Dr.ELIZABETH NYAMBURA MÛHÎA

* Human Medical Doc* **God-Follower* **Peaceful*. DAUGHTER OF ZION

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

Joshua Kamuthamaki | Mugithi Live | 2026 | Kui Mugweru https://t.co/mg65ISbSzs via @YouTube

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

MUGITHI RHUMBA MIX-LIVE OFFICIAL VIDEO(cover) by KAMSON for Bookings 071... https://t.co/Z8ozeWvyU2 via @YouTube

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

CAROL GA ZIMMER- MUGITHI MASH UP https://t.co/22a9hCNst4 via @YouTube

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MUGITHI MIX BY DJ DIBUL 💥🔥[MR THIGITHA]BEST OF SALIM VOL 1 #trending #sa... https://t.co/sawBTPhSdM via @YouTube

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Wituite Hiti https://t.co/IM7Vd6Ckf8 via @YouTube

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

Kuruga wa Wanjiku - Date Ya Muico https://t.co/TQ1CaPkeCe via @YouTube

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

Kuruga Wa Wanjiku - Njiira niunyenda (Official Video) https://t.co/82NJWCQTIE via @YouTube

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CUCU by John njagi (official) https://t.co/HxqnM5ugS0 via @YouTube

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Kairetu Gakenia Mugithi live latest performance at Inooro Fm 2026 #mugit... https://t.co/bOVjRaJZew via @YouTube

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

JOSHUA KAMUTHAMAKI LIVE || MUGITHI || KIGOCO || NGOGOYO https://t.co/Ij1fF2mKht via @YouTube

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

@SeeFisch Am interested

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

Imposters are really annoying

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

@Beno10_MFC One shirt collar is unfolded

[MedLearn Hub @MedLearnHub]

✴️Osborn waves a/k/a J waves- are positive deflections (humps or notches) on the ECG seen at the junction (J point) between the QRS complex & the ST segment.
∆ Pathophysiology-:
• Caused by a transmural voltage gradient due to heterogeneous early repolarization in ventricular epicardium versus endocardium, mainly influenced by transient outward potassium current (Ito).
• Hypothermia exaggerates this effect.
∆ Appearance-:
• They appear as dome-shaped, upward deflections on the terminal part of the QRS complex, best observed in inferior (II, III, aVF) & precordial leads.
📍Classical Association-:
• M/C seen in hypothermia (core temperature usually < 30°C), but not pathognomonic.
• Also seen in other conditions like hypercalcemia, brain injury, myocardial ischemia & certain cardiac syndromes.

[Dr. Nikhil @DrNikhilMD]

A distinct J-wave on ECG often associated with hypothermia, but also seen in early repolarisation, hypercalcemia, traumatic brain injury and sepsis.
When it appears in a cold, bradycardic patient, it signals increased risk of ventricular arrhythmias. Prioritise controlled rewarming.

[MEDCRUX @medcrux]

🛑 Ramsay Hunt Syndrome (Herpes Zoster Oticus)
🔷️ Reactivation of VZV in the geniculate ganglion
🔷️ Causes ipsilateral LMN facial nerve palsy
🔷️ Vesicular rash over external ear / pinna / ear canal
🔷️ Severe otalgia (ear pain) is common
🔷️ Loss of taste over anterior 2/3 of tongue (CN VII involvement)
🔷️ May cause hyperacusis (due to stapedius muscle paralysis)
🔷️ Treatment: Acyclovir + Prednisolone started early improves recovery.

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

@DrAkhilX Delta wave

[Dr.ELIZABETH NYAMBURA MÛHÎA @LiliBlessedDoc]

@DrAkhilX Wow