𝕄𝕒𝕟𝕦𝕖𝕝𝔼𝕙𝕞𝕒♕︎🩺

Full-stack Developer and Senior Javascript Software Engineer & Medical student (Neurology)🩺🎓

[𝕄𝕒𝕟𝕦𝕖𝕝𝔼𝕙𝕞𝕒♕︎🩺 @EmmanuelMalach9]

𝘐𝘛 𝘐𝘚 𝘛𝘏𝘌 𝘞𝘈𝘠 𝘠𝘖𝘜 𝘚𝘌𝘌 𝘈𝘕𝘋 𝘝𝘈𝘓𝘜𝘌 𝘠𝘖𝘜𝘙𝘚𝘌𝘓𝘍, 𝘛𝘏𝘈𝘛'𝘚 𝘏𝘖𝘞 𝘠𝘖𝘜'𝘓𝘓 𝘛𝘙𝘌𝘈𝘛 𝘗𝘌𝘖𝘗𝘓𝘌...
𝘛𝘩𝘦 𝘮𝘰𝘮𝘦𝘯𝘵 𝘺𝘰𝘶 𝘳𝘦𝘢𝘭𝘪𝘴𝘦 𝘱𝘦𝘰𝘱𝘭𝘦 𝘢𝘳𝘦 𝘪𝘯 𝘸𝘢𝘳 𝘸𝘪𝘵𝘩 𝘵𝘩𝘦𝘮𝘴𝘦𝘭𝘷𝘦𝘴 𝘢𝘯𝘥 𝘯𝘰𝘵 𝘺𝘰𝘶,𝘪𝘴 𝘧𝘳𝘦𝘦𝘥𝘰𝘰𝘮.

[𝕄𝕒𝕟𝕦𝕖𝕝𝔼𝕙𝕞𝕒♕︎🩺 @EmmanuelMalach9]

@A25ma22 Is the PDF available

[Aremo David @Hon_aremo]

When I started Obstetrics and Gynaecology (O&G), I thought it was just about pregnancy and delivery.

My ignorance was truly beautiful. 😂💔

I was there thinking,

“A woman gets pregnant, carries the baby for nine months, delivers, and everybody goes home happy.”

Then O&G opened the first lecture slide and I realized I had underestimated an entire specialty. 😭😂

First, they introduce the menstrual cycle.

Hormones start rising.

Other hormones start falling.

Some hormones stimulate other hormones.

Those hormones now inhibit another set of hormones.

At some point, everybody is regulating everybody.

The hormones are having more meetings than the government. 😂💔

Then comes pregnancy.

I thought pregnancy was one topic.

Only to discover that pregnancy has trimesters.

Each trimester has its own physiology.

Its own complications.

Its own investigations.

Its own management.

Its own ways to humble medical students. 😭😂

Just when you’re trying to understand normal pregnancy, O&G says,

“Now let’s discuss abnormal pregnancy.”

Before you recover, you’re reading ectopic pregnancy, preeclampsia, eclampsia, gestational diabetes, placenta previa, placental abruption, postpartum hemorrhage, and about 700 other ways pregnancy can become complicated. 😂💔

The workload is unbelievable.

Every topic seems to have classifications.

Every classification has stages.

Every stage has features.

Every feature has management.

Every management has indications and contraindications.

At some point, even the classifications need classification. 😭😂

Then comes labor.

First stage.

Second stage.

Third stage.

Sometimes I felt like I was the one in labor from the amount of reading involved. 😂💔

And don’t get me started on Gynecology.

Fibroids.

Endometriosis.

PCOS.

Cervical cancer.

Ovarian tumors.

Uterine prolapse.

Infertility.

Every organ in the female reproductive system apparently has its own chapter, subchapter, and special mission to stress students. 😭😂

Exam period is where the real miracle happens.

You spend weeks memorizing management protocols.

The moment you enter the exam hall, all the protocols enter maternity leave. 😂💔

Question:

“Outline the management of severe preeclampsia.”

My brain:

“Congratulations on your pregnancy.” 😭😂

The answer was somewhere in my head.

The problem was that it was not yet fully dilated.

So it couldn’t be delivered. 😂💔

After the exam, everything suddenly returns.

The investigations.

The risk factors.

The management.

The complications.

Even the things nobody asked.

Apparently, the knowledge was full term.

It simply refused to be delivered during the examination. 😭😂

That was when I learned that O&G is not just a course.

