@Dr_Shiv_kumar_ Avatar @Dr_Shiv_kumar_ Dr. Shiv_Kumar

Dr. Shiv_Kumar posts on X about what is, dr, ans, the most the most. They currently have [-----] followers and [---] posts still getting attention that total [------] engagements in the last [--] hours.

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Social Influence

Social category influence finance 1.68% cryptocurrencies #4330 currencies 1.26% technology brands 0.84%

Social topic influence what is #1587, dr #3518, ans #1012, the most 7.98%, in the 7.98%, history 5.88%, sir #2959, skin 3.36%, heart 2.52%, opacity #53

Top accounts mentioned or mentioned by @albertoortegana @shakiled @sameeryogi14 @medlearnhub @drakhilx @drmanishydv @daoo100 @chshafiullah15 @miguelp23970914 @docpriyammd @dr_manish_ydv @fzn733 @drmedica13 @drarslan480 @frances98392343 @esanum @drydvhitesh01 @khannaa @doctormed0 @drsansariord

Top assets mentioned LCX (LCX) Flex Ltd. Ordinary Shares (FLEX)

Top Social Posts

Top posts by engagements in the last [--] hours

"@KSRTC_Journeys Traveling on the Airavat from Mangalore to Bangalore whats the point of providing charging ports no human can access And even if you manage to reach them they dont work. Paying a premium fare yet passengers are treated like trash"
X Link 2026-01-13T07:50Z [----] followers, [---] engagements

"Pulmonary embolism Why A classic but uncommon CXR sign of pulmonary embolism: a peripheral pleural-based wedge-shaped opacity with the base against pleura and apex toward hilum. What it reflects It reflects pulmonary infarction high specificity low sensitivity. Normal CXR doesnt exclude PE. https://twitter.com/i/web/status/2017452581757550759 https://twitter.com/i/web/status/2017452581757550759"
X Link 2026-01-31T04:19Z [----] followers, [----] engagements

"ECG alert 🚨 62-year-old male known HTN type [--] DM presented with sudden onset severe retrosternal chest pain [--] h Radiation to left arm + diaphoresis + nausea. Vitals: BP 86/58 mmHg HR 60/min Spo2- 94% ( RA) Labs: hs-cTn I: [---] ng/mL (N 0.04) CK-MB: [--] U/L (N 25) Total CK: [---] U/L Mg- [---] mg/dl Ca - [---] mmol/L K - [---] mmol/L ECG shown What is your diagnosis Culprit artery Explain the ECG morphology. #MedTwitter #MedX #Cardiology #ECG #medicine https://twitter.com/i/web/status/2017585751312240765 https://twitter.com/i/web/status/2017585751312240765"
X Link 2026-01-31T13:08Z [----] followers, 11.2K engagements

"@TrackYourHeart Ans- Pneumoperitoneum on X-ray Why Free air = hollow viscus perforation until proven otherwise. Key signs: Air under diaphragm (erect film) Riglers double-wall sign Football & falciform ligament signs (supine) Erect CXR is the most sensitive"
X Link 2026-02-01T05:27Z [----] followers, [----] engagements

"A 38-year-old female presents with features overlapping between SLE Scleroderma and Polymyositis. She has Raynaud's phenomenon swollen "puffy" fingers and muscle weakness. The presence of which highly specific antibody would confirm a diagnosis of Mixed Connective Tissue Disease (MCTD) a) Anti-dsDNA b) Anti-U1 RNP (Ribonucleoprotein) c) Anti-Jo-1 d) Anti-Scl-70 #MedTwitter #Rheumatology #neetpg2026 #MedX @IhabFathiSulima @MedLearnHub @shakilED @JOHNIYARE3 https://twitter.com/i/web/status/2017881651981021493 https://twitter.com/i/web/status/2017881651981021493"
X Link 2026-02-01T08:44Z [----] followers, [----] engagements

"Answer :-Mixed Connective Tissue Disease (MCTD) Definition: An "overlap syndrome" where the patient displays clinical features of at least two connective tissue diseases (typically SLE Systemic Sclerosis and Polymyositis). Key Clinical Features: Raynauds Phenomenon: Often the very first symptom. "Puffy Hands": Swelling of the fingers that gives them a sausage-like appearance (different from the tight skin of scleroderma). Synovitis/Arthritis: Often mimicking Rheumatoid Arthritis. Myositis: Proximal muscle weakness and elevated muscle enzymes. The "Must-Have" Serology: To diagnose MCTD the"
X Link 2026-02-02T06:02Z [----] followers, [---] engagements

"A 35-year-old African American woman presents with a dry cough and shortness of breath. A chest X-ray shows bilateral hilar lymphadenopathy. Labs reveal hypercalcemia and an elevated Angiotensin-Converting Enzyme (ACE) level. A biopsy of a lymph node shows non-caseating granulomas. What is the primary cell type responsible for the formation of these granulomas a) B-lymphocytes b) Th1 CD4+ T-lymphocytes and Macrophages c) Neutrophils d) Eosinophils #MedTwitter #MedX #neetpg2026 #Medicine @DrAkhilX @DocPriyamMD @SameerYogi14 @albertoortegana @dr_manish_ydv @anupsoans @DrYdv_hitesh01"
X Link 2026-02-02T06:25Z [----] followers, [----] engagements

"Electric shock 👉🏻⚡Rosette cataract Electrical/thermal injury denatures lens proteins Star/flower-shaped (stellate) opacity Often bilateral delayed onset Classic lens finding after Blunt ocular trauma electrocution ionising radiation exposure. Why decreased vision The denatured protein clouds the eye. The opaque lens typically loses its ability to properly focus light onto the back of the eye on the retina which decreases vision. Tx :- cataract surgery to restore the vision. https://twitter.com/i/web/status/2018552124020597149 https://twitter.com/i/web/status/2018552124020597149"
X Link 2026-02-03T05:08Z [----] followers, [----] engagements

"A 35-year-old male presents with recurrent kidney stones (calcium oxalate). He also mentions he has been feeling "low" lately and has occasional abdominal pain. Labs show elevated Serum Calcium low Serum Phosphorus and elevated PTH. A Sestamibi scan shows a "hot spot" in the neck. What is the most likely diagnosis and what classic bone finding (on X-ray) is associated with this condition A) Secondary Hyperparathyroidism; Osteosclerosis B) Primary Hyperparathyroidism; Osteitis fibrosa cystica ("Brown Tumors") C) Hypoparathyroidism; Osteopetrosis D) Vitamin D Deficiency; Osteomalacia"
X Link 2026-02-03T05:41Z [----] followers, [----] engagements

"@drsthanus ST elevation in V2- V3 (septalanterior) + ST elevation in I aVL (high lateral) with reciprocal ST depression in inferior leads ( II III aVF) = septal + diagonal territory involved 👉🏻lesion before septal perforators & D1 + Axis deviation shows LAFB = prox LAD OMI"
X Link 2026-02-04T05:14Z [----] followers, [---] engagements

"ECG alert 🚨 A 54-year-old man with T2DM HTN dyslipidemia and active smoking presents within [--] hours of severe retrosternal chest pain radiating to the left arm associated with diaphoresis and dyspnea. hs-cTn I :- [--] ng/L. Which coronary artery is most likely involved Whats your thoughts on this ecg #MedTwitter #Medicine #MedX #ECG #Cardiology"
X Link 2026-02-04T11:55Z [----] followers, [----] engagements

"Inguinal hernia how to identify Groin swelling that increases on standing coughing or straining and reduces on lying down. Palpable cough impulse. Finger invagination test: swelling felt at fingertip indirect; felt on pulp direct. Lies above and medial to pubic tubercle; may descend into scrotum (indirect)"
X Link 2026-02-04T13:58Z [----] followers, 103.5K engagements

"She arrived wrapped in a shawl barely able to walk. Skin pain. Fever. Mouth ulcers. A daily-wage working mother more worried about her children than herself. This wasnt an ordinary rash. Her skin hurt to touch. Eating and drinking were agony. Something serious was unfolding in front of us. 1/9 Please open the thread . . . . . #MedTwitter #MedX #medicine @medcrux @Nikhil_Kr16 @khannaa @krish__murali @IhabFathiSulima @daoo100 https://twitter.com/i/web/status/2019339910420000906 https://twitter.com/i/web/status/2019339910420000906"
X Link 2026-02-05T09:18Z [----] followers, 16.3K engagements

"@DrAkhilX Thiamine deficiency( vitamin B1 ) Deficiency causes impaired myocardial energy metabolism which drives peripheral vasodilation 👉🏻RAAS activation 👉🏻secondary Na+ H2O retention 👉🏻high-output heart failure (wet beriberi)"
X Link 2026-02-06T07:08Z [----] followers, 13.5K engagements

"ECG alert🚨 A 30-year-old woman presents with sudden-onset palpitations that start and stop abruptly. What is the underlying mechanism responsible for this arrhythmia #MedTwitter #MedX #Cardiology"
X Link 2026-02-06T12:13Z [----] followers, 16.1K engagements

"@MedLearnHub Ans- B Pruritic erythematous scaly hands with painful fissures * months worse after frequent washing & detergents- Thats chronic hand eczema. Key clue: irritant exposure + chronic itch. Not psoriasis tinea or pemphigus"
X Link 2026-02-07T05:49Z [----] followers, [---] engagements

"@daoo100 @albertoortegana @ChShafiullah15 @DocPriyamMD @docxusofficial @doctors_squad @dr_manish_ydv @DrAkhilX @DrMedica_13 @SameerYogi14 Answer - Wickhams striae"
X Link 2026-02-07T05:50Z [----] followers, [--] engagements

"@DrAkhilX Why vitamin A in measles Measles depletes vit A 👉🏻 epithelial damage + immune suppression. Vit A restores mucosal integrity boosts immunity prevents keratitis/blindness & reduces mortality. Vitamin A is therapeutic not optional"
X Link 2026-02-07T06:13Z [----] followers, [----] engagements

"🔪 Penetrating neck injury 👉🏻 Cord hemisection. Ipsilateral weakness + spasticity + Babinski -corticospinal tract (crosses in medulla) Ipsilateral loss of vibration & proprioception -dorsal columns (ascend ipsilaterally) Contralateral loss of pain & temperature starting [--] levels below 👉🏻spinothalamic tract (crosses early) Ans- D : Brown-Sequard syndrome"
X Link 2026-02-07T06:45Z [----] followers, [---] engagements

"@SameerYogi14 @DrAkhilX @DocPriyamMD @IhabFathiSulima @daoo100 @DrMedica_13 Ans- A Why Medial leg varicosities point to great saphenous vein failure. Longest vein 👉🏻 high hydrostatic pressure valve incompetence at perforators 👉🏻 reflux. Clinical clue:- Tortuous dilated veins along medial calf/thigh venous ulcers occur near the medial malleolus"
X Link 2026-02-07T07:42Z [----] followers, [---] engagements

"Based on the CXR & history i suspect PE & CT Pulmonary Angiography (CTPA) is the answer. Why A 30-year-old woman with acute chest pain + shortness of breath 👉🏻pulmonary embolism must be excluded first. X ray features :- Right lung consolidation can represent: Pulmonary infarction Hamptons hump (PE until proven otherwise) https://twitter.com/i/web/status/2020046234648752292 https://twitter.com/i/web/status/2020046234648752292"
X Link 2026-02-07T08:05Z [----] followers, [---] engagements

