#  @esanum esanum esanum posts on X about opacity, red, in the, transient the most. They currently have [-----] followers and [---] posts still getting attention that total [------] engagements in the last [--] hours. ### Engagements: [------] [#](/creator/twitter::1923490283557355520/interactions)  - [--] Week [-------] +390% - [--] Month [-------] +206% - [--] Months [---------] +271% ### Mentions: [---] [#](/creator/twitter::1923490283557355520/posts_active)  - [--] Week [--] -36% - [--] Month [---] +55% - [--] Months [-----] +731% ### Followers: [-----] [#](/creator/twitter::1923490283557355520/followers)  - [--] Week [-----] +4.40% - [--] Month [-----] +9.20% - [--] Months [-----] +202% ### CreatorRank: [-------] [#](/creator/twitter::1923490283557355520/influencer_rank)  ### Social Influence **Social category influence** [finance](/list/finance) 4.08% [countries](/list/countries) 1.53% [travel destinations](/list/travel-destinations) 0.51% [currencies](/list/currencies) 0.51% [social networks](/list/social-networks) 0.51% [technology brands](/list/technology-brands) 0.51% [automotive brands](/list/automotive-brands) 0.51% [stocks](/list/stocks) 0.51% **Social topic influence** [opacity](/topic/opacity) #24, [red](/topic/red) 4.59%, [in the](/topic/in-the) 4.08%, [transient](/topic/transient) #24, [skin](/topic/skin) 3.06%, [history](/topic/history) 2.55%, [ace](/topic/ace) #605, [bridge](/topic/bridge) #1823, [referral](/topic/referral) #6, [heart](/topic/heart) 1.53% **Top accounts mentioned or mentioned by** [@medlearnhub](/creator/undefined) [@dr_shiv_kumar_](/creator/undefined) [@sameeryogi14](/creator/undefined) [@albertoortegana](/creator/undefined) [@shakiled](/creator/undefined) [@chshafiullah15](/creator/undefined) [@miguelp23970914](/creator/undefined) [@ihabfathisulima](/creator/undefined) [@drshivkumar](/creator/undefined) [@drakhilx](/creator/undefined) [@drmanishydv](/creator/undefined) [@dr_manish_ydv](/creator/undefined) [@moarsahitopti](/creator/undefined) [@daoo100](/creator/undefined) [@tsm_humanist](/creator/undefined) [@drmedica13](/creator/undefined) [@drarslan480](/creator/undefined) [@medzonetv](/creator/undefined) [@modernhealthme](/creator/undefined) [@docpriyammd](/creator/undefined) ### Top Social Posts Top posts by engagements in the last [--] hours "💊 Dexamethasone for cerebral edema 🧠 Glucocorticoid vasogenic edema by stabilizing the bloodbrain barrier and capillary permeability (anti-inflammatory) ⚡ Quickly reduces mass effect/ICP and improves neuro deficits in tumor/metastasis-related edema 💡 Not helpful for cytotoxic edema (ischemic stroke/TBI) use mannitol/hypertonic saline instead" [X Link](https://x.com/esanum/status/1974128848846369242) 2025-10-03T15:06Z [----] followers, [----] engagements "@Doctors_GUILD ✅ Answer: c) Phosphodiesterase 📍 Aminophylline inhibits phosphodiesterase enzyme 📍 Increases intracellular cAMP bronchodilation 💡 Used in asthma and COPD management" [X Link](https://x.com/esanum/status/2017244532127981690) 2026-01-30T14:32Z [----] followers, [----] engagements "@Medzonetv ✅ Answer: Phenylalanine hydroxylase deficiency 📍 PKU is caused by deficiency of the enzyme phenylalanine hydroxylase 📍 Leads to accumulation of phenylalanine and neurological symptoms 💡 Early newborn screening and dietary restriction are essential for management" [X Link](https://x.com/esanum/status/2017246313495105938) 2026-01-30T14:39Z [----] followers, [---] engagements "@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Basilar skull fracture 📍 Raccoon eyes (periorbital ecchymosis) ⚡ Sign: bruising around both eyes after head trauma 🔷 Suggests fracture of the skull base risk of CSF leak cranial nerve injury 💡 Emergency evaluation needed" [X Link](https://x.com/esanum/status/2018410988169507226) 2026-02-02T19:47Z [----] followers, [----] engagements "@modernHealthMe 🔴 Diagnosis: Epstein-Barr virus (EBV) 📍 One virus many diseases: infectious mononucleosis (sore throat) Burkitt lymphoma Hodgkin lymphoma nasopharyngeal carcinoma 💡 EBV infects B cells kissing disease and oncogenic potential" [X Link](https://x.com/esanum/status/2018411024001450415) 2026-02-02T19:47Z [----] followers, [---] engagements "✅ Answer: C) CDC73 📍 CDC73 (also called HRPT2) gene mutation is most strongly associated with parathyroid carcinoma ⚡ Encodes parafibromin a tumor suppressor protein 💡 MEN1 is linked to parathyroid adenoma RET to medullary thyroid carcinoma CASR to familial hypocalciuric hypercalcemia https://twitter.com/i/web/status/2018775608495350104 https://twitter.com/i/web/status/2018775608495350104" [X Link](https://x.com/esanum/status/2018775608495350104) 2026-02-03T19:56Z [----] followers, [---] engagements "🔴 Diagnosis: Brugada syndrome 📍 ECG: coved ST elevation in V1-V2 with RBBB-like pattern (type [--] Brugada) ⚡ High risk of sudden cardiac death from ventricular arrhythmias 💊 Treatment: Implantable cardioverter-defibrillator (ICD) is the only proven therapy Avoid sodium channel blockers fever and drugs that prolong QT 💡 Genetic counseling for family members https://twitter.com/i/web/status/2018775679702094121 https://twitter.com/i/web/status/2018775679702094121" [X Link](https://x.com/esanum/status/2018775679702094121) 2026-02-03T19:56Z [----] followers, [----] engagements "@MoarSahitoPTI ✅ Answer: B) Rifampicin 📍 Causes orange-red discoloration of urine sweat and tears 📍 Due to its pigment and enzyme induction 💡 Key side effect to counsel TB patients about" [X Link](https://x.com/esanum/status/2019063264852717891) 2026-02-04T14:59Z [----] followers, [---] engagements "🔴 Diagnosis: Prostate cancer 📍 Symptoms: urinary frequency weak stream hematuria painful ejaculation pelvic/bone pain erectile dysfunction weight loss ⚡ Can metastasize to bone (bone pain) cause obstructive & systemic symptoms 💡 Early detection: PSA testing DRE; definitive diagnosis biopsy https://twitter.com/i/web/status/2019067394094772716 https://twitter.com/i/web/status/2019067394094772716" [X Link](https://x.com/esanum/status/2019067394094772716) 2026-02-04T15:15Z [----] followers, [---] engagements "🔴 Diagnosis: Left lower lobe collapse (atelectasis) 📍 Homogeneous opacity in the left lower zone with loss of left heart border 📍 Signs of volume loss: elevation of left hemidiaphragm mediastinal shift towards the left ⚡ Commonly due to endobronchial obstruction (e.g. malignancy mucus plug) 💡 Chronic cough in elderly always rule out bronchogenic carcinoma https://twitter.com/i/web/status/2019356885195915760 https://twitter.com/i/web/status/2019356885195915760" [X Link](https://x.com/esanum/status/2019356885195915760) 2026-02-05T10:26Z [----] followers, [--] engagements "@Doctors__squad 🔴 Diagnosis: Oral hairy leukoplakia 📍 White corrugated (hairy) plaques on the lateral tongue ⚡ Caused by Epstein-Barr virus (EBV); seen in immunocompromised patients (HIV/AIDS) 💡 Non-removable benign; often a marker of underlying immunosuppression" [X Link](https://x.com/esanum/status/2019443039006048372) 2026-02-05T16:08Z [----] followers, [---] engagements "🔴 Description: Large right-sided pleural effusion 📍 Homogeneous opacity occupying almost the entire right hemithorax with loss of right lung volume and obscuration of the right hemidiaphragm ⚡ Mediastinal shift to the left 💡 Palliative setting: likely malignant pleural effusion; pigtail catheter seen for drainage https://twitter.com/i/web/status/2019443069037183133 https://twitter.com/i/web/status/2019443069037183133" [X Link](https://x.com/esanum/status/2019443069037183133) 2026-02-05T16:08Z [----] followers, [--] engagements "🔴 Diagnosis: Giant papillary conjunctivitis (GPC) 📍 Large cobblestone-like papillae on upper tarsal conjunctiva ⚡ Seen in contact lens users; associated with itching and mucous discharge 🧠 Type IV hypersensitivity to lens protein/debris 💡 Management: stop lens use topical antihistamines/mast cell stabilizers https://twitter.com/i/web/status/2019449270756102267 https://twitter.com/i/web/status/2019449270756102267" [X Link](https://x.com/esanum/status/2019449270756102267) 2026-02-05T16:33Z [----] followers, [----] engagements "🔴 Diagnosis: Leukorrhea (types of vaginal discharge) 📍 Illustration shows different appearances: clear curd-like foamy yellow-green ⚡ Clear: normal/ovulatory White curd: candidiasis Yellow-green: trichomoniasis Purulent: bacterial infection 🔷 Vaginal discharge is termed leukorrhea in medicine 💡 Always evaluate color consistency odor to guide diagnosis https://twitter.com/i/web/status/2019706629499785462 https://twitter.com/i/web/status/2019706629499785462" [X Link](https://x.com/esanum/status/2019706629499785462) 2026-02-06T09:35Z [----] followers, [----] engagements "🔴 Diagnosis: Subtle right middle lobe pneumonia 📍 Ill-defined area of increased opacity over the right heart border ⚡ Silhouette sign loss of right heart border definition suggests middle lobe involvement 💡 Subtle consolidations can be missed always compare both sides and review lung fields carefully https://twitter.com/i/web/status/2019706800187023544 https://twitter.com/i/web/status/2019706800187023544" [X Link](https://x.com/esanum/status/2019706800187023544) 2026-02-06T09:36Z [----] followers, [----] engagements "🔴 Diagnosis: Distal radius fracture (Colles fracture) 📍 Extra-articular fracture of distal radius with dorsal displacement ⚡ Classic in elderly after fall on outstretched hand 🔷 Dinner fork deformity on lateral view 💡 Check for neurovascular compromise; may require reduction and casting/surgery https://twitter.com/i/web/status/2019706883804639475 https://twitter.com/i/web/status/2019706883804639475" [X Link](https://x.com/esanum/status/2019706883804639475) 2026-02-06T09:37Z [----] followers, [--] engagements "@schowardjd 🔴 Diagnosis: Juvenile xanthogranuloma 📍 Numerous yellow-brown papules well-circumscribed on face trunk limbs ⚡ Onset in infancy benign course normal development 🔷 Dermoscopy: brown-yellow color setting-sun appearance 💡 Self-limited no treatment usually required" [X Link](https://x.com/esanum/status/2019706941048840691) 2026-02-06T09:37Z [----] followers, [---] engagements "🔴 Diagnosis: Prevention of transfusion-associated circulatory overload (TACO) 📍 Furosemide is a loop diuretic promotes diuresis ⚡ Used during/after blood transfusions to prevent volume overload especially in patients with heart or renal failure 💡 Reduces risk of pulmonary edema and hypertension during rapid/bulk transfusion" [X Link](https://x.com/esanum/status/2019707018001498255) 2026-02-06T09:37Z [----] followers, [----] engagements "🔴 Diagnosis: Systemic sclerosis (scleroderma) with digital ischemia 📍 Findings: sclerodactyly (tight shiny skin) digital ulcers/gangrene and possible Raynauds phenomenon ⚡ Chronic vascular insufficiency leads to fingertip ulceration and necrosis 💡 Key features: telangiectasia calcinosis and vascular changes (CREST syndrome) https://twitter.com/i/web/status/2019707348588138591 https://twitter.com/i/web/status/2019707348588138591" [X Link](https://x.com/esanum/status/2019707348588138591) 2026-02-06T09:38Z [----] followers, [---] engagements "@MTD_MED 🔴 Diagnosis: Monteggia fracture-dislocation 📍 Fracture of proximal third of ulna 📍 Anterior dislocation of radial head ⚡ Mechanism: fall on outstretched hand 💡 Prompt recognition and ortho referral surgical management often needed" [X Link](https://x.com/esanum/status/2019713410733392099) 2026-02-06T10:02Z [----] followers, [---] engagements "@Doctors_GUILD ✅ Answer: C) Wilson disease 📍 Behavioral changes tremor mild jaundice 📍 Kayser-Fleischer ring (greenish-brown corneal edge) 🔷 Copper accumulation (ATP7B gene defect) 💡 Always screen liver and neuropsychiatric symptoms in young patients" [X Link](https://x.com/esanum/status/2019888849917472925) 2026-02-06T21:40Z [----] followers, [--] engagements "@mednomics 🔴 Diagnosis: Pancreatic cancer 📍 Recurrent migrating superficial thrombophlebitis = Trousseaus syndrome 📍 Hypercoagulability due to malignancy 💡 Always rule out occult pancreatic or GI tumors" [X Link](https://x.com/esanum/status/2019888955907338314) 2026-02-06T21:40Z [----] followers, [--] engagements "@IhabFathiSulima 🔴 Diagnosis: Splinter hemorrhage 📍 Linear reddish-brown streak under the nail 📍 Often due to trauma but also seen in infective endocarditis 💡 Always evaluate for systemic signs if multiple or unexplained" [X Link](https://x.com/esanum/status/2019896632465047948) 2026-02-06T22:10Z [----] followers, [--] engagements "@DrMedica_13 ✅ Answer: B) Iron deficiency anaemia 📍 Angular cheilitis (cracks at mouth corners) 📍 Common in iron deficiency and other nutritional deficiencies 💡 Look for pallor glossitis brittle nails as supporting signs" [X Link](https://x.com/esanum/status/2019896657941573656) 2026-02-06T22:11Z [----] followers, [---] engagements "@Dr_Shiv_kumar_ @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @SameerYogi14 @DocPriyamMD @Frances98392343 @ecgandrhythmRoe @MiguelP23970914 @FibrilloFlutter @MedLearnHub 🔴 Diagnosis: Paroxysmal supraventricular tachycardia (PSVT) 📍 Sudden-onset regular narrow-complex tachycardia 📍 Mechanism: Re-entry circuit (AV nodal reentrant tachycardia AVRT) 💡 Re-entry causes abrupt start/stop of palpitations" [X Link](https://x.com/esanum/status/2019896827265397171) 2026-02-06T22:11Z [----] followers, [---] engagements "@OGdukeneurosurg 🔴 Diagnosis: Normal brain anatomy 📍 Cerebral cortex ventricles cerebellum brainstem 📍 Vascular structures circle of Willis veins arteries 🔷 Sectional view highlights anatomical complexity 🧠 Visual recognition depends on prior exposure & training" [X Link](https://x.com/esanum/status/2019898379464270065) 2026-02-06T22:17Z [----] followers, [---] engagements "@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Necrobiosis lipoidica 📍 Atrophic yellowish-brown plaques with erythematous borders on the shins 📍 Common in patients with diabetes mellitus ⚡ Ulceration may develop; lesions are often painless 🔷 Pathogenesis: microangiopathy & collagen degeneration" [X Link](https://x.com/esanum/status/2019898393061929029) 2026-02-06T22:17Z [----] followers, [--] engagements "@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Right lower lobe pneumonia 📍 Consolidation and increased opacity in the right lower lung zone 📍 Air bronchograms may be visible within the opacity ⚡ Common symptoms: fever cough dyspnea pleuritic chest pain" [X Link](https://x.com/esanum/status/2019899521891815463) 2026-02-06T22:22Z [----] followers, [---] engagements "@SameerYogi14 @DrAkhilX @DocPriyamMD @IhabFathiSulima @Dr_Shiv_kumar_ ✅ Answer: D) Pivot joint 📍 Atlantoaxial joint (between C1 and C2 vertebrae) 📍 Allows rotation of the head from side to side (no movement) ⚡ The dens (odontoid process) of the axis acts as the pivot" [X Link](https://x.com/esanum/status/2019900363185303571) 2026-02-06T22:25Z [----] followers, [--] engagements "@Doctors__squad 🔴 Diagnosis: Jugular vein distention (JVD) 📍 Main causes: ⚡ Right-sided heart failure (most common) ⚡ Constrictive pericarditis cardiac tamponade ⚡ Superior vena cava obstruction 🔷 Indicates elevated central venous pressure" [X Link](https://x.com/esanum/status/2020134370921640350) 2026-02-07T13:55Z [----] followers, [---] engagements "@shakilED @fzn733 @usernamee389 @albertoortegana @Dr_Shiv_kumar_ @SameerYogi14 @drabdulhameed07 @MiguelP23970914 🔴 Diagnosis: Pneumothorax 📍 Sudden shortness of breath in a young male ⚡ Chest X-ray: visible pleural line with absent lung markings peripherally (collapsed lung) 💡 Deep sulcus sign may be present in supine films" [X Link](https://x.com/esanum/status/2020134384179818893) 2026-02-07T13:55Z [----] followers, [---] engagements "@drabdulhameed07 ✅ Answer: B) Lyme disease 📍 Bulls-eye rash (erythema migrans) after tick bite ⚡ Fever rash recent outdoor exposure 🔷 Caused by Borrelia burgdorferi (transmitted by Ixodes tick)" [X Link](https://x.com/esanum/status/2020134605689405871) 2026-02-07T13:56Z [----] followers, [---] engagements "@radRounds ✅ Answer: D) Cytotoxic lesion of the corpus callosum (CLOCC) 📍 MRI: restricted diffusion + T2 hyperintensity in splenium ⚡ Seen in metabolic toxic infectious and seizure-related conditions 🔷 Often transient and reversible" [X Link](https://x.com/esanum/status/2020134629852774516) 2026-02-07T13:56Z [----] followers, [--] engagements "@IhabFathiSulima 🔴 Diagnosis: Scleroderma (systemic sclerosis) 📍 Mask-like facies: tight shiny skin reduced mouth opening 📍 Loss of wrinkles pinched nose microstomia ⚡ Associated with Raynauds GI and pulmonary involvement 💡 Differential: chronic GVHD discoid lupus morphea" [X Link](https://x.com/esanum/status/2020140755893760298) 2026-02-07T14:21Z [----] followers, [---] engagements "@simplify_drugs ✅ Answer: Methyldopa 📍 Used in hypertension especially during pregnancy ⚡ Causes immune-mediated hemolytic anemia 🔷 Positive direct Coombs test due to autoantibody formation" [X Link](https://x.com/esanum/status/2020513281178321060) 2026-02-08T15:01Z [----] followers, [----] engagements "@MoarSahitoPTI 🔴 Stabilizes cardiac membranes 📍 IV calcium is given to counteract the dangerous effects of hyperkalemia on the heart ⚡ Raises the threshold potential reducing risk of arrhythmias 💡 Temporizes until definitive treatments lower serum potassium" [X Link](https://x.com/esanum/status/2020513327978254667) 2026-02-08T15:01Z [----] followers, [---] engagements "@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Hand foot and mouth disease (HFMD) 📍 Non-itchy vesicular rash on hands feet and mouth 📍 Fever sore throat malaise 🔷 Caused by coxsackievirus A16 (most common)" [X Link](https://x.com/esanum/status/2020513340116631590) 2026-02-08T15:01Z [----] followers, [--] engagements "@modernHealthMe 🔴 Diagnosis: Raynaud phenomenon 📍 Triphasic color change: white (pallor) blue (cyanosis) red (hyperemia) 📍 Triggered by cold or stress ⚡ Seen in primary Raynaud disease systemic sclerosis SLE other connective tissue diseases" [X Link](https://x.com/esanum/status/2020514334112202935) 2026-02-08T15:05Z [----] followers, [---] engagements "@MoarSahitoPTI 🔴 Clopidogrel + Omeprazole: not given together 📍 Omeprazole inhibits CYP2C19 enzyme ⚡ CYP2C19 required for clopidogrel activation 💡 Clopidogrel efficacy risk of thrombosis" [X Link](https://x.com/esanum/status/2020516618455974082) 2026-02-08T15:14Z [----] followers, [---] engagements "@DrMedica_13 ✅ Answer: A) Bullous myringitis 📍 Painful blisters (bullae) on tympanic membrane 📍 Acute onset otalgia often with hearing loss ⚡ Associated with Mycoplasma pneumoniae infection 💡 Distinct from classic acute otitis media by presence of bullae" [X Link](https://x.com/esanum/status/2020516703713501403) 2026-02-08T15:14Z [----] followers, [---] engagements "@Medzonetv 🔴 Area: "Danger triangle" of the face 📍 Extends from nose bridge to corners of mouth ⚡ Veins here drain to cavernous sinus (via facial & angular veins) 💡 Infections can spread intracranially risk of cavernous sinus thrombosis meningitis" [X Link](https://x.com/esanum/status/2020516793249333546) 2026-02-08T15:15Z [----] followers, [---] engagements "@dermatology 🔴 Diagnosis: Androgenetic alopecia (male pattern baldness) 📍 Gradual hair thinning at vertex and frontal scalp ⚡ Common age-related genetically determined 💡 Normal variant in adult males; not a disease but may affect self-esteem" [X Link](https://x.com/esanum/status/2020516861377400989) 2026-02-08T15:15Z [----] followers, [--] engagements "@DrPharmDMDTh 🔴 Enteromix: Not a real or recognized vaccine 📍 The packaging/text are nonsensical; no such medication exists in current pharmacopeia ⚡ Often used as a teaching or test image for spot the fake drug 💡 Always verify unknown medications use reliable sources" [X Link](https://x.com/esanum/status/2020517366300352586) 2026-02-08T15:17Z [----] followers, [---] engagements "@MTD_MED 🔴 Diagnosis: Raynauds phenomenon 📍 Triphasic color changes of fingers: white blue red ⚡ Triggered by cold or stress due to vasospasm of digital arteries 💡 Can be primary (idiopathic) or secondary to connective tissue disease (scleroderma lupus)" [X Link](https://x.com/esanum/status/2020618258240491852) 2026-02-08T21:58Z [----] followers, [---] engagements "🔴 Physiological basis: Concentrated urine due to dehydration 📍 Low water intake + high insensible losses (Sahara desert heat) kidneys conserve water ⚡ Increased reabsorption in collecting ducts via ADH reduced urine volume darker color malodorous 💡 Deep yellow color = high urochrome concentration; scanty urine is a normal protective response to maintain plasma osmolality https://twitter.com/i/web/status/2020618389945815150 https://twitter.com/i/web/status/2020618389945815150" [X Link](https://x.com/esanum/status/2020618389945815150) 2026-02-08T21:59Z [----] followers, [---] engagements "🔴 Diagnosis: Livedo reticularis 📍 Reticulated violaceous mottling of lower limbs ⚡ Can be idiopathic or secondary to vasculitis antiphospholipid syndrome SLE or cold exposure 🔷 Caused by impaired blood flow in dermal vessels 💡 Tx: Address underlying cause; keep warm monitor for systemic disease https://twitter.com/i/web/status/2020826890026500452 https://twitter.com/i/web/status/2020826890026500452" [X Link](https://x.com/esanum/status/2020826890026500452) 2026-02-09T11:47Z [----] followers, [----] engagements "✅ Answer: B) Implantable cardioverterdefibrillator (ICD) 📍 Young recurrent syncope with family history of sudden death ⚡ Triggered by loud noises no structural heart disease 🔷 Likely congenital Long QT syndrome (torsades risk) 💡 ICD prevents fatal arrhythmias gold standard for high-risk patients https://twitter.com/i/web/status/2020837916818190732 https://twitter.com/i/web/status/2020837916818190732" [X Link](https://x.com/esanum/status/2020837916818190732) 2026-02-09T12:31Z [----] followers, [---] engagements "✅ Answer: C) Insert intercostal chest drain (ICD) 📍 Empyema: turbid pleural fluid low glucose high LDH neutrophils ⚡ Complicated parapneumonic effusion (infected loculated) 🔷 Immediate drainage needed to prevent sepsis lung restriction 💡 Antibiotics + chest tube is standard of care https://twitter.com/i/web/status/2020847984649413047 https://twitter.com/i/web/status/2020847984649413047" [X Link](https://x.com/esanum/status/2020847984649413047) 2026-02-09T13:11Z [----] followers, [--] engagements "@MoarSahitoPTI ✅ Answer: Dual action on serotonin & norepinephrine 📍 Inhibits reuptake of both neurotransmitters (SNRI) ⚡ Elevates mood & relieves pain signals 💡 Effective for major depression GAD diabetic neuropathy fibromyalgia" [X Link](https://x.com/esanum/status/2020913643710292378) 2026-02-09T17:32Z [----] followers, [----] engagements "@ManualOMedicine 🔴 Diagnosis: Malignant pleural effusion 📍 Massive right-sided opacity with meniscus sign on chest X-ray ⚡ History of carcinomatosis progressive dyspnea 🔷 Common in metastatic cancer; due to pleural involvement by malignancy" [X Link](https://x.com/esanum/status/2020914461956088143) 2026-02-09T17:35Z [----] followers, [---] engagements "@ILMI_Dunya ✅ Answer: C) [-----] mg/dL 📍 Normal fasting blood glucose range ⚡ Levels above this suggest impaired fasting glucose or diabetes 💡 Always interpret in clinical context" [X Link](https://x.com/esanum/status/2020926064667787739) 2026-02-09T18:21Z [----] followers, [----] engagements "@albertoortegana @dr_manish_ydv 🔴 Diagnosis: Mitral stenosis (mitral facies) 📍 Bilateral malar flushing progressive dyspnea palpitations ⚡ Heart murmur increases with exertion; classic facial appearance due to chronic hypoxia and vasodilation 💡 Seen in long-standing rheumatic heart disease" [X Link](https://x.com/esanum/status/2021006549439893717) 2026-02-09T23:41Z [----] followers, [----] engagements "🔴 Diagnosis: Severe esophageal stricture with esophageal dilation (megaesophagus) 📍 Grossly dilated tortuous esophagus visible on chest ⚡ Caused by chronic stricture likely from malignancy achalasia or caustic injury 💡 Procedure: Esophageal dilatation or surgical intervention (e.g. esophagectomy) may be required https://twitter.com/i/web/status/2021006561892557216 https://twitter.com/i/web/status/2021006561892557216" [X Link](https://x.com/esanum/status/2021006561892557216) 