Dr Akhtar Ali

05/01/2024

12/02/2022

HMC OPD ROTA

29/01/2021

BEAWARE...

19/01/2021

https://www.facebook.com/drmajidhabib/videos/1077031622654781/

19/01/2021

https://www.facebook.com/imMaazqureshi/videos/536879853528791/

19/01/2021

Thyroid and COVID-19 - raising awareness for patients and doctors in Pakistan.

1) Patients with COVID-19 are more likely to get post viral thyroiditis. This subacute thyroiditis menifests as painful neck / goitre followed by mild thyrotoxicosis, then hypothyroidism usually reverting to normal in a few weeks to months. The diagnosis carries a good prognosis. Remember to check thyroid antibodies and0l monitor thyroid function tests.

2) Interpret thyroid hormone levels in COVID-19 patients with caution. Typical alterations include slightly high fT4, slightly low or low normal fT3 and slightly low TSH (like sick euthyroid syndrome). These results are likely to be due to COVID-19 rather than thyrotoxicosis. Also, drugs used for COVID-19 like steroids, HCQ and heparin are all known to give abnormal thyroid function test results.

3) Women with hypothyroidism should have their thyroxine increased by up to 50% as soon as they become pregnant even before waiting for up-to-date thyroid function test. Monitor thyroid blood test during pregnancy and adjust thyroxine, to avoid neurocognitive problems in the offspring.

4) Grave's disease can be managed with both titration regimen or block and replace regimen of anti thyroid drugs. There is no difference in remission rate but I prefer block and replace as treatment duration is shorter and less monitoring is required. Avoid it in women with childbearing age.

5) Consult your endocrinologist via video if you are unable to have a face to face consultation.

18/01/2021

IMM Ospe ( 15th Dec 2020, 8:30 am )

1) GIT Examination
2) Xray having Right upper zone infiltrates and air fluid level with right shifted trachea (Pulm TB) and at the same station there was ECG with II,III, avF T inv and Concave shaped ST elevations in precordial leads and lead I and aVL (Acute Pericarditis)
3) Multiple Ischemic Infarcts CT scan
4) Diabetic Amyotrophy scenario
5) Multiple Myeloma scenario
6) Patient with leukemia, 63 years age, lesion on lower lip > Herpes Labialis
7) Different sized Venturi masks and Oxygen Mask with tubing
8) Chest Examination
9) CKD > cause of anemia in CKD?
Also other complications of CKD
10) Pulm Embolism scenario (a female after delivery and hospital stay was about to be discharged when developed SOB and Tachycardia and BP of 90/60 developed, there was right sided crepts in the lower zone (left or right sided crepts > i mean only one side was jnvolved), and pedal edema .... Diagnosis, next steps, causes of PE in this female?
11) Thyroid Storm scenario (MNG patient has surgery and now developed ..... Features of throud storm mentioned )
12) HIV needle stick injury counselling station

18/01/2021

Keep the lamp of friendship
always
burning with oil of Love,
Because Sun always rises in the east
And sets in the west.
But
The Friendship always rises in the Heart
And sets only after death.