A coworker has been flirty for the longest time even though he’s realized that I’m not going to fall for his evil tactics. And what does he do? Called me a “f*cker”. Kept my cool. Smh!
No prior experience in the OR. Not even as circulating. Surgeon asked me to assist. We were both happy with the result. Now considering becoming an RNFA!
I’m not paranoid, but these mofos are for sure cooking something against me! First-not giving me a raise I deserve. Second-blocking my application and giving the position to a less qualified candidate.
Trigeminal neuralgia (TN), also known as "tic douloureux," is a chronic condition that causes sharp, electric-shock pain on one side of the face. Everyday activities like smiling, eating, or even light touch can trigger episodes. (1/9)
CLINICAL DECISION MAKING
''Sensitivity - vs - Specificity''
"Imagine you're running airport security, screening passengers (tests) to catch dangerous items (diseases). Now meet your two star agents: Sensitivity and Specificity.
Sensitivity is your overachiever. It’s all about catching every possible threat. If a test has high sensitivity, it correctly identifies most people with the disease—it rarely misses anyone. In other words, it’s great at picking up true positives. The downside? It might sometimes flag innocent travelers (false positives), just to be safe.
Specificity, on the other hand, is cool and precise. If a test has high specificity, it correctly clears people without the disease—it rarely calls someone sick if they’re actually healthy. That means fewer false alarms (false positives), but if it’s too strict, it might miss some real cases (false negatives).
In short:
High sensitivity = fewer false negatives.
High specificity = fewer false positives.
#Medstudent #MedTwitter #Medicine #usmle
🗣️ Aphasia – Broca vs. Wernicke
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1️⃣ Definition
Aphasia is an acquired impairment of language (speaking, understanding, reading, or writing) due to dominant hemisphere lesions, typically from stroke (especially MCA territory), tumors, or infections.
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2️⃣ Broca Aphasia (Expressive / Non-Fluent)
➊ Cause: Lesion in the posterior inferior frontal gyrus (Broca’s area), often due to left superior MCA stroke
➋ Speech: Slow, labored, grammatically poor (“telegraphic speech”)
➌ Comprehension: ✅ Relatively preserved
➍ Repetition: ❌ Impaired
➎ Awareness: ✅ High; patients often visibly frustrated
➏ Associated signs: Contralateral face/arm weakness, apraxia, no visual field defect
➐ Treatment: Early speech-language therapy shows better outcomes
➑ Mnemonic: “BRoCa is BROken” → Broken speech
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3️⃣ Wernicke Aphasia (Receptive / Fluent)
➊ Cause: Lesion in the posterior superior temporal gyrus (Wernicke’s area), usually from left inferior/posterior MCA stroke
➋ Speech: Fluent but meaningless; neologisms, paraphasias, “word salad”
➌ Comprehension: ❌ Severely impaired
➍ Repetition: ❌ Impaired
➎ Awareness: ❌ Lacks insight into deficits
➏ Associated signs: May have right superior quadrantanopia (“pie in the sky” visual loss)
➐ Treatment: Treat underlying cause + speech therapy
➑ Mnemonic: “Wernicke is Wordy” → Fluent but meaningless
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🧠 Key Tip:
If they can’t speak but understand → Broca
If they speak fluently but don’t make sense or understand → Wernicke
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#Aphasia #BrocaAphasia #WernickeAphasia #StrokeSigns #Neurology #MedicalEducation #MedicoNotes #USMLE #PLAB #MRCP #MedSchool #NeuroExam #doctorsofinstagram #MedEd #medicaleducation #futuremed #medicine #mediconotes #doctors #usmlepreparation #usmlepre
Smh. So you can just claim you don’t feel like working today and boom you can leave despite knowing your unit is short staffed and struggling. What a fucking joke!
Dear #MAGA,
1. Mexico didn't pay for the wall.
2. Trump never delivered health care
3. Trump never delivered infrastructure
4. Trump didn't end the war between Russia and Ukraine on day 1.
5. Gas+food prices are up.
6. You got suckered again.
7. You are in a cult.