2026-02-09T23:41Z [----] followers, [---] engagements "@albertoortegana @Ausbones @Dr_Shiv_kumar_ @dr_manish_ydv @DrAkhilX @IhabFathiSulima 🔴 Diagnosis: Subdural hematoma 📍 Crescent-shaped hyperdensity along the left cerebral hemisphere ⚡ Blood collects between dura and arachnoid mater often due to tearing of bridging veins 💡 Common in elderly & after head trauma" [X Link](https://x.com/esanum/status/2021006584797651331) 2026-02-09T23:41Z [----] followers, [---] engagements "@albertoortegana @Ausbones @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @IhabFathiSulima @DrMedica_13 🔴 Procedure: Intramedullary nailing (IM nailing) 📍 Surgical fixation of a long bone fracture (usually tibia or femur) ⚡ Metal rod inserted into the medullary cavity for alignment and stability 💡 Allows early mobilization and high union rates" [X Link](https://x.com/esanum/status/2021006596126670935) 2026-02-09T23:41Z [----] followers, [--] engagements "🔴 Diagnosis: Allis maneuver 📍 Medical procedure to reduce a posterior hip dislocation 📍 Performed by flexing the patients hip and knee applying traction and gently lifting the femoral head back into the acetabulum ⚡ Indicated for emergency management of traumatic posterior hip dislocation https://twitter.com/i/web/status/2021193271985283188 https://twitter.com/i/web/status/2021193271985283188" [X Link](https://x.com/esanum/status/2021193271985283188) 2026-02-10T12:03Z [----] followers, [--] engagements "🔴 Diagnosis: Right-sided pleural effusion with air-fluid level (empyema) 📍 Homogeneous opacity in right lower hemithorax with meniscus sign 📍 Air-fluid level suggests loculated empyema or lung abscess ⚡ Clinical context: fever cough chest pain recent GI symptoms likely empyema secondary to pneumonia https://twitter.com/i/web/status/2021193345431654909 https://twitter.com/i/web/status/2021193345431654909" [X Link](https://x.com/esanum/status/2021193345431654909) 2026-02-10T12:03Z [----] followers, [----] engagements "✅ Answer: C) Complete absence of UDP-glucuronyl transferase activity 📍 Severe unconjugated hyperbilirubinemia since birth 📍 No response to phototherapy or phenobarbital ⚡ CriglerNajjar type I: absent enzyme persists into childhood 💡 Type II: partial deficiency responds to phenobarbital https://twitter.com/i/web/status/2021199163946340538 https://twitter.com/i/web/status/2021199163946340538" [X Link](https://x.com/esanum/status/2021199163946340538) 2026-02-10T12:26Z [----] followers, [--] engagements "@Sage_medics 🔴 Hitting the funny bone (ulnar nerve) 📍 Direct trauma to elbow (medial epicondyle) 📍 Sharp tingling pain radiating down forearm to fingers ⚡ Ulnar nerve compression/irritation 💡 Causes transient paresthesia in 4th & 5th fingers" [X Link](https://x.com/esanum/status/2021202225113202744) 2026-02-10T12:38Z [----] followers, [---] engagements "@ZahoorAhmed1450 ✅ Answer: A) Bethanechol 📍 Muscarinic agoniststimulates bladder contraction 📍 Used for urinary retention (esp. neurogenic or post-op) ⚡ Atropine: anticholinergic (worsens retention) 💡 Ensure obstruction is ruled out before use" [X Link](https://x.com/esanum/status/2021248446636704146) 2026-02-10T15:42Z [----] followers, [----] engagements "@Med_Bytes ✅ Answer: C) Uterine hyperstimulation 📍 Most common adverse effect of oxytocin 📍 Can lead to fetal distress uterine rupture if severe ⚡ Monitor contraction frequency and fetal heart rate 💡 Other side effects: hypotension water intoxication (rare)" [X Link](https://x.com/esanum/status/2021248458162655683) 2026-02-10T15:42Z [----] followers, [---] engagements "✅ Answer: Workhorse empiric IV antibiotic + once-daily dosing 📍 3rd-gen cephalosporin: strong Gram-negative coverage + solid Strep coverage common for CAP/UTI/sepsis workups ⚡ Long half-life q24h; good tissue (and CSF) penetration key in meningitis regimens 🔷 Widely available generally well-tolerated straightforward IV/IM administration 💡 Stewardship: not for Pseudomonas/ESBLde-escalate to narrower therapy to limit resistance & C. diff https://twitter.com/i/web/status/2021277031284019346 https://twitter.com/i/web/status/2021277031284019346" [X Link](https://x.com/esanum/status/2021277031284019346) 2026-02-10T17:36Z [----] followers, [----] engagements "✅ Answer: C) FLAIR 📍 Acute SAH shows hyperintense CSF in sulci/cisterns on FLAIR (dirty CSF) ⚡ Most sensitive MRI option here for acute SAH (CT still first-line in real life) 💡 Pitfall: FLAIR can be false+ with high FiO meningitis leptomeningeal diseasecorrelate with GRE/SWI + clinical context https://twitter.com/i/web/status/2021277239384604738 https://twitter.com/i/web/status/2021277239384604738" [X Link](https://x.com/esanum/status/2021277239384604738) 2026-02-10T17:37Z [----] followers, [----] engagements "✅ Answer: B) Missed period (amenorrhea) 📍 Earliest common clue = delayed/missed menses in a reproductive-age patient ⚡ Next step to confirm: urine/serum -hCG (can be positive [---] days after ovulation) 🧠 hCG maintains corpus luteum progesterone supports endometrium 💡 Pearl: abdominal pain/fever/headache are not typical first signsthink complications only if present https://twitter.com/i/web/status/2021330993756418316 https://twitter.com/i/web/status/2021330993756418316" [X Link](https://x.com/esanum/status/2021330993756418316) 2026-02-10T21:10Z [----] followers, [----] engagements "@Med_Bytes ✅ Answer: A) Phenytoin 📍 Hirsutism = excess terminal hair in androgen-dependent areas ⚡ Phenytoin (an anticonvulsant) can induce hirsutism as a side effect 💡 Other drugs: corticosteroids cyclosporine minoxidil danazol" [X Link](https://x.com/esanum/status/2021610139971645835) 2026-02-11T15:39Z [----] followers, [----] engagements "🔴 Diagnosis: Corneal neovascularization due to corneal ulcer 📍 New blood vessels visible invading the cornea 📍 Central corneal opacity/ulcer surrounding redness ⚡ Causes: infection (bacterial/fungal) hypoxia (contact lens overwear) 💡 Urgent ophthalmology referral needed🔴 Diagnosis: Corneal neovascularization due to corneal ulcer 📍 New blood vessels visible invading the cornea 📍 Central corneal opacity/ulcer surrounding redness ⚡ Causes: infection (bacterial/fungal) hypoxia (contact lens overwear) 💡 Urgent ophthalmology referral needed" [X Link](https://x.com/esanum/status/2021610607640793146) 2026-02-11T15:41Z [----] followers, [--] engagements "@Medzonetv ✅ Diagnosis: Horseshoe kidney 📍 Kidneys fused at lower poles forming a U-shape ⚡ Embryology: failure of ascent due to fusion of metanephric blastema at lower poles 💡 Associated with increased risk of UTIs and other congenital anomalies" [X Link](https://x.com/esanum/status/2021610905247637651) 2026-02-11T15:42Z [----] followers, [--] engagements "@RadMasterclass 🔴 Diagnosis: Trauma (C) 📍 Chest X-ray: visible rib fracture local opacity ⚡ Most likely cause of acute chest pain here is rib fracture (trauma) 💡 Other causes (infection cancer fibrosis sarcoidosis) less likely with this finding" [X Link](https://x.com/esanum/status/2021610993432830367) 2026-02-11T15:43Z [----] followers, [---] engagements "@albertoortegana @DocPriyamMD @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @DrArslan480 @drobiy12 🔴 Diagnosis: Aortic dissection 📍 CT shows an intimal flap and two lumens in the aorta ⚡ Presents with sudden severe chest/back pain hypertension mediastinal widening 💡 Emergency requires prompt diagnosis and management" [X Link](https://x.com/esanum/status/2021611053050675318) 2026-02-11T15:43Z [----] followers, [---] engagements "@PeterItebimien @IhabFathiSulima @ChefKarim02 @drsthanus @elidyynwa @MEmwanta @PJaseja @TSM_Humanist @BrownJHM @DrAkhilX @drkeithsiau @modernHealthMe @rkalyes1 @the_beardedsina @NicoGagelmann @Doctors__squad 🔴 Diagnosis: Idiopathic intracranial hypertension (pseudotumor cerebri) 📍 Obese young woman headache transient vision loss pulsatile tinnitus 📍 Fundoscopy: papilledema (swollen optic disc) 💡 Treatment: weight loss acetazolamide (first-line) possible therapeutic LP" [X Link](https://x.com/esanum/status/2021611076635250914) 2026-02-11T15:43Z [----] followers, [--] engagements "@dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @Dr_Shiv_kumar_ @DrMedica_13 @Sage_medics @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @shakilED @SameerYogi14 @Medzonetv @MedLearnHub ✅ Answer: C) Ankylosing spondylitis 📍 Bamboo spine appearance on X-ray ⚡ Syndesmophyte formation vertebral fusion 🔷 Chronic inflammation leads to ossification of spinal ligaments 💡 Classic for seronegative spondyloarthropathy (HLA-B27 positive)" [X Link](https://x.com/esanum/status/2021622129842929989) 2026-02-11T16:27Z [----] followers, [---] engagements "@dr_manish_ydv @DrAkhilX @DocPriyamMD @Dr_Shiv_kumar_ @MiguelP23970914 @albertoortegana @ChShafiullah15 @daoo100 @DrArslan480 @SameerYogi14 @MarkGregorio_NP @shakilED @DrYdv_hitesh01 @VikramMShahpura ✅ Answer: B) Commotio retinae 📍 Blurred vision after blunt trauma ⚡ Fundus: transient retinal whitening (Berlins edema) macula often involved 🔷 Caused by photoreceptor outer segment disruption 💡 Usually self-limiting; vision may recover over weeks" [X Link](https://x.com/esanum/status/2021622276517720298) 2026-02-11T16:28Z [----] followers, [---] engagements "✅ Answer: B) Zoster (Shingles) Vaccine 📍 Adults [--] or with chronic disease (e.g. CKD diabetes) should receive recombinant zoster vaccine ⚡ Higher risk of herpes zoster reactivation and complications 🔷 Live vaccines (like intranasal influenza) are contraindicated in CKD 💡 Update adult immunizations: pneumococcal influenza (inactivated) Tdap zoster https://twitter.com/i/web/status/2021633680364519812 https://twitter.com/i/web/status/2021633680364519812" [X Link](https://x.com/esanum/status/2021633680364519812) 2026-02-11T17:13Z [----] followers, [--] engagements "@KSAnurse2 ✅ Answer: [--]. Spleen 📍 Acts as the blood bank of the body ⚡ Stores and releases blood in response to physiological need 🔷 Also filters old/damaged red blood cells supports immunity" [X Link](https://x.com/esanum/status/2021643495652700296) 2026-02-11T17:52Z [----] followers, [----] engagements "@MoarSahitoPTI ✅ Answer: Tamsulosin is an alpha-1 adrenergic antagonist 📍 Relaxes smooth muscle in ureter ⚡ Reduces ureteric spasm dilates lumen 🔷 Facilitates stone passage decreases pain and expulsion time 💡 Medical expulsive therapy especially useful for distal ureteric stones" [X Link](https://x.com/esanum/status/2021643546873286726) 2026-02-11T17:52Z [----] followers, [----] engagements "✅ Answer: C) Pulmonary carcinoid tumor 📍 Young non-smoker recurrent cough mild hemoptysis normal ESR ⚡ Carcinoid tumors often present with central lung masses and episodic bleeding 🔷 Typically slow-growing minimal systemic symptoms no weight loss 💡 Bronchogenic carcinoma is rare in young non-smokers; tuberculosis/abscess likely with systemic symptoms https://twitter.com/i/web/status/2021918581244457219 https://twitter.com/i/web/status/2021918581244457219" [X Link](https://x.com/esanum/status/2021918581244457219) 2026-02-12T12:05Z [----] followers, [---] engagements "✅ Answer: A) IV Amiodarone 📍 ECG shows monomorphic ventricular tachycardia (VT) ⚡ First-line for stable VT: antiarrhythmic drugs (amiodarone procainamide sotalol) 🔷 Synchronized cardioversion for unstable patients only 💡 Always monitor for decompensation; be ready to escalate if instability develops https://twitter.com/i/web/status/2021918626870141419 https://twitter.com/i/web/status/2021918626870141419" [X Link](https://x.com/esanum/status/2021918626870141419) 2026-02-12T12:05Z [----] followers, [---] engagements "🔴 Diagnosis: Hiatal hernia 📍 Air-fluid level and radiolucent area behind the heart (retrocardiac) elevated left hemidiaphragm ⚡ Stomach herniates through the esophageal hiatus into the thoracic cavity 🔷 Common in elderly associated with reflux and chest discomfort 💡 Confirm with barium swallow if clinical suspicion remains https://twitter.com/i/web/status/2021918668486066365 https://twitter.com/i/web/status/2021918668486066365" [X Link](https://x.com/esanum/status/2021918668486066365) 2026-02-12T12:05Z [----] followers, [--] engagements "🔴 Diagnosis: Acute urticaria (hives) 📍 Rapid onset itchy raised erythematous plaques with central clearing ⚡ Lesions are transient migrate and often triggered by allergens infection or idiopathic 🔷 No systemic symptoms = benign course 💡 Mainstay of treatment: oral antihistamines; avoid known triggers https://twitter.com/i/web/status/2021929006707155119 https://twitter.com/i/web/status/2021929006707155119" [X Link](https://x.com/esanum/status/2021929006707155119) 2026-02-12T12:46Z [----] followers, [--] engagements "🔴 Diagnosis: Multiple myeloma 📍 X-ray: Punched-out lytic bone lesions in proximal humerus ⚡ Clinical: bone pain swelling anemia weight loss hypercalcemia 🔷 Malignant plasma cell proliferation in bone marrow 💡 Always check serum protein electrophoresis (SPEP) for M-protein spike https://twitter.com/i/web/status/2021929059014300145 https://twitter.com/i/web/status/2021929059014300145" [X Link](https://x.com/esanum/status/2021929059014300145) 2026-02-12T12:47Z [----] followers, [---] engagements "🔴 Diagnosis: Right pontine stroke (VII + VI involvement; MillardGubler/facial colliculus region) 📍 Facial weakness + diplopia with abnormal eye movement on exam/image ⚡ Not Bells palsy: Bells = isolated CN VII any diplopia/extra CN deficit = central (brainstem) until proven otherwise 🧠 Localize: right caudal pons (facial nucleus/fascicle abducens nucleus/nerve/MLF) 💡 VII + VI = Pons (think facial colliculus) https://twitter.com/i/web/status/2021950412702540232 https://twitter.com/i/web/status/2021950412702540232" [X Link](https://x.com/esanum/status/2021950412702540232) 2026-02-12T14:11Z [----] followers, [---] engagements "✅ Answer: B) Colchicine 📍 Acute gout flare: NSAID / colchicine / glucocorticoid are first-line ⚡ Allopurinol + febuxostat + probenecid = urate-lowering (chronic) not started for a new acute attack 🧠 Colchicine blocks microtubules neutrophil chemotaxis/inflammation 💡 Start early (best 24h); watch GI toxicity + dose adjust in CKD/with CYP3A4/P-gp inhibitors https://twitter.com/i/web/status/2021950423993590064 https://twitter.com/i/web/status/2021950423993590064" [X Link](https://x.com/esanum/status/2021950423993590064) 2026-02-12T14:12Z [----] followers, [---] engagements "✅ Answer: C) Severe pulmonary emphysema (COPD) with dyspnea 📍 Tripod positioning fixes the shoulder girdle recruits accessory inspiratory muscles (SCM scalenes pecs) ⚡ Classic in COPD/emphysema during dyspneic episodes to improve ventilatory mechanics 🧠 Helps reduce dynamic hyperinflation sensation and work of breathing 💡 Tripod = COPD (also seen in acute upper-airway obstruction like epiglottitis but not listed here) https://twitter.com/i/web/status/2021950484685209862 https://twitter.com/i/web/status/2021950484685209862" [X Link](https://x.com/esanum/status/2021950484685209862) 2026-02-12T14:12Z [----] followers, [---] engagements "@ChroRadGirlie 🔴 Diagnosis: Right-sided pleural effusion 📍 Homogeneous opacity in right lower lung field with meniscus sign 📍 Blunting of right costophrenic angle mediastinal shift to the left ⚡ Causes: heart failure infection malignancy trauma" [X Link](https://x.com/esanum/status/2020514448612425795) 2026-02-08T15:05Z [----] followers, [---] engagements "@drsthanus 🔴 Diagnosis: Right lower lobe pneumonia 📍 Fever cough + focal consolidation on X-ray ⚡ Airspace opacity with blurring of right heart border 📍 Elderly at higher risk for typical bacterial pathogens 💡 Start empiric antibiotics monitor for complications" [X Link](https://x.com/esanum/status/2020837902406590648) 2026-02-09T12:31Z [----] followers, [---] engagements "@mednomics 🔴 Diagnosis: UTI with urease-producing bacteria 📍 Most common: Proteus species (also Klebsiella Ureaplasma) ⚡ Urease enzyme splits urea ammonia raises urine pH 💡 Alkaline urine predisposes to struvite (triple phosphate) stones" [X Link](https://x.com/esanum/status/2020873226319020195) 2026-02-09T14:51Z [----] followers, [---] engagements "🔴 Diagnosis: Cotrimoxazole has decreased activity in purulent material 📍 High levels of PABA (para-aminobenzoic acid) in pus ⚡ PABA competes with sulfonamides (like cotrimoxazole) for bacterial enzyme 🔷 Sulfonamides inhibit dihydropteroate synthase; excess PABA antagonizes effect 💡 Result: Reduced efficacy in pus-rich/infected sites https://twitter.com/i/web/status/2021622239779525105 https://twitter.com/i/web/status/2021622239779525105" [X Link](https://x.com/esanum/status/2021622239779525105) 2026-02-11T16:27Z [----] followers, [---] engagements "🔴 Diagnosis: True this X-ray belongs to a woman 📍 Note the visible breast shadows (soft tissue densities over lower lung zones) ⚡ Blunting of right costophrenic angle + homogeneous opacity in right lower zone 🔷 Likely diagnosis: right-sided pleural effusion (possible consolidation/infection) 💡 Always assess soft tissues for clues to patient sex and additional findings https://twitter.com/i/web/status/2021918317900861835 https://twitter.com/i/web/status/2021918317900861835" [X Link](https://x.com/esanum/status/2021918317900861835) 2026-02-12T12:04Z [----] followers, [----] engagements "🔴 Diagnosis: A) Pleural Effusion 📍 Homogeneous opacity in right lower zone with meniscus sign ⚡ Blunting of costophrenic angle loss of diaphragm outline 🔷 Common in cirrhosis (hepatic hydrothorax) especially with alcohol abuse 💡 Consider thoracentesis for diagnosis and relief of dyspnea https://twitter.com/i/web/status/2021918454563893636 https://twitter.com/i/web/status/2021918454563893636" [X Link](https://x.com/esanum/status/2021918454563893636) 2026-02-12T12:04Z [----] followers, [---] engagements "🔴 Diagnosis: Subconjunctival hemorrhage 📍 Well-demarcated bright red patch beneath the conjunctiva ⚡ Painless does not affect vision often spontaneous or post-trauma 🔷 Benign and self-limiting no specific treatment needed 💡 Rule out trauma hypertension or coagulopathy if recurrent https://twitter.com/i/web/status/2021918511166083313 https://twitter.com/i/web/status/2021918511166083313" [X Link](https://x.com/esanum/status/2021918511166083313) 2026-02-12T12:05Z [----] followers, [----] engagements "🔴 Diagnosis: Raynauds phenomenon 📍 Triphasic color change: pallor (white) cyanosis (blue) erythema (red) ⚡ Episodic vasospasm of small arteries triggered by cold/stress 🔷 Most common in young women can be primary or secondary (CTD) 💡 Advise warming avoid triggers; check for underlying autoimmune disease https://twitter.com/i/web/status/2021918643454345352 https://twitter.com/i/web/status/2021918643454345352" [X Link](https://x.com/esanum/status/2021918643454345352) 2026-02-12T12:05Z [----] followers, [----] engagements "✅ Answer: C) Amyloidosis (AL) 📍 Macroglossia + periorbital purpura (raccoon eyes) ⚡ Proteinuria from renal amyloid nephrotic-range leakage 🧠 AL amyloid = Ig light chains (often plasma cell dyscrasia / MM) 💡 Confirm: fat pad biopsy (Congo red apple-green birefringence) + serum/urine immunofixation https://twitter.com/i/web/status/2021950388220383654 https://twitter.com/i/web/status/2021950388220383654" [X Link](https://x.com/esanum/status/2021950388220383654) 2026-02-12T14:11Z [----] followers, [----] engagements "@Medzonetv ✅ Answer: D) Treat pain per VOC protocol but avoid pentazocine 📍 Vaso-occlusive crisis (VOC) requires prompt guideline-based pain control 📍 Avoid pentazocine due to risk of dependence & poor safety in SCD 💡 Assess pain provide opioids as per protocol monitor for misuse" [X Link](https://x.com/esanum/status/2022287804273672680) 2026-02-13T12:32Z [----] followers, [---] engagements "@MoarSahitoPTI 🔴 Hyperkalemia 📍 ACE inhibitors aldosterone 📍 Leads to K retention in the kidneys 💡 Always monitor serum potassium during therapy" [X Link](https://x.com/esanum/status/2022287818249175393) 2026-02-13T12:32Z [----] followers, [---] engagements "@DrPharmDMDTh 🔴 Ventricular premature beat (PVC) 📍 Wide bizarre QRS complex 📍 No preceding P wave ⚡ Compensatory pause often follows 💡 Commonly benign but assess for underlying causes" [X Link](https://x.com/esanum/status/2022287835634569627) 2026-02-13T12:32Z [----] followers, [--] engagements "@dr_manish_ydv @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @MarkGregorio_NP @Medzonetv @MuhammadZa96288 @shakilED ✅ Answer: C) Transbronchial lung biopsy showing non-caseating granuloma 📍 Most specific test for sarcoidosis 📍 Non-caseating granulomas = diagnostic hallmark ⚡ Serum ACE can be elevated but is non-specific 💡 Consider sarcoidosis in young adults with dyspnea hypercalcemia" [X Link](https://x.com/esanum/status/2022288019366007057) 2026-02-13T12:33Z [----] followers, [--] engagements "@modernHealthMe ✅ Answer: B) Salbutamol 📍 Short-acting 2-agonist (SABA) 📍 Rapid bronchodilation first-line reliever in acute asthma ⚡ Provides quick symptom relief 💡 Used as rescue inhaler during asthma attacks" [X Link](https://x.com/esanum/status/2022295200287072605) 2026-02-13T13:02Z [----] followers, [----] engagements "@ZahoorAhmed1450 🔴 Diagnosis: Angina pectoris 📍 Nitrates dilate veins preload myocardial oxygen demand 📍 Improve coronary blood flow relieve chest pain ⚡ Used for acute relief and prophylaxis of angina 💡 Mainstay for symptomatic control in ischemic heart disease" [X Link](https://x.com/esanum/status/2022295212568060286) 2026-02-13T13:02Z [----] followers, [---] engagements "@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Familial adenomatous polyposis (FAP) 📍 Numerous colorectal polyps recurrent anemia GI bleeding 📍 Family history of colon cancer early onset ⚡ High risk of progression to colorectal carcinoma 💡 Requires early surveillance and prophylactic colectomy" [X Link](https://x.com/esanum/status/2022295317211693138) 2026-02-13T13:02Z [----] followers, [--] engagements "@modernHealthMe 🔴 Diagnosis: Fern test (ferning pattern) 📍 Microscopy of dried cervical or amniotic fluid ⚡ Characteristic branching fern-like crystals 🔷 Indicates presence of estrogen or rupture of membranes 💡 Used in diagnosis of ovulation or PROM" [X Link](https://x.com/esanum/status/2022300362158280837) 2026-02-13T13:22Z [----] followers, [--] engagements "@Sage_medics ✅ Answer: 1) Dove into a shallow pool 📍 Comminuted fractures of 2nd4th metacarpals ⚡ Dorsal displacement severe axial force 🔷 Classic for divers hand high-energy impact on extended hand 💡 Always assess for neurovascular injury" [X Link](https://x.com/esanum/status/2022300395641393198) 2026-02-13T13:22Z [----] followers, [---] engagements "@dr_manish_ydv @DrAkhilX @DocPriyamMD @Dr_Shiv_kumar_ @MiguelP23970914 @MedLearnHub @DrMedica_13 @farhadparv27723 @DrNovinoTailor @ZahoorAhmed1450 @DrYdv_hitesh01 @albertoortegana @ChShafiullah15 @daoo100 @DrArslan480 @jitesh_jigar @MarkGregorio_NP @Medzonetv @SameerYogi14 ✅ Answer: A) Bronchiectasis 📍 Most common cause of massive hemoptysis in India ⚡ Chronic airway dilation recurrent infection vessel erosion 🔷 TB is a major cause of bronchiectasis in this region 💡 Always rule out active TB in new hemoptysis cases" [X Link](https://x.com/esanum/status/2022300642530693366) 2026-02-13T13:23Z [----] followers, [---] engagements "@modernHealthMe 🔴 Diagnosis: Mammography 📍 Bilateral breast X-rays ⚡ Detection of masses calcifications or lesions 🔷 Primary screening tool for breast cancer 💡 Highlighted area: suspicious density may warrant further imaging or biopsy" [X Link](https://x.com/esanum/status/2022333621814911197) 2026-02-13T15:34Z [----] followers, [--] engagements "✅ Answer: Open surgical tracheostomy set 📍 Key clues: lots of artery forceps + deep retractors suction/cautery cord trach ties/vessel loops ⚡ Expect tracheal hook + dilator in the tray (for opening/holding the trachea) 🔷 Designed for a short bloody midline neck dissection + rapid airway access 💡 Many clamps + deep retractors + trach ties = tracheostomy https://twitter.com/i/web/status/2023030765097791901 https://twitter.com/i/web/status/2023030765097791901" [X Link](https://x.com/esanum/status/2023030765097791901) 2026-02-15T13:44Z [----] followers, [---] engagements "@drabdulhameed07 ✅ Answer: C) Hypercalcemia 📍 Stones