Excellent Discussion, very informative for ,a mother like me, of an alcohol withdrawal patient with deleric, encephalopathic condition for a very short duration of two days. Was treated by an excellent team, with simple medication of Ativan and Thiamin. Since my son is not willing to take medication, I am following related videos, being Mother. Can I seek more help or advice from you, so that I can substitute thiamine etc. in regular diet. He is 35, trying to stop smoking also Please reply, need help.
Dear team, Can you please take class senario about tracheostomy care and suctioing and how manage in emergency situation,it will be more helpful for everyone
Sir ur video are soo informative and gud too .as I am a dentist still now I wish to do mbbs but ya get into bds .even now I am searching for a chance to do soo .just give me some idea sir related to mbbs .as I am very fond of internal medicine 🤗. Hope so u will give me more information sir .
Sir,IN this case final d/d are TOXIC ENCEPHALOPATHY, METABOLIC ENCEPHALOPATHY, ALCOHOLIC (WERNICKS,ALCOHOL WITHRAWL)How to confirm its toxic ENCEPHALOPATHY, not metabolic,or warnings?
Wernicke encephalopathy, treatment: Initial: 200 to 500 mg IV 3 times daily for 2 to 7 days If response to thiamine, continue with 250 mg IV or IM once daily for an additional 3 to 5 days
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Excellent..... sir please make an video on CNS examination in detail....🙏
Already available please check
@@AETCMEmergencyMedicine Accurate details and a detailed explanation of the patient's condition is more than wonderful, thank you very much
Informative excellent 👏👏👏
Super super , I am regularly watching and sharing to my friends
Very informative and practical. Thank you
Awesome...... Nice question and explanations..
Awesome, so helpful sir 🙏
Thank you sir
Excellent discussion
Simply.....woww.
V v informative
Very very nice 👍 indeed
Excelent
Excellent Discussion, very informative for ,a mother like me, of an alcohol withdrawal patient with deleric, encephalopathic condition for a very short duration of two days. Was treated by an excellent team, with simple medication of Ativan and Thiamin. Since my son is not willing to take medication, I am following related videos, being Mother. Can I seek more help or advice from you, so that I can substitute thiamine etc. in regular diet.
He is 35, trying to stop smoking also
Please reply, need help.
Fantastic initiation
Excellent teaching sir& nice conversation god bless your service
Please make a video regarding your history taking. Please
🙏
You're requested to discuss the latest management of bronchial asthma.
We have scheduled videos till September first week, will upload after that
Hope your telling regrading the GINA guidelines, if not send the same to aetcm2018@gmail.com
The video is amazing i like it. i got more information .thankyou dr.gireesh kumar
Thankyou all.
If a head injury pt is drunk, is it possible or should the GCS be evaluated as he is already under the influence of alcohol?
Dear team,
Can you please take class senario about tracheostomy care and suctioing and how manage in emergency situation,it will be more helpful for everyone
Sir ur video are soo informative and gud too .as I am a dentist still now I wish to do mbbs but ya get into bds .even now I am searching for a chance to do soo .just give me some idea sir related to mbbs .as I am very fond of internal medicine 🤗. Hope so u will give me more information sir .
@@khkhmoh4651 to be frank I Was very much fond of being into medicine 🤗
Whenever oxygen saturation is normal u can directly switch to another system quickly without checking for lung examination
Oxygen saturation not the only thing to be assed in B in ED
Sir.should we say GCS for this case.
Isn't it only for trauma cases?
You’re the best………. Isn’t there any handwritten notes 📝
Before giving nitrofurantoin in males as a prophylaxis for uti whether we have to check for G6PD first?????
No
Sir,IN this case final d/d are TOXIC ENCEPHALOPATHY, METABOLIC ENCEPHALOPATHY, ALCOHOLIC (WERNICKS,ALCOHOL WITHRAWL)How to confirm its toxic ENCEPHALOPATHY, not metabolic,or warnings?
By markers of sepsis
Sir, what are the markers of sepsis
Is it TC, CRP, PROCALCITONIN
IS IT A PART OF SEPTICAEMIA
How will be the MRI in Wernicke's encephalopathy sir??
Mamillary body may have increased signal or contrast enhancement
@@AETCMEmergencyMedicine contrast edema will seen in cerebral edema too I think sir, correct me if I'm wrong....tq very much sir
What was the drug that he said for hyponatremia please?
Tolvaptan comes by natrise name it is for SIADH, with a condition to drink water ad lib
Dear sir can you suggest us a book from where we can read such case scenarios so, we can connect with the discussion here 🙏🏻
No such case discussion books are available
Sir, dose of thiamine is 500 mg INTRAVENOUSLY 3 TIMMES IN WERNIKS? HOW MANY DAYS ?
Wernicke encephalopathy, treatment:
Initial: 200 to 500 mg IV 3 times daily for 2 to 7 days
If response to thiamine, continue with 250 mg IV or IM once daily for an additional 3 to 5 days
9
UTI with Hyponatremia
encephalopathy
Sir any toxins which cause this type of situation... ??
Many toxins
Cause of alcohol is mental trauma
You have hepatic rnchapolopathy ?