Faheema Hasan 🩸 🩺
@faheema_hasan
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ASST PROF, HEMATO-ONCOLOGY @UIMS . ➡️ Twitter only for ❤️ of Hematology #medtwitter #mmsm #sgpgi #womeninmedicine #runner #BMT #myeloma ⚕️Hemeonc 24x7 #Tamizh
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Pinned Tweet
Patient with Hodgkin Lymphoma post first cycle of chemotherapy presents with these rashes and peripheral eosinophilia.
What's your diagnosis
#medtwitter
?
#hemeonc
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NOTHING can make a doctor’s day brighter than sending their patient with leukemia , CANCER FREE home . One such day for us, Dr Aishwarya , Dr Harshal ,me and Dr Souvik are all smiles 😀
PS : picture taken with consent from parents
#leukemia
#hematology
#MedTwitter
#mrdnegative
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⚡⚡How to manage anticoagulation in thrombocytopenic patients with cancer?
👉platelets>50000: full dose anticoagulation
👉25-50k: full dose anticoagulation with platelet support or half dose anticoagulation
👉<25000: hold ✋anticoagulation
#medtwitter
#vte
#cancer
#hemeonc
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This is the most precise and prettiest 😊 treatment algorithm of APML that I have come across.
Thank you
@DrHKantarjian
@BloodCancerJnl
⚡⚡ APML CURRENT TREATMENT ALGORITHMS⚡⚡
#leusm
#apml
#medtwitter
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#MedTwitter
#hemeonc
@MedTweetorials
⚡️ Bleomycin Induced Flagellate Dermatitis
⚡️ can occur with any dose/any route of bleomycin
⚡️ bendamustine too can cause this erythema
⚡️ rx: stop bleomycin
⚡️ corticosteroids/antihistamine are adjuncts
⚡️22% has peripheral eosinophilia
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3 years of hardwork and passion was awarded yesterday🙏🏻
Proud to be awarded DM CLINICAL HEMATOLOGY
Thanks to the Almighty, my family and my teachers
@bagalbp
@DrGPrakash
@DrGauravNarula
@AaronGoodman33
@BollamRajesh4
@DrPMPGI
@DrNikitaMehra
@satya_yadav
@VincentRK
@IJMPOofficial
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📌The current classification and prognostication of AML demands cytogenetics & molecular genetics (WHO/ICC &ELN) and has resulted in incorporating ideal therapy and targeted agents and hence improved outcome in this aggressive disease.
🙃But it is not always that when a patient
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I wish my favorite Prof of hematopathology Sumeet Gujral Sir was on twitter
He is so full of positive vibes and happiness and knowledge
#HCC2022
#medtwitter
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Hematology is deeply humbling 💛💛,
Mind boggling 🤯
📌Just saw a lady in her 30's with bilateral deep venous thrombosis with history of easy bruising since birth and now diagnosed with Glanzmann thrombasthenia ❗🤷♀️🤷♀️
#MedTwitter
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So many variants of meningiomas by
@Patholwalker
, that I had to compile them😌
#neuropath
#pathology
#pathboards
@pembeoltulu
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Don't we love to compare to pretty things in life..
Here is one such..
Use of "staghorn" in pathology
#pathology
#pathologists
#pathboards
@pembeoltulu
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Silvery hair syndrome is a rare syndrome and includes Griscelli syndrome ,Chediak-Higashi syndrome and Elejalde disease.
Here is one case of Griscelli syndrome we encountered, thanks to Indian society of dermatopathologists.
#dermpath
#pathologists
#Pathology
@pembeoltulu
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It is important to differentiate between type 1 and 2 of endometrial carcinoma, as they have different prognostic and therapeutic implications.
#gynpath
#oncopath
#pathology
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The morphological clues to CLL includes the classic chromatin of the cells which has been compared to
📍cracked mud,
📍 football
📍Ausage and pepperoni etc
Other features are of course smudge cells or Gumprecht shadows.. here is a nice picture of the classic chromatin in CLL.
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@OGdukeneurosurg
Primary care physician with his steth , oncologist in the middle with her colored pens so highlight important precautions with chemo and the neurosurgeon in jeans who had used a note pad with painting to assess motor cortical function 😃
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Histoid leprosy,
A rare form of lepromatous leprosy presenting with multiple cutaneous nodules and indicates a highly active lepromato process.
#pathology
#pathclues
#pathboards
#dermpath
.
@pembeoltulu
@kriyer68
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Terminologies to describe cell in cell phenomena, what and when?
#pathology
#immunology
@pembeoltulu
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Tips in differentiating a primary vs secondary ovarian mucinous tumour.