bones groans and psychiatric overtones ⚡ Stones: renal calculi; Bones: bone pain/fractures; Groans: GI symptoms 🔷 Most commonly from hyperparathyroidism malignancy 💡 Also causes muscle weakness neuropsychiatric changes" [X Link](https://x.com/esanum/status/2021622287276064826) 2026-02-11T16:28Z [----] followers, [---] engagements "✅ Answer: C) Ascending limb (thick ascending limb) 📍 Diluting segment = reabsorbs Na/K/Cl but impermeable to water ⚡ Builds the medullary gradient for urine concentration 🔷 Target of loop diuretics (NKCC2) 💡 Descending limb = water permeable; DCT mostly water-impermeable too but classic exam answer is TAL https://twitter.com/i/web/status/2023058129991152121 https://twitter.com/i/web/status/2023058129991152121" [X Link](https://x.com/esanum/status/2023058129991152121) 2026-02-15T15:33Z [----] followers, [---] engagements "✅ Answer: Uterus (hysterectomy specimen) 📍 Fundus/body = rounded top; cervix = narrow neck below ⚡ Lateral tags = adnexal/broad ligament attachments (tube/ovary stumps) 🔷 Often removed for fibroids / adenomyosis / malignancy 💡 Quick cue: big muscular pear + tight cervix = uterus https://twitter.com/i/web/status/2022625144997327053 https://twitter.com/i/web/status/2022625144997327053" [X Link](https://x.com/esanum/status/2022625144997327053) 2026-02-14T10:53Z [----] followers, [---] engagements "@InterestingSTEM ✅ Answer: Uterus (post-hysterectomy specimen) 📍 Rounded fundus/body + narrowed cervix (neck) ⚡ Lateral attachments = broad ligament/adnexal stumps 🧠 Key shape: muscular pear with a distinct cervix 💡 If you see a bulb + tight neck think uterus" [X Link](https://x.com/esanum/status/2022625175368593585) 2026-02-14T10:53Z [----] followers, [---] engagements "🔴 Diagnosis: Osteosarcoma (osteoid-forming bone tumor) 📍 Weeks of focal leg pain ⚡ X-ray: cloud-like ossified mass arising from cortex aggressive periosteal reaction 🔷 Malignant osteoid production by osteoblasts 💡 Next: ortho-onc referral + MRI local staging + chest CT (lung mets) https://twitter.com/i/web/status/2022625215465791869 https://twitter.com/i/web/status/2022625215465791869" [X Link](https://x.com/esanum/status/2022625215465791869) 2026-02-14T10:53Z [----] followers, 19.5K engagements "✅ Answer: B) TB 📍 Most common opportunistic infection worldwide in AIDS = tuberculosis ⚡ (Exam nuance) In many US-style questions the most common AIDS-defining OI is Pneumocystis jirovecii pneumonia 🧠 HIV impaired cell-mediated immunity risk of reactivation TB 💡 Quick rule: Global = TB; classic CD4 [---] pneumonia = PJP" [X Link](https://x.com/esanum/status/2022634992312922242) 2026-02-14T11:32Z [----] followers, [----] engagements "@doctors_squad ✅ Answer: C) IgG 📍 Only IgG crosses placenta via FcRn receptors ⚡ Provides passive immunity to newborn (esp. late 2nd/3rd trimester) 🧠 IgM is too large (pentamer) fetal IgM suggests in utero infection 💡 Breast milk protection = mainly IgA (mucosal)" [X Link](https://x.com/esanum/status/2022677129666887741) 2026-02-14T14:19Z [----] followers, [----] engagements "🎀🩺 Medicaid expansion and breast cancer: survival gains but inequalities persist A JAMA Network Open cohort of 1.6M women aged [----] with breast cancer (20062021) found that living in a Medicaid expansion state was linked to lower overall mortality (HR 0.95; 4.8% hazard reduction) vs non-expansion states with benefits seen across stage race/ethnicity income and treatment. The largest relative survival gains were among Hispanic women (19% lower hazard of death) and among those with metastatic disease (14% hazard reduction) suggesting that coverage improves access to timely guideline-based" [X Link](https://x.com/esanum/status/2022980638135996750) 2026-02-15T10:25Z [----] followers, [---] engagements "🔴 Diagnosis: Arachnoid cyst (right temporal/middle cranial fossa) 📍 Young adult + chronic headaches (often incidental but can be symptomatic) ⚡ CT: well-circumscribed extra-axial CSF-density collection with mass effect on adjacent cortex 🔷 Congenital arachnoid membrane splitting CSF trapped (non-hemorrhagic) 💡 Pearl: confirm with MRI; treat only if symptomatic/progressive (fenestration/shunt) https://twitter.com/i/web/status/2022985709779378188 https://twitter.com/i/web/status/2022985709779378188" [X Link](https://x.com/esanum/status/2022985709779378188) 2026-02-15T10:45Z [----] followers, [---] engagements "✅ Answer: B) Carcinomatous lymphangitis 📍 Red flags: weight loss + progressive dysphagia + hoarseness + hard left supraclavicular nodes (Virchow) in a smoker ⚡ CXR shows diffuse bilateral reticulonodular/interstitial pattern (not focal lobar consolidation) 🔷 Tumor spread via pulmonary lymphatics interlobular septal thickening/Kerley-type lines progressive dyspnea/cough 💡 Pearl: think esophageal or lung carcinoma confirm with CT chest/abdomen + tissue diagnosis https://twitter.com/i/web/status/2022994763545292907 https://twitter.com/i/web/status/2022994763545292907" [X Link](https://x.com/esanum/status/2022994763545292907) 2026-02-15T11:21Z [----] followers, [---] engagements "🔴 Diagnosis: Testicular germ cell tumor (esp. choriocarcinoma / mixed GCT) 📍 Positive urine hCG in a male = red flag (pregnancy tests detect hCG) ⚡ Ectopic hCG production check testicular mass gynecomastia symptoms 🔷 Next steps: testicular US + serum -hCG/AFP/LDH 💡 Two lines in a guy = dont jokescan the testes https://twitter.com/i/web/status/2023017441765302458 https://twitter.com/i/web/status/2023017441765302458" [X Link](https://x.com/esanum/status/2023017441765302458) 2026-02-15T12:51Z [----] followers, [---] engagements "🔴 Diagnosis: Racemose neurocysticercosis (subarachnoid bunch of grapes) 📍 Clustered CSF-signal multiloculated cysts along basal cistern/Sylvian region ⚡ Often no visible scolex mass effect hydrocephalus/arachnoiditis/vasculitis 🔷 Taenia solium larval cysts in subarachnoid spaces 💡 Grape cluster pattern = racemose NCC (vs hydatid usually a single giant cyst w/ daughter cysts) https://twitter.com/i/web/status/2023017506231763021 https://twitter.com/i/web/status/2023017506231763021" [X Link](https://x.com/esanum/status/2023017506231763021) 2026-02-15T12:52Z [----] followers, [---] engagements "✅ Answer: Q1 Pneumatosis intestinalis (intramural bubbly gas) Q2 NEC 📍 Preterm + feed intolerance distension bilious aspirates lethargy ⚡ X-ray: gas in bowel wall portal venous gas (late) 🔷 Ischemic mucosal injury + bacterial gas production 💡 NPO/NG broad Abx serial films; free air/pneumoperitoneum surgery https://twitter.com/i/web/status/2023029354448527633 https://twitter.com/i/web/status/2023029354448527633" [X Link](https://x.com/esanum/status/2023029354448527633) 2026-02-15T13:39Z [----] followers, [---] engagements "🔴 Diagnosis: Nutmeg liver (chronic passive hepatic congestion) 📍 Longstanding right-sided HF hepatomegaly ascites RUQ discomfort mild LFTs 🔷 Hepatic venous congestion centrilobular (zone 3) congestion/necrosis with mottled nutmeg appearance ⚡ Can progress to cardiac cirrhosis (fibrosis around central veins) 💡 Tip: RHF nutmeg liver (think congested hepatic outflow) https://twitter.com/i/web/status/2023062660363817378 https://twitter.com/i/web/status/2023062660363817378" [X Link](https://x.com/esanum/status/2023062660363817378) 2026-02-15T15:51Z [----] followers, [---] engagements "🔴 Diagnosis: Tinea imbricata (Tokelau) 📍 South Pacific + slowly expanding intensely pruritic scaly plaques with concentric ring-on-ring pattern ⚡ Caused by Trichophyton concentricum (chronic dermatophyte infection) 🔷 Often recurrent due to host susceptibility/crowding 💡 Treat: topical azoles/terbinafine for limited disease; oral terbinafine/itraconazole (or griseofulvin) if extensive https://twitter.com/i/web/status/2023097072287642043 https://twitter.com/i/web/status/2023097072287642043" [X Link](https://x.com/esanum/status/2023097072287642043) 2026-02-15T18:08Z [----] followers, [---] engagements "@medcrux ✅ Answer: B) Serum tryptase 📍 Released from mast cells during anaphylaxis 📍 More stable and reliable than histamine 💡 Elevated within [--] hours after onset of symptoms" [X Link](https://x.com/esanum/status/2022287992551842263) 2026-02-13T12:33Z [----] followers, [---] engagements "@albertoortegana @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @DrArslan480 @DrMedica_13 🔴 Diagnosis: Aspiration pneumonia 📍 History: swimming pool water ingestion nausea vomiting 📍 CXR: patchy infiltrates (often right middle/lower lobe) ⚡ Risk after inhaling contaminated water 💡 Monitor for respiratory distress and secondary infection" [X Link](https://x.com/esanum/status/2022288006925754792) 2026-02-13T12:33Z [----] followers, [----] engagements "🔴 Diagnosis: Lichen planus pigmentosus 📍 Dark brown-black macules with white lacy patches 📍 Chronic often resistant to therapy 💡 Management: Stop offending agents topical steroids calcineurin inhibitors strict photoprotection 🧠 Gradual improvement; persistent cases need specialist referral https://twitter.com/i/web/status/2022295064806932935 https://twitter.com/i/web/status/2022295064806932935" [X Link](https://x.com/esanum/status/2022295064806932935) 2026-02-13T13:01Z [----] followers, [---] engagements "@medcrux 🔴 Diagnosis: Esophageal foreign body 📍 Site of lodgment: Upper esophagus (level of thoracic inlet cricopharyngeal muscle) 📍 Symptoms: drooling dysphagia unable to swallow 💡 Immediate removal needed to prevent airway compromise or complications" [X Link](https://x.com/esanum/status/2022295236609728521) 2026-02-13T13:02Z [----] followers, [---] engagements "🔴 Diagnosis: Trotters method for anterior epistaxis 📍 Patient sits upright head tilted forward (not back) ⚡ Firmly pinch the soft part of the nose (just below the bony bridge) for [----] minutes 🔷 Direct pressure helps tamponade Kiesselbachs plexus 💡 Most effective first-aid for anterior nose bleeds https://twitter.com/i/web/status/2022332349879374296 https://twitter.com/i/web/status/2022332349879374296" [X Link](https://x.com/esanum/status/2022332349879374296) 2026-02-13T15:29Z [----] followers, [---] engagements "@mednomics 🔴 Diagnosis: Uveitis (specifically anterior uveitis) 📍 "Tobacco dust sign" = small brown pigment clumps in anterior chamber ⚡ Indicates dispersion of iris pigment 🔷 Classic for early retinal detachment or active uveitis 💡 Always check for vision changes and photophobia" [X Link](https://x.com/esanum/status/2022333643621085309) 2026-02-13T15:34Z [----] followers, [---] engagements "✅ Answer: C) No anti-tubercular therapy; manage supportively 📍 History: stone crushing progressive dyspnea chronic dry cough ⚡ Imaging: bilateral end-inspiratory crepitations negative sputum AFB 🔷 Diagnosis: Silicosis not active TB (despite positive Mantoux) 💡 Management is mainly supportive; monitor for complications https://twitter.com/i/web/status/2022333682195861761 https://twitter.com/i/web/status/2022333682195861761" [X Link](https://x.com/esanum/status/2022333682195861761) 2026-02-13T15:34Z [----] followers, [---] engagements "🔴 Diagnosis: Scrub typhus (eschar) Orientia tsutsugamushi 📍 Painless black eschar + fever headache myalgias (often in farmers/outdoor exposure) ⚡ Think rickettsial illness can progress to pneumonitis/meningoencephalitis if untreated 🔷 Vector: chigger (mite) bite vasculitis/systemic symptoms 💡 Tx: Doxycycline [---] mg BID x [--] days (or until afebrile 48h); Azithromycin if pregnant/young child https://twitter.com/i/web/status/2022635108230922317 https://twitter.com/i/web/status/2022635108230922317" [X Link](https://x.com/esanum/status/2022635108230922317) 2026-02-14T11:32Z [----] followers, [---] engagements "@doctors_squad In Physics: You are my gravity the force that keeps me grounded 🧲✨" [X Link](https://x.com/esanum/status/2022637951222485245) 2026-02-14T11:44Z [----] followers, [---] engagements "@official_Gegeh ✅ Liver 📍 It has the strongest regenerative capacity (can regrow after partial hepatectomy) 💡 Nuance: other tissues regenerate somewhat (skin bone blood) but the liver is the classic regenerating organ" [X Link](https://x.com/esanum/status/2022638057523155130) 2026-02-14T11:44Z [----] followers, [---] engagements "@ManualOMedicine 🔴 Diagnosis: Acute ST-elevation myocardial infarction (STEMI) 📍 ECG: ST elevation in leads II III aVF (inferior leads) 📍 Reciprocal ST depression in lateral leads (I aVL) ⚡ Indicates acute inferior wall MI urgent reperfusion needed" [X Link](https://x.com/esanum/status/2020514512856604886) 2026-02-08T15:06Z [----] followers, [---] engagements "✅ Answer: B. Ventricular rate control 📍 Atrial fibrillation in stable patient with mitral stenosis 📍 Hemodynamically stable: rate control is first-line (e.g. beta-blocker diltiazem digoxin) ⚡ DC cardioversion reserved for unstable patients 💡 Always anticoagulate due to high thromboembolic risk https://twitter.com/i/web/status/2022295740102438934 https://twitter.com/i/web/status/2022295740102438934" [X Link](https://x.com/esanum/status/2022295740102438934) 2026-02-13T13:04Z [----] followers, [--] engagements "@DrMedica_13 ✅ Answer: B) Acute pancreatitis 📍 Severe epigastric pain radiating to the back 📍 Nausea vomiting elevated serum amylase & lipase ⚡ Often caused by gallstones or alcohol 💡 Imaging (CT abdomen) helps confirm severity and complications" [X Link](https://x.com/esanum/status/2022300800219754814) 2026-02-13T13:24Z [----] followers, [--] engagements "@DrArslan480 @albertoortegana @ChShafiullah15 @daoo100 @SameerYogi14 @Sage_medics ✅ Answer: C) Bacterial meningitis 📍 CSF: neutrophils glucose protein opening pressure ⚡ Classic bacterial meningitis profile 🔷 Viral = lymphocytes normal glucose; TB = lymphocytes glucose 💡 Start empirical antibiotics urgently" [X Link](https://x.com/esanum/status/2022332402077704392) 2026-02-13T15:29Z [----] followers, [---] engagements "✅ Answer: A) Propranolol 📍 Non-selective beta blocker ⚡ Reduces physical symptoms of anxiety (tremor palpitations sweating) 🔷 Used as needed before performances/public speaking 💡 Lithium clozapine and valproate are for mood/psychotic disorders not acute performance anxiety https://twitter.com/i/web/status/2022332999023394987 https://twitter.com/i/web/status/2022332999023394987" [X Link](https://x.com/esanum/status/2022332999023394987) 2026-02-13T15:32Z [----] followers, [---] engagements "🔴 Diagnosis: Raynauds phenomenon 📍 Pallor and cyanosis of fingers well-demarcated ⚡ Episodic vasospasm triggered by cold or stress 🔷 Causes: primary (idiopathic) or secondary (autoimmune diseases e.g. scleroderma lupus) 💡 Rule out connective tissue disorders if other symptoms present https://twitter.com/i/web/status/2022333719965544625 https://twitter.com/i/web/status/2022333719965544625" [X Link](https://x.com/esanum/status/2022333719965544625) 2026-02-13T15:35Z [----] followers, [--] engagements "@simplify_drugs ✅ Answer: Beta blockers 📍 Can worsen vasospasm by allowing unopposed alpha-adrenergic activity ⚡ Preferred agents: calcium channel blockers nitrates nicorandil 💡 Avoid non-selective beta blockers in vasospastic (Prinzmetals) angina" [X Link](https://x.com/esanum/status/2022366700381880723) 2026-02-13T17:46Z [----] followers, [--] engagements "@Doctors__squad ✅ Answer: B) Calcium channel blockers 📍 First-line for Raynauds phenomenon (e.g. nifedipine amlodipine) ⚡ Relieve vasospasm reduce attack frequency/severity 💡 Beta blockers can worsen symptomsavoid in Raynauds" [X Link](https://x.com/esanum/status/2022366891252081121) 2026-02-13T17:46Z [----] followers, [---] engagements "✅ Answer: A) Atropine 📍 Organophosphates AChE inhibition cholinergic toxidrome (DUMBBELSS) ⚡ Atropine reverses muscarinic effects (bronchorrhea/bronchospasm bradycardia) 🧠 Pair it with pralidoxime (2-PAM) to regenerate AChE (nicotinic weakness) 💡 Treat airway + secretions first atropinize until lungs are dry" [X Link](https://x.com/esanum/status/2022625678894465217) 2026-02-14T10:55Z [----] followers, [---] engagements "🔴 Diagnosis: Hydrocephalus (likely obstructive/non-communicating) 📍 Rapid macrocephaly + bulging fontanelle ⚡ Sunsetting eyes = raised ICP from ventricular CSF accumulation 🔷 Causes in infants: aqueductal stenosis post-hemorrhagic (IVH) congenital malformations infection 💡 Next: urgent head ultrasound/CT + neurosurgery (CSF diversion VP shunt or ETV depending on cause) https://twitter.com/i/web/status/2022638102460690601 https://twitter.com/i/web/status/2022638102460690601" [X Link](https://x.com/esanum/status/2022638102460690601) 2026-02-14T11:44Z [----] followers, [---] engagements "🧴👙 "Ozempic vulva": when rapid GLP-1 weight loss reaches the mons and vulva ASPS surgeons report more patients on GLP-1s noticing deflation of labia majora greater protrusion of labia minora mons laxity and loose skinrelated chafing in tight clothes and during exercise essentially Ozempic face but in the genital region. The driver is rapid fat loss outpacing skin and connective-tissue recoil sometimes compounded by pelvic floor deconditioning and peri-/postmenopausal hypoestrogenism. Clinical read: Ozempic vulva isnt a diagnosis but a patient-language signal of distress about intimate" [X Link](https://x.com/anyuser/status/2017241701241229689) 2026-01-30T14:21Z [----] followers, [----] engagements "🧬🫀 COMMIT: triplet mFOLFOX6 + bevacizumab + atezolizumab stretches PFS [--] years in 1L dMMR/MSI-H mCRC Phase [--] COMMIT (NRG-GI004/SWOG S1610) randomized previously untreated dMMR/MSI-H metastatic CRC to atezolizumab alone vs triplet mFOLFOX6 + bevacizumab + atezolizumab. The triplet cut the risk of progression or death by 56% (HR [-----] 95% CI 0.230.84) and extended median PFS from [---] to [----] months with 12-month PFS 66.7% vs 35.1% and 24-month PFS 53.7% vs 31.6%. Depth of response was markedly better: ORR 86.1% vs 46% with complete responses in 36.1% vs 18.9% and primary progressive disease" [X Link](https://x.com/anyuser/status/2017931582938526012) 2026-02-01T12:02Z [----] followers, [---] engagements "🧠💊 Leucovorin for autism: hype hope and a big evidence gap A new NPR piece tracks how leucovorin (folinic acid) went from obscure chemo rescue drug to celebrity autism therapy after a [----] press conference where the FDA commissioner promised a label change for autism one that still hasnt happened. Since then demand has exploded (Facebook groups off-label scripts even a drug shortage and temporary foreign imports) despite only small methodologically limited studies suggesting benefit in a subset of children with cerebral folate deficiency or folate-receptor autoantibodies. Experts like Paul" [X Link](https://x.com/anyuser/status/2019060697494122642) 2026-02-04T14:49Z [----] followers, [----] engagements "🤰🩺 When metformin isnt enough in gestational diabetes: who needs insulin add-on and what it means for outcomes In a retrospective U.S. GDM program (399 pregnancies starting metformin 20182021) 28.8% required insulin supplementation. Older age private insurance and higher screening GTT increased the likelihood of needing insulin while later GDM diagnosis and Black/Hispanic ethnicity were linked to metformin-only control. After propensity matching metformin+insulin users had more LGA births (28.6% vs 13.9%; aRR [----] 95% CI 1.183.02) and NICU admissions (25.8% vs 13.5%; aRR [----] 95% CI" [X Link](https://x.com/esanum/status/2019361885477290383) 2026-02-05T10:46Z [----] followers, [---] engagements "🦠💉 Forgotten tetanus is creeping back as DTaP coverage falls in U.S. kids An NBC News/Stanford analysis finds kindergarten DTaP completion has dropped from 94.9% (2020) to 92.1% (2025) leaving [------] children under-vaccinated while annual tetanus cases have ticked up from a typical [----] per year to [--] in [----] and at least [--] in 2025the highest in a decade. Clinicians link this to vaccine hesitancy pandemic-era disruption and more climate-related disasters that increase contaminated-wound risk. For practice the message is simple: tetanus still kills up to 20% of those infected yet is almost" [X Link](https://x.com/anyuser/status/2019738061672771984) 2026-02-06T11:40Z [----] followers, [---] engagements "🦠🧬 IL-33 as a blood biomarker for invasive pulmonary aspergillosis in HBV-ACLF In a prospective proof-of-concept study of HBV-ACLF (16 IPA [--] bacterial pneumonia [--] non-infected) plasma IL-33 was markedly higher in IPA and showed strong diagnostic performance: for IPA vs non-infection AUC [-----] cut-off [----] pg/mL (sens 93.8% spec 81.2%); for IPA vs bacterial pneumonia AUC [-----] cut-off [----] pg/mL (sens 93.8% spec 84.4%) clearly outperforming IL-6 IL-10 and other cytokines. IL-33 levels spiked at IPA diagnosis (155 pg/mL vs [--] pg/mL in the incubation phase) and fell during recovery (28 pg/mL)" [X Link](https://x.com/anyuser/status/2020108015324533130) 2026-02-07T12:10Z [----] followers, [---] engagements "@drsthanus 🔴 Diagnosis: Pneumocystis pneumonia (PCP) 📍 HIV CD4 100/L diffuse bilateral infiltrates ⚡ Caused by Pneumocystis jirovecii 🔷 Presents with fever dry cough dyspnea" [X Link](https://x.com/esanum/status/2020134246015177159) 2026-02-07T13:55Z [----] followers, [----] engagements "🧬🩺 Outpatient bispecific antibody programs: a practical playbook from Vanderbilt Hematologists at Vanderbilt-Ingram Cancer Center have published JCO Oncology Practice guidance on how to safely move bispecific antibodies (for FDA-approved NHL and myeloma indications) into the outpatient settingcovering risk stratification step-up dosing standardized pathways for cytokine release syndrome ICANS infections and cytopenias and clear role definitions for an interdisciplinary team plus 24/7 coverage. Their framework builds on prior experience with outpatient CAR-T but is tailored to the lower yet" [X Link](https://x.com/esanum/status/2020512960804692274) 2026-02-08T15:00Z [----] followers, [---] engagements "🧬🦠 CRISPR fingerprint for Candida auris: fast burden + resistance read-out from a simple swab Wyss Institute researchers have built dSHERLOCK a digital CRISPR/Cas diagnostic that combines single-molecule microarrays with machine-learning to detect Candida auris from surveillance swabs in [--] minutes and quantify fungal load within [--] minutes with sensitivity down to about [--] cfu/L across major C. auris clades while staying specific vs other fungi. By reading distinct fluorescence kinetics signatures the same assay can simultaneously call azole and echinocandin resistance mutations (e.g. FKS1" [X Link](https://x.com/esanum/status/2020847566317818173) 2026-02-09T13:09Z [----] followers, [---] engagements "🦠💉 At-home flu (and combo flu/COVID) tests: helpful but know what they can and cant do Most OTC kits are 1020-minute nasal-swab antigen tests that pick up flu A/B (often COVID-19 too). In real-world use sensitivities hover around 7080%: a positive during flu season is usually trustworthy but a negative does not fully rule out infection especially in adults tested late or with a light swab. Clinical read: advise high-risk patients (pregnant [--] chronic heart/lung disease immunocompromised) to test early and call promptly if positive so antivirals can start within [--] hours. If symptoms are" [X Link](https://x.com/esanum/status/2021220938239332476) 2026-02-10T13:53Z [----] followers, [---] engagements "🩺☀ Mohs vs image-guided superficial RT for non-melanoma skin cancer: what really differs For early BCC/SCC Mohs micrographic surgery and image-guided superficial radiation therapy (IG-SRT) both achieve very high local control: Mohs series report 9799% cure rates for primary NMSC while large multi-institutional IG-SRT cohorts show 99% local control with excellent disease-specific survival and low toxicity. (Wikipedia) Mohs offers one-day histology-controlled excision but leaves a surgical scar; IG-SRT is non-invasive delivered over [----] fractions and can spare tissue in cosmetically or" [X Link](https://x.com/esanum/status/2021706314540630372) 2026-02-11T22:02Z [----] followers, [---] engagements "💉⚠ FDA warning letter to Abbott over FreeStyle Libre CGMs: accuracy QC and design-transfer under scrutiny The FDA has issued a Jan [--] [----] warning letter to Abbott Diabetes Care after a [----] inspection of its Alameda site found quality-system