Everest; Your Collegeplug

Freelancer. This account does not support any bullying.

[steve Biko osur @wuodosur]

He does this, he will find space in a small corner of the daily newspapers with two pegions flying above his head .

[World of Statistics @stats_feed]

The average amount of time a woman can keep a secret is 47 hours and 15 minutes.

[Joe Kent @joekent16jan19]

This week the Senate will vote to merge our military’s most sensitive & secretive capabilities with Israel. This merger is buried within the massive NDAA and they’re hoping you won’t notice.

Merging our military with a foreign country is a treasonous betrayal of our sovereignty.

Call your senators & tell them to vote no on the NDAA until the merger w/ Israel (section 219) is taken out.

Tell them that we will never support merging our military with a foreign nation.

The senate switchboard number is: [phone].

[🔺Escobar🔻 @_Mr_Richard]

Every woman’s dream is to rule a man, but whoever tries becomes a single mother😹

[Everest; Your Collegeplug @Everestceo]

But soon we will write RIP after the Nigerian yahoo boy has disappeared with your head!

[Dr. Nyarsakwa @Nyarsakwa_]

You see that thing where they take you to the salon,then they wait for you and then they swipe their card when you’re done, I’ve experienced it today 🥹🤭 romance exists, and no you won’t get it from that Kenyan man who will be commenting shortly about how my person is a simp😂😂😂

[Erling Haaland @Erling]

Worth the 28-year wait! 🇳🇴❤️

[Callum @_callumstone]

Iran couldn’t get visas. They didn’t intervene.

A Somalian referee couldn’t get a visa. They didn’t intervene.

Fans of Muslim countries couldn’t get a visa. They didn’t intervene.

Ronaldo got a red card. Intervened.

USA player got a red card. Intervened.

F*** FIFA. Corrupt.

[Chetuya Chinagolum @Chetuyachinago]

This is like invading a slave plantation just so you could become the new slave.

[Caspata.🐐 @Sp__ke_]

Hii hua inanimaliza man 😂😂😂😂

[Somoina Kapeen @SomoinaKapeen]

The only romantic Nilotes are River lake Nilotes! Shida ni most are milayas😭

[Everest; Your Collegeplug @Everestceo]

My fellow Genz should understand that constant riot with no goal shows a high level of stupidity and foolishness. Sometime patience and good time is all that is required to achieve a goal.

[Dr Rahmeh Aladwan @doctor_rahmeh]

Date.

[Billem Dafoe @Billem_DaFoe]

Once you have loved and been loved by a whore, you realize just how pathetically little the average woman brings to your life

[kipruto @KiprutToo]

A woman keeps the genes of any man she has ever slept with, do you know that you have Besyge's genes ?

[Aldo Sterone @AldoSterone111]

Le prochain premier ministre britannique va commencer par aller voir le roi, c’est la tradition. Par la suite, il ira rencontrer Zelinsky pour lui prêter allégeance. Puis, il va appeler Van der Layen pour confirmer sa vassalité à l’UE. Enfin, il mangera avec des patrons de hedge funds avant de venir à la television nous parler de climat.

[Justin Trudeau @JustinTrudeau]

Sometimes supportive boyfriend duties call. But you know who I’m rooting for to take the Cup 🇨🇦

[Big Cuz @imohumoren]

In 1966, All African counties boycotted the World Cup to protest apartheid and how black South Africans were marginalized

In 2026, All African countries supported Mexico against South Africa in protest against their xenophobia

Live long enough

[Malvin @ManOfFocus_]

Neverrrrrrrr disrespect a man when he is at his lowest. A man never forgets disrespect. It’s either buried deep in his heart or used as revenge but never forgotten.

[Dr Gacikira 🕹️ @gacikiraMD]

A 42-year-old man presents with progressive fatigue, weight loss (8 kg over 6 months), darkening of the skin, dizziness on standing & recurrent abdominal pain.
He reports craving salty foods. Examination reveals BP 88/56 mmHg lying and 70/40 mmHg standing, diffuse hyperpigmentation of the buccal mucosa and palmar creases, and generalized weakness.

Laboratory results:

Na⁺: 124 mmol/L
K⁺: 6.1 mmol/L
HCO₃⁻: 18 mmol/L
Glucose: 3.1 mmol/L
Hb: 11.2 g/dL
Eosinophils: 9%
Morning serum cortisol: 2 μg/dL (normal 10–20)
Plasma ACTH: markedly elevated

Questions✅

What is the most likely diagnosis?
Explain the pathophysiology behind:
-Hyperpigmentation
-Hyponatremia
-Hyperkalemia

What test would confirm the diagnosis?
List four causes of this condition.
How would you manage this patient acutely if he presented with shock?
What long-term hormone replacement therapy is required?

Let me know when you are done.