Hyperosmolar Hyperglycemic State (HHS) vs DKA, Hyperglycemic Nonketotic Coma Syndrome Management

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MedNerd - Dr. Waqas Fazal

MedNerd - Dr. Waqas Fazal

Күн бұрын

Hyperosmolar Hyperglycemic State (HHS) vs DKA, Hyperglycemic Nonketotic Coma Syndrome Management (HONK)
In this video on hyperosmolar hyperglycemic state i have talked in detail about management and treatment of hyperosmolar nonketotic coma(HONK) also called as HHS.I have talked about differences between HHS and DKA I have also talked about how do you manage HHS in emergency. i have discussed how do you calculate serum osmolarity and how do you correct serum osmolarity in Hyperosmolar hyperglycemic state. I have talked about dka management dka vs hhns.This video on hhs vs dka is a highly tested topic USMLE exams and US medical school exams as well as an important part of MRCP and Plab exam in UK. Nursing exams also include this topic as it is an integral part of diabetes management.
SUBSCRIBE TO MEDNERD FOR MORE INTERESTING VIDEOS
Emergency Medicine Lectures Playlist :
• Emergency Medicine Lec...
DIABETES TREATMENT STEP BY STEP: • Diabetes Mellitus Trea...
HOW TO START INSULIN THERAPY: • INSULIN TREATMENT FOR ...
DIABETIC KETOACIDOSIS MANAGEMENT: • Diabetic Ketoacidosis ...
HYPOKALEMIA CORRECTION: • HYPOKALEMIA TREATMENT ...
Status Epilepticus Management: • Status Epilepticus Eme...
Cardiac arrest Management: • CARDIAC ARREST EMERGEN...
Heart attack management: • Myocardial Infarction ...
CHAPTERS:
(0:00): Intro
(0:39) What is Hyperosmolar Hyperglycemic State
(1:44) DKA vs HHS (Diabetic ketoacidosis Vs Hyperosmolar Hyperglycemic state)
(4:59) Precipitating Factors
(5:22) Clinical Presentation
(6:05) Investigations
(7:11) How to Calculate Serum Osmolarity
(8:02) Management of Hyperosmolar Hyperglycemic Syndrome
(12:21) Resolution of HHS
(12:58) Summary
#hyperosmolarhyperglycemicsyndrome #hyperosmolarhyperglycemicnonketoticcoma #hyperosmolarnonketoticcoma #hyperosmolarhyperglycemicnonketoticsyndrome #hyperosmolarhyperglycemicstate(hhs) #hhsvsdka #managementofhyperglycemichyperosmolarstate #hyperosmolarhyperglycemicnonketoticsyndrometreatment #hhstreatmentvsdka #dkaandhhstreatment #dkavshhns #hhstreatment #howtocalculateserumosmolarity #serumosmolaritycalculationinhhs