"@shakilED @SantoshRajNeup1 @fzn733 @usernamee389 @albertoortegana @SameerYogi14 @drabdulhameed07 @MiguelP23970914 I feel relative peripheral oligemia (Westermark sign) am not sure"
X Link 2026-02-07T11:17Z [----] followers, [---] engagements

"@shakilED @SantoshRajNeup1 @fzn733 @usernamee389 @albertoortegana @SameerYogi14 @drabdulhameed07 @MiguelP23970914 Yes ecg also proves suspicion of PE. Good one Dr shakil 👍🏻"
X Link 2026-02-07T11:23Z [----] followers, [---] engagements

"@usernamee389 @shakilED @SantoshRajNeup1 @fzn733 @albertoortegana @SameerYogi14 @drabdulhameed07 @MiguelP23970914 We all make mistakes doc. No judgments here. Were all here to learn. 👍🏻"
X Link 2026-02-07T12:00Z [----] followers, [--] engagements

"A 72-year-old male is brought by his daughter due to memory loss and confusion. She notes that his symptoms fluctuate significantly; some days he is quite sharp and other days he is very confused. He has also started seeing "small people" in the room (visual hallucinations) and has developed a shuffling gait and tremors. What is the most likely diagnosis a) Alzheimers Disease b) Lewy Body Dementia c) Vascular Dementia d) Wernicke-Korsakoff Syndrome #MedTwitter #MedX #Medicine #Neurology @DrAkhilX @daoo100 @dr_manish_ydv @DrYdv_hitesh01 @MedLearnHub @DocPriyamMD @SameerYogi14 @shakilED"
X Link 2026-02-07T13:29Z [----] followers, [----] engagements

"A 40-year-old female presents with recent weight gain easy bruising and new purple streaks (striae) on her abdomen. On examination she has a rounded "moon face" and a "buffalo hump" on her upper back. Her blood pressure is 155/95 mmHg. A 24-hour urinary free cortisol test is elevated. To determine the cause a High-Dose Dexamethasone Suppression Test is performed and it successfully suppresses her cortisol levels. What is the most likely source of her excess cortisol a) Adrenal Adenoma b) Ectopic ACTH production (e.g. Small Cell Lung Cancer) c) Pituitary Adenoma (Cushings Disease) d) Exogenous"
X Link 2026-02-07T13:38Z [----] followers, [----] engagements

"A 28-year-old male is being evaluated for a heart murmur. On examination you notice he has very long slender fingers (arachnodactyly) and a tall thin frame. He mentions his father died suddenly in his 30s. You hear an early diastolic decrescendo blowing murmur at the left sternal border. His blood pressure is 160/50 mmHg. Which of the following is the cardiovascular link these patients might have a) cystic medial necrosis of the aorta leading to Aortic Root Dilation. b) Atherosclerotic degeneration of the aortic valve leading to calcific aortic stenosis c) Rheumatic involvement of the aortic"
X Link 2026-02-07T13:50Z [----] followers, [----] engagements

"Why STE in V1V3 = RV involvement V1 overlies the RV Proximal RCA occlusion 👉🏻RV free-wall ischemia Injury current directed anteriorly 👉🏻STE in V1 V2V3 Hence V1 STE in inferior STEMI = red flag for RV infarction Nutshell: Basal inferoseptal ischemia can project injury currents anteriorly causing pseudo-anterior STE without true LAD involvement. Inferior STE (II III aVF) with reciprocal STD in I/aVL favors proximal RCA. Multivessel disease is possible but a single proximal RCA lesion explains this ECG best"
X Link 2026-02-07T14:35Z [----] followers, [--] engagements

"No. V5V6 sparing doesnt imply LCx protection or multivessel disease. In proximal RCA occlusion injury to basal inferoseptum/RV can project STE into V1V3 while lateral wall (V5V6) remains electrically silent. MVD clues: diffuse ST changes aVR STE with widespread STD lateral involvement. ECG angiogram. https://twitter.com/i/web/status/2020151078923432098 https://twitter.com/i/web/status/2020151078923432098"
X Link 2026-02-07T15:02Z [----] followers, [--] engagements

"@modernHealthMe Patent is pulseless no point of giving synch DCC correct option is C. Unsynch defib"
X Link 2026-02-07T16:14Z [----] followers, [----] engagements

"🧵 ECG Thread: Lets Decode this ecg Dx- AIVR + Anterolateral OMI [--] First look rhythm Rate [----] bpm with wide QRS complexes. Too slow for VT too wide for sinus rhythm raises suspicion for AIVR. [--] P waves & AV relationship Look carefully: No consistent P before QRS P waves march independently Occasionally P appears near QRS without fixed PR 👉 This is isorhythmic AV dissociation atria & ventricles firing at similar rates neither fully capturing the other. [--] Why this confirms AIVR AIVR criteria: ✔ Ventricular rhythm ✔ Rate [-----] bpm ✔ Wide QRS ✔ AV dissociation (often isorhythmic) All present"
X Link 2026-02-07T17:38Z [----] followers, [----] engagements

"🔴Update on this case : 👉🏻Drug-induced SJS confirmed with punch biopsy which is persistent with epidermal necrosis + keratinocyte apoptosis + derma-epidermal detachment. managed with IV prednisone [--] mg BD. Severe oral pain 👉🏻 inability to swallow treated by rinsing with viscous lidocaine. started on TPN and PCA morphine. Vesicles progressed to bullae with skin sloughing; treated with urea + triamcinolone lotion BD. No pulmonary involvement on serial CXR. Escalating wound care 👉🏻ICU transfer. Ophthalmology & urology consulted for ocular ( purulent conjunctivitis) and urethral"
X Link 2026-02-07T17:52Z [----] followers, [---] engagements

"@SameerYogi14 Ans C Why Preganglionic parasympathetic fibers of the facial nerve originate from the superior salivatory nucleus"
X Link 2026-02-08T04:47Z [----] followers, [---] engagements

"@albertoortegana @DrAkhilX @IhabFathiSulima @drkeithsiau @Ausbones @BodyExplained Femur is fractured A fracture of the femur classically puts the patient at risk of 🫁 fat embolism syndrome (FES)"
X Link 2026-02-08T04:49Z [----] followers, [---] engagements

"@albertoortegana @Ausbones @IhabFathiSulima @DrAkhilX @DrArslan480 @DrNikhilMD Apert syndrome"
X Link 2026-02-08T04:53Z [----] followers, [---] engagements

"@albertoortegana BSA involvement defines SJSTEN spectrum: 🔻SJS: 10% BSA 🔻SJSTEN overlap: 1030% BSA 🔻TEN: 30% BSA 👉 TEN is the severe end with extensive epidermal necrosis & high mortality. So final answer should be SJS-TEN overlap"
X Link 2026-02-08T05:03Z [----] followers, [---] engagements

"@albertoortegana I agree Dr. Alberto. It should be treated as a severe burn in the burn unit"
X Link 2026-02-08T05:09Z [----] followers, [---] engagements

"@daoo100 @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @SameerYogi14 @DocPriyamMD @Frances98392343 @ecgandrhythmRoe @MiguelP23970914 @FibrilloFlutter @MedLearnHub 💯✅👏"
X Link 2026-02-08T05:24Z [----] followers, [--] engagements

"Clinical breakdown of this question b) Marfan Syndrome. This is a classic presentation linking a genetic connective tissue disorder with specific cardiovascular complications. Diagnosis: Marfan Syndrome with Aortic Regurgitation. Marfan Syndrome is an autosomal dominant disorder caused by a mutation in the FBN1 gene which codes for fibrillin-1. This leads to weakened connective tissue throughout the body. [--]. Rule-In Method (Why 'b' is correct) The Habitus: The patients tall thin stature and arachnodactyly (long spider-like fingers) are hallmark physical features of Marfan Syndrome. The"
X Link 2026-02-08T09:44Z [----] followers, [---] engagements

"I use IV iron when oral iron fails isnt tolerated or absorption is poor and when I need faster correction. Between options I usually prefer ferric carboxymaltose for its single high-dose quicker repletion and better compliance; I lean toward iron sucrose when cost is an issue or in dialysis settings"
X Link 2026-02-08T12:23Z [----] followers, [----] engagements

"🚨 A patient has a prolonged aPTT You expect bleeding. Instead they develop stroke DVT miscarriage. Welcome to the Antiphospholipid Antibody paradox where labs lie and physiology wins 👇 [--] The name is a lie ❌ aPL do NOT attack phospholipids ✅ They target phospholipid-binding proteins (2-glycoprotein I) 📌 First paradox: misnamed antibodies [--] The most misleading lab in medicine 🧪 aPTT is prolonged ❌ NO bleeding 🩸 INSTEAD thrombosis ⚠ Prolonged clotting test anticoagulated patient 💥 Treating this like a bleeding disorder can be fatal [--] Lupus anticoagulant anticoagulation despite the name: ❌"
X Link 2026-02-08T13:22Z [----] followers, [---] engagements

"@DrNovinoTailor Ans- D :- excessive of thyroid hormone increases the sympathetic activity ( beta adrenergic ) and fine tremors results"
X Link 2026-02-08T14:33Z [----] followers, [--] engagements

"@MiguelP23970914 Pleasure sir have a nice afternoon"
X Link 2026-02-08T15:16Z [----] followers, [--] engagements

"@DrNovinoTailor Ans- A : cold intolerance is the classic feature of Hashimotos"
X Link 2026-02-08T16:19Z [----] followers, [--] engagements

"@drsthanus X ray shows the classic presentation of Congestive heart failure peri hilar congestion + pleural effusion +. Increased cardiac silhouette typical of CHF"
X Link 2026-02-08T17:30Z [----] followers, [---] engagements

"@khannaa @DrAkhilX @SameerYogi14 @DocPriyamMD @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @albertoortegana @anupsoans @MiguelP23970914 Thank you"
X Link 2026-02-08T17:41Z [----] followers, [--] engagements

"Ans - C Pulmonary Embolism 🚨 (ECG + Management) ECG clues in PE: Sinus tachycardia (most common) S1Q3T3 pattern RBBB RAD T-wave inversion V1V4 (RV strain) Patient is hemodynamically unstable (shock/syncope) 👉🏻Immediate systemic thrombolysis (Alteplase). Dont wait for CTPA. Treat first confirm later. https://twitter.com/i/web/status/2020579594223632808 https://twitter.com/i/web/status/2020579594223632808"
X Link 2026-02-08T19:24Z [----] followers, [---] engagements

"@dr_manish_ydv @DrAkhilX @DocPriyamMD @DrArslan480 @daoo100 @ChShafiullah15 @albertoortegana @DrYdv_hitesh01 @SameerYogi14 @VikramMShahpura Badiya question h doc saab"
X Link 2026-02-08T20:00Z [----] followers, [--] engagements

"@albertoortegana @DrAkhilX @IhabFathiSulima @dr_manish_ydv @DrArslan480 Ans- White matter cerebral edema"
X Link 2026-02-09T04:33Z [----] followers, [---] engagements

"24F with syncope triggered by loud noise + FHx sudden death + normal echo 👉🏻Congenital Long QT ECG fundings : increased QTc (460 ms) these patients have high risk of developing Tds Mx (long-term): High-dose beta blocker to prevent adrenergic surge Mg = acute only 👉🏻 ICD if refractory https://twitter.com/i/web/status/2020720073263219193 https://twitter.com/i/web/status/2020720073263219193"
X Link 2026-02-09T04:43Z [----] followers, [---] engagements

