@PeterKullar Profile picture

Peter Kullar

@PeterKullar

Skull base neurotology fellow

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Peter Kullar Reposted

Now online! Intercellular nanotube-mediated mitochondrial transfer enhances T cell metabolic fitness and antitumor efficacy dlvr.it/TDF4WJ


Peter Kullar Reposted

Normal Epiglottis- thin curved flap of tissue,like a leaf/petal🍃 In Epiglottitis-becomes swollen &enlarged appearing like our thumb.

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Peter Kullar Reposted

My most used psych-diagnoses would be: Social suffering Situational distress Sane reaction (to e.g. poverty, abuse, overwork, inequality) Complex trauma Meaninglessness Existential dread [of varying kinds] Loneliness Unmet needs Just surviving syndrome Shame they don't exist.


Peter Kullar Reposted

As a cardiologist, every day I see 2-3 patients who need clearance for surgery 🔪 ALL of them are on blood thinners🩸 Every surgeon wants to stop these medicines💊 The patients ask: Is it safe? Should I stop? Let's see how to deal with blood thinners before surgery 🧵👇


Peter Kullar Reposted

Cities are for people.

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Peter Kullar Reposted

Here is a one page guidance for residents on a neurosurgery team. This reflects past leadership experiences I had in the military plus 18 months of chiefdom. feel free to share if useful. #Neurosurgery @MemphisNSGY

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Peter Kullar Reposted

New guidelines for dizziness/vertigo in the ED: 1) Don't do noncontrast CT routinely!!!🛑 2) If continuous + HINTS is central or equivocal, do MRI/MRA 3) If episodic spontaneous + concerned for TIA, do CTA or MRA head and neck (conditional recommendation) onlinelibrary.wiley.com/doi/epdf/10.11…

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Peter Kullar Reposted

👀

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Great guideline from large multidisciplinary panel. Training emergency clinicians in dizziness is strongly recommended and called a priority! We can do better! GRACE-3 Dizziness - Emergency Medicine Clinical Practice Guideline | SAEM saem.org/publications/g…



Peter Kullar Reposted

Critics of striking medics argue that everyone is suffering at the moment. But doctors & nurses have had it worse. Recent inflation has taken the average UK worker’s real wages 2.5% below their 2009 level, but earnings are down 13% for nurses and 24% (!) for junior doctors.

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Peter Kullar Reposted

1/Does the work up for dizziness make your head spin? Wondering what you should look for on an MRI for dizziness? Here’s a #tweetorial on what you can (and can’t) see on MRI in #dizziness #medtwitter #meded #neurotwitter #neurorad #radres #HNrad #neurotwitter #stroke #FOAMed

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Peter Kullar Reposted

The fact that an artery is small in diameter does not equal that the artery is unimportant. 'Tympanic plexus of the middle ear and the facial arcade' ahajournals.org/doi/10.1161/SV… #FunctionalAnatomy #Neuroangiology #NNAC #FANconference #Neurotwitter @SVINJournal

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Peter Kullar Reposted

A brain surgeon with 10 years of experience (plus a minimum of 5 years at medical school) earns £28 an hour. @theBMA Strike Ballot will be going out by post to junior doctors in England tomorrow. Vote YES for full pay restoration. #PayRestoration #BMABallotReady

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Peter Kullar Reposted

Key message- please RT👇Assess and treat sudden hearing loss as an emergency. ENT review within 24h essential. 🚨 🆘 #SSNHL

Remember/please RT- sudden hearing loss is an emergency! If you are a health professional think #SSNHL and ensure urgent ENT/Emergency Dept. referral within 24h if indicated.

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Peter Kullar Reposted

We’ve looked at NHS funding since 2000 and compared UK healthcare spending with the richest EU members. And then looked at how funding connects to the current NHS crisis. 5 mins on what we found.

From Ros Atkins

Peter Kullar Reposted

Oxford’s Broad Street today - this used to be a car park. Utter transformation, benefiting so many different groups 🤩 When you deprioritise cars, you prioritise other groups 🚶🏽‍♀️👩‍🦽🚲

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Peter Kullar Reposted

Combined transpetrosal approach. Anatomical dissections and 3D photogrammetry reconstruction at Stanford NeuroTraIn Lab. From the lab to the OR. Applied successfully to a challenging case this week @StanfordNsurg @StanfordOHNS #Neurosurgery #skullbase #neuroanatomy #meningiomas

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Peter Kullar Reposted

Diffusion weighted imaging part 2: causes of diffusion restriction in the brain on MRI. Maybe a bit too crowded, for a tweet, but it looked so nice like this on my powerpoint :). #radres #FOAMed #FOAMrad #MedEd #RadEd #medstudenttwitter #medstudents #radiology

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Peter Kullar Reposted

What I've learned... There are definite patterns. Dysautonomia/POTS. Cognitive dysfunction and brain fog. PEM (post exertional malaise). Unexplained rashes. Muscles feeling like cement. Migraines. Chest pain. So much chest pain. Shortness of breath.


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