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Case for fellows. Patient admitted with pyogenic meningoencephalitis in medicine department give H/O effort dyspnoea and recurrent epistaxis. Multiple family members have epistaxis. Complete Diagnosis?

Dr G Rajesh (Gopalan Nair Rajesh).

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25,808 Aufrufe • vor 7 Monaten •via X (Twitter)

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Case for fellows. Patient admitted with recent onset heart failure. She was detected to have a murmur 3 years ago, but has been asymptomatic till 2 weeks back. Your observations?

Case for fellows. Patient admitted with recent onset heart failure. She was detected to have a murmur 3 years ago, but has been asymptomatic till 2 weeks back. Your observations?

Dr G Rajesh (Gopalan Nair Rajesh).

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For fellows. This patient had bicuspid aortic valve and severe AS planned for surgery. 10-15% pts with BAV may have coarctation also. What are the added physical finding you search for coarctation in a given case of severe AS, whatever be the age of the patient.

For fellows. This patient had bicuspid aortic valve and severe AS planned for surgery. 10-15% pts with BAV may have coarctation also. What are the added physical finding you search for coarctation in a given case of severe AS, whatever be the age of the patient.

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We are excited to announce that two members have joined the LP Army honorary role. - Stroude Wynn🌋 is a very active LPer and an emerging content creator. - Solchief is driving growth in Nigeria with multiple IRL bootcamps. Let’s give them a warm welcome to the ranks!

We are excited to announce that two members have joined the LP Army honorary role. - Stroude Wynn🌋 is a very active LPer and an emerging content creator. - Solchief is driving growth in Nigeria with multiple IRL bootcamps. Let’s give them a warm welcome to the ranks!

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🧠 When turning the head causes a stroke… think beyond the brain. A fascinating case of Bow Hunter Syndrome (rotational vertebral artery occlusion): 🔹 Recurrent posterior circulation strokes 🔹 Occipitalization of C1 🔹 C1–C2 bony anomaly with an osteophyte at the C2 transverse foramen 🔹 Routine static angiography was inconclusive 🔹 Dynamic cerebral angiography clinched the diagnosis 🎯 The patient was asked to turn the head to the LEFT. Injection of the right occipital artery demonstrated dynamic compression of the vertebral artery at the C2 transverse foramen. The key lesson: The culprit may only appear when the head moves. In patients with recurrent posterior circulation ischemia + reproducible neck pain/neurological symptoms with rotation, dynamic vascular imaging can be diagnostic—and potentially stroke-preventing. #BowHunterSyndrome #VertebralArtery #Stroke #Neurointervention #Neuroradiology #DynamicDSA #PosteriorCirculationStroke

🧠 When turning the head causes a stroke… think beyond the brain. A fascinating case of Bow Hunter Syndrome (rotational vertebral artery occlusion): 🔹 Recurrent posterior circulation strokes 🔹 Occipitalization of C1 🔹 C1–C2 bony anomaly with an osteophyte at the C2 transverse foramen 🔹 Routine static angiography was inconclusive 🔹 Dynamic cerebral angiography clinched the diagnosis 🎯 The patient was asked to turn the head to the LEFT. Injection of the right occipital artery demonstrated dynamic compression of the vertebral artery at the C2 transverse foramen. The key lesson: The culprit may only appear when the head moves. In patients with recurrent posterior circulation ischemia + reproducible neck pain/neurological symptoms with rotation, dynamic vascular imaging can be diagnostic—and potentially stroke-preventing. #BowHunterSyndrome #VertebralArtery #Stroke #Neurointervention #Neuroradiology #DynamicDSA #PosteriorCirculationStroke

Dr Sharath Kumar G

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DGG’s family flew in on Tuesday for his commitment and came out to watch Baylor’s early morning practice. Commitment ceremony begins at 5:30 this evening. TFP will have full coverage with multiple stories, plus video interviews at

