Practice Updates

Aspirin is a highly successful antiplatelet drug & still retains its status as the 'front-line' antiplatelet drug; however, any effective antiplatelet dose of aspirin is associated with an increased risk of bleeding. Hence increased understanding of platelet biology has led to the development of new antiplatelet drugs that are potentially more effective. Aspirin and P2Y12 inhibitors (clopidogrel, prasugrel and ticagrelor) are the most commonly used antiplatelet drugs, either alone or as dual antiplatelet therapy. In this discussion with leading cardiologist Dr. Jagdish Hiremath, we go over a detailed review of newer antiplatelets over aspirin and discuss the overall safety and efficacy.

Aspirin vs. Newer Antiplatelets: What Should You Choose?

Foundations of Medicine

The greater frequency of infections in diabetic patients is caused by the hyperglycemic environment that favors immune dysfunction (e.g., damage to the neutrophil function, depression of the antioxidant system, and humoral immunity), micro- and macro-angiopathies, neuropathy, decrease in the antibacterial activity of urine, gastrointestinal and urinary dysmotility, and greater number of medical interventions in these patients. In addition to the increased morbidity, infectious processes may be the first manifestation of diabetes mellitus or the precipitating factors for complications inherent to the disease, such as diabetic ketoacidosis and hypoglycemia. The major infections associated with diabetes mellitus are diabetic foot infections, repeated UTI'S, Tuberculosis, Hepatitis B & C infections, Candidiasis, invasive external otitis and Bacterial Pyelonephritis. Let's hear from Dr. Bantwal the infections typically seen in Indian Diabetes and how to manage them.

Infections Typically seen in Indian Diabetics

Changing Practice

So here we are with the premiere episode of Medflix Journal Club. Dr. Desai is back with this amazing show and we have some mind boggling breakthroughs of medicine published in the month of March. Share this #MustAttendSession invite with all your friends and colleagues and stay tuned for this blockbuster live only on Medflix!

Changing Practice: March Round-up!

Conservative treatment for sciatica is primarily aimed at pain reduction, either by analgesics or by reducing pressure on the nerve root. When a patient reports the typical radiating pain in one leg combined with a positive result on one or more neurological tests indicating nerve root tension or neurological deficit, the diagnosis of sciatica seems likely. The role of analgesics, non-steroidal anti-inflammatory drugs, and muscle relaxants in pain relief remain limited and surgical intervention is often linked to better outcomes. Let us hear from renowned neurosurgeon Dr. Bhati on the presenting symptoms of sciatica and the latest guidelines on management.

Approach to Sciatica

10 Questions with Dr. Tushar Shah.

Various therapies are available for migraine prophylaxis and prevention. Prophylactic therapy may decrease the frequency, severity, and duration of migraine attacks, increase responsiveness to acute migraine therapy and improve quality of life. Propranolol is the most common and one of the most effective first-line medications used for migraine prevention. The other class of drugs often reached out for are anticonvulsants, antidepressants, calcium channel blockers, ACE-Is/ARBs, triptans & NSAIDS. Let us hear all about Migraine Prophylaxis is just 10 Questions with Dr. Tushar Shah!

Migraine Prophylaxis in 10 Questions

Learning to perform Emergency Department (ED) procedures is a complex and highly individualized educational process and an essential core clinical skill. Some of the routinely performed ED procedures are - cardioversion, NIV application, emergency chest tube placement, pericardiocentesis, fasciotomy, basic trauma survey amongst others. Dr. Sandeep David, acclaimed Emergency Physician from CMC Vellore joins us on Medflix for a comprehensive two-part series covering the most commonly performed ED procedures & how to ace them like a pro!

Most Commonly Performed ED Procedures #1

Thoracic empyema is an infectious process defined by frank pus in the pleural space. Treatment aims at combining medical and surgical interventions that target eradication of the infection and ensure adequate lung re-expansion. A significant proportion of pleural space infection present as complications in community- or hospital-acquired pneumonia. Other causes include penetrating chest trauma, thoracic surgery, and esophageal rupture. The “split pleura” sign is a radiologic finding that has high diagnostic value for empyema. Dr. George Dsouza, Head of Dept of Respiratory Medicine at St. John's Hospital, joins us on Medflix to share his expert insights into the medical management of an empyema. 

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