Mákindé

For the first student-led Neurosurgery Conference in Nigeria...🤌🏼

✅ Step 1: Confirm true hypocalcemia Check albumin Calculate corrected calcium Ideally check ionized calcium Low albumin can falsely lower total calcium. ⬇️ ✅ Step 2: Is the patient symptomatic? Look for: Perioral numbness Paresthesias Tetany Carpopedal spasm Seizures Laryngospasm ECG: Prolonged QT interval If symptomatic → IV calcium gluconate. ⬇️ ✅ Step 3: Check PTH This is the key investigation. 🔹 Low Ca + Low PTH → Hypoparathyroidism → Post-thyroidectomy → Autoimmune hypoparathyroidism 🔹 Low Ca + High PTH → The parathyroids are responding appropriately. Now think: Vitamin D deficiency CKD Malabsorption Pseudohypoparathyroidism ⬇️ ✅ Step 4: Check phosphate 🔹 Low Ca + High PO₄ → Hypoparathyroidism → CKD 🔹 Low Ca + Low PO₄ → Vitamin D deficiency ⬇️ ✅ Step 5: Check magnesium One of the most commonly missed causes. Hypomagnesemia: Causes hypocalcemia Suppresses PTH release Causes resistance to PTH If magnesium is low, calcium may not correct until magnesium is replaced. ⬇️ ✅ Step 6: Check Vitamin D and Renal Function These two investigations explain a large proportion of hypocalcemia encountered in clinical practice. The diagnostic algorithm: Low Calcium → Confirm → PTH → Phosphate → Magnesium → Vitamin D → Renal Function Most cases can be diagnosed within this framework. The mistake is not missing the low calcium. The mistake is stopping the workup after finding it.

إلى الأطباء في practical point مهمة في الطوارئ نبي ننبه عليها بخصوص ال aspirin و بالذات في حالات MI قبل ما تعطي 300mg crushed aspirin لحالة acute MI على طول، تعود أنك تسأل ثلاث أسئلة سريعة: أول سؤال: مهم جدا وهو أكثر سؤال منسي تسأل المريض: هل عندك حساسية من Aspirin؟

“Do you throw yourself into dirt after showering?” “No” “So strive to not return to your sins after Ramadan cleansed them from you.”

What kind of Eid is it for the one upon whom its sun rises while he persists in disobeying his parents, constantly neglecting to honour them? And what kind of Eid is it for the one who has abandoned his brothers and companions neither visiting them, nor sitting with them, nor keeping them company, nor greeting them, nor forgiving them, nor sharing the joy of Eid with them?

INDUCT AG Doctors @UnilorinNGR

Did you know? There is age adjustment for ESR and CRP - Dr A Dua #RWCS2026

Dialysis is not just painful, it is expensive, exhausting, and lifelong. Many people think kidney failure happens suddenly. Truth is, it’s built slowly by habits we ignore daily. 💰 Dialysis costs: - Huge amounts of money every week - Repeated hospital visits - Loss of productive time and strength - Emotional and financial strain on families And here’s the painful part 👉 Dialysis sustains life, it does not cure kidney failure. Most people on dialysis wish they had: ❌ Drink enough water regularly ❌ Controlled blood pressure and diabetes early ❌ Reduced salt, alcohol, and painkiller abuse ❌ Taken regular medical checkups seriously Remember Kidney care is cheap while Dialysis is not. Dialysis is a palliative care. Protect your kidneys today, before they start billing you tomorrow.

@_Nsznn @Nsukka_okpa Saw what you did😂

@Nsukka_okpa I laugh sotey catarrh commot my nose. 😭😭😭

I don spend Two days for Qatar, Nepa never carry light. I ask person wey dey my hotel say when them carry light last, e tell me say “e no sabi”. E ask me say “ why are you shocked? is there power outage where you from” I say No: E say where are you from? I say Qatar.

Who is your brother? Shaykh Ibn Baaz (rahimahullah) said: "Your brother is the one who advises you, reminds you and cautions you; and your brother is not the one who is heedless of you nor turns away from (advising) you and compliments you (when you are in the wrong). But ...

🎨

🎨🎨Cooked for my MB;BS (Ilorin) colleagues.

@Mudesh97 @aaraofficial1 It's not what you think😂

@a_rasheed121 @aaraofficial1

USMLE Step 1 Aspirants, Comment "Biostatistics" to get free access to a USMLE Step 1 Biostatistics Question Bank (worth $49) to simplify tough concepts with real-world analogies

@B_arakatA_minu Intro B is like the bulk of Pharm, I'd say.

Intro B stuff just full here 😂😂 Ibuprofen 😙

@vireluene @HChimagban22537 😂😂 crazyyy

@HChimagban22537 Bro Be like say u never understand me You will upload to photopea Reduce the opacity to 50 percent Then trace it

"Please can I have the .psd and .SVG files?" Pixellab designer:

@oyesola_jr 🤲🏽🤲🏽 Amin

Kai! I go make am for this creativity thing. I go make am! By God's grace!!!

Meet Ameenah Abiola KOPADA, the 2024/2025 Overall Best Graduating Medical Student, who distinguished herself by securing 20 out of the 32 College of Health Sciences awards for the MB;BS graduating set! #UNILORIN40thConvocation #BetterByFar🎓 #ProbitasDoctrina #UNILORINat50

@Stylishshoesng To suffer is to suffer😭

To suffer is to be a doctor, to be doctor is to suffer.

🚨 Confirmed: Schizophrenia’s “voices” are the brain mishearing its own thoughts. For decades, neuroscientists have theorized that the "voices" heard by individuals with schizophrenia stem from the brain mistaking its own inner dialogue for external sounds. A groundbreaking study from the University of New South Wales has now provided direct evidence supporting this hypothesis through brainwave analysis. Using electroencephalography (EEG) to monitor the brain’s electrical activity, researchers examined how individuals process their internal speech. Typically, when we speak—aloud or silently—the brain anticipates the sound of our voice and temporarily suppresses activity in the auditory cortex, the area responsible for processing external sounds, to differentiate self-generated thoughts from external stimuli. However, in people experiencing auditory hallucinations, this predictive mechanism malfunctions. The study involved 142 participants, including those with schizophrenia who recently experienced hallucinations, others with the condition but no recent hallucinations, and a control group without a diagnosis. Participants were instructed to mentally say “bah” or “bih” while hearing these sounds through headphones. In those who heard voices, a striking pattern emerged: their brains showed heightened activity in the auditory cortex when their imagined speech matched the external sound, rather than suppressing it as expected. This suggests the brain was processing internal thoughts as if they were external voices. This sensory misclassification sheds light on why hallucinated voices feel vividly real, revealing them as a neurological error rather than mere imagination. The findings not only deepen our understanding of schizophrenia but also pave the way for earlier detection of psychosis, potentially enabling more timely and effective treatments. ["Corollary Discharge Dysfunction to Inner Speech and its Relationship to Auditory Verbal Hallucinations in Patients with Schizophrenia Spectrum Disorders." Schizophrenia Bulletin, 21 October 2025]

@DekkeyOlaoye @winny343 😂😂 exactly o

@winny343 You don’t know this brother 😭😭😩😩 Na people like me get this sun not him please 😅

It is because all you did was read and follow the laid down protocol People that make it in life don’t do it by going through the path everyone took Make your own path !!!