"@PeterItebimien @IhabFathiSulima @elidyynwa @ChefKarim02 @Doctors__squad @drsthanus @mendietaalex1 @albertoortegana @PJaseja @esanum @BrownJHM @DrAkhilX @drkeithsiau @the_beardedsina @rkalyes1 @NicoGagelmann @modernHealthMe Vitamin B3 (niacin) deficiency - pellagra"
X Link 2026-02-09T04:46Z [----] followers, [---] engagements

"A 25-year-old African American male is prescribed a course of Sulfamethoxazole for a urinary tract infection. Three days later he presents with dark "tea-colored" urine jaundice and fatigue. A peripheral blood smear is performed and shows cells with small "bites" taken out of them and dark-staining inclusions are noted. What is the underlying cause of this patient's condition [--]. A deficiency in the enzyme Glucose-6-Phosphate Dehydrogenase (G6PD). [--]. An autoimmune attack on Red Blood Cells. [--]. A genetic defect in Hemoglobin synthesis (Thalassemia). [--]. A mutation in the Ankyrin protein of the"
X Link 2026-02-09T05:47Z [----] followers, [----] engagements

"A 19-year-old college student is brought to the health clinic with a high fever severe headache and a stiff neck. On physical exam he has a positive Brudzinski sign (his hips flex when you lift his neck). You also notice several small purple-red spots on his legs (petechiae). what is your immediate priority [--]. Start oral Amoxicillin. [--]. Perform a lumbar puncture and start IV Ceftriaxone. [--]. Check for a tick bite and start Doxycycline. [--]. Order an MRI of the brain. #MedTwitter #MedX #Medicine @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @SameerYogi14 @albertoortegana @shakilED @SantoshRajNeup1"
X Link 2026-02-09T05:57Z [----] followers, [----] engagements

"3. A 19-year-old female is brought to the ER after an intentional overdose of an unknown medication. She is breathing rapidly (tachypnea) and complaining of 'ringing in her ears' (tinnitus). Blood gases show a mixed respiratory alkalosis and metabolic acidosis. What did she ingest A.Iron B.Aspirin (Salicylates) C.Acetaminophen D.Tricyclic Antidepressants #MedTwitter #MedX #neetpg202 @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @albertoortegana @khannaa"
X Link 2026-02-09T06:00Z [----] followers, [----] engagements

"A 45-year-old male with a history of alcohol use disorder is found unresponsive. His arterial blood gas shows a severe metabolic acidosis with an increased anion gap. His urinalysis shows 'envelope-shaped' calcium oxalate crystals. What was ingested A.Isopropyl Alcohol B.Methanol C.Ethanol D. Ethylene glycol #MedTwitter #MedX #Toxicology @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @MedLearnHub @daoo100 @SameerYogi14 @DocPriyamMD @albertoortegana @khannaa @Nikhil_Kr16 @DrMedica_13 @shakilED https://twitter.com/i/web/status/2020747378815623473 https://twitter.com/i/web/status/2020747378815623473"
X Link 2026-02-09T06:31Z [----] followers, [----] engagements

"@DrAkhilX Monod sign :- Air crescent surrounds the fungal ball it is the pathognomic. Upper lobes common. Causes recurrent hemoptysis. No consolidation unless secondary infection Mobility:- Fungal ball moves with change in position (seen on erect vs supine films)"
X Link 2026-02-09T07:25Z [----] followers, [----] engagements

"@MedLearnHub C. Grazing (tangential) bullet wound Why The wounds are superficial irregular skin defects and abrasions No active bleeding No palpable bullet tract No underlying bony injury on X-ray"
X Link 2026-02-09T07:35Z [----] followers, [--] engagements

"@dr_manish_ydv @DrAkhilX @DocPriyamMD @albertoortegana @ChShafiullah15 @daoo100 @DrArslan480 Ans- D Neuroblastoma arises from sympathetic neural crest tissue so it does not originate from the adrenal cortex"
X Link 2026-02-09T07:36Z [----] followers, [--] engagements

"@dr_manish_ydv @DrAkhilX @DocPriyamMD @albertoortegana @ChShafiullah15 @daoo100 @DrArslan480 @DrYdv_hitesh01 @MarkGregorio_NP @Medzonetv @MuhammadZa96288 @SameerYogi14 @MiguelP23970914 Homer Wright pseudorosettes: Tumor cells in spoke-wheel array around neuropil core (no true lumen & it is made up of eosinophils ) Hallmark of neuroblastoma (most common) also seen in medulloblastoma"
X Link 2026-02-09T07:43Z [----] followers, [--] engagements

"@SameerYogi14 @dr_manish_ydv 💯✅doc"
X Link 2026-02-09T09:22Z [----] followers, [--] engagements

"@MiguelP23970914 @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @SameerYogi14 @DocPriyamMD @albertoortegana @Frances98392343 @ecgandrhythmRoe Thank you much for your inputs doc🙏🏼"
X Link 2026-02-09T11:38Z [----] followers, [---] engagements

"@Frances98392343 @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @SameerYogi14 @DocPriyamMD @albertoortegana @MiguelP23970914 @ecgandrhythmRoe Thanks so much doc🙏🏼"
X Link 2026-02-09T11:38Z [----] followers, [---] engagements

"@Ecgloverr @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @SameerYogi14 @DocPriyamMD @albertoortegana @Frances98392343 @MiguelP23970914 @ecgandrhythmRoe Yes✅🙏🏼"
X Link 2026-02-09T11:38Z [----] followers, [--] engagements

"@RobertHermanMD @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @SameerYogi14 @DocPriyamMD @albertoortegana @Frances98392343 @MiguelP23970914 @ecgandrhythmRoe 100% agree✅"
X Link 2026-02-09T11:38Z [----] followers, [---] engagements

"Narrow QRS complex = Rhythm is likely Supra ventricular origin no p wave is visible likely to be burried inside the QRS complex & rate is 200+ approxX this is AVNRT ( FS) type. Tx- IV adenosine #MedTwitter A patient presents with sudden onset palpitations. What is the most appropriate initial management A. IV amiodarone B. IV adenosine C. Synchronized DC cardioversion D. Oral beta-blocker https://t.co/YfuIR8wLEM A patient presents with sudden onset palpitations. What is the most appropriate initial management A. IV amiodarone B. IV adenosine C. Synchronized DC cardioversion D. Oral"
X Link 2026-02-09T12:42Z [----] followers, [---] engagements

"A 75-year-old female with a history of hypertension and atrial fibrillation presents with sudden onset of "the worst headache of her life." Within an hour she develops a blown right pupil and left-sided weakness. A non-contrast CT of the head shows a bright white hyperdense area in the right hemisphere. What is the most likely diagnosis [--]. Ischemic Stroke [--]. Subarachnoid Hemorrhage [--]. Intracerebral Hemorrhage [--]. Subdural Hematoma #MedTwitter #MedX #Neurology #neetpg2026 @khannaa @krish__murali @MuhammadZa96288 @fzn733 @shakilED @MiguelP23970914"
X Link 2026-02-09T14:20Z [----] followers, [----] engagements

"@dr_manish_ydv @albertoortegana @ChShafiullah15 @DrArslan480 @MarkGregorio_NP @Medzonetv @SameerYogi14 @DrYdv_hitesh01 @VikramMShahpura @medcrux @shakilED This is classic APS- DOACs are useless correct answer is ✅ C. LMWH overlap with warfarin targeting INR [--] lifelong"
X Link 2026-02-09T16:57Z [----] followers, [---] engagements

"Beta-blockers are avoided in asthma because they block B-receptors in bronchial smooth muscle 👉🏻loss of bronchodilation 👉🏻bronchoconstriction. This can precipitate severe life-threatening bronchospasm blunt response to Beta -agonist rescue inhalers and worsen airflow obstruction. Even cardio-selective blockers lose selectivity at higher doses. Hence avoid unless absolutely necessary. #Medtwitter #MedX Why are beta-blockers avoided in asthma . https://t.co/p0Eo6rPzmk Why are beta-blockers avoided in asthma . https://t.co/p0Eo6rPzmk"
X Link 2026-02-09T17:48Z [----] followers, [---] engagements

"Long-term hemodialysis 👉🏻inadequate clearance of beta [--] -microglobulin 👉🏻 tissue deposition as amyloid. This causes dialysis-related B2 amyloidosis: carpal tunnel syndrome shoulder pad sign bone cysts arthropathy is most commonly seen. Answer - B ✅ #MedTwitter A 48-year-old male with end-stage renal disease secondary to diabetic nephropathy has been on maintenance hemodialysis for [--] years. He presents with gradually progressive numbness and tingling over the thumb index and middle fingers of both hands worse at night. On A 48-year-old male with end-stage renal disease secondary to"
X Link 2026-02-09T18:45Z [----] followers, [---] engagements

"@shakilED The cervical spine is protected and the patient is breathing spontaneously. The oxygen saturation (spo2) is 92%. The immediate next step should be rapid sequence intubation as the airway is the most critical factor"
X Link 2026-02-10T04:41Z [----] followers, [---] engagements

"✅ Correct answer: C. Complete absence of UDP-glucuronyl transferase activity If bilirubin is sky-high( 25-30) unconjugated non-hemolytic phototherapy-resistant and phenobarbital doesnt work 👉🏻CriglerNajjar type I. #MedTwitter #MedX A 5-day-old full-term neonate presents with deep jaundice since day [--] of life. No hepatosplenomegaly. Total bilirubin is [--] mg/dL with predominantly unconjugated fraction. Direct Coombs test is negative. Hemoglobin and reticulocyte count are normal. Despite intensive https://t.co/MQoyiRwVJH A 5-day-old full-term neonate presents with deep jaundice since day [--] of"
X Link 2026-02-10T06:26Z [----] followers, [---] engagements

"A 45-year-old male with a long history of heavy smoking presents with progressive shortness of breath. Arterial Blood Gas (ABG) analysis reveals: Which of the following best describes this acid-base disturbance A) Acute Respiratory Acidosis B) Chronic Respiratory Acidosis with partial compensation C) Metabolic Acidosis with respiratory compensation D) Acute Respiratory Alkalosis #MedTwitter #MedX #Medicine #NEETPG @khannaa @MuhammadZa96288 @shakilED @ChShafiullah15 @Khalidshafeeq https://twitter.com/i/web/status/2021111515299053944 https://twitter.com/i/web/status/2021111515299053944"
X Link 2026-02-10T06:38Z [----] followers, [----] engagements

"60-year-old male with a history of weight loss and persistent cough presents with a Chest X-ray. The radiologist notes following finding on the right side. This finding is most suggestive of which underlying pathology A) Right Lower Lobe Pneumonia B) Right Upper Lobe Collapse due to a Central Mass C) Large Right-sided Pleural Effusion D) Spontaneous Tension Pneumothorax #MedTwitter #MedX #NEETPG @khannaa @shakilED @ChShafiullah15 @DrAkhilX @fzn733 @MiguelP23970914 @SameerYogi14 @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @albertoortegana @DocPriyamMD @MedLearnHub @DrMedica_13"
X Link 2026-02-10T06:41Z [----] followers, [----] engagements

