nichlausens arnoldlu

Dr Arnold Lumu Nichlausens
Clinical Nutritionist and Diet Expert/Researcher
RD/CCN/DCN

[Fabrizio Romano @FabrizioRomano]

🚨🔴⚪️ BREAKING: Arsenal agree deal to sign Ezri Konsa from Aston Villa, here we go!

Fee agreed at £50m plus add-ons and long term deal in place with English defender.

Konsa will undergo his medical in next 48h then signing in at #AFC — follows @TheAthleticFC.

[Simplify Rx 📱 @simplify_drugs]

PCAB achieves full, maximum acid suppression within 2 to 4 hours of the very first dose, a traditional PPI takes 3 to 5 days of continuous dosing to reach the same clinical effect.

Notes and illustration from Simplify Rx 📱

[CardiovascularCorner @TrackYourHeart]

Causes of Hypertension😍

[nervemed @nervemed]

STEMI VS NSTEMI

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Types of Colectomies:

↓
- Low anterior resection

- High anterior resection

- Sigmoid colectomy

- Left hemicolectomy

- Right hemicolectomy

- Abdominal-perineal resection

- Total proctocolectomy

- Subtotal colectomy

- Total abdominal colectomy

[Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) @rkalyes1]

🏥🩺 Our patient had hepatitis B and was taking alcohol regularly.
🔥 A diagnosis of decompensated liver cirrhosis was made because she had facial wasting with no peripheral oedema ( Potato-on- stick appearance). No features of heart failure ( ruling out EMF).
🔥 We tapped 2 L

[🦠 Dr. Ahmed Alanazi @o_o_dr]

🚨 NECROTIZING FASCIITIS — SMLE SUMMARY

A life-threatening surgical emergency that requires immediate recognition and intervention 🩺

This visual summary covers:

▫️Definition and pathophysiology
▫️Common organisms and risk factors
▫️Clinical features and red flags
▫️Pain out of proportion to examination
▫️LRINEC score interpretation
▫️CT findings and diagnosis
▫️Broad-spectrum antibiotic coverage
▫️Emergency surgical debridement
▫️Complications and mortality predictors
▫️High-yield SMLE pearls and exam tips

Remember the golden rule 🔥

Severe pain + rapidly progressive soft tissue infection + systemic toxicity = Think Necrotizing Fasciitis until proven otherwise.

Early diagnosis and urgent surgical debridement save lives. Delay kills tissue and increases mortality.

Telegram: https://t.co/EPqChBhGHt

[Medical Notes @A25ma22]

Hepertensive crisis

[AbdAllah Othman @CardioBeat_]

🫀⚡ The Cardiac Conduction System:
https://t.co/XbUIhtUact
⚡🫀 SA node fires. AV node delays. Purkinje delivers. The heart's electrical masterpiece.
#Cardiology #Heart #CardiacConduction #EPphysiology #MedEd

[Medical Info @Medicalinfo111]

Wilson disease: signs and symptoms

[Manual Of Medicine @ManualOMedicine]

Antibiotics by Mechanism of Action

#medtwitter #foamed #usmle

[Manual Of Medicine @ManualOMedicine]

Stroke Symptoms by Vascular Territory

#medtwitter #foamed #usmle

[Internal Medicine @pgMedicine]

Infectious mononucleosis made simple for revision.

Save, share, and follow for more medical notes.

#InternalMedicine #FCPS #MRCP #USMLE #MedicalEducation

[Medicos🧑‍⚕️ @Nursingmedicos]

💊 DRUG CALCULATION MADE EASY 💊

Master essential drug calculation formulas with simple examples for Pharmacy, Nursing, and Medical students.

✅ Tablet Calculation
✅ Liquid Calculation
✅ Injection Calculation
✅ IV Flow Rate
✅ Drops per Minute
✅ Weight-Based Dosing

[Aravind Palraj @Rheumat_Aravind]

10 LAB VALUES A RHEUMATOLOGIST NEVER IGNORES

Laboratory results are not diagnoses—but some should immediately change your differential diagnosis.

Key laboratory red flags include:

🔴 Ferritin >1000 ng/mL

🔴 Low C3 + Low C4

🔴 CK >1000 IU/L

🔴 Persistent eosinophilia

🔴 Active nephritic urine sediment

🔴 Platelets <50,000/µL

🔴 Positive PR3-ANCA or MPO-ANCA

🔴 Ferritin + cytopenias

🔴 Monoclonal protein

🔴 ESR >100 mm/hr

The most important abnormal laboratory result is often the one that prompts you to ask the right question.

