mufti

A rare specie of Dr.

[RADIOLOGISTS @DrAyubaD]

Adult Male patient with fever and cough.

Chest x-ray done .

What sign is demonstrated by the lesion ?

What are your top 2 differential diagnosis?
#MedX

[RADIOLOGISTS @DrAyubaD]

EASY ONE 🔥🔥

Elderly patient with chronic kidney disease on dialysis, presenting with confusion, tremors and choreiform movements.

MRI Brain (T2/FLAIR axial).

What is this classic sign? 👇

What are your differential diagnosis?

#MedX

[Sadiq Ishaq MD @IDantagada]

Amid the chaos in Nigerian Health sector, My First day as a surgical resident,So help me God.

[RADIOLOGISTS @DrAyubaD]

FINAL DIAGNOSIS +Teaching pearls

Diagnosis: Small Bowel Obstruction secondary to Right Inguinal Hernia (incarcerated/strangulated)
Correct Answer: C

Key Findings on the Video (CT)

• Dilated small bowel loops with multiple air-fluid levels (proximal obstruction).
• Transition point at the right inguinal canal — bowel loops herniating into the inguinal region.
• Decompressed distal small bowel and colon.
• No clear signs of ischemia yet, but urgent surgical attention needed.

Teaching Pearls
• Common cause of SBO in adults: Adhesions > hernias > tumors.
• Inguinal hernia as a cause is often missed if not carefully traced to the groin on imaging.
• Red flags for incarceration/strangulation: Severe pain, irreducible swelling, bowel wall thickening, reduced enhancement, mesenteric edema, or free fluid.

Management: Urgent surgical reduction/repair + nasogastric decompression. Delay can lead to bowel ischemia or perforation.

Great job to everyone who picked C — many nailed it quickly 👏

Thank you for your contributions. Follow this page for more cases like this.

#MedX

[RADIOLOGISTS @DrAyubaD]

NEURO case 🔥🔥 ; Patient with sudden onset of severe headaches followed by abnormal body movements and episodes of loss of consciousness.

What are your top 3 differentials diagnosis?

#MedX

[RADIOLOGISTS @DrAyubaD]

FINAL DIAGNOSIS + Teaching file

Diagnosis: Massive Right Pleural Effusion (likely malignant given heavy smoking history) 🔥

Key Findings on CXR:
- Complete white-out of the right hemithorax
- Contralateral mediastinal shift (trachea and heart pushed to the left)
- Possible rib destruction (suggestive of underlying malignancy)

Top Differentials (as discussed):
1. Massive pleural effusion (malignant, parapneumonic)
2. Complete lung collapse (e.g., endobronchial obstruction by tumor)
3. Large mass occupying the hemithorax

Immediate Management:
- Urgent chest tube insertion (ICD) to relieve mediastinal shift and improve oxygenation
- Supplemental oxygen / non-invasive ventilation
- Send pleural fluid for cytology, culture, biochemistry, and cell count
- Urgent CT chest (after drainage) to look for underlying malignancy

Teaching Pearl:
In a heavy smoker with unilateral white-out + contralateral shift → think malignant effusion until proven otherwise.
Always confirm with bedside ultrasound before inserting a chest tube if time permits.

Excellent discussion everyone! Most correctly identified massive effusion and the need for immediate drainage 👏

Thank you all ❤️❤️

[RADIOLOGISTS @DrAyubaD]

MSK / PEDIATRICS CASE 🔥
A 14-year-old active boy with anterior knee pain and swelling for 3 weeks, worse after sports. No trauma.

Lateral knee X-ray done.

White arrow highlight the abnormality at the tibial tuberosity.

What is the classic diagnosis?

[RADIOLOGISTS @DrAyubaD]

🫁 Chest Radiology Case

Patient: Middle-aged male with persistent fever, pleuritic chest pain, and dyspnea 10 days after community-acquired pneumonia. Not improving on antibiotics.

CECT done .

What is the specific sign the arrows indicate?

What is the diagnosis ?

[mufti @morfty]

@DrAyubaD Cupola sign
Pneumoperitoneum

[RADIOLOGISTS @DrAyubaD]

EMERGENCY 🆘

A 25y old man was brought in with Acute abdomen.

Abdominal X-rays erect and supine as well as chest X-rays were requested.

Chest X-ray shown below.

What is the most Important finding shown here ?
What’s the diagnosis ?

[RADIOLOGISTS @DrAyubaD]

RESPIRATORY CASE 🔥🔥🔥
A 40y old immunocompromised patient with cough +fever +chest pain.
CT chest done .