"A 28-year-old female with HIV (CD4 count: [---] cells/mm) presents with a dry cough low-grade fever and significant hypoxia (SpO2 88% on room air). A chest X-ray shows diffuse bilateral "ground-glass" opacities spreading from the hilum. Which of the following is the treatment of choice for this patient A) Oseltamivir B) High-dose Trimethoprim-Sulfamethoxazole (Co-trimoxazole) C) Ceftriaxone and Azithromycin D) Amphotericin B #MedTwitter #MedX #NEETPG @khannaa @ChShafiullah15 @Khalidshafeeq @DrMedica_13 https://twitter.com/i/web/status/2021113668683907315"
X Link 2026-02-10T06:47Z [----] followers, [---] engagements

"40-year-old female presents with a "malar flush" on her cheeks. On cardiac auscultation you hear a loud S1 an opening snap and a mid-diastolic rumbling murmur heard best at the apex in the left lateral decubitus position. What is the most common underlying cause of this valvular lesion A) Congenital bicuspid valve B) Rheumatic Heart Disease C) Degenerative calcification D) Ruptured chordae tendineae #MedTwitter #MedX #NEETPG @khannaa @ChShafiullah15 @DrMedica_13 @albertoortegana @dr_manish_ydv @daoo100 @SameerYogi14 @MedLearnHub @MiguelP23970914 @DrAkhilX @DocPriyamMD"
X Link 2026-02-10T06:49Z [----] followers, [---] engagements

"A 45-year-old man with a long history of heavy alcohol consumption presents with progressive bilateral pedal edema orthopnea and reduced exercise tolerance. Examination reveals low-volume heart sounds a laterally displaced and diffuse apex beat and elevated JVP. Ecg is attached. Echocardiography demonstrates global hypokinesia LVEF 25% and marked dilation of all four cardiac chambers. What is the most likely diagnosis and the most characteristic physical examination finding & ecg changes A) Alcohol-induced Dilated Cardiomyopathy; low-pitched S3 gallop best heard at the apex in left lateral"
X Link 2026-02-10T06:55Z [----] followers, [----] engagements

"Breakdown of this question:- Ans- a) A deficiency in the enzyme Glucose-6-Phosphate Dehydrogenase (G6PD). This is a classic "trigger-response" hematology case. G6PD deficiency is an X-linked recessive disorder that affects millions worldwide particularly those of African Mediterranean or Asian descent. Diagnosis: G6PD Deficiency Red blood cells (RBCs) normally use the G6PD enzyme to produce NADPH which helps maintain a supply of reduced glutathione. Glutathione acts as a shield protecting the hemoglobin from oxidative stress. Rule-In Method (Why 'a' is correct) The Triggers: In G6PD-deficient"
X Link 2026-02-10T06:57Z [----] followers, [---] engagements

"Ans- D :- Commonly found in antifreeze its metabolites cause acute kidney injury and the formation of oxalate crystals in the urine. #MedTwitter #MedX A 45-year-old male with a history of alcohol use disorder is found unresponsive. His arterial blood gas shows a severe metabolic acidosis with an increased anion gap. His urinalysis shows 'envelope-shaped' calcium oxalate crystals. What was ingested A.Isopropyl Alcohol https://t.co/Bo43MKHuP8 A 45-year-old male with a history of alcohol use disorder is found unresponsive. His arterial blood gas shows a severe metabolic acidosis with an"
X Link 2026-02-10T07:00Z [----] followers, [--] engagements

"@SameerYogi14 @DrAkhilX @IhabFathiSulima @daoo100 @dr_manish_ydv @DrMedica_13 @albertoortegana @ChShafiullah15 @DoctorMed0 @esanum @hemo_shk @shakilED ✅Extensor pollicis longus"
X Link 2026-02-10T13:49Z [----] followers, [---] engagements

"@SangeethaSwami1 Maam it is rheumatic fever induced mitral valve calcification which resulted mitral stenosis. Thank you"
X Link 2026-02-10T14:08Z [----] followers, [--] engagements

"@PJaseja COPD pt with narrow-complex SVT given adenosine 👉🏻bronchospasm flushing & hypotension. Better choice: IV diltiazem (or verapamil) no bronchoconstriction better tolerance. Post-SVT polyuria = atrial stretch 👉🏻ANP release"
X Link 2026-02-10T15:06Z [----] followers, [---] engagements

"Ive used esmolol for SVT rapid onset but ultra-short acting with a transient AV-nodal block. In COPD/asthma its riskier; despite beta [--] selectivity Ive seen bronchoconstriction. So I prefer diltiazem (or verapamil) for steadier control without bronchospasm risk. Esmolol otherwise is safe and FDA-approved. https://twitter.com/i/web/status/2021243481440780683 https://twitter.com/i/web/status/2021243481440780683"
X Link 2026-02-10T15:22Z [----] followers, [---] engagements

"Diagnosis - Flail Chest What is this Occurs when [--] adjacent ribs fracture in [--] places 👉🏻a free-floating chest segment. Mechanism: Paradoxical movement + underlying pulmonary contusion Decreased tidal volume & hypoxia. Normal respiration: Inspiration chest wall moves outward Expiration chest wall moves inward 🔄 Flail chest (paradoxical motion): Inspiration flail segment moves inward Expiration flail segment moves outward Complications: Hypoxia pulmonary contusion pneumonia ARDS. Tx: Oxygen aggressive analgesia (epidural/blocks) chest physiotherapy; mechanical ventilation if respiratory"
X Link 2026-02-10T16:33Z [----] followers, [---] engagements

"@shakilED Bp & HR doesnt make sense i think beta blocker is masking the tachy answer is B"
X Link 2026-02-10T19:54Z [----] followers, [--] engagements

"A 50-year-old male with a history of hypertension and a 50-pack-year smoking history presents with cramping pain in his calves that occurs after walking two blocks and is relieved by [--] minutes of rest. On exam the skin on his legs is thin and shiny and the pedal pulses are weak. What is the most appropriate initial diagnostic test to confirm the severity of this condition A) Venous Duplex Ultrasound B) Ankle-Brachial Index (ABI) C) Coronary Angiography D) D-dimer Assay #MedTwitter #MedX #Medicine #NEETPG @DrAkhilX @dr_manish_ydv @albertoortegana @MiguelP23970914 @MedLearnHub @fzn733"
X Link 2026-02-11T04:56Z [----] followers, 10.1K engagements

"A 42-year-old male with acute necrotizing pancreatitis presents on day [--] with worsening dyspnea. He is tachypneic and hypoxic. ABG on room air shows: PaO = [--] mmHg PaCO = [--] mmHg pH = [----] Chest x ray attached. Pulmonary capillary wedge pressure is [--] mmHg. Serum amylase is [---] IU/L. Which of the following best explains the pathophysiology of his respiratory failure AND guides appropriate ventilatory strategy Options: A. Direct alveolar epithelial injury due to aspiration treat with high tidal volume ventilation B. Increased pulmonary capillary hydrostatic pressure from fluid resuscitation"
X Link 2026-02-11T05:00Z [----] followers, [----] engagements

"A 60-year-old male presents to the clinic for a routine check-up. On examination you notice a prominent pulsation in the epigastric area. On palpation you feel a pulsatile expansile mass above the umbilicus. He is asymptomatic but has a 40-pack-year smoking history. What is the most likely diagnosis and the most important risk factor for the progression of this condition A) Abdominal Aortic Aneurysm (AAA); Hypertension B) Abdominal Aortic Aneurysm (AAA); Smoking C) Gastric Carcinoma; Diet D) Renal Artery Stenosis; Atherosclerosis #MedTwitter #MedX #Medicine @DrAkhilX @dr_manish_ydv"
X Link 2026-02-11T05:05Z [----] followers, [----] engagements

"Breakdown of this question : B (Right Upper Lobe Collapse due to a Central Mass) Why C is Ruled Out A Large Pleural Effusion would typically show a "Meniscus sign" (a concave upward curve of fluid) and a dense uniform "white-out" of the lower lung fields. It also tends to push the trachea and mediastinum away from the affected side. It does not create an "S" shape. Why B is Ruled In: The Golden S sign (also known as the Reverse S sign of Golden) is a classic radiological finding. It is formed by two distinct parts: [--]. The Upper Curve: Created by the upward displacement of the minor fissure as"
X Link 2026-02-11T06:31Z [----] followers, [---] engagements

"Breakdown of the Ans:- The Correct Answer: B (Rheumatic Heart Disease) Why B is Ruled In The Murmur: A mid-diastolic rumble at the apex is the signature of Mitral Stenosis. The loud S1 occurs because the stiff leaflets are wide apart at the start of systole and slam shut. The Opening Snap: This high-pitched sound occurs just after S2 when the high pressure in the Left Atrium forces the stenotic mitral valve open. The Cause: Worldwide Rheumatic Heart Disease (a sequel of Group A Strep pharyngitis) is the cause of Mitral Stenosis in nearly 99% of cases. Malar Flush: Also known as "Mitral"
X Link 2026-02-11T06:36Z [----] followers, [---] engagements

"@SameerYogi14 @DrAkhilX @DocPriyamMD @dr_manish_ydv @daoo100 @ChShafiullah15 @DoctorMed0 @MedLearnHub @Damodar484 @DrMedica_13 Popeye sign : is a prominent rounded bulge in the upper arm characteristic of a proximal biceps tendon rupture"
X Link 2026-02-11T08:59Z [----] followers, [---] engagements

"@SameerYogi14 @DrAkhilX @DocPriyamMD @dr_manish_ydv @daoo100 @ChShafiullah15 @DoctorMed0 @MedLearnHub @Damodar484 @DrMedica_13 Ans- C"
X Link 2026-02-11T09:00Z [----] followers, [--] engagements

"@SameerYogi14 @DrAkhilX @DocPriyamMD @dr_manish_ydv @daoo100 @ChShafiullah15 @DoctorMed0 @MedLearnHub @Damodar484 @DrMedica_13 Thanks for sharing doc saab🙏🏼"
X Link 2026-02-11T09:05Z [----] followers, [--] engagements

"@khannaa @fzn733 @Frances98392343 @krish__murali @HishamMD3 @hammerving @MedLearnHub @DrMedica_13 @Radial2Medial"
X Link 2026-02-11T11:23Z [----] followers, [--] engagements

"@dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @DrMedica_13 @Sage_medics @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @esanum @shakilED @SameerYogi14 @Medzonetv @MedLearnHub vertebral collapse and spinal deformity classic of potts spine. Ans is A"
X Link 2026-02-11T12:25Z [----] followers, [---] engagements

"@albertoortegana @DocPriyamMD @dr_manish_ydv @DrAkhilX @DrArslan480 @drobiy12 Rat tail or bird beak appearance :- Achalasia"
X Link 2026-02-11T12:54Z [----] followers, [----] engagements

"Ans B Why Warfarin is metabolized in the liver by cytochrome P450 enzymes: S-warfarin (more potent) 👉🏻metabolized mainly by CYP2C9 R-warfarin 👉🏻CYP3A4 CYP1A2 Fluconazole is a strong CYP2C9 inhibitor (and moderate CYP3A4 inhibitor). When fluconazole is started: 👉 Warfarin metabolism decreases 👉 Plasma warfarin levels increases 👉 INR rises 👉 Excess anticoagulation 👉 Increased bleeding risk #MedTwitter #MedX Which antifungal drug significantly interacts with warfarin ( INR & bleeding risk) A) Amphotericin B B) Fluconazole C) Nystatin D) Caspofungin https://t.co/F3znoUsx9J Which"
X Link 2026-02-11T12:57Z [----] followers, [--] engagements