It’s a complete journey from puberty to menopause, with enough lecture notes to make students experience contractions before graduation. 😂💔

O&G taught me that labor is not only experienced by pregnant women; medical students experience academic labor too. 😭😂

©

[Neuroanatomy Research group @NeuroanatomyRG]

𝗧𝗵𝗲 𝗺𝗶𝗰𝗿𝗼𝘀𝘂𝗿𝗴𝗶𝗰𝗮𝗹 𝗠𝗶𝗰𝗿𝗼𝘃𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗔𝗻𝗮𝘀𝘁𝗼𝗺𝗼𝘀𝗶𝘀 𝗖𝗼𝘂𝗿𝘀𝗲
July 9, 10 and 11, 2026..
NeuroanatomyResearchGroup

[Veloria 🌊 @veloriahq]

“𝘐 𝘤𝘩𝘰𝘰𝘴𝘦 𝘵𝘰 𝘭𝘰𝘷𝘦 𝘺𝘰𝘶 𝘪𝘯 𝘴𝘪𝘭𝘦𝘯𝘤𝘦 𝘣𝘦𝘤𝘢𝘶𝘴𝘦 𝘪𝘯 𝘴𝘪𝘭𝘦𝘯𝘤𝘦 𝘐 𝘧𝘪𝘯𝘥 𝘯𝘰 𝘳𝘦𝘫𝘦𝘤𝘵𝘪𝘰𝘯, 𝘢𝘯𝘥 𝘪𝘯 𝘴𝘪𝘭𝘦𝘯𝘤𝘦 𝘯𝘰 𝘰𝘯𝘦 𝘰𝘸𝘯𝘴 𝘺𝘰𝘶 𝘣𝘶𝘵 𝘮𝘦.”

— 𝘙𝘶𝘮𝘪

[Steeze Surgeon 🩺 @abassajayi]

Current read

[Mohammedology Rx @Dr_Mohammedolog]

Ceftriaxone 2g OD + Azithromycin 500mg OD

This combination is most commonly used for which condition? 🤔

[CardiovascularCorner @TrackYourHeart]

Biomarkers of Heart Failure

[Steeze Surgeon 🩺 @abassajayi]

We wrote another paper.. international journal publication

https://t.co/GGtQPcG6kJ

[William Aird @WilliamAird4]

APPROACH TO ANEMIA

Most anemia algorithms start with the MCV.

That’s a mistake.

The first branch point is the reticulocyte count.

It asks a physiological question:
Is the marrow responding?

MCV describes appearance.
Reticulocytes reveal function.

[MEDCRUX @medcrux]

🛑 Graves Disease – High-Yield Points

1️⃣ Autoimmune cause → TSH receptor–stimulating antibodies (TRAb)
2️⃣ ↑ T3/T4, ↓ TSH → hyperthyroid state
3️⃣ Classic triad → Hyperthyroidism + Goiter + Ophthalmopathy (exophthalmos)
4️⃣ Symptoms → weight loss, heat intolerance, palpitations, tremor
5️⃣ Eye signs → lid lag, proptosis (due to glycosaminoglycan deposition)
6️⃣ Dermopathy → pretibial myxedema (rare but specific)
7️⃣ Treatment → β-blockers + antithyroid drugs ± radioiodine/surgery

👉 Most specific feature of Graves disease?

A. Weight loss
B. Tachycardia
C. Exophthalmos
D. Heat intolerance

[AFO @Dr_Afo]

Welcome to practicing medicine in Nigeria where becoming a doctor is the easy part.

A medical student once told me he is lacking motivation, I told him he hasn't seen anything yet.

You finish med school, swear the oath, and then begin the real nightmare. The first headache is finding a house job in a country that somehow has a doctor shortage AND no space for doctors at the same time.

If you try to explain this country, you wee just run mad. Then when you finally get one, your salary arrives like a rare celestial event, unpredictable, mysterious, and never on time.

You’re understaffed, overworked, and underpaid, managing 40 patients with God abeg, paracetamol, and faith because the hospital has no monitors, no oxygen, and NEPA is playing hide and seek again.

But don’t worry, if anything goes wrong, it’s your fault because you are the doctor. Nobody cares about the system held together by vibes and prayers.

After housejob, you are promoted to level 2 of shege.

NYSC posts you to a village general hospital or military hospital where the pharmacy is empty, the lab is decorative, and you’re the consultant, registrar, and house officer all in one. Improvisational medicine becomes your new specialty.

You will learn that a nail in the wall serves as perfect drip stand and the examination couch with stoods can actually work as improvised theater table.

Then God help you that you don't Japa and you enter residency. You will expect training but get inducted into a survival game instead. Toxic seniors everywhere who will themselves be complaining of toxic seniors? 36-hour calls will be your daily bread?

You'll wonder whether you're in training or an abuse camp to be stress-tested.

Meanwhile, patients arrive late because healthcare is pay out of pocket. And to be honest can you even afford 300k for emergency ex-lap? Your patients have tried herbs, prayers, and Chatgpt before coming and now they want a miracle. If it works, thank God. If it doesn’t, doctor is wicked.

Equipment? Let's not go there.
ICU beds? 🤣🤣🤣🤣
Security? They still beat your colleague last week and na only God save you.

And when your colleagues start japa-ing. The workload doubles and your HOD doesn't care. If you complain, he'll say he trained in Sokoto where he was the only one attending to 100 patients for 3 months.

