Discover and read the best of Twitter Threads about #EndNeurophobia

Most recents (16)

Hi #MedTwitter #MedStudentTwitter #neurotwitter #MedEd #FOAMed! It's been too long since my last #EndNeurophobia #tweetorial so here's an introduction to brain imaging–thanks @sarrovasta for the request!🧠❤️
cc:@CPSolvers @rabihmgeha @DxRxEdu @AvrahamCooperMD @caseyalbin
1/🧵
Let's start w/CT. I'll focus on brain (and not bone or soft tissue). First:

* Identify normal structures and any abnormalities in:
- Size
- Shape
- Symmetry
(note *symmetric* abnormalities such as ventriculomegaly or diffuse cerebral edema may not be obvious w/o experience)

2/
Next:

* Identify abnormalities
- Hypodensity
- Hyperdensity

Broadly:

• Hypodensity:
- Ischemia
- Inflammation
- Infection
- Neoplasm

• Hyperdensity:
- Blood
- Calcification
- Hyperdense tumors (e.g. lymphoma)
- Thrombus in vessel
- Contrast enhancement

3/
Read 19 tweets
Yes, @Tracey1milligan! How do I #LoveNeurology let me count the ways! 🧠❤️
A 🧵
Below is from a presentation where we each gave a pitch to students why our specialty was the best. All due respect to admired colleagues in other specialties, roasting/humor was encouraged😀
So when trying to choose a specialty, your advisor may ask you what’s your favorite organ?

You’ve heard the arguments:
- the skin is the largest organ in the body
- the heart moves and makes cool sounds
- the kidney has such fascinating biochemistry (if you're into that)
Read 19 tweets
The pupils can constrict (miosis) and dilate (mydriasis)
Mydriasis = bigger word = bigger pupil.

Constriction is a PARASYMPATHETIC function (tiny relaxed happy pupils)

Dilation is a SYMPATHETIC function (eyes wide with fear)
Pupils constrict in response to LIGHT and NEAR

Pupils dilate in response to DARKNESS and ADRENERGIC TONE

Drugs can also affect the pupils as can prior trauma/surgery
Read 26 tweets
Hi #medtwitter #neurotwitter #medstudenttwitter #meded #FOAMed

It's been too long since my last #EndNeurophobia #tweetorial. As requested by @sukritibanthiya here is a tweetorial on MUSCLE DISEASE (MYOPATHY)

Let me know what you think and what I should cover next!
Classic pattern of weakness in myopathy is PROXIMAL symmetric weakness of the limbs, though there are exceptions.

There should be NO sensory findings (unless there is concurrent neuropathy) and reflexes are often spared until the patient is extremely weak.
Difficulty rising from a chair (hip girdle musculature), washing hair (shoulder girdle musculature)

CK is often elevated but not always

EMG can demonstrate myopathic pattern (though can be normal eg statin myopathy)

Definitive Dx may require muscle biopsy and/or genetic test
Read 19 tweets
1/ Had some fun today on rounds with these! The Rinne and Weber tests stress out a lot of folks, so let's tackle them today.

#MedTwitter #MedEd #EndNeurophobia @MedTweetorials
2/ What are the Weber and Rinne tests used to help identify?
3/ The answer is both! Remember that the most useful exams are hypothesis-driven so you need to do a history to begin suspecting if a patient has either type of hearing loss. This will help you generate a pre-test probability for disease (this will become relevant later).
Read 13 tweets
A lot of talk about #CVST Rare to have neuro in the news, so here's a quick #neurology #Tweetorial on cerebral venous sinus thrombosis.

#MedEd #MedTwitter #neurotwitter @CPSolvers @rabihmgeha @DxRxEdu #EndNeurophobia
I will focus on the condition/neurology, not the possible association w/vaccine or hematology. I leave that to experts like @shemarmoore and her excellent thread here:
First, what are the cerebral venous sinuses?

They are the final pathway of venous drainage from the brain into the jugular veins.

They are formed from folds in the dura.
Read 16 tweets
1/
Attending: “But never anticoagulation for an intracranial dissection!”

Me as a resident: “Of course. Totally!”

Also me ⬇️: [googling “where do the internal carotid arteries and vertebral arteries become intracranial?”]

Feel familiar? A #tweetorial @MedTweetorials
2/
With the TREAT-CAD trial, lots of talk about dissection treatment. Whether your team anti-platelets or team anticoagulation (🙋🏻 Must. Give. Heparin (@MGHNeurology) 4 ever. I know you feel this, @namorris!) consideration about the location of dissection is possibly important.
3/
Also, regardless of your team… TREAT-CAD was not able to demonstrate non-inferiority of ASA, just saying.

Aspirin versus anticoagulation in cervical artery dissection (TREAT-CAD): an open-label, randomised, non-inferiorit… pubmed.ncbi.nlm.nih.gov/33765420/
Read 12 tweets
Hello, #MedTwitter, #MedStudentTwitter, #NeuroTwitter
It’s been a long time since my last clinical neuroanatomy #tweetorial, sorry about that!

