Practice Impact

The occurrence of PDA is inversely related to gestational age and weight, with an even greater incidence in preterm infants. The clinical implications vary depending on the anatomy of the ductus arteriosus and the underlying cardiovascular status of the patient. Medical therapy for PDA predominantly involves the administration of one of two non-steroidal anti-inflammatory drugs: indomethacin or ibuprofen. In the last decade, acetaminophen has emerged as therapy for PDA closure. We are joined LIVE on MEDFLIX by renowned Senior Consultant & Director (Cardiology), Dr. Hemant Madan, who will provide us with information on the medical management of PDA and discuss the efficacy of Dual Oral Medication Therapy (ibuprofen and acetaminophen) in the same.

Approach to a case of PDA

Foundations of Medicine

When doing an intubation, it can be difficult to see the vocal cords or get the tube into the trachea. An intubation that is physiologically challenging entails cardiopulmonary compromise, which frequently shows up as hypoxemia or hypotension. A pre-intubation examination is frequently unable to predict anatomical and physiological challenges. Join us LIVE as Dr. Sandeep David, Consultant, Department of Emergency Medicine, Christian Medical College, Vellore, discusses the challenges of difficult intubations and what to do when they occur unexpectedly.

Difficult Intubations

Here's another fascinating episode of the fantastic show 'Case of the Week'! Join us as Dr. Harshita Mishra presnts a very commonly seen pulmonology case and our host, Dr. Salil Bendre will guide us in reaching a diagnosis through highly logical investigations and a comprehensive clinical exam. It's a massive feast for all residents across the nation. Say no to exam anxiety and embrace the #JoyOfLearningMedicine. Stay tuned on October 6th at 9 p.m IST.

Case of the Week #2

The most widely disseminated viral disease carried by mosquitoes, dengue fever has an uncertain clinical course and outcome. The vast majority of dengue cases are children less than 15 years of age. Dengue causes a spectrum of illness from mild fever to severe disease with plasma leakage and shock. The risk of developing a severe dengue infection is greatest among infants and young children with secondary heterologous dengue infections. Dr. Maninder Dhaliwal, a senior paediatric critical care consultant, joins us to contribute to our growing understanding of dengue in kids, including its clinical manifestations, pathogenesis, diagnostic techniques, therapy, and prevention.

Battling against Dengue in children

Chronic obstructive pulmonary disease (COPD) has been better managed with current therapies, but novel therapeutic strategies are still urgently needed, especially to slow the illness's progression and mortality.  There is no denying that the use of non-pharmacological measures, such as pulmonary rehabilitation and noninvasive ventilation, and the introduction of more potent medicines have significantly improved the management of COPD. Watch Dr. Rahul Sharma, Additional Director, Pulmonology, Fortis Hospital, Noida, as he discusses the most recent developments in the treatment of COPD.

Emerging Treatment Modalities in COPD

The obesity pandemic continues to grow at an alarming rate. Because lifestyle modifications have been limited in their success in weight loss maintenance, pharmacotherapy plays an important role in achieving clinically significant weight loss and preventing the development or exacerbation of comorbid conditions. The plethora of on- and off-label AOM's(Anti obesity medication) creates the unique challenge for physicians to decide which medication may be most appropriate for the individual patient. Interestingly, Tirzepatide has also been investigated for the management of obesity in individuals without T2DM. Dr. Neeta Deshpande, a renowned expert on Diabetes and Obesity, aids us in our understanding of obesity and associated Mx.

Obesity Pharmacotherapy: Now and Future

Old age is commonly associated with multiple illnesses, as well as with altered pharmacokinetics and pharmacodynamics for example, delayed renal elimination of drugs and increased sensitivity to anticholinergic and sedating effects. Certain drugs are classified as potentially inappropriate medications for the elderly because they carry an increased risk of adverse drug events in this patient group. Let's understand how can we (not) harm geriatric patients seriously with none other than the most zealous creator of Medflix - Dr. Tushar Shah in his #BlockBuster live.

10 Ways (Not) to Seriously Harm a Geriatric Patient

Critically reduced tissue perfusion occurs in septic shock, and numerous organs, including the liver, kidneys, and lungs, may experience acute failure. Symptoms include fever, hypotension, oliguria, and confusion.  Early detection and treatment are crucial. The diagnosis is predominantly clinical, supplemented with culture results showing infection. Aggressive fluid resuscitation, antibiotics, surgical removal of pus-filled necrotic or infected tissue, and supportive care comprise the course of treatment. Join us live as Dr. Arjun Alva, Consultant in Critical Care Medicine at the Mazumdar Shaw Multispeciality Hospital in Bangalore, explains how to employ the various management techniques in septic shock and sepsis cases.

Evaluation & Management of Septic Shock

Anemia is a commonly identified clinical condition and has a broad differential diagnosis. The etiology can be related to hereditary or acquired abnormalities of the red blood cell or can be manifestation of an underlying disorder. It is important to develop a systematic and thorough approach in identifying the cause of a patient's anemia. Dr. Mahadev Desai, talks us through the typical symptoms and important diagnostic clues in the treatment of an anaemic case.

Approach to a Case of Anemia

The field of emergency medicine is a high-pressure, fast-paced and diverse specialty that requires a broad base of medical knowledge and a variety of well-honed clinical and technical skills. The landscape of emergency care includes timely access and acute care delivery to critically ill and injured patients. In order to provide effective care in the ER, all doctors must stay current with the many intriguing changes that have recently occurred in the practise of emergency medicine. To know all about these advances, we are joined by Dr. Ashima Sharma, Professor & Head of Department of Emergency Medicine at Nizam's Institute of Medical Sciences, Hyderabad.

What's new in Emergency Medicine?

Varicose veins (VV) are dilated, tortuous subcutaneous veins that permit reverse flow. They are most commonly found in the lower limb and may be primary, or secondary to deep venous pathology. The exact pathophysiology is debated, but it involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. Treatment options for varicose veins include conservative management, external laser treatment, injection sclerotherapy, endovenous interventions, and surgery. We have Dr. Rajiv Parakh, a prominent vascular surgeon, on Medflix to provide expert insights into the diagnosis and appropriate management of Varicose Veins.

Varicose Veins: Pathophysiology, Diagnosis and Right approach to Mx

For many years, there has been concern on a global scale about the growing concerns posed by antimicrobial resistance as a result of the improper use of antimicrobial agents in the health care system, including the paediatric population. Numerous studies have shown how the proper use of antibiotics in paediatrics reduces the need for antimicrobials, reduces drug resistance and treatment failure, minimises negative clinical outcomes, and improves diagnostic methods. Join us as renowned paediatrician Dr. Baldev Prajapati, who has over 40 years of experience, discusses what not to prescribe.

Antimicrobial Prescription - What Not to do?

Cushing's syndrome remains an extremely complex endocrine condition. It comprises a large group of signs and symptoms that reflect prolonged and inappropriately high exposure of tissue to glucocorticoids. More often patients have a number of features that are caused by cortisol excess but that are also common in the general population, such as obesity, depression, diabetes, hypertension, or menstrual irregularity. As a result, there is an overlap in the clinical presentation of individuals with and without the disorder. The choice of tests, the integrity of the specimens and the quality of endocrine assays are key factors for optimal patient care. On Medflix, Dr. Ganapathi Bantwal joins us LIVE to provide us with extensive guidance on how to overcome these diagnostic challenges.

Cushing's syndrome: Why is it difficult to diagnose?

The Wizards of Medicine

Join us LIVE on Medflix for the pan-India quiz for Doctors. Reminisce about your medical school days while competing against doctors from all around India for the chance to win some fantastic rewards.

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