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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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 ...
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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 ❤️

[@nmkhan3057]

One of the best medicine teacher

[@natalieburkhardt9296]

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

[@hudasurve]

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

[@mahnoorriazkhan5357]

Crystal clear concepts. We need more videos like these.

[@rizgarali4609]

a great teacher I have ever seen in my life

[@ArshBstudyplaylife]

Assalamualaikum Dr. Arshiya this side.
I am glad that I found your channel on CZcams. 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😊

[@ghadah9120]

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

[@House_of_fun116]

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

[@82harris72]

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

[@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.

[@awaiskhan8753]

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

[@adelaideawuah5399]

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

[@kusayhamodi7757]

amazing doctor explains so good !

[@jeewanrajnirola4789]

This series of emergency medicine really helps us sir

[@mutoroannelynelinda385]

I understood everything perfectly.
Thank you

[@Cri9931]

Thank you for the lecture! Explained very good!

[@prateik133]

Ek no sir ji bahut badhia explaination

[@prgamer2799]

Thank you, excellent presentation.

[@stgaruba940]

Your explanation was very helpful. Thank you.

[@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

[@baghagdiary]

Thank you so much!!

[@nasinachaithanya4670]

Simply awesome doc..

[@shrinivasshrinivas2832]

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

[@Knowledge.about-medicinee]

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

[@gyanghalley4982]

Thank you for your great videos

[@pamelamutizwa369]

Best presentation ever 🙂

[@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 😊

[@dr.jarnailsingh2508]

Very useful information.

[@katumbabruno7310]

May God bless u alot sir

[@bhavanapallak]

Excellent videos

[@bahiachibi895]

Awesome thank you

[@musikaaffection8570]

Thank you soo much sir ❤

[@dr...6925]

Excellent 👍👏 vedio sir

[@muhammadshanzaib8802]

Thank you so much 😊

[@BeGood2All77]

Excellent!

[@doit5568]

Thank you so much sir 😌

[@belmanorachallamsuchiang2341]

Phenomenal lecture sir

[@NiwaJuli-le5zw]

Thanks doctor

[@narendrapachehra2819]

Excellent

[@alynhaha13]

Thank you Dr 🥹💗

[@alichattha1686]

Great video

[@rajachouhan3721]

Thanku so much sir

[@drshahwaizkhan9572]

Welldone sir

[@marjanmathilda1475]

I appreciate your awesome lecture !

[@MedNerdDrWaqasFazal]

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

[@iqrachoudhary7278]

Very helpful videos❤

[@ok6109]

Thanks❤

[@OMA-kz8cg]

Thank you Sir

[@anirudhsehgal4418]

Love the way you teach...wow ❤️

[@MedNerdDrWaqasFazal]

Thank you Anirudh Sehgal. Keep supporting 😊

[@brothersmind3415]

Good lectures

[@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.

[@ahsanhabib3402]

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

[@amriteshkumar8391]

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

[@rumjhumdatta8265]

Thank you so much sir it's so helpful

[@MedNerdDrWaqasFazal]

You're welcome 😊

[@anwaranwar-zl5nv]

Nice videos.

[@hassanabdigedi4502]

thwnks

[@melesemengesha9871]

Always miss u

[@user-kg3ib3uv6e]

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

[@akashkathole2942]

Best

[@hassanshakoor2163]

Okay👍

[@isurusajith499]

Does the glucose transport in the brain is glucose dependent

[@iqbalkhan9420]

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

[@sikreyto]

you're awesome!

[@MedNerdDrWaqasFazal]

Thank you Sikreyto for your kind words 😊

[@cryspydude]

Treatmeny channel ❤️

[@rock-mr5uo]

🙏🏻🙏🏻

[@50nitin93]

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

[@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]

👍👍👍👍

[@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

[@sakiransari-fh5sm]

Assalamoalikum,lot's of love from Nepalese docs

[@MedNerdDrWaqasFazal]

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

[@naveenreddyvasari3641]

Glucose uptake in brain is insulin independent ,,

[@anwaranwar-zl5nv]

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

[@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

[@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

[@muhammedabdulnazer7743]

Best