Discover and read the best of Twitter Threads about #MedicalEducation
Most recents (24)
INTRAVENOUS THROMBOLYSIS (fibrinolytic therapy) can be successfull if given
A. Within 30minutes to 12 hrs in STEMI
B. Within 3-4.5 hrs in Acute ischemic stroke
C. Within 14 days in Pulmonary embolism
Choose the ✅️correct statement/s among the above.
#Medtwitter #MedEd
A. Within 30minutes to 12 hrs in STEMI
B. Within 3-4.5 hrs in Acute ischemic stroke
C. Within 14 days in Pulmonary embolism
Choose the ✅️correct statement/s among the above.
#Medtwitter #MedEd
✅️TRUE statement/s among the above three
Fibrinolytic agents are plasminogen activators(PA) that act by converting plasminogen to plasmin. Plasmin then degrades the fibrin matrix of thrombi and produces soluble fibrin degradation products resulting in clot lysis.
Drug of choice for ANAPHYLAXIS in a patient with no response to Epinephrine?
Patient is on Propranolol 60 mg BD for essential tremors.
#MedTwitter #emergencymedicine #CriticalCare
Patient is on Propranolol 60 mg BD for essential tremors.
#MedTwitter #emergencymedicine #CriticalCare
Which drug should be given?
#MedTwitter #MedEd #MedicalStudentTwitter #IMGs #IMG #medicaleducation #medicalinternship #medicineresidency #internalmedicine #doctors #madaktari #Medicos #medicina #médecins #Medizin #Likitoci #medicine #medical #FOAMed #FOAMim #FOAM4GP
#MedTwitter #MedEd #MedicalStudentTwitter #IMGs #IMG #medicaleducation #medicalinternship #medicineresidency #internalmedicine #doctors #madaktari #Medicos #medicina #médecins #Medizin #Likitoci #medicine #medical #FOAMed #FOAMim #FOAM4GP
Anaphylaxis is a severe, life threatening systemic hypersensitivity reaction characterized by being rapid in onset with potentially life threatening airway, breathing, or circulatory problems and is usually, although not always, associated with skin and mucosal changes.( ICD-11)
27 yrs old patient, detected to be pregnant when she missed her periods one day back. She has Graves disease on Rx for past 3 years, presently on Carbimazole 5mg daily and not on propranolol. She was euthyroid with Rx for past 1 year. Best strategy ?
Present reports 👇
Present reports 👇
A. Stop carbimazole and monitor by weekly/fortnightly TSH, FT4 levels and follow up.
B. Switch to PTU 50mg bd and do FT4, TSH after 2 weeks and review
C. Switch to PTU 50 mg bd + LT4 50mcg OD. TSH, FT4- 4wkly
D. PTU 50mg BD and Propranolol XL 20mg , Monthly TSH,FT4-followup
B. Switch to PTU 50mg bd and do FT4, TSH after 2 weeks and review
C. Switch to PTU 50 mg bd + LT4 50mcg OD. TSH, FT4- 4wkly
D. PTU 50mg BD and Propranolol XL 20mg , Monthly TSH,FT4-followup
Beating Clinical MCQs in #USMLE or #boards2023 when you don’t know the answer! 🩺📝
🧵👇Check out 10 strategies to approach this challenge
#MedTwitter #MedEd #IMG #ECFMG #foamed #medicalstudent #internalmedicine #BoardExams #medicaleducation
🧵👇Check out 10 strategies to approach this challenge
#MedTwitter #MedEd #IMG #ECFMG #foamed #medicalstudent #internalmedicine #BoardExams #medicaleducation
Don't panic! 😱
Try to work through the question, use strategies below to narrow down the choices and make an educated guess. 💪🤔💡
1/10
Try to work through the question, use strategies below to narrow down the choices and make an educated guess. 💪🤔💡
1/10
General approach to MCQs: Reverse reading 📖🔙💭
a) read the MCQ starting at the last sentence in the stem (the actual question)
b) glance over the answer options
c) then work your way back to the stem
🧠I find this an effective technique to prompt & orient the brain.
2/10
a) read the MCQ starting at the last sentence in the stem (the actual question)
b) glance over the answer options
c) then work your way back to the stem
🧠I find this an effective technique to prompt & orient the brain.