"Mobitz II AV block :- regular P waves( sinus rhythm) constant PR intervals then a sudden dropped QRS without warning. 👉🏻No progressive PR prolongation. 👉🏻Often wide QRS (infranodal block). Unstable rhythm that can progress to complete heart block. Requires urgent evaluation often pacing. #MedTwitter #MedX 👍 1💪 🎵 https://t.co/56GeQmYY19 👍 1💪 🎵 https://t.co/56GeQmYY19"
X Link 2026-02-11T13:01Z [----] followers, [---] engagements

"Ans - B Here is the breakdown of this X ray ( left one) [--]. Marked cardiomegaly with increased cardiothoracic ratio is 50% in the given x ray. [--]. Left heart border appears elongated and expanded [--]. Globular enlarged cardiac silhouette ( LV dilatation ) prominent perihilar vascular markings and basal interstitial haze suggestive of pulmonary venous congestion. https://twitter.com/i/web/status/2021584843277308403 https://twitter.com/i/web/status/2021584843277308403"
X Link 2026-02-11T13:59Z [----] followers, [--] engagements

"@MedLearnHub @ChShafiullah15 @DrAkhilX @albertoortegana @DrMedica_13 @BodyExplained @SameerYogi14 @esanum Youre welcome doc🙏🏼"
X Link 2026-02-11T14:22Z [----] followers, [--] engagements

"@shakilED Ans- B Why Head injury [--] hrs + GCS [--] = moderate TBI. As per NICE & CRASH-3 👉🏻 Give [--] g IV TXA immediately dont wait for CT or neurosurgery. Early TXA reduces head-injury mortality; delay reduces benefit"
X Link 2026-02-11T14:25Z [----] followers, [---] engagements

"@ManualOMedicine Slow fast AVNRT"
X Link 2026-02-11T14:30Z [----] followers, [---] engagements

"@SameerYogi14 💯✅ doc saab"
X Link 2026-02-11T15:09Z [----] followers, [---] engagements

"Ans- WPW Type A Why Breakdown of the ECG 👉🏻The PR interval is short (0.12 seconds). There is a delta wave present in all leads but this is particularly well seen in leads I II and V1-V6. Total QRS duration is prolonged (0.14 seconds). There is a tall R wave in the right sided precordial leads and non-specific ST segment/T wave changes accompany this. 👉🏻 There is a superficial resemblance to right bundle branch block and this occurs because the accessory pathway connects to the left ventricle and activation of the heart begins in an analagous fashion to that in RBBB. This pattern of"
X Link 2026-02-11T16:29Z [----] followers, [----] engagements

"@dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @pragya_13_ @DrMedica_13 @Sage_medics @daoo100 @ChShafiullah15 @albertoortegana @DrArslan480 @esanum @SameerYogi14 @DrYdv_hitesh01 @VikramMShahpura @drvik13 @MuhammadZa96288 Ans B Tay sachs disease How to spot it Cherry red spot = visible choroidal circulation through thin fovea Pale surrounding retina = lipid-laden swollen ganglion cells"
X Link 2026-02-11T16:32Z [----] followers, [---] engagements

"@TSM_Humanist @dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @DrMedica_13 @Sage_medics @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @esanum @shakilED @SameerYogi14 @Medzonetv @MedLearnHub Isnt it potts spine doc"
X Link 2026-02-11T16:33Z [----] followers, [--] engagements

"@shakilED @TSM_Humanist @dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @DrMedica_13 @Sage_medics @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @esanum @SameerYogi14 @Medzonetv @MedLearnHub Thats what made me to rule out osteoporosis"
X Link 2026-02-11T16:46Z [----] followers, [--] engagements

"@TSM_Humanist @dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @DrMedica_13 @Sage_medics @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @esanum @shakilED @SameerYogi14 @Medzonetv @MedLearnHub Disc height loss and vertebral collapse made me think of tuberculosis spine but I agree with you Dr. Tariq. Its impossible to diagnose TB spine just with an X-ray. Fluoroscopy-guided biopsy and geneXpert can only confirm the diagnosis"
X Link 2026-02-11T16:59Z [----] followers, [--] engagements

"@shakilED @TSM_Humanist @dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @DrMedica_13 @Sage_medics @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @esanum @SameerYogi14 @Medzonetv @MedLearnHub Could you please explain Dr shakil"
X Link 2026-02-11T17:05Z [----] followers, [--] engagements

"@dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @DrMedica_13 @Sage_medics @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @esanum @shakilED @SameerYogi14 @Medzonetv @MedLearnHub Thanks for the answer doc saab🤝"
X Link 2026-02-11T17:07Z [----] followers, [--] engagements

"@dr_manish_ydv @DrAkhilX @DocPriyamMD @MiguelP23970914 @DrMedica_13 @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @esanum @Sage_medics @SameerYogi14 @MuhammadZa96288 @shakilED Ans- B : It is fine collarette scaling (scale attached at periphery free at inner edge) rash lasts around 1-3 months & leave no marks usually due to reactivation of HHV6/7"
X Link 2026-02-11T17:26Z [----] followers, [---] engagements

"@_mehdibennis @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @SameerYogi14 @DocPriyamMD @albertoortegana @Frances98392343 @MiguelP23970914 @ecgandrhythmRoe Yes sir ✅💯"
X Link 2026-02-11T17:27Z [----] followers, [--] engagements

"@dr_manish_ydv @DrAkhilX @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @esanum @SameerYogi14 @shakilED @MuhammadZa96288 @Medzonetv Ans- C Mass in the right upper lobe bronchus in the para hilar region it must be Lung carcinoid answer C fits"
X Link 2026-02-11T18:14Z [----] followers, [---] engagements

"Ans- C Why Vitamin B12 deficiency impaired methionine synthase decreased glutathione 👉🏻loss of tyrosinase inhibition melanin synthesis knuckle hyperpigmentation. Often with macrocytosis & neuropathy. Reversible with B12 replacement. #MedTwitter 🩺 Dr Medica Clinical Case A patient presents with blackening of knuckles on both hands 👋🏾 No history of trauma. Gradual onset. What is the most likely underlying deficiency A. Vitamin C B. Vitamin D C. Vitamin B12 D. Iron #DrMedica #ClinicalCase #Hyperpigmentation https://t.co/M9DelOE0ys 🩺 Dr Medica Clinical Case A patient presents with"
X Link 2026-02-11T18:44Z [----] followers, [--] engagements

"@MiguelP23970914 @dr_manish_ydv @ChShafiullah15 @albertoortegana @DrAkhilX @DrMedica_13 @daoo100 @DoctorMed0 @DrArslan480 @esanum @SameerYogi14 @DrYdv_hitesh01 @VikramMShahpura @Medzonetv @Sage_medics @MedLearnHub Ninja star appearance sir thank you"
X Link 2026-02-11T18:49Z [----] followers, [--] engagements

"@MiguelP23970914 @dr_manish_ydv @ChShafiullah15 @albertoortegana @DrAkhilX @DrMedica_13 @daoo100 @DoctorMed0 @DrArslan480 @esanum @SameerYogi14 @DrYdv_hitesh01 @VikramMShahpura @Medzonetv @Sage_medics @MedLearnHub Always a pleasure sir 🙏🏼"
X Link 2026-02-11T18:55Z [----] followers, [--] engagements

"@MiguelP23970914 @dr_manish_ydv @ChShafiullah15 @albertoortegana @DrAkhilX @DrMedica_13 @daoo100 @DoctorMed0 @DrArslan480 @esanum @SameerYogi14 @DrYdv_hitesh01 @VikramMShahpura @Medzonetv @Sage_medics @MedLearnHub Likewise sir🙏🏼"
X Link 2026-02-11T19:05Z [----] followers, [--] engagements

"@dr_manish_ydv Bronchial asthma🙋♂"
X Link 2026-02-11T20:51Z [----] followers, [---] engagements

"ECG shows complete RBBB: QRS [---] ms with rsR in V1 and broad terminal S waves in I/V6. There are regular P waves with more P than QRS complexes with intermittent non-conducted P waves 👉🏻high-grade AV block. Wide QRS + AV conduction failure suggests infranodal (His-Purkinje) disease. #MedTwitter What is the diagnosis here #EPeeps https://t.co/hVFUiD0Yix What is the diagnosis here #EPeeps https://t.co/hVFUiD0Yix"
X Link 2026-02-12T04:13Z [----] followers, [---] engagements

"Most common cause of SAH should be Trauma Why not HTN Causes deep intracerebral bleed (basal ganglia) not primary SAH. Why not berry aneurysm Most common spontaneous SAH but less common than trauma overall. Why not AVM Usually intraparenchymal bleed. If spontaneous isnt mentioned then it is always the trauma"
X Link 2026-02-12T06:22Z [----] followers, [--] engagements

"@MedLearnHub Thanks for posting sir 🤝"
X Link 2026-02-12T06:24Z [----] followers, [--] engagements

"Ans- Promethazine Why Haloperidol blocks D2 receptors in the nigrostriatal pathway Decreases dopamine relative Increase in acetylcholine EPS (acute dystonia parkinsonism). Promethazine works by anticholinergic (M1) blockade in the striatum restores DAACh balance rapid relief of haloperidol-induced EPS. #medtwitter #MedX Young male started on Haloperidol develops neck twisting [--] days later. Most appropriate treatment A. Diazepam B. Propranolol C. Promethazine IM D. Levodopa #neetpg2026 #MedTwitter @DrAkhilX @DocPriyamMD @Dr_Shiv_kumar_ @DrMedica_13 @MedLearnHub @MiguelP23970914 @Sage_medics"
X Link 2026-02-12T08:02Z [----] followers, [---] engagements

"@MedLearnHub @dr_manish_ydv @ChShafiullah15 @SameerYogi14 @esanum @BodyExplained @DrMedica_13 @DrAkhilX @albertoortegana @shakilED Massive splenomegaly+ High TLC+ increased platelets + left shift with myelocytes = CML Answer- C"
X Link 2026-02-12T08:07Z [----] followers, [--] engagements

"Procedure : Abdominal paracentesis is a procedure that uses a needle or catheter to remove excess fluid (ascites) from the peritoneal cavity Position :- patient supine empty bladder. Identify LLQ site [--] cm above & medial to ASIS (avoid inferior epigastric vessels). Clean drape infiltrate local anesthesia. Use Z-track technique insert needle perpendicular while aspirating. Once fluid flows collect samples. For large-volume tap drain slowly and give albumin if [--] L removed ( large volume ) #MedTwitter #MedX What procedure is this and what landmarks are being considered before entering"
X Link 2026-02-12T08:34Z [----] followers, [---] engagements

"@MedLearnHub @SameerYogi14 @DrAkhilX @DocPriyamMD @Damodar484 @ChShafiullah15 @DoctorMed0 @dr_manish_ydv @esanum @shakilED I am having confusion between AFL 1:1 conduction and Antodromic AVRT i would do vagal manoeuvre before giving adenosine so answer is B 👍🏻 @Frances98392343 @fzn733 Docs what do you say about this ecg"
X Link 2026-02-12T09:13Z [----] followers, [---] engagements