What is the classic sign shown by the white arrow?

What are the differential diagnosis for this appearance?

[RADIOLOGISTS @DrAyubaD]

Obstetrics Case ; Anomaly Scan done at late second trimester.

What is this classic appearance called ?

What is the diagnosis?

What are the causes of this anomaly?

[RADIOLOGISTS @DrAyubaD]

NEURO CASE 🔥🔥
Young Adult with progress Tremor,dystonia , rigidity and mild liver dysfunction.
Axial T2W is as shown .

What is this classic sign?
What is the diagnosis ?

[mufti @morfty]

🥺I need your help to score free items🎁 through this limited-time promotion!
https://t.co/BohxBDZ54a

[mufti @morfty]

@JaloSadik Amin

[elamin_eya @mumtazin]

Heart broken by the news of Dr Saghir Mahmoud’s Death.💔 He collapsed barely a month after his wedding and has been battling till he finally gave up today. Another one Gone, just like that. The so called “Noble profession” that takes care of everyone unless the caregivers.

The inhumane practices of long working hours must be reviewed. @MDCNOfficial we cannot take it anymore.

@nard_nigeria must look into the issue of @testyduja who was given an Extra call because he went home to change and arrived late at work after he had done a 48 HOURS CALL.💔 EXTRA CALL is sheer wickedness and you should be ashamed if you have given it before.

I call on our able president sir @DeleAbdullahi1 to please look into it that the issue of EXTRA CALL be abolished. Please sir🙏🏻

#abolish32hrsworkeverycallday

@FatimaKyari @muhammadpate @drfaisalshuaib @SEN_AAWadada @B_ELRUFAI @officialABAT @officialSKSM @PeterObi @atiku @DeleAbdullahi1 @nard_nigeria @MDCNOfficial @Fmohnigeria @NPMCNigeria @hcaconsult @laghealthsummit @NSSF_NG @Nigerian_Doctor @the_beardedsina @aproko_doctor @DrSalmaAnas @hajoaliyu @seunokin @channelstv @tvcnewsng @ARISEtv @WHO @NigeriaSenate

[Baqir @baqirul_ulum]

"When you have the opportunity to alleviate difficulties for others, embrace it without hesitation.
Avoid imposing unnecessary hardships on people simply because you experienced them yourself. Champion change and be an advocate for better conditions"

Baqirul-uloom

[elamin_eya @mumtazin]

Its time we get it right. Please do join us on the space TODAY at 9PM (Nigerian time) and 8PM (UK time) as we discuss this issues.

We will be inviting speakers from the following categories:

BDTH STRIKE: @haymraa @ARD_BDTH
@TwelveCharms @Musaelv @Kenify2006 @IdiBoss_

FTH-lokoja: @XRotimi

Long working hours: @salamnuhu @OdogwuDoctor @poetclem @iam_IMB @dr_ahmadsmall @tolutea2002 @Guntex001 @morfty @baqirul_ulum

NARD: Pre-official invite to Mr president sir @DeleAbdullahi1 ( i will send an Official invitation sir, Thank you) @abassajayi sir🙏🏻, @CalebEkuri sir, @nard_nigeria

Victimization in training: @DrJohnAfam @OdogwuDoctor @Jtanko1 @abubakar_Omarr @enodamade @ThecruiseDoc

Media: @hajoaliyu @agwamgoddy @seunokin

Public: @yaassyr @ruqqayyah_laboh @MuhammadBukarUm @Abubakar_Mhmmad

Diaspora: @Nigerian_Doctor @doctor_sade @musa_yj @justyeshua

Other ARD’s: @ard_uith @ard_uth @ard_umth @LUTHARD100 @uch_ard @ARDBSUTH @AbuthArd @OfficialARDFCT @ArdFmc @ardfmckeffi @ardfmcbk @AroResidents @nardfthido

https://t.co/A6lHGI9Mt4

[POCYBLE @KlenamPocyble]

@_AhmadHijazi A person is only wise after putting the knowledge gained into action. The source of knowledge doesn't necessarily make one wise so yeah, the choice depends. One could even choose Movies 🎥

[Abdulsalam M. Nuhu @salamnuhu]

When I was In part 1 in 2015, my school fees was around 23k, I paid around 124k in my final year. I paid N6,050 for accomodation in part 1, but by the time I was leaving, it went to 25k.
When I arrived in part 1, a N100 Dan Wake would have at least an egg and cabbage....