2/10
First time properly using twitter, wanted to write about something to the vast void of the internet.
1/? (Is this how you do threads?)
When I was 8, I was in and out of hospitals for weeks / months. I had some mass in my stomach that doctors couldn't figure out what it was.
1/? (Is this how you do threads?)
When I was 8, I was in and out of hospitals for weeks / months. I had some mass in my stomach that doctors couldn't figure out what it was.
2/?
I was in and out of the hospital for weeks at a time, doctor couldn't figure out what it was from all the scans / tests they ran on me. During these weeks of substantial pain (enough that I still vividly remember to this day). They decided to do a biopsy.
I was in and out of the hospital for weeks at a time, doctor couldn't figure out what it was from all the scans / tests they ran on me. During these weeks of substantial pain (enough that I still vividly remember to this day). They decided to do a biopsy.
3/?
One thing I remember was how the doctors acted, they weren't enthusiastic when helping / talking to me or my parents. (This is important for the final point of this thread)
I went into the biopsy with hopes that it would help figure things out.
One thing I remember was how the doctors acted, they weren't enthusiastic when helping / talking to me or my parents. (This is important for the final point of this thread)
I went into the biopsy with hopes that it would help figure things out.
1/ Cluster headache is the most common trigeminal autonomic cephalalgia,
#clusterheadache #primaryheadachedisorder #MedEd #medicaleducation #neurology #NeuroTwitterNetwork #neurotwitter #neurophobia #neurophilia
#clusterheadache #primaryheadachedisorder #MedEd #medicaleducation #neurology #NeuroTwitterNetwork #neurotwitter #neurophobia #neurophilia
2/ and presents with excruciating unilateral orbital, supraorbital, and/or temporal pain that lasts 15-180 minutes if left untreated. Patients also have ipsilateral autonomic symptoms during a cluster attack.
3/ Although the exact pathophysiology is unclear, the trigeminovascular pathway is important for the unilateral trigeminal distribution of pain, the trigeminal-autonomic reflex is important for producing ipsilateral cranial autonomic symptoms,
TOP 🔟 ECHOCARDIOGRAPHY CASES ➡️ November 2022 (personal opinion) #medtwitter #pocus #echofirst #cardioed #cardiotwitter #medicaleducation #ENARM #FOAMed
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10. Subaortic membrane in the outflow tract of LV @Irina67790690
9. Septal rupture complicating acute myocardial infarction @CyntiaMachain
Jokes like these are especially damaging and hurtful to patients with chronic illnesses. Additionally, they "validate" provider bias and "normalize" providers' lack of compassion when caring for certain groups of people. There's a lot to unpack, so buckle up 🧵🧵. 1/x
1. Using "frequent flyer" as a term to describe patients is dehumanizing, provides very little clinical information and context besides the fact that you think this person comes to the ER/ hospital frequently, and has been shown to ⬆️⬆️ implicit bias of those who read the chart.
Using unproductive terms like "frequent flyer" provides no differentiating information. The person with a life-long #chronicillness, a child who frequently is hurt, an under-resourced adult, and someone with a substance use disorder all fall into the same bucket clinically.
See the results of our study: The Use of Twitter as an Educational tool in Pathology residents #PathTwitter #pathresidents #medicaleducation
As a chapter, we strive to make our annual conference affordable for our delegates. This is possible because of the sponsorships received.
In the run up to this week's #KRNA conference, we would like to take a moment to recognize those who responded to our call for support 1/6
In the run up to this week's #KRNA conference, we would like to take a moment to recognize those who responded to our call for support 1/6
This year's platinum sponsor @AfricaMHF has been instrumental not only providing financial support but also providing fund management services
Read more about their work in #safeSurgery africanmissionhealthcare.org/changing-lives…
#KRNA2022
#SafeAnaesthesia
#NurseAnesthetists
#MedicalEducation
2/6
Read more about their work in #safeSurgery africanmissionhealthcare.org/changing-lives…
#KRNA2022
#SafeAnaesthesia
#NurseAnesthetists
#MedicalEducation
2/6
@SaferSurgery has stepped in not only to provide equipment for delegates working in remote locations but also facilitate some of the workshops to be offered at #KRNA2022
#SafeAnaesthesia
#Partnership
3/6
#SafeAnaesthesia
#Partnership
3/6
#UkraineRussianWar #medicaleducation #studentsinukraine
@ravikanths_
gastro.icu
In 2020, 8,69,010 appeared for IIT JEE exam. Out of this top 2,50,000 are allowed to appear in IIT JEE Main Exam.
