Hubashia Khan, MD

PGY-why🩺 | Poodle-Parent | Photography and food bring me joy| Focus on health equity and all things coffee!

[Hubashia Khan, MD @oops_got_em_mad]

If I could just be better, a better… Better daughter, better student, a better doctor, then I could stop bad things from happening.
But when Melendez died, I finally realized that life is not something you’re supposed to control.
It’s something you’re supposed to share.

[Continuum: Lifelong Learning in Neurology @ContinuumAAN]

Key Point 1 from the article Intracerebral Hemorrhage by Drs. Wendy C. Ziai and Vishank A. Shah from the June #CerebrovascularDisease issue, which is available to subscribers at https://t.co/6oN7tpeUIr. #NeuroTwitter #MedEd

[Lea Alhilali, MD @teachplaygrub]

When you’re asked to localize the lesion in a patient with aphasia, do you suddenly feel speechless?

At a loss for words to categorize the type of aphasia?

Never fear—here is the decision tree for patients w/aphasia and the associated anatomic correlates

Three main questions:

1. Fluency? Nonfluency indicates damage to the FRONTAL language regions anterior to the fissure of Rolando

2. Comprehension? Impaired comprehension indicates damage to the TEMPOROPARIETAL language regions posterior to the fissure of Rolando

3. Repetition? Impaired repetition indicates damage within the core PERISYLVIAN language zone

The answers will lead you both to the type of aphasia and the location of the lesion.

Keep this figure with you for quick reference—and then when you’re asked about a patient with aphasia, you will have a lot to say!

[Shadi Yaghi @ShadiYaghi2]

Important lessons
1- Stroke recrudescence is ALWAYS a diagnosis of exclusion. Patients w prior stroke are at higher risk of recurrence & this should be excluded
2- There is NO recrudescence w/out curdescense. If someone did not have a hx of clinical stroke, it’s NOT recrudescence

[Marcus Pinto, MD, MS @MarcusVPinto]

When treating patients with CIDP, pain should not be used as an outcome measure. I often encounter patients whose therapy has been escalated due to worsening pain, which never helps. Instead, strength, disability (INCAT), and gait are the most reliable surrogate markers in CIDP.

[Hubashia Khan, MD @oops_got_em_mad]

@SechmeKhan I love you more!

[Hubashia Khan, MD @oops_got_em_mad]

I am so proud of my sister and my husband!❤️
Welcome to the world of residency!

[Continuum: Lifelong Learning in Neurology @ContinuumAAN]

Key Point 2 from the article #Epilepsy Comorbidities Dr. Mark Keezer, from the February Epilepsy issue, which is available to subscribers at https://t.co/APqJVUX8dI
#Neurology #NeuroTwitter #MedEd

[Marcus Pinto, MD, MS @MarcusVPinto]

Chronic idiopathic axonal polyneuropathy (CIAP) is the most common “etiology” of distal symmetric polyneuropathy after diabetic neuropathy.

https://t.co/tgesCdlHDW

However, CIAP is very unlikely to be the cause if any of the following are present:

1. Foot drop
2. Marked asymmetry
3. Sensory ataxia
4. Weight loss
5. Autonomic dysfunction
6. Rapid progression
7. A family history of neuropathy in first-degree relatives

#NeuropathyBites

[Andrew Micieli @MicieliA_MD]

The “confused”patient in the ED could be:

- aphasic
- inattentive
- disoriented
- amnestic
- dysarthric
- apraxic
- in pain
- language barrier

With a broad ddx based on the specific symptomatology/exam.

Avoid using the word confusion (and grip strength😋) in the ED/ward

[Andreas Charidimou MD, PhD @a_charidimou]

🦓🩸🧠Rare causes of Intracerebral Hemorrhage (ICH) and how to find them

~Clinical context, age, parenchymal & vascular imaging
🛑 Pointers/clues for rare causes👇👇

🤯Thunderclap headache: RCVS, CVT, aSAH
🌡️Fever: CNS infection, endocarditis, systemic angiitis
🦀Active cancer: mets, clotting abnormalities
🧠Ischemic+hemorrhagic lesions: CVT, RCVS, PRES, endocarditis, CNS vasculitis
🫧Disproportionate edema: mets, CVT, PRES
#⃣Multiple ICHs: Mets, CVT, RCVS, vasculitis, endocarditis
🪱Leptomeningeal enhancement: meningitis, vasculitis
🩸Associated SAH: Aneurysm, CVT, RCVS, DAVF, AVM
💉Drug use: PRES, RCVS, Cocaine-related angiitis
🌓Psychiatric symptoms: Monogenic SVD, vasculitis
🧬Disproportionate WMH, lacunes: Monogenic SVD

#NeuroTwitter #NeuroRad #Neurology #Neurosurgery #stroke #MedStudentTwitter #FOAMncc #MedTwitter #FOAMncc #cSVD @PrCCordonnier @sophie_susen @Ellis_van_Etten @marco_pasi85 @gboulouis @EJouvent
via @StrokeAHA_ASA

[Hubashia Khan, MD @oops_got_em_mad]

@drkeithsiau Brain

[Adi @IDdocAdi]

In medicine, we don’t say “I love you”, we say “it’s not unreasonable” and I think that’s beautiful.

[Oren Gottfried, MD @OGdukeneurosurg]

Learn your cisterns
from Robert Mariasi

[Hubashia Khan, MD @oops_got_em_mad]

@Gabby_Brauner27 It’s going to be there in boards as well 😂

[Hubashia Khan, MD @oops_got_em_mad]

@SantamariaFcoMD You two are the sweetest! Will visit soon!

[Hubashia Khan, MD @oops_got_em_mad]

Residency is tough, and I just want to be with my family.

[Sameer Raniga @samrad77]

ER physician sending patients for imaging during my on-call: 😅

[Hubashia Khan, MD @oops_got_em_mad]

@yasmeen_9 @minhaskh @Anssharif

[Hubashia Khan, MD @oops_got_em_mad]

I just want to wear Pakistani lawn in summers all dayy, every dayyy!!

[Puppies & Positivity @Puppieslover]

'They hired a photographer just for me!'