GLP1 RECEPTOR ANALOGUE DOSES

35 yr old male wid left sided hearing loss , headache n multiple episodes of vomiting.np other complaint..ct brain report s/o pituitary adenoma.kindly suggest further management?

#ItsTime A 56 y/o male with diarrhea & breathlessness. Lung auscultation revealed diffuse rhonchi and decreased breath sounds on the right side. He was afebrile and had increasing low to normal wbc in the prior 3 days (2.6–6.0 × 109/L). Chest X-ray showed diffuse consolidation throughout the right lung consistent with pneumonia. Is it tb?

40 yr old male experiencing SOB on exertion ,palpitations and occasional burning sensation in mid chest since 7 years. He was taking digoxin 0.25 daily for last 7 years.On examination very thin built ;pulse 110,regular ;BP 100/60 ,no edema. On auscultation s3 gallop was found. Hb 12,TSH -3.5, K+ 3.2 ,Na+ 144. Given djgoxin 0.25 on alt days ,carvedilol 6.25 od ,dytor 5 mg od ,syr potklor 5 ml tds. Adviced for echocardiography. Please suggest any change/ extra advice.

Here is a P V CARD on management of anaphylaxis, it's very useful, particularly those who work in ED and critical care

Dear Actor Vijay sir, Silambarasan sir and the respected Govt. of TamilNadu, I am tired. We are all tired. Thousands of doctors like me are tired. Health care workers are tired. Police officials are tired. Sanitary workers are tired. We have worked so hard at the ground level to make sure the damage done is kept to as low as possible amidst an unprecedented pandemic. I am not glorifying our work for I know there is nothing so great about it to the onlooker’s eyes. We don’t have cameras in front of us. We don’t do stunt sequences. We aren’t heroes. But we deserve some time to breath. We don’t want to fall prey to someone’s selfishness and greed. The pandemic isn’t over and we have people dying till today to the disease. A hundred percent theatre occupancy is a suicide attempt. Rather homicide , for none of the policy makers or the so called heroes are going to put themselves under the pump, to watch the movie amidst the crowd. This is a blatant barter system, trading lives for money. Can we please slowly try and concentrate on our lives and make sure we tide through this pandemic peacefully and not reignite the slowly burning out flame, that is still not completely put out? I wanted to make this post scientific and explain why we are still in danger. But that’s when I asked myself, “what’s the point?” Yours tiredly A poor, tired resident doctor https://www.facebook.com/aravinth.srinivas/posts/3937347876284519