JoshRogan

dream power: blood bending to my will | tara let's eat! Davao City

[LYN🍊💋 @lynniarizona]

AYUN IBANG TING TING TANG TANG TANG 'TO AH HWHAHAHA😭😭😭😭

[Cats with Aura 😺 @catwithaura]

I thought i was home alone?!

[Massimo @Rainmaker1973]

An artist who combines murals with trees

[Dr. Priyam Bordoloi @DocPriyamMD]

A lot of people reading this might think this is a rare, freak occurrence. But any seasoned doctor on my timeline can definitely vouch for this....we see NSAID-induced kidney injuries on a regular basis.

​Anyway, hope you are liking this new format! I realized that just presenting a clinical case isn't enough. If I can pack all the relevant information needed: the underlying science, risk factors, and warning signs etc, it becomes way more useful.

​FOLLOW ME for more clinical breakdowns!

[Out of Context Human Race @NoContextHumans]

Learn finger cobra to scare your friends

[Kim @unluckykimz]

Ang tawa ko😭😭

[lore ᴗ̈ @loredics]

Ninguém vai me fazer aceitar que a culpa aqui é das pessoas

[hanna @hannatwitta]

pessoas criativas são realmente incríveis

[JoshRogan @kirieleson]

@seyirnotlari 0?

[JoshRogan @kirieleson]

@Potassium_k6 grabe ka na talaga AI

[𝑎𝑛𝑖𝑚𝑎𝑙 𝑤𝑜𝑟𝑙𝑑 @cuteeanimals0]

The cat has no intention of stopping until it gets what it wants😂

[Farm Girl Carrie 👩‍🌾 @FarmGirlCarrie]

This dad of triplets has to
be an engineer… 😂💕

Video credit: Jordan Flom

[癒される動物 @cutest_animal1]

トレーナーと一緒に筋トレするアシカがかわいい

[MERICA MEMED @Mericamemed]

so this is what we would call a "chick magnet"

[Noorie lova @noorielova]

Finally cracked the code on this cafe filter!

🍎iphone14pm
•Exposure: -13
•Vibrance: +8
•Highlights: -10
•Shadows: -18
•Brightness: +6
•Black Point: +5
•Sharpness: +28
•Clarity: +18

[Dr M Shujat Rasool @DrMShujat]

🧠 FOR RESIDENTS | HOUSE OFFICERS | CONSULTANTS
(STROKE LOCALIZATION MADE SIMPLE)

When a stroke patient arrives, don’t start with scans first.

👉 First question at bedside: Which vascular territory is involved?
This single step predicts the full neurological deficit.

1️⃣ Middle Cerebral Artery (MCA) Stroke

📍 Most common stroke territory

Contralateral face & arm weakness > leg
Contralateral sensory loss

Dominant hemisphere → Aphasia

Broca: non-fluent speech
Wernicke: fluent but meaningless speech

Non-dominant hemisphere → Hemispatial neglect

💡 Key clue: Face + arm > leg = MCA

2️⃣ Anterior Cerebral Artery (ACA) Stroke

Contralateral leg weakness > face/arm
Sensory loss (leg predominant)
Frontal lobe features:
Personality change
Urinary incontinence

💡 Key clue: Leg > face/arm = ACA

3️⃣ Posterior Cerebral Artery (PCA) Stroke

Contralateral homonymous hemianopia
No motor weakness
Memory impairment (hippocampus)

💡 Key clue: Isolated visual field defect = PCA

4️⃣ Basilar Artery Stroke

⚠️ Neurological emergency

Locked-in syndrome
Conscious but quadriplegic
Vertical eye movements preserved only
Bilateral motor deficits ± cranial nerve palsies

💡 Key clue: Locked-in = basilar until proven otherwise

5️⃣ Lacunar Strokes (Small vessel disease)

Seen in HTN & diabetes
Deep brain involvement:

Pure motor hemiparesis (internal capsule)
Pure sensory stroke (thalamus)
Ataxic hemiparesis (pons)
Dysarthria–clumsy hand syndrome

❗ No cortical signs:

No aphasia
No neglect
No visual field defects

💡 Key clue: Pure motor OR pure sensory = lacunar

🔑 ONE-LINE PATTERN RECOGNITION:

Face/arm > leg → MCA
Leg > face/arm → ACA
Visual field cut only → PCA
Locked-in → Basilar
Pure motor/sensory → Lacunar

🧠 If you can localize, you can diagnose before imaging.

[ube marie ! @ubescoups]

HAHAHAHAAHAHAHA LEGIT

[Tony Breu @tony_breu]

1/14
Why can't you use direct oral anticoagulants (DOACs) in patients with mechanical valves (MVs)?

DOACs have been one of the most important advances in my career. And yet, the presence of a MV is one of the few contraindications.

The reason highlights the unique nature of thrombus formation in those with a MV and provides insights into the evolution of human hemostasis.

[𝕐o̴g̴ @Yoda4ever]

They're probably talking something important..🐈🐈🐈🐈😅

[JoshRogan @kirieleson]

@kh505043 my next step would be to pray 😬