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@Dr_Chibuike_M I'm a cardiogastronephroloendorespiratory doc

World’s first Cardio-Nephrologist (Heart and Kidney Specialist Combined) - Nigerian Dr. John Olurotimi Badero A Fully Trained Board Certified Interventional Cardio-Nephrologist (Combined Heart & Kidney Specialist Physician) who has been recognized as the world's first and only Board Certified Interventional Cardio-Nephrologist. He also performed the first Transradial Coronary Angioplasty in Mississippi, breaking new ground in cardiovascular care. He has an unprecedented 10 years of continuous postgraduate medical training in the United States, specializing in seven different areas of medicine. Raised in Lagos, Nigeria, Prof. Badero, obtained his medical education at Obafemi Awolowo University, Nigeria before relocating to the United States to further. He currently resides in Jackson, Mississippi where he runs a private office. He is an Assistant Pastor in the Redeemed Christian Church of God.

@Waterstones I have receipts to get credits for on to a waterstone card. how far back do they remain good.

@veraghali @IhabFathiSulima She ain't got PD or any of these

Freezing of Gait (FOG), associated with Parkinson Disease (PD) in middle and advanced stages and other Parkinsonian syndromes like progressive supranuclear palsy (PSP), multiple system atrophy (MSA), and corticobasal degeneration (CBD. It comprises a sudden, short and temporary episodes of inability to move the feet forward, like feet are stuck or glued to the floor, while the torso still has momentum, which makes patients prone to accidents and falling. It is caused by inhibition of brain circuits that coordinate gait that interconnects brain regions from the frontal lobes that plan and initiate movement, areas of basal ganglia where dopaminergic neurons refine and control movement, and areas of the brainstem which modulate movement and wakefulness. FOG may also occur secondary to vascular Parkinsonianism caused by damage from mini-strokes; normal pressure hydrocephalus, traumatic brain injury, and cognitive disorders and dysfunctions. FOG also occurs during "off" periods of medications when the action of levodpoa wears off. It is triggered when a person starts to walk and suddenly turns around; anxiety/depression, and being rushed under a time constraint to doing something. Management is by walking to a beat or rhythm; following external cues to reset brain's rythm; relaxing and waiting for the freeze to pass. Treatment is by dose adjustment of carbidopa/ levodopa.

What is the medical Condition called and how is it treated?

@Thievesbook @thecreativepenn Seriously diminished

@thecreativepenn There's also "the other place"!

Blackwells Oxford is the best bookstore in the world (imho!) with floors and floors of well-curated books - and the wonderful Norrington Room in the basement. I spent a lot of money here in the 90s as a student and I’m still loving it! 📚 💙

@thecreativepenn I must visit. Foyles (where i met my wife) is a shadow of itself.

@Kulambq Yes I have s stack of books, feynman, want to master PDEs and Tensors

My father, after retiring, would sit up nearly every night well past midnight, absorbed in mathematics and physics, filling notebook after notebook. For him, it was a kind of meditation, and for me, a lasting source of inspiration.

@Ahmedalikhan78 @ManualOMedicine Great suggestion

@ManualOMedicine Stewart-Treves syndrome

A 70-year-old man with an itchy non-painful rash present for 6 weeks, and slowly enlarged. Medical hx: lymph node metastasis of a squamous cell carcinoma of unknown primary in the right axilla, removed 2 years earlier. - What is the most likely diagnosis ? #medtwitter #foamed

@albertoortegana @ManualOMedicine Not dermatomal

@ManualOMedicine diagnosis: Herpes zoster (Shingles) Unilateral rash over chest and arm Dermatomal distribution (does not cross midline) Grouped vesicles + crusting Elderly patient (70 yrs) History of malignancy → immunosuppression risk

@albertoortegana @ManualOMedicine Which dermatome

@kevverage exactly, he is odious lazy nasty POS

still amazed how many people seem to mistake an unremarkable parlour trick as a sign of great intellect

@FrumiousFalafel @chris_kratovil really he is an odious POS with no morals and nasty and he studied classics at school and degree.

@chris_kratovil Too bad he's not PM. What I found most impressive was that he pretty clearly appeared to know the MEANING of what he was reciting in addition to just uttering the words. I wonder if (I hope that) someone will be able to recite Lincoln's Gettysburg Address in 2,500 years or so...

It’s not every day that one gets to listen to a former British Prime Minister recite from memory the opening passages of The Iliad in Ancient Greek, with no notes, in response to a random question from an undergraduate—and all while wearing what appear to be Thomas The Tank Engine socks. But today was one such day. My thanks to my good friend Brad LaMorgese for the opportunity to see the colorful and comic Boris Johnson speak tonight at the University of Dallas.

@KenGardner11 @chris_kratovil only if u are an idiot

@chris_kratovil This is awesome.

@chris_kratovil He did classics at uni. He is a buffoon and a nasty POS.

@Renad0Alharbi chekc out makindo.co.uk

Looks like I enjoy making mnemonics as if it was a part-time part of being internal medicine resident 💡

@nervemed Can improve it

Electrolyte Abnormalities

@moazmohamed265 makindo.co.uk and download the app

Hi #MedTwitter #IMG I'm Moaz Mohamed, currently in my first year of internship, and I’ve just started my dedicated period for USMLE Step 2. I’d really appreciate any tips, high-yield advice, or resources that helped you during your dedicated 🙏 Let’s go 🔥

@ranivasireddy22 @TEAMS666301 @MDSI_2014 @movedisorder @mdsieditor @ShilpaChitnis2 @AANmember Now I have a migraine

And she was kind enough to share her updated flow chart with movement disorders fellow community! Thanks Dr.Walker ! @TEAMS666301 @MDSI_2014 @movedisorder @mdsieditor @ShilpaChitnis2 @AANmember

Take a look at the bilateral basal ganglia in this first image. This is called État criblé. A fancy term, but it simply refers to diffuse enlargement of perivascular (Virchow–Robin) spaces. Typically associated with: • aging • chronic hypertension • small vessel disease Usually an incidental finding. Chronic hypertension → cerebral small vessel disease → brain atrophy → cognitive decline (vascular dementia). Enlarged perivascular spaces are part of this spectrum and likely relate to: • ischemia • brain atrophy • glymphatic dysfunction Now the key question: Is this a lacunar infarct or an enlarged perivascular space? My previous post showed enlarged perivascular spaces in the bilateral basal ganglia. Compare that with a left thalamic infarct in pic 2 of this post. In that image, there is still a central fluid signal, but with surrounding gliosis (T2/FLAIR hyperintensity), favoring a remote infarct with encephalomalacia and gliosis, rather than an enlarged Virchow–Robin space. How to tell the difference: Lacunar infarct (chronic) • history of symptoms • surrounding gliosis (T2/FLAIR hyperintensity) • cavity may be CSF-like, but not purely identical to CSF on all sequences Virchow–Robin spaces • CSF signal on all sequences • no surrounding gliosis This distinction matters. Exceptions exist; know the general rule, but recognize when it doesn’t apply. Mislabeling can lead to: • overcalling stroke • unnecessary workup Questions: What is the function of perivascular spaces? What role does the glymphatic system play in brain health? Drop your thoughts below👇👇 #Neuroradiology #Neurology #VascularDementia #FOAMed #Neuropedagogy PMID: 26352265 Schubert R. État criblé. Radiopaedia.org (Accessed 28 Mar 2026) doi.org/10.53347/rID-1… Arq Neuropsiquiatr. 2024;82(9):59–69 See my previous post below 👇👇

@dildoswagginsz Makindo.co.uk

fuck Indian authors, middle eastern surgery textbooks came in clutch

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