GUSTAVO DURAN

MASCULINO, CATOLICO, ORIGINARIO DE MICHOACAN, RESIDENTE DE TOLUCA, TRABAJO EN LA SECRETARIA DE SALUD

[Janet inspire @UwiriBigG]

It works so well

[صحة و لياقة @History_qq]

تمارين لتخفيف من شدة الحدبة

[أهم المعلومات @alsltan_as5987]

تحدي الـ 14 يوماً: نسف دهون الفخذين والعضلات المترهلة فوراً! 🔥

[MedicoNotes @MedicoNotes]

🌀 7 CAUSES OF VERTIGO

Vertigo is a symptom, not a diagnosis.

When a patient complains of “dizziness,” the key question is:

❓ Is this true vertigo (a false sensation of movement) or something else?

Correctly distinguishing peripheral from central causes is essential, as some causes are benign, while others may represent a neurological emergency.

🔑 Common Causes of Vertigo

1️⃣ BPPV (Benign Paroxysmal Positional Vertigo)
• Most common cause
• Brief episodes triggered by head movement
• No hearing loss
• Positive Dix-Hallpike test
• Treated with the Epley manoeuvre

2️⃣ Vestibular Neuritis
• Acute severe vertigo lasting days
• Often follows a viral illness
• Nausea and vomiting common
• No hearing loss

3️⃣ Ménière Disease
• Recurrent episodes of vertigo
• Fluctuating hearing loss
• Tinnitus and aural fullness
• Usually unilateral

4️⃣ Vestibular Migraine
• Vertigo associated with migraine features
• Photophobia, phonophobia, aura
• May occur without headache

5️⃣ Labyrinthitis
• Vertigo + hearing loss
• Often post-viral
• Auditory and vestibular symptoms occur together

6️⃣ Acoustic Neuroma (Vestibular Schwannoma)
• Progressive unilateral hearing loss
• Tinnitus
• Gradual onset imbalance or vertigo

7️⃣ Central Causes 🚨
• Stroke
• Multiple sclerosis
• Cerebellar tumours
• Brainstem lesions

⚠️ Red Flags Suggesting a Central Cause

🚨 Diplopia
🚨 Dysarthria
🚨 Limb weakness
🚨 Severe ataxia
🚨 New headache
🚨 Persistent neurological deficits

🩺 Clinical Approach

✔️ Take a careful history
✔️ Examine for nystagmus
✔️ Perform the HINTS examination when appropriate
✔️ Assess hearing
✔️ Look for focal neurological signs

💡 High-Yield Pearl

Peripheral vertigo is common, but never miss a central cause.

Remember:

🧠 Acute vertigo + neurological signs = Stroke until proven otherwise.

📚 Save this post and visit our website for innovative high-yield medical notes:

https://t.co/Ivljom2bsM

#Vertigo #Neurology #BPPV #MeniereDisease #vestibularneuritis

[Melchor Santiago @MelchorSan26]

8 formas prácticas de doblar la ropa.
Apuesto a que no lo sabías...

[Oren Gottfried, MD @OGdukeneurosurg]

Leg anatomy

[Arquivo Curioso @arquivocurioso]

Como é feita a cirurgia de reparação do rompimento do tendão de Aquiles.

[MedicoNotes @MedicoNotes]

🫀 CHEST PAIN: 7 Causes You Must Never Miss

Chest pain is one of the most common medical emergencies. The challenge is identifying life-threatening causes quickly.

❤️ 1️⃣ STEMI
• Crushing central chest pain
• Radiation to arm/jaw
• Associated sweating & nausea

🩸 2️⃣ Aortic Dissection
• Sudden “tearing” chest pain
• Radiates to the back
• BP difference between arms

🫁 3️⃣ Pulmonary Embolism
• Pleuritic chest pain
• Dyspnea & tachycardia
• Risk factors: DVT, surgery, immobility

❤️ 4️⃣ Pericarditis
• Sharp pleuritic pain
• Worse lying flat
• Better leaning forward

🫁 5️⃣ Pneumothorax
• Sudden pleuritic chest pain
• Breathlessness
• Reduced breath sounds

🔥 6️⃣ GERD
• Burning retrosternal discomfort
• Worse after meals or lying down
• Improves with antacids

🦴 7️⃣ Costochondritis
• Localized chest wall pain
• Reproducible on palpation

🚩 Red Flags
• Severe sudden pain
• Shortness of breath
• Syncope
• Hypotension
• Radiation to arm, jaw, or back

💎 Exam Pearl:
Always exclude STEMI, Aortic Dissection, PE, Pneumothorax, and Pericarditis before considering benign causes.

