Dr M Nazibur Rahman, MD (Rheumatology)

Assistant Professor
Rheumatologist in Evercare Hospital, Chattogram, Bangladesh

[Aravind Palraj @Rheumat_Aravind]

Not every sacroiliitis is #SpA.

Before diagnosing axial spondyloarthritis, consider important mimics such as osteitis condensans ilii, infectious sacroiliitis, TB sacroiliitis, DISH, fibromyalgia, crystal arthropathies, oxalosis, SAPHO syndrome, and hyperparathyroidism.

Recognizing red flags can prevent misdiagnosis and inappropriate treatment.

#Rheumatology #AxialSpA #Sacroiliitis #MedEd #FOAMed #MedTwitter #RheumTwitter #InternalMedicine @IhabFathiSulima @docakx

[Dr M Nazibur Rahman, MD (Rheumatology) @NaziburM]

@TotalAnalysis @keralista Can you please share the full writing?

[Internal Medicine @pgMedicine]

A guide to differentiating osteoporosis, osteomalacia, Paget disease, myeloma, metastasis, parathyroid disorders and CKD using routine biochemical markers.

[TheDaoIndex @KDAO2011]

Deep B cell depletors: #EULAR2026

[Ginga Bonito 🇧🇷 @GingaBonitoHub]

Neymar Júnior — The Unfinished Story 🇧🇷

From the kid who carried the weight of a nation… to the tears, injuries, criticism, magic & heartbreak.

A journey that still feels incomplete.

[NDT @NDTsocial]

Comparative Analysis of Lupus Nephritis Guidelines:

ACR 2025, EULAR 2025, and KDIGO 2024

🆓https://t.co/bUkps0GzvD

@goKDIGO @ERAkidney

[Dr RP Singh, MD @rpsingh1894]

🦋 THYROID DISORDERS: Know the Difference Between Hypothyroidism & Hyperthyroidism

Your thyroid controls metabolism, energy, heart rate, temperature & much more.
When hormone levels go too low or too high, the entire body is affected.

🔵 Hypothyroidism = Slow metabolism
🔴 Hyperthyroidism = Fast metabolism

Recognizing early signs can prevent serious complications like myxedema coma or thyroid storm.

Early diagnosis + proper treatment = healthier life. 💙

#Thyroid #Hypothyroidism #Hyperthyroidism #ThyroidHealth #Medicine #MedTwitter #MedicalEducation #Endocrinology #Healthcare #Doctor #HealthAwareness #MedEd

[Shohan @Shohan_Tech_AI]

Statin Side Effects...

[د.وعــد الحـربـي @promisealharbi2]

PCT VS CRP VS ESR
https://t.co/NJi2iljJCI

[Zib Atkins @AyusWellness]

Most people are making a huge mistake with fibre

They think all fibre does the same thing.

And then just taking one type - to hit that 30g daily goal…

You might know there’s soluble fibre and insoluble fibre… but even that massively oversimplifies what fibre actually is.

Because different fibres do completely different things inside your body.

Some lower LDL cholesterol.
Some feed your gut bacteria.
Some produce butyrate, one of the most important compounds for your gut lining and metabolic health.
Some bulk your stool.
Some barely ferment at all.

And this changes everything.

Because someone can eat a “high-fibre diet” and still have a poor microbiome diversity if they only eat one or two fibre types.

For example:

Psyllium can help lower LDL and improve stool consistency…but it does very little for butyrate production.

Inulin, found in garlic and onions, does almost the opposite.

It strongly feeds bifidobacteria and supports short-chain fatty acid production… but has minimal LDL effects.

They’re both called soluble fibre.

But have completely different biological effects.

Resistant starches from cooled potatoes, rice and legumes help produce butyrate.

Beta-glucans from oats and barley help lower cholesterol and slow glucose absorption.

Cellulose from vegetables mainly helps with stool bulk and transit time.

This is why fibre diversity matters almost as much as fibre quantity.

So instead of asking:

“How much fibre am I eating?”

Start asking:

“What types of fibre am I eating…and what are they actually doing inside my body?”

[Dr RP Singh, MD @rpsingh1894]

Seizures are medical emergencies — rapid action can save the brain and a life. ⚡🧠

Remember:
• ABCDE first
• Check glucose immediately
• Treat seizures >5 min as status epilepticus
• Early benzodiazepines + airway management are critical

Every minute matters in emergency medicine. 🚑

#Seizure #StatusEpilepticus #EmergencyMedicine #MedTwitter #FOAMed #CriticalCare #MedicalEducation #Neurology #Doctors #Medicine

[ACR_Journals @ACR_Journals]

Neutrophil-to-lymphocyte ratio (NLR) was tested as an independent predictor of major adverse cardiovascular events in psoriasis & psoriatic arthritis. Baseline NLR >2.5 was assoc with increased risk of MACEs, suggesting NLR may be a biomarker to provide value beyond traditional CV risk scores

ACROR
https://t.co/EQcW6SS6j7

[Aravind Palraj @Rheumat_Aravind]

HLA-B27 positive + sacroiliitis 👀

But the real clue is:
bloody diarrhea + uveitis + nodular skin lesions

Dx?
Best initial management?

👇

#Rheumatology #SpA #IBD #MedEd @docakx @IhabFathiSulima @DocPriyamMD @DrNikhilMD @ArunInamadar #ClinicalReasoning #RheumTwitter

[Dr. Oriba Dan Langoya @DrOribaDan]

Inteprete LFTs acurately and quickly
From @Medicalinfo111.
Great infographics

[Dr Rupam Manna MD @DrRupamOncology]

🔬 Peripheral Blood Smear (PBS) — the “poor man’s bone marrow” 🩸

A simple smear can reveal:
✅ Leukemia
✅ Hemolysis
✅ DIC/TTP
✅ Nutritional anemia
✅ Infections like malaria
✅ Platelet disorders
✅ Marrow infiltration

From schistocytes to smudge cells, PBS remains one of the most powerful bedside hematology tools for rapid diagnosis and clinical correlation.

Early clues. Faster diagnosis. Better outcomes.

#PeripheralBloodSmear #PBS #Hematology #Leukemia #AML #CLL #CML #Anemia #Pathology #MedicalOncology #Oncology #MedEd #FOAMed #InternalMedicine #MedicalEducation #DrRupamManna

[Internal Medicine @pgMedicine]

Interpretation of Syphilis serology
VDRL TPHA

[CURIOSITY DOSE 🧠 @LEARNDAlLY]

The human body is built on an extraordinary scale.