Dr Pushkar MD on Instagram: "Approach to Cyanosis: Think time, type, and tips 👀💙 Onset since birth? → Suspect congenital heart disease Central vs peripheral? → Warming abolishes peripheral, not central Clubbing present? → Think long-standing R→L shunt or chronic lung disease ABG unclear? → Check PaO₂, SaO₂ & abnormal Hb (metHb, sulfHb) A bedside sign. A structured approach. A lifesaving diagnosis. #medicinewithdrpushkar #viral #trend"
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Exército Brasileiro on Instagram: "🤔 Você sabe quem eu sou⁉️ 🧐 E studo diariamente 📚 R elembrando tudo que aprendi ✅ R epetindo incessantemente 💯 A té atingir a perfeição 🙌 R esguardando nossos paraquedistas ❌ N ão admito falhas 🆘 U m único erro pode ser fatal 💪 N enhum obstáculo me desmotiva 🔛 C ada salto exige minha atenção 🪂 A té toda a Brigada aterrar segura em solo‼️ 🫵 Se você já sabe quem eu sou, comente aí qual é o lema da minha tropa 👇. #BraçoForte #MãoAmiga #EBsemprePronto #
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I know, we have seen it before. becouse it's then, and we are now, and then as now. becouse it's then already. memory folds in on itself as it's rewritten in the recollection. access is conditional, parts are erased. most is erased. fragments remain that can be assembled but when being assembled are susceptible to distortion. look with the peripheral, not at, don't judge just let it be. my vision of the past. unfolds
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