GENTLEMAN 🎩

medical student👨‍⚕️ ( 4/6)
NIGERIA 🇳🇬

[GENTLEMAN 🎩 @medic_rano]

@thediabetes_doc C ACEi

[Nithya Shri @Nithya_Shrii]

The most humblest thing about starting from the bottom is that you get to see how people really view you when they think you have nothing.

[Dr. August Bones @Ausbones]

Diagnosis

Diagnosis requires two or more of the following:
• Pain consistent with acute pancreatitis
• A rise in biochemical markers – amylase or lipase (more specific) > 3 times upper limit of normal
• Imaging confirming acute pancreatitis

Severity
The revised Atlanta classification quantifies severity as:
• Mild: Absence of organ failure or complications
• Moderate: Transient organ failure or local/systemic complications without persistent organ failure
• Severe: Persistent > 48 hours organ failure

[Dr. August Bones @Ausbones]

1. Holding a full professorial chair at a top 1,000 global university.

2. Building a thriving business outside academia.

3. Working fewer hours while sustaining strong and consistent turnover.

4. Being deeply and directly involved in nation-building, including establishing and running a structured mentorship school.

5. Possibly holding an elective office or a significant public appointment with the authority and capacity to create meaningful impact.

6. Checking off some of my bucket list and making new ones.

[Numero Uno 🇵🇸🇦🇷🇪🇸 @haidaer__]

4am hack
Wake up ans perform ablution.

1-Read the Quran for 15min

2- Nafil 2 rakaa for ten mins, shafa’i and witr 5 min.

3- Salatul Annabiy 15 min

4- istigfari 15 min

Then pray rakaatanil fajr and go to subhi.

Try this and watch your life change insha Allah.

[Dr. Shiv_Kumar @Dr_Shiv_kumar_]

🚨 Pulmonary embolism

Pulmonary embolism is often called the ‘great masquerader’ of emergency medicine. It can mimic pneumonia, acute coronary syndrome, heart failure, COPD exacerbation, anxiety, or even syncope. The key to diagnosis is applying the right test to the right patient using validated clinical prediction tools, here’s the brief & concise notes about PE.

#MedX #NEETPG

[BODE @neverelent]

Them go wan know your settings, but no gree ooh just de complain de go

[highFashion @rahman_jago_]

I rebuke every spirit of entitlement around me. May I be surrounded by people who value respect, gratitude, integrity, and mutual honor. Not everyone is entitled to my time, energy, access, or resources.I choose wisdom in my relationships, discernment in my decisions, and peace in my circle.

[OCHE💔 @Dan_baba04]

Feel free to look me less..
I no go use my money prove anything to you 😂💔

[Dr M Shujat Rasool @DrMShujat]

During residency, I made this simple CSF approach to stop confusing bacterial, TB, viral meningitis, and GBS. Sharing it here because it might make your next on call a little easier.

The 4 CSF patterns you need for wards + exams👇

[Technical Ben @TechnicalBben]

Once you learn how to shop directly from China, E.g Temù or shien your wardrobe changes completely. Call me cheap I don't care I ain't rich, I don't do fraud.😭

It's knowing what to search for.

Here's my style after making plenty of mistakes.

1. T-shirts:

Skip 100% polyester unless you're buying gym wear.

Instead, search:
• 100% Cotton
• Combed Cotton
• Heavyweight Cotton
• 240-300 GSM Cotton
• Premium Cotton
• Mercerized Cotton

The heavier the GSM, the thicker and more premium the shirt usually feels.

2. Jeans:

Denim Jeans
Temu is surprisingly good for denim if you know what to search.

Search:
• Denim Jeans
• Cotton Denim
• Raw Denim
• Selvedge Denim (if available)
• 98% Cotton + 2% Elastane
• 99% Cotton

Avoid jeans with high polyester content. The more cotton, the better they'll age and feel.

3. Body-hug clothing:

Search:
• Ribbed Knit
• Modal
• Viscose Blend
• Cotton-Spandex Blend

They hold their shape much better than cheap polyester.

4. Hoodies
Search:
• 400 GSM
• French Terry
• Cotton Fleece
• Heavyweight Hoodie

5. Chains
Search:
• 316L Stainless Steel
• Titanium Steel
• PVD Gold Plated
• Vacuum Plated

These are far more resistant to fading than ordinary fashion jewelry.

