MedStudent

Medical Student

[MedStudent @medstudent002]

Imagine a patient walks into the GP surgery with a visible goitre. How do you work out if they have hyper- or hypo-thyroidism?

Graves’ vs. Hashimoto’s- A quick #Tweetorial for medical students

#Medicine #Graves’ #Hasimoto’s #hyperthyroidism #hypothyroidism @MedicsAcademy

1/13

[Kezen Chin Kai Jian @kezen0315]

#1/14
First medical #tweetorial post for all medical students⚕️!!!

Neuropathic pain: the unusual chronic pain sensations 🤕

Please like and retweet if you find it helpful!!!
#Medicine #MedEd #Medicalstudents #Neurology #Pain #Neuropathicpain #sdocs

@medicsacademy @IASPpain

[Ali Afshar @Afshar_Ali_]

1/17
#tweetorial with @MedicsAcademy for 2nd year medical students about the thyroid clinical examination.

Guided by @geekymedics and @Afshar_Ali_

#MedEd

[Sivakami Sibi @sivakami_sibi]

Here’s a brief #tweetorial on the different types of spinal anaesthesia used for labour.

This can be a broad topic so here’s how we’ll break it down
-Lumbar puncture
-Caudal epidural block
-Pudendal nerve block

@MedicasAcademy @yusufkarmali
#MedEd #PreMed

1/13

[Margaret @margaret202025]

To all 2nd year medics,
It’s exam season😳 and still don’t know enough about rheumatoid arthritis (RA)?
Here’s a quick #tweetorial on the signs and symptoms, diagnosis and histology of RA.

#MedEd #MedStudentTwitter #MedTweetorials
@MedicsAcademy @RheumatologyUK

1/15

[Geethaa Sathveekan @geethaa_sathv]

Calling all 2nd year medics! Welcome to my first #tweetorial on HEART MURMURS!
@MedicsAcademy #MedEd #medstudents #MedTwitter

[Angeliki Taniskidi @aggtan4]

🧠To investigate Schizophrenia think about these learning objectives:

#time_to_explore

[regina gianna @regina_gianna]

Summer is approaching, beaches are waiting but you can’t forget the sunscreen‼ ☀️

#tweetorial Revision on skin cancer types
@MedicsAcademy
@PreMedTwitter
@SkinCancerOrg @SkinCancerInfo @BSFcharity

#MedTwitter
#Meded
#Skincancer

1/14

[Benita T @BenitaT11]

[1/15] With #OSCEs around the corner.. here is a #MedEd #tweetorial on the #CardiacExam

As part of the @medicsacademy MedEd SSC

Here is a great resource to begin with:
https://t.co/wo6TVks8K9
@geekymedics

[Mert Celik @2002Mertcelik]

12. Diet in patients with DVT
Foods to Avoid
- Kale
- Spinach
- Brussel Sprouts
- Chard
- Avoid green vegetables as they contain Vitamin K which increases the chance of forming a clot.

[Mert Celik @2002Mertcelik]

11. INR check-ups
- Every 1-4 weeks
- Normal INR in patients taking Warfarin : 2-3
- High INR means slower clotting
- Normal INR in a healthy person 0.8-1.2

[Mert Celik @2002Mertcelik]

10. Prognosis
- Most DVT's will resolve without complications
- 43% Post-thrombotic syndrome two years later.
- Pulmonary embolism 12%
- Death 6%

[Mert Celik @2002Mertcelik]

9. Prevention of DVT
- Stop Smoking
- Avoid sitting still to maintain continuous blood flow.
- Exercise
- Weight Management

[Mert Celik @2002Mertcelik]

8. Risk Factors of DVT
- Age
- Pregnancy
- Smoking
- Birth Control Pills
- Obesity
- Surgery
- Prolonged inactivity
- Inherited

[Mert Celik @2002Mertcelik]

7. Side effects of treatment
- Warfarin : Risk to foetus (teratogenicity, maternal bleeding) so not given during pregnancy or suspected pregnancy.
- Heparin : Excessive bleeding, Heparin induced thrombocytopenia (HIT) requires disconsolation of all heparin.

[Mert Celik @2002Mertcelik]

6. Long term management of DVT
- warfarin, apixaban, dabigatran, edoxaban, or rivaroxaban
- Compressions Stockings to prevent future DVT.

[Mert Celik @2002Mertcelik]

5. Management of DVT
- Offer apixaban or rivaroxaban first line, and if these are not suitable, low molecular weight heparin (LMWH) for at least 5 days followed by dabigatran or edoxaban, or LMWH concurrently with a vitamin K antagonist for at least 5 days.

[Mert Celik @2002Mertcelik]

4. Investigation of DVT
- Ultrasound Scan
- D- dimer blood test
- MR/CT venography
- Compression Ultrasound

[Mert Celik @2002Mertcelik]

3. Examination of DVT
-Positive Homans's Sign
- Calf pain at dorsiflexion of the of foot.
- Wells Score - more than or equal to 2 suggests DVT.

[Mert Celik @2002Mertcelik]

2. DVT Signs and Symptoms
- Swelling/Oedema
- Pain
- Redness/Erythema
- Warmth
- Tenderness
- Superficial Venous Dilation