1,436 Posts

djross1988 Forget preschool, straight to med school for this one Puts me to shame already #drlochie #futuredoctor #medlyf #uncleduties #juniordoctor #scrubs #notactuallyaneedle 2h

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gillyfinks Perfect Xmas Eve , red wine , log fire and James Bond @phoeberf @fridleyfink 2d

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Earlybird Casualty_holby city
casualty_holbycity_ Day 22:Fave Junior doctor of all time is Maddy Young !! Even though I do love Zosia I grew up watching Maddy as the Junior doctor until they killed her off
#MaddyYoung #NadineLewington #Holbycity #JuniorDoctor #miss #followforfollow #awesome #SHO
4d

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nxcay More people need to listen to this band... #music #band #coverart #juniordoctor 1w

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  •   nehasihra MD 2w
  •   laimounian B 2w
  •   nehasihra MD type 1/steinart- can affect hands and also the trinucleotide gene expansion affecting DMPK can affect flank genes causing acquired cataracts. also associated with b/l ptosis and endocrine pathology #BOOM 2w
  •   medicnotes How's it inherited? (No cheating) @nehasihra 2w
  •   nehasihra that I can't remember. I want to say autosomal recessive. this is my bsc knowledge 2w
  •   medicnotes @nehasihra autosomal dominant. As a general rule, try to remember that autosomal dominant conditions are 'structural' whereas autosomal recessive are 'metabolic' 2w
  •   medicnotes Ok? @nehasihra aka cocky follower 2w

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  •   buitragocata48zr6 miraaa ese video que monte en mi cuenta 2w
  •   ziaziii Intaparenchymal hemorrhage? 2w
  •   ziaziii Or a meningioma 2w
  •   sarasg92 Epidural hematoma. Rupture of mid. Meningeal a. due to a skull fracture 2w

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Lo-fi Ashley Simpson

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  •   medicnotes Yep, I think the underlying point though is that if one were to be abusing exogenous insulin they'd have to be using a significant amount to be causing noticeable weight gain. What happens more often is that patients who abuse insulin will do it intermittently and infrequently and will present on those odd occasions. Patients with insulinomas on the other hand will have continual (although variable rate) endogenous insulin production - therefore are more likely to have significant weight gain with their hypoglycaemia. As a side note, addison's very much fits the clinical picture (dizziness secondary to postural hypotension and a history of abdominal pain) but like exogenous insulin abuse it is not usually associated with weight gain. @laimounian 2w
  •   medicnotes Good discussion, you seem to have a good understanding of physiology :) @laimounian 2w
  •   laimounian Haha thanks im preparing for step 1 2w
  •   medicnotes What's that? Is it an American exam? I'm preparing for MRCP1 in the UK. @laimounian 2w
  •   laimounian Yes it's the USMLE step 1. Good luck on ur exam :) 2w
  •   medicnotes Thanks, u too @laimounian 2w
  •   erinbrayleeharris I say c cause there glucose is below normal level as well as pt feels dizzy due to hypoglycemia and with diabetes naturally comes weight gain @medicnotes 2w
  •   medicnotes Very true, she doesn't have diabetes though @erinbrayleeharris 2w

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hannahsalad You can usually tell what kind of day I am having from my hair. Depth of stray curls from my head is directly proportional to number of jobs I have to do. Today is busy. #juniordoctor 2w

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faces_of_falasteen "Its the most beautiful job in the world, you make people's lives better, sometimes you save their life. They are always grateful. The hardest part was last year, in France you go through a concours with 8000 students, a national exam, and you get ranked to decide what specialty you can take. So I was a studying zombie." (France) 3w

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medicnotes This funnel plot in contrast to the prior one demonstrates publication bias - there is a correlation between publication size and treatment effect. The smaller studies tend to show a greater treatment effect than the larger ones - therefore we see a 'non-funnel' distribution of results. (See previous photo for comparison)

#medic #doctor #medstudent #medicine #medicalstudent #hospital #juniordoctor #juniordoc #revision #university #nhs #unimedic #mednotes #medicnotes #diagnosis #premed
3w

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  •   medicnotes This is a funnel plot, it's seen in systematic reviews and aims to detect publication bias. This plot is an example of no bias. (The larger the study, the more likely it is to represent the 'average' effect of the smaller studies as its confidence interval is narrower) 3w

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medicnotes Have a think about the physiology underpinning pre-renal AKI and what happens in intrinsic renal AKI (acute tubular necrosis).. #medic #doctor #medstudent #medicine #medicalstudent #hospital #juniordoctor #juniordoc #revision #university #nhs #unimedic #mednotes #medicnotes #diagnosis #premed #renal #nephrology #physiology 3w
  •   dr_shru @medicnotes prerenal AKI will have other systemic features of which one of it is renal failure..s.creat will be high. However,AKI d/t acute tubular necrosis will lead to abnormal electrolyte abnormalities with a near normal creat.. 3w
  •   dr_shru @medicnotes please explain...this is a very good question! N it would be great if u could explain propeely 3w
  •   medicnotes @dr_shru pre-renal AKI: the kidneys are healthy but the GFR drops because of poor renal perfusion, the RAAS is activated as the juxtaglomerular apparatus detects the poor perfusion pressure and acts to reabsorb as much sodium and water as possible - therefore in pre-renal AKI one will see low urinary sodium <20mmol/L. In intra-renal AKI (ATN) the nephron itself is damaged, therefore it is defective in reabsorbing sodium. One will therefore observe a high urinary sodium usually >40mmol/L. In addition to urinary sodium, urinary urea is also a good test to distinguish these two. 3w
  •   dr_shru OK OK..so what role does serum creat play for renal function analysis...what will be s. Creat values in these conditions? @medicnotes 3w
  •   medicnotes @dr_shru In both conditions, the serum creatinine will be elevated in keeping with the AKI, the serum creatinine alone will not distinguish pre-renal/renal/post-renal AKI. In pre-renal AKI, the serum urea will be disproportionally elevated compared to serum creatinine. 3w
  •   dr_shru Ok n what is the physiology for the same? @medicnotes 3w

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Amaro Khalida Yasso
khalida16 Leaving presents from my colleagues ! So lucky to have got a chance to work with such lovely and supportive people! On to trauma and ortho! #farewell #palliativecare #presents #FY1 #orthopaedics #juniordoctor #ontothenextone 3w

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aemeyra Stocked myself up with #lush bath bombs enough to get me through craycray medical oncalls for the next 4 months. Its almost time to say goodbye to surgery #vscocam #juniordoctor 4w

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