Here's a new one:

MOTOR SUPPLY to the FACE and Approach to FACIAL WEAKNESS

cc @Tracey1milligan @CPSolvers @DxRxEdu @MedTweetorials
I'm glad #EndNeurophobia campaign has grown but please check out the rest of my feed, which seeks to amplify voices I’m learning from on the path to becoming an antiracist ally
@CPSolvers #antiracism series
Subscribe:@ThePraxisPod @SocMedOnAir
Follow @InequityKills @LashNolen
Just like the arms and legs the facial motor pathway has both UPPER motor neurons and LOWER motor neurons:
The UMNs begin in the lateral precentral gyrus, descend with the internal capsule, through the cereeral peduncle to arrive at the facial nucleus in the PONS.
Read 19 tweets
It’s been a neurology week with cases of lower extremity weakness at MR @SinaiBmoreIMRes and presenting a case with this complaint to @cps VMR last week.
Working to improve my approach to this condition- recommendations welcome in improving these infographics. #MedTwitter Image
Updated with correction/recommendation ! Image
Read 3 tweets
Hi #MedTwitter #NeuroTwitter #medstudenttwitter!
How about another #EndNeurophobia neuroanatomy #tweetorial?

This one goes out to all those USMLE studiers out there:

THE BASAL GANGLIA

cc: @CrystalYeoMDPhD @MadSattinJ @Tracey1milligan @DxRxEdu @CPSolvers @MedTweetorials
Grateful for ❤️ #EndNeurophobia received but hope you read rest of my feed seeking to amplify voices I’m learning from on path to being an antiracist ally.
follow @BlackInNeuro @LashNolen @uche_blackstock @DrOniBee @gradydoctor
listen @thepraxispod @thenocturnists
read @DrIbram
First, the anatomy:

The basal ganglia are islands of gray matter embedded in the subcortical white matter. Texts vary on what they include but most agree on at least:
Caudate
Putamen
Globus pallidus (interna and externa)
Subthalamic nucleus

I’ll call these C, P, GPi, GPe, STN
Read 17 tweets
Hey #MedStudentTwitter #neurology residents, another #EndNeurophobia #MedEd #tweetorial to celebrate joining the @CPSolvers team!

CORTICAL REGIONS AND STROKE SYNDROMES

cc: @Tracey1milligan @MadSattinJ @CrystalYeoMDPhD
@DxRxEdu @MedTweetorials
But first a moment of silence for

#RayshardBrooks
#BreonnaTaylor
#GeorgeFloyd
#AhmaudArbery
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Grateful for❤️ for #EndNeurophobia but hope you read rest of my feed, which seeks to amplify voices I’m learning from on the path to being an antiracist ally.

to learn more, follow/learn from #BlackMedTwitter #BlackintheIvory
listen @thepraxispod @thenocturnists
read @dribram
Read 22 tweets
But first a moment of silence for
#RayshardBrooks
#BreonnaTaylor
#GeorgeFloyd
#AhmaudArbery
.
.
.
.
.
.
.
.
.
.
Grateful for❤️ for #EndNeurophobia but hope you read rest of my feed, which seeks to amplify voices I’m learning from on the path to being an antiracist ally.

to learn more:

Follow @uche_blackstock @UREssien @LashNolen @michellemorse
listen @thepraxispod
read @dribram's books
Read 27 tweets
Hello #medstudenttwitter, I was alerted to tweets expressing concern about spinal cord anatomy on step 1, so here’s a new #EndNeurophobia #tweetorial on

THE SPINAL CORD

#meded #Neurology
cc @MedTweetorials @DxRxEdu @CPSolvers @Tracey1milligan
But first, a moment of silence for
#GeorgeFloyd
#AhmaudArbery
#BreonnaTaylor
and other lives lost to racism, structural violence, police brutality .
.

.

.

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Grateful for all the ❤️#EndNeurophobia has received but hope you check out the rest of my feed, which seeks to amplify voices I’m learning from in the path to being an antiracist ally. Want to learn more?

Follow some folks I follow
check out @thepraxispod
read #BlackInTheIvory
Read 17 tweets
THE PROMISED NEUROLOGY FELLOWSHIP THREAD: I’ve taken it upon myself to hype up neurology despite being under the tutelage of medicine for the next year. Neurology gets left behind when students resolve never to live in a world where ‘dysdiadochokinesia’ is used unironically.
Disclaimer: This thread is NOT comprehensive. Neurologists practice in vast spectrums that cannot be conveyed here. This is simply meant to inform prospective applicants about the options within the field of neurology, and hopefully, to entice them to explore something(s) new.
1/ #movementdisorders (MD)- starting out this thread with a backslap to naysayers who still make the tired claim that “there’s no instant gratification in neurology.” WRONG!
Read 48 tweets
Hard to think about #EndNeurophobia #neurology #tweetorials when I know we're all thinking/tweeting more about #EndRacism!

But #MedStudentTwitter asked and I will deliver....To f/u on CPSolvers recent case of ataxia

Here are the basics of CEREBELLUM and ATAXIA!
1
But first, a moment of silence for
#GeorgeFloyd
#AhmaudArbery
#BreonnaTaylor
and other lives lost to racism, structural violence, police brutality
.
.
.
.
.
.
.
I’m grateful for all the❤️#EndNeurophobia has received but hope you’ll check out the rest of my feed, which seeks to amplify voices I’m learning from in the path to being an antiracist ally. Want to learn more? Follow & learn:

@uche_blackstock @DrOniBee @LashNolen @michellemorse
Read 22 tweets
Time for another #neuroanatomy #tweetorial #medstudent twitter!

By popular request, this one is On the VISUAL PATHWAY and localizing VISUAL FIELD DEFICITS!

cc @DxRxEdu @CPSolvers @CrystalYeoMDPhD @Tracey1milligan

1/
But first, a moment of silence for #GeorgeFloyd #AhmaudArbery #BreonaTaylor
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.
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2/
I’m grateful for all the ❤️ these #EndNeurophobia #tweetorials have received, but hope you’ll check out the rest of my feed too, which seeks to amplify the voices of those who I’m learning from in the path to being an antiracist ally.

3/
Read 26 tweets

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