Пікірлер: 97
@basicmedicaleducation8417
@basicmedicaleducation8417 11 ай бұрын
Perfect example of a very good teacher and great Doctor. Dr.Waqas keep it up . thank you Dr.Munir
@tamaradaka9393
@tamaradaka9393 7 ай бұрын
🙌🏾
@thehelpfuldoctor6848
@thehelpfuldoctor6848 4 ай бұрын
Hi sir,how do we manage patients with low EF for example 30-40 % with CKD with HHS or DKA…??
@elkandoussisara
@elkandoussisara Жыл бұрын
If I could press the like button twice I would have done it !!! Deeply grateful to you Doctor ❤️ love from Morocco ❤️
@ABhonestopinion12
@ABhonestopinion12 Жыл бұрын
Assalamualaikum Dr. Arshiya this side. I am glad that I found your channel on KZfaq. Your clarity in the topics and the way you explain is commendable. Keep up the great work Dr. Waqas 👍
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Жыл бұрын
Walaikmasalam and thank you very much Dr. Arshiya. I am very happy that you found my videos helpful. Keep supporting 😊
@natalieburkhardt9296
@natalieburkhardt9296 6 ай бұрын
You are a wonderful teacher, I am watching all your videos for review for my final medical exams, thank you
@hudasurve
@hudasurve 2 ай бұрын
Been struggling with this topic for so long. Thank you so much. This was really helpful!!
@ghadah9120
@ghadah9120 26 күн бұрын
You’re truly a wonderful person. Thank you from the bottom of my heart!
@kusayhamodi7757
@kusayhamodi7757 2 жыл бұрын
amazing doctor explains so good !
@prateik133
@prateik133 2 жыл бұрын
Ek no sir ji bahut badhia explaination
@jeewanrajnirola4789
@jeewanrajnirola4789 Жыл бұрын
This series of emergency medicine really helps us sir
@adelaideawuah5399
@adelaideawuah5399 11 ай бұрын
I just chanced on your channel and I must say that your videos are extremely helpful. Thank you 🙏🏾
@House_of_fun116
@House_of_fun116 Ай бұрын
No video could be better than this. It was just perfect.
@user-gw7mi8ub6n
@user-gw7mi8ub6n 2 ай бұрын
You are A G.O.A.T Dr Fazal You made Medical school less draining than it where.
@awaiskhan8753
@awaiskhan8753 Жыл бұрын
bro you're doing a great job!! best of luck .
@areebaqamar2172
@areebaqamar2172 4 ай бұрын
I wish I had found your channel earlier. Thank you for amazing lectures
@82harris72
@82harris72 3 ай бұрын
If I am going to pass my final year your videos are going to have number 1 contribution Thank you ❤
@prgamer2799
@prgamer2799 Жыл бұрын
Thank you, excellent presentation.
@Cri9931
@Cri9931 3 ай бұрын
Thank you for the lecture! Explained very good!
@stgaruba940
@stgaruba940 Жыл бұрын
Your explanation was very helpful. Thank you.
@nmkhan3057
@nmkhan3057 10 күн бұрын
One of the best medicine teacher
@mutoroannelynelinda385
@mutoroannelynelinda385 3 ай бұрын
I understood everything perfectly. Thank you
@nasinachaithanya4670
@nasinachaithanya4670 Жыл бұрын
Simply awesome doc..
@doit5568
@doit5568 2 жыл бұрын
Excellent explaination...
@dr.jarnailsingh2508
@dr.jarnailsingh2508 Жыл бұрын
Very useful information.
@bhavanapallak
@bhavanapallak 2 жыл бұрын
Excellent videos
@pamelamutizwa369
@pamelamutizwa369 Жыл бұрын
Best presentation ever 🙂
@ZahidHussain-ht4tw
@ZahidHussain-ht4tw 2 жыл бұрын
Thanks sir .... very nice Explaination 👍🙏
@BeGood2All77
@BeGood2All77 Жыл бұрын
Excellent!
@Knowledge.about-medicinee
@Knowledge.about-medicinee 2 жыл бұрын
In a Very easy way to u explained the topic sir thnku sir 👍
@mohitthakur9919
@mohitthakur9919 Жыл бұрын
many thanks for putting the effort into explaining such important topics.
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Жыл бұрын
So Nice of you 😊
@dr...6925
@dr...6925 Жыл бұрын
Excellent 👍👏 vedio sir
@belmanorachallamsuchiang2341
@belmanorachallamsuchiang2341 8 ай бұрын
Phenomenal lecture sir
@alichattha1686
@alichattha1686 2 жыл бұрын
Great video
@drshahwaizkhan9572
@drshahwaizkhan9572 Жыл бұрын
Welldone sir
@shrinivasshrinivas2832
@shrinivasshrinivas2832 9 ай бұрын
Tq so much sir for beautiful presentation i never seen this type of lecturing ❤ before
@gyanghalley4982
@gyanghalley4982 4 ай бұрын
Thank you for your great videos
@aishwaryadhawle992
@aishwaryadhawle992 2 жыл бұрын
Thankyou So much Sir. My final year exams are less than a month away, this video is a saviour.. So helpful Sir. 😊
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal 2 жыл бұрын
Good luck Aishwarya Dhawle for your exams. 😊
@anwaranwar-zl5nv
@anwaranwar-zl5nv Жыл бұрын
Congratulations
@brothersmind3415
@brothersmind3415 2 жыл бұрын
Good lectures
@katumbabruno7310
@katumbabruno7310 2 жыл бұрын
May God bless u alot sir
@haseebsheikh6551
@haseebsheikh6551 9 ай бұрын
Excellent
@marjanmathilda1475
@marjanmathilda1475 2 жыл бұрын
I appreciate your awesome lecture !
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal 2 жыл бұрын
I am glad Marjan Mathilda that you found my videos helpful. Thank you 😊
@baghagdiary
@baghagdiary Жыл бұрын
Thank you so much!!
@iqrachoudhary7278
@iqrachoudhary7278 9 ай бұрын
Very helpful videos❤
