Dr. Blackbeard 🩺

The quieter you become with time, the more you'll be able to listen. ☪️🧑🏽‍⚕️🩺

[nervemed @nervemed]

A woman presents with the facial lesions and persistent dry cough. What is the most likely diagnosis❓

A. Sarcoidosis
B. Rosacea
C. Bronchiolitis
D. Tuberculosis

[Israel Exposed @xIsraelExposedx]

It took a little longer than expected, but we have created a website for people to view the footage collected from Gaza in one place. You no longer have to download the entire archives to see them.

It includes:

64,537 videos
17,905 photos
Ability to download individual videos
Searchable index
Exhaustive sources list (300+ journalists)
Geolocation data
Livemap with minute to minute updates
Victim list

It can be accessed here: https://t.co/s0Se94PXWF

Please share & quote tweet to help this post break out of the twitter algorithm prison.

We will keep adding the rest of the archives to the site, be patient- it is difficult work. Continue to seed the torrents provided, as that is the best way to ensure the footage remains stored in decentalized way.

God bless all those who sacrificed their lives to get this footage out, and everyone invovled in collecting/archiving it.

Join our telegram:
https://t.co/bvcis3b9GT
Follow our backup accounts:
@ZionismExposedx & @IsraelExposedAr

[Dr. Blackbeard 🩺 @milkytee66]

@stats_feed But no Israel. Wow the hypocrisy on display here

[Dr. Blackbeard 🩺 @milkytee66]

@LindseyGrahamSC Thankfully now this monster has left this world for good

[MedicoNotes @MedicoNotes]

🌀 7 CAUSES OF VERTIGO

Vertigo is a symptom, not a diagnosis.

When a patient complains of “dizziness,” the key question is:

❓ Is this true vertigo (a false sensation of movement) or something else?

Correctly distinguishing peripheral from central causes is essential, as some causes are benign, while others may represent a neurological emergency.

🔑 Common Causes of Vertigo

1️⃣ BPPV (Benign Paroxysmal Positional Vertigo)
• Most common cause
• Brief episodes triggered by head movement
• No hearing loss
• Positive Dix-Hallpike test
• Treated with the Epley manoeuvre

2️⃣ Vestibular Neuritis
• Acute severe vertigo lasting days
• Often follows a viral illness
• Nausea and vomiting common
• No hearing loss

3️⃣ Ménière Disease
• Recurrent episodes of vertigo
• Fluctuating hearing loss
• Tinnitus and aural fullness
• Usually unilateral

4️⃣ Vestibular Migraine
• Vertigo associated with migraine features
• Photophobia, phonophobia, aura
• May occur without headache

5️⃣ Labyrinthitis
• Vertigo + hearing loss
• Often post-viral
• Auditory and vestibular symptoms occur together

6️⃣ Acoustic Neuroma (Vestibular Schwannoma)
• Progressive unilateral hearing loss
• Tinnitus
• Gradual onset imbalance or vertigo

7️⃣ Central Causes 🚨
• Stroke
• Multiple sclerosis
• Cerebellar tumours
• Brainstem lesions

⚠️ Red Flags Suggesting a Central Cause

🚨 Diplopia
🚨 Dysarthria
🚨 Limb weakness
🚨 Severe ataxia
🚨 New headache
🚨 Persistent neurological deficits

🩺 Clinical Approach

✔️ Take a careful history
✔️ Examine for nystagmus
✔️ Perform the HINTS examination when appropriate
✔️ Assess hearing
✔️ Look for focal neurological signs

💡 High-Yield Pearl

Peripheral vertigo is common, but never miss a central cause.

Remember:

🧠 Acute vertigo + neurological signs = Stroke until proven otherwise.

📚 Save this post and visit our website for innovative high-yield medical notes:

https://t.co/Ivljom2bsM

#Vertigo #Neurology #BPPV #MeniereDisease #vestibularneuritis

[Medical Info @Medicalinfo111]

Rheumatoid arthritis (updated treatment to target algorithm)

[Sky News @SkyNews]

BREAKING: Neo-Nazi Alfie Coleman has been jailed for 13-and-a-half years after he plotted a mass gun attack on colleagues and customers at the Tesco store where he worked.

https://t.co/XR0P7Lhpfr

📺 Sky 501, Virgin 602, Freeview 233 and YouTube

[MedicoNotes @MedicoNotes]

🧠 MCA vs ACA vs PCA — Localise the Stroke in 5 seconds!

