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!

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 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

🧠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)

🧠🧠 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

https://twitter.com/AaronLBerkowitz/status/1272306852940800000

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:

https://twitter.com/AaronLBerkowitz/status/1492990274368258054

#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…

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/

Paul Farmer changed my life before I ever met him. I'm a cliche: I read Mountains Beyond Mountains as a student, my worldview changed, and I decided I wanted to follow in his footsteps and pursue global health equity when I grew up.

But an atypical version of the cliche...
🧵1/ I was a med school dropout/grad student in music when I read MbM! Here's the story, a portrait of Paul at the bedside, an attempt to capture two of the most meaningful moments in my life, a small homage to Paul from one of the countless lives he touched and shaped.💔 2/

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😀

https://twitter.com/Tracey1milligan/status/1491810031934836736

It’s time for another #EndNeurophobia #tweetorial!

PUPILS AND ANISOCORIA

#MedStudentTwitter #neurotwitter #MedEd
@DxRxEdu @rabihmgeha @CPSolvers @Tracey1milligan @NMatch2022
🧠❤️ 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)

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.

I have been asked where to donate for #earthquake response efforts in #Haiti. I donated to @PIH & @StBonifaceHaiti Both partner with local communities and govt to provide healthcare to those in greatest need. #haitiearthquake #globalhealth 💔 cc: @CPSolvers @DxRxEdu @rabihmgeha healthequityintl.org/news/respondin…
@StBonifaceHaiti is probably the best-resourced hospital in the affected region. I visited in 2012 and what was already an extraordinary facility and group of talented dedicated staff has only grown.

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 "Zipcode is a greater predictor of health outcome than genetic code" Dr. Joseph Betancourt @MGHMedicine , Health Equity Symposium @AANMember #AANAM

Happening now @AANMember #AANAM, Disparities in Care with @NRosendaleSF!

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:

https://twitter.com/acweyand/status/1382156548571590657

The world has lost an extraordinary physician, educator, leader, advocate, & truly Enlightened Being. Dr Carola Eisenberg–the first woman Dean of @harvardmed and of @MIT, @NobelPrize for her work with @P4HR–has left us at 103 🧵

phr.org/our-work/resou…
vimeo.com/82132146

https://twitter.com/P4HR/status/1370502743228551168

I had the incredible good fortune to meet Carola about 15 years ago. She was auditing a music class that I was a TA for. She said she'd heard I had dropped out of med school to be a musician and as a retired psychiatrist she would like to get to know me.

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

Ask and ye shall receive: here is an #EndNeurophobia #tweetorial on the

THALAMUS

as requested by: @NMNeurons thank you!!

#medtwitter #MedStudentTwitter #NeuroTwitter @DxRxEdu @CPSolvers @AANmember @Tracey1milligan @MedTweetorials I ❤️ neuro tweeting but pls also check out 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
listen @ThePraxisPod @thenocturnists
read @dereckwpaul nejm.org/doi/full/10.10…

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

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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Hey #MedStudentTwitter #neurology residents, #EndNeurophobia #MedEd #tweetorial on

EYE MOVEMENTS and GAZE PALSIES

@Tracey1milligan @MadSattinJ @CrystalYeoMDPhD @DxRxEdu @CPSolvers @MedTweetorials But first a moment of silence for
#RayshardBrooks
#BreonnaTaylor
#GeorgeFloyd
#AhmaudArbery
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