"@Frances98392343 @MedLearnHub @SameerYogi14 @DrAkhilX @DocPriyamMD @Damodar484 @ChShafiullah15 @DoctorMed0 @dr_manish_ydv @esanum @shakilED @fzn733 Thanks for the input Dr frances 🙏🏼"
X Link 2026-02-12T09:29Z [----] followers, [--] engagements

"@Frances98392343 @MedLearnHub @SameerYogi14 @DrAkhilX @DocPriyamMD @Damodar484 @ChShafiullah15 @DoctorMed0 @dr_manish_ydv @esanum @shakilED @fzn733 Yes agree. WC tachy + slurring upstorke of QRS also makes me think towards antidromic conduction also AVD is also seen am not sure doc🙏🏼😬"
X Link 2026-02-12T09:34Z [----] followers, [--] engagements

"Sine wave pattern : check potassium- severe hyperkalemia. ( Typically occurs when the potassium is between 6.5- 7.0meq/L. #MedTwitter #MedX A 58YM with CKD pw CP Dx @amalmattu @IhabFathiSulima @TrackYourHeart @HeartAssociatn @HeartUganda @American_Heart @UgandaPhysician @kisubi_hospital @kirudduNRH @MUST_EM @InternalmedMak @MakerereCHS @PMcardioApp @Ecgloverr @smithECGBlog @MiguelP23970914 https://t.co/sN8vAXvndK A 58YM with CKD pw CP Dx @amalmattu @IhabFathiSulima @TrackYourHeart @HeartAssociatn @HeartUganda @American_Heart @UgandaPhysician @kisubi_hospital @kirudduNRH @MUST_EM"
X Link 2026-02-12T11:43Z [----] followers, [----] engagements

"Dx- Sarcoidosis Clues : Progressive dyspnea + Dry cough + Serum calcium elevated- it is due to activated macrophages in granulomas produce 1-alpha hydroxylase Increased conversion of Vitamin D to active form Increased calcium absorption hypercalcemia. HRCT : B/L perilymphatic micro nodules. Here ACE & BAL ratio are supportive not diagnostic only biopsy can show non caseating granuloma so answer should be C. Answer - C✅ #MedTwitter #MedX A 26-year-old male presents with progressive dyspnea and dry cough. Serum calcium is elevated. Which is the most specific investigation A. Serum ACE B."
X Link 2026-02-12T12:04Z [----] followers, [---] engagements

"Right hilar mass (orange) obstructing the right upper lobe bronchus results in collapse of the right upper lobe (green arrow). This results in a reverse S shape to the pleural edge. Central origin malignant lung mass- Mc is bronchigenic ca ✅Ans- Squamous cell carcinoma of the lung ( MC encountered non small cell carcinoma of the lung Adenocarcinoma) #MedTwitter #MedX A 65-year-old chronic smoker presents with hemoptysis and weight loss. Most likely histology A. Adenocarcinoma B. Squamous cell carcinoma C. Small cell carcinoma D. Large cell carcinoma #neetpg2026 #MedTwitter @DrAkhilX"
X Link 2026-02-12T12:58Z [----] followers, [----] engagements

"@MedLearnHub @shakilED @ChShafiullah15 @SameerYogi14 @DrMedica_13 @esanum @dr_manish_ydv @BodyExplained @DrArslan480 @NarendraJa47432 Clinical features of autism are described in the question answer is C👍🏻"
X Link 2026-02-12T14:49Z [----] followers, [--] engagements

"@dr_manish_ydv Lines though🤣🎇"
X Link 2026-02-12T15:19Z [----] followers, [--] engagements

"@SameerYogi14 Exactly Its a non-invasive and highly predictive test which makes it still relevant in the clinical practice. Thanks"
X Link 2026-02-12T16:45Z [----] followers, [--] engagements

"Zilebesiran represents a paradigm shift in hypertension management. If this siRNA-based therapy translates successfully into routine practice it could significantly simplify care for both physicians and patients. A long-acting infrequently administered agent would: Reduce daily pill burden Improve adherence Minimize missed doses Enhance BP consistency Simplify follow-up strategies In real-world practice non-adherence remains one of the biggest barriers to optimal BP control. A therapy that provides sustained RAAS suppression with just [--] injections per year could redefine chronic hypertension"
X Link 2026-02-12T16:57Z [----] followers, [---] engagements

"Does aggressive LDL lowering impair cognition With high-intensity statins and PCSK9 inhibitors achieving very low LDL levels is there real evidence of memory decline or is this an unfounded concern #MedTwitter #MedX @DrAkhilX @SameerYogi14 @DocPriyamMD @dr_manish_ydv @anupsoans @albertoortegana @MiguelP23970914 @Frances98392343 @daoo100 @MedLearnHub"
X Link 2026-02-12T17:07Z [----] followers, [---] engagements

"69F with VHD + mechanical MVR on must be on Vit K antagonist (acenocoumarol) over night wakes up with sudden black-purple tongue on awakening. No focal neuro deficit. It is spontaneous lingual hematoma from over-anticoagulation not stroke. Check INR urgently & monitor airway mucosal bleed can expand fast. It is not just an angioedema there is hematoma as well ACEI doesnt cause hematoma it must be because of vit k antagonist. https://twitter.com/i/web/status/2022054713022459947 https://twitter.com/i/web/status/2022054713022459947"
X Link 2026-02-12T21:06Z [----] followers, [---] engagements

"@daoo100 @SameerYogi14 @albertoortegana @dr_manish_ydv @DrAkhilX @DrMedica_13 @DrArslan480 @drNadaSalma @Radial2Medial @vikram1069 Scabies✅ Scabies spreads through prolonged skin-to-skin contact with an infected person. It can also spread via shared bedding clothes or towels. The mite burrows into skin 👉🏻intense itching worse at night. Treat patient + close contacts"
X Link 2026-02-13T04:39Z [----] followers, [--] engagements

"@shakilED @fzn733 @albertoortegana @dr_manish_ydv @SameerYogi14 @ChShafiullah15 @MiguelP23970914 @usernamee389 @drabdulhameed07 Trauma gives me trauma😭🙏🏼 i will wait for your answer 😂"
X Link 2026-02-13T05:14Z [----] followers, [--] engagements

"@SameerYogi14 @daoo100 @albertoortegana @dr_manish_ydv @DrAkhilX @DrMedica_13 @DrArslan480 @drNadaSalma @Radial2Medial @vikram1069 Yes must give advice to patients hot bath tend to worsen the itching"
X Link 2026-02-13T05:36Z [----] followers, [--] engagements

"@fzn733 @shakilED @Ecgloverr @MiguelP23970914 @usernamee389 @Amhar_47 Yes 🙌🏻 Thanks doc"
X Link 2026-02-13T06:50Z [----] followers, [--] engagements

"@Frances98392343 @DrAkhilX @SameerYogi14 @DocPriyamMD @dr_manish_ydv Yes doc agree there was a meta analysis on this which pretty much suggests the same you mentioned. https://www.researchgate.net/publication/394459029_Association_of_lipid-lowering_therapy_with_dementia_and_cognitive_outcomes_a_systematic_review_and_meta-analysis https://www.researchgate.net/publication/394459029_Association_of_lipid-lowering_therapy_with_dementia_and_cognitive_outcomes_a_systematic_review_and_meta-analysis"
X Link 2026-02-13T07:12Z [----] followers, [--] engagements

"@DocPriyamMD @DrAkhilX @SameerYogi14 @dr_manish_ydv Yes doc the meta analysis also clears the air pasting the link thanks https://www.researchgate.net/publication/394459029_Association_of_lipid-lowering_therapy_with_dementia_and_cognitive_outcomes_a_systematic_review_and_meta-analysis https://www.researchgate.net/publication/394459029_Association_of_lipid-lowering_therapy_with_dementia_and_cognitive_outcomes_a_systematic_review_and_meta-analysis"
X Link 2026-02-13T07:13Z [----] followers, [--] engagements

"@DrAkhilX @SameerYogi14 @DocPriyamMD @dr_manish_ydv Thank you sir. After reviewing the meta-analyses theres no real link between very low LDL and cognitive decline. The brain doesnt depend on plasma LDL it synthesizes its own cholesterol via astrocytes with ApoE-mediated transport to neurons. Evidence fear"
X Link 2026-02-13T07:26Z [----] followers, [--] engagements

"@SameerYogi14 @DrAkhilX @Damodar484 @esanum @shakilED @ChShafiullah15 @MedLearnHub B✅ Orbital cellulitis"
X Link 2026-02-13T08:03Z [----] followers, [--] engagements

"@MedLearnHub @DrAkhilX @dr_manish_ydv @SameerYogi14 @ChShafiullah15 @BodyExplained @DrMedica_13 @shakilED @daoo100 @esanum Youre welcome doc"
X Link 2026-02-13T08:29Z [----] followers, [--] engagements

"@dr_manish_ydv @DrAkhilX @DocPriyamMD @MiguelP23970914 @MedLearnHub @albertoortegana @ChShafiullah15 @daoo100 @DrArslan480 @esanum @jitesh_jigar @Medzonetv @MarkGregorio_NP @SameerYogi14 @shakilED Only OLD with decreased DLCO is emphysema Answer A - Decreased DLCO"
X Link 2026-02-13T09:24Z [----] followers, [---] engagements

"Hello Dr frances thank you so much actually this is a previous year entrance exam question this is the explanation they provided In a hemodynamically stable patient (BP 110/70 mmHg HR [---] bpm) the immediate priority is rate control not rhythm conversion. Pharmacological cardioversion is not typically mentioned here because: 1.The duration of AF is unknown risk of LA thrombus is high in MS. 2.Cardioversion (electrical or pharmacological) without prior anticoagulation/TEE carries embolic risk. in MS has a high recurrence rate due to atrial enlargement so immediate rhythm control is not the"
X Link 2026-02-13T11:30Z [----] followers, [---] engagements

"@SameerYogi14 💯✅ doc saab appreciate it"
X Link 2026-02-13T12:11Z [----] followers, [--] engagements

"@shakilED @dr_manish_ydv @SameerYogi14 @drabdulhameed07 @ChShafiullah15 @albertoortegana @MiguelP23970914 @fzn733 Wow good one doc saving this one thanks"
X Link 2026-02-13T12:36Z [----] followers, [--] engagements

"@MiguelP23970914 @SameerYogi14 @DrAkhilX @DocPriyamMD @Damodar484 @ChShafiullah15 @DoctorMed0 @dr_manish_ydv @esanum @shakilED @MedLearnHub Likewise sir🙏🏼"
X Link 2026-02-13T12:56Z [----] followers, [--] engagements

"Coarse Atrial Fibrillation ECG shows irregularly irregular RR intervals with no discrete P waves. Instead large amplitude fibrillatory waves are seen giving a flutter-like look but without organized atrial activity or fixed conduction. #MedTwitter #MedX 📚CONSULT: 60YM with palpitations. Dx NEXT STEP @HeartUganda @IhabFathiSulima @InternalmedMak @Lung_Institute @MUST_EM @TrackYourHeart @ManualOMedicine @MiguelP23970914 @kisubi_hospital @kirudduNRH @UgandaPhysician @HeartAssociatn @PMcardioApp @smithECGBlog @DrRazi4 https://t.co/zFOskD5q6U 📚CONSULT: 60YM with palpitations. Dx NEXT STEP"
X Link 2026-02-13T13:05Z [----] followers, [----] engagements

