ell

nothing.

[ell @nuelgdboy_]

Jujur, sedih banget malam ini. She's my best friend dan aku baru tau kalau dia bener-bener se-homophobic itu. Dulu, sempat kepikiran mau come out ke dia karena dia baik orangnya. 🥹😔
Konteks chatnya itu dia nanyain tentang salah satu temen kita apakah dia gay atau ngga.

[ell @nuelgdboy_]

@petromacs kak udah setahun :(((( kangennn

[Aravind Palraj @Rheumat_Aravind]

ANCA Vasculitis made simple 🔥

🔹 GPA → ENT + lung nodules + c-ANCA(PR3)
🔹 MPA → renal + pulmonary capillaritis + p-ANCA(MPO)
🔹 EGPA → asthma + eosinophilia + neuropathy

One of the highest-yield topics in rheumatology & medicine.

Which pattern do you find hardest to remember?

#Rheumatology #Vasculitis @docakx @IhabFathiSulima #MedTwitter #InternalMedicine #Nephrology

[Internal Medicine @pgMedicine]

Approach to dyslipidemia

[Vital Viz @VitalViz]

Medical Triads .

[Dr RP Singh, MD @rpsingh1894]

🚑💉 IV FLUIDS CAN SAVE A LIFE… OR HARM A PATIENT IF USED WRONG ⚠️

Not every dehydrated or hypotensive patient needs the same fluid.
Choosing between NS, RL, or Dextrose can completely change the outcome in:
🔥 Sepsis
🩸 Shock
🧠 DKA
🔥 Burns
👶 Pediatric dehydration
🏥 ICU emergencies

🩺 SIMPLE RULES TO REMEMBER:
🔹 NS → DKA, shock, blood transfusion
🔹 RL → Sepsis, burns, trauma, acidosis
🔹 Dextrose → Hypoglycemia & maintenance

📌 Before giving fluids always assess:
❤️ BP & Pulse
🫁 Lungs
💧 Urine output
🧪 Electrolytes
🧠 Mental status
📈 Lactate

⚠️ Too much fluid = pulmonary edema, acidosis, worsening oxygenation.

💡 “FLUID IS A DRUG”
Right patient ✔️
Right fluid ✔️
Right dose ✔️
Right speed ✔️
Right monitoring ✔️

Save life. Prevent harm. Reassess frequently. 🔄

#MedTwitter #FOAMed #EmergencyMedicine #CriticalCare #ICU #FluidManagement #Sepsis #DKA #MedicalEducation #Medicine #Doctors #MBBS #Nursing #Emergency #ClinicalPearls #Healthcare #MedEd #InternalMedicine #MedicalStudents #LifeSavingSkills

[Dr RP Singh, MD @rpsingh1894]

🧠 HOW TO READ A BRAIN MRI — EASY STEPWISE GUIDE FOR BEGINNERS

Many students and junior doctors feel brain MRI is difficult.
The key is simple:

👉 Follow the SAME ORDER every time.

Here’s an easy systematic approach 👇

━━━━━━━━━━━━━━━

1️⃣ DWI = Diffusion Weighted Imaging

📌 Best sequence for detecting:
✅ Acute ischemic stroke

Look for:
🔹 Bright (white) areas

Then ALWAYS confirm on:

���️ ADC = Apparent Diffusion Coefficient map

✔ Bright on DWI + dark on ADC = TRUE restricted diffusion = acute infarction

⚠ Sometimes lesions only look bright because of “T2 shine-through”.

━━━━━━━━━━━━━━━

2️⃣ FLAIR = Fluid Attenuated Inversion Recovery

📌 Best for:
✅ Edema
✅ White matter disease
✅ Multiple sclerosis
✅ Encephalitis
✅ Meningitis
✅ Gliosis

Look carefully at:
🔹 Brain tissue
🔹 Sulci
🔹 Periventricular regions

💡 CSF (cerebrospinal fluid) becomes dark on FLAIR, making pathology easier to see.

