Onilia Zorio, DO, MS

Our PGY-2s are ALMOST senior residents!! We had to get creative with photoshop because Dr. Aden is on nights 😂 #neuro #NeuroTwitter #medicine #medicaleducation #residency #neurology #neuroscience #resident #friends #medical #MedAnim

1/ Met Gala outfits as infectious diseases: A (short) thread 🧵.

Learning case for the stroke page 🔷60 y/o F w/ history of HTN, HLD, & DM presents w/ L neglect / field cut, signifiant L hemiparesis and L hemisensory loss #Neurology #MedEd #Medicine #neurosurgery #radres #futureradres

What is the most likely diagnosis in this 30 y/o M w/ HA & subacute deterioration in mental status? 🔷Audiology assessment showed bilateral sensorineural hearing loss 🔷B/l retinal whitening on dilated eye exam More images in 🧵 #Neurology #radres #MedEd @AlbanyMedRadRes

We are so excited for our new class of Neurology residents!!! Welcome to Arizona!!! 🌵🧠 #residency #thematch #Match2024 #matchday #neurology #NeuroTwitter #neuroscience #med #MedEd #medicine #medschool #premed

Knowledge is contagious! Infectious encephalitis is a difficult diagnosis, but patterns on MRI can suggest an etiology. Most know herpes & the temporal lobe Do YOU know any more? Here’s a figure to help you remember the most “common” encephalitis patterns for different organisms Since CSF PCR studies take time, imaging can provide helpful clues: ▶️ Temporal lobe 🔸Although other infectious agents may involve the temporal lobe, statistically this is overwhelming HSV-1 ▶️ Deep Gray 🔸Think of flaviviruses such as Japanese encephalitis & West Nile encephalitis ▶️ Splenium 🔸Think of common infections, especially infections kids get—rotavirus, influenza, COVID. ▶️ Brainstem 🔸This is most commonly enteroviruses (hand, foot and mouth disease). 🔸Remember, all the motor fibers for the hand, foot, & mouth meet in the brainstem, so this is where the encephalitis from hand, foot & mouth will be! ▶️ Infarcts 🔸Think VZV. Varicella and Vasculitis both start with V! ▶️ White matter 🔸Think of immunocompromised viruses (HIV, PML/JC virus) Hopefully, now you will have an infectious curiosity for the MR findings in encephalitis!😂

@CunninghamResus is the lactate differential guru!!

Great gift from an even better friend! @CunninghamResus you’re the best!! #NeuroTwitter

I’m on my first solo night float shift of PGY-2 tonight 🧠 I have this gem with me in case of any downtime🤞🏼 Excited to start reading!!! @AaronLBerkowitz #NeuroTwitter #Neurology #residency

1/ #ContinuumCase for the New Academic Year!!! Step 1⃣: Get an @AANmember resident membership and get @ContinuumAAN🆓!!! Step 2⃣: play along A 27 yo man is brought in obtunded. Nothing is known about his PMH. A head CT is completed demonstrating sulcal effacement and edema.

1/Time is brain! So you don’t have time to struggle w/that stroke alert head CT. Here’s a #tweetorial to help you with the CT findings in acute stroke. #medtwitter #FOAMed #FOAMrad #ESOC #medstudent #neurorad #radres #meded #radtwitter #stroke #neurology #neurotwitter

1/”Tell me where it hurts.” How back pain radiates can tell you where the lesion is—if you know where to look! A #tweetorial about how to remember lumbar radicular pain distributions. #medstudenttwitter #medtwitter #radres #FOAMed #FOAMrad #neurorad #tweetorial #Meded

Congrats to all those who have matched today, especially into the wonderful field of Neurology!!! Welcome!!! 🧠

Many med students seek a neuro elective because their school doesn’t have one. With a critical shortage of neurologists, it’s time that med schools offer and require a core clerkship in neuro. They need to be exposed in order to be inspired! #neurotwitter #MedTwitter #meded

My 1st #ContinuumCase! A young 👩‍🦰 presents with headaches & confusion. She is febrile🤒, tachypneic, & tachycardic. She rapidly develops stupor & abnormal stereotyped movements + inverse ocular bobbing. She is started on empiric therapy & stabilized. An MRI is performed🔽

So happy to be here!! Thanks for a great welcome onto the service today! 🧠 @Demaerschalk

More than 1 in 5 patients told they had autoimmune #encephalitis actually had a psychiatric or functional neurologic disorder, neurodegenerative disease, or other condition: bit.ly/3WnA1CX #neurotwitter @AANMember

Upper extremity neuro testing

A 51-year-old previously healthy man was admitted due to severe neck pain for 6 days. Take the #ClinicalChallenge. What is your diagnosis? ja.ma/3C3iVTB

This is an incredible demonstration of neuroplasticity… A 7 year old girl had a right hemispherectomy for refractory epilepsy. Over time her remaining left brain rewired itself so that her left motor cortex controlled BOTH sides of her body. #MedTwitter