"Ans- Sweating Classic sign of heat stroke: hot DRY skin. Why dry Primary cooling mechanism sweating fails (anhidrosis). No evaporation = no heat loss 👉🏻core temp skyrockets. #MedTwitter #MedX Patient with heat stroke has hot dry skin. The primary failed mechanism is: A) Sweating B) Vasoconstriction C) Shivering D) Increased metabolism Patient with heat stroke has hot dry skin. The primary failed mechanism is: A) Sweating B) Vasoconstriction C) Shivering D) Increased metabolism"
X Link 2026-02-13T14:28Z [----] followers, [--] engagements

"@MiguelP23970914 Yes doc🙏🏼"
X Link 2026-02-13T17:26Z [----] followers, [--] engagements

"Ans- D Why Atrial flutter runs at [------] bpm. The AV node cant conduct every impulse so some degree of AV block is almost always present most commonly 2:1. Thats why the ventricular rate is often [---] bpm with a regular rhythm. Fast atria filtered ventricles. Classic AFL physiology. #MedTwitter #MedX What is almost always present with AFL A. Fibrillation waves. B. P waves. C. Wide QRS complex. D. A V block. @MiguelP23970914 @albertoortegana @Dr_Shiv_kumar_ @dr_manish_ydv @SameerYogi14 @drabdulhameed07 @fzn733 @usernamee389 What is almost always present with AFL A. Fibrillation waves. B. P"
X Link 2026-02-13T18:48Z [----] followers, [--] engagements

"@SameerYogi14 @DrAkhilX @DocPriyamMD @DrMedica_13 @MedLearnHub @DrsansariOrd @daoo100 @ChShafiullah15 @DoctorMed0 @dr_manish_ydv @DrArslan480 @esanum @shakilED @MiguelP23970914 Very painful condition 🙏🏼"
X Link 2026-02-14T04:56Z [----] followers, [--] engagements

"@albertoortegana @dr_manish_ydv @DrAkhilX @DrArslan480 @drobiy12 @hemo_shk Linear IgA bullous dermatosis 🤔"
X Link 2026-02-14T05:00Z [----] followers, [--] engagements

"@dr_manish_ydv @PBukayow 💯 agree"
X Link 2026-02-14T09:34Z [----] followers, [--] engagements

"Bro takes [--] businesses days to bowl😭#INDvsPAK"
X Link 2026-02-15T14:21Z [----] followers, [---] engagements

"@dr_manish_ydv Agree💯"
X Link 2026-02-15T14:24Z [----] followers, [--] engagements

"@shakilED @albertoortegana @dr_manish_ydv @SameerYogi14 @drabdulhameed07 @ChShafiullah15 @AnushkaMoray Radial head fracture ( type 1)"
X Link 2026-02-15T19:55Z [----] followers, [---] engagements

"@daoo100 @albertoortegana @ChShafiullah15 @doctors_squad @DrAkhilX @SameerYogi14 @Radial2Medial @DrArslan480 @DrMedica_13 @Medzonetv Ans is C More to be precise Anterio-septal STE OMI culprit artery :- LAD"
X Link 2026-02-16T04:41Z [----] followers, [---] engagements

"Tdp- Mag sulphate immediately or else it will turn into malignant ventricular rhythm. Tdp usually caused due to QT prolongation - drugs ( antipsychotics antibiotics anti arrythmics anti depressants) electrolyte imbalance (Hypokalemia (low potassium) hypomagnesemia (low magnesium) and hypocalcemia (low calcium) are common often caused by diarrhea or vomiting.)"
X Link 2026-02-12T12:48Z [----] followers, [----] engagements

"Massive biconvex extradural hematoma resulting in marked midline shift and hydrocephalus of the left lateral ventricle (which should be slit-like but its outflow is obstructed). Dx- Typical appearances of an albeit massiveextradural hemorrhage. #MedTwitter #MedX 🧠The obvious answer isn't always the right one. 🧠 Trust your eyes. What do you think this shows Share your guess below 👇 (For educational purposes only - not for medical advice.) #MedTwitter #FOAMed @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @DrArslan480 @drobiy12 https://t.co/eQ2e20mO71 🧠The obvious answer isn't always the right"
X Link 2026-02-16T04:55Z [----] followers, [---] engagements

"Cardio pearls you should never miss 🔴 [--] Wide QRS tachycardia in age [--] Treat as VT unless proven otherwise. Dont fall for SVT with aberrancy. 🔴 [--] Inferior MI + hypotension + clear lungs Think RV infarct. Give fluids NOT nitrates. 🔴 [--] New systolic murmur [--] days after MI Think papillary muscle rupture 👉🏻acute MR. 🔴 [--] Sudden hypotension + JVP rise + muffled sounds post-MI Free wall rupture 👉🏻 Tamponade. 🔴 [--] Atrial fibrillation + instability Immediate synchronized cardioversion. Dont waste time with rate control. 🔴 [--] Chest pain better on leaning forward + diffuse ST elevation + PR"
X Link 2026-02-11T13:10Z [----] followers, 20.9K engagements

"Sinus tachycardia normal axis narrow QRS. Clear LVH voltage (deep S in V1V3 tall R in V5V6). Lateral ST muld down sloping 👉🏻LVH strain pattern. No pathologic Q waves or giant T inversions. Most consistent with pressure overload likely HTN what do you say docs @Frances98392343 @fzn733 A 59Y/F with c/o SOB and chest pan. Thoughts @Ecgloverr @Frances98392343 @ecgandrhythmRoe @ecgdoujou @momochaname @KostekMilan #ecg #Cardiology https://t.co/y88kiadfnV A 59Y/F with c/o SOB and chest pan. Thoughts @Ecgloverr @Frances98392343 @ecgandrhythmRoe @ecgdoujou @momochaname @KostekMilan #ecg #Cardiology"
X Link 2026-02-13T05:20Z [----] followers, [---] engagements

"A 55-year-old male with a history of poorly controlled hypertension presents to the clinic. On fundoscopic exam you see "silver wiring" of the arterioles and AV nicking. On cardiac exam you hear an S4 gallop. What is the mechanism behind the S4 heart sound in this patient A) Sudden tensing of the chordae tendineae during rapid ventricular filling B) Atrial contraction against a stiff non-compliant ventricle C) Turbulent blood flow across a calcified aortic valve D) Closure of the AV valves in a dilated heart #MedTwitter #MedX #NEETPG https://twitter.com/i/web/status/2022196240868692231"
X Link 2026-02-13T06:28Z [----] followers, [----] engagements

"A 45-year-old male presents with fatigue joint pain (especially in the 2nd and 3rd knuckles) and a new diagnosis of Diabetes Mellitus. On physical exam his skin has a notably bronze/tan appearance even in non-sun-exposed areas. What is the classic "triad" of this condition and what is the patient at an increased risk of developing later in life A) Bronze skin Diabetes Cirrhosis; Hepatocellular Carcinoma (HCC) B) Jaundice Fever RUQ pain; Cholangiocarcinoma C) Obesity HTN Hyperglycemia; Pancreatic Cancer D) Joint pain Rash Fever; Lymphoma #MedTwitter #MedX #neetpg"
X Link 2026-02-14T05:27Z [----] followers, [----] engagements

"Sinus bradycardia with complete LBBB and appropriate discordant secondary ST-T changes. No evidence of acute occlusion MI by modified Sgarbossa criteria. #MedTwitter #MedX [--] year old male patient complaining shortness of breath @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @DrArslan480 @drobiy12 @hemo_shk https://t.co/Q02Xq8fKgq [--] year old male patient complaining shortness of breath @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @DrArslan480 @drobiy12 @hemo_shk https://t.co/Q02Xq8fKgq"
X Link 2026-02-14T06:30Z [----] followers, [----] engagements

"ECG alert 🚨 A 44-year-old male chronic smoker presents to the emergency department with: Sudden onset severe central chest pain [--] minutes Radiating to left arm and jaw Profuse sweating and nausea Persistent pain despite rest No prior similar episodes On examination: Anxious diaphoretic Pulse 104/min BP 138/84 mmHg High-sensitivity Troponin elevated ❓ What is this ECG pattern #MedTwitter #MedX #ECG #cardiology https://twitter.com/i/web/status/2022645066595209290 https://twitter.com/i/web/status/2022645066595209290"
X Link 2026-02-14T12:12Z [----] followers, 13.7K engagements

"A 30-year-old male is brought to the casualty with a stab injury to the anterior abdomen. On examination the patient is hemodynamically stable (BP 120/80 mmHg Pulse [--] bpm). There are no signs of peritonitis and no evisceration. What is the next best step in management A. Immediate Exploratory Laparotomy B. Local Wound Exploration (LWE) under local anesthesia C. CECT Abdomen and Pelvis D. Fast (Focused Assessment with Sonography for Trauma) #MedTwitter #MedX #Trauma https://twitter.com/i/web/status/2022717201388835053 https://twitter.com/i/web/status/2022717201388835053"
X Link 2026-02-14T16:58Z [----] followers, [----] engagements

"Bilateral hilar enlargement: smooth 👉🏻pulmonary HTN lumpy/irregular 👉🏻lymphadenopathy. Here hila are irregular + widened R paratracheal stripe 👉🏻R paratracheal nodes. Classic 1-2-3 sign (Garland triad) of sarcoidosis: #MedTwitter #MedX [--] years old male with cough. What can be seen here https://t.co/UjLLTAGI83 [--] years old male with cough. What can be seen here https://t.co/UjLLTAGI83"
X Link 2026-02-14T18:14Z [----] followers, [----] engagements

"Pulmonology deep dive- 🫁 Idiopathic Pulmonary Fibrosis (IPF) or usual interstitial pneumonia (UIP) [--] IPF ( Idiopathic pulmonary fibrosis) = diagnosis of exclusion Chronic progressive fibrosing ILD with UIP pattern. First rule out secondary causes. [--] Always exclude CTD-ILD ( CTDs are the most common secondary causes ) Especially Rheumatoid arthritis Systemic sclerosis chronic HP Drugs Asbestosis. 👉🏻No cause + UIP pattern IPF. [--] Clinical pearls Age [--] yrs Progressive exertional dyspnea Dry cough Velcro crackles (basal fine end-inspiratory) - Bibasal sub pleural fibrosis with macrocystic"
X Link 2026-02-15T06:38Z [----] followers, [----] engagements

"A 58-year-old man presents with intermittent gross hematuria and progressive fatigue. Examination reveals hypertension and a firm right lumbar mass. Investigations show: Haemoglobin: [----] g/dL Hematocrit: 60% Normal leukocyte and platelets Elevated serum erythropoietin JAK2 mutation: Negative CECT demonstrates a [--] cm heterogeneously enhancing cortical mass in the right kidney. What is the most likely explanation for this patients hematologic abnormality A) Clonal myeloproliferative neoplasm with autonomous erythroid expansion B) Chronic hypoxia-induced secondary erythrocytosis C)"
X Link 2026-02-15T15:43Z [----] followers, [----] engagements