📚 Learn Cardiology the High-Yield Way with the MedicoNotes Cardiology Book.

🌐 Visit our website: https://t.co/2UQyCbb6in

#Cardiology #ChestPain #ECG #MRCP #MedicoNotes

[Dr.Marlon Villanueva™ 🩺 𝕏 @MarlonVFZR]

🫀🫁 𝗣𝗢𝗖𝗨𝗦 𝗲𝗻 𝘀𝗵𝗼𝗰𝗸‼️
⬇️⬇️⬇️⬇️

🔍 𝙀𝙡 𝙪𝙡𝙩𝙧𝙖𝙨𝙤𝙣𝙞𝙙𝙤 𝙖 𝙥𝙞𝙚 𝙙𝙚 𝙘𝙖𝙢𝙖 𝙥𝙚𝙧𝙢𝙞𝙩𝙚 𝙞𝙙𝙚𝙣𝙩𝙞𝙛𝙞𝙘𝙖𝙧 𝙡𝙖 𝙘𝙖𝙪𝙨𝙖 𝙙𝙚𝙡 𝙨𝙝𝙤𝙘𝙠 𝙚𝙣 𝙢𝙞𝙣𝙪𝙩𝙤𝙨:

🫀 𝗣𝗨𝗠𝗣 (𝘾𝙤𝙧𝙖𝙯𝙤́𝙣)
↓ Función del VI → shock cardiogénico
VD dilatado → TEP masivo
Derrame pericárdico → taponamiento

💧 𝗧𝗔𝗡𝗞 (𝙑𝙤𝙡𝙪𝙢𝙚𝙣)
VCI pequeña y colapsable → hipovolemia
VCI dilatada sin colapso → congestión o aumento de presión venosa

🩸 𝗠𝗢𝗥𝗜𝗦𝗢𝗡 (𝙇𝙞́𝙦𝙪𝙞𝙙𝙤 𝙡𝙞𝙗𝙧𝙚)
Líquido intraperitoneal → sangrado o ascitis
👉 Fundamental en trauma y shock hemorrágico

🫁 𝗟𝗨𝗡𝗚 (𝙋𝙪𝙡𝙢𝙤́𝙣)
❌ Deslizamiento pleural → neumotórax a tensión
🌊 Líneas B difusas → edema pulmonar
🦠 Consolidación → neumonía/sepsis

🫀 𝗣𝗜𝗣𝗘𝗦 (𝘼𝙤𝙧𝙩𝙖 𝙮 𝙫𝙚𝙣𝙖𝙨)
Aneurisma de aorta → posible ruptura
TVP proximal → sugiere TEP como causa obstructiva

🧠 𝙈𝙚𝙣𝙨𝙖𝙟𝙚 𝙘𝙡𝙖𝙫𝙚

El POCUS en shock debe ser:
⚡ 𝙍𝙖́𝙥𝙞𝙙𝙤
🎯 𝘿𝙞𝙧𝙞𝙜𝙞𝙙𝙤 𝙥𝙤𝙧 𝙡𝙖 𝙥𝙧𝙚𝙜𝙪𝙣𝙩𝙖 𝙘𝙡𝙞́𝙣𝙞𝙘𝙖
🧩 𝙄𝙣𝙩𝙚𝙜𝙧𝙖𝙙𝙤 𝙘𝙤𝙣 𝙡𝙖 𝙚𝙭𝙥𝙡𝙤𝙧𝙖𝙘𝙞𝙤́𝙣 𝙮 𝙡𝙖 𝙛𝙞𝙨𝙞𝙤𝙡𝙤𝙜𝙞́𝙖
🚑 𝙊𝙧𝙞𝙚𝙣𝙩𝙖𝙙𝙤 𝙖 𝙘𝙖𝙢𝙗𝙞𝙖𝙧 𝙡𝙖 𝙘𝙤𝙣𝙙𝙪𝙘𝙩𝙖 𝙩𝙚𝙧𝙖𝙥𝙚́𝙪𝙩𝙞𝙘𝙖