6. Earrings
Search:
• 925 Sterling Silver
• 316L Stainless Steel
• Hypoallergenic
• Moissanite (if you're buying stones)

7. Scarves
Search:
• Mulberry Silk
• Silk Blend
• Cashmere Blend
• Wool Blend
• Viscose

Avoid the shiny, thin polyester scarves if you're after a premium look.

8. Loafers
Search:
• Genuine Leather
• Cow Leather
• Full Grain Leather (rare but worth looking for)
• Rubber Outsole

9. Sneakers
Search:
• Rubber Outsole
• EVA Midsole
• Breathable Mesh
• Leather Upper
• Stitched Sole

Pictures lie a lot

The description usually tells the truth.

Here's how I shop:

1. Read the material composition before anything else.

2. Sort by Most Orders or Best Selling, not cheapest.

3. Only buy products with lots of reviews or pictures or even better when a Nigerian has purchased it before they always tell the truth.

4. Read the 1-star reviews first. They'll tell you what the seller won't.

5. Look at customer photos, not the product photos.

6. Check the weight of the product. Better quality clothing is often heavier.

7. Read the size chart. Don't assume your Nigerian size matches.

8. If the title has words like "luxury," "premium," or "designer" but the material is 100% polyester, not everything but still move on.

Your best friend isn't the product picture.

It's the material, the reviews, and the customer photos.

That's how you separate the gems from the junk.

I hope this help.

Things are to expensive for a country this poor.

[Dr Prosper The Philosopher @ProsperThePhilo]

As medical students, do you know that you can watch YouTube videos without actually watching them?

Yes.

Sometimes you click on a Dr. Najeeb lecture, especially his anatomy videos, and you realize that some of them are over one hour long.

Realistically, you can't always sit down and watch everything.

Sometimes you don't even understand what is being taught immediately. Then you have to sit through a very long lecture, listening to an accent that may be difficult for you to follow, for over an hour.

Personally, I don't really do that anymore.

But I still learn from his videos.

Here's the hack.

You can actually watch a YouTube video without watching the YouTube video by using AI.

There are two ways I usually do it.

The first method is very simple.

When I open the YouTube video, I don't necessarily watch it immediately.

Instead, I go straight to the transcript section.

Once I open the transcript, I simply read through it.

Because I'm reading instead of listening, I can finish a one-hour lecture in about thirty minutes.

I'm basically consuming the same information much faster.

The second method is even better.

I let AI watch the video for me.

Many AI tools can do this, but in my experience, the best one is Gemini.

Here's how.

Copy the YouTube link.

Paste it into Gemini.

Then prompt Gemini to explain everything in the video to you because you don't understand the topic.

Gemini works especially well because it's deeply integrated into Google's ecosystem, including YouTube.

So it can process the video and explain what was taught in a much more readable format.

Instead of spending over an hour listening to the lecture, you're reading a structured explanation of everything Dr. Najeeb discussed.

There's another method that I also use.

NotebookLM.

Since NotebookLM is also a Google product, it handles YouTube sources very well.

Copy the YouTube link and add it as a source inside NotebookLM.

Once it finishes loading the source, go into the chat and tell it exactly what you want.

For example:

"I've added this YouTube lecture. Explain every single concept in it in detail."

NotebookLM can summarize it if that's what you want.

It can also give you a page-by-page, concept-by-concept explanation if you ask for that instead.

The quality of the explanation depends largely on the prompt you give it.

So instead of spending hours watching videos, you can have AI break everything down into a format that is easier to understand and much faster to go through.

That's how I watch YouTube videos without actually watching YouTube videos.

And honestly, I think it's a study hack every medical student should learn.

[Mr. Láyí @layiwasabi]

over-respectfulness fit turn man to mumu

[Dr M Shujat Rasool @DrMShujat]

1. Exercise-induced bronchoconstriction
”Do you develop cough, wheeze, or shortness of breath during or 5–15 minutes after exercise? Does it improve with rest?”

2. Cough-variant asthma
“Is cough your main or only symptom? Is it worse at night or early morning?”

3. Nocturnal asthma
”Do you wake up from sleep because of cough, wheezing, or chest tightness? How many nights per week?”

4. Occupational asthma
”Do your symptoms start or worsen at work and improve on weekends or holidays? Are you exposed to dust, fumes, chemicals, flour, animals, or latex?”