@ravikanths_
gastro.icu
In 2020, 8,69,010 appeared for IIT JEE exam. Out of this top 2,50,000 are allowed to appear in IIT JEE Main Exam.
Total Number of B.Tech seats across all IIT's put together is 9737!!!
That means out of 2,50,000 people who give IIT JEE Main exam, only 9737 people get to join the course. Just 4% students get into IIT.
Does that mean that the other 96% were failures?
That means out of 2,50,000 people who give IIT JEE Main exam, only 9737 people get to join the course. Just 4% students get into IIT.
Does that mean that the other 96% were failures?
Of course not, they were not as good as those who got to the top of the merit list.
Our BJP leader is telling that those who failed NEET, have gone abroad. He, perhaps, has never appeared for a competitive exam in his 'entire' life.
Our BJP leader is telling that those who failed NEET, have gone abroad. He, perhaps, has never appeared for a competitive exam in his 'entire' life.
An in-depth review of Humeral Shaft Fractures.
If you’re interested in orthopedics, you’ll definitely want to check this review out!
🦴⚒️🧵👇
To view our past reviews, check out:
💻 myorthoreviews.com📱
If you’re interested in orthopedics, you’ll definitely want to check this review out!
🦴⚒️🧵👇
To view our past reviews, check out:
💻 myorthoreviews.com📱
The humeral shaft is defined as the area distal to the surgical neck and proximal to the epicondyles.
The commonality of fracture is:
Middle ⅓ > Proximal ⅓ > Distal ⅓ shaft
The deforming forces of humeral shaft fractures usually result in what type of deformity?
The commonality of fracture is:
Middle ⅓ > Proximal ⅓ > Distal ⅓ shaft
The deforming forces of humeral shaft fractures usually result in what type of deformity?
Due to the muscular pull of the deltoid on the proximal fragment and medial/superior pull on the distal fragment, humeral shaft fractures tend to develop varus angulation.
Humeral shaft fractures are forgiving, and modest angulation can be overcome by the shoulders' large ROM.
Humeral shaft fractures are forgiving, and modest angulation can be overcome by the shoulders' large ROM.
An in-depth review of ACL injury.
If you're interested in sports medicine, you won't want to miss this one!
🦴⚒️🧵👇
To view our past reviews, check out:
💻 myorthoreviews.com📱
If you're interested in sports medicine, you won't want to miss this one!
🦴⚒️🧵👇
To view our past reviews, check out:
💻 myorthoreviews.com📱
The ACL is the primary restraint to anterior tibial translation and also plays a role in rotary stability
It is composed of two bundles, named based on their tibial insertions:
✯ Anteromedial
✯ Posterolateral
What structure separates the femoral insertions of the two bundles?
It is composed of two bundles, named based on their tibial insertions:
✯ Anteromedial
✯ Posterolateral
What structure separates the femoral insertions of the two bundles?
AM bundle:
✯ Tightest in Flexion
✯ Resists anterior tibial translation
✯ Tested by Lachman's/Anterior Drawer
PL bundle:
✯ Tightest in Extension
✯ Rotatory Restraint
✯ Tested by Pivot Shift
The bifurcate ridge separates the femoral insertions of the AM and PL bundles.
✯ Tightest in Flexion
✯ Resists anterior tibial translation
✯ Tested by Lachman's/Anterior Drawer
PL bundle:
✯ Tightest in Extension
✯ Rotatory Restraint
✯ Tested by Pivot Shift
The bifurcate ridge separates the femoral insertions of the AM and PL bundles.
An in-depth review of Proximal Humerus Fractures.
If you're interested in orthopedics you won't want to miss this one!
🦴⚒️🧵👇
To view our past reviews visit: myorthoreviews.com
If you're interested in orthopedics you won't want to miss this one!
🦴⚒️🧵👇
To view our past reviews visit: myorthoreviews.com
Proximal humerus fractures are common, accounting for around 5% of all fractures with increasing frequency with age.
They are most common in elderly females and are considered a fragility fracture.
