Chiranjeev Goyal

संघर्षों की समर भूमि में, हमसे पूछो हम कैसे हैं,
कालचक्र के चक्रव्यूह में, हम भी अभिमन्यु जैसे हैं।

[Chiranjeev Goyal @chiranjeevGoel]

@RahulGandhi @aajtak @yadavakhilesh @AamAadmiParty @SanjayAzadSln @CNNnews18 @ABPNews @republic @INCIndia @the_hindu @rajkumarbhatisp

[Chiranjeev Goyal @chiranjeevGoel]

@RahulGandhi @ARanganathan72 @SanjayAzadSln @yadavakhilesh @rajkumarbhatisp
मोदी जी को सीएनजी (CNG) में भी सीवर के नाले की गैस मिला कर बेचनी चाहिए। और क्योंकि इस अविष्कार के जनक स्वयं मोदी जी हैं तो नाम रहेगा - M4(20).
एक पेड़ माँ के नाम और एक सीवर का नाला मोदी जी के नाम।

[THE SKIN DOCTOR @theskindoctor13]

A Mumbai govt hospital advised a pregnant woman's family to consider transferring her elsewhere, as pre-delivery fetal assessment indicates her newborn will likely require NICU care, and all of their NICU beds are currently occupied.

The woman's husband called Shiv Sena (Shinde) corporator Ramesh Mhatre, who arrived with his goons and assaulted doctors and nurses.

If you understand how hospitals work, you'll know a bed not being available is not the doctor's fault. You can't ask another critical newborn to vacate a bed, nor can you provide NICU care on the floor, nor can you "arrange bed from some other dept" because a NICU bed isn't just a bed, it comes with ventilators, monitors, oxygen, infusion pumps, and other life-support equipment.

So the blame, if any, goes on the govt. But doctors are the easiest targets, and assaulting them earns politicians easy political mileage.

I know some will say, "Doctors are evil and deserve it," and that's fine. I'm not seeking sympathy. This post is for parents and medical aspirants. Unless your parents own a hospital, you choose govt jobs with better working conditions like the Army, paramilitary, or Railways, plan to pursue USMLE (or an equivalent pathway), or intend to move to private practice where you can arrange your own security, think carefully before choosing this profession.

Most govt hospitals are hellholes. You can serve patients well for decades and still end up being abused or assaulted by a tenth-pass corporator, a publicity-hungry politician chasing cameras, or patient relatives who think every death could have been prevented if only the doctor had "tried harder."

[Doc Navarrow @DocNavarrow]

💡The Koos classification grades vestibular schwannomas by their extension and relationship to the brainstem:

I: intracanalicular
II: extends into the CPA
III: contacts the brainstem
IV: displaces the brainstem

🔗https://t.co/hRGPEk6LDL

[Annals of Indian Academy of Neurology @AnnIndAcadNeur]

Shrimp sign has an 85% sensitivity, 100% specificity and 100% PPV for diagnosing PML. Asymmetry of the MCP lesions is paramount! Ajay Garg et al published one such case highlighting the "Shrimp sign" 🍤 in PML. @neuro_ian #PML Link: 10.4103/aian.aian_932_23

[RadioGraphics @RadioGraphics]

Incidental findings: common, often benign--but not always. This review updates ACR guidance, highlights gaps, and challenges prior recommendations across organs. A must-read to refine management and avoid unnecessary workup. @UCDRadiology https://t.co/SFsxFZA1LA

[Chiranjeev Goyal @chiranjeevGoel]

@RahulGandhi @aajtak @yadavakhilesh @AamAadmiParty @SanjayAzadSln @CNNnews18 @ABPNews @republic @INCIndia @htTweets @the_hindu @priyankagandhi @timesofindia @ARanganathan72 @aajtak

[Dr. Brandon Beaber @Brandon_Beaber]

44-year-old woman with vision loss/confusion. MRI brain shows enhancing periventricular lesions. Multiple Sclerosis? No! Diagnosis? Prepare to fail miserably.

