Angie Diaz♡

🔪 🧠💕

[Angie Diaz♡ @AngieDGDays]

@usludurkizim 72? 🐒

[Angie Diaz♡ @AngieDGDays]

@cerencanimyaa 03, gracias

[Angie Diaz♡ @AngieDGDays]

@Paau_Armstrong Hombres😞 mi esposo hace lo mismo, así no se puede

[Angie Diaz♡ @AngieDGDays]

@usludurkizim Son para el cabello, se ponían como adornos, el espiral lo estirabas y al tensarlo quedaba el cabello atrapado ahí

[Angie Diaz♡ @AngieDGDays]

@Neuromed_ Total left MCA infarctation + subfalcine herniation due to malignant edema

[Angie Diaz♡ @AngieDGDays]

@SOMOSTURBIO @ElBadiablo el hogar perfecto

[Lea Alhilali, MD @teachplaygrub]

When you’re asked to localize the lesion in a patient with aphasia, do you suddenly feel speechless?

At a loss for words to categorize the type of aphasia?

Never fear—here is the decision tree for patients w/aphasia and the associated anatomic correlates

Three main questions:

1. Fluency? Nonfluency indicates damage to the FRONTAL language regions anterior to the fissure of Rolando

2. Comprehension? Impaired comprehension indicates damage to the TEMPOROPARIETAL language regions posterior to the fissure of Rolando

3. Repetition? Impaired repetition indicates damage within the core PERISYLVIAN language zone

The answers will lead you both to the type of aphasia and the location of the lesion.

Keep this figure with you for quick reference—and then when you’re asked about a patient with aphasia, you will have a lot to say!

[Lea Alhilali, MD @teachplaygrub]

Tired of always speculating about MR spectroscopy?

If you've ever looked at an MR spectroscopy & thought: "I have no idea what I’m looking at!"--then this cheat sheet is for you!

Here are the 5 basic rules you need so you can understand the spectrum of basic spectroscopy!

(1) First you need to know the peaks. 
—3 main peaks: Choline, Creatine, NAA
—Remember the order bc a spectrum looks like mountain peaks & it is cold in the mountains.  And CHOld CREATures NAp or hibernate in the mountains

(2) Hunter’s angle:
—Most people know that the peaks of the spectrum should go up at you move lateral, called Hunter’s angle
—Most bad things reverse Hunter’s angle
—Ask yourself: Is my arrow pointed up to shoot into the air at the enemy (good) or is point to the ground where it will hit the dirt (bad)

(3) TE & spectrum length are inversely related
—Spectroscopy follows the rule: speak softly & carry a big stick. 
—Short TE = long spectrum, lots of extra peaks for glutamate/glycine, myoinsitol
—Long TE = short spectrum, mainly the basic 3 peaks

(4) Each region has its own unique signature
—Each brain region has its own unique composition of compounds that might alter Hunter’s angle a bit, but not reverse it
—Need a control in contralateral normal brain so compare apples to apples

(5)Lactate peak goes like a sine wave
—Lactate peak represents anerobic metabolism—sign of cells in trouble
—It’s at 1.3ppm. Remember this bc 13 is an unlucky number & lactate is an unlucky sign!
—It’s like a sine wave: up at short TE (35), down at intermediate TE (144), and up again at long TE (244)
—You can use this flipping to better visualize the lactate peak
—You can remember it’s down in the middle TE bc when you’re caught in the middle, you’re down & out

Just remember these tricks & you will be spectacular at basic spectroscopy!

[Angie Diaz♡ @AngieDGDays]

@cowgirlscrytoo Jajajajaa dije Achis se parece a MA y luego ya me di cuenta que si era😂😂🥰🥰

[Angie Diaz♡ @AngieDGDays]

@pulsiond3muerte A mi también me aterraban las 2 únicas formas posibles de sacar al bebé pero la verdad es que el parto no es tan terrible y siempre existe la analgesia que hace todo mucho mejor! :D

[Angie Diaz♡ @AngieDGDays]

@cowgirlscrytoo Super si😍

[Angie Diaz♡ @AngieDGDays]

@cowgirlscrytoo @PicturesFoIder Jajaja fetus in fetus eran gemelis y uno se desarrolló dentro del otro

[Angie Diaz♡ @AngieDGDays]

@cowgirlscrytoo @patobonato Cero se antoja ir nomás porque la rotación está chida!

[Lea Alhilali, MD @teachplaygrub]

1/Tired of always speculating about MR spectroscopy?

If you've ever looked at an MR spectroscopy & thought: "I have no idea what I’m looking at!"--then this cheat sheet is for you!

Here's a thread on the 4 basic rules you need to understand the spectrum of basic spectroscopy!

[Angie Diaz♡ @AngieDGDays]

@luuuuuiiiisssaa Nombreeeeeeees! Estás hormonas quieren hacerla de pedo!

[Angie Diaz♡ @AngieDGDays]

@cowgirlscrytoo 🥰♥️

[Angie Diaz♡ @AngieDGDays]

Evidentemente con “echarle ganas” se regulan los neurotransmisores y se mejora un paciente con ansiedad y depresión🙄🙄

[Angie Diaz♡ @AngieDGDays]

@Fenazopiridinaa El manual Washington de ciru, está muy práctico para las guardias😌

[Lea Alhilali, MD @teachplaygrub]

1/Want to understand skull base surgery?

Just follow your nose!

Endoscopic endonasal approach (EEA) through the nose is becoming standard

Do YOU know what to look for in these patients?

Answer is right under your nose in this thread about EEA from Contemporary Neurosurgery!

[Angie Diaz♡ @AngieDGDays]

@cowgirlscrytoo Premenstrual