Director, Internal Medicine & Infectious Diseases, Max Super Speciality Hospital, Saket
ID: DMC-12876
Delhi Medical Council (DMC) & Medical Council of India (MCI)
Dr. Rommel Tickoo is the Director of Internal Medicine at Max Super Speciality Hospital, Saket, New Delhi. With over 24 years of experience in adult primary care, infectious disease management, routine screenings, and fever diagnostics, he reviews mediguide4u preventive care and vaccination protocols.
Internal Medicine, Infectious Diseases, Preventive Health Screenings, Adult Vaccines
24+ Years Clinical Practice & Inpatient Hospital Care
Director, Department of Internal Medicine, Max Super Speciality Hospital, Saket, New Delhi
“Clinical Spectrum, Antimicrobial Resistance Patterns, and Procalcitonin Kinetics in Adult Sepsis and Fever of Unknown Origin”
Institution: Maulana Azad Medical College (MAMC), University of Delhi
Postgraduate medical dissertation evaluating comparative diagnostic accuracy of serum procalcitonin versus C-reactive protein in guiding early antimicrobial stewardship and preventing multidrug-resistant bacteremia.
Dr. Tickoo has zero financial relationships with pharmaceutical companies. All reviews are based on CDC, WHO, and Indian consensus guidelines.
Verified for medical accuracy, safety guidelines, and clinical evidence.
Preventive CarePreventive screening protocols detect cardiovascular, oncological, and metabolic conditions long before symptoms appear. Review the official USPSTF and CDC clinical recommendations for blood pressure, lipid panels, cancer screenings, metabolic checks, and immunizations across every adult decade.
VaccinationImmunization is not just for children. As adults age, antibody titers from childhood vaccines wane, and immunosenescence weakens adaptive immune surveillance. Explore the official CDC Advisory Committee on Immunization Practices (ACIP) adult schedule—including Tdap boosters, Shingrix shingles protection, conjugate pneumococcal vaccines, and recombinant HPV guidelines.
Preventive CareColorectal Cancer (CRC) is the second leading cause of cancer-related mortality in adults, yet it is one of the most preventable malignancies. Explore current USPSTF guidelines recommending screening start at age 45, the adenoma-to-carcinoma progression sequence, comparative accuracy of optical Colonoscopy vs. non-invasive Stool DNA (FIT-DNA / Cologuard), and bowel prep protocols.
Preventive CareRoutine diagnostic blood panels provide a vital biochemical window into hematological, renal, hepatic, and metabolic homeostasis. Explore the clinical interpretation of the Complete Blood Count (CBC with differential), Comprehensive Metabolic Panel (CMP 14), standard vs. functional reference ranges, and critical flag triggers.
Preventive CareSkin cancer is the most commonly diagnosed malignancy worldwide, encompassing non-melanoma skin cancers (Basal Cell Carcinoma and Squamous Cell Carcinoma) and highly aggressive Cutaneous Melanoma. Explore the dermatological ABCDE diagnostic criteria, dermoscopic patterns, the 'Ugly Duckling' sign, Breslow depth prognostic staging, and evidence-based photoprotection.
VaccinationHerpes Zoster (Shingles) is an excruciating, dermatomal viral reactivation disease that affects 1 in 3 adults during their lifetime. Explore the molecular immunology of the recombinant adjuvanted zoster vaccine (Shingrix), the CDC 2-dose intramuscular schedule for adults aged ≥50, clinical prevention of postherpetic neuralgia (PHN), and anticipated reactogenicity.
VaccinationHuman Papillomavirus (HPV) is the most common sexually transmitted infection worldwide and the direct causative agent of >90% of cervical, anal, oropharyngeal, penile, and vulvar/vaginal cancers. Explore the molecular viral oncoproteins (E6/E7), the 9-valent recombinant vaccine (Gardasil-9), CDC age recommendations (routine ages 9–12 through age 26, and 27–45 via shared clinical decision), and long-term real-world safety.
Vaccination*Streptococcus pneumoniae* (pneumococcus) is a virulent Gram-positive pathogen responsible for severe community-acquired pneumonia, bacteremia, and meningitis in older adults and immunocompromised individuals. Explore the updated CDC ACIP adult pneumococcal guidelines, the difference between conjugate (PCV15, PCV20) and polysaccharide (PPSV23) vaccines, T-cell dependent immune memory, and clinical decision algorithms.
Preventive CareHigh-sensitivity C-reactive protein (hs-CRP) is an acute-phase reactant synthesized by the liver in response to inflammatory cytokines (IL-6, TNF-alpha), serving as a powerful independent biomarker of vascular atherosclerosis and cardiovascular event risk. Understand clinical risk tiers (<1.0, 1.0–3.0, >3.0 mg/L), statin anti-inflammatory effects (JUPITER trial), and lifestyle interventions.
Preventive CareA Coronary Artery Calcium (CAC) scan is a low-dose, non-contrast gated chest CT that directly quantifies calcified atherosclerotic plaque in the coronary arteries. Understand Agatston score interpretation (0 = 'power of zero,' 1–99, 100–399, ≥400), radiation safety, and how CAC results guide personalized statin and aspirin therapy decisions.
Preventive CareVitamin D3 and Vitamin K2 operate in an essential biochemical partnership to manage calcium homeostasis. While D3 increases intestinal calcium absorption, K2 activates vitamin K-dependent proteins—osteocalcin to bind calcium into bone matrix and Matrix Gla Protein (MGP) to prevent arterial and soft tissue calcification. Review MK-4 vs. MK-7 forms, optimal dosing ratios, and cardiovascular implications.
VaccinationMeningococcal disease caused by *Neisseria meningitidis* is a devastating bacterial infection that can cause fatal meningitis or purpura fulminans septicemia within 24 hours. Understand the two complementary vaccines (Quadrivalent MenACWY and Serogroup MenB), standard adolescent CDC vaccination timelines (ages 11–12 and 16 booster), college dormitory risks, and clinical symptom recognition.
VaccinationThe Tdap vaccine protects against three potentially fatal bacterial exotoxin diseases: Tetanus (*Clostridium tetani*), Diphtheria (*Corynebacterium diphtheriae*), and Pertussis / Whooping Cough (*Bordetella pertussis*). Review standard 10-year adult booster intervals, essential maternal immunization during weeks 27–36 of each pregnancy, cocooning strategies for newborns, and emergency dirty wound prophylaxis.
