Niranjan

Indian

[Dr Sudhir Kumar MD DM @hyderabaddoctor]

Take-home message
Think of Trigeminal Neuralgia when facial pain is:
✅Sudden
✅Electric shock-like
✅Triggered by touch or chewing
✅Lasting seconds
✅Unilateral

Correct diagnosis is crucial because TN is one of the few severe pain syndromes that often responds remarkably well to appropriate treatment.
13/n (END)

Dr Sudhir Kumar @hyderabaddoctor

[Dr Sudhir Kumar MD DM @hyderabaddoctor]

(For doctors)
Patient details
▶️46 year old man presented with right sided facial pain in V2 dermatome for the past one year.
▶️Pain is episodic and lasts for 30-60 seconds, occurrig several times daily.
▶️Pain is triggered by brushing teeth, shaving and chewing food from the right side.
▶️Patient partially responded to carbamazepine.

What is the diagnosis?
✅The diagnosis is classical- it is TRIGEMINAL NEURALGIA.

✅However, the purpose of this post is to highlight the MRI brain finding. MRI showed right cerebellopontine angle schwannoma (likely vestibular or trigeminal schwannoma). So, it is a case of secondary trigeminal neuralgia.

✅Take away:
MRI Brain (preferably with contrast and trigeminal nerve protocol) should be done in all patients with trigeminal neuralgia, but it is essential and urgent in younger or atypical cases.

[Cardio Arena @CadioArena]

That level of body control takes a lot of strength and practice.

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Burnout is not weakness.
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8 simple rules to get your energy back:

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[Rafael Nasri @RafaelNasriX]

Walking = burns body fat
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8 simple rules that really work:

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[Sexual Health coach @sxhealth101]

- Foreplay for at least 10 minutes
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Most men don’t actually know how to satisfy their woman. They just focus on finishing and rolling over.

[Sexual Health coach @sxhealth101]

Benefits of masturbation:

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Disadvantages of masturbation ↓↓↓

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Foods that melt hip and belly fat directly.

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[Sachin Sharma @SachinHRfitness]

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🚨Do you lose fat by walking 10k steps.

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Incline walk
Speed 5, incline 10
25 mins after lifting
150g protein daily

No fat burner. No cardio machine hopping.

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All men should do these exercises every morning and see the changes in your bodies within 2 weeks. 💪🔥

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[Manhood Lab @Lab_for_Men]

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[Manhood Lab @Lab_for_Men]

Man to man

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Your diet is your fertility.