Dr. Ibrahim

MD

[Dr. Ibrahim @Dr10101]

🚨 Think all T-wave changes look the same? Think again! 📈

Peaked T waves? Think hyperkalemia. Broad, bulky T waves? Don’t miss early MI!

We’ve put together a simple visual guide to help you spot the differences

#ECG #Cardiology #InternalMedicine #MedicalStudents #USMLE

[Dr. Ibrahim @Dr10101]

Recommended initial empiric Abx for HAP &
VAP

[Dr. Ibrahim @Dr10101]

"3" sign : Coarctation region in CoA + post-stenotic dilation of descending aorta
#MedTwitter
#MedED
#MedX
#radiology
#cardiology

[Dr. Ibrahim @Dr10101]

Short term Memory/concentration issues

Muscle pain

Multi-Joint pain (no swelling/redness)

New, severe headaches

Cervical and/or axillary Tender lymph nodes

Recurring sore throat

#MedEd
#MedX

[Dr. Ibrahim @Dr10101]

Consider diagnosing CFS if three met:

Severe chronic fatigue lasting ≥6 consecutive months, not due to exertion or other conditions (after diagnostic tests)

Fatigue disrupts daily activities & work

4+ of these symptoms:

Postexertion malaise >24 hrs

Unrefreshing sleep

[Dr. Ibrahim @Dr10101]

Atypical bacteria :

My Cat Loves Quiet Time
- Mycoplasma
- Chlamydia
- Legionella
- Q fever (Coxiella)
- Tularemia (Francisella)

#MedicalEducation
#MedX

[Dr. Ibrahim @Dr10101]

P - Patau Syndrome

T - Turner Syndrome

V - VACTERL Association

W - Williams Syndrome

[Dr. Ibrahim @Dr10101]

"A Big Cat Dared Everyone For More Nice Puzzles To View"

A - Alagille Syndrome

B - Beckwith-Wiedemann Syndrome

C - CHARGE Syndrome

D - Down Syndrome

D - DiGeorge Syndrome

E - Edwards Syndrome

F - Fetal Alcohol Syndrome

M - Marfan Syndrome

N - Noonan Syndrome

[Dr. Ibrahim @Dr10101]

#Cardiology #MedTwitter #medicine

[Dr. Ibrahim @Dr10101]

4/ Advanced stages show:

Anisocytosis

Poikilocytosis like pencil or cigar cells

5/ Bone marrow biopsy is rarely needed; if done, it shows absent iron in precursors (Prussian blue stain). Platelet counts may rise but stay under 800K/mcL.

#MedTwitter #Hematology

[Dr. Ibrahim @Dr10101]

1/ Iron deficiency develops in 3 stages:

Stage 1: Depletion of iron stores, no anemia.

Stage 2: Anemia with normal RBC size (MCV).

Stage 3: Anemia with reduced RBC size (low MCV).

[Dr. Ibrahim @Dr10101]

3/ As iron deficiency progresses:

Serum iron drops <30 mcg/dL.

Transferrin increases, but saturation falls <15%.

Microcytosis (small RBCs) and hypochromia (pale RBCs) appear.

[Dr. Ibrahim @Dr10101]

@IhabFathiSulima Primary Hyperparathyroidism?

[Dr. Ibrahim @Dr10101]

@IhabFathiSulima Non-rebreather mask

[Dr. Ibrahim @Dr10101]

#MedX #MedEd #FOAMS #FOAMed #Clinic

[Dr. Ibrahim @Dr10101]

A Acute pericarditis
B. Aortic dissection
C. Papillary muscle rupture
D. Pericardia! effusion
E. Pulmonary infarction
F. Recurrent ischemia
G. Right ventricular infarction
H. Ventricular aneurysm
I. Ventricular free wall rupture

#MedEd #MedX

[Dr. Ibrahim @Dr10101]

Examination:Temperature: 36.6°C (97.8°F)Blood pressure: 100/67 mm HgPulse: 67/min, regularBilateral crackles in lower lung fields,Displaced apical impulse to the left & Faint systolic murmur over the apex

#MedEd #MedX

[Dr. Ibrahim @Dr10101]

ECG: Normal sinus rhythm, deep Q waves in leads I, aVL, and V2-V5, 2-mm ST-segment elevation unchanged from 2 months ago

What is the most likely underlying cause of this patient's symptoms?

#MedEd #MedX

[Dr. Ibrahim @Dr10101]

History:60-year-old man2 weeks of progressive exertional dyspnea and fatigueDifficulty sleeping, severe shortness of breath with minimal activityNo chest pain, syncope, cough, or extremity edemaPrevious anterior wall myocardial infarction 2 months ago, no revascularization
#MedEd