Doctor | MBBS(Osmania)⚕️, MD Internal medicine resident🩺 HRDA EC member (Nagarkurnool Dist.)
Nagarkurnool Dist. Telangana
Joined September 2017
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Electrical alternans on ECG is classically seen in cardiac tamponade due to pericardial effusion.
Electrical alternans refers to beat-to-beat variation in the amplitude of the QRS complex (or other waveforms). 1/n
#ECG #Cardiology #MEDX #MedTwitter #cardiotwitter
In the setting of a large pericardial effusion, the heart swings back & forth within the fluid-filled sac. As the heart moves closer to and farther from the anterior chest wall on alternating beats, it produces the characteristic alternating QRS amplitude pattern. 2/n
ACE inhibitors like lisinopril inhibit the conversion of angiotensin I to angiotensin II, which also reduces the breakdown of bradykinin. Bradykinin accumulation in susceptible individuals triggers increased vascular permeability and angioedema. #MEDX #MedTwitter #NEETPG
ACG guidelines for H pylori infection
Bismuth quadruple
PCAB dual
PCAB triple
Rifabutin triple
Conventional PAC regimen
PACM regimen
#gastroenterology #medx #MedTwitter #NEETPG #gastrotwitter
FDA approved Once weekly basal Insulins are :
Insulin Icodec-abae
Insulin efsitora alfa-gobe
#Insulin #icodec #efsitora #diabetes #medx #medicineupdates #medtwitter
Dapagliflozin-Sitagliptin in T2D : moving beyond HbA1C towards a broader orbit of care.
#diabetes #endocrinology #cardiorenalbenefit #dapagliflozin #sitagliptin #SGLT2i #DPP4i #medx #medtwitter
Dr. Ritheesh Kandukuri retweeted
PG doctors are quitting residency programmes at some of India’s premier medical institutions, despite securing top #NEET-PG ranks. #RTI replies reveal departures across #AIIMS campuses and JIPMER, while concerns over excessive working hours, workplace harassment and toxic work culture persist. Residency should train doctors, not break them. @timesofindia @MoHFW_INDIA @UDF_BHARAT @ImLMittal
#MedicalEducation #AIIMS #Doctors #NEETPG
Dr. Ritheesh Kandukuri retweeted
Shubh Dhanteras to all 🪷🩷
May everyone be blessed with good health & abundant happiness 🪷🩷
Dr. Ritheesh Kandukuri retweeted
మొదటి రెండు వాక్యాలు చాగంటి గారు తప్ప మరి ఇంక ఎవరు ఈ విషయాన్ని వివాదరహితంగా చెప్పలేరు 🙏🏻
Dr. Ritheesh Kandukuri retweeted
On 28th Oct the SC in the Delhi SIR hearing suggested to ECI that they should consider allowing those who could not fill up the enumeration form (due to having shifted address or otherwise) should be allowed to fill it up even now & even from their shifted address. The ECI rejected this on the 4th & said that anyone now wanting to get back on the rolls, would have to fill up form 6 (for new voters) which obliges them to give a declaration that they have never voted before. The ECI said they would not be prosecuted, but they would get a new epic number, which meant that their entire previous voting history would be erased.
This recalcitrance of the ECI was mentioned to the SC on the 5th and a copy of our representation to the ECI was also sent to the other 2 ECs. Today, the ECI in an about turn has issued the order below, which accepts all the suggestions of the SC & virtually allows all deleted voters to get back to the voters list, with their old epic numbers. Was this volte face because the other 2 ECs pushed back on what Gyanesh Kumar wanted to do, or was it because of the fear of the SC?
In any case, this is a huge victory for the voters and those who were campaigning against this dishonest SIR exercise!
Dr. Ritheesh Kandukuri retweeted
It’s not NDA vs INDIA
It’s not Modi vs Rahul.
The battle lines today are drawn elsewhere. Recognise them for what they are.
My essay in the @TheSouthfirst
thesouthfirst.com/opinion/fo…
Dr. Ritheesh Kandukuri retweeted
As the @ECISVEEP is forced to make U turns and clarifications every day the Supreme Court cannot escape scrutiny. Why did the apex court not restrain the @ECISVEEP ahead of the Bengal elections? Why did the learned judge say “those who can’t vote this time vote next time,” and why did the SC -the constitutional court-treat the constitutional right to vote in such a cavalier manner . @abhishekaitc gets it bang on : the buck for the collapse of India’s electoral system stops with the Supreme Court.
Dr. Ritheesh Kandukuri retweeted
IMPORTANT: another day, another U turn by the Clarification, sorry Election, Commission of India. All good but begs the Qs: Will there be no Consequences for a flawed SIR exercise in design and execution ? What if @RitikaChopra__ had not exposed this? Think. 🙏 youtube.com/watch?v=lrvbigad…
Dr. Ritheesh Kandukuri retweeted
Aadhar, PAN, Voter ID etc have just become toys in the hands of this govt. We, the citizens have become mute spectators as this Sarkar toys around with them. 🙄
Aadhaar to be replaced by voter ID, biometrics for benefit payments: Minister indianexpress.com/article/in…
Dr. Ritheesh Kandukuri retweeted
मोदी सरकार के मंत्री का ऐलान - योजनाओं का लाभ अब आधार से नहीं, वोटर ID से तय होगा।
साजिश बहुत गहरी है, इत्मीनान से समझिए।
SIR के नाम पर करोड़ों नाम वोटर लिस्ट से काटे जा रहे हैं - रोका नहीं गया तो और भी काटे जाएंगे।
ज़्यादातर नाम किनके? जो BJP के ख़िलाफ़ आक्रोश में हैं।
वोटर लिस्ट एक निष्पक्ष चुनाव आयोग के हाथ में होनी चाहिए - मगर अब वो मोदी सरकार के कर्मचारी, ज्ञानेश कुमार के हाथ में है, जिसकी BJP के साथ मिलीभगत में वोट चोरी हमने सबूत के साथ पकड़ी है।
तैयारी है ऐसी लिस्ट बनाने की जिसमें बहुमत हमेशा BJP का हो - और अब वही लिस्ट तय करेगी कि आपको योजना का पैसा मिलेगा या नहीं।
कल जिसने भी ठाना कि BJP को हटाना है, तो चुन-चुन कर सबका नाम काटा जाएगा।
नाम कटा - वोट गया। वोट गया - हक़ गया।
और देखते ही देखते आप एक hijacked लोकतंत्र के अदृश्य नागरिक बन जाएंगे - जहां जनता सरकार नहीं चुनेगी, सरकार अपनी जनता चुनेगी।
आज पंचायती राज की योजनाएं। कल राशन? पेंशन? मनरेगा? आवास? छात्रवृत्ति? आरक्षण?
यह चुनाव जीतने की राजनीति नहीं, चुनाव चोरी का इंतज़ाम और सत्ता में बने रहने का स्थायी बंदोबस्त है।
वोट देना आपका अधिकार है, शर्त नहीं। किसी ग़रीब की पेंशन उसके वोटर कार्ड की ग़ुलाम नहीं हो सकती।
ये सिर्फ़ वोट चोरी नहीं - ये हक़ चोरी है।
हम ये होने नहीं देंगे।