Dr. Abhishek Shukla today explained what happens when uric acid levels increase in the body. Elevated uric acid, also called hyperuricemia, can lead to the formation of urate crystals, which deposit in joints, tissues, and sometimes the kidneys. Over time, these deposits can cause inflammation, pain, and swelling, most commonly in the big toe, but also in other joints such as the ankles, knees, and wrists. He highlighted that high uric acid levels do not always cause immediate symptoms, which is

Dr. Abhishek Shukla explained the critical management of a patient presenting in the emergency at night in an unconscious, drowsy state with a high pulse rate (tachycardia of 170–180/min), low SpO₂, hypotension, and signs of hypoxia. The clinical picture immediately suggests shock, and the first priority in all such cases is to stabilize the patient. This begins with shifting the patient to assisted and controlled ventilation to maintain oxygenation. If there is room to administer fluids, a bolu