violations in the manufacture of FreeStyle Libre flash and CGM systems including Libre [--]. Issues include unclear performance specs for third-party manufacturers releasing sensors without full finished-device accuracy testing weak statistical acceptance criteria and inadequate validation that current manufacturing and release controls still meet the" [X Link](https://x.com/esanum/status/2022279777659359512) 2026-02-13T12:00Z [----] followers, [---] engagements "🔴 Diagnosis: Kidney transplant (renal transplant) scars 📍 Midline and lower abdominal surgical scars (likely right or left iliac fossa) ⚡ Common sites for kidney graft placement 🔷 Patients often young healthy-appearing post-transplant 💡 Lifelong immunosuppression required; organ donation saves lives https://twitter.com/i/web/status/2022332260595184101 https://twitter.com/i/web/status/2022332260595184101" [X Link](https://x.com/esanum/status/2022332260595184101) 2026-02-13T15:29Z [----] followers, [---] engagements "🔴 Diagnosis: "Mercedes-Benz" incision (Chevron incision with vertical extension) 📍 Curved subcostal (Chevron) with midline extension ⚡ Classic for liver transplantation 🔷 Provides excellent exposure for hepatic surgery 💡 Also used for some complex biliary/pancreatic operations https://twitter.com/i/web/status/2022332274205729187 https://twitter.com/i/web/status/2022332274205729187" [X Link](https://x.com/esanum/status/2022332274205729187) 2026-02-13T15:29Z [----] followers, [----] engagements "@world_of_med1 🔴 Diagnosis: Lactic acidosis 📍 Generalized tonic-clonic seizures muscle hypoxia ⚡ Anaerobic metabolism leads to lactate anion gap metabolic acidosis 💡 Always check serum lactate in post-seizure metabolic acidosis" [X Link](https://x.com/esanum/status/2022332427067408524) 2026-02-13T15:29Z [----] followers, [---] engagements "@MoarSahitoPTI ✅ Answer: C) Alteplase 📍 Thrombolytic agent (tPA) ⚡ Indicated for massive PE with shock/hemodynamic instability 🔷 Dissolves clot rapidly improves survival 💡 Heparin for stable PE; warfarin/aspirin not used acutely in unstable PE" [X Link](https://x.com/esanum/status/2022333010801201600) 2026-02-13T15:32Z [----] followers, [----] engagements "@syamkumarmd 🔴 Diagnosis: Atrial fibrillation (AFib) 📍 Irregularly irregular rhythm absent P waves 📍 Variable R-R intervals fibrillatory baseline ⚡ Risk of thromboembolism stroke 💡 Management: Rate/rhythm control anticoagulation if indicated" [X Link](https://x.com/esanum/status/2022366866178486656) 2026-02-13T17:46Z [----] followers, [--] engagements "@MedLearnHub @DrAkhilX @Dr_Shiv_kumar_ @dr_manish_ydv @SameerYogi14 @ChShafiullah15 @BodyExplained @DrMedica_13 @shakilED @daoo100 ✅ Answer: C) Pheochromocytoma 📍 Paroxysmal headache palpitations sweating severe hypertension ⚡ CT: adrenal mass; Histology: nests (zellballen) of chromaffin cells 💡 Rule of 10s: 10% bilateral extra-adrenal or malignant" [X Link](https://x.com/esanum/status/2022367005416861771) 2026-02-13T17:47Z [----] followers, [--] engagements "✅ Answer: D) Subungual melanoma 📍 Dark brown/black pigment under nail plate (often broad/irregular) ⚡ Concerning if new enlarging or involves nail fold (Hutchinson sign) 🔷 Melanocytic malignancy arising in the nail matrix 💡 Rule: persistent bruise that doesnt grow out with the nail urgent derm eval/biopsy https://twitter.com/i/web/status/2022625291915436129 https://twitter.com/i/web/status/2022625291915436129" [X Link](https://x.com/esanum/status/2022625291915436129) 2026-02-14T10:53Z [----] followers, [---] engagements "🔴 Diagnosis: Oral candidiasis (thrush) 📍 White curd-like plaques on tongue with erythematous base ⚡ Plaques are typically scrapeable (may leave pinpoint bleeding) 🔷 Candida albicans overgrowth (infants post-antibiotics inhaled steroids) 💡 Treat with nystatin oral suspension ( fluconazole if severe/refractory); recurrent cases assess risk factors https://twitter.com/i/web/status/2022625392935194836 https://twitter.com/i/web/status/2022625392935194836" [X Link](https://x.com/esanum/status/2022625392935194836) 2026-02-14T10:54Z [----] followers, [---] engagements "🔴 Diagnosis: Noma (cancrum oris) gangrenous orofacial infection 📍 Massive tissue loss of cheek/mouth with exposed/destructed maxilla/mandible ⚡ Typically in severe malnutrition / immunosuppression (e.g. measles HIV) + poor oral hygiene 🔷 Polymicrobial anaerobes ischemia + rapid necrosis (soft tissue bone) 💡 Early red flag: necrotizing gingivitis + foul odor urgent IV antibiotics + nutrition later reconstruction https://twitter.com/i/web/status/2022625418486968508 https://twitter.com/i/web/status/2022625418486968508" [X Link](https://x.com/esanum/status/2022625418486968508) 2026-02-14T10:54Z [----] followers, [----] engagements "✅ Answer: C) Addisons disease (primary adrenal insufficiency) 📍 Salt craving + hyperkalemia + nonanion gap metabolic acidosis ⚡ Hyperpigmentation in palmar creases + buccal mucosa = ACTH/MSH 🔷 Aldosterone + cortisol (autoimmune most common) 💡 Confirm: AM cortisol + ACTH then cosyntropin test; treat crisis with IV hydrocortisone + fluids https://twitter.com/i/web/status/2022625721076596749 https://twitter.com/i/web/status/2022625721076596749" [X Link](https://x.com/esanum/status/2022625721076596749) 2026-02-14T10:55Z [----] followers, [---] engagements "✅ Answer: Copper-T intrauterine device (IUD) 📍 T-shaped copper IUD with retrieval strings ⚡ Long-acting reversible contraception (effective for 510+ years depending on type) 🔷 Copper causes local inflammatory reaction spermicidal 💡 Common AE: heavier/longer menses + cramps (vs LNG-IUD lighter periods) https://twitter.com/i/web/status/2022634965599433181 https://twitter.com/i/web/status/2022634965599433181" [X Link](https://x.com/esanum/status/2022634965599433181) 2026-02-14T11:32Z [----] followers, [---] engagements "@modernHealthMe ✅ Answer: C) Temporary transvenous pacing 📍 ECG: profound bradycardia/likely high-grade AV block (ventricular escape) ⚡ Clinical: syncope + hypotension = unstable bradycardia 💡 Next step: immediate pacing (often transcutaneous as a bridge temporary transvenous pacing)" [X Link](https://x.com/esanum/status/2022663072247091602) 2026-02-14T13:23Z [----] followers, [---] engagements "✅ Answer: B) Erythema marginatum Major criterion 📍 Non-itchy annular ring rash with central clearing on trunk ⚡ Classic cutaneous sign of acute rheumatic fever (migratory transient) 🔷 Part of Jones major criteria (along with migratory polyarthritis carditis chorea SC nodules) https://twitter.com/i/web/status/2022665289356251169 https://twitter.com/i/web/status/2022665289356251169" [X Link](https://x.com/esanum/status/2022665289356251169) 2026-02-14T13:32Z [----] followers, [---] engagements "🔴 Diagnosis: Congenital hypothyroidism (cretinism) 📍 Myxedematous facies: puffy/full cheeks + thick/full lips flat/low nasal bridge ⚡ Macroglossia + umbilical hernia lethargy prolonged jaundice (key associated clues) 🔷 Thyroid hormone deficiency growth + neurodevelopment (irreversible if missed) 💡 Newborn screen treat immediately with levothyroxine (dont wait for confirm) https://twitter.com/i/web/status/2022677146720780374 https://twitter.com/i/web/status/2022677146720780374" [X Link](https://x.com/esanum/status/2022677146720780374) 2026-02-14T14:19Z [----] followers, [---] engagements "✅ Answer: A) Diazepam 📍 Benzodiazepine for acute anxiety / panic (short-term use) ⚡ MOA: GABA-A frequency rapid anxiolysis + sedation 🧠 Risks: dependence respiratory depression (esp. with alcohol/opioids) 💡 Long-term control = SSRI/SNRI + CBT; benzos = bridge not maintenance https://twitter.com/i/web/status/2022677175049039904 https://twitter.com/i/web/status/2022677175049039904" [X Link](https://x.com/esanum/status/2022677175049039904) 2026-02-14T14:19Z [----] followers, [----] engagements "✅ Answer: B) Infectious mononucleosis (EBV) 📍 Kissing disease fever + sore throat + lymphadenopathy ⚡ Classically posterior cervical nodes fatigue splenomegaly 🧠 EBV infects B cells atypical lymphocytes; heterophile (Monospot) often + 💡 Avoid amoxicillin/ampicillin (rash) and counsel no contact sports if splenomegaly" [X Link](https://x.com/esanum/status/2022699505926193462) 2026-02-14T15:48Z [----] followers, [----] engagements "✅ Answer: D) Constipation 📍 Image suggests Graves hyperthyroidism (stare/exophthalmos) ⚡ Dalrymple sign (lid retraction) + warm moist hands are typical hyperthyroid clues 🔷 Hyperthyroidism gut motility diarrhea not constipation 💡 Myxedema can occur in Graves as pretibial myxedema (localized) but constipation points to hypoT4" [X Link](https://x.com/esanum/status/2022701604810428737) 2026-02-14T15:56Z [----] followers, [---] engagements "🔴 Diagnosis: Nonbullous impetigo (perioral) 📍 Honey-colored crusted erosions along the lip/commissure ⚡ Usually S. aureus ( GAS) very contagious superficial skin infection 🔷 Often follows minor trauma/irritation (can be impetiginized over HSV/eczema) 💡 Tx: topical mupirocin if limited; oral anti-staph if extensive (cover MRSA if risk) https://twitter.com/i/web/status/2022708081721819224 https://twitter.com/i/web/status/2022708081721819224" [X Link](https://x.com/esanum/status/2022708081721819224) 2026-02-14T16:22Z [----] followers, [---] engagements "🔴 Diagnosis: hCG-secreting testicular germ cell tumor (classically choriocarcinoma) 📍 Positive pregnancy test in a man = -hCG in urine ⚡ Suggests testicular cancer (can also cause gynecomastia) 🔷 -hCG produced by trophoblastic elements acts like LH 💡 Next step: testicular exam + scrotal US + serum -hCG/AFP/LDH and urgent urology referral" [X Link](https://x.com/esanum/status/2022716307972530221) 2026-02-14T16:55Z [----] followers, 89K engagements "✅ Answer: D) Trigeminal nerve V3 📍 Jaw movement while drinking/chewing involuntary eyelid winking ⚡ Classic for Marcus Gunn jaw-winking (congenital synkinesis) 🧠 Aberrant V3 (mastication) input miswires to levator palpebrae (CN III) 💡 Clue: eyelid moves with jaw not a primary eye-motor palsy https://twitter.com/i/web/status/2022985584155803816 https://twitter.com/i/web/status/2022985584155803816" [X Link](https://x.com/esanum/status/2022985584155803816) 2026-02-15T10:45Z [----] followers, [---] engagements "🔴 Diagnosis: Pulmonary embolism with pulmonary infarction (Hampton hump) 📍 Pleuritic right-sided chest pain + cough ( hemoptysis) fits PE/infarct ⚡ CXR clue: peripheral pleural-based wedge-shaped opacity in the RLL = Hampton hump 🔷 Thromboembolus distal ischemia/hemorrhagic infarction pleuritic pain 💡 Pearl: CXR can be near-normalconfirm with CTPA/VQ and start anticoagulation if likely https://twitter.com/i/web/status/2022994815516897770 https://twitter.com/i/web/status/2022994815516897770" [X Link](https://x.com/esanum/status/2022994815516897770) 2026-02-15T11:22Z [----] followers, [--] engagements "🔴 Diagnosis: Angioedema risk (bradykinin overload) 📍 Sacubitril = neprilysin inhibitor breakdown of bradykinin ⚡ ACE inhibitors also bradykinin breakdown combo = dangerous angioedema 🔷 Hence ARNI is paired with an ARB (valsartan) not an ACEi 💡 Need a 36-hour washout when switching from ACEi sacubitril/valsartan https://twitter.com/i/web/status/2023029260642816402 https://twitter.com/i/web/status/2023029260642816402" [X Link](https://x.com/esanum/status/2023029260642816402) 2026-02-15T13:38Z [----] followers, [----] engagements "🔴 Diagnosis: Most consistent with noma (cancrum oris) / gangrenous necrotizing orofacial infection 📍 Rapidly progressive necrotic mid-face/oral tissue loss with severe disfigurement ⚡ Risk factors: malnutrition poor oral hygiene recent measles HIV/immunosuppression 🔷 Polymicrobial infection ischemia + tissue necrosis (can mimic mucormycosis/SCC) 💡 Emergency: urgent hospital care (IV antibiotics + nutrition + wound care; later reconstructive surgery) https://twitter.com/i/web/status/2023029383062077719 https://twitter.com/i/web/status/2023029383062077719" [X Link](https://x.com/esanum/status/2023029383062077719) 2026-02-15T13:39Z [----] followers, [---] engagements "🔴 Diagnosis: Supernumerary (accessory) nostril congenital nasal duplication 📍 Extra nasal pit/nostril near the columella/ala (three nostrils) 🔷 Embryology: abnormal duplication of nasal placode / fusion of nasal processes ⚡ Check for associated craniofacial anomalies (clefting septal defects) 💡 Management is surgical excision/reconstruction for function + cosmesis https://twitter.com/i/web/status/2023029402473230549 https://twitter.com/i/web/status/2023029402473230549" [X Link](https://x.com/esanum/status/2023029402473230549) 2026-02-15T13:39Z [----] followers, [--] engagements "✅ Answer: B) 24% 📍 Blue Venturi = fixed-performance 24% FiO (commonly [--] L/min depending on set) ⚡ Used when you need precise low FiO (e.g. COPD with CO retention risk) 🔷 Venturi masks deliver predictable FiO via air-entrainment jets 💡 Color mnemonic: Blue = 24% (White 28% Yellow 35%) https://twitter.com/i/web/status/2023058100979150977 https://twitter.com/i/web/status/2023058100979150977" [X Link](https://x.com/esanum/status/2023058100979150977) 2026-02-15T15:33Z [----] followers, [---] engagements "🔴 Diagnosis: Melanoma (most likely malignant) 📍 Asymmetry + irregular borders + variegated brown/black with blue-black focus high suspicion ⚡ Next step: urgent derm + excisional biopsy (narrow [--] mm margins; avoid partial/shave if possible) 🔷 If confirmed wide local excision sentinel node based on Breslow depth 💡 Rule: ugly duckling / evolving pigmented lesion = biopsy first dont watch-and-wait https://twitter.com/i/web/status/2023079710020784462 https://twitter.com/i/web/status/2023079710020784462" [X Link](https://x.com/esanum/status/2023079710020784462) 2026-02-15T16:59Z [----] followers, [---] engagements "🔴 Diagnosis: Pheochromocytoma 📍 Episodic HTN + headache + palpitations + diaphoresis ( weight loss) ⚡ Catecholamine-secreting tumor (adrenal medulla; rule of 10s classic) 🔷 Confirm: plasma free metanephrines or 24h urine metanephrines 💡 Treat: -blockade first (phenoxybenzamine/doxazosin) then -blocker surgery https://twitter.com/i/web/status/2023097031804268941 https://twitter.com/i/web/status/2023097031804268941" [X Link](https://x.com/esanum/status/2023097031804268941) 2026-02-15T18:08Z [----] followers, [---] engagements "🔴 Diagnosis: Amelogenesis imperfecta (generalized enamel hypoplasia) 📍 Multiple teeth with pitted/rough enamel + yellowbrown discoloration across the dentition ⚡ Leads to sensitivity + rapid wear/caries risk despite normal-looking tooth shapes 🔷 Genetic enamel formation defect (enamel matrix/mineralization) 💡 Management: aggressive prevention + sealants/composite; often full-coverage restorations/crowns for protection https://twitter.com/i/web/status/2023097378627108872 https://twitter.com/i/web/status/2023097378627108872" [X Link](https://x.com/esanum/status/2023097378627108872) 2026-02-15T18:09Z [----] followers, [---] engagements "✅ Most likely: Hemophilia (A B) 📍 Isolated prolonged aPTT with normal PT intrinsic pathway defect ⚡ Hemarthroses/deep tissue bleeding fits hemophilia (factor VIII or IX deficiency) 🔷 DDx: vWD (more mucocutaneous) heparin exposure factor XI deficiency 💡 Next test: mixing study (corrects in deficiency) + factor VIII/IX levels https://twitter.com/i/web/status/2023097392501768200 https://twitter.com/i/web/status/2023097392501768200" [X Link](https://x.com/esanum/status/2023097392501768200) 2026-02-15T18:09Z [----] followers, [--] engagements "@ZahoorAhmed1450 🔴 Diagnosis: ACE inhibitors contraindicated in pregnancy 📍 Cause fetal renal malformations (renal agenesis oligohydramnios) ⚡ Risk of fetal growth restriction skull ossification defects neonatal renal failure death 💡 Always avoid ACE inhibitors & ARBs during pregnancy" [X Link](https://x.com/esanum/status/2020828340148687341) 2026-02-09T11:53Z [----] followers, [--] engagements "🧠🩻 AI and radiologist jobs: big productivity gains small risk of actual job loss (for now) A Stanford modeling study using published data on how radiologists spend their time estimates that AI tools for report drafting and normal study delegation could cut radiologist hours by 1449% over the next [--] years. Drafting radiology reports automatically for review/signature and triaging almost certainly normal exams (up to 50% of screening mammograms and 40% of outpatient radiographs) deliver the largest time savings. But with cross-sectional imaging volumes roughly doubling over the past decade" [X Link](https://x.com/esanum/status/2022044673024393249) 2026-02-12T20:26Z [----] followers, [---] engagements "@simplify_drugs ✅ Answer: Valsartan 📍 ARBs (like valsartan) do not increase bradykinin 📍 ACE inhibitors (enalapril lisinopril) bradykinin cough angioedema ⚡ Sacubitril (in combo with valsartan) bradykinin 💡 Remember: ARBs least affect bradykinin levels" [X Link](https://x.com/esanum/status/2022287889913049269) 2026-02-13T12:32Z [----] followers, [--] engagements "@DrMedica_13 ✅ Answer: A) Adenosine 📍 IV adenosine brief AV nodal block ⚡ Common scary but expected effects: transient asystole flushing chest tightness 🧠 Ultrashort half-life (10 sec) symptoms resolve quickly 💡 Tip: give as rapid IV push + saline flush (warn patient first)" [X Link](https://x.com/esanum/status/2022635123456229684) 2026-02-14T11:32Z [----] followers, [---] engagements "✅ Answer: Multiple sclerosis (MS) 📍 McDonald criteria diagnose MS by showing dissemination in space + in time ⚡ MRI lesions in typical locations CSF oligoclonal bands can support/replace time evidence 🔷 Immune-mediated CNS demyelination relapses + progressive disability patterns 💡 Think: MS = DIS + DIT (space + time) https://twitter.com/i/web/status/2022985538232291830 https://twitter.com/i/web/status/2022985538232291830" [X Link](https://x.com/esanum/status/2022985538232291830) 2026-02-15T10:45Z [----] followers, [---] engagements "🔴 Diagnosis: 3rd-gen cephalosporins ( 4th) have the best CNS penetration 📍 Ceftriaxone + cefotaxime great for meningitis pathogens ⚡ Ceftazidime adds Pseudomonas coverage (also reaches CSF) 🔷 Cefepime (4th gen) penetrates CSF esp. with inflamed meninges 💡 3rd gen CNS is the exam shortcut https://twitter.com/i/web/status/2023015363902857250 https://twitter.com/i/web/status/2023015363902857250" [X Link](https://x.com/esanum/status/2023015363902857250) 2026-02-15T12:43Z [----] followers, [---] engagements "✅ Answer: A) Edema 📍 Tissue swelling = excess interstitial fluid accumulation ⚡ Common causes: hydrostatic pressure oncotic pressure lymphatic obstruction permeability 🔷 Urticaria = transient wheals from histamine (not the general term) 💡 Edema = fluid in tissues https://twitter.com/i/web/status/2023024084670394867 https://twitter.com/i/web/status/2023024084670394867" [X Link](https://x.com/esanum/status/2023024084670394867) 2026-02-15T13:18Z [----] followers, [---] engagements "✅ Answer: A) Telmisartan 📍 ARB aldosterone K excretion hyperkalemia (esp. in diabetes/CKD) ⚡ Risk with ACEi K supplements spironolactone NSAIDs 🔷 Diabetes can cause hyporeninemic hypoaldosteronism baseline K tendency 💡 Furosemide usually causes hypokalemia not hyper https://twitter.com/i/web/status/2023024097941233890 https://twitter.com/i/web/status/2023024097941233890" [X Link](https://x.com/esanum/status/2023024097941233890) 2026-02-15T13:18Z [----] followers, [---] engagements "✅ Answer: Endoscopic third ventriculostomy (ETV) 📍 Ventriculoscope via frontal burr hole into 3rd ventricle ⚡ Fenestration of the floor of the 3rd ventricle CSF to prepontine cistern 🔷 Bypasses aqueduct obstruction (e.g. aqueductal stenosis/tectal or pineal mass) 💡 Classic treatment for obstructive hydrocephalus https://twitter.com/i/web/status/2023029419967713467 https://twitter.com/i/web/status/2023029419967713467" [X Link](https://x.com/esanum/status/2023029419967713467) 2026-02-15T13:39Z [----] followers, [----] engagements "✅ Answer: B) Colchicine 📍 Acute gout flare = treat inflammation (NSAID/colchicine/steroids) ⚡ Start early (best within 2436h) to blunt neutrophil-driven pain/swelling 🔷 Dont start urate-lowering meds (allopurinol/febuxostat/probenecid) for the first time during the flare 💡 Begin/adjust ULT after flare settles (or continue if already on it) https://twitter.com/i/web/status/2023058779458216364 https://twitter.com/i/web/status/2023058779458216364" [X Link](https://x.com/esanum/status/2023058779458216364) 2026-02-15T15:36Z [----] followers, [---] engagements "🔴 Diagnosis: Nevus spilus (speckled lentiginous nevus) 📍 Light-brown patch with multiple darker speckles inside (peppered look) ⚡ Often present from birth/early childhood usually benign 🔷 DDx: caf-au-lait (uniform) congenital melanocytic nevus (more solid/hair) epidermal nevus (more verrucous/linear) 💡 Watch for ABCDE/rapid change dermoscopy/derm eval if evolving or symptomatic https://twitter.com/i/web/status/2023079551425741098 https://twitter.com/i/web/status/2023079551425741098" [X Link](https://x.com/esanum/status/2023079551425741098) 2026-02-15T16:58Z [----] followers, [---] engagements "🔴 Diagnosis: Methemoglobinemia (oxidant drug exposure) 📍 Cyanosis + desaturation that doesnt match clinical/ABG (saturation gap) ⚡ Chocolate-brown blood/serum suggests metHb (Fe cant bind O) 🔷 Common triggers: benzocaine/local anesthetics nitrates/nitrites dapsone 💡 Treat by stopping agent methylene blue (avoid/alternative if G6PD deficiency) https://twitter.com/i/web/status/2023079579129123200 https://twitter.com/i/web/status/2023079579129123200" [X Link](https://x.com/esanum/status/2023079579129123200) 2026-02-15T16:58Z [----] followers, [---] engagements "✅ Answer: B) Beriberi 📍 Thiamine (B1) deficiency classically beriberi (dry = neuropathy; wet = cardiomyopathy/edema) ⚡ Also causes Wernicke-Korsakoff (confusion ataxia ophthalmoplegia memory issues) 🔷 Pellagra = niacin (B3) scurvy = vitamin C rickets = vitamin D 💡 Tip: Give thiamine before glucose in malnourished/alcohol use to prevent Wernicke https://twitter.com/i/web/status/2023079688696922326 https://twitter.com/i/web/status/2023079688696922326" [X Link](https://x.com/esanum/status/2023079688696922326) 2026-02-15T16:59Z [----] followers, [---] engagements "🔴 Diagnosis: Pneumocystis jirovecii pneumonia (PCP) 📍 Bilateral diffuse interstitial/ground-glass opacities (often perihilar) with no cardiomegaly/effusions ⚡ Think HIV/immunosuppression dyspnea dry cough marked hypoxemia 🔷 Confirm with induced sputum/BAL ( LDH); treat TMP-SMX 💡 Add steroids if significant hypoxemia; prophylaxis when CD4 [---] https://twitter.com/i/web/status/2023097044793950248 https://twitter.com/i/web/status/2023097044793950248" [X Link](https://x.com/esanum/status/2023097044793950248) 2026-02-15T18:08Z [----] followers, [----] engagements "🔴 Diagnosis: Gradenigo syndrome (petrous apicitis from otitis media) 📍 Triad: ear discharge + retro-orbital pain (CN V1) + abducens (CN VI) palsy ⚡ Spread of middle ear/mastoid infection to the petrous apex 🔷 Complications: meningitis cavernous sinus thrombosis urgent imaging (CT/MRI) 💡 Treat: IV broad-spectrum antibiotics ENT surgical drainage if needed https://twitter.com/i/web/status/2023097576602374560 https://twitter.com/i/web/status/2023097576602374560" [X Link](https://x.com/esanum/status/2023097576602374560) 2026-02-15T18:10Z [----] followers, [--] engagements "🔴 Diagnosis: Vitamin B12 deficiency (knuckle hyperpigmentation) 📍 Darkening over MCP/PIP joints is a classic clue often with fatigue/glossitis 🔷 Mechanism: melanin production/abnormal melanin transfer in B12 deficiency ⚡ Check: macrocytosis neuropathy; labs: B12 methylmalonic acid/homocysteine 💡 DDx to remember: Addison disease (more diffuse bronzing + palmar creases/mucosa) https://twitter.com/i/web/status/2023123971626217543 https://twitter.com/i/web/status/2023123971626217543" [X Link](https://x.com/esanum/status/2023123971626217543) 2026-02-15T19:55Z [----] followers, [---] engagements Limited data mode. Full metrics available with subscription: lunarcrush.com/pricing
@esanum esanum
esanum posts on X about opacity, red, in the, transient the most. They currently have [-----] followers and [---] posts still getting attention that total [------] engagements in the last [--] hours.
