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

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.
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HOW TO START INSULIN THERAPY: • INSULIN TREATMENT FOR ...
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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
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[@basicmedicaleducation8417]

Perfect example of a very good teacher and great Doctor.
Dr.Waqas keep it up .
thank you
Dr.Munir

[@tamaradaka9393]

🙌🏾

[@thehelpfuldoctor6848]

Hi sir,how do we manage patients with low EF for example 30-40 % with CKD with HHS or DKA…??

[@elkandoussisara]

If I could press the like button twice I would have done it !!! Deeply grateful to you Doctor ❤️ love from Morocco ❤️

[@natalieburkhardt9296]

You are a wonderful teacher, I am watching all your videos for review for my final medical exams, thank you

[@rizgarali4609]

a great teacher I have ever seen in my life

[@hudasurve]

Been struggling with this topic for so long. Thank you so much. This was really helpful!!

[@ABhonestopinion12]

Assalamualaikum Dr. Arshiya this side.
I am glad that I found your channel on TH-cam. Your clarity in the topics and the way you explain is commendable.
Keep up the great work Dr. Waqas 👍

[@MedNerdDrWaqasFazal]

Walaikmasalam and thank you very much Dr. Arshiya. I am very happy that you found my videos helpful. Keep supporting 😊

[@islamwith-quran]

Sir I found your channel yesterday and learnt so much in just one day please post more and more videos. Thanks alot😊

[@nmkhan3057]

One of the best medicine teacher

[@82harris72]

If I am going to pass my final year your videos are going to have number 1 contribution
Thank you ❤

[@ghadah9120]

You’re truly a wonderful person. Thank you from the bottom of my heart!

[@areebaqamar2172]

I wish I had found your channel earlier. Thank you for amazing lectures

[@user-gw7mi8ub6n]

You are A G.O.A.T Dr Fazal
You made Medical school less draining than it where.

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This series of emergency medicine really helps us sir

[@House_of_fun116]

No video could be better than this. It was just perfect.

[@adelaideawuah5399]

I just chanced on your channel and I must say that your videos are extremely helpful. Thank you 🙏🏾

[@awaiskhan8753]

bro you're doing a great job!! best of luck .

[@kusayhamodi7757]

amazing doctor explains so good !

[@Trafie307]

I am having interview tomorrow
Allah bless you sir
So briefly u covered everything
Thank u sir thank u so much
Love from UK

[@prateik133]

Ek no sir ji bahut badhia explaination

[@mutoroannelynelinda385]

I understood everything perfectly.
Thank you

[@Cri9931]

Thank you for the lecture! Explained very good!

[@stgaruba940]

Your explanation was very helpful. Thank you.

[@prgamer2799]

Thank you, excellent presentation.

[@nasinachaithanya4670]

Simply awesome doc..

[@Knowledge.about-medicinee]

In a Very easy way to u explained the topic sir thnku sir 👍

[@ZahidHussain-ht4tw]

Thanks sir .... very nice Explaination 👍🙏

[@aishwaryadhawle992]

Thankyou So much Sir. My final year exams are less than a month away, this video is a saviour.. So helpful Sir. 😊

[@MedNerdDrWaqasFazal]

Good luck Aishwarya Dhawle for your exams. 😊

[@anwaranwar-zl5nv]

Congratulations

[@doit5568]

Excellent explaination...

[@mohitthakur9919]

many thanks for putting the effort into explaining such important topics.

[@MedNerdDrWaqasFazal]

So Nice of you 😊

[@BeGood2All77]

Excellent!

[@pamelamutizwa369]

Best presentation ever 🙂

[@gyanghalley4982]

Thank you for your great videos

[@dr.jarnailsingh2508]

Very useful information.

[@katumbabruno7310]

May God bless u alot sir

[@bhavanapallak]

Excellent videos

[@shrinivasshrinivas2832]

Tq so much sir for beautiful presentation i never seen this type of lecturing ❤ before

[@dr...6925]

Excellent 👍👏 vedio sir

[@baghagdiary]

Thank you so much!!