5. Aspirin/NSAID-exacerbated respiratory disease (AERD)
”Do aspirin, ibuprofen, diclofenac, or other painkillers trigger wheezing? Do you have nasal polyps or loss of smell?”

6. Allergic (atopic) asthma
”Do symptoms worsen after exposure to dust, pollen, pets, mold, or seasonal changes? Any eczema or allergic rhinitis?”

7. Viral-induced asthma
”Do your attacks mainly occur after a common cold or viral infection, while you’re symptom-free in between?”

8. Obesity-associated asthma
”Did your breathing worsen after weight gain? Does weight loss improve your symptoms?”

9. Premenstrual (hormonal) asthma
”Do your asthma symptoms consistently worsen a few days before or during menstruation?”

10. Asthma associated with GERD
”Do you have heartburn, sour taste, or nighttime reflux? Do symptoms worsen after meals or when lying flat?”

11. Severe eosinophilic asthma
”Do you have frequent exacerbations despite inhalers? History of nasal polyps or high eosinophil count?”

12. Brittle asthma (rare)
”Do severe attacks occur suddenly despite regular treatment and good adherence?”

One diagnosis. Many phenotypes.
The best asthma history doesn’t stop at ‘Do you wheeze?’
It asks ‘What kind of asthma is this?’

[m @uncomptefan]

Just perfect

[Dr M Shujat Rasool @DrMShujat]

CKD Management: My 7 point resident cheat sheet 👇

I kept forgetting the order in wards, so I made this. Hope it helps someone else too:

[TC @totalcristiano]

‘You’re not even Portuguese’

Me at my house:

[Dr Kamlesh Darji @DrKamleshDarji1]

Concept #NEETPG

Liver function tests

The liver does three jobs, and the panel splits cleanly into three groups:

Q1 - Are liver cells dying?
Enzymes reside inside hepatocytes and spill out when cells rupture.
High = injury, not failure.

1. ALT : the liver-specific leak.
Rises = hepatocyte damage.
Most specific to liver. (first marker of hepatocellular injury)

2. AST : the same idea, less loyal. Also in heart, muscle, RBC. (pair with ALT - see the ratio below)

AST:ALT ratio (De Ritis) :
>2 points to alcohol,
<1 to viral/NAFLD.
One number, two diagnoses.

Q2 - Is bile flow blocked? (cholestasis enzymes)
These live on the bile canaliculus and get induced (made more) when ducts obstruct - they leak less, they ramp up.

3. ALP : the obstruction flag.
But also comes from bone, placenta → not liver-specific alone. (suspected cholestasis)

4. GGT : the confirmer.
High ALP + high GGT = it's the liver.
High ALP + normal GGT = it's bone/other.
Also rises with alcohol/enzyme inducers. (prove the ALP is hepatic)

Q3 - Is the liver actually working? (true function)
This is the real "function" panel - synthesis and clearance.

5. Bilirubin : the clearance test.
• Unconjugated up = pre-hepatic (haemolysis) or uptake fail.
• Conjugated up = hepatocellular or obstruction. (jaundice work-up)

6. Total protein : albumin + globulins together. Normal total can hide a sick liver - albumin falls but globulins rise to fill the gap. Always split it. (never read it alone)

7. Albumin : the slow synthesis marker. Long half-life (~20 days) → drops in chronic liver disease. (how long has this been going on?)

8. A:G ratio : the split that tells the story. Liver makes albumin, plasma cells make globulin.
Reversed ratio (<1) = albumin down + globulin up → chronic liver disease, cirrhosis.
Also flipped in myeloma - different reason, same maths- the cheap clue everyone ignores!

9. PT/INR : the fast marker.
Clotting factors die in hours → earliest sign of acute synthetic failure.
Bonus:
corrects with vitamin K = cholestasis/malabsorption.
Doesn't correct = true liver failure. (sickest patient, real-time function)

[Yusuf Dauran @usouph]

What would a Pharmacist or Medical Dr at an NYSC camp be taught there in the medical line really? Let’s be honest.
Those that stayed in camps would tell you what really happens in the clinics there.
So all i was taught in the Uni was not enough, i need another 6-weeks’ certificate in civic education, tech, and medical to be competent? Limawo

[Nans, Esq. @nansbello]

Those 6 weeks in camp will actually boost Nigeria’s childbirth rates 👍