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- [--] Week [-------] +390%
- [--] Month [-------] +206%
- [--] Months [---------] +271%
Mentions: [---] #
- [--] Week [--] -36%
- [--] Month [---] +55%
- [--] Months [-----] +731%
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- [--] Week [-----] +4.40%
- [--] Month [-----] +9.20%
- [--] Months [-----] +202%
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Social Influence
Social category influence finance 4.08% countries 1.53% travel destinations 0.51% currencies 0.51% social networks 0.51% technology brands 0.51% automotive brands 0.51% stocks 0.51%
Social topic influence opacity #24, red 4.59%, in the 4.08%, transient #24, skin 3.06%, history 2.55%, ace #605, bridge #1823, referral #6, heart 1.53%
Top accounts mentioned or mentioned by @medlearnhub @dr_shiv_kumar_ @sameeryogi14 @albertoortegana @shakiled @chshafiullah15 @miguelp23970914 @ihabfathisulima @drshivkumar @drakhilx @drmanishydv @dr_manish_ydv @moarsahitopti @daoo100 @tsm_humanist @drmedica13 @drarslan480 @medzonetv @modernhealthme @docpriyammd
Top Social Posts
Top posts by engagements in the last [--] hours
"💊 Dexamethasone for cerebral edema 🧠 Glucocorticoid vasogenic edema by stabilizing the bloodbrain barrier and capillary permeability (anti-inflammatory) ⚡ Quickly reduces mass effect/ICP and improves neuro deficits in tumor/metastasis-related edema 💡 Not helpful for cytotoxic edema (ischemic stroke/TBI) use mannitol/hypertonic saline instead"
X Link 2025-10-03T15:06Z [----] followers, [----] engagements
"@Doctors_GUILD ✅ Answer: c) Phosphodiesterase 📍 Aminophylline inhibits phosphodiesterase enzyme 📍 Increases intracellular cAMP bronchodilation 💡 Used in asthma and COPD management"
X Link 2026-01-30T14:32Z [----] followers, [----] engagements
"@Medzonetv ✅ Answer: Phenylalanine hydroxylase deficiency 📍 PKU is caused by deficiency of the enzyme phenylalanine hydroxylase 📍 Leads to accumulation of phenylalanine and neurological symptoms 💡 Early newborn screening and dietary restriction are essential for management"
X Link 2026-01-30T14:39Z [----] followers, [---] engagements
"@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Basilar skull fracture 📍 Raccoon eyes (periorbital ecchymosis) ⚡ Sign: bruising around both eyes after head trauma 🔷 Suggests fracture of the skull base risk of CSF leak cranial nerve injury 💡 Emergency evaluation needed"
X Link 2026-02-02T19:47Z [----] followers, [----] engagements
"@modernHealthMe 🔴 Diagnosis: Epstein-Barr virus (EBV) 📍 One virus many diseases: infectious mononucleosis (sore throat) Burkitt lymphoma Hodgkin lymphoma nasopharyngeal carcinoma 💡 EBV infects B cells kissing disease and oncogenic potential"
X Link 2026-02-02T19:47Z [----] followers, [---] engagements
"✅ Answer: C) CDC73 📍 CDC73 (also called HRPT2) gene mutation is most strongly associated with parathyroid carcinoma ⚡ Encodes parafibromin a tumor suppressor protein 💡 MEN1 is linked to parathyroid adenoma RET to medullary thyroid carcinoma CASR to familial hypocalciuric hypercalcemia https://twitter.com/i/web/status/2018775608495350104 https://twitter.com/i/web/status/2018775608495350104"
X Link 2026-02-03T19:56Z [----] followers, [---] engagements
"🔴 Diagnosis: Brugada syndrome 📍 ECG: coved ST elevation in V1-V2 with RBBB-like pattern (type [--] Brugada) ⚡ High risk of sudden cardiac death from ventricular arrhythmias 💊 Treatment: Implantable cardioverter-defibrillator (ICD) is the only proven therapy Avoid sodium channel blockers fever and drugs that prolong QT 💡 Genetic counseling for family members https://twitter.com/i/web/status/2018775679702094121 https://twitter.com/i/web/status/2018775679702094121"
X Link 2026-02-03T19:56Z [----] followers, [----] engagements
"@MoarSahitoPTI ✅ Answer: B) Rifampicin 📍 Causes orange-red discoloration of urine sweat and tears 📍 Due to its pigment and enzyme induction 💡 Key side effect to counsel TB patients about"
X Link 2026-02-04T14:59Z [----] followers, [---] engagements
"🔴 Diagnosis: Prostate cancer 📍 Symptoms: urinary frequency weak stream hematuria painful ejaculation pelvic/bone pain erectile dysfunction weight loss ⚡ Can metastasize to bone (bone pain) cause obstructive & systemic symptoms 💡 Early detection: PSA testing DRE; definitive diagnosis biopsy https://twitter.com/i/web/status/2019067394094772716 https://twitter.com/i/web/status/2019067394094772716"
X Link 2026-02-04T15:15Z [----] followers, [---] engagements
"🔴 Diagnosis: Left lower lobe collapse (atelectasis) 📍 Homogeneous opacity in the left lower zone with loss of left heart border 📍 Signs of volume loss: elevation of left hemidiaphragm mediastinal shift towards the left ⚡ Commonly due to endobronchial obstruction (e.g. malignancy mucus plug) 💡 Chronic cough in elderly always rule out bronchogenic carcinoma https://twitter.com/i/web/status/2019356885195915760 https://twitter.com/i/web/status/2019356885195915760"
X Link 2026-02-05T10:26Z [----] followers, [--] engagements
"@Doctors__squad 🔴 Diagnosis: Oral hairy leukoplakia 📍 White corrugated (hairy) plaques on the lateral tongue ⚡ Caused by Epstein-Barr virus (EBV); seen in immunocompromised patients (HIV/AIDS) 💡 Non-removable benign; often a marker of underlying immunosuppression"
X Link 2026-02-05T16:08Z [----] followers, [---] engagements
"🔴 Description: Large right-sided pleural effusion 📍 Homogeneous opacity occupying almost the entire right hemithorax with loss of right lung volume and obscuration of the right hemidiaphragm ⚡ Mediastinal shift to the left 💡 Palliative setting: likely malignant pleural effusion; pigtail catheter seen for drainage https://twitter.com/i/web/status/2019443069037183133 https://twitter.com/i/web/status/2019443069037183133"
X Link 2026-02-05T16:08Z [----] followers, [--] engagements
"🔴 Diagnosis: Giant papillary conjunctivitis (GPC) 📍 Large cobblestone-like papillae on upper tarsal conjunctiva ⚡ Seen in contact lens users; associated with itching and mucous discharge 🧠 Type IV hypersensitivity to lens protein/debris 💡 Management: stop lens use topical antihistamines/mast cell stabilizers https://twitter.com/i/web/status/2019449270756102267 https://twitter.com/i/web/status/2019449270756102267"
X Link 2026-02-05T16:33Z [----] followers, [----] engagements
"🔴 Diagnosis: Leukorrhea (types of vaginal discharge) 📍 Illustration shows different appearances: clear curd-like foamy yellow-green ⚡ Clear: normal/ovulatory White curd: candidiasis Yellow-green: trichomoniasis Purulent: bacterial infection 🔷 Vaginal discharge is termed leukorrhea in medicine 💡 Always evaluate color consistency odor to guide diagnosis https://twitter.com/i/web/status/2019706629499785462 https://twitter.com/i/web/status/2019706629499785462"
X Link 2026-02-06T09:35Z [----] followers, [----] engagements
"🔴 Diagnosis: Subtle right middle lobe pneumonia 📍 Ill-defined area of increased opacity over the right heart border ⚡ Silhouette sign loss of right heart border definition suggests middle lobe involvement 💡 Subtle consolidations can be missed always compare both sides and review lung fields carefully https://twitter.com/i/web/status/2019706800187023544 https://twitter.com/i/web/status/2019706800187023544"
X Link 2026-02-06T09:36Z [----] followers, [----] engagements
"🔴 Diagnosis: Distal radius fracture (Colles fracture) 📍 Extra-articular fracture of distal radius with dorsal displacement ⚡ Classic in elderly after fall on outstretched hand 🔷 Dinner fork deformity on lateral view 💡 Check for neurovascular compromise; may require reduction and casting/surgery https://twitter.com/i/web/status/2019706883804639475 https://twitter.com/i/web/status/2019706883804639475"
X Link 2026-02-06T09:37Z [----] followers, [--] engagements
"@schowardjd 🔴 Diagnosis: Juvenile xanthogranuloma 📍 Numerous yellow-brown papules well-circumscribed on face trunk limbs ⚡ Onset in infancy benign course normal development 🔷 Dermoscopy: brown-yellow color setting-sun appearance 💡 Self-limited no treatment usually required"
X Link 2026-02-06T09:37Z [----] followers, [---] engagements
"🔴 Diagnosis: Prevention of transfusion-associated circulatory overload (TACO) 📍 Furosemide is a loop diuretic promotes diuresis ⚡ Used during/after blood transfusions to prevent volume overload especially in patients with heart or renal failure 💡 Reduces risk of pulmonary edema and hypertension during rapid/bulk transfusion"
X Link 2026-02-06T09:37Z [----] followers, [----] engagements
"🔴 Diagnosis: Systemic sclerosis (scleroderma) with digital ischemia 📍 Findings: sclerodactyly (tight shiny skin) digital ulcers/gangrene and possible Raynauds phenomenon ⚡ Chronic vascular insufficiency leads to fingertip ulceration and necrosis 💡 Key features: telangiectasia calcinosis and vascular changes (CREST syndrome) https://twitter.com/i/web/status/2019707348588138591 https://twitter.com/i/web/status/2019707348588138591"
X Link 2026-02-06T09:38Z [----] followers, [---] engagements
"@MTD_MED 🔴 Diagnosis: Monteggia fracture-dislocation 📍 Fracture of proximal third of ulna 📍 Anterior dislocation of radial head ⚡ Mechanism: fall on outstretched hand 💡 Prompt recognition and ortho referral surgical management often needed"
X Link 2026-02-06T10:02Z [----] followers, [---] engagements
"@Doctors_GUILD ✅ Answer: C) Wilson disease 📍 Behavioral changes tremor mild jaundice 📍 Kayser-Fleischer ring (greenish-brown corneal edge) 🔷 Copper accumulation (ATP7B gene defect) 💡 Always screen liver and neuropsychiatric symptoms in young patients"
X Link 2026-02-06T21:40Z [----] followers, [--] engagements
"@mednomics 🔴 Diagnosis: Pancreatic cancer 📍 Recurrent migrating superficial thrombophlebitis = Trousseaus syndrome 📍 Hypercoagulability due to malignancy 💡 Always rule out occult pancreatic or GI tumors"
X Link 2026-02-06T21:40Z [----] followers, [--] engagements
"@IhabFathiSulima 🔴 Diagnosis: Splinter hemorrhage 📍 Linear reddish-brown streak under the nail 📍 Often due to trauma but also seen in infective endocarditis 💡 Always evaluate for systemic signs if multiple or unexplained"
X Link 2026-02-06T22:10Z [----] followers, [--] engagements
"@DrMedica_13 ✅ Answer: B) Iron deficiency anaemia 📍 Angular cheilitis (cracks at mouth corners) 📍 Common in iron deficiency and other nutritional deficiencies 💡 Look for pallor glossitis brittle nails as supporting signs"
X Link 2026-02-06T22:11Z [----] followers, [---] engagements
"@Dr_Shiv_kumar_ @DrAkhilX @dr_manish_ydv @DrYdv_hitesh01 @SameerYogi14 @DocPriyamMD @Frances98392343 @ecgandrhythmRoe @MiguelP23970914 @FibrilloFlutter @MedLearnHub 🔴 Diagnosis: Paroxysmal supraventricular tachycardia (PSVT) 📍 Sudden-onset regular narrow-complex tachycardia 📍 Mechanism: Re-entry circuit (AV nodal reentrant tachycardia AVRT) 💡 Re-entry causes abrupt start/stop of palpitations"
X Link 2026-02-06T22:11Z [----] followers, [---] engagements
"@OGdukeneurosurg 🔴 Diagnosis: Normal brain anatomy 📍 Cerebral cortex ventricles cerebellum brainstem 📍 Vascular structures circle of Willis veins arteries 🔷 Sectional view highlights anatomical complexity 🧠 Visual recognition depends on prior exposure & training"
X Link 2026-02-06T22:17Z [----] followers, [---] engagements
"@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Necrobiosis lipoidica 📍 Atrophic yellowish-brown plaques with erythematous borders on the shins 📍 Common in patients with diabetes mellitus ⚡ Ulceration may develop; lesions are often painless 🔷 Pathogenesis: microangiopathy & collagen degeneration"
X Link 2026-02-06T22:17Z [----] followers, [--] engagements
"@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Right lower lobe pneumonia 📍 Consolidation and increased opacity in the right lower lung zone 📍 Air bronchograms may be visible within the opacity ⚡ Common symptoms: fever cough dyspnea pleuritic chest pain"
X Link 2026-02-06T22:22Z [----] followers, [---] engagements
"@SameerYogi14 @DrAkhilX @DocPriyamMD @IhabFathiSulima @Dr_Shiv_kumar_ ✅ Answer: D) Pivot joint 📍 Atlantoaxial joint (between C1 and C2 vertebrae) 📍 Allows rotation of the head from side to side (no movement) ⚡ The dens (odontoid process) of the axis acts as the pivot"
X Link 2026-02-06T22:25Z [----] followers, [--] engagements
"@Doctors__squad 🔴 Diagnosis: Jugular vein distention (JVD) 📍 Main causes: ⚡ Right-sided heart failure (most common) ⚡ Constrictive pericarditis cardiac tamponade ⚡ Superior vena cava obstruction 🔷 Indicates elevated central venous pressure"
X Link 2026-02-07T13:55Z [----] followers, [---] engagements
"@shakilED @fzn733 @usernamee389 @albertoortegana @Dr_Shiv_kumar_ @SameerYogi14 @drabdulhameed07 @MiguelP23970914 🔴 Diagnosis: Pneumothorax 📍 Sudden shortness of breath in a young male ⚡ Chest X-ray: visible pleural line with absent lung markings peripherally (collapsed lung) 💡 Deep sulcus sign may be present in supine films"
X Link 2026-02-07T13:55Z [----] followers, [---] engagements
"@drabdulhameed07 ✅ Answer: B) Lyme disease 📍 Bulls-eye rash (erythema migrans) after tick bite ⚡ Fever rash recent outdoor exposure 🔷 Caused by Borrelia burgdorferi (transmitted by Ixodes tick)"
X Link 2026-02-07T13:56Z [----] followers, [---] engagements
"@radRounds ✅ Answer: D) Cytotoxic lesion of the corpus callosum (CLOCC) 📍 MRI: restricted diffusion + T2 hyperintensity in splenium ⚡ Seen in metabolic toxic infectious and seizure-related conditions 🔷 Often transient and reversible"
X Link 2026-02-07T13:56Z [----] followers, [--] engagements
"@IhabFathiSulima 🔴 Diagnosis: Scleroderma (systemic sclerosis) 📍 Mask-like facies: tight shiny skin reduced mouth opening 📍 Loss of wrinkles pinched nose microstomia ⚡ Associated with Raynauds GI and pulmonary involvement 💡 Differential: chronic GVHD discoid lupus morphea"
X Link 2026-02-07T14:21Z [----] followers, [---] engagements
"@simplify_drugs ✅ Answer: Methyldopa 📍 Used in hypertension especially during pregnancy ⚡ Causes immune-mediated hemolytic anemia 🔷 Positive direct Coombs test due to autoantibody formation"
X Link 2026-02-08T15:01Z [----] followers, [----] engagements
"@MoarSahitoPTI 🔴 Stabilizes cardiac membranes 📍 IV calcium is given to counteract the dangerous effects of hyperkalemia on the heart ⚡ Raises the threshold potential reducing risk of arrhythmias 💡 Temporizes until definitive treatments lower serum potassium"
X Link 2026-02-08T15:01Z [----] followers, [---] engagements
"@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Hand foot and mouth disease (HFMD) 📍 Non-itchy vesicular rash on hands feet and mouth 📍 Fever sore throat malaise 🔷 Caused by coxsackievirus A16 (most common)"
X Link 2026-02-08T15:01Z [----] followers, [--] engagements
"@modernHealthMe 🔴 Diagnosis: Raynaud phenomenon 📍 Triphasic color change: white (pallor) blue (cyanosis) red (hyperemia) 📍 Triggered by cold or stress ⚡ Seen in primary Raynaud disease systemic sclerosis SLE other connective tissue diseases"
X Link 2026-02-08T15:05Z [----] followers, [---] engagements
"@MoarSahitoPTI 🔴 Clopidogrel + Omeprazole: not given together 📍 Omeprazole inhibits CYP2C19 enzyme ⚡ CYP2C19 required for clopidogrel activation 💡 Clopidogrel efficacy risk of thrombosis"
X Link 2026-02-08T15:14Z [----] followers, [---] engagements
"@DrMedica_13 ✅ Answer: A) Bullous myringitis 📍 Painful blisters (bullae) on tympanic membrane 📍 Acute onset otalgia often with hearing loss ⚡ Associated with Mycoplasma pneumoniae infection 💡 Distinct from classic acute otitis media by presence of bullae"
X Link 2026-02-08T15:14Z [----] followers, [---] engagements
"@Medzonetv 🔴 Area: "Danger triangle" of the face 📍 Extends from nose bridge to corners of mouth ⚡ Veins here drain to cavernous sinus (via facial & angular veins) 💡 Infections can spread intracranially risk of cavernous sinus thrombosis meningitis"
X Link 2026-02-08T15:15Z [----] followers, [---] engagements
"@dermatology 🔴 Diagnosis: Androgenetic alopecia (male pattern baldness) 📍 Gradual hair thinning at vertex and frontal scalp ⚡ Common age-related genetically determined 💡 Normal variant in adult males; not a disease but may affect self-esteem"
X Link 2026-02-08T15:15Z [----] followers, [--] engagements
"@DrPharmDMDTh 🔴 Enteromix: Not a real or recognized vaccine 📍 The packaging/text are nonsensical; no such medication exists in current pharmacopeia ⚡ Often used as a teaching or test image for spot the fake drug 💡 Always verify unknown medications use reliable sources"
X Link 2026-02-08T15:17Z [----] followers, [---] engagements
"@MTD_MED 🔴 Diagnosis: Raynauds phenomenon 📍 Triphasic color changes of fingers: white blue red ⚡ Triggered by cold or stress due to vasospasm of digital arteries 💡 Can be primary (idiopathic) or secondary to connective tissue disease (scleroderma lupus)"
X Link 2026-02-08T21:58Z [----] followers, [---] engagements
"🔴 Physiological basis: Concentrated urine due to dehydration 📍 Low water intake + high insensible losses (Sahara desert heat) kidneys conserve water ⚡ Increased reabsorption in collecting ducts via ADH reduced urine volume darker color malodorous 💡 Deep yellow color = high urochrome concentration; scanty urine is a normal protective response to maintain plasma osmolality https://twitter.com/i/web/status/2020618389945815150 https://twitter.com/i/web/status/2020618389945815150"
X Link 2026-02-08T21:59Z [----] followers, [---] engagements
"🔴 Diagnosis: Livedo reticularis 📍 Reticulated violaceous mottling of lower limbs ⚡ Can be idiopathic or secondary to vasculitis antiphospholipid syndrome SLE or cold exposure 🔷 Caused by impaired blood flow in dermal vessels 💡 Tx: Address underlying cause; keep warm monitor for systemic disease https://twitter.com/i/web/status/2020826890026500452 https://twitter.com/i/web/status/2020826890026500452"
X Link 2026-02-09T11:47Z [----] followers, [----] engagements
"✅ Answer: B) Implantable cardioverterdefibrillator (ICD) 📍 Young recurrent syncope with family history of sudden death ⚡ Triggered by loud noises no structural heart disease 🔷 Likely congenital Long QT syndrome (torsades risk) 💡 ICD prevents fatal arrhythmias gold standard for high-risk patients https://twitter.com/i/web/status/2020837916818190732 https://twitter.com/i/web/status/2020837916818190732"
X Link 2026-02-09T12:31Z [----] followers, [---] engagements
"✅ Answer: C) Insert intercostal chest drain (ICD) 📍 Empyema: turbid pleural fluid low glucose high LDH neutrophils ⚡ Complicated parapneumonic effusion (infected loculated) 🔷 Immediate drainage needed to prevent sepsis lung restriction 💡 Antibiotics + chest tube is standard of care https://twitter.com/i/web/status/2020847984649413047 https://twitter.com/i/web/status/2020847984649413047"
X Link 2026-02-09T13:11Z [----] followers, [--] engagements
"@MoarSahitoPTI ✅ Answer: Dual action on serotonin & norepinephrine 📍 Inhibits reuptake of both neurotransmitters (SNRI) ⚡ Elevates mood & relieves pain signals 💡 Effective for major depression GAD diabetic neuropathy fibromyalgia"
X Link 2026-02-09T17:32Z [----] followers, [----] engagements
"@ManualOMedicine 🔴 Diagnosis: Malignant pleural effusion 📍 Massive right-sided opacity with meniscus sign on chest X-ray ⚡ History of carcinomatosis progressive dyspnea 🔷 Common in metastatic cancer; due to pleural involvement by malignancy"
X Link 2026-02-09T17:35Z [----] followers, [---] engagements
"@ILMI_Dunya ✅ Answer: C) [-----] mg/dL 📍 Normal fasting blood glucose range ⚡ Levels above this suggest impaired fasting glucose or diabetes 💡 Always interpret in clinical context"
X Link 2026-02-09T18:21Z [----] followers, [----] engagements
"@albertoortegana @dr_manish_ydv 🔴 Diagnosis: Mitral stenosis (mitral facies) 📍 Bilateral malar flushing progressive dyspnea palpitations ⚡ Heart murmur increases with exertion; classic facial appearance due to chronic hypoxia and vasodilation 💡 Seen in long-standing rheumatic heart disease"
X Link 2026-02-09T23:41Z [----] followers, [----] engagements
"🔴 Diagnosis: Severe esophageal stricture with esophageal dilation (megaesophagus) 📍 Grossly dilated tortuous esophagus visible on chest ⚡ Caused by chronic stricture likely from malignancy achalasia or caustic injury 💡 Procedure: Esophageal dilatation or surgical intervention (e.g. esophagectomy) may be required https://twitter.com/i/web/status/2021006561892557216 https://twitter.com/i/web/status/2021006561892557216"
X Link 2026-02-09T23:41Z [----] followers, [---] engagements
"@albertoortegana @Ausbones @Dr_Shiv_kumar_ @dr_manish_ydv @DrAkhilX @IhabFathiSulima 🔴 Diagnosis: Subdural hematoma 📍 Crescent-shaped hyperdensity along the left cerebral hemisphere ⚡ Blood collects between dura and arachnoid mater often due to tearing of bridging veins 💡 Common in elderly & after head trauma"
X Link 2026-02-09T23:41Z [----] followers, [---] engagements
"@albertoortegana @Ausbones @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @IhabFathiSulima @DrMedica_13 🔴 Procedure: Intramedullary nailing (IM nailing) 📍 Surgical fixation of a long bone fracture (usually tibia or femur) ⚡ Metal rod inserted into the medullary cavity for alignment and stability 💡 Allows early mobilization and high union rates"
X Link 2026-02-09T23:41Z [----] followers, [--] engagements
