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Dharmesh Shukla
@DrShukla14
, 5 tweets, 2 min read Read on Twitter
#POCUS diagnosis of epididymitis (thread) n/1 - scanning at root of scrotum - sweeping from spermatic cord downwards to find epididymis - which is enlarged and has complex appearance.
n/2 inflamed epididymis - complex appearance, increased vascular flow
n/3 sweeping from epididymis (inflamed) to testis (which is normal)
n/4/End thread: Testis appears normal - but note surrounding reactive hydrocele.
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#POCUS

More from @DrShukla14 see all

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Dharmesh Shukla
@DrShukla14
#POCUS image (transverse probe orientation in suprapubic region) in a 20 year old lady (language barrier++) with history of lower abdominal pain and recurrent vomiting since 20 days. Pregnancy test negative. Exam - fullness in lower abdomen, tenderness, no peritonism.
Saggital suprapubic #POCUS image
All sorts of differentials pass through - including obstetric fistula.... but patient has just passed urine - so repeat scan after full bladder.. with CT images 5 h later.
Read 5 tweets
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Dharmesh Shukla
@DrShukla14
#POCUS appearance of pneumoperitoneum (thread) - appreciate how normally abdominal wall, peritoneal line and intraperitoneal structures can be appreciated
Pneumoperitoneum causes peritoneal line to be enhanced, and gas scatter beneath means intraperitoneal structures can't be seen. Instead, reverberation artefacts from peritoneal line - similar to pleural A-lines - can be seen.
#POCUS at borderzone of pneumoperitoneum can show "peritoneal point" (cf. lung point in pneumothorax)
Read 7 tweets
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Dharmesh Shukla
@DrShukla14
#POCUS in cardiac arrest - keep probe on prior to pulse check pause - avoid delays searching for window - to minimize duration - and record a 3 sec loop which can be analyzed later. (thread)
(continued) this is what image looked like at pulse check - Dilated RV with septum bowing towards LV - should we give fibrinolytic for possible pulmonary embolism?
#POCUS is just a data point - in overall clinical context - additional data - this was a out of hospital VF arrest. With PE - we would expect a PEA arrest. Moreover, no risk factor for PE - and in fact, patient is on long term warfarin for AF - a "negative risk factor" for VTE?
Read 9 tweets

Related threads

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🇸🇳Cisko Bécaye🇧🇫
@CiskoBecaye
Pourquoi il ne faut pas venir étudier en Chine si vous avez pas les moyens à moins d’être boursier (sûr à 100% avant de venir).
#RTappreciés #Thread #kebetu
Depuis l’an passé, nous (l’Association des Etudiants Sénégalais en Chine) avons eu beaucoup de cas à gérer. Des étudiants en difficulté financière et qui risquaient la prison et la déportation. Beaucoup d’entre eux ont été victimes d’un manque d’informations d’une part,
Et de la fourberie du Sénégalais d’autre part. En effet, ils étaient venus dans l’espoir de trouver vite un boulot, le temps d’avoir une bourse promise par le gars qui les a fait venir. C’est pourquoi nous avons jugé nécessaire de véhiculer la bonne information aux gens.
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Underlined
@Und_rlined
#Thread : pourquoi vous devez regarder #Evangelion (maintenant qu'il est disponible sur @NetflixFR) en 11 points.
L'histoire en quelques mots : un jour un "Ange" débarque dans un Tokyo post-apo pour tout casser. Shinji, tout juste adolescent, va devoir l'affronter, lui, ainsi que ses peurs et ses doutes, dans un robot géant. D'autres Anges suivront, mais qui sont-ils ?? Suspens.
1. L'#openning. Commençons par le commencement. L'intro laisse percevoir toute la profondeur et l'intrigue de la série. Les personnages sont présentés avec l'image qu'ils veulent montrer d'eux, seuls. Et il est super bien avec la musique et tout.
Read 23 tweets
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إبن الغُبيري
@ibnalghobeiri
#THREAD | Taqwa: The Standard of Perfection

What is taqwa and what are some of its main effects in this world and in the Hereafter?
Islam teaches that we were created to attain perfection through worship, which is the organized buildout of taqwa (God-consciousness/piety). By worshipping God, we increase in taqwa and thus more consummately connect with Him, and as He is unlimited, we reach our potential.
What exactly is taqwa? In language, 'taqwa' means caution; thus, it refers to fear/consciousness of Him (obeying Him and not disobeying Him). Imam Ja'far al-Sādiq (a) defines having taqwa as: "God not losing you where He commanded you and not finding you where He restricted you."
Read 16 tweets
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Filipe Silva
@o_numero10
O Julian Nagelsmann deu uma potentosa entrevista à revista Kicker no mês passado, o @EduardVSchmidt fez a tradução do alemão, e eu venho aqui trazer algumas observações.
#Thread
🎙️"Não vou ser autoritário (sobre a chegada ao Leipzig). Não sou esse tipo de pessoa. Não me sinto confortável dessa forma, mas quanto mais tempo trabalhas com uma equipa, mais tens de adaptar e restringir, porque muitas coisas começam a ser normalidade."
💭Isto parece um contra-senso com a forma como muitos vêem a posição de um líder. Principalmente, o restringir à posteriori. Então mas não se perde o balneário dessa forma? É só entrando a "matar" ou à "disciplinador" que se é líder?
Read 34 tweets
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Gregory Waters
@GregoryPWaters
#THREAD | I'll be tracking pro-govt deaths again for the #Idlib #Hama operation. Some notes:
- ALL deaths come from pro-govt sources
- Exact places of deaths are only partially accurate
- Numbers KIA should be viewed as approximations
- If I post anything wrong please correct me
#Idlib_Dawn operation began May 6 targeting #Qalaat_alMudiq axis on #Hama

At least 10 loyalist KIA including 1 on Jub Ahmar (#Latakia/#Hama border)

HOWEVER May 6 was also 'martyrs day' so Facebook was flooded w/ old martyr posts making collecting accurate data very difficult.
7 of these deaths were #Tiger_Forces w/ 6 from #Taha_Regiment's Maskana Group and Omar Naqr Group (pic)

Jub Ahmar death was from #4th_Division, although I was told there were many other deaths here not reported on loyalist social media.
Read 34 tweets
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♰🇺🇸🕵 A Anon ⭐⭐⭐
@AAnon_QArmy
🕵Q's Army🕵

Do you #think #QsArmy is just a bunch of #people sitting at the #computer doing nothing?💻

Do you think #DigitalSoldiers are #stealing #valor?🎖

Do you think #QSoldiers are wasting their #time, not doing anything to #help?🕰

If so then please read #thread.
💊💊⤵
The first thing you have to #understand is the #RippleEffect. When you find a #Fact, you share it. Now the #information has a starting point. #Everyone is a starting point for #someone.

👥 👥
👥👥 👥👥
👥👥🕵👥👥
👥👥👥👥
👥👥

We call it #RedPilling. 💊
It can take a long time to find all the #facts. Hours of #digging.

#Imagine if you were being told #lies by the #news and no one was willing to take time out of their day to #find the #Truth. No #Opposition! No one watching [them].

#WeAreTheNewsNow. The protectors of truth.⤵
Read 17 tweets

Trending hashtags

#Mécha #HINDUISM #Latakia #Carabosse #hommes #StayTuned #manifester #Tel_Bakr #IrregularWarfare #Photovoltaique #LangstonHughes #fakenews #Scénario #Hindu #digging #mission #stealing #ThankYou #RedPilling #Poutine #RobertMueller #libération #WorldWide #ChampsElysee #Army
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