⸻

1️⃣ MCA — Middle Cerebral Artery

🔸 Contralateral Face & Arm weakness
🔸 Contralateral Face & Arm sensory loss
🔸 Aphasia → if dominant hemisphere
🔸 Gaze deviation TOWARD the lesion
🔸 Visual field: Contralateral Homonymous Hemianopia
🧩 Why? MCA supplies the lateral cortex — face, arm, and language areas

⸻

2️⃣ ACA — Anterior Cerebral Artery

🔸 Contralateral LEG weakness (arm spared!)
🔸 Contralateral LEG sensory loss
🔸 Abulia / Apathy → behavioural changes
🔸 Urinary incontinence
🔸 Visual field: Contralateral Homonymous Hemianopia
🧩 Why? ACA supplies the medial frontal and parietal lobes — leg area and motivation circuits

⸻

3️⃣ PCA — Posterior Cerebral Artery

🔸 Contralateral Visual Field Loss → often isolated
🔸 Visual Hallucinations → Charles Bonnet Syndrome
🔸 Visual Agnosia → impaired visual recognition
🔸 Visual field: Contralateral Homonymous Hemianopia with macular sparing
🧩 Why? PCA supplies the occipital lobe (vision) and inferior temporal lobe (visual memory)

⸻

🧩 The 5-Second Localisation Rule
➊ Face + Arm weak + Aphasia → MCA
➋ Leg weak + Behavioural change → ACA
➌ Vision loss only + Hallucinations → PCA

⸻

⚠️ The Exam Trap

🔹 All three can cause Contralateral Homonymous Hemianopia
🔹 ACA and MCA → full field defect
🔹 PCA → macular SPARING (occipital cortex has dual blood supply)

⸻

📚 Master all neurology conditions in our high-yield neurology book:
🔗 https://t.co/2UQyCbb6in

⸻
#StrokeSyndromes #Neurology #medicine #internalmedicine #usmle

[Medicine Refresher @notes4medicine]

Approach to Peripheral Artery Disease (PAD): A High-Yield Clinical Guide for the IM Shelf & Boards

[nervemed @nervemed]

Stages of Syphilis

[Dr. Blackbeard 🩺 @milkytee66]

@Kristin_Piotti @FmrRepMTG Produce your own oil but prices are still linked to international prices. Duh. It is still expensive at the pumps

[Medicine Refresher @notes4medicine]

A High-Yield Cardiac Murmur Guide

[Medicine Refresher @notes4medicine]

Approach to ASTHMA: A Quick High-Yield Clinical Guide for the USMLE Step 2 CK

[Medicine Refresher @notes4medicine]

Anemia Workup Algorithm

[Internal Medicine @pgMedicine]

Iron Deficiency Anaemia vs Anaemia of Inflammation

Both may have low serum iron—the key difference is whether iron stores are depleted or trapped by inflammation.

#Hematology #InternalMedicine #MedicalEducation #FCPS #MRCP

[Medicine Refresher @notes4medicine]

Approach to Cardiac Arrhythmias: A Quick High-Yield Clinical Guide for the USMLE Step 2 CK

[Aravind Palraj @Rheumat_Aravind]

Not all cutaneous lupus lesions are the same.

🦋 ACLE = Butterfly rash + active SLE

⭕ SCLE = Annular/papulosquamous rash + marked photosensitivity + Anti-Ro positivity

🎯 CCLE (DLE) = Discoid plaques + follicular plugging + scarring + permanent alopecia

Recognizing the pattern helps predict systemic associations, guide investigations, and prevent irreversible damage.

#Lupus #Rheumatology #Dermatology #MedEd #SLE @IhabFathiSulima @docakx

[Mehdi Hasan @mehdirhasan]

Has Elon Musk tweeted about this guy yet? If not, why not?

[Dr. S.S.RAJPOOT🇮🇳 @Dr_Surjeet]

Verciguat is a wonderful drug with unique mechanism to improve worsening heart failure, now it is considered Fifth pillar of Heart failure management.
Following case Make it clear when to use Verciguat and how to use it.#HF
#GuidelineDirectedMedicalTherapy
#HFrEF
#FOAMed
#CardioEd

[Medical Info @Medicalinfo111]

Approach to dizziness or vertigo