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@postcallcomics

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Post-Call Comics 🇲🇾
Real cases, drawn
Evidence cards with the sources shown
New comic every [day]
Not medical advice
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New guideline drops. Four panels, weekly Guidelines and landmark papers, drawn out in four panels. Save it, use it on your next shift Evidence-based medicine, minus the PDF. Follow so the next one finds you Tag the one who needs this one Which guideline should I draw next? Drop it below #MedEd #MedicalEducation #MedTwitter #MedComics #doctor by @postcallcomics
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a month ago
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Walk, lift or tai chi… which actually builds bone? 🦴 📄 BMJ 2026 (Lu et al.): 124 trials, 18,429 adults aged 40+ 🥇 Brisk walking or jogging: the only type that helped all 3 sites (spine, hip, femoral neck) ⏱️ About 2–3 hours a week. Sedentary? Start with 10-minute walks 🦴 No exercise type raised fracture risk 📘 Singapore ACE 2025: add strength and balance work ⚠️ Past spine fracture? UK consensus 2022: keep to brisk-walking level, about 20 min a day #DrFishPapers #Osteoporosis #BoneHealth #ExerciseIsMedicine #EmergencyMedicine by @postcallcomics
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8 days ago
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Sugar, kidney, heart… one disease? 🫀🫘🍬 Diabetes, CKD and heart disease share one root: CKM syndrome. Follow one patient through 6 months 👇 1️⃣ Name it: CKM stage 0–4 2️⃣ Measure: eGFR + urine albumin every year 3️⃣ Foundation: lifestyle + max RASi + SGLT2i 4️⃣ Still leaking albumin? Add semaglutide or finerenone 5️⃣ One point person, one plan Swipe to follow him 👉 Save for your next clinic 🔖 📄 Rangaswami J et al. Nat Rev Nephrol 2026 · AHA/ACC/ADA/ASN CKM Guideline 2026 #DrFishPapers #CKMSyndrome #Nephrology #FOAMed #MedEd by @postcallcomics
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12 days ago
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Sepsis, The golden hour… still golden? ⏱️ Follow one septic shock patient through his first 6 hours, step by step ① Cultures + lactate, but never delay antibiotics ② Antibiotics: shock → within 1 h; possible sepsis → work-up, ≤3 h ③ Fluids: 30 mL/kg is a start, then ask "will it help?" ④ Pressors early, even through a peripheral line ⑤ Pus out within 6 h 👉 Save for your next resus #DrFishGuidelines #Sepsis #EmergencyMedicine #FOAMed #MedEd by @postcallcomics
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12 days ago
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Gallstones fixed… and the fatty liver? 🫀➡️🧈 1 in 4 Malaysian adults has fatty liver. Most are never checked. AGA 2026 in 4 steps 👇 1️⃣ FIB-4 for T2DM, or overweight + a metabolic risk factor 2️⃣ FIB-4 ≥1.3 → FibroScan (≥8 kPa) or ELF (≥9.2) 3️⃣ High risk → hepatology; semaglutide or resmetirom 4️⃣ Retest at 1 year: stiffness down ≥30% = responding Swipe for the full pathway 👉 Save it for clinic 🔖 📘 Kanwal F et al. Gastroenterology 2026;171:164 #DrFishGuidelines #MASLD #FattyLiver #FOAMed #MedEd by @postcallcomics
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17 days ago
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Cramps, nausea, no appetite… just the surgery? 🤔 Mg : 0.62 mmol/L, and on long-term omeprazole. 5 things to remember 👇 1️⃣ Read Mg with symptoms, cause and trend 2️⃣ K or Ca won't correct? Check Mg 3️⃣ PPIs, diuretics, digoxin = most-missed causes 4️⃣ <0.4, or <0.5 with symptoms/ECG changes → same day 5️⃣ Fix the cause first, then replace Swipe for the full guide 👉 Save it for your next shift 🔖 📄 #DrFishPapers #FOAMed #EmergencyMedicine #MedEd #Hypomagnesemia by @postcallcomics
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19 days ago
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by @postcallcomics
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22 days ago
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SGLT2i ketoacidosis: rare ≠ never. 💊 282,282 patients, Lancet Diabetes Endocrinol 2026: 🩸 HbA1c ≥9.7%: >15× odds 🌡️ Infection in 31.8% of cases 📅 Risk persists beyond 180 days Sick patient on a 'flozin'? Check ketones, even at normal glucose. Acute illness? Pause it. 📌 Save · 📤 Send to your ED team 椰子皮 #FOAMed #EmergencyMedicine #Diabetes #DKA #MedEd by @postcallcomics
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23 days ago
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Doubling the dose = +1.5 mmHg. Adding a 2nd drug = +6. 💊 79% of single BP drugs at standard dose are low intensity (Lancet 2025). Add, don't double. 🧮 Free tool: bpmodel.org 🚨 Bonus: severe HTN + stroke BP targets 📌 Save · 📤 Send to a colleague #FOAMed #EmergencyMedicine #Hypertension #MedEd #MedStudent by @postcallcomics
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24 days ago
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SK, TNK or alteplase — which one, when? 🧐 2026 guidelines in 4 swipes 👉 One wrong vial = brain bleed. 📌 Save for your next shift 🔁 Send to your MO/HO 💬 Your ED: SK or TNK? Education only · follow local protocol #EmergencyMedicine #FOAMed #Thrombolysis #DoktorMalaysia #DrFishGuidelines by @postcallcomics
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24 days ago
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Stop writing "type 2 MI" The Fifth Universal Definition replaced all seven numbered types with three words: primary, secondary, procedure-related Secondary MI now needs proof — obstructive CAD or a new wall-motion abnormality. Most troponin rises in sepsis, bleeding or fast AF won't meet it That's acute myocardial injury. Not MI. Swipe → Tag the colleague who still writes type 2. #EmergencyMedicine #Cardiology #FOAMed #MedEd #ECG by @postcallcomics
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a month ago
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You cannot catch scabies from a handshake. You can catch it from holding hands. It has nothing to do with being dirty. Around 200 million people have it right now. The itch starts 2 to 6 weeks after you catch it. You're contagious that whole time. One person has it? Everyone in the house gets treated the same day. Even the ones with no rash Swipe → Send this to whoever you live with #PublicHealth #Scabies #SkinHealth #HealthAwareness #Malaysia by @postcallcomics
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a month ago
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