Which nerve is most commonly injured in proximal humerus fractures?
They are most common in elderly females and are considered a fragility fracture.
Which nerve is most commonly injured in proximal humerus fractures?
The axillary nerve passes medial to the surgical neck and is most commonly injured in proximal humerus fractures.
Sensation testing over the lateral shoulder may be performed as deltoid testing may be difficult.
Which artery provides the main blood supply to the humeral head?
Sensation testing over the lateral shoulder may be performed as deltoid testing may be difficult.
Which artery provides the main blood supply to the humeral head?
An in-depth review of Clavicle Fractures.
If you're interested in orthopedics you won't want to miss this one!
🦴⚒️🧵👇
If you're interested in orthopedics you won't want to miss this one!
🦴⚒️🧵👇
Clavicle fractures are typically the result of a fall onto the shoulder and are one of the most common fractures in children.
They may also occur from direct trauma, seizures, or a fall onto an outstretched hand (FOOSH).
They may also occur from direct trauma, seizures, or a fall onto an outstretched hand (FOOSH).
The clavicle serves as the connection between the UE and axial skeleton.
It is the first bone to ossify and the last to fuse. It is S-shaped and widest medially.
Most fractures occur in the middle 1/3rd, roughly 80%, which is the thinnest segment.
It is the first bone to ossify and the last to fuse. It is S-shaped and widest medially.
Most fractures occur in the middle 1/3rd, roughly 80%, which is the thinnest segment.
An in-depth review of intertrochanteric and subtrochanteric hip fractures.
If you're interested in orthopedics you won't want to miss this one!
🦴⚒️🧵👇
If you're interested in orthopedics you won't want to miss this one!
🦴⚒️🧵👇
Basicervical femoral neck, intertrochanteric (IT), and subtrochanteric (ST) hip fractures are different from femoral neck fractures in that they are extracapsular.
Extracapsular fractures, unlike intracapsular femoral neck fx, have a low likelihood of blood supply disruption/AVN
Extracapsular fractures, unlike intracapsular femoral neck fx, have a low likelihood of blood supply disruption/AVN
Anatomy:
The calcar femorale is an extension of cortical bone from the proximal shaft to the posteromedial femoral neck. It aids in weight distribution from the hip to the proximal femoral shaft.
The subtrochanteric region extends 5 cm below the lesser trochanter.
The calcar femorale is an extension of cortical bone from the proximal shaft to the posteromedial femoral neck. It aids in weight distribution from the hip to the proximal femoral shaft.
The subtrochanteric region extends 5 cm below the lesser trochanter.
An in-depth review of Ankle Fractures.
If you're interested in orthopedics you'll definitely want to check this review out!
🦴⚒️🧵👇
If you're interested in orthopedics you'll definitely want to check this review out!
🦴⚒️🧵👇
The ankle is a complex hinge joint comprised of the tibial plafond, talar dome, and distal fibula.
Ankle fractures most commonly occur in elderly females, with roughly 70% being isolated malleolar, 20% being bimalleolar, and 5-10% being trimalleolar. (1)
Ankle fractures most commonly occur in elderly females, with roughly 70% being isolated malleolar, 20% being bimalleolar, and 5-10% being trimalleolar. (1)
When first examining a patient with an ankle injury, you can utilize the Ottawa Ankle Rules to determine if you should x-ray the patient.
Our review of The Ottawa Ankle Rules can be found here:
Our review of The Ottawa Ankle Rules can be found here:
An in-depth review of Terrible Triad Injuries.
If you're interested in orthopedics you won't want to miss this one!
1/12
If you're interested in orthopedics you won't want to miss this one!
1/12
Terrible triad injuries are complex posterior elbow dislocations associated with coronoid and radial head fractures as well as capsular and ligamentous injuries.
These injuries commonly result from a fall on an outstretched arm and the structures of the elbow fail from lateral to medial.
LCL --> anterior capsule --> MCL
LCL --> anterior capsule --> MCL
An in-depth review of pediatric femoral shaft fractures.
If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!
1/10
If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!
1/10
Pediatric femoral shaft (PFS) fractures constitute a small portion of pediatric fractures roughly 1-2% with a bimodal age distribution
Most common causes:
✯ Toddlers: falls
✯ Teenage/adolescent: MVA
Most common causes:
✯ Toddlers: falls
✯ Teenage/adolescent: MVA
In children younger than walking age child abuse must be suspected. As high as 80% of PFS fractures in this age group are due to child abuse.
