Shane Kung

Taiwan

[Dr sthanu subramanian @drsthanus]

What is this test?

Significance?

[Internal Medicine @pgMedicine]

West Haven Grading of Hepatic Encephalopathy

Grade II is where HE becomes overt — then look for the precipitant.

[Medicine Refresher @notes4medicine]

Renal Tubular Acidosis (RTA)

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Sydney Protocol to Obtain Biopsies in Gastritis

[Medicine Refresher @notes4medicine]

Heart Failure Classifications: A Quick Review

[🦠 Dr. Ahmed Alanazi @o_o_dr]

ARDS is one of the most challenging conditions encountered in the ICU 🫁🚨

📌 Severe hypoxemia
📌 Bilateral pulmonary infiltrates
📌 Non-cardiogenic pulmonary edema
📌 Decreased lung compliance
📌 Respiratory failure requiring advanced support

Remember the key management principles:

🫁 Low tidal volume ventilation (4–6 mL/kg IBW)
🔄 Adequate PEEP
🛏️ Prone positioning for severe ARDS
💧 Conservative fluid strategy
⚙️ Treat the underlying cause

The goal is not only to improve oxygenation, but also to protect the lungs from ventilator-induced injury.

A practical review of ARDS covering Berlin criteria, pathophysiology, ventilator settings, proning, ICU management, and high-yield critical care pearls 📚🩺

https://t.co/1dSdJ0q2Ra

[Dr RP Singh, MD @rpsingh1894]

👅 Your tongue can reveal more than you think.

A simple tongue examination may provide valuable clues to systemic diseases—from anemia and vitamin deficiencies to candidiasis, scarlet fever, Kawasaki disease, and hypoxemia.

Never skip the tongue during a physical examination. Sometimes, the diagnosis is right in front of you.

📚 Which tongue finding do you encounter most often in clinical practice?

#MedTwitter #MedicalEducation #FOAMed #ClinicalPearls #InternalMedicine #ENT #MedEd #Medicine #PhysicalExamination

[Medicine Refresher @notes4medicine]

MEN Syndromes

[CardiovascularCorner @TrackYourHeart]

Pulmonary Infection on CT: From Pattern Recognition to Pathogen

[Internal Medicine @pgMedicine]

Heart Murmurs: A High-Yield Bedside Guide to Clinical Auscultation

[Meded Daily @MededDaily42640]

ACUTE APPENDICITIS

[Oren Gottfried, MD @OGdukeneurosurg]

Vein anatomy

[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!

[Oren Gottfried, MD @OGdukeneurosurg]

Peripheral nerve injuries

[Medical Info @Medicalinfo111]

Pathological reflexes

[The Medics🩺💊💉🏥 @DrArslan480]

Types of Antibodies

[Oren Gottfried, MD @OGdukeneurosurg]

CPAP vs BIPAP

[Oren Gottfried, MD @OGdukeneurosurg]

Anticoagulation.