ESTRELLA Maria Rita MARTINEZ MD

Humanitarian, Physician [Int Medicine, Medical Oncology, Hematology, Addiction Recovery Coach] Historian, Educator, Vegan,& POET. Top Expert on DAILY ROUNDS APP

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

"LORD, MAKE ME AN INSTRUMENT OF YOUR PEACE.....this glorious prayer was found over 100 years ago, lain upon the sand of a Normandy beach, following the horrors of WW1 warfare.....written… https://t.co/NNtFvFJF6r

[CardiovascularCorner @TrackYourHeart]

A 20 year old man presented with pleuritic chest pain and shortness of breath. No history of trauma. What is the likely diagnosis?

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

@TrackYourHeart WHAT A RIGHT SIDED PNEUMOTHORAX

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

@MedicoNotes Very very nice

[MedicoNotes @MedicoNotes]

🧠 Aphasia Localization Made Easy

⸻

1️⃣ Broca Aphasia

➊ Non-fluent (expressive) aphasia

➋ Good comprehension

➌ Poor repetition

➍ Patient aware and frustrated

📍 Location:
• Inferior frontal gyrus (Broca area)
• Dominant hemisphere

💡 High-Yield Pearl:
Knows what to say, but can’t get it out.

⸻

2️⃣ Wernicke Aphasia

➊ Fluent speech

➋ Poor comprehension

➌ Poor repetition

➍ Unaware of deficit

📍 Location:
• Posterior superior temporal gyrus
• Dominant hemisphere

💡 High-Yield Pearl:
Speech flows, but meaning goes.

⸻

3️⃣ Conduction Aphasia

➊ Fluent speech

➋ Good comprehension

➌ Poor repetition

➍ Aware of deficit

📍 Location:
• Arcuate fasciculus

💡 High-Yield Pearl:
Understands and speaks well, but cannot repeat.

⸻

4️⃣ Global Aphasia

➊ Non-fluent speech

➋ Poor comprehension

➌ Poor repetition

➍ Poor naming

📍 Location:
• Large dominant MCA territory lesion

💡 High-Yield Pearl:
Everything is affected — speaking, understanding, and repeating.

⸻

5️⃣ Anomic Aphasia

➊ Fluent speech

➋ Good comprehension

➌ Good repetition

➍ Poor naming

📍 Location:
• Temporoparietal region

💡 High-Yield Pearl:
Knows what it is, but can’t find the word.

⸻

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#Neurology #Aphasia #Stroke #MedicalEducation #MedEd

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

"THE EYES NEVER LIE AND TEARS ARE A UNIVERSAL LANGUAGE...the TERROR this victim of your appetite is feeling, is REAL & PALPABLE....& IF you paid a serial killer to murder them, you are complicit....STOP being an accomplice to these ATROCITIES, & LIVE AS A VEGAN. (AFF)

[Ahmed Bennis MD 🫀 @drbennisahmed]

Don’t chase aldosterone levels to decide who gets an MRA in HFpEF.

Check renin instead.

Renin <21 mU/L → high-sodium, hypertensive phenotype → may derive outsized benefit from combo MRA + SGLT2i therapy

Precision medicine in HF is getting real. 🎯

#MedTwitter #HeartFailure

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

🫀🫀WRITTEN 3000 YEARS AGO & TOUTED AS WORLD'S LONGEST POEM -- THESE WORDS RING ETERNAL: BE AT PEACE.....LET GO OF ANTICIPATION, & LET GOD TAKE THE REIGNS..... LET GO OF ANGST & INDECISION, & BE ONE WITH ALL THAT IS GOOD, DEVOTED & EMBELLISHED THROUGH LOVE.....

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

NEJM Clinician: NEJM Journal Watch General Medicine Year in Review 2024 https://t.co/r2t4OHaEi1

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

@TrackYourHeart D. Eosinophilic Esophagitis

[CardiovascularCorner @TrackYourHeart]

A 32-year-old man with food impaction after eating a pizza roll undergoes upper endoscopy (image shown) after bolus removal.

This finding is associated with:
A. Gastroesophageal reflux disease
B. Crohn's disease
C. Barrett's esophagus
D. Eosinophilic esophagitis

[MedicoNotes @MedicoNotes]

💡 Guide to Hypothyroidism Management

⸻

1️⃣ Clinical Features

🔹 Common Symptoms
➊ Cold intolerance
➋ Fatigue
➌ Weight gain
➍ Constipation
➎ Bradycardia
➏ Mental slowing

⸻

📚 Visit our website to download our new Endocrinology Book:

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[Dr. Andreas Roeschl @ecgandrhythmRoe]

A 60 yo man with chest pain. What do you see? 50 mm/s, rhythm strip 25 mm/s!

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

BELIEVE IN YOURSELF. ALWAYS. REGARDLESS OF OUR CHOICES, & THEIR CONSEQUENCES -- BE GENTLE & PATIENT WITH LIFE'S SEEMINGLY MERCILESS TWISTS & TURNS, & DESPITE THE PAIN ENDURED -- LOVE CONSUMMATELY, EACH & EVERY DAY....

[ESTRELLA Maria Rita MARTINEZ MD @ESTRELLAMariaR4]

PAIN IS A POWERFUL TEACHER