[Chiranjeev Goyal @chiranjeevGoel]

@timesofindia @htTweets @aajtak @AamAadmiParty @SanjayAzadSln @CNNnews18 @ABPNews @republic @INCIndia @RahulGandhi @PrashantKishor @jansuraajonline @samajwadiparty @the_hindu @IndianExpress

[Bhavin Jankharia @bhavinj]

Case of the Day - 190 - Septal Thickening and Infiltrative Lung Disease

51-years old with progressive dyspnea.

CT scan shows
1. Septal thickening - mostly regular - some irregularity
2. Variable-sized, randomly distributed nodules
3. Irregular fissural thickening
4. Cystic change
5. Lymphadenopathy - subtle calcification

Diagnosis?

The video describes the case, a flow-chart of how to approach septal thickening (with the earlier flow charts of ground glass plus septal thickening and diffuse small nodules) and explains how the diagnosis was reached.

Full Video
https://t.co/W9KcYy6Kyy

#caseoftheday #lung #septalthickening #infiltrativelungdisease

[Chiranjeev Goyal @chiranjeevGoel]

@the_hindu @DainikBhaskar @ShashiTharoor @timesofindia @htTweets @aajtak @AamAadmiParty @SanjayAzadSln @CNNnews18 @ABPNews @PrashantKishor @jansuraajonline @samajwadiparty @RahulGandhi @INCIndia

एक इंसान जिसने कम से कम वैचारिक तौर पर भाजपा की लंका को ढहा दिया।
नमन!

[Lauren Kriger Groner @LaurenGroner]

Diagnosis?

[Bhavin Jankharia @bhavinj]

RA, RA-ILD, AEF, CPFE - So Many Acronyms in One Patient

64-years old with rheumatoid arthritis on treatment had dyspnea. He was a 15-pack years smoker who had stopped 10 years ago. He was known to have ILD since 2023 and was on anti-fibrotics.

The CT shows so many findings as listed in the title.

https://t.co/CoyB2uWn0F

#ctchest #ILD #smoker #rheumatoidarthritis #RAILD #AEF #CPFE

[Chiranjeev Goyal @chiranjeevGoel]

@aajtak @htTweets @PMOIndia_RC @timesofindia @ARanganathan72 @AamAadmiParty @SanjayAzadSln @CNNnews18 @ABPNews @republic @TimesNow

[Itebimien Peter @PeterItebimien]

A 32yr♂️ presents to the ED with severe headache,blurred vision,confusion & 2 episodes of generalized tonic-clonic seizures.BP 190/110mmhg & MRI scan done👇.Diagnosis?management?
#MedTwitter #MedX #NeuroTwitter #CardioTwitter #FOAMed @albertoortegana @IhabFathiSulima @elidyynwa

[Nithyanand @Nithyagowda96]

@madhukishwar @MichaelValdar To all those ❤️ da's
Who are saying this is shit and all
Just listen completely to this video, this was said inside assembly and not on some road side interview.
The same Kapil Mishra is BJP minsiter in Delhi now.
This video clearly show about the affairs of Mahamanav

[SRU Radiology @sruradiology]

Dx: Spigelian Hernia
Findings: Fat containing hernia protruding thru a weakness in the Spigelian fascia (or semilunaris line) in the ventral abdominal wall, lateral to the umbilicus. Confirm reducibility, as there is high risk of incarceration with these rare hernias.

Case courtesy of Dr. Neel Patel, OHSU
#RadResidents #ultrasound #RadInTraining

[WalidoNeuroPedia @NeuroWalid]

Normal vs HD MRI:
#neurotip #Huntingtondisease #neuroradiology

[Dr Abhilasha Manwatkar (AIIMS Nagpur) @Abhilasha21822]

Two erosions.

One due to gout.
The other one is due to RA.

What changed my differential?

👉 Just one bare area.

Small radiographic details = big diagnostic clues.