Thought ???

Never give anyone the power to curtail or control your personal growth.

Hyposkilliacs defend their position by blaming the inaccuracy of physical signs when the true problem is that they have not bothered to master the physical examination # BrainspottingAdventuresinNeurology Notting Hill Editions

🎯 Time to #JEADVWeeklyQuiz! ❓ What is your #diagnosis? The patient pictured presented with complex and interconnected fistulas. #dermatology

Dyschromatosis universalis hereditaria Characteristic clinical features of hereditary reticulate pigmentary disorders 👇🏻 <Infographic: Dermatology Research & Practice, tinyurl.com/mutu2x29>

This elderly gardener female with a 10-day history of painful lesions on the right hand and forearm. Diagnosis?

If you’re suspecting hyperkalemia in a patient who needs IV fluids, which fluid would you choose? Normal Saline or Ringer’s Lactate? And why?

de Musset’s sign Anyone else seen it? Kailash Bhatia, The Wolf of College Street youtu.be/e5mgkoVu8Dg?si… via YouTube

Puru Chaudhari, MD True , so in a volume depleted pt, initial NS infusion can improve K excretion (if renal function is intact ). But since we rely on urine K excretion, these patients often need larger volumes and large NS loads risk hyperchloremic acidosis which can again push K⁺ out into the

Have you been missing the 'head snap sign?' It is a subtle but important clinical observation that is expanding our understanding of tremor. The head snap sign, first described in essential tremor, may actually reach beyond essential tremor into thalamic tremor and possibly other

IT TAKES A VILLAGE TO MAKE A RED CELL Oxygen and Fe balance is a team sport: kidney (EPO), marrow (RBCs + ERFE), liver (hepcidin), gut (iron). A whole-body conversation we rarely talk about - usually reduced to a series of ‘feedback loops’, which focus on mediators, not organs

Streptococcus pneumoniae (pneumococcus) - mucoid form. Gram-positive, lancet-shaped diplococcus. Note the optochin susceptiblity.

For those of you taking your USMLE boards, remember this one concept that unlocks tons of questions. Big picture Insulin (fed state) → tends to dephosphorylate key metabolic enzymes (↑ phosphatases, ↓ cAMP/PKA). That favors taking glucose out of the blood, burning glucose,

My new name badges for work just arrived and they are SO COOL

"Sepsis Mimics: Differentiating Impersonators" explains that while sepsis is an uncontrolled inflammatory response, other conditions can mimic its systemic inflammation, making differentiation crucial for proper treatment. emcrit.org

Hypertrophic lichen planus (HLP) HLP is an idiopathic variant of LP characterized by hyperkeratotic nodules/plaques on the lower legs of adults 50–75. Pathogenesis involves CD8+ T-cell–mediated epidermal injury. DDx: SCC, hypertrophic AK, KA, prurigo nodularis, lupus,

Never miss to look in the ear! Shuster sign #DLE rash , could be harbinger of Lupus #SLE #MedTwitter #rheumtwitter Dr Ganesh Srinivasa Prasad Janet Pope

Big question of IM residents and attendings. On rounds when a clinical question needs quick research, do you still use uptodate, or have you transitioned to AI - e.g. open evidence, ChatGPT or perplexity? Adam Rodman

I was today years old when I learned this mind blowing Neuro anatomical fact. The terminal nerve, also known as cranial nerve zero (CN 0), is possibly the thirteenth cranial nerve. 🎬This small, mysterious cranial nerve is considered the "0" nerve because it lies anterior (in