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Resources to study #Neurology

Adams and Victor’s. By far my favourite textbook.
The book is more clinically oriented, coloured with anecdotes and mental models. Reading it feels like seeing a pt in the ward/OPD

#MedTwitter #neurotwitter
It has elements of philosophy, history and is written eloquently.
Whimsical, yet profound, it’s teachings stay with me. Added bonus, my Guru in Neurology finds mention in the text 🙃 I’d recommend this for #mbbs #md and #dm students
Bradley is the standard #textbook in #neurology. A great book, it’s more like #Harrison. Great for information, latest research and management. Essential for the DM #neurology candidate, but also useful for MD #internalmedicine
Read 11 tweets
1) Somebody just asked me about the management of scorpion bite --> something I have never dealt with before.

Apparently, they are divided by species and by presentation --> autonomic storm/neuromuscular toxicity or DIC!

India --> Mesobuthus spp --> autonomic storm!
2) How did I learn all this within 5 minutes?


The single most important resource for internists everywhere.

I love textbooks, but this is the digital age.
3) Textbooks will help you with the deep diving but for POC medicine where time is of the essence and you need high fidelity, organized information --> you will need UpToDate.

Unpopular opinion and @stethospeaks may skewer may for this --> but this is what I stand by!
Read 4 tweets
Sudden cardiac arrest & Sudden cardiac death (SCD) refer to the sudden cessation of cardiac activity with hemodynamic collapse, typically due to sustained ventricular tachycardia/ventricular fibrillation; mostly occur in patients with previously undiagnosed diseaes.
1 of N
Results from Framingham heart study suggests that more men are affected with increasing age.
Not rare, 15 percent of the total mortality in the United States & other developed nations is due to SCD. (

2 of N
-It is the initial clinical manifestation of 15% of coronary heart diseases (CHD).
-SCD is the mechanism of death in over 60% of patients with known CHD.
-Risk increases by a number of factors: Age, underlying cardiac diseases, post-menopausal women, CHD risk factors
3 of N
Read 20 tweets
1/ You've got feedback to give. But how to deliver it?

Hey #MedTwitter & #MedEd Friends!

We are the #MedEdTwagTeam, back again for another #TweetorialTuesday! 🙏 to all who follow, enjoy, and share!

Follow: @GStetsonMD, @JenniferSpicer4, & @MedEdTwagTeam to stay #UpToDate
2/ We have reached Week 4 in our #Feedback threads.

Last week, @JenniferSpicer4 taught us all about the components of effective feedback, including setting, timing, specificity, frequency, and more.

This week we will talk about the two main methods of feedback “delivery.”
3/ So the two main methods are a “download” and a “dialogue.” What do these terms mean?
Read 14 tweets
A transmissão de HIV em sexo oral é muito baixa, segundo o #uptodate gira em torno de 1 a 4 em cada 10mil exposições, principalmente para quem chupa/lambe.

Eu já tive sim pacientes que disseram que praticavam apenas sexo oral sem preservativo e se infectaram. Image
A medicina não é uma ciência exata, então vale a pena considerar todas as possibilidades.

Fatores de risco aumentado são gengivite, feridas na boca (inclusive lesões de sífilis que são bem inflamadas), herpes, sexo no período menstrual no caso de pessoas com vagina, sangramentos
sangramentos por escovação vigorosa ou fio dental e claro, ejaculação na boca por parceria com carga viral alta.

Portanto use preservativo no sexo oral ou cuide bem da saúde bucal se for fazer sem!

Herpes, sífilis e gonorreia são facilmente transmitidas por sexo oral.
Read 3 tweets
Por favor, ginecólogos de ciertas consultas de aseguradoras privadas, dejad de hacer esto o dedicad un rato a explicar a la paciente joven y sana porque lo hacéis. Incluyendo la controversia sobre lo "normal"
El tema de la sobremedicación de la vitamina D a cualquier mujer de cualquier edad, condición, enfermedad o salud cuyo nivel medido de 25OH VitD sea inferior a 30ng/ml está siendo una epidemia. Debería haber un pronunciamiento oficial de las sociedades científicas para parar esto
#Hilo resumen informativo sobre #vitaminaD.
Información obtenida de #UpToDate.
Hay una serie de enfermedades que presentan déficit de vitD como la enfermedad renal crónica, la malabsorción intestinal por patología o cirugía bariátrica o fibrosis quística con manejo específico.
Read 11 tweets

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