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Aaron Berkowitz Profile picture
@AaronLBerkowitz
Apr 19, 2021 • 6 tweets • 6 min read • Read on X
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Excited to attend health equity symposium #AANAM @AANMember supported by Cheryl Jay Endowment. Dr. Jay made incredible contributions to our neurology training program in Haiti and I'll never forget how she took all the applicants out to lunch when I interviewed @neurores_ucsf Image
"Zipcode is a greater predictor of health outcome than genetic code" Dr. Joseph Betancourt @MGHMedicine , Health Equity Symposium @AANMember #AANAM
"Structural Racism isn't up for debate, this is our history"
Reminds me of one my favorite quotes from Paul Farmer @PIH "History didn't begin when you arrived..." Image
(paraphrasing) "Even if you improve access to insurance and care, diagnosis/treatment/outcomes influenced by structural racism causing challenges in navigation, communication, stereotyping, and mistrust" @Jbetancourtpr @MassGeneralNews speaking at @AANMember #AANAM #healthequity Image
Lessons learned re: #COVID19 and #healthequity @Jbetancourtpr discussing having the courage to move from the lessons of this moment to the future embedding these lessons in the fabric of clinical practice @AANMember #AANAM Image
"This year has propelled resources, commitment, and platform to moving the needle for work many of us have been advocating for for years related to health disparities...Will we use it? Will we mobilize? Will we create sustainable change?" @Jbetancourtpr @AANMember #AANAM Image

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More from @AaronLBerkowitz

Aaron Berkowitz Profile picture
Jun 8, 2023
Celebrating the life & legacy of Marty Samuels! Here's a master class in the neurologic examination filled w pearls, techniques, wisdom, & history for everyone from students to senior neurologists!
@rabihmgeha @DxRxEdu @AvrahamCooperMD @a_charidimou @caseyalbin @NMatch2024
Marty Samuels: Cardiovascular exam including dynamic palpation of the pulses to assess for carotid stenosis at the bedside. I remember seeing Marty do this at the bedside and being blown away!

Marty Samuels: Mental status exam

Read 8 tweets
Aaron Berkowitz Profile picture
Jun 7, 2023
Today we lost a giant in neurology, medicine,& medical education: Marty Samuels–extraordinary clinician, teacher, mentor,& leader, serving in each of these roles w/humility, humanity,& humor, training& inspiring generations of neurologists. I'm so grateful to have been among them Image
Fortunately for those who didn't have the privilege to learn directly from him, he left behind a wealth of educational resources conveying his extraordinary clinical wisdom spanning neurology, medicine, pathology, and the history of neurology, medicine, and @BrighamWomens
For example, this grand rounds, in which he teaches us to learn from our mistakes
med.stanford.edu/neurology/educ…
Read 10 tweets
Aaron Berkowitz Profile picture
Mar 26, 2023
🧠Neurology Tweetorial🧠I'm often asked about localization/diagnosis in the challenging clinical presentation MULTIPLE CRANIAL NEUROPATHIES. Here is my approach, what is yours #MedTwitter #neurotwitter @NMatch2023 @rabihmgeha @DxRxEdu @caseyalbin @AvrahamCooperMD @a_charidimou?
Multiple CNs can be caused by a STRUCTURAL lesion in
👉🏼Brainstem
👉🏼Subarachnoid space/meninges
👉🏼Skull base
👉🏼Face
👉🏼Neck

🚨 Non-Structural mimics🚨
⚡️PNS (Guillain Barre)
⚡️Motor neuron dz (bulbar ALS)
⚡️NMJ (botulism, myasthenia)
⚡️Myopathy (oculopharyngeal musc dystrophy)
How to localize? #1
👉🏼Know levels of CN nuclei in brainstem

🐭Midbrain: 3, 4
🧠Pons: 6 and 7 (medial); 5 and 8 (lateral)
🧠Medulla: 5 (pain/temp) 8 9 10 (lateral), 12 medial

See diagram:
Read 15 tweets
Aaron Berkowitz Profile picture
Oct 26, 2022
🧠🧠 New #Neurology #Tweetorial added to the collection below 🧠🧠

👀👀VERTICAL DIPLOPIA👀👀

#EndNeurophobia #MedEd #MedTwitter #neurotwitter @CPSolvers @DxRxEdu @caseyalbin @a_charidimou @rabihmgeha @AvrahamCooperMD 🧠❤️
twitter.com/i/events/12671…
First, you might want to review this tweetorial on HORIZONTAL DIPLOPIA
Overall localization of VERTICAL similar to horizontal diplopia = Ocular misalignment due to lesion of:
-Cranial nerve/nucleus
-NMJ (myasthenia)
-Extraocular muscle/Orbit
For vertical misalignment we must also add skew, caused by a lesion in the vestibular pathways
Read 19 tweets
Aaron Berkowitz Profile picture
Jul 28, 2022
It's here! After many years of working on this 2nd edition, it's amazing to finally see and hold it!
I learned so much revising and updating this book, a 🧵
#MedEd #MedTwitter #neurotwitter #NeuroTwitterNetwork @NMatch2023 @caseyalbin @DxRxEdu
One of the most fun things to write was the preface, reflecting on how much has changed and evolved in #neurology in just a few years since the 1st edition. More on why I love neurology here:
For example the antiseizure medication table has expanded from 1 page to two...
Read 10 tweets
Aaron Berkowitz Profile picture
Jul 12, 2022
#MedTwitter #MedStudentTwitter #NeuroTwitter! This morning on @CPSolvers #VMR we discussed an approach to peripheral polyneuropathy so here’s a #tweetorial to add to the #EndNeurophobia series

Link to whole series here:
twitter.com/i/events/12671…
@rabihmgeha @DxRxEdu @caseyalbin
Peripheral neuropathy can be classified as:

Mononeuropathy: single nerve affected

Polyneuropathy: nerves affected throughout body symmetrically

Mononeuropathy multiplex: multiple individual nerves affected, asymmetric

Check out @DxRxEdu video!
clinicalproblemsolving.com/peripheral-neu… Image
MonoN and polyN are most common.

Mononeuropathy multiplex=rare

MonoN most commonly compressive or traumatic (ulnar neurop @ elbow, median neurop @ wrist, peroneal neurop @ fibular head)

Rarely: tumor (neurofibroma), infiltration (amyloid, neurolymphomatosis
Read 25 tweets

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