"@DrAkhilX @SameerYogi14 @DocPriyamMD @daoo100 @dr_manish_ydv @DrYdv_hitesh01 @khannaa @MedLearnHub @DrMedica_13 @hammerving @krish__murali @shakilED @ChShafiullah15 @fzn733 @MiguelP23970914 @FibrilloFlutter @Frances98392343"
X Link 2026-02-15T15:43Z [----] followers, [---] engagements

"Breakdown of this ECG : What the ECG Shows ✅ Inferior STEMI STE in II III aVF Reciprocal ST depression in I aVL STE in III II favors RCA over LCx ✅ Posterior Wall Involvement ST depression in V1V3 Tall R waves in V1V2 (posterior Q equivalent) 👉 This = posterior extension of inferior MI ✅ Lateral ST Elevation (V5V6) There is STE in V5V6 But why So this is not a pure inferior MI. What Pattern Is This 👉 Infero-posterolateral STEMI Now the key question: If RCA is culprit why lateral wall involved here The Explanation :- It depends on coronary dominance. In a dominant RCA. RCA supplies: Inferior"
X Link 2026-02-15T18:55Z [----] followers, 21K engagements

"String-Of-Beads Sign 🔺Fibromuscular Dysplasia (Causes Renal Artery Stenosis) #MedTwitter #MedX What is the diagnosis https://t.co/1hIeD5q7p7 What is the diagnosis https://t.co/1hIeD5q7p7"
X Link 2026-02-15T18:57Z [----] followers, [---] engagements

"If I see a flapping tremor (asterixis) in the ER the first lab I check is an ABG. The first organ system I suspect is the respiratory system. Hypercapnia is a common and immediately life threatening cause of asterixis ( hypercapnic encephalopathy ) especially in COPD exacerbation severe asthma or hypoventilation. Its also rapidly reversible if identified early. After ruling out CO retention I evaluate: Renal function (uremia) Liver function (hepatic encephalopathy) But in the ER always lungs first liver later"
X Link 2026-02-16T06:07Z [----] followers, [----] engagements

"@DrArslan480 @ChShafiullah15 @daoo100 @SameerYogi14 Vit C ✅ Long term antibiotics destroys the normal commensals in the gut flora & decreases the absorption of vit C which leads impaired clotting & bleeding tendency increases"
X Link 2026-02-16T06:43Z [----] followers, [---] engagements

"@dr_manish_ydv Badiya saving this one 🙋♂"
X Link 2026-02-16T08:35Z [----] followers, [--] engagements

"It is a congenital channelopathy where the QTC 440ms ( Long QTS) With a prolonged QT interval regardless of the cause malignant arrhythmia (such as Torsades de Pointes) is a risk Arrhythmia triggers: physical exertion emotional stress sleep. #MedTwitter #MedX A 15-year-old girl collapses while swimming and regains consciousness spontaneously. Her uncle died suddenly at age [--]. ECG attached. What is the diagnosis and which pharmacological class of drug is most appropriate for long-term management https://t.co/spHvhpGNpp A 15-year-old girl collapses while swimming and regains consciousness"
X Link 2026-02-16T11:06Z [----] followers, [--] engagements

"@IlliasulK @DrAkhilX @IhabFathiSulima @hemo_shk @MoarSahitoPTI @MRCEMPREP @DrBassemKurdi @mohammadalmogbi @Dr_Alhatlani @osemagnum Mechanics hands"
X Link 2026-02-16T11:25Z [----] followers, [---] engagements

"@shakilED Ans- C ✅ IMO"
X Link 2026-02-16T12:35Z [----] followers, [--] engagements

"@DrNikhilMD Inferior STE (II III aVF) + reciprocal STD in I aVL + STE in V1V3 with normal V4V6 👉 This pattern = proximal RCA occlusion not LAD. LAD infarcts dont spare V4V6"
X Link 2026-02-07T06:03Z [----] followers, [---] engagements

"@shakilED @SameerYogi14 Ans- c Why Hampton hump is a peripheral pleural-based wedge-shaped opacity with the base against the pleura. It represents hemorrhagic pulmonary infarction distal to an occluded pulmonary artery so this is the most specific sign for infarction in PE"
X Link 2026-02-07T12:48Z [----] followers, [---] engagements

"@usernamee389 @albertoortegana @DrAkhilX @IhabFathiSulima @Ausbones @hemo_shk Without hand/neurologic signs the apical opacity becomes purely a radiologic problem: Upper lobe consolidation 👉🏻acute symptoms fever air-bronchograms bulging fissure (Klebsiella) Upper lobe collapse 👉🏻clear volume loss fissure & tracheal shift elevated hilum"
X Link 2026-02-09T05:09Z [----] followers, [---] engagements

"ECG alert 🚨 :- A 48-year-old man smoker with no prior cardiac history presents with sudden onset severe central chest pain for [--] minutes radiating to the left arm associated with profuse sweating and nausea. On arrival: HR 112/min BP 100/60 mmHg RR 22/min SpO 96% (RA). Chest clear heart sounds normal. Troponin I: pending How would you interpret his ECG #MedTwitter #MedX #ECG #cardiology"
X Link 2026-02-09T10:35Z [----] followers, [----] engagements

"Chest radiograph shows opacity right basal lung suggestive of pneumonia further confirmation- CT #MedTwitter #MedX 65-year-old man presented with fever and cough. Thoughts https://t.co/u1gYLimj5j 65-year-old man presented with fever and cough. Thoughts https://t.co/u1gYLimj5j"
X Link 2026-02-09T12:34Z [----] followers, [---] engagements

"@albertoortegana @dr_manish_ydv @DrAkhilX @IhabFathiSulima @DrArslan480 💉 Calcium Gluconate uses 🔹 Acute symptomatic hypocalcemia (tetany seizures) 🔹 Hyperkalemia 👉🏻stabilizes cardiac membrane (ECG changes) 🔹 Calcium channel blocker overdose 🔹 Magnesium sulfate toxicity 🔹 Adjunct in hydrofluoric acid burns"
X Link 2026-02-10T20:11Z [----] followers, [----] engagements

"Cardio pearls you should never miss Part- [--] 🔴 [--] ST elevation in aVR + diffuse ST depression Think Left Main / proximal LAD / severe triple vessel disease ST depression [--] mm in [--] leads ST elevation in aVR V1 strongly suggests LMCA Widespread horizontal/downsloping ST depression Often hemodynamic instability Represents global subendocardial ischemia High mortality pattern activate cath lab Not just NSTEMI. 🔴 [--] Tall R in V1 + ST depression V1V3 Think Posterior MI (posterior STEMI equivalent) R/S ratio [--] in V1 Upright T waves in V1V3 Horizontal ST depression Mirror image of posterior STE"
X Link 2026-02-12T11:35Z [----] followers, 12.1K engagements

"@drsthanus 👉🏻Right sided massive PE likely due to PTB ( bowing of the trachea is seen could be due to lymphadenopathy - curved black arrow mark) Enlarged globular heart is also seen likely due to pericardial effusion due to PTB"
X Link 2026-02-12T18:40Z [----] followers, [---] engagements

"My observation :- Diffuse ST depression in inferior and lateral precordial leads with ST elevation in aVR V1 & V2 highly concerning for left main or proximal LAD occlusion causing global subendocardial ischemia. STEMI equivalent. Emergent reperfusion indicated. Thanks for the sharing please correct if i left out anything. https://twitter.com/i/web/status/2022416983048990764 https://twitter.com/i/web/status/2022416983048990764"
X Link 2026-02-13T21:05Z [----] followers, [---] engagements

"@albertoortegana @dr_manish_ydv @DrAkhilX @DrArslan480 @drobiy12 @hemo_shk Palpable purpura in the lower extremities- IgA vasculitis ( HSP) Its a systemic form of vasculitis - presents with h/o infection and elevated level of IgA levels seen involves kidneys skin joints Tx- supportive corticosteroid"
X Link 2026-02-14T04:46Z [----] followers, [---] engagements

"@DrAkhilX @SameerYogi14 @DocPriyamMD @daoo100 @dr_manish_ydv @DrYdv_hitesh01 @khannaa @MedLearnHub @DrMedica_13 @hammerving @krish__murali @shakilED @ChShafiullah15 @fzn733 @MiguelP23970914 @FibrilloFlutter @Frances98392343"
X Link 2026-02-14T04:55Z [----] followers, [---] engagements

"@DrAkhilX @SameerYogi14 @DocPriyamMD @daoo100 @dr_manish_ydv @DrYdv_hitesh01 @khannaa @MedLearnHub @DrMedica_13 @hammerving @krish__murali @shakilED @ChShafiullah15 @fzn733 @MiguelP23970914 @FibrilloFlutter @Frances98392343 @anupsoans"
X Link 2026-02-14T05:10Z [----] followers, [---] engagements

"Ans D ✅ Acral lentiginous melanoma Right foot Darkened streaks are visible on the medial aspect of the big toe. The lesion extends into the proximal fold of the nailbed (Hutchinson sign). #MedTwitter #MedX Answer https://t.co/yEbVo82rX5 Answer https://t.co/yEbVo82rX5"
X Link 2026-02-14T08:51Z [----] followers, [---] engagements

"No ECG alone cannot reliably differentiate acute LMCA occlusion from severe triple vessel disease. When you see ST elevation in aVR +/- V1 with diffuse ST depression you are not diagnosing triple vessel disease per se. You are diagnosing global subendocardial ischemia. The key differential is: *Left Main Coronary Artery (LMCA) occlusion *proximal LAD occlusion *Severe triple-vessel disease *Any cause of supplydemand mismatch (Type [--] MI) Hope i cleared your doubt"
X Link 2026-02-14T08:55Z [----] followers, [--] engagements

"@PBukayow @dr_manish_ydv I agree with Dr manish bhai betadine gargles are found to be very helpful even in the viral pharyngitis & also please advice the patient not to take antibiotics if its a suspected viral pharyngitis 😂"
X Link 2026-02-14T09:04Z [----] followers, [--] engagements

"@SameerYogi14 @albertoortegana @ChShafiullah15 @DoctorMed0 @esanum @Frances98392343 @shakilED @MedLearnHub @Damodar484 Ans- B✅ Child with slapped-cheek rash spreading to trunk after mild URI- Parvovirus B19 ssDNA virus causing erythema infectiosum"
X Link 2026-02-14T09:52Z [----] followers, [---] engagements

"@daoo100 @dr_manish_ydv @DrAkhilX @DrMedica_13 @Radial2Medial @SameerYogi14 @Medzonetv @Sage_medics @Medha_kulkarni @MedLearnHub Ans -D Constipation is typical in Hypo where pretibial myxedma can be seen in both hypo & hyper moist hands & lid retraction is seen in graves or hyperthyroidism"
X Link 2026-02-14T14:02Z [----] followers, [--] engagements

"@Amhar_47 Yes i agree with you given LBBB with dyspnea & PACs structural LV dysfunction with possible acute decompensation is highly likely and must be ruled out urgently with echo"
X Link 2026-02-15T04:30Z [----] followers, [--] engagements

"@albertoortegana @dr_manish_ydv @DrAkhilX @DrArslan480 @Drkhenaizan @drobiy12 I see central clearing with affected borders & excoriated borders i feel strongly towards tinea corporis & well i would send this patient to KOH to differentiate from EAC( erythema annulare )"
X Link 2026-02-15T04:38Z [----] followers, [---] engagements

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