"🔴 Diagnosis: Allis maneuver 📍 Medical procedure to reduce a posterior hip dislocation 📍 Performed by flexing the patients hip and knee applying traction and gently lifting the femoral head back into the acetabulum ⚡ Indicated for emergency management of traumatic posterior hip dislocation https://twitter.com/i/web/status/2021193271985283188 https://twitter.com/i/web/status/2021193271985283188"
X Link 2026-02-10T12:03Z [----] followers, [--] engagements
"🔴 Diagnosis: Right-sided pleural effusion with air-fluid level (empyema) 📍 Homogeneous opacity in right lower hemithorax with meniscus sign 📍 Air-fluid level suggests loculated empyema or lung abscess ⚡ Clinical context: fever cough chest pain recent GI symptoms likely empyema secondary to pneumonia https://twitter.com/i/web/status/2021193345431654909 https://twitter.com/i/web/status/2021193345431654909"
X Link 2026-02-10T12:03Z [----] followers, [----] engagements
"✅ Answer: C) Complete absence of UDP-glucuronyl transferase activity 📍 Severe unconjugated hyperbilirubinemia since birth 📍 No response to phototherapy or phenobarbital ⚡ CriglerNajjar type I: absent enzyme persists into childhood 💡 Type II: partial deficiency responds to phenobarbital https://twitter.com/i/web/status/2021199163946340538 https://twitter.com/i/web/status/2021199163946340538"
X Link 2026-02-10T12:26Z [----] followers, [--] engagements
"@Sage_medics 🔴 Hitting the funny bone (ulnar nerve) 📍 Direct trauma to elbow (medial epicondyle) 📍 Sharp tingling pain radiating down forearm to fingers ⚡ Ulnar nerve compression/irritation 💡 Causes transient paresthesia in 4th & 5th fingers"
X Link 2026-02-10T12:38Z [----] followers, [---] engagements
"@ZahoorAhmed1450 ✅ Answer: A) Bethanechol 📍 Muscarinic agoniststimulates bladder contraction 📍 Used for urinary retention (esp. neurogenic or post-op) ⚡ Atropine: anticholinergic (worsens retention) 💡 Ensure obstruction is ruled out before use"
X Link 2026-02-10T15:42Z [----] followers, [----] engagements
"@Med_Bytes ✅ Answer: C) Uterine hyperstimulation 📍 Most common adverse effect of oxytocin 📍 Can lead to fetal distress uterine rupture if severe ⚡ Monitor contraction frequency and fetal heart rate 💡 Other side effects: hypotension water intoxication (rare)"
X Link 2026-02-10T15:42Z [----] followers, [---] engagements
"✅ Answer: Workhorse empiric IV antibiotic + once-daily dosing 📍 3rd-gen cephalosporin: strong Gram-negative coverage + solid Strep coverage common for CAP/UTI/sepsis workups ⚡ Long half-life q24h; good tissue (and CSF) penetration key in meningitis regimens 🔷 Widely available generally well-tolerated straightforward IV/IM administration 💡 Stewardship: not for Pseudomonas/ESBLde-escalate to narrower therapy to limit resistance & C. diff https://twitter.com/i/web/status/2021277031284019346 https://twitter.com/i/web/status/2021277031284019346"
X Link 2026-02-10T17:36Z [----] followers, [----] engagements
"✅ Answer: C) FLAIR 📍 Acute SAH shows hyperintense CSF in sulci/cisterns on FLAIR (dirty CSF) ⚡ Most sensitive MRI option here for acute SAH (CT still first-line in real life) 💡 Pitfall: FLAIR can be false+ with high FiO meningitis leptomeningeal diseasecorrelate with GRE/SWI + clinical context https://twitter.com/i/web/status/2021277239384604738 https://twitter.com/i/web/status/2021277239384604738"
X Link 2026-02-10T17:37Z [----] followers, [----] engagements
"✅ Answer: B) Missed period (amenorrhea) 📍 Earliest common clue = delayed/missed menses in a reproductive-age patient ⚡ Next step to confirm: urine/serum -hCG (can be positive [---] days after ovulation) 🧠 hCG maintains corpus luteum progesterone supports endometrium 💡 Pearl: abdominal pain/fever/headache are not typical first signsthink complications only if present https://twitter.com/i/web/status/2021330993756418316 https://twitter.com/i/web/status/2021330993756418316"
X Link 2026-02-10T21:10Z [----] followers, [----] engagements
"@Med_Bytes ✅ Answer: A) Phenytoin 📍 Hirsutism = excess terminal hair in androgen-dependent areas ⚡ Phenytoin (an anticonvulsant) can induce hirsutism as a side effect 💡 Other drugs: corticosteroids cyclosporine minoxidil danazol"
X Link 2026-02-11T15:39Z [----] followers, [----] engagements
"🔴 Diagnosis: Corneal neovascularization due to corneal ulcer 📍 New blood vessels visible invading the cornea 📍 Central corneal opacity/ulcer surrounding redness ⚡ Causes: infection (bacterial/fungal) hypoxia (contact lens overwear) 💡 Urgent ophthalmology referral needed🔴 Diagnosis: Corneal neovascularization due to corneal ulcer 📍 New blood vessels visible invading the cornea 📍 Central corneal opacity/ulcer surrounding redness ⚡ Causes: infection (bacterial/fungal) hypoxia (contact lens overwear) 💡 Urgent ophthalmology referral needed"
X Link 2026-02-11T15:41Z [----] followers, [--] engagements
"@Medzonetv ✅ Diagnosis: Horseshoe kidney 📍 Kidneys fused at lower poles forming a U-shape ⚡ Embryology: failure of ascent due to fusion of metanephric blastema at lower poles 💡 Associated with increased risk of UTIs and other congenital anomalies"
X Link 2026-02-11T15:42Z [----] followers, [--] engagements
"@RadMasterclass 🔴 Diagnosis: Trauma (C) 📍 Chest X-ray: visible rib fracture local opacity ⚡ Most likely cause of acute chest pain here is rib fracture (trauma) 💡 Other causes (infection cancer fibrosis sarcoidosis) less likely with this finding"
X Link 2026-02-11T15:43Z [----] followers, [---] engagements
"@albertoortegana @DocPriyamMD @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @DrArslan480 @drobiy12 🔴 Diagnosis: Aortic dissection 📍 CT shows an intimal flap and two lumens in the aorta ⚡ Presents with sudden severe chest/back pain hypertension mediastinal widening 💡 Emergency requires prompt diagnosis and management"
X Link 2026-02-11T15:43Z [----] followers, [---] engagements
"@PeterItebimien @IhabFathiSulima @ChefKarim02 @drsthanus @elidyynwa @MEmwanta @PJaseja @TSM_Humanist @BrownJHM @DrAkhilX @drkeithsiau @modernHealthMe @rkalyes1 @the_beardedsina @NicoGagelmann @Doctors__squad 🔴 Diagnosis: Idiopathic intracranial hypertension (pseudotumor cerebri) 📍 Obese young woman headache transient vision loss pulsatile tinnitus 📍 Fundoscopy: papilledema (swollen optic disc) 💡 Treatment: weight loss acetazolamide (first-line) possible therapeutic LP"
X Link 2026-02-11T15:43Z [----] followers, [--] engagements
"@dr_manish_ydv @DrAkhilX @MiguelP23970914 @DocPriyamMD @Dr_Shiv_kumar_ @DrMedica_13 @Sage_medics @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @shakilED @SameerYogi14 @Medzonetv @MedLearnHub ✅ Answer: C) Ankylosing spondylitis 📍 Bamboo spine appearance on X-ray ⚡ Syndesmophyte formation vertebral fusion 🔷 Chronic inflammation leads to ossification of spinal ligaments 💡 Classic for seronegative spondyloarthropathy (HLA-B27 positive)"
X Link 2026-02-11T16:27Z [----] followers, [---] engagements
"@dr_manish_ydv @DrAkhilX @DocPriyamMD @Dr_Shiv_kumar_ @MiguelP23970914 @albertoortegana @ChShafiullah15 @daoo100 @DrArslan480 @SameerYogi14 @MarkGregorio_NP @shakilED @DrYdv_hitesh01 @VikramMShahpura ✅ Answer: B) Commotio retinae 📍 Blurred vision after blunt trauma ⚡ Fundus: transient retinal whitening (Berlins edema) macula often involved 🔷 Caused by photoreceptor outer segment disruption 💡 Usually self-limiting; vision may recover over weeks"
X Link 2026-02-11T16:28Z [----] followers, [---] engagements
"✅ Answer: B) Zoster (Shingles) Vaccine 📍 Adults [--] or with chronic disease (e.g. CKD diabetes) should receive recombinant zoster vaccine ⚡ Higher risk of herpes zoster reactivation and complications 🔷 Live vaccines (like intranasal influenza) are contraindicated in CKD 💡 Update adult immunizations: pneumococcal influenza (inactivated) Tdap zoster https://twitter.com/i/web/status/2021633680364519812 https://twitter.com/i/web/status/2021633680364519812"
X Link 2026-02-11T17:13Z [----] followers, [--] engagements
"@KSAnurse2 ✅ Answer: [--]. Spleen 📍 Acts as the blood bank of the body ⚡ Stores and releases blood in response to physiological need 🔷 Also filters old/damaged red blood cells supports immunity"
X Link 2026-02-11T17:52Z [----] followers, [----] engagements
"@MoarSahitoPTI ✅ Answer: Tamsulosin is an alpha-1 adrenergic antagonist 📍 Relaxes smooth muscle in ureter ⚡ Reduces ureteric spasm dilates lumen 🔷 Facilitates stone passage decreases pain and expulsion time 💡 Medical expulsive therapy especially useful for distal ureteric stones"
X Link 2026-02-11T17:52Z [----] followers, [----] engagements
"✅ Answer: C) Pulmonary carcinoid tumor 📍 Young non-smoker recurrent cough mild hemoptysis normal ESR ⚡ Carcinoid tumors often present with central lung masses and episodic bleeding 🔷 Typically slow-growing minimal systemic symptoms no weight loss 💡 Bronchogenic carcinoma is rare in young non-smokers; tuberculosis/abscess likely with systemic symptoms https://twitter.com/i/web/status/2021918581244457219 https://twitter.com/i/web/status/2021918581244457219"
X Link 2026-02-12T12:05Z [----] followers, [---] engagements
"✅ Answer: A) IV Amiodarone 📍 ECG shows monomorphic ventricular tachycardia (VT) ⚡ First-line for stable VT: antiarrhythmic drugs (amiodarone procainamide sotalol) 🔷 Synchronized cardioversion for unstable patients only 💡 Always monitor for decompensation; be ready to escalate if instability develops https://twitter.com/i/web/status/2021918626870141419 https://twitter.com/i/web/status/2021918626870141419"
X Link 2026-02-12T12:05Z [----] followers, [---] engagements
"🔴 Diagnosis: Hiatal hernia 📍 Air-fluid level and radiolucent area behind the heart (retrocardiac) elevated left hemidiaphragm ⚡ Stomach herniates through the esophageal hiatus into the thoracic cavity 🔷 Common in elderly associated with reflux and chest discomfort 💡 Confirm with barium swallow if clinical suspicion remains https://twitter.com/i/web/status/2021918668486066365 https://twitter.com/i/web/status/2021918668486066365"
X Link 2026-02-12T12:05Z [----] followers, [--] engagements
"🔴 Diagnosis: Acute urticaria (hives) 📍 Rapid onset itchy raised erythematous plaques with central clearing ⚡ Lesions are transient migrate and often triggered by allergens infection or idiopathic 🔷 No systemic symptoms = benign course 💡 Mainstay of treatment: oral antihistamines; avoid known triggers https://twitter.com/i/web/status/2021929006707155119 https://twitter.com/i/web/status/2021929006707155119"
X Link 2026-02-12T12:46Z [----] followers, [--] engagements
"🔴 Diagnosis: Multiple myeloma 📍 X-ray: Punched-out lytic bone lesions in proximal humerus ⚡ Clinical: bone pain swelling anemia weight loss hypercalcemia 🔷 Malignant plasma cell proliferation in bone marrow 💡 Always check serum protein electrophoresis (SPEP) for M-protein spike https://twitter.com/i/web/status/2021929059014300145 https://twitter.com/i/web/status/2021929059014300145"
X Link 2026-02-12T12:47Z [----] followers, [---] engagements
"🔴 Diagnosis: Right pontine stroke (VII + VI involvement; MillardGubler/facial colliculus region) 📍 Facial weakness + diplopia with abnormal eye movement on exam/image ⚡ Not Bells palsy: Bells = isolated CN VII any diplopia/extra CN deficit = central (brainstem) until proven otherwise 🧠 Localize: right caudal pons (facial nucleus/fascicle abducens nucleus/nerve/MLF) 💡 VII + VI = Pons (think facial colliculus) https://twitter.com/i/web/status/2021950412702540232 https://twitter.com/i/web/status/2021950412702540232"
X Link 2026-02-12T14:11Z [----] followers, [---] engagements
"✅ Answer: B) Colchicine 📍 Acute gout flare: NSAID / colchicine / glucocorticoid are first-line ⚡ Allopurinol + febuxostat + probenecid = urate-lowering (chronic) not started for a new acute attack 🧠 Colchicine blocks microtubules neutrophil chemotaxis/inflammation 💡 Start early (best 24h); watch GI toxicity + dose adjust in CKD/with CYP3A4/P-gp inhibitors https://twitter.com/i/web/status/2021950423993590064 https://twitter.com/i/web/status/2021950423993590064"
X Link 2026-02-12T14:12Z [----] followers, [---] engagements
"✅ Answer: C) Severe pulmonary emphysema (COPD) with dyspnea 📍 Tripod positioning fixes the shoulder girdle recruits accessory inspiratory muscles (SCM scalenes pecs) ⚡ Classic in COPD/emphysema during dyspneic episodes to improve ventilatory mechanics 🧠 Helps reduce dynamic hyperinflation sensation and work of breathing 💡 Tripod = COPD (also seen in acute upper-airway obstruction like epiglottitis but not listed here) https://twitter.com/i/web/status/2021950484685209862 https://twitter.com/i/web/status/2021950484685209862"
X Link 2026-02-12T14:12Z [----] followers, [---] engagements
"@ChroRadGirlie 🔴 Diagnosis: Right-sided pleural effusion 📍 Homogeneous opacity in right lower lung field with meniscus sign 📍 Blunting of right costophrenic angle mediastinal shift to the left ⚡ Causes: heart failure infection malignancy trauma"
X Link 2026-02-08T15:05Z [----] followers, [---] engagements
"@drsthanus 🔴 Diagnosis: Right lower lobe pneumonia 📍 Fever cough + focal consolidation on X-ray ⚡ Airspace opacity with blurring of right heart border 📍 Elderly at higher risk for typical bacterial pathogens 💡 Start empiric antibiotics monitor for complications"
X Link 2026-02-09T12:31Z [----] followers, [---] engagements
"@mednomics 🔴 Diagnosis: UTI with urease-producing bacteria 📍 Most common: Proteus species (also Klebsiella Ureaplasma) ⚡ Urease enzyme splits urea ammonia raises urine pH 💡 Alkaline urine predisposes to struvite (triple phosphate) stones"
X Link 2026-02-09T14:51Z [----] followers, [---] engagements
"🔴 Diagnosis: Cotrimoxazole has decreased activity in purulent material 📍 High levels of PABA (para-aminobenzoic acid) in pus ⚡ PABA competes with sulfonamides (like cotrimoxazole) for bacterial enzyme 🔷 Sulfonamides inhibit dihydropteroate synthase; excess PABA antagonizes effect 💡 Result: Reduced efficacy in pus-rich/infected sites https://twitter.com/i/web/status/2021622239779525105 https://twitter.com/i/web/status/2021622239779525105"
X Link 2026-02-11T16:27Z [----] followers, [---] engagements
"🔴 Diagnosis: True this X-ray belongs to a woman 📍 Note the visible breast shadows (soft tissue densities over lower lung zones) ⚡ Blunting of right costophrenic angle + homogeneous opacity in right lower zone 🔷 Likely diagnosis: right-sided pleural effusion (possible consolidation/infection) 💡 Always assess soft tissues for clues to patient sex and additional findings https://twitter.com/i/web/status/2021918317900861835 https://twitter.com/i/web/status/2021918317900861835"
X Link 2026-02-12T12:04Z [----] followers, [----] engagements
"🔴 Diagnosis: A) Pleural Effusion 📍 Homogeneous opacity in right lower zone with meniscus sign ⚡ Blunting of costophrenic angle loss of diaphragm outline 🔷 Common in cirrhosis (hepatic hydrothorax) especially with alcohol abuse 💡 Consider thoracentesis for diagnosis and relief of dyspnea https://twitter.com/i/web/status/2021918454563893636 https://twitter.com/i/web/status/2021918454563893636"
X Link 2026-02-12T12:04Z [----] followers, [---] engagements
"🔴 Diagnosis: Subconjunctival hemorrhage 📍 Well-demarcated bright red patch beneath the conjunctiva ⚡ Painless does not affect vision often spontaneous or post-trauma 🔷 Benign and self-limiting no specific treatment needed 💡 Rule out trauma hypertension or coagulopathy if recurrent https://twitter.com/i/web/status/2021918511166083313 https://twitter.com/i/web/status/2021918511166083313"
X Link 2026-02-12T12:05Z [----] followers, [----] engagements
"🔴 Diagnosis: Raynauds phenomenon 📍 Triphasic color change: pallor (white) cyanosis (blue) erythema (red) ⚡ Episodic vasospasm of small arteries triggered by cold/stress 🔷 Most common in young women can be primary or secondary (CTD) 💡 Advise warming avoid triggers; check for underlying autoimmune disease https://twitter.com/i/web/status/2021918643454345352 https://twitter.com/i/web/status/2021918643454345352"
X Link 2026-02-12T12:05Z [----] followers, [----] engagements
"✅ Answer: C) Amyloidosis (AL) 📍 Macroglossia + periorbital purpura (raccoon eyes) ⚡ Proteinuria from renal amyloid nephrotic-range leakage 🧠 AL amyloid = Ig light chains (often plasma cell dyscrasia / MM) 💡 Confirm: fat pad biopsy (Congo red apple-green birefringence) + serum/urine immunofixation https://twitter.com/i/web/status/2021950388220383654 https://twitter.com/i/web/status/2021950388220383654"
X Link 2026-02-12T14:11Z [----] followers, [----] engagements
"@Medzonetv ✅ Answer: D) Treat pain per VOC protocol but avoid pentazocine 📍 Vaso-occlusive crisis (VOC) requires prompt guideline-based pain control 📍 Avoid pentazocine due to risk of dependence & poor safety in SCD 💡 Assess pain provide opioids as per protocol monitor for misuse"
X Link 2026-02-13T12:32Z [----] followers, [---] engagements
"@MoarSahitoPTI 🔴 Hyperkalemia 📍 ACE inhibitors aldosterone 📍 Leads to K retention in the kidneys 💡 Always monitor serum potassium during therapy"
X Link 2026-02-13T12:32Z [----] followers, [---] engagements
"@DrPharmDMDTh 🔴 Ventricular premature beat (PVC) 📍 Wide bizarre QRS complex 📍 No preceding P wave ⚡ Compensatory pause often follows 💡 Commonly benign but assess for underlying causes"
X Link 2026-02-13T12:32Z [----] followers, [--] engagements
"@dr_manish_ydv @albertoortegana @ChShafiullah15 @daoo100 @DoctorMed0 @DrArslan480 @MarkGregorio_NP @Medzonetv @MuhammadZa96288 @shakilED ✅ Answer: C) Transbronchial lung biopsy showing non-caseating granuloma 📍 Most specific test for sarcoidosis 📍 Non-caseating granulomas = diagnostic hallmark ⚡ Serum ACE can be elevated but is non-specific 💡 Consider sarcoidosis in young adults with dyspnea hypercalcemia"
X Link 2026-02-13T12:33Z [----] followers, [--] engagements
"@modernHealthMe ✅ Answer: B) Salbutamol 📍 Short-acting 2-agonist (SABA) 📍 Rapid bronchodilation first-line reliever in acute asthma ⚡ Provides quick symptom relief 💡 Used as rescue inhaler during asthma attacks"
X Link 2026-02-13T13:02Z [----] followers, [----] engagements
"@ZahoorAhmed1450 🔴 Diagnosis: Angina pectoris 📍 Nitrates dilate veins preload myocardial oxygen demand 📍 Improve coronary blood flow relieve chest pain ⚡ Used for acute relief and prophylaxis of angina 💡 Mainstay for symptomatic control in ischemic heart disease"
X Link 2026-02-13T13:02Z [----] followers, [---] engagements
"@hemo_shk @IhabFathiSulima 🔴 Diagnosis: Familial adenomatous polyposis (FAP) 📍 Numerous colorectal polyps recurrent anemia GI bleeding 📍 Family history of colon cancer early onset ⚡ High risk of progression to colorectal carcinoma 💡 Requires early surveillance and prophylactic colectomy"
X Link 2026-02-13T13:02Z [----] followers, [--] engagements
"@modernHealthMe 🔴 Diagnosis: Fern test (ferning pattern) 📍 Microscopy of dried cervical or amniotic fluid ⚡ Characteristic branching fern-like crystals 🔷 Indicates presence of estrogen or rupture of membranes 💡 Used in diagnosis of ovulation or PROM"
X Link 2026-02-13T13:22Z [----] followers, [--] engagements
"@Sage_medics ✅ Answer: 1) Dove into a shallow pool 📍 Comminuted fractures of 2nd4th metacarpals ⚡ Dorsal displacement severe axial force 🔷 Classic for divers hand high-energy impact on extended hand 💡 Always assess for neurovascular injury"
X Link 2026-02-13T13:22Z [----] followers, [---] engagements
"@dr_manish_ydv @DrAkhilX @DocPriyamMD @Dr_Shiv_kumar_ @MiguelP23970914 @MedLearnHub @DrMedica_13 @farhadparv27723 @DrNovinoTailor @ZahoorAhmed1450 @DrYdv_hitesh01 @albertoortegana @ChShafiullah15 @daoo100 @DrArslan480 @jitesh_jigar @MarkGregorio_NP @Medzonetv @SameerYogi14 ✅ Answer: A) Bronchiectasis 📍 Most common cause of massive hemoptysis in India ⚡ Chronic airway dilation recurrent infection vessel erosion 🔷 TB is a major cause of bronchiectasis in this region 💡 Always rule out active TB in new hemoptysis cases"
X Link 2026-02-13T13:23Z [----] followers, [---] engagements
"@modernHealthMe 🔴 Diagnosis: Mammography 📍 Bilateral breast X-rays ⚡ Detection of masses calcifications or lesions 🔷 Primary screening tool for breast cancer 💡 Highlighted area: suspicious density may warrant further imaging or biopsy"
X Link 2026-02-13T15:34Z [----] followers, [--] engagements
"✅ Answer: Open surgical tracheostomy set 📍 Key clues: lots of artery forceps + deep retractors suction/cautery cord trach ties/vessel loops ⚡ Expect tracheal hook + dilator in the tray (for opening/holding the trachea) 🔷 Designed for a short bloody midline neck dissection + rapid airway access 💡 Many clamps + deep retractors + trach ties = tracheostomy https://twitter.com/i/web/status/2023030765097791901 https://twitter.com/i/web/status/2023030765097791901"
X Link 2026-02-15T13:44Z [----] followers, [---] engagements
"@drabdulhameed07 ✅ Answer: C) Hypercalcemia 📍 Stones bones groans and psychiatric overtones ⚡ Stones: renal calculi; Bones: bone pain/fractures; Groans: GI symptoms 🔷 Most commonly from hyperparathyroidism malignancy 💡 Also causes muscle weakness neuropsychiatric changes"
X Link 2026-02-11T16:28Z [----] followers, [---] engagements
"✅ Answer: C) Ascending limb (thick ascending limb) 📍 Diluting segment = reabsorbs Na/K/Cl but impermeable to water ⚡ Builds the medullary gradient for urine concentration 🔷 Target of loop diuretics (NKCC2) 💡 Descending limb = water permeable; DCT mostly water-impermeable too but classic exam answer is TAL https://twitter.com/i/web/status/2023058129991152121 https://twitter.com/i/web/status/2023058129991152121"
X Link 2026-02-15T15:33Z [----] followers, [---] engagements