The system worsens but no one cares. You consider your life choices at 3am on call while manually ventilating a patient because the machine isn’t working.

And through it all, the system remains underfunded, mismanaged, and somehow your patients keep blaming the doctor.

But yes, please tell us again how doctors are the problem.

[nervemed @nervemed]

Neurotransmitters & Associated Disorders

🔹Schizophrenia - ↑ Dopamine, ↓ Glutamate

🔹Alzheimer’s Disease - ↓ Acetylcholine, ↓ Glutamate

🔹Depression - ↓ Serotonin, ↓ Norepinephrine, ↓ Dopamine

🔹Parkinson’s Disease - ↓ Dopamine, ↑ Acetylcholine

🔹Huntington’s Disease - ↓ GABA, ↓ Acetylcholine, ↑ Dopamine

🔹Anxiety Disorders - ↓ GABA, ↑ Norepinephrine

🔹Mania - ↑ Serotonin, ↑ Norepinephrine, ↑ Dopamine

🔹ADHD - ↓ Dopamine, ↓ Norepinephrine

🔹Addiction - ↑ Dopamine

🔹OCD - ↓ Serotonin

🔹Tourette Syndrome - ↑ Dopamine

🔹Epilepsy - ↓ GABA, ↑ Glutamate

🔹Myasthenia Gravis - ↓ Acetylcholine (receptors)

🔹Botulism - ↓ Acetylcholine release

🔹Tetanus - ↓ GABA, ↓ Glycine

🔹Migraine - ↓ Serotonin

🔹Chronic Pain / Hyperalgesia - ↑ Substance P

[Safiullah @ChShafiullah15]

The TRIAD is called ?

[MEDCRUX @medcrux]

🧵 Thyroid Drug Cheat Sheet: Stop treating all thyrotoxicosis the same

📌 Quick Reference

•Hyperthyroidism ➡️ Methimazole
•Thyroid storm ➡️ PTU
•Symptom control ➡️ Propranolol
•Hypothyroidism ➡️ Levothyroxine
•Graves ophthalmopathy ➡️ Steroids

🔴 Mechanism-based approach

1️⃣ Hyperthyroidism
Drug: Methimazole
Mechanism: Inhibits thyroid hormone synthesis

2️⃣ Thyroid storm
Drug: PTU
Mechanism: Blocks T4 → T3 conversion + synthesis

3️⃣ Symptom control (tachycardia)
Drug: Propranolol
Mechanism: β-blockade + ↓ T4→T3

4️⃣ Hypothyroidism
Drug: Levothyroxine
Mechanism: Synthetic T4 replacement

5️⃣ Eye involvement (Graves)
Drug: Steroids
Mechanism: Anti-inflammatory

[MEDICINE MADNESS @Doctors_GUILD]

A patient present with Hypoglycemia, symptoms relieved by glucose, and low plasma glucose
Diagnosis?

A) Addison’s disease
B) insulinoma
C) MEN syndrome
D) Zollinger–Ellison syndrome

[Safiullah @ChShafiullah15]

The TRIAD is called ?

[𝕄𝕒𝕟𝕦𝕖𝕝𝔼𝕙𝕞𝕒♕︎🩺 @EmmanuelMalach9]

𝘐𝘛 𝘐𝘚 𝘛𝘏𝘌 𝘞𝘈𝘠 𝘠𝘖𝘜 𝘚𝘌𝘌 𝘈𝘕𝘋 𝘝𝘈𝘓𝘜𝘌 𝘠𝘖𝘜𝘙𝘚𝘌𝘓𝘍, 𝘛𝘏𝘈𝘛'𝘚 𝘏𝘖𝘞 𝘠𝘖𝘜'𝘓𝘓 𝘛𝘙𝘌𝘈𝘛 𝘗𝘌𝘖𝘗𝘓𝘌...
𝘛𝘩𝘦 𝘮𝘰𝘮𝘦𝘯𝘵 𝘺𝘰𝘶 𝘳𝘦𝘢𝘭𝘪𝘴𝘦 𝘱𝘦𝘰𝘱𝘭𝘦 𝘢𝘳𝘦 𝘪𝘯 𝘸𝘢𝘳 𝘸𝘪𝘵𝘩 𝘵𝘩𝘦𝘮𝘴𝘦𝘭𝘷𝘦𝘴 𝘢𝘯𝘥 𝘯𝘰𝘵 𝘺𝘰𝘶,𝘪𝘴 𝘧𝘳𝘦𝘦𝘥𝘰𝘰𝘮.

[Dr Abdul Hameed 🩺 @drabdulhameed07]

Low WBCs.
High damage.
Leukemia mouth ulcers hit different🤯🤯🤯

[nervemed @nervemed]

Epistaxis

[𝕄𝕒𝕟𝕦𝕖𝕝𝔼𝕙𝕞𝕒♕︎🩺 @EmmanuelMalach9]

@aminu_ajumawa @LENO_BOSS1 @Ayamachukw81834 Follow bck