#POCUS 🩺⚡

‼️Si te sirve: ❤️ Me gusta | 🔁 Repost | ➕ Follow para más👇🏼👇🏼👇🏼👇🏼

📚📖#ClubCrit👨🏻‍⚕️👨🏻‍🏫🧠🫶

#EvidenceBasedMedicine #CriticalCare #CriticalCare #FOAMed #FOAMcc #CuidadoCrítico #MedTwitter #CritCare #icu #intensivecare #diagnosis #management #UCI #MedicinaBasadaEnEvidencia #MedEd #MedX #IntensiveCare #MedIntensiva #MedXCommunity #MedED #ICUmanagement #MustRead #LecturaRecomendada

[CardiovascularCorner @TrackYourHeart]

Understanding Diastolic Dysfunction with Doppler Echocardiography
This chart beautifully compares Doppler findings in normal vs. varying grades of LV diastolic dysfunction from inflow (E/A, DT) to tissue Doppler (E′/A′), pulmonary vein flow, LA volume, and TR velocity.

Source: Catherine M. Otto, Textbook of Clinical Echocardiography

[Julio @JulioFdez79]

ONDANSETRON//METOCLOPRAMIDA

[Dr.Marlon Villanueva™ 🩺 𝕏 @MarlonVFZR]

🤕🩺 𝗗𝗼𝗹𝗼𝗿 𝗮𝗯𝗱𝗼𝗺𝗶𝗻𝗮𝗹 𝗮𝗴𝘂𝗱𝗼: 𝗲𝗹 𝗼́𝗿𝗴𝗮𝗻𝗼 𝗽𝘂𝗲𝗱𝗲 𝗲𝘀𝘁𝗮𝗿 𝗹𝗲𝗷𝗼𝘀 𝗱𝗲 𝗱𝗼𝗻𝗱𝗲 𝗱𝘂𝗲𝗹𝗲
⬇️⬇️⬇️⬇️

El dolor abdominal es una pista… pero la 𝙞𝙣𝙚𝙧𝙫𝙖𝙘𝙞𝙤́𝙣 𝙫𝙞𝙨𝙘𝙚𝙧𝙖𝙡 𝙮 𝙚𝙡 𝙙𝙤𝙡𝙤𝙧 𝙧𝙚𝙛𝙚𝙧𝙞𝙙𝙤 𝙥𝙪𝙚𝙙𝙚𝙣 𝙘𝙤𝙣𝙛𝙪𝙣𝙙𝙞𝙧 𝙚𝙡 𝙙𝙞𝙖𝙜𝙣𝙤́𝙨𝙩𝙞𝙘𝙤.

🧠 Una correcta localización anatómica puede acelerar decisiones críticas.

🟥 𝙀𝙥𝙞𝙜𝙖𝙨𝙩𝙧𝙞𝙤 (𝙏𝟱–𝙏𝟭𝟬)
🔥 Páncreas → pancreatitis
🫃 Estómago/duodeno → úlcera, perforación
🫀 Aorta → aneurisma o disección

🟨 𝙃𝙞𝙥𝙤𝙘𝙤𝙣𝙙𝙧𝙞𝙤 𝙙𝙚𝙧𝙚𝙘𝙝𝙤 (𝙏𝟳–𝙏𝟵)
🫀 Hígado → hepatitis, absceso, congestión
🟢 Vía biliar → cólico biliar, colecistitis, colangitis

🟪 𝙁𝙡𝙖𝙣𝙘𝙤 (𝙏𝟭𝟬–𝙇𝟭)
🫘 Riñón → litiasis, pielonefritis, obstrucción
⚡ Dolor irradiado a ingle o genitales sugiere cólico ureteral