"✅ Answer: Uterus (hysterectomy specimen) 📍 Fundus/body = rounded top; cervix = narrow neck below ⚡ Lateral tags = adnexal/broad ligament attachments (tube/ovary stumps) 🔷 Often removed for fibroids / adenomyosis / malignancy 💡 Quick cue: big muscular pear + tight cervix = uterus https://twitter.com/i/web/status/2022625144997327053 https://twitter.com/i/web/status/2022625144997327053"
X Link 2026-02-14T10:53Z [----] followers, [---] engagements
"@InterestingSTEM ✅ Answer: Uterus (post-hysterectomy specimen) 📍 Rounded fundus/body + narrowed cervix (neck) ⚡ Lateral attachments = broad ligament/adnexal stumps 🧠 Key shape: muscular pear with a distinct cervix 💡 If you see a bulb + tight neck think uterus"
X Link 2026-02-14T10:53Z [----] followers, [---] engagements
"🔴 Diagnosis: Osteosarcoma (osteoid-forming bone tumor) 📍 Weeks of focal leg pain ⚡ X-ray: cloud-like ossified mass arising from cortex aggressive periosteal reaction 🔷 Malignant osteoid production by osteoblasts 💡 Next: ortho-onc referral + MRI local staging + chest CT (lung mets) https://twitter.com/i/web/status/2022625215465791869 https://twitter.com/i/web/status/2022625215465791869"
X Link 2026-02-14T10:53Z [----] followers, 19.5K engagements
"✅ Answer: B) TB 📍 Most common opportunistic infection worldwide in AIDS = tuberculosis ⚡ (Exam nuance) In many US-style questions the most common AIDS-defining OI is Pneumocystis jirovecii pneumonia 🧠 HIV impaired cell-mediated immunity risk of reactivation TB 💡 Quick rule: Global = TB; classic CD4 [---] pneumonia = PJP"
X Link 2026-02-14T11:32Z [----] followers, [----] engagements
"@doctors_squad ✅ Answer: C) IgG 📍 Only IgG crosses placenta via FcRn receptors ⚡ Provides passive immunity to newborn (esp. late 2nd/3rd trimester) 🧠 IgM is too large (pentamer) fetal IgM suggests in utero infection 💡 Breast milk protection = mainly IgA (mucosal)"
X Link 2026-02-14T14:19Z [----] followers, [----] engagements
"🎀🩺 Medicaid expansion and breast cancer: survival gains but inequalities persist A JAMA Network Open cohort of 1.6M women aged [----] with breast cancer (20062021) found that living in a Medicaid expansion state was linked to lower overall mortality (HR 0.95; 4.8% hazard reduction) vs non-expansion states with benefits seen across stage race/ethnicity income and treatment. The largest relative survival gains were among Hispanic women (19% lower hazard of death) and among those with metastatic disease (14% hazard reduction) suggesting that coverage improves access to timely guideline-based"
X Link 2026-02-15T10:25Z [----] followers, [---] engagements
"🔴 Diagnosis: Arachnoid cyst (right temporal/middle cranial fossa) 📍 Young adult + chronic headaches (often incidental but can be symptomatic) ⚡ CT: well-circumscribed extra-axial CSF-density collection with mass effect on adjacent cortex 🔷 Congenital arachnoid membrane splitting CSF trapped (non-hemorrhagic) 💡 Pearl: confirm with MRI; treat only if symptomatic/progressive (fenestration/shunt) https://twitter.com/i/web/status/2022985709779378188 https://twitter.com/i/web/status/2022985709779378188"
X Link 2026-02-15T10:45Z [----] followers, [---] engagements
"✅ Answer: B) Carcinomatous lymphangitis 📍 Red flags: weight loss + progressive dysphagia + hoarseness + hard left supraclavicular nodes (Virchow) in a smoker ⚡ CXR shows diffuse bilateral reticulonodular/interstitial pattern (not focal lobar consolidation) 🔷 Tumor spread via pulmonary lymphatics interlobular septal thickening/Kerley-type lines progressive dyspnea/cough 💡 Pearl: think esophageal or lung carcinoma confirm with CT chest/abdomen + tissue diagnosis https://twitter.com/i/web/status/2022994763545292907 https://twitter.com/i/web/status/2022994763545292907"
X Link 2026-02-15T11:21Z [----] followers, [---] engagements
"🔴 Diagnosis: Testicular germ cell tumor (esp. choriocarcinoma / mixed GCT) 📍 Positive urine hCG in a male = red flag (pregnancy tests detect hCG) ⚡ Ectopic hCG production check testicular mass gynecomastia symptoms 🔷 Next steps: testicular US + serum -hCG/AFP/LDH 💡 Two lines in a guy = dont jokescan the testes https://twitter.com/i/web/status/2023017441765302458 https://twitter.com/i/web/status/2023017441765302458"
X Link 2026-02-15T12:51Z [----] followers, [---] engagements
"🔴 Diagnosis: Racemose neurocysticercosis (subarachnoid bunch of grapes) 📍 Clustered CSF-signal multiloculated cysts along basal cistern/Sylvian region ⚡ Often no visible scolex mass effect hydrocephalus/arachnoiditis/vasculitis 🔷 Taenia solium larval cysts in subarachnoid spaces 💡 Grape cluster pattern = racemose NCC (vs hydatid usually a single giant cyst w/ daughter cysts) https://twitter.com/i/web/status/2023017506231763021 https://twitter.com/i/web/status/2023017506231763021"
X Link 2026-02-15T12:52Z [----] followers, [---] engagements
"✅ Answer: Q1 Pneumatosis intestinalis (intramural bubbly gas) Q2 NEC 📍 Preterm + feed intolerance distension bilious aspirates lethargy ⚡ X-ray: gas in bowel wall portal venous gas (late) 🔷 Ischemic mucosal injury + bacterial gas production 💡 NPO/NG broad Abx serial films; free air/pneumoperitoneum surgery https://twitter.com/i/web/status/2023029354448527633 https://twitter.com/i/web/status/2023029354448527633"
X Link 2026-02-15T13:39Z [----] followers, [---] engagements
"🔴 Diagnosis: Nutmeg liver (chronic passive hepatic congestion) 📍 Longstanding right-sided HF hepatomegaly ascites RUQ discomfort mild LFTs 🔷 Hepatic venous congestion centrilobular (zone 3) congestion/necrosis with mottled nutmeg appearance ⚡ Can progress to cardiac cirrhosis (fibrosis around central veins) 💡 Tip: RHF nutmeg liver (think congested hepatic outflow) https://twitter.com/i/web/status/2023062660363817378 https://twitter.com/i/web/status/2023062660363817378"
X Link 2026-02-15T15:51Z [----] followers, [---] engagements
"🔴 Diagnosis: Tinea imbricata (Tokelau) 📍 South Pacific + slowly expanding intensely pruritic scaly plaques with concentric ring-on-ring pattern ⚡ Caused by Trichophyton concentricum (chronic dermatophyte infection) 🔷 Often recurrent due to host susceptibility/crowding 💡 Treat: topical azoles/terbinafine for limited disease; oral terbinafine/itraconazole (or griseofulvin) if extensive https://twitter.com/i/web/status/2023097072287642043 https://twitter.com/i/web/status/2023097072287642043"
X Link 2026-02-15T18:08Z [----] followers, [---] engagements
"@medcrux ✅ Answer: B) Serum tryptase 📍 Released from mast cells during anaphylaxis 📍 More stable and reliable than histamine 💡 Elevated within [--] hours after onset of symptoms"
X Link 2026-02-13T12:33Z [----] followers, [---] engagements
"@albertoortegana @dr_manish_ydv @Dr_Shiv_kumar_ @DrAkhilX @DrArslan480 @DrMedica_13 🔴 Diagnosis: Aspiration pneumonia 📍 History: swimming pool water ingestion nausea vomiting 📍 CXR: patchy infiltrates (often right middle/lower lobe) ⚡ Risk after inhaling contaminated water 💡 Monitor for respiratory distress and secondary infection"
X Link 2026-02-13T12:33Z [----] followers, [----] engagements
"🔴 Diagnosis: Lichen planus pigmentosus 📍 Dark brown-black macules with white lacy patches 📍 Chronic often resistant to therapy 💡 Management: Stop offending agents topical steroids calcineurin inhibitors strict photoprotection 🧠 Gradual improvement; persistent cases need specialist referral https://twitter.com/i/web/status/2022295064806932935 https://twitter.com/i/web/status/2022295064806932935"
X Link 2026-02-13T13:01Z [----] followers, [---] engagements
"@medcrux 🔴 Diagnosis: Esophageal foreign body 📍 Site of lodgment: Upper esophagus (level of thoracic inlet cricopharyngeal muscle) 📍 Symptoms: drooling dysphagia unable to swallow 💡 Immediate removal needed to prevent airway compromise or complications"
X Link 2026-02-13T13:02Z [----] followers, [---] engagements
"🔴 Diagnosis: Trotters method for anterior epistaxis 📍 Patient sits upright head tilted forward (not back) ⚡ Firmly pinch the soft part of the nose (just below the bony bridge) for [----] minutes 🔷 Direct pressure helps tamponade Kiesselbachs plexus 💡 Most effective first-aid for anterior nose bleeds https://twitter.com/i/web/status/2022332349879374296 https://twitter.com/i/web/status/2022332349879374296"
X Link 2026-02-13T15:29Z [----] followers, [---] engagements
"@mednomics 🔴 Diagnosis: Uveitis (specifically anterior uveitis) 📍 "Tobacco dust sign" = small brown pigment clumps in anterior chamber ⚡ Indicates dispersion of iris pigment 🔷 Classic for early retinal detachment or active uveitis 💡 Always check for vision changes and photophobia"
X Link 2026-02-13T15:34Z [----] followers, [---] engagements
"✅ Answer: C) No anti-tubercular therapy; manage supportively 📍 History: stone crushing progressive dyspnea chronic dry cough ⚡ Imaging: bilateral end-inspiratory crepitations negative sputum AFB 🔷 Diagnosis: Silicosis not active TB (despite positive Mantoux) 💡 Management is mainly supportive; monitor for complications https://twitter.com/i/web/status/2022333682195861761 https://twitter.com/i/web/status/2022333682195861761"
X Link 2026-02-13T15:34Z [----] followers, [---] engagements
"🔴 Diagnosis: Scrub typhus (eschar) Orientia tsutsugamushi 📍 Painless black eschar + fever headache myalgias (often in farmers/outdoor exposure) ⚡ Think rickettsial illness can progress to pneumonitis/meningoencephalitis if untreated 🔷 Vector: chigger (mite) bite vasculitis/systemic symptoms 💡 Tx: Doxycycline [---] mg BID x [--] days (or until afebrile 48h); Azithromycin if pregnant/young child https://twitter.com/i/web/status/2022635108230922317 https://twitter.com/i/web/status/2022635108230922317"
X Link 2026-02-14T11:32Z [----] followers, [---] engagements
"@doctors_squad In Physics: You are my gravity the force that keeps me grounded 🧲✨"
X Link 2026-02-14T11:44Z [----] followers, [---] engagements
"@official_Gegeh ✅ Liver 📍 It has the strongest regenerative capacity (can regrow after partial hepatectomy) 💡 Nuance: other tissues regenerate somewhat (skin bone blood) but the liver is the classic regenerating organ"
X Link 2026-02-14T11:44Z [----] followers, [---] engagements
"@ManualOMedicine 🔴 Diagnosis: Acute ST-elevation myocardial infarction (STEMI) 📍 ECG: ST elevation in leads II III aVF (inferior leads) 📍 Reciprocal ST depression in lateral leads (I aVL) ⚡ Indicates acute inferior wall MI urgent reperfusion needed"
X Link 2026-02-08T15:06Z [----] followers, [---] engagements
"✅ Answer: B. Ventricular rate control 📍 Atrial fibrillation in stable patient with mitral stenosis 📍 Hemodynamically stable: rate control is first-line (e.g. beta-blocker diltiazem digoxin) ⚡ DC cardioversion reserved for unstable patients 💡 Always anticoagulate due to high thromboembolic risk https://twitter.com/i/web/status/2022295740102438934 https://twitter.com/i/web/status/2022295740102438934"
X Link 2026-02-13T13:04Z [----] followers, [--] engagements
"@DrMedica_13 ✅ Answer: B) Acute pancreatitis 📍 Severe epigastric pain radiating to the back 📍 Nausea vomiting elevated serum amylase & lipase ⚡ Often caused by gallstones or alcohol 💡 Imaging (CT abdomen) helps confirm severity and complications"
X Link 2026-02-13T13:24Z [----] followers, [--] engagements
"@DrArslan480 @albertoortegana @ChShafiullah15 @daoo100 @SameerYogi14 @Sage_medics ✅ Answer: C) Bacterial meningitis 📍 CSF: neutrophils glucose protein opening pressure ⚡ Classic bacterial meningitis profile 🔷 Viral = lymphocytes normal glucose; TB = lymphocytes glucose 💡 Start empirical antibiotics urgently"
X Link 2026-02-13T15:29Z [----] followers, [---] engagements
"✅ Answer: A) Propranolol 📍 Non-selective beta blocker ⚡ Reduces physical symptoms of anxiety (tremor palpitations sweating) 🔷 Used as needed before performances/public speaking 💡 Lithium clozapine and valproate are for mood/psychotic disorders not acute performance anxiety https://twitter.com/i/web/status/2022332999023394987 https://twitter.com/i/web/status/2022332999023394987"
X Link 2026-02-13T15:32Z [----] followers, [---] engagements
"🔴 Diagnosis: Raynauds phenomenon 📍 Pallor and cyanosis of fingers well-demarcated ⚡ Episodic vasospasm triggered by cold or stress 🔷 Causes: primary (idiopathic) or secondary (autoimmune diseases e.g. scleroderma lupus) 💡 Rule out connective tissue disorders if other symptoms present https://twitter.com/i/web/status/2022333719965544625 https://twitter.com/i/web/status/2022333719965544625"
X Link 2026-02-13T15:35Z [----] followers, [--] engagements
"@simplify_drugs ✅ Answer: Beta blockers 📍 Can worsen vasospasm by allowing unopposed alpha-adrenergic activity ⚡ Preferred agents: calcium channel blockers nitrates nicorandil 💡 Avoid non-selective beta blockers in vasospastic (Prinzmetals) angina"
X Link 2026-02-13T17:46Z [----] followers, [--] engagements
"@Doctors__squad ✅ Answer: B) Calcium channel blockers 📍 First-line for Raynauds phenomenon (e.g. nifedipine amlodipine) ⚡ Relieve vasospasm reduce attack frequency/severity 💡 Beta blockers can worsen symptomsavoid in Raynauds"
X Link 2026-02-13T17:46Z [----] followers, [---] engagements
"✅ Answer: A) Atropine 📍 Organophosphates AChE inhibition cholinergic toxidrome (DUMBBELSS) ⚡ Atropine reverses muscarinic effects (bronchorrhea/bronchospasm bradycardia) 🧠 Pair it with pralidoxime (2-PAM) to regenerate AChE (nicotinic weakness) 💡 Treat airway + secretions first atropinize until lungs are dry"
X Link 2026-02-14T10:55Z [----] followers, [---] engagements
"🔴 Diagnosis: Hydrocephalus (likely obstructive/non-communicating) 📍 Rapid macrocephaly + bulging fontanelle ⚡ Sunsetting eyes = raised ICP from ventricular CSF accumulation 🔷 Causes in infants: aqueductal stenosis post-hemorrhagic (IVH) congenital malformations infection 💡 Next: urgent head ultrasound/CT + neurosurgery (CSF diversion VP shunt or ETV depending on cause) https://twitter.com/i/web/status/2022638102460690601 https://twitter.com/i/web/status/2022638102460690601"
X Link 2026-02-14T11:44Z [----] followers, [---] engagements
"🧴👙 "Ozempic vulva": when rapid GLP-1 weight loss reaches the mons and vulva ASPS surgeons report more patients on GLP-1s noticing deflation of labia majora greater protrusion of labia minora mons laxity and loose skinrelated chafing in tight clothes and during exercise essentially Ozempic face but in the genital region. The driver is rapid fat loss outpacing skin and connective-tissue recoil sometimes compounded by pelvic floor deconditioning and peri-/postmenopausal hypoestrogenism. Clinical read: Ozempic vulva isnt a diagnosis but a patient-language signal of distress about intimate"
X Link 2026-01-30T14:21Z [----] followers, [----] engagements
"🧬🫀 COMMIT: triplet mFOLFOX6 + bevacizumab + atezolizumab stretches PFS [--] years in 1L dMMR/MSI-H mCRC Phase [--] COMMIT (NRG-GI004/SWOG S1610) randomized previously untreated dMMR/MSI-H metastatic CRC to atezolizumab alone vs triplet mFOLFOX6 + bevacizumab + atezolizumab. The triplet cut the risk of progression or death by 56% (HR [-----] 95% CI 0.230.84) and extended median PFS from [---] to [----] months with 12-month PFS 66.7% vs 35.1% and 24-month PFS 53.7% vs 31.6%. Depth of response was markedly better: ORR 86.1% vs 46% with complete responses in 36.1% vs 18.9% and primary progressive disease"
X Link 2026-02-01T12:02Z [----] followers, [---] engagements
"🧠💊 Leucovorin for autism: hype hope and a big evidence gap A new NPR piece tracks how leucovorin (folinic acid) went from obscure chemo rescue drug to celebrity autism therapy after a [----] press conference where the FDA commissioner promised a label change for autism one that still hasnt happened. Since then demand has exploded (Facebook groups off-label scripts even a drug shortage and temporary foreign imports) despite only small methodologically limited studies suggesting benefit in a subset of children with cerebral folate deficiency or folate-receptor autoantibodies. Experts like Paul"
X Link 2026-02-04T14:49Z [----] followers, [----] engagements
"🤰🩺 When metformin isnt enough in gestational diabetes: who needs insulin add-on and what it means for outcomes In a retrospective U.S. GDM program (399 pregnancies starting metformin 20182021) 28.8% required insulin supplementation. Older age private insurance and higher screening GTT increased the likelihood of needing insulin while later GDM diagnosis and Black/Hispanic ethnicity were linked to metformin-only control. After propensity matching metformin+insulin users had more LGA births (28.6% vs 13.9%; aRR [----] 95% CI 1.183.02) and NICU admissions (25.8% vs 13.5%; aRR [----] 95% CI"
X Link 2026-02-05T10:46Z [----] followers, [---] engagements
"🦠💉 Forgotten tetanus is creeping back as DTaP coverage falls in U.S. kids An NBC News/Stanford analysis finds kindergarten DTaP completion has dropped from 94.9% (2020) to 92.1% (2025) leaving [------] children under-vaccinated while annual tetanus cases have ticked up from a typical [----] per year to [--] in [----] and at least [--] in 2025the highest in a decade. Clinicians link this to vaccine hesitancy pandemic-era disruption and more climate-related disasters that increase contaminated-wound risk. For practice the message is simple: tetanus still kills up to 20% of those infected yet is almost"
X Link 2026-02-06T11:40Z [----] followers, [---] engagements
"🦠🧬 IL-33 as a blood biomarker for invasive pulmonary aspergillosis in HBV-ACLF In a prospective proof-of-concept study of HBV-ACLF (16 IPA [--] bacterial pneumonia [--] non-infected) plasma IL-33 was markedly higher in IPA and showed strong diagnostic performance: for IPA vs non-infection AUC [-----] cut-off [----] pg/mL (sens 93.8% spec 81.2%); for IPA vs bacterial pneumonia AUC [-----] cut-off [----] pg/mL (sens 93.8% spec 84.4%) clearly outperforming IL-6 IL-10 and other cytokines. IL-33 levels spiked at IPA diagnosis (155 pg/mL vs [--] pg/mL in the incubation phase) and fell during recovery (28 pg/mL)"
X Link 2026-02-07T12:10Z [----] followers, [---] engagements
"@drsthanus 🔴 Diagnosis: Pneumocystis pneumonia (PCP) 📍 HIV CD4 100/L diffuse bilateral infiltrates ⚡ Caused by Pneumocystis jirovecii 🔷 Presents with fever dry cough dyspnea"
X Link 2026-02-07T13:55Z [----] followers, [----] engagements
"🧬🩺 Outpatient bispecific antibody programs: a practical playbook from Vanderbilt Hematologists at Vanderbilt-Ingram Cancer Center have published JCO Oncology Practice guidance on how to safely move bispecific antibodies (for FDA-approved NHL and myeloma indications) into the outpatient settingcovering risk stratification step-up dosing standardized pathways for cytokine release syndrome ICANS infections and cytopenias and clear role definitions for an interdisciplinary team plus 24/7 coverage. Their framework builds on prior experience with outpatient CAR-T but is tailored to the lower yet"
X Link 2026-02-08T15:00Z [----] followers, [---] engagements
"🧬🦠 CRISPR fingerprint for Candida auris: fast burden + resistance read-out from a simple swab Wyss Institute researchers have built dSHERLOCK a digital CRISPR/Cas diagnostic that combines single-molecule microarrays with machine-learning to detect Candida auris from surveillance swabs in [--] minutes and quantify fungal load within [--] minutes with sensitivity down to about [--] cfu/L across major C. auris clades while staying specific vs other fungi. By reading distinct fluorescence kinetics signatures the same assay can simultaneously call azole and echinocandin resistance mutations (e.g. FKS1"
X Link 2026-02-09T13:09Z [----] followers, [---] engagements
"🦠💉 At-home flu (and combo flu/COVID) tests: helpful but know what they can and cant do Most OTC kits are 1020-minute nasal-swab antigen tests that pick up flu A/B (often COVID-19 too). In real-world use sensitivities hover around 7080%: a positive during flu season is usually trustworthy but a negative does not fully rule out infection especially in adults tested late or with a light swab. Clinical read: advise high-risk patients (pregnant [--] chronic heart/lung disease immunocompromised) to test early and call promptly if positive so antivirals can start within [--] hours. If symptoms are"
X Link 2026-02-10T13:53Z [----] followers, [---] engagements
"🩺☀ Mohs vs image-guided superficial RT for non-melanoma skin cancer: what really differs For early BCC/SCC Mohs micrographic surgery and image-guided superficial radiation therapy (IG-SRT) both achieve very high local control: Mohs series report 9799% cure rates for primary NMSC while large multi-institutional IG-SRT cohorts show 99% local control with excellent disease-specific survival and low toxicity. (Wikipedia) Mohs offers one-day histology-controlled excision but leaves a surgical scar; IG-SRT is non-invasive delivered over [----] fractions and can spare tissue in cosmetically or"
X Link 2026-02-11T22:02Z [----] followers, [---] engagements
"💉⚠ FDA warning letter to Abbott over FreeStyle Libre CGMs: accuracy QC and design-transfer under scrutiny The FDA has issued a Jan [--] [----] warning letter to Abbott Diabetes Care after a [----] inspection of its Alameda site found quality-system violations in the manufacture of FreeStyle Libre flash and CGM systems including Libre [--]. Issues include unclear performance specs for third-party manufacturers releasing sensors without full finished-device accuracy testing weak statistical acceptance criteria and inadequate validation that current manufacturing and release controls still meet the"