━━━━━━━━━━━━━━━

3️⃣ T2WI = T2 Weighted Imaging

📌 “Water is WHITE on T2”

Best for:
✅ Edema
✅ Tumors
✅ Infection
✅ Hydrocephalus

Check:
🔹 Ventricles
🔹 Midline shift
🔹 Flow voids
🔹 Sinuses
🔹 Mastoid air cells

━━━━━━━━━━━━━━━

4️⃣ T1WI = T1 Weighted Imaging

📌 “Fat is BRIGHT on T1”

Best for anatomy.

Look for:
✅ Fat
✅ Subacute hemorrhage
✅ Melanin
✅ Protein-rich lesions
✅ Bone marrow abnormalities

T1 helps understand NORMAL anatomy clearly.

━━━━━━━━━━━━━━━

5️⃣ SWI = Susceptibility Weighted Imaging
or
T2* GRE = Gradient Echo

📌 Best for detecting BLOOD products.

Look for:
✅ Microbleeds
✅ Hemosiderin
✅ Calcification
✅ Diffuse axonal injury
✅ Cavernoma

💡 Blood products usually appear DARK here.

━━━━━━━━━━━━━━━

6️⃣ Sagittal Images

Never skip midline structures.

Check:
✅ Corpus callosum
✅ Pituitary gland
✅ Brainstem
✅ Cerebellar tonsils
✅ Cervicomedullary junction

━━━━━━━━━━━━━━━

7️⃣ MRA = Magnetic Resonance Angiography

Used to assess BLOOD VESSELS.

Look for:
✅ Aneurysm
✅ Arterial stenosis
✅ Occlusion
✅ Arteriovenous malformation (AVM)

⚠ Don’t rely only on reconstructed images (MIP = Maximum Intensity Projection).
Always review source images too.

━━━━━━━━━━━━━━━

🩺 GOLDEN RULE:
Follow the SAME SEARCH PATTERN every single time.

This reduces missed diagnoses and improves confidence dramatically.

#BrainMRI #Radiology #Neuroradiology #MedTwitter #FOAMed #Me

[knowledge hub @knowl_edge01]

CPR save a life...

[CardiovascularCorner @TrackYourHeart]

Normal Chest X-ray

[Dr. Priyam Bordoloi @DocPriyamMD]

One organ in the human body almost never gets cancer. Which one is it?

A) Heart
B) Brain
C) Pancreas
D) Kidney

Bonus: WHY does it rarely happen?

[Foreign body @CorpusAlienumm]

Kita sebagai dokter umum pasti hafal betul ya 10 langkah tatalaksana Gizi Buruk pada anak.

Nah, ternyata saat melakukan tatalaksana gizi buruk, ada kondisi penting yang harus kita pantau karena dapat muncul komplikasi serius yang dinamakan “Refeeding Syndrome”.

Bahkan kasus kematian pada anak gizi buruk sering terjadi bukan karena kondisi malnutrisinya itu sendiri, tapi yaa karena ini.

[Dr. Priyam Bordoloi @DocPriyamMD]

Med students, listen up! Today let me explain how to analyze a Complete Blood Count (CBC) report step by step. A CBC is more than just numbers; it’s a clinical narrative. Let’s break down this real patient’s report together. 👇

[Loner001 🍁 @Science_Addict0]

CBC made simple 🩸
Start with hemoglobin, then follow the pattern—RBC indices, WBCs, and platelets.
Don’t chase one number.
Think clinically.

[Nurse Hann, RN @NurseHann100]

Right- vs left-sided heart failure

[Dr. Naseem Suhail @DrNaseemSuhail]

🔥 Must-know high-yield X-ray findings in common chest & abdominal diseases

[Internal Medicine @pgMedicine]

Chest X-rays

[RADIOLOGISTS @DrAyubaD]

Repost this useful notes

[theRadiologist @radiologistpage]

Chest X-Ray review areas and anatomy

[Foreign body @CorpusAlienumm]

@nephelejournal https://t.co/tpqpGPjRAS

[Foreign body @CorpusAlienumm]

What a holy grail. Akan sangat berguna utk navigating berbagai kasus kompleks saat PPDS, memberikan insight basic physiology & clinical correlation, hence the term “pathophysiology”.

Dan bangga banget lihat editor & kontributor semua Guru Besar di Malang. All my beloved teachers