FAQs - Internal Medicine

  • What precaution should we take when we are dealing with the patient of acute heart attack?
    What precaution should we take when we are dealing with the patient of acute heart attack?
    KK Aggarwal

    The video will discuss about the precautions to be taken while dealing with the patient of acute heart attack by Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks. Ask the history of Viagra like drugs such as sildenafil etc. Sometimes, patient might not give you the history of such drugs. In case of acute heart attack, if nitrates is given then it can react with the Viagra like drugs and pose danger and lead to complications.

  • In pregnancy, can we give Viagra?
    In pregnancy, can we give Viagra?
    KK Aggarwal

    Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will talk whether Viagra is given in pregnancy in this video. Viagra should not be given during pregnancy. The drug is generally prescribed for erectile dysfunction and to increase the blood flow in the pulmonary artery circulation in patient with pulmonary hypertension. Many people have their sayings that it will increase the placental flow and prevent IUGR. A trial in Holland has reported that it was not useful and more neonatal deaths were occurring.

  • When do we give statins in a patient with CKD?
    When do we give statins in a patient with CKD?
    Sanjay Kumar Agarwal

    Dr. Sanjay Kumar Agarwal, Professor and Head of Nephrology, AIIMS, will talk about initiating statins in a patient with CKD in this video. He says that if the CKD patients has high cholesterol levels then statins are introduced. If the cholesterol levels are normal then no need of initiating statins.

  • What is the data regarding Omeprazole in CKD?
    What is the data regarding Omeprazole in CKD?
    Sanjay Kumar Agarwal

    The video talks about data regarding omeprazole in CKD patients by Dr. Sanjay Kumar Agarwal, Professor and Head of Nephrology, AIIMS. He says that this topic is controversial. If there is any need, then omeprazole should be used cautiously in CKD patients, or else if managed by other drugs such as ranitidine or any other drug then omeprazole should be avoided.

  • In CKD, can we give paracetamol, diclofenac or nimesulide drug?
    In CKD, can we give paracetamol, diclofenac or nimesulide drug?
    Sanjay Kumar Agarwal

    In this video, Dr. Sanjay Kumar Agarwal, Professor and Head of Nephrology, AIIMS, will discuss about certain drugs and its effect on CKD patients. Paracetamol is safe in CKD patients. Patients are generally advised to take paracetamol if needed. Otherwise all other NSAIDs can cause potential risk and toxicity in patients with chronic kidney disease.

  • If a patient has chronic kidney disease can he ever take NSAIDS or not?
    If a patient has chronic kidney disease can he ever take NSAIDS or not?
    Sanjay Kumar Agarwal

    Dr. Sanjay Kumar Agarwal, Professor and Head of Nephrology, AIIMS, will talk about chronic kidney disease and NSAIDs in this video. NSAIDs can worsen the chronic kidney disease and increase its progression. He will further explain the consequences of using them. It can also increase the blood pressure.

  • Can dabigatran prescribed in patient with valvular atrial fibrillation?
    Can dabigatran prescribed in patient with valvular atrial fibrillation?
    KK Aggarwal

    Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks will discuss whether dabigatran can be prescribed in patients with atrial fibrillation in this video. Dabigatran should not be used in mechanical prosthetic heart valve. Warfarin is given in such patients and INR has to be maintained above 3. He will further explain the complications also.

  • How long can we give penicillin prophylaxis to treat rheumatic fever?
    How long can we give penicillin prophylaxis to treat rheumatic fever?
    KK Aggarwal

    In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss the penicillin prophylaxis for treatment of rheumatic fever. The prophylaxis of penicillin depends on the risk of severity and recurrence of rheumatic fever. Simple rheumatic fever with no carditis can be given prophylaxis for 5 years or till the age of 21 years whichever is longer. Rheumatic fever with carditis can be given for 10 years. He will further explain the treatment if there is residual lesion with rheumatic fever.

  • What is stable coronary artery disease?
    What is stable coronary artery disease?
    KK Aggarwal

    In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will explain about stable coronary artery disease. In stable coronary artery disease, the symptoms are predictable and producible. Predictable symptoms means walking a particular distance might precipitate angina symptoms and on rest the symptoms disappear. If the patient is asymptomatic, the next step is thread mill test or stress test. He further says that if patient is stable and has no symptoms then medical management can be continued.

  • How is geriatric practice different?
    How is geriatric practice different?
    KK Aggarwal

    In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will explain how geriatric practice is different. A checklist is needed for geriatric practice. Geriatric group takes polypharmacy including herbal medicines. They have a tendency to fall so it is necessary to prevent fall in them. Also, we need to check for gait stability, vision disorder, deafness, co-ordination in their walk. The doctor should also check for their cognitive function, dementia, depression, etc. According to the comorbidities of the patient, the treatment should be initiated.

  • When should we give aspirin in acute MI?
    When should we give aspirin in acute MI?
    KK Aggarwal
    Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss when to give aspirin to a patient in acute MI in this video. When a heart attack is suspected, then chewable 300mg of aspirin is given or is dissolved in water and given. The scientific literature states that after the diagnosis is confirmed, aspirin has to be given or in high suspicion of MI it is given. High dose is avoided as it can cause acidity.
  • Is Hepatitis C curable?
    Is Hepatitis C curable?
    KK Aggarwal

    In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will talk whether hepatitis C is curable or not. He confirms that hepatitis C is curable unlike HIV and hepatitis B. it requires a long term management. He will discuss the medication given in Hepatitis C positive patients in details. The treatment is given for three months and the patient should avoid alcohol. He should be also treated for fatty liver and insulin resistance.

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