After a Sunday read .
#gupath
#pathclues
#pathology
#pathoaddict
@smlungpathguy
@kriyer68
@pembeoltulu
@BinXu16
@TheKarenPinto
@pathologistmag
@VijayPatho
@DraEosina
@TheKarenPinto
@aakasharmand
@slusagar
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Burkitt's lymphoma
Did u know that EBV and Plasmodium falciparum interaction is thought to be responsible for endemic Burkitt lymphoma supporting the the emerging concepts of "POLYMICROBIAL DISEASE PATHOGENESIS"?
#hemepath
#pathboards
A case shared by
@DrGeeONE
.
@pembeoltulu
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Castleman disease..
#HemePath
#pathboards
#pathology
@kriyer68
@pembeoltulu
@VijayPatho
@DraEosina
@TheKarenPinto
@pathologistmag
@DrGeeONE
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⚡️Most elegant algorithm for diagnosis of myeloproliferative neoplasms just published
@AjHematology
PCV vs ET vs PMF
#MPN
#oncology
#hemeonc
#MedTwitter
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Variants of leiomyoma.
#pathology
#pathclues
#pathologists
@VijayPatho
@BinXu16
@kriyer68
@SGottesmanMD
@mreyesm
@DraEosina
@DrGeeONE
@luishcruzc
@Alipathy
@LouiseGracielle
@
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👇PMBCL
⚡👩 predominant
⚡3rd decade
⚡Baseline+post therapy PET
⚡R CHOP21+ISRT/ R-DA EPOCH is standard
⚡Most relapse within 12months
⚡Relapse/refractory:hd chemo+ASCT
#hemeonc
#lymsm
#MedTwitter
#NHL
Immunophenotype&molecular alterations in thymic b cell NHL's
@BloodJournal
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Hereditary renal cell carcinoma syndrome..
#pathboards
#pathclues
#pathology
#GUPath
.
@kriyer68
@Patholwalker
@BinXu16
@hematogones
@UMichPath
@pembeoltulu
@VijayPatho
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⚡️⚡️🧵MDS WITH 5 Q DELETION📢(1/6)
#medtwitter
#leusm
#Hemeonc
@HCC_HemeCancer
@haem_team
@DrNikitaMehra
👉Low grade MDS
👉Present wit severe macrocytic anemia
👉30-40% has⬆️platelets
👉chr5q deletion with/without one additional cytogenetic abnormality apart from mono7/del(7q)
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Cytomorphological features of hepatocellular carcinoma.
#CytoPath
#gipath
#liverpath
#Pathology
#pathboards
#pathclues
.
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Basic morphology of plasma cell and pointers in identifying it from it's mimics.
#hemepath
#Pathology
#pathboards
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Histological features of endometrial polyp.
#gynpath
#pathology
#pathclues
#pathboards
#Pathologists
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Classical adenomatous polyps..
Architectural classification and clues on when to call high grade?.
#gipath
#Pathology
#pathclues
.
@DraEosina
Images :
@WebPathology
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Today was a happy day
@SGPGI
We just got 3 brand new certified hematologists + it was a pleasure to interact with two senior lady hematologists as our externals, Prof Tulika ma'am and Prof Maithrayee ma'am 😊
#womeninhematology
Congrats to all 3,
@nihardesai7
@gopinathan
@archit
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This was indeed a case of plexiform neurofibroma in a known case of neurofibromatosis.
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Histoplasmosis.
Numerous tiny intracellular uninucleate yeast like forms within histiocytes.
Not much of neutrophils or eosinophils.
This case was a skin nodule in a farmer.
#dermpath
#Pathology
#Pathologists
@pembeoltulu
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Hierarchical classification of the International Consensus Classification of AML.
#aml
#leusm
#medtwitter
#hemeonc
@BloodJournal
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📌Differences in anti CD 20 monoclonal antibodies.
👉Rituximab is a chimeric mAb that is partially humanized with🐀 variable region
👉 Both ofatumumab and obinutuzumab are fully humanized mAbs🧍♂️🧍♀️
👉 Ofatumumab also has a glycoengineered Fc ➡️better binding with immune effector
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DIAGNOSING POLYCYTHEMIA VERA 🩸
📌Is bone marrow biopsy always necessary ?
🎯Not necessary in JAK2 exon 12 or 14 mutated patients if Hb > 18.5g/dl in ♂️or >16.5 g/dL in ♀️ as per ICC and subnormal EPO.