Remember:

✅ Laboratory values are clues, not diagnoses.

✅ Always interpret results in the clinical context.

✅ A single abnormality may be the first clue to a life-threatening rheumatologic disease.

Which laboratory abnormality has most often changed your diagnosis?

Infographic by Dr. Aravind Palraj

#Rheumatology #MedicalEducation #MedEd #ClinicalReasoning #InternalMedicine #Nephrology #Hematology #AutoimmuneDisease #FOAMed #RheumTwitter #MedTwitter #LaboratoryMedicine #Medicine #DMRheumatology #ClinicalPearls @IhabFathiSulima @docakx

[Medicine Refresher @notes4medicine]

A Quick Clinical Guide to Gout

[Dr RP Singh, MD @rpsingh1894]

💧 Edema is not a diagnosis — it’s a clinical clue.

From heart failure ❤️ to kidney disease 🩺, liver cirrhosis 🫀, and hypothyroidism 🦋, understanding why fluid accumulates is the key to finding the cause.

Master the mechanisms.
Recognize the patterns.
Treat the patient, not just the swelling.

#MedTwitter #FOAMed #MedicalEducation #InternalMedicine #Nephrology #Cardiology #ClinicalMedicine

[Rafael Sirera @ProfSirera]

Inflammation is not one signal.
It is a biological conversation, and each marker lets us listen to a different voice.

By the way, this infographic is the perfect companion to my previous one on CRP, ESR and procalcitonin.

[MedicoNotes @MedicoNotes]

🧠 7 CAUSES OF ATAXIA

Ataxia is a sign, not a diagnosis. The key is to localize the lesion first, then identify the cause.

⸻

1️⃣ Cerebellar Ataxia

📍 Lesion in the cerebellum or its pathways

🔹 Dysmetria
🔹 Intention tremor
🔹 Nystagmus
🔹 Scanning speech
🔹 Broad-based gait

🧠 Causes:
➊ Stroke
➋ Tumor
➌ Cerebellitis
➍ Degenerative disease

⸻

2️⃣ Sensory Ataxia

📍 Loss of proprioception from dorsal columns or peripheral nerves

🔹 Positive Romberg sign
🔹 Stamping gait
🔹 Worse in darkness
🔹 Loss of vibration sense

🧠 Causes:
➊ Vitamin B12 deficiency
➋ Tabes dorsalis
➌ Peripheral neuropathy
➍ Friedreich ataxia

⸻

3️⃣ Vestibular Ataxia

📍 Vestibular apparatus or vestibular nerve lesion

🔹 Vertigo
🔹 Nausea & vomiting
🔹 Nystagmus
🔹 Imbalance
🔹 Falls toward affected side

🧠 Causes:
➊ Vestibular neuritis
➋ Labyrinthitis
➌ Ménière disease
➍ Vestibular schwannoma

⸻

4️⃣ Alcohol-Related Ataxia

🍺 Chronic alcohol toxicity

🔹 Wide-based gait
🔹 Cerebellar degeneration
🔹 Poor coordination
🔹 Nutritional deficiency

🧠 Associated with:
➊ Thiamine deficiency
➋ Wernicke encephalopathy

———

5️⃣ Vitamin B12 Deficiency Ataxia

🟠 Subacute Combined Degeneration

🔹 Sensory ataxia
🔹 Positive Romberg
🔹 Paresthesia
🔹 Loss of vibration sense
🔹 Cognitive symptoms

🧠 Examination:
➊ Reduced proprioception
➋ Dorsal column signs
➌ Spasticity (late)

⸻

6️⃣ Multiple Sclerosis (MS)

🧠 Demyelination affecting cerebellar pathways

🔹 Ataxia
🔹 Diplopia
🔹 Optic neuritis
🔹 Limb weakness
🔹 Sensory symptoms

⸻

7️⃣ Cerebrovascular Disease (Stroke)

🚨 Acute onset cerebellar or brainstem lesion

🔹 Sudden ataxia
🔹 Vertigo
🔹 Vomiting
🔹 Dysarthria
🔹 Cranial nerve deficits

🧠 Causes:
➊ Cerebellar infarction
➋ Cerebellar hemorrhage
➌ Brainstem stroke

⸻

📚 Master Neurology the High-Yield Way with the MedicoNotes Neurology Book.

🌐 Visit our website: https://t.co/2UQyCbb6in

#Neurology #Ataxia #MRCP #USMLE #plab

[Internal Medicine @pgMedicine]

HUS &amp; TTP