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Stephen Hargis 🇺🇸

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To give you a sense of the Ignatian Family Teach-In for Justice, here is my Jesuit brother and hero Greg Boyle, SJ, who founded Homeboy Industries, which works with former gang members, speaking to 1800 people (80% between 18 and 25). His topic was God's love. #iftj Ignatian Solidarity

To give you a sense of the Ignatian Family Teach-In for Justice, here is my Jesuit brother and hero Greg Boyle, SJ, who founded Homeboy Industries, which works with former gang members, speaking to 1800 people (80% between 18 and 25). His topic was God's love. #iftj Ignatian Solidarity

James Martin, SJ

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Yash Pimple

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U.S. citizen and San Diego resident Isaac Jimenez pleaded guilty June 16 to his role in an alien smuggling conspiracy that held would-be migrants hostage in Mexico. 💰While Jimenez did not personally hold aliens captive, he confessed to collecting tens of thousands of dollars in ransom payments from family members following an ICE HSI San Diego probe with its California Homeland Security Task Force partners. In at least two cases — a father of four U.S. citizen children and a young woman from Tijuana — THE VICTIMS DISAPPEARED after their families made multiple ransom payments to secure their freedom. As part of his guilty plea, Jimenez agreed to pay $24,500 to the family members of the missing migrants for funeral and related expenses and as restitution. ➡️Visit our newsroom for more details in this ongoing case.

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Humble day for a cardiologist… A patient of 44 years came with an axillary chest pain and scapular pain. (I have indicated the pain sites in the accompanying picture). He has had diabetes for the past three years and also has a family history of heart disease. He is not a smoker and doesn’t have any other coronary risk factors. His ECG, ECHO and TMT were normal. Because the pain was atypical and non-exertional and his non-invasive testing was normal, I prescribed medication and sent him home. He came back again with more severe pain at the same site after a month, and again, the ECG and Troponin were normal. I reassured him once more. He came back the next day (last Saturday) with the same complaints, but this time I suggested doing an angiogram to investigate the persistent pain. What I found was a 90% lesion in the PLV artery. I stented the vessel, and he experienced total relief from his chest pain. Physicians and cardiologists should be willing to modify their diagnosis when the initial line of management does not provide clinical benefit to the patient. Ego has no role in medicine. #chestpain #heartattack #medtwitter

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Paul A. Szypula 🇺🇸

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Jesse Morse, M.D.

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With only 24% of the debris cleared, every passing minute is a minute of uncertainty for a family waiting for their child. There is immense sadness for those we have lost and an anger that cannot be put into words. On the ground, DUSU President Aryan Maan and ABVP National General Secretary Dr. Virendra Singh Solanki, along with ABVP karyakartas, are standing in the rescue effort, helping clear the debris and reach those who may still be alive.

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ABVP

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Hi everyone Great news, we have sucesfully cashed out all the money from the wallet that the mom gave us, and this morning me and my brother, went to their village to give them the money in exchange for the solanas raised It took some effort and help from 28. Jun to prove that the crypto community actually raised all this money, but luckily they managed to pull it off. With the 19 000$ that we have raised + what 28Jun has raised, we have purchased a new home for them in their village ( il get the photos of that too) , as this one was not in great condition and it is too small for such a big family. I would like to thank u all for participating and proving that when its a good cause, we can all come together and help, no matter the country, race or nationality Here are some photos i took from this beautiful family

Hi everyone Great news, we have sucesfully cashed out all the money from the wallet that the mom gave us, and this morning me and my brother, went to their village to give them the money in exchange for the solanas raised It took some effort and help from 28. Jun to prove that the crypto community actually raised all this money, but luckily they managed to pull it off. With the 19 000$ that we have raised + what 28Jun has raised, we have purchased a new home for them in their village ( il get the photos of that too) , as this one was not in great condition and it is too small for such a big family. I would like to thank u all for participating and proving that when its a good cause, we can all come together and help, no matter the country, race or nationality Here are some photos i took from this beautiful family