✌️Ofcourse a baseline Bone marrow biopsy always is helpful to identify
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🚩mini
#tweetorial
on Ph like ALL
1⃣/8⃣
⚡️“Ph-like”or BCR-ABL1-like ALL was described by the COG& Dutch COG by GEP in 2009
⚡️Adopted in 2016 update of WHO as provisional entity
⚡️lacks the BCR-ABL1 translocation but similar gene expression as Ph+B ALL
#medtwitter
#hemonc
#leusm
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Eid Mubarak from our family to yours to my twitter fam 😊
May the Almighty bless us all with his choicest blessings, the gift of kindness, happiness, peace and love.
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Pathologists love to compare..
Let's see the instances we use OWL'S EYE 🦉 🦉
#pathology
#pathboards
#pathboards
@pembeoltulu
@kriyer68
@smlungpathguy
@DraEosina
@hematogones
@WebPathology
@VijayPatho
@suraksharaob
@ENTpathology
@sinhapathology
@appy_vashi
@
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#️⃣COVID-19 AND COAGULOPATHY
▶️ Increased D -DIMER.
▶️MODEST DECREASE IN PLATELET COUNT.
▶️PROLONGED PT
▶️FIBRINOGEN IN THE UPPER LIMIT OF NORMAL AS ACUTE PHASE RESPONSE.
▶️ ⬇️IN FIBRINOGEN SEEN SHORTLY BEFORE DEATH
⚡DO HOW IS IT DIFFERENT FROM DIC OF SEPSIS❓❓READ ON
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👉The journey of clonal plasma cells in a video
#mmsm
#leusm
#myeloma
#MedTwitter
1. Primary genetic events ie Ig H translocation/hyperdiploidy ⏭️ initiation of clonal plasma cells in post germinal centre B cells
2.MGUS
3. Smoldering myeloma
4. 🔥 ie Myeloma with CRAB features
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Gist morphological correlation with molecular subtypes.
#gipath
#pathclues
@DraEosina
@pembeoltulu
@kriyer68
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📌Chemotherapy Induced Thrombocytopenia(CIT)🧵 ▶️Platelets< 100x10^9 in patients receiving chemotherapy
▶️MC reason of thrombocytopenia in cancer patients ▶️Mechanism: Drug induced myelosuppression/cytotoxicity
▶️Leads to Reduced Dose Intensity⏭️poor outcome
#MedTwitter
#hemeonc
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We , The Dept of Hematology ; SGPGI are hosting this year’s Annual Conference of Molecular Pathology Association of India
#MPAICON2023
and it was a delight to meet our hematology tweeples , the amazing
@nvpatkar
and the awesome
@DrArunCMC
#hemeonc
#hemepath
#MedTwitter
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What has changed in the management of the most common Lymphoma in the world ?
Catch me live discussing the recent advances in the diagnosis and management of DLBCL
#MedTwitter
#bloodcancer
#cancer
#hematology
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Am an ardent fan of
@sci_hub_
And now of Alexandra, any law against knowledge is unjust 👍
#medtwitter
Sci-hub's
Alexandra Elbakyan responds to Nature journal.
"Any law against knowledge is fundamentally unjust".
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#HEMATOLOGYFACTS
⚡Auer &Mc Crae described Auer rods at the same time& that we dont giv McCrae due credit?
⚡Also both presumed Auer rods R seen in lymphoblasts?
⚡Though virtually pathognomonic of AML, it can also be seen in MDS-EB/ CMML2
#hematology
#hemepath
#hemeonc
#MedEd
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@nusrat_zahra
@sranna86
@mreyesm
@ERDENEROZER
@luishcruzc
@jamieswilson
@Kashifhazim
@BinXu16
@VijayPatho
@DrGeeONE
@DraEosina
@kriyer68
@TheKarenPinto
@smlungpathguy
@Patholwalker
@bansar_bansaria
@AmyHDeekenMD
@emckaymd
@amy_treece13
@PM40Doc
@vinu_balraam
@sbakhsh2
In arpckd,the cysts uniform perpendicular to cortex, kidneys retain reniform shape, usually symmetrical& arise from collecting duct.
In ADPCKD,the cysts r of varying size, the kidneys not symmetrical,the kidneys lose reniform shape, cysts anywhere in nephron
Pic courtesy:pathguy
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Such a lucid talk by
@TalhaBadarMD
on DDX41 mutated myeloid neoplasms today.
⚡️Pointers to DDX41 mutated MDS/AML
🩸male
🩸older age
🩸Macrocytic blood picture
🩸Non proliferative
🩸Hypocellular marrow
🩸Normal Karyotype
#ddx41
#leusm
#aml
#mds
#MedTwitter
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@SGottesmanMD
@kriyer68
@smlungpathguy
@DrGeeONE
@luishcruzc
@VijayPatho
@TheKarenPinto
@gonzadetoro
@Histopatolomon
Beautiful ma'am.. this is the best picture ever of leishmaniasis.. such abundant 'Marquee' sign..Thanks a ton for sharing
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Clues that our own golden stain : h&e can offer.
#pathclues
#pathology
#pathboards
@kriyer68
@smlungpathguy
@BinXu16
@pembeoltulu
@DraEosina
@hematogones
@DrAhmedKalebi
@suraksharaob
@luishcruzc
@Patholwalker
@slusagar
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Have u ever seen these on synovial fluid??
#cytopath
#cytology
.
@smlungpathguy
@GeronimoJrLapac
@pembeoltulu
@aakasharmand
@CancerCytopath
@Cytology_Nerd
@TexPathol
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Recently one of my papers got rejected! Disappointed, I was googling& stumbled on to this
@bmj
Had my share of laughter and sharing for my favourite twitterati
Rejection of the rejection letter..😉..
Hope u smile amidst all the stress we r in
#MedTwitter
#medjokes
@nihardesai7
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📌Therapy in CML has come a long way from Imatinib that made to the cover of the TIME MAGAZINE.
Let us say hi to the two new 3rd generation Tyrosine Kinase Inhibitors💊💊
1 👉OLVEREMBATINIB and
2 👉VODABATINIB
#CML
#TKI
#MedTwitter
@MedTweetorials
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⚡️limiting VEN exposure to the concurrent days of AZA (7+7 ) had similar response rates like ven for 28d.
⚡️with this 7+7 scheme&ven at 50mg with posa is going to reduce the costs immensely in India with generics for posa and ven😊
#hemeonc
#medtwitter
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@TheKarenPinto
@DrGeeONE
@VijayPatho
@luishcruzc
@BinXu16
@kriyer68
@smlungpathguy
@DraEosina
@TedFarMD
@SGottesmanMD
Oh Johnny, am sorry
I can only give a broad diagnosis of Large cell Non Hodgkin lymphoma .
The nucleoli of the cells, not wide and large to be called "Reed Sternberg "
one of my favourite table for lymphoma- Diagnostic histopathology by Fletcher.
Of course, IHC will confirm
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Granulosa cell tumour
#gynpath
#pathboards
#pathology
@kriyer68
@BinXu16
@suraksharaob
@DrRamaswamyAS
@luishcruzc
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Approach to hepatic masses.
#GIPath
Vyas M, Jain D.
A practical diagnostic approach to hepatic
m a s s e s . I n d i a n J P a t h o l M i c r o b i o l
2018;61:2-17
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Bizarre leiomyomas are so called because of the "bizarre" cells.
So how to differentiate it from leiomyosarcomas?
Here are a few helpful tips.
#gynpath
#pathology
#pathoaddict
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Peutz jegher syndrome.
#gipath
#pathboards
@kriyer68
@Patholwalker
@pembeoltulu
@DraEosina
@smlungpathguy
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Happy Doctor's day!
Special wishes to all rocking female doctors 😀
@BinXu16
@DraEosina
@SGottesmanMD
@kriyer68
@pembeoltulu
@Sara_Jiang
@EAljufairi
@AmyHDeekenMD
@suraksharaob
@DrFNA
@LouiseGracielle
@Alipathy
@AyeshaSAzam
@GraceGuzmanMD
@huda_path
@Noorsee25112566
@steland011
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Ultrasound guided FNAC of gallbladder mass, in a middle aged female..
#gipath
#cytopath
#pathology
.
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#imagesinhematology
Sharing an interesting case.
⚡13yr old male child with history of seizure disorder presented with fever& peripheral smear (shown below in a speacial stain)90% blasts
#MedTwitter
❓ syndrome?
❓Mutation
❓What is the probable type of acute leukemia?
#leusm
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⚡Mechanism of action of hydroxyurea in sickle cell disease
⚡Not only is HU is an Hb F inducer, but it also has vascular effects like ⏬endothelial activation and⏬ vasoconstriction and ⏬thrombosis .
Cheapest yet most effective drug in sickle cell disease
#SCD
#Medtwitter
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Characteristics of Triple negative breast cancers
#pathology
#BreastPath
#pathboards
@pembeoltulu
@kriyer68
@suraksharaob
@BinXu16
@appy_vashi
@GeronimoJrLapac
@smlungpathguy
@VijayPatho
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As everyone rightly said, this was a case of tuberculous ulcer, the most common cause of granulomas in India.
Large confluent granulomas, necrosis,lymphoid cuff,granulomas below the mucosa and submucosal inflammation are few pointers of tubercular etiology.
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