Alex Pam MD

Medical Doctor.
Saving lives is my hobby.
When confronted with any matter, I let God fix it, the last time I tried, I failed.
🎱 Legend.

Hello, any problem?

[Alex Pam MD @alexpam_]

Guard thy heart with all diligence; for out of it are the issues of life.

[Modern Health @modernHealthMe]

Even top FIFA World Cup footballers like Messi or Mbappé can suddenly drop due to painful muscle cramps on field.

Which electrolyte deficiency is the classic culprit behind this?

A) Calcium
B) Sodium
C) Potassium
D) Iron

Hint: Lost heavily in sweat + muscle contraction issue

[CardiovascularCorner @TrackYourHeart]

Lumbar puncture on a patient with a headache.
What’s the diagnosis?

[CardiovascularCorner @TrackYourHeart]

@docakx Very concise and accurate, 🙏

[Dr sthanu subramanian @drsthanus]

What is this test?

Significance?

[Dr. Naseem Suhail @DrNaseemSuhail]

What device is this and in what cases is it indicated?

[Dr Ihab Suliman @IhabFathiSulima]

What is the diagnosis?

[OPTIMISTIC DOCTOR @Ennan_D]

Which of the following is the most common associated factor in temporalis muscle hypertrophy?

A. Bruxism (teeth grinding)
B. Hyperthyroidism
C. Bell's palsy
D. Migraine

[CardiovascularCorner @TrackYourHeart]

Which artery is blocked here and why is it so dangerous?

[Dr. Khaled @kh505043]

Based on the scenario shown in the image, if a blood clot is present inside the IV cannula, can forcing it inward via a syringe flush cause a Thrombus or clinical complications for the patient Or No?!

[Dr. AK 🇮🇳 @docakx]

What is your diagnosis?

[Dr. Yonni @kiddiewise_]

A Med Student asked me during rounds:
"Why is Zinc Gluconate always given in diarrhoeal disease? I don't understand why."

Many people have not really understood the vital mechanism behind it.

[CardiovascularCorner @TrackYourHeart]

Which fetal syndrome is shown here?

[Keith Siau @drkeithsiau]

What is the procedure shown here?

[Keith Siau @drkeithsiau]

@dr_yograj Well done! This is indeed the capsule sponge, potentially a gamechanger for Barrett’s oesophagus surveillance based on the must read DELTA trial, presented in Nottingham today ⭐️🏆

https://t.co/ZX89DxBLrY

[Dr PARVEEN YOGRAJ @dr_yograj]

This is the Cytosponge (also known as the “sponge on a string” or Cytosponge-TFF3 test), a minimally invasive procedure for sampling cells from the esophagus.
————————————————
How it works —————
• The patient swallows a small capsule (pill) attached to a thin string. The capsule contains a compressed sponge.
• In the stomach, the capsule coating dissolves, and the sponge expands.
• The sponge is then gently pulled back up through the esophagus by the string. As it moves, it collects cells from the lining of the esophagus.
• The retrieved sponge is sent for lab analysis (often using a biomarker like TFF3) to check for abnormalities.
Main uses: —————-
• Screening for Barrett’s esophagus (a precancerous condition linked to chronic acid reflux/GERD).
• Helping detect or triage esophageal cancer (e.g., squamous cell carcinoma or adenocarcinoma) earlier, especially in higher-risk patients.
• It’s an outpatient or even GP/clinic-based alternative to traditional endoscopy (EGD), quicker, less invasive, and more comfortable for many people.
This matches the context from the X thread (replies mentioning esophageal sponge cytology, Barrett’s screening, pill-on-a-thread, etc.), and Dr. Siau (a GI specialist) confirmed it wasn’t the older Entero-test/string test for parasites like Giardia.
It’s a “hot topic” in gastroenterology for non-endoscopic esophageal screening. The procedure is generally well-tolerated, though some feel mild discomfort when the sponge is pulled out. @IhabFathiSulima #MedTwitter #Meded #MedX @Lap_surgeon

[Internal Medicine @pgMedicine]

Child-Pugh score estimates hepatic functional reserve and prognosis in cirrhosis using bilirubin, albumin, INR, ascites, and hepatic encephalopathy.
Higher Child-Pugh class indicates more advanced liver dysfunction and poorer prognosis.

[Alex Pam MD @alexpam_]

@ChShafiullah15 Arcus senilis. A very close differentia, kayser-fleischer ring (brownish or greenish ring colour) in Wilson's disease.

Pinguecula can be a differential of pterygium.

[MTD 🩺 @MTDMED]

Sausage-shaped mass on abdominal palpation indicates?

A. Appendicitis
B. Volvulus
C. Intussusception
D. Ascites
E. Ileus

[Alex Pam MD @alexpam_]

@DoctorMed0 Leo Rigler's sign.. more like a Leo-nado DaVinci.
This is a Work of art! 😜😍

[Doctor Med @DoctorMed0]

What is the clinical sign?