditions like high blood pressure.
✔️Fetal Distress: The baby's heart rate shows distress, and delivery needs to be faster.
✔️Baby's Position: The baby is in a tricky position for birth.

❄️Key Considerations❄️

➡️ Safety: It's an option to avoid C-sections, but considered carefully by healthcare providers.
➡️ Outcomes: Modern systems aim for gentle, individualized interventions, with studies showing good results and few serious complications when performed correctly.

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