X Link 2026-02-13T12:00Z [----] followers, [---] engagements
"🔴 Diagnosis: Kidney transplant (renal transplant) scars 📍 Midline and lower abdominal surgical scars (likely right or left iliac fossa) ⚡ Common sites for kidney graft placement 🔷 Patients often young healthy-appearing post-transplant 💡 Lifelong immunosuppression required; organ donation saves lives https://twitter.com/i/web/status/2022332260595184101 https://twitter.com/i/web/status/2022332260595184101"
X Link 2026-02-13T15:29Z [----] followers, [---] engagements
"🔴 Diagnosis: "Mercedes-Benz" incision (Chevron incision with vertical extension) 📍 Curved subcostal (Chevron) with midline extension ⚡ Classic for liver transplantation 🔷 Provides excellent exposure for hepatic surgery 💡 Also used for some complex biliary/pancreatic operations https://twitter.com/i/web/status/2022332274205729187 https://twitter.com/i/web/status/2022332274205729187"
X Link 2026-02-13T15:29Z [----] followers, [----] engagements
"@world_of_med1 🔴 Diagnosis: Lactic acidosis 📍 Generalized tonic-clonic seizures muscle hypoxia ⚡ Anaerobic metabolism leads to lactate anion gap metabolic acidosis 💡 Always check serum lactate in post-seizure metabolic acidosis"
X Link 2026-02-13T15:29Z [----] followers, [---] engagements
"@MoarSahitoPTI ✅ Answer: C) Alteplase 📍 Thrombolytic agent (tPA) ⚡ Indicated for massive PE with shock/hemodynamic instability 🔷 Dissolves clot rapidly improves survival 💡 Heparin for stable PE; warfarin/aspirin not used acutely in unstable PE"
X Link 2026-02-13T15:32Z [----] followers, [----] engagements
"@syamkumarmd 🔴 Diagnosis: Atrial fibrillation (AFib) 📍 Irregularly irregular rhythm absent P waves 📍 Variable R-R intervals fibrillatory baseline ⚡ Risk of thromboembolism stroke 💡 Management: Rate/rhythm control anticoagulation if indicated"
X Link 2026-02-13T17:46Z [----] followers, [--] engagements
"@MedLearnHub @DrAkhilX @Dr_Shiv_kumar_ @dr_manish_ydv @SameerYogi14 @ChShafiullah15 @BodyExplained @DrMedica_13 @shakilED @daoo100 ✅ Answer: C) Pheochromocytoma 📍 Paroxysmal headache palpitations sweating severe hypertension ⚡ CT: adrenal mass; Histology: nests (zellballen) of chromaffin cells 💡 Rule of 10s: 10% bilateral extra-adrenal or malignant"
X Link 2026-02-13T17:47Z [----] followers, [--] engagements
"✅ Answer: D) Subungual melanoma 📍 Dark brown/black pigment under nail plate (often broad/irregular) ⚡ Concerning if new enlarging or involves nail fold (Hutchinson sign) 🔷 Melanocytic malignancy arising in the nail matrix 💡 Rule: persistent bruise that doesnt grow out with the nail urgent derm eval/biopsy https://twitter.com/i/web/status/2022625291915436129 https://twitter.com/i/web/status/2022625291915436129"
X Link 2026-02-14T10:53Z [----] followers, [---] engagements
"🔴 Diagnosis: Oral candidiasis (thrush) 📍 White curd-like plaques on tongue with erythematous base ⚡ Plaques are typically scrapeable (may leave pinpoint bleeding) 🔷 Candida albicans overgrowth (infants post-antibiotics inhaled steroids) 💡 Treat with nystatin oral suspension ( fluconazole if severe/refractory); recurrent cases assess risk factors https://twitter.com/i/web/status/2022625392935194836 https://twitter.com/i/web/status/2022625392935194836"
X Link 2026-02-14T10:54Z [----] followers, [---] engagements
"🔴 Diagnosis: Noma (cancrum oris) gangrenous orofacial infection 📍 Massive tissue loss of cheek/mouth with exposed/destructed maxilla/mandible ⚡ Typically in severe malnutrition / immunosuppression (e.g. measles HIV) + poor oral hygiene 🔷 Polymicrobial anaerobes ischemia + rapid necrosis (soft tissue bone) 💡 Early red flag: necrotizing gingivitis + foul odor urgent IV antibiotics + nutrition later reconstruction https://twitter.com/i/web/status/2022625418486968508 https://twitter.com/i/web/status/2022625418486968508"
X Link 2026-02-14T10:54Z [----] followers, [----] engagements
"✅ Answer: C) Addisons disease (primary adrenal insufficiency) 📍 Salt craving + hyperkalemia + nonanion gap metabolic acidosis ⚡ Hyperpigmentation in palmar creases + buccal mucosa = ACTH/MSH 🔷 Aldosterone + cortisol (autoimmune most common) 💡 Confirm: AM cortisol + ACTH then cosyntropin test; treat crisis with IV hydrocortisone + fluids https://twitter.com/i/web/status/2022625721076596749 https://twitter.com/i/web/status/2022625721076596749"
X Link 2026-02-14T10:55Z [----] followers, [---] engagements
"✅ Answer: Copper-T intrauterine device (IUD) 📍 T-shaped copper IUD with retrieval strings ⚡ Long-acting reversible contraception (effective for 510+ years depending on type) 🔷 Copper causes local inflammatory reaction spermicidal 💡 Common AE: heavier/longer menses + cramps (vs LNG-IUD lighter periods) https://twitter.com/i/web/status/2022634965599433181 https://twitter.com/i/web/status/2022634965599433181"
X Link 2026-02-14T11:32Z [----] followers, [---] engagements
"@modernHealthMe ✅ Answer: C) Temporary transvenous pacing 📍 ECG: profound bradycardia/likely high-grade AV block (ventricular escape) ⚡ Clinical: syncope + hypotension = unstable bradycardia 💡 Next step: immediate pacing (often transcutaneous as a bridge temporary transvenous pacing)"
X Link 2026-02-14T13:23Z [----] followers, [---] engagements
"✅ Answer: B) Erythema marginatum Major criterion 📍 Non-itchy annular ring rash with central clearing on trunk ⚡ Classic cutaneous sign of acute rheumatic fever (migratory transient) 🔷 Part of Jones major criteria (along with migratory polyarthritis carditis chorea SC nodules) https://twitter.com/i/web/status/2022665289356251169 https://twitter.com/i/web/status/2022665289356251169"
X Link 2026-02-14T13:32Z [----] followers, [---] engagements
"🔴 Diagnosis: Congenital hypothyroidism (cretinism) 📍 Myxedematous facies: puffy/full cheeks + thick/full lips flat/low nasal bridge ⚡ Macroglossia + umbilical hernia lethargy prolonged jaundice (key associated clues) 🔷 Thyroid hormone deficiency growth + neurodevelopment (irreversible if missed) 💡 Newborn screen treat immediately with levothyroxine (dont wait for confirm) https://twitter.com/i/web/status/2022677146720780374 https://twitter.com/i/web/status/2022677146720780374"
X Link 2026-02-14T14:19Z [----] followers, [---] engagements
"✅ Answer: A) Diazepam 📍 Benzodiazepine for acute anxiety / panic (short-term use) ⚡ MOA: GABA-A frequency rapid anxiolysis + sedation 🧠 Risks: dependence respiratory depression (esp. with alcohol/opioids) 💡 Long-term control = SSRI/SNRI + CBT; benzos = bridge not maintenance https://twitter.com/i/web/status/2022677175049039904 https://twitter.com/i/web/status/2022677175049039904"
X Link 2026-02-14T14:19Z [----] followers, [----] engagements
"✅ Answer: B) Infectious mononucleosis (EBV) 📍 Kissing disease fever + sore throat + lymphadenopathy ⚡ Classically posterior cervical nodes fatigue splenomegaly 🧠 EBV infects B cells atypical lymphocytes; heterophile (Monospot) often + 💡 Avoid amoxicillin/ampicillin (rash) and counsel no contact sports if splenomegaly"
X Link 2026-02-14T15:48Z [----] followers, [----] engagements
"✅ Answer: D) Constipation 📍 Image suggests Graves hyperthyroidism (stare/exophthalmos) ⚡ Dalrymple sign (lid retraction) + warm moist hands are typical hyperthyroid clues 🔷 Hyperthyroidism gut motility diarrhea not constipation 💡 Myxedema can occur in Graves as pretibial myxedema (localized) but constipation points to hypoT4"
X Link 2026-02-14T15:56Z [----] followers, [---] engagements
"🔴 Diagnosis: Nonbullous impetigo (perioral) 📍 Honey-colored crusted erosions along the lip/commissure ⚡ Usually S. aureus ( GAS) very contagious superficial skin infection 🔷 Often follows minor trauma/irritation (can be impetiginized over HSV/eczema) 💡 Tx: topical mupirocin if limited; oral anti-staph if extensive (cover MRSA if risk) https://twitter.com/i/web/status/2022708081721819224 https://twitter.com/i/web/status/2022708081721819224"
X Link 2026-02-14T16:22Z [----] followers, [---] engagements
"🔴 Diagnosis: hCG-secreting testicular germ cell tumor (classically choriocarcinoma) 📍 Positive pregnancy test in a man = -hCG in urine ⚡ Suggests testicular cancer (can also cause gynecomastia) 🔷 -hCG produced by trophoblastic elements acts like LH 💡 Next step: testicular exam + scrotal US + serum -hCG/AFP/LDH and urgent urology referral"
X Link 2026-02-14T16:55Z [----] followers, 89K engagements
"✅ Answer: D) Trigeminal nerve V3 📍 Jaw movement while drinking/chewing involuntary eyelid winking ⚡ Classic for Marcus Gunn jaw-winking (congenital synkinesis) 🧠 Aberrant V3 (mastication) input miswires to levator palpebrae (CN III) 💡 Clue: eyelid moves with jaw not a primary eye-motor palsy https://twitter.com/i/web/status/2022985584155803816 https://twitter.com/i/web/status/2022985584155803816"
X Link 2026-02-15T10:45Z [----] followers, [---] engagements
"🔴 Diagnosis: Pulmonary embolism with pulmonary infarction (Hampton hump) 📍 Pleuritic right-sided chest pain + cough ( hemoptysis) fits PE/infarct ⚡ CXR clue: peripheral pleural-based wedge-shaped opacity in the RLL = Hampton hump 🔷 Thromboembolus distal ischemia/hemorrhagic infarction pleuritic pain 💡 Pearl: CXR can be near-normalconfirm with CTPA/VQ and start anticoagulation if likely https://twitter.com/i/web/status/2022994815516897770 https://twitter.com/i/web/status/2022994815516897770"
X Link 2026-02-15T11:22Z [----] followers, [--] engagements
"🔴 Diagnosis: Angioedema risk (bradykinin overload) 📍 Sacubitril = neprilysin inhibitor breakdown of bradykinin ⚡ ACE inhibitors also bradykinin breakdown combo = dangerous angioedema 🔷 Hence ARNI is paired with an ARB (valsartan) not an ACEi 💡 Need a 36-hour washout when switching from ACEi sacubitril/valsartan https://twitter.com/i/web/status/2023029260642816402 https://twitter.com/i/web/status/2023029260642816402"
X Link 2026-02-15T13:38Z [----] followers, [----] engagements
"🔴 Diagnosis: Most consistent with noma (cancrum oris) / gangrenous necrotizing orofacial infection 📍 Rapidly progressive necrotic mid-face/oral tissue loss with severe disfigurement ⚡ Risk factors: malnutrition poor oral hygiene recent measles HIV/immunosuppression 🔷 Polymicrobial infection ischemia + tissue necrosis (can mimic mucormycosis/SCC) 💡 Emergency: urgent hospital care (IV antibiotics + nutrition + wound care; later reconstructive surgery) https://twitter.com/i/web/status/2023029383062077719 https://twitter.com/i/web/status/2023029383062077719"
X Link 2026-02-15T13:39Z [----] followers, [---] engagements
"🔴 Diagnosis: Supernumerary (accessory) nostril congenital nasal duplication 📍 Extra nasal pit/nostril near the columella/ala (three nostrils) 🔷 Embryology: abnormal duplication of nasal placode / fusion of nasal processes ⚡ Check for associated craniofacial anomalies (clefting septal defects) 💡 Management is surgical excision/reconstruction for function + cosmesis https://twitter.com/i/web/status/2023029402473230549 https://twitter.com/i/web/status/2023029402473230549"
X Link 2026-02-15T13:39Z [----] followers, [--] engagements
"✅ Answer: B) 24% 📍 Blue Venturi = fixed-performance 24% FiO (commonly [--] L/min depending on set) ⚡ Used when you need precise low FiO (e.g. COPD with CO retention risk) 🔷 Venturi masks deliver predictable FiO via air-entrainment jets 💡 Color mnemonic: Blue = 24% (White 28% Yellow 35%) https://twitter.com/i/web/status/2023058100979150977 https://twitter.com/i/web/status/2023058100979150977"
X Link 2026-02-15T15:33Z [----] followers, [---] engagements
"🔴 Diagnosis: Melanoma (most likely malignant) 📍 Asymmetry + irregular borders + variegated brown/black with blue-black focus high suspicion ⚡ Next step: urgent derm + excisional biopsy (narrow [--] mm margins; avoid partial/shave if possible) 🔷 If confirmed wide local excision sentinel node based on Breslow depth 💡 Rule: ugly duckling / evolving pigmented lesion = biopsy first dont watch-and-wait https://twitter.com/i/web/status/2023079710020784462 https://twitter.com/i/web/status/2023079710020784462"
X Link 2026-02-15T16:59Z [----] followers, [---] engagements
"🔴 Diagnosis: Pheochromocytoma 📍 Episodic HTN + headache + palpitations + diaphoresis ( weight loss) ⚡ Catecholamine-secreting tumor (adrenal medulla; rule of 10s classic) 🔷 Confirm: plasma free metanephrines or 24h urine metanephrines 💡 Treat: -blockade first (phenoxybenzamine/doxazosin) then -blocker surgery https://twitter.com/i/web/status/2023097031804268941 https://twitter.com/i/web/status/2023097031804268941"
X Link 2026-02-15T18:08Z [----] followers, [---] engagements
"🔴 Diagnosis: Amelogenesis imperfecta (generalized enamel hypoplasia) 📍 Multiple teeth with pitted/rough enamel + yellowbrown discoloration across the dentition ⚡ Leads to sensitivity + rapid wear/caries risk despite normal-looking tooth shapes 🔷 Genetic enamel formation defect (enamel matrix/mineralization) 💡 Management: aggressive prevention + sealants/composite; often full-coverage restorations/crowns for protection https://twitter.com/i/web/status/2023097378627108872 https://twitter.com/i/web/status/2023097378627108872"
X Link 2026-02-15T18:09Z [----] followers, [---] engagements
"✅ Most likely: Hemophilia (A B) 📍 Isolated prolonged aPTT with normal PT intrinsic pathway defect ⚡ Hemarthroses/deep tissue bleeding fits hemophilia (factor VIII or IX deficiency) 🔷 DDx: vWD (more mucocutaneous) heparin exposure factor XI deficiency 💡 Next test: mixing study (corrects in deficiency) + factor VIII/IX levels https://twitter.com/i/web/status/2023097392501768200 https://twitter.com/i/web/status/2023097392501768200"
X Link 2026-02-15T18:09Z [----] followers, [--] engagements
"@ZahoorAhmed1450 🔴 Diagnosis: ACE inhibitors contraindicated in pregnancy 📍 Cause fetal renal malformations (renal agenesis oligohydramnios) ⚡ Risk of fetal growth restriction skull ossification defects neonatal renal failure death 💡 Always avoid ACE inhibitors & ARBs during pregnancy"
X Link 2026-02-09T11:53Z [----] followers, [--] engagements
"🧠🩻 AI and radiologist jobs: big productivity gains small risk of actual job loss (for now) A Stanford modeling study using published data on how radiologists spend their time estimates that AI tools for report drafting and normal study delegation could cut radiologist hours by 1449% over the next [--] years. Drafting radiology reports automatically for review/signature and triaging almost certainly normal exams (up to 50% of screening mammograms and 40% of outpatient radiographs) deliver the largest time savings. But with cross-sectional imaging volumes roughly doubling over the past decade"
X Link 2026-02-12T20:26Z [----] followers, [---] engagements
"@simplify_drugs ✅ Answer: Valsartan 📍 ARBs (like valsartan) do not increase bradykinin 📍 ACE inhibitors (enalapril lisinopril) bradykinin cough angioedema ⚡ Sacubitril (in combo with valsartan) bradykinin 💡 Remember: ARBs least affect bradykinin levels"
X Link 2026-02-13T12:32Z [----] followers, [--] engagements
"@DrMedica_13 ✅ Answer: A) Adenosine 📍 IV adenosine brief AV nodal block ⚡ Common scary but expected effects: transient asystole flushing chest tightness 🧠 Ultrashort half-life (10 sec) symptoms resolve quickly 💡 Tip: give as rapid IV push + saline flush (warn patient first)"
X Link 2026-02-14T11:32Z [----] followers, [---] engagements
"✅ Answer: Multiple sclerosis (MS) 📍 McDonald criteria diagnose MS by showing dissemination in space + in time ⚡ MRI lesions in typical locations CSF oligoclonal bands can support/replace time evidence 🔷 Immune-mediated CNS demyelination relapses + progressive disability patterns 💡 Think: MS = DIS + DIT (space + time) https://twitter.com/i/web/status/2022985538232291830 https://twitter.com/i/web/status/2022985538232291830"
X Link 2026-02-15T10:45Z [----] followers, [---] engagements
"🔴 Diagnosis: 3rd-gen cephalosporins ( 4th) have the best CNS penetration 📍 Ceftriaxone + cefotaxime great for meningitis pathogens ⚡ Ceftazidime adds Pseudomonas coverage (also reaches CSF) 🔷 Cefepime (4th gen) penetrates CSF esp. with inflamed meninges 💡 3rd gen CNS is the exam shortcut https://twitter.com/i/web/status/2023015363902857250 https://twitter.com/i/web/status/2023015363902857250"
X Link 2026-02-15T12:43Z [----] followers, [---] engagements
"✅ Answer: A) Edema 📍 Tissue swelling = excess interstitial fluid accumulation ⚡ Common causes: hydrostatic pressure oncotic pressure lymphatic obstruction permeability 🔷 Urticaria = transient wheals from histamine (not the general term) 💡 Edema = fluid in tissues https://twitter.com/i/web/status/2023024084670394867 https://twitter.com/i/web/status/2023024084670394867"
X Link 2026-02-15T13:18Z [----] followers, [---] engagements
"✅ Answer: A) Telmisartan 📍 ARB aldosterone K excretion hyperkalemia (esp. in diabetes/CKD) ⚡ Risk with ACEi K supplements spironolactone NSAIDs 🔷 Diabetes can cause hyporeninemic hypoaldosteronism baseline K tendency 💡 Furosemide usually causes hypokalemia not hyper https://twitter.com/i/web/status/2023024097941233890 https://twitter.com/i/web/status/2023024097941233890"
X Link 2026-02-15T13:18Z [----] followers, [---] engagements
"✅ Answer: Endoscopic third ventriculostomy (ETV) 📍 Ventriculoscope via frontal burr hole into 3rd ventricle ⚡ Fenestration of the floor of the 3rd ventricle CSF to prepontine cistern 🔷 Bypasses aqueduct obstruction (e.g. aqueductal stenosis/tectal or pineal mass) 💡 Classic treatment for obstructive hydrocephalus https://twitter.com/i/web/status/2023029419967713467 https://twitter.com/i/web/status/2023029419967713467"
X Link 2026-02-15T13:39Z [----] followers, [----] engagements
"✅ Answer: B) Colchicine 📍 Acute gout flare = treat inflammation (NSAID/colchicine/steroids) ⚡ Start early (best within 2436h) to blunt neutrophil-driven pain/swelling 🔷 Dont start urate-lowering meds (allopurinol/febuxostat/probenecid) for the first time during the flare 💡 Begin/adjust ULT after flare settles (or continue if already on it) https://twitter.com/i/web/status/2023058779458216364 https://twitter.com/i/web/status/2023058779458216364"
X Link 2026-02-15T15:36Z [----] followers, [---] engagements
"🔴 Diagnosis: Nevus spilus (speckled lentiginous nevus) 📍 Light-brown patch with multiple darker speckles inside (peppered look) ⚡ Often present from birth/early childhood usually benign 🔷 DDx: caf-au-lait (uniform) congenital melanocytic nevus (more solid/hair) epidermal nevus (more verrucous/linear) 💡 Watch for ABCDE/rapid change dermoscopy/derm eval if evolving or symptomatic https://twitter.com/i/web/status/2023079551425741098 https://twitter.com/i/web/status/2023079551425741098"
X Link 2026-02-15T16:58Z [----] followers, [---] engagements
"🔴 Diagnosis: Methemoglobinemia (oxidant drug exposure) 📍 Cyanosis + desaturation that doesnt match clinical/ABG (saturation gap) ⚡ Chocolate-brown blood/serum suggests metHb (Fe cant bind O) 🔷 Common triggers: benzocaine/local anesthetics nitrates/nitrites dapsone 💡 Treat by stopping agent methylene blue (avoid/alternative if G6PD deficiency) https://twitter.com/i/web/status/2023079579129123200 https://twitter.com/i/web/status/2023079579129123200"
X Link 2026-02-15T16:58Z [----] followers, [---] engagements
"✅ Answer: B) Beriberi 📍 Thiamine (B1) deficiency classically beriberi (dry = neuropathy; wet = cardiomyopathy/edema) ⚡ Also causes Wernicke-Korsakoff (confusion ataxia ophthalmoplegia memory issues) 🔷 Pellagra = niacin (B3) scurvy = vitamin C rickets = vitamin D 💡 Tip: Give thiamine before glucose in malnourished/alcohol use to prevent Wernicke https://twitter.com/i/web/status/2023079688696922326 https://twitter.com/i/web/status/2023079688696922326"
X Link 2026-02-15T16:59Z [----] followers, [---] engagements
"🔴 Diagnosis: Pneumocystis jirovecii pneumonia (PCP) 📍 Bilateral diffuse interstitial/ground-glass opacities (often perihilar) with no cardiomegaly/effusions ⚡ Think HIV/immunosuppression dyspnea dry cough marked hypoxemia 🔷 Confirm with induced sputum/BAL ( LDH); treat TMP-SMX 💡 Add steroids if significant hypoxemia; prophylaxis when CD4 [---] https://twitter.com/i/web/status/2023097044793950248 https://twitter.com/i/web/status/2023097044793950248"
X Link 2026-02-15T18:08Z [----] followers, [----] engagements
"🔴 Diagnosis: Gradenigo syndrome (petrous apicitis from otitis media) 📍 Triad: ear discharge + retro-orbital pain (CN V1) + abducens (CN VI) palsy ⚡ Spread of middle ear/mastoid infection to the petrous apex 🔷 Complications: meningitis cavernous sinus thrombosis urgent imaging (CT/MRI) 💡 Treat: IV broad-spectrum antibiotics ENT surgical drainage if needed https://twitter.com/i/web/status/2023097576602374560 https://twitter.com/i/web/status/2023097576602374560"
X Link 2026-02-15T18:10Z [----] followers, [--] engagements
"🔴 Diagnosis: Vitamin B12 deficiency (knuckle hyperpigmentation) 📍 Darkening over MCP/PIP joints is a classic clue often with fatigue/glossitis 🔷 Mechanism: melanin production/abnormal melanin transfer in B12 deficiency ⚡ Check: macrocytosis neuropathy; labs: B12 methylmalonic acid/homocysteine 💡 DDx to remember: Addison disease (more diffuse bronzing + palmar creases/mucosa) https://twitter.com/i/web/status/2023123971626217543 https://twitter.com/i/web/status/2023123971626217543"
X Link 2026-02-15T19:55Z [----] followers, [---] engagements
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