Dr. Operculum

'The brain is the most important organ' -the brain | The imaginary doctor living rent free at @voxavita | Views be those of a laughing skeleton | Not med advice

[Dr. Operculum @DrOperculum]

When times get hard, when your busy service is going late into the night, or you're doing your 5th overnight admission & consult-

remember that at the end of the day, you get to go home-

the patients don't,
and some never do.

🫂 #medicine #compassion

13/

[AJNR @TheAJNR]

#AJNRcc >> March 13, 2023 >> What is the diagnosis for this 44-year-old woman with acute onset of confusion, headache, and comprehensive aphasia? Submit your answer at https://t.co/RTHzpVGXte

[Dr. Operculum @DrOperculum]

To ALL #medstudents in the @TheNRMP #Match2023, 🎉🙌 CONGRATULATIONS and THANK YOU for your dedication! Even if you didn't get the specific specialty/location you wanted or if you'll be in #SOAP2023, you have worked hard and gone through immense ordeals, and deserve recognition!

[Dr. Operculum @DrOperculum]

😂😂😂

[Clement Lee, MD, MSc @ClementLeeMD]

when I get an admission page

[Daniel Gewolb, MD @daniel_gewolb]

Vertebra plana (flat vertebra) in this patient with Langerhans Cell Histiocytosis (LCH)

LCH is the most common cause of vertebral plana in children

Ddx:
▶️lymphoma
▶️leukemia
▶️Mets
▶️Multiple Myeloma
▶️infection
▶️fracture
#neurotwitter #peds #radres @RSNA @The_ASPNR

[Nature Reviews Disease Primers @DiseasePrimers]

Tension-type #headache is the most prevalent neurological disorder worldwide and is characterized by recurrent headaches of mild to moderate pain intensity.

https://t.co/FOjBo38JGk

[XRP Ledger Announces @XRPL__A]

Huge carotid ulcer with symptomatic TIA & ~70% stenosis. (yellow arrow-mouth & throat of ulcer). (Hatched areas plaque). Blue curve- estimated outer layer of left carotid artery. Unwilling for Endarterectomy

[Lyell Jones MD @LyellJ]

#ContinuumCase, plot twist edition:

A 28 year old PGY2 neurology resident is asked by her attending to review 2 scans and determine the diagnosis: Alzheimer disease (AD) or dementia with Lewy bodies (DLB).

What should she say, #neurotwitter?🧵

[Journal of Brown Hospital Medicine @BrownJHM]

A 65 year old female with underlying diabetes & hypertension presented with involuntary movements over left side of body. A CT scan was obtained. What is the likely diagnosis? (Image @Radiopaedia, case by Sze Yuen Lee) #medtwitter

[Casey Albin, MD @caseyalbin]

11/
Take away here??

Well, I’m no movement disorders specialist, but I came away with a very healthy skepticism of the clinical utility of DAT-SPECT scans!!

Loved and learned so much from this article in @ContinuumAAN #BaijayantaMaiti #JoelPerlmutter
https://t.co/pobowaOVmh

[Dr. Operculum @DrOperculum]

🧫 Naegleria fowleri 🧠
#neuronews
BBC News - Florida resident dies from brain-eating amoeba
https://t.co/Jb83xXjpm0

[NeuroTox @neuro_tox]

🧪🌬🧠 Great new resource on #NITROUSOXIDE drug use toxicity (aka laughing gas, whippets) for myeloneuropathy treatment! Chronic N2O toxicity occurs via vitamin B12 inactivation (irreversible cobalt atom oxidation), so it makes sense tx focuses on B12 supplementing! #neurotoxins

[Lyell Jones MD @LyellJ]

Neuroimaging #ContinuumCase (trying to keep up with @caseyalbin!)

A patient with IDH wild-type glioblastoma undergoes chemoradiotherapy. At 2 months, the left frontal tumor looks a bit worse

Is this tumor progression #neurotwitter, or an effect of treatment?🧵

[Journal of Brown Hospital Medicine @BrownJHM]

A 60 year old woman was sent for further imaging after the radiologist noticed an abnormality while imaging her thyroid. What is the finding? (Image @Radiopaedia, case by Dr Ian Bickle) #Medtwitter

[Neurology: Clinical Practice @NeurologyCP]

Intimal sarcoma is an extremely rare cause of large vessel obstruction stroke and can be identified by a routine histopathologic analysis of all embolectomy specimens. Learn more: https://t.co/a1Q6TbaAID

#NeuroTwitter

[David Juurlink @DavidJuurlink]

A recent case got me thinking about diagnostic reasoning in difficult cases when a dozen things are evolving simultaneously.

You've heard about Occam's razor and Hickam's dictum, but what about Crabtree's bludgeon?

Short 🧵

/1

[Dr. Operculum @DrOperculum]

🤯 Incredible visualization!

[Journal of Brown Hospital Medicine @BrownJHM]

Blood draining into the SVC from the upper extremities @CardioSurgPost #MedEd #Medtwitter

[Dr. Operculum @DrOperculum]

OMG this is amazing! Never seen anything like it before! ����

[Paul @paulgamboad]

solving knots

[Alastair McAlpine, MD @AlastairMcA30]

A reminder that if you’re sick with ANYTHING and find it hard to breathe, call an ambulance.
DO NOT pay someone $1500 for vitamins. (This particular grift courtesy of a physician who really should know better).