🟩 𝙁𝙤𝙨𝙖 𝙞𝙡𝙞́𝙖𝙘𝙖 𝙙𝙚𝙧𝙚𝙘𝙝𝙖
🦠 Apendicitis hasta demostrar lo contrario en el contexto adecuado
🌡️ También considerar enfermedad inflamatoria, diverticulitis o causas ginecológicas

🟫 𝙁𝙤𝙨𝙖 𝙞𝙡𝙞́𝙖𝙘𝙖 𝙞𝙯𝙦𝙪𝙞𝙚𝙧𝙙𝙖
🦠 Diverticulitis
🧬 Enfermedad inflamatoria intestinal
🚨 Isquemia o perforación en casos graves

🟪 𝙋𝙚𝙡𝙫𝙞𝙨
♀️ Embarazo ectópico, torsión ovárica, EPI
♂️ Torsión testicular, epididimo-orquitis

🚨 𝘽𝙖𝙣𝙙𝙚𝙧𝙖𝙨 𝙧𝙤𝙟𝙖𝙨 𝙦𝙪𝙚 𝙣𝙤 𝙥𝙪𝙚𝙙𝙚𝙨 𝙥𝙚𝙧𝙙𝙚𝙧
🔺 Dolor súbito e intenso → pensar en disección aórtica o perforación
🔺 Dolor desproporcionado al examen → sospechar isquemia mesentérica
🔺 Fiebre + hipotensión → sepsis abdominal
🔺 Defensa involuntaria o abdomen rígido → irritación peritoneal

🎯 𝙈𝙚𝙣𝙨𝙖𝙟𝙚 𝙘𝙡𝙖𝙫𝙚

El diagnóstico del abdomen agudo no se hace solo con el sitio del dolor.

La combinación de 𝙡𝙤𝙘𝙖𝙡𝙞𝙯𝙖𝙘𝙞𝙤́𝙣, 𝙞𝙧𝙧𝙖𝙙𝙞𝙖𝙘𝙞𝙤́𝙣, 𝙚𝙫𝙤𝙡𝙪𝙘𝙞𝙤́𝙣 𝙩𝙚𝙢𝙥𝙤𝙧𝙖𝙡 𝙮 𝙨𝙞𝙜𝙣𝙤𝙨 𝙙𝙚 𝙖𝙡𝙖𝙧𝙢𝙖 es la verdadera brújula clínica.

‼️Si te sirve: ❤️ Me gusta | 🔁 Repost | ➕ Follow para más👇🏼👇🏼👇🏼👇🏼

📚📖#ClubCrit👨🏻‍⚕️👨🏻‍🏫🧠🫶

#DolorAbdominal #AbdomenAgudo #FOAMed #FOAMcc 🩺🔥

#ClubCrit #CriticalCare #CriticalCare #FOAMed #FOAMcc #CuidadoCrítico #MedTwitter #CritCare #icu #intensivecare #diagnosis #management #UCI #MedicinaBasadaEnEvidencia #MedEd #MedX #IntensiveCare #MedIntensiva #MedXCommunity #MedED #ICUmanagement #MustRead #LecturaRecomendada

[Oren Gottfried, MD @OGdukeneurosurg]

Cranial nerves

[The Body Explained | Medicine, Injuries, A+P @BodyExplained]

🧬Cystic fibrosis is often thought of as only a lung disorder, but it is a genetic disorder that affects the pancreas, liver, intestines, and reproductive tracts as well.

🫁Due to defective CFTR proteins, a thick buildup of mucus occurs throughout multiple organ systems

[MEDICAL PULSE 🩺 @TMedicalpost]

Antibiotics and their uses.

[Dr Honey choudhary 🩺 @Doctors__squad]

Types of chest x rays

[Shohan @Shohan_Tech_AI]

Some useful medicine for information (take medicine only doctor's suggestions)

[عبدالاله الحيدري، مدير إدارة @AbdulelahNurse]

#التمريض