In the toddler age group as high as 25% of PFS fractures are due to child abuse, so it must be ruled out.
In the toddler age group as high as 25% of PFS fractures are due to child abuse, so it must be ruled out.
An in-depth review of metacarpal fractures.
If you're interested in orthopedics you'll definitely want to check this review out!
What is an eponym for this fracture?
If you're interested in orthopedics you'll definitely want to check this review out!
What is an eponym for this fracture?
This patient is presenting with an intraarticular fx of the 5th metacarpal base.
This fracture is similar to a Bennett's fx (an intraarticular fx of the 1st metacarpal base).
This fracture goes by a few eponyms: a reverse bennett, baby bennett, or mirrored bennett.
This fracture is similar to a Bennett's fx (an intraarticular fx of the 1st metacarpal base).
This fracture goes by a few eponyms: a reverse bennett, baby bennett, or mirrored bennett.
A Ronaldo fracture is a comminuted fracture of the 1st metacarpal base. (shown above)
Displacement of a Reverse Bennett fracture is due to which of the following muscles?
Displacement of a Reverse Bennett fracture is due to which of the following muscles?
An in-depth review of Slipped Capital Femoral Epiphysis (SCFE).
If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!
1/
If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!
1/
SCFE’s are an adolescent hip pathology with an average age of onset of 11-12.
The diagnosis may be initially missed because the patient may present with thigh or knee pain.
The diagnosis may be initially missed because the patient may present with thigh or knee pain.
Risk factors include:
✯ Obesity
✯ Male gender
✯ Prior radiation
✯ Endocrine abnormalities
✯ Certain ethnicities (e.g. African American)
Obesity is one of the most important and modifiable risk factors.
✯ Obesity
✯ Male gender
✯ Prior radiation
✯ Endocrine abnormalities
✯ Certain ethnicities (e.g. African American)
Obesity is one of the most important and modifiable risk factors.
Sri Avinash.T, Joint Secretary, Karnataka Govt. MEDI Employees Welfare Association notified employees of medical & superspeciality institutions, dept.of medical education not being covered under any cashless health scheme like Karnataka Arogya Sanjeevani.
@BSBommai
1/4
@BSBommai
1/4
While the Hon'ble High Court ordered the state government to consider these employees' requests, it is disheartening to note that they do not fall under the category of state employees.
@CMofKarnataka
#Doctors #MedicalEducation #Bengaluru #Karnataka
2/4
@CMofKarnataka
#Doctors #MedicalEducation #Bengaluru #Karnataka
2/4
Even the committee constituted by the Director of Medical Education recommended the government to extend the cashless health scheme benefits to the employees of the above mentioned institutions.
These employees dedicated their heart and soul during the pandemic.
3/4
These employees dedicated their heart and soul during the pandemic.
3/4
TOP 🔟 ECHOCARDIOGRAPHY CASES ➡️ January 2022 (in my opinion) #medtwitter #pocus #echofirst #cardioed #cardiotwitter #medicaleducation #ENARM
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10. Septal bounce - In effusive constrictive pericarditis - @ahmed_ellaien
9. Pulmonary embolism and right ventricular thrombus in transit @carlosjuanatey
Ecografía pulmonar 🫁. Guía fácil y práctica de como utilizarla. ABRO HILO
#POCUS #CardioEd #echofirst #ENARM #medicaleducation #ultrasound #MedEd #Cardiology
#POCUS #CardioEd #echofirst #ENARM #medicaleducation #ultrasound #MedEd #Cardiology
Es curioso porque clásicamente se decía que la ecografía pulmonar no era posible. Harrison afirmaba que " los ultrasonidos (US) se disipan rápidamente en el aire por lo que carecen de utilidad en la evaluación del parénquima pulmonar" ¿Qué ha cambiado?
Daniel Lichtenstein, un intensivista francés, redescubrió la ecografía pulmonar. Es cierto que los US no se transmiten bien por el aire, pero Lichtensein descubrió que pequeñas alteraciones en la relación aire-agua a nivel pulmonar formaban artefactos ecográficos característicos.