Rell

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ICE detain 5 year old girl for past 10 days—she's U.S. citizen and her family wants her back. Family want to make custody arrangements so she can stay with them while mother is detained—but they can't find her. Mother called 911 about a possible break in—they called ICE instead and turned her in for a possible outstanding administrative warrant. Austin Police Department, per Texas law, is required to cooperate with ICE—even if they do not have direct knowledge of an individual's immigration status. Why have no local English language television news stations covered this story? Link to Univision Austin Channel 62 in thread. 👇

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This is for the youth of Bengal, Mamata Banerjee is saying that IPAC employees will join TMC and they will get jobs. Just think about it, how can Mamata Banerjee give them jobs directly? Is this not corruption? Mamata and her ministers have a history of selling jobs and giving them to their own party members and family. Mamata’s own niece was removed from her job by the Calcutta High Court. She has no shame in saying that she will give jobs to IPAC employees.

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Facts

34,131 Aufrufe • vor 5 Monaten

🚨Give away alert🚨 I wanna give away a HOF PASS Locker code for season 4. Thank you NBA 2K for providing with me with the locker code for it.. FYI (won’t work if you already purchased a pro pass or already have HOF ✨All you gotta do is just follow me on this app and ❤️+♻️✨ I’ll announce a winner tomorrow keep the noti’s on just in case you win! Good luck yal 🙏🏽🤍 #NBA2k25

🚨Give away alert🚨 I wanna give away a HOF PASS Locker code for season 4. Thank you NBA 2K for providing with me with the locker code for it.. FYI (won’t work if you already purchased a pro pass or already have HOF ✨All you gotta do is just follow me on this app and ❤️+♻️✨ I’ll announce a winner tomorrow keep the noti’s on just in case you win! Good luck yal 🙏🏽🤍 #NBA2k25

GARCELL🎖

21,407 Aufrufe • vor 1 Jahr

A Chilling Incident of Caste Terrorism! A SC youth was brutally killed a nine months ago in Sagar, MP for refusing to compromise in a heinous molestation case involving his sister. The victim's mother was also stripped and beaten. Sadly, the victim girl is no longer with us. Despite our vigorous efforts to ensure Justice in this case, the culprits—Vikram Thakur, Vijay, Azad, Golu, Komal Thakur, Lalu Khan, Islam Khan, Nafees Khan, and Wahid Khan—remain at large. The victim's family has been relentlessly seeking justice for 9 months. Recently, their refusal to settle the case led to the murder of the victim's uncle Rajendra Ahirwar, who succumbed while being taken to Bhopal for treatment. Goons thrashed him to death. During the return journey with his body, she died under suspicious circumstances, suggesting a potential murder case. The perpetrators have connections with the BJP, frequently seen with its top leaders. The local police administration seems biased against the victims, raising serious concerns about impartiality. Given these circumstances, it is imperative that this case be handed over to the Central Bureau of Investigation (CBI) to ensure a fair and unbiased investigation. Narendra Modi Dr Mohan Yadav Amit Shah DGP MP National Commission for Scheduled Castes NCW Home Department, MP Madhya Pradesh Police

A Chilling Incident of Caste Terrorism! A SC youth was brutally killed a nine months ago in Sagar, MP for refusing to compromise in a heinous molestation case involving his sister. The victim's mother was also stripped and beaten. Sadly, the victim girl is no longer with us. Despite our vigorous efforts to ensure Justice in this case, the culprits—Vikram Thakur, Vijay, Azad, Golu, Komal Thakur, Lalu Khan, Islam Khan, Nafees Khan, and Wahid Khan—remain at large. The victim's family has been relentlessly seeking justice for 9 months. Recently, their refusal to settle the case led to the murder of the victim's uncle Rajendra Ahirwar, who succumbed while being taken to Bhopal for treatment. Goons thrashed him to death. During the return journey with his body, she died under suspicious circumstances, suggesting a potential murder case. The perpetrators have connections with the BJP, frequently seen