[@belmanorachallamsuchiang2341]

Phenomenal lecture sir

[@drshahwaizkhan9572]

Welldone sir

[@marjanmathilda1475]

I appreciate your awesome lecture !

[@MedNerdDrWaqasFazal]

I am glad Marjan Mathilda that you found my videos helpful. Thank you 😊

[@anirudhsehgal4418]

Love the way you teach...wow ❤️

[@MedNerdDrWaqasFazal]

Thank you Anirudh Sehgal. Keep supporting 😊

[@brothersmind3415]

Good lectures

[@alichattha1686]

Great video

[@narendrapachehra2819]

Excellent

[@rajachouhan3721]

Thanku so much sir

[@bahiachibi895]

Awesome thank you

[@doit5568]

Thank you so much sir 😌

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Thanks doctor

[@iqrachoudhary7278]

Very helpful videos❤

[@alynhaha13]

Thank you Dr 🥹💗

[@musikaaffection8570]

Thank you soo much sir ❤

[@muhammadshanzaib8802]

Thank you so much 😊

[@OMA-kz8cg]

Thank you Sir

[@rumjhumdatta8265]

Thank you so much sir it's so helpful

[@MedNerdDrWaqasFazal]

You're welcome 😊

[@ziyagawas6012]

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]

Thank you very much ziya for your kind words. Keep supporting 😊 will surely upload one on anemia.

[@anwaranwar-zl5nv]

Nice videos.

[@ok6109]

Thanks❤

[@melesemengesha9871]

Always miss u

[@hassanabdigedi4502]

thwnks

[@muhammedabdulnazer7743]

Best

[@hassanshakoor2163]

Okay👍

[@sikreyto]

you're awesome!

[@MedNerdDrWaqasFazal]

Thank you Sikreyto for your kind words 😊

[@ezebenjamin2664]

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

[@user-kg3ib3uv6e]

Thanks.
If pt is hypertensive how can I give fluids??

[@rock-mr5uo]

🙏🏻🙏🏻

[@cryspydude]

Treatmeny channel ❤️

[@amriteshkumar8391]

Sir, In Our hospital we donot correct Potassium. We give Insulin only in DKA

[@joyitadsuja2701]

Sir can you teach us about different type of joint pain, anaemia. As a intern doc I counter this type of patients regularly.

[@saji5988]

👍👍👍👍

[@isurusajith499]

Does the glucose transport in the brain is glucose dependent

[@sakiransari-fh5sm]

Assalamoalikum,lot's of love from Nepalese docs

[@MedNerdDrWaqasFazal]

Walaikmasalam... Thank you so much for your love and support 😊

[@anwaranwar-zl5nv]

Can you add treatment in place of seek help from seniors?

[@iqbalkhan9420]

Sir i am confuse sir in case of HHS we gived insulin iv with combination NS

[@ahsanhabib3402]

Sir what can i do in a hypertensive pt in fluid correction?? It rises blood pressure then what can i do??

[@bhoomishp6200]

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

[@naveenreddyvasari3641]

Glucose uptake in brain is insulin independent ,,

[@50nitin93]

Sir how to correct dehydration in HHS iN A heart faliure patient

[@halohalo5085]

Aren’t glucose transporters In brain cell insulin-independent?

[@MedNerdDrWaqasFazal]

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]

It's better to at least 3 or more video doc if u can

[@MedNerdDrWaqasFazal]

Melese Menghesha will try to upload more. 😊

[@aeeshakhan1994]

Thank you so very much for the immense help and ease in this stressful final year 🥹

[@MedNerdDrWaqasFazal]

Goodwishes for your final year. I wish you become a very brilliant doctor.

[@haseebsheikh6551]

Excellent

[@akashkathole2942]

Best