Raphael Laurente

Junior doctor from the 🇵🇭 who jumped from sampling EVDs to braving the daily medical take. Currently on a quest to find the best mid-priced whisky.

[sikandar adwani @SikandarAdwani]

🌀 "Doctor, my MRI is normal, ENT says I'm fine—but why won't this dizziness go away?"

Could it be a migraine hiding behind vertigo?

Let's unravel the mystery of Vestibular Migraine, tracing landmark evidence from Slater's classic (1979) to cutting-edge CGRP therapies (2025)—guiding your patients from spinning to stability! 🧠✨

#NeuroTwitter #VestibularMigraine #Neurology #MedEd #NeuroPearls

[Lea Alhilali, MD @teachplaygrub]

1/My hardest thread yet! Are you up for the challenge?

How stroke perfusion imaging works!

Ever wonder why it’s Tmax & not Tmin?

Do you not question & let RAPID read the perfusion for you? Not anymore!

[Lea Alhilali, MD @teachplaygrub]

1/My hardest thread yet! Are you up for the challenge?

How stroke perfusion imaging works!

Ever wonder why it’s Tmax & not Tmin?

Do you not question & let RAPID read the perfusion for you? Not anymore!

[WalidoNeuroPedia @NeuroWalid]

Here's an excellent review of NMO spectrum of disorders .https://t.co/SxUbtXXMYL. Brilliant illustration of differences in CNS involvement in NMO MS and Anti MOG disease.

#neurotip #Neurology

[Shadi Yaghi @ShadiYaghi2]

A carotid occlusion on a CTA is sometimes difficult to distinguish if acute or chronic. Often, there are no prior images available. Below are some hints that a cervical carotid occlusion is acute or subacute as opposed to chronic. #stroke #MedEd #neurotwitter

[Tony Breu @tony_breu]

1/
Ever wonder: Why are abdominal aortic aneurysms (AAAs) more common than thoracic aortic aneurysms (TAAs)?

I have!

Follow this thread to see how the answer to this question makes use of long-forgotten medical classes. And there’ll be an appearance by The Great Mimicker.

[Isaac Lamb, MD @IsaacLamb01]

What is Romberg’s sign and how should it be used?

I often see this sign misused to suggest a cerebellar ataxia. But it’s the exact opposite - the test exists to point AWAY from central cause!

Explanation below ⬇️

[Dr. Sameer Gupta @SGuptaMD]

As a cardiologist, every day I see 2-3 patients who need clearance for surgery 🔪

ALL of them are on blood thinners🩸

Every surgeon wants to stop these medicines💊

The patients ask:
Is it safe?
Should I stop?

Let's see how to deal with blood thinners before surgery
🧵👇

[Misha @mishadavinci]

To succeed in the future, you MUST learn A.I.

Here's a list of 24 top resources to get up to speed (for free):

[Mushtaq Bilal, PhD @MushtaqBilalPhD]

Thanks to ChatGPT, hundreds of AI apps are being released every week now.

But very few of them are meant for academic purposes.

Here are 15 AI-powered apps to supercharge your academic writing and reading — with free tutorials:

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai7]

You are a young #medicine resident !!

A patient walks into your OPD and says he is absolutely fine but his CBC shows an ⤴️⤴️ platelet count

He's done multiple CBC and it howers between 600-800k 😮

He is worried about it 😕

What do you do ??

Read on 👇🏻👇🏻

#MedTwitter

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[Ali Hosin @DrAliHosin]

Junior doctors on strike outside @uclh today sing a message to the health secretary - "we just want fair pay"

#JuniorDoctorsStrike

[Kat Parmar @KatParmar]

Here’s my payslip as a first year doctor in 2005, next to a first year doctor colleague’s in 2023. 18 years later, their take home salary is less than mine was. I lived for free in hospital accommodation and had a fraction of their student loan.
#JuniorDoctorsStrike

[Keith Siau @drkeithsiau]

Giving tranexamic acid for GI bleeding

[Jamir Pitton Rissardo @theneurolander]

ETHOS Diencephalon!!!

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

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[Tony Breu @tony_breu]

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🤔Why does carcinoid syndrome affect the right heart valves more often than the left heart valves?

The difference is striking.

Let's have a look.

[The Cultural Tutor @culturaltutor]

Bridges represent some of the greatest achievements of human engineering and architecture. Here are 12 of the most extraordinary:

1. Millau Viaduct, France (2004) - the world's tallest bridge.