@bahiachibi895
@bahiachibi895 Жыл бұрын
Awesome thank you
@Trafie307
@Trafie307 4 ай бұрын
I am having interview tomorrow Allah bless you sir So briefly u covered everything Thank u sir thank u so much Love from UK
@anirudhsehgal4418
@anirudhsehgal4418 2 жыл бұрын
Love the way you teach...wow ❤️
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal 2 жыл бұрын
Thank you Anirudh Sehgal. Keep supporting 😊
@rajachouhan3721
@rajachouhan3721 Жыл бұрын
Thanku so much sir
@doit5568
@doit5568 2 жыл бұрын
Thank you so much sir 😌
@anwaranwar-zl5nv
@anwaranwar-zl5nv Жыл бұрын
Nice videos.
@NiwaJuli-le5zw
@NiwaJuli-le5zw 9 ай бұрын
Thanks doctor
@alynhaha13
@alynhaha13 Ай бұрын
Thank you Dr 🥹💗
@muhammadshanzaib8802
@muhammadshanzaib8802 29 күн бұрын
Thank you so much 😊
@rumjhumdatta8265
@rumjhumdatta8265 Жыл бұрын
Thank you so much sir it's so helpful
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Жыл бұрын
You're welcome 😊
@musikaaffection8570
@musikaaffection8570 4 ай бұрын
Thank you soo much sir ❤
@ziyagawas6012
@ziyagawas6012 Жыл бұрын
That’s too great teaching of u sir… going through all ur videos really helping me alott… requesting u to post video on management of different types of anemia
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Жыл бұрын
Thank you very much ziya for your kind words. Keep supporting 😊 will surely upload one on anemia.
@OMA-kz8cg
@OMA-kz8cg 8 ай бұрын
Thank you Sir
@ok6109
@ok6109 Ай бұрын
Thanks❤
@sikreyto
@sikreyto 2 жыл бұрын
you're awesome!
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal 2 жыл бұрын
Thank you Sikreyto for your kind words 😊
@melesemengesha9871
@melesemengesha9871 2 жыл бұрын
Always miss u
@hassanabdigedi4502
@hassanabdigedi4502 Жыл бұрын
thwnks
@muhammedabdulnazer7743
@muhammedabdulnazer7743 10 ай бұрын
Best
@cryspydude
@cryspydude Жыл бұрын
Treatmeny channel ❤️
@hassanshakoor2163
@hassanshakoor2163 2 жыл бұрын
Okay👍
@ezebenjamin2664
@ezebenjamin2664 8 ай бұрын
nice presentation, very well explained. But do we give 0.9% or 0.45% saline. This is HHS and its a hyperosmolar state, so hypotonic saline might be better
@rock-mr5uo
@rock-mr5uo 11 ай бұрын
🙏🏻🙏🏻
@joyitadsuja2701
@joyitadsuja2701 10 ай бұрын
Sir can you teach us about different type of joint pain, anaemia. As a intern doc I counter this type of patients regularly.
@sakiransari-fh5sm
@sakiransari-fh5sm Жыл бұрын
Assalamoalikum,lot's of love from Nepalese docs
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Жыл бұрын
Walaikmasalam... Thank you so much for your love and support 😊
@user-kg3ib3uv6e
@user-kg3ib3uv6e 2 жыл бұрын
Thanks. If pt is hypertensive how can I give fluids??
@saji5988
@saji5988 Жыл бұрын
👍👍👍👍
@isurusajith499
@isurusajith499 Жыл бұрын
Does the glucose transport in the brain is glucose dependent
@anwaranwar-zl5nv
@anwaranwar-zl5nv Жыл бұрын
Can you add treatment in place of seek help from seniors?
@amriteshkumar8391
@amriteshkumar8391 3 ай бұрын
Sir, In Our hospital we donot correct Potassium. We give Insulin only in DKA
@bhoomishp6200
@bhoomishp6200 Жыл бұрын
Sir please tell me where can I get this ppts of your class great lectures and great ppts sir can u plzz share this ppt or else like drive
@ahsanhabib3402
@ahsanhabib3402 18 күн бұрын
Sir what can i do in a hypertensive pt in fluid correction?? It rises blood pressure then what can i do??
@iqbalkhan9420
@iqbalkhan9420 Жыл бұрын
Sir i am confuse sir in case of HHS we gived insulin iv with combination NS
@50nitin93
@50nitin93 10 ай бұрын
Sir how to correct dehydration in HHS iN A heart faliure patient
@naveenreddyvasari3641
@naveenreddyvasari3641 2 ай бұрын
Glucose uptake in brain is insulin independent ,,
@halohalo5085
@halohalo5085 Жыл бұрын
Aren’t glucose transporters In brain cell insulin-independent?
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Жыл бұрын
What we have been studying in basic sciences that insulin is not need to transport glucose into the brain. Actually this is not so simple. There are many insulin sensitive receptors present in the brain. Whole glucose metabolism is disturbed in the absence of glucose. Remember this area is still under research and there are many more new things yet to come that might actually defy our older concepts. Thank you for asking 😊
@melesemengesha9871
@melesemengesha9871 2 жыл бұрын
It's better to at least 3 or more video doc if u can
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal 2 жыл бұрын
Melese Menghesha will try to upload more. 😊
@aeeshakhan1994
@aeeshakhan1994 Жыл бұрын
Thank you so very much for the immense help and ease in this stressful final year 🥹
@MedNerdDrWaqasFazal
@MedNerdDrWaqasFazal Жыл бұрын
Goodwishes for your final year. I wish you become a very brilliant doctor.
@narendrapachehra2819
@narendrapachehra2819 9 ай бұрын
Excellent
@akashkathole2942
@akashkathole2942 20 күн бұрын
Best
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