Kevin Littrell
@KevinLittrell7Medicine | Epidemiology | Public Health | Education
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Six days and counting to our December issue… A topic more important than ever ⬇️
🧠 The Circle of Willis may be a foundational structure, but variations are the rule, not the exception. From hypoplasia to persistent fetal patterns, these anomalies shape collateral flow & stroke presentations Let’s dive into the ones you’ll encounter 👇 #NeuroXtorial
We are excited to announce Cancer Biology for Neuroscientists - a 3 day virtual course designed to introduce you to the principles of cancer biology, neuroscience, and the emerging field of cancer neuroscience. Presented by @BWHNeurology & @harvardmed Register now for Day 1!
So I ll take you step by step. First see patient is anemic, based on hemoglobin. What you look next is two other parameters from cbc. MCV and RBC. MCV should be low and also RBC should be low. If MCV is low and RBC is high or not low, then another differential comes in, which…
Percussion myotonia in the long finger extensors and thenar muscles in Myotonic dystrophy Type 1
Causes of Chest Pain
This review describes posterior fossa venous development and the functional venous anatomy of the posterior fossa, mainly the veins of the brainstem, cerebellum, and emissary veins. @Taka_Tamaso ahajrnls.org/4c9owar
14/ Another important note: many complications of DM are felt to be related to OVERproduction of superoxide. How this balance plays out in neutrophils is not clear to me. Here is a great review of the role of superoxide in diabetic complications. ncbi.nlm.nih.gov/pubmed/11742414
Amyloid as the earliest detectable marker for Alzheimer's Disease. Just released a multicenter, case–control study of #Alzheimer’s biomarkers in cognitively normal participants from Jan 2000 through Dec 2020. These participants underwent testing of cerebrospinal fluid (CSF),…
HFrEF Quadruple therapy - in☝️tweet #meded 1️⃣ Beta blockade (COPERNICUS, MERIT-HF, CIBIS II) 2️⃣ Renin-angiotensin inhibition (CONSENSUS, SOLVD, PARADIGM-HF) 3️⃣ Mineralocorticoid receptor antagonism (RALES, EPHESUS, EMPHASIS-HF) 4️⃣ SGLT-2 Inhibition (DAPA-HF, EMPEROR-Reduced)
1/18 🤔Why does Clostridioides difficile infection (CDI) so rarely cause bacteremia? Patients with CDI are some of the sickest I've cared for. And yet, the causative bacterium is rarely seen in the blood. This is rare among the severe infections I see. 👀Let's have a look.
In homage to Oscar nominee announcements… Oppenheim’s sign (alternative to Babinski) ⬇️ Via @semiologianeurologica
#neuronovernephron Always always think about angiography the first time around. No one likes going to the CT scanner twice.
An asymmetric umbilicus reflex in a patient with scoliosis warrants an MRI, and is often associated with a syrinx #scoliosis #Spine #Neurosurgery #orthotwitter
Take-home message: Before t-PA is pushed to any deteriorating patient with pulmonary embolism, a brief physical exam should rule out developing hematoma. POCUS or stat Hb can be additional data-points in the decision making process
Stroke neurologist tip of the day : 1) Patient with hypertrophic cardiomyopathy HCM is admitted for a TIA/ stroke. Start Anticoagulation for presumed atrial fibrillation. One of the few situations where risk of afib is really high and you can start anticoagulation!!
Exploring the Nuances of Non-Parametric Tests in Medical Research 1/ Introduction to Non-Parametric Tests: Non-parametric tests, also known as distribution-free tests, are statistical methods used to analyze data that doesn't assume any specific distribution. These tests are…
Cancer patients are at high risk to die from stroke. nature.com/articles/s4146… ncbi.nlm.nih.gov/pubmed/31729378 New research from @PennStHershey @LeilaTchelebi @BradZachariaMD in @NatureComms
There are choices that can change your life. If you are 45 or older, talk to your doctor about colorectal #cancer screening options. Visit bit.ly/3pV2xeM for more information.
This book will give you superpowers: R for Data Science 2 Years ago, I started my #rstats journey with this book. And since then, I've used what this book taught me every single day. Absolutely best place to get started with R. And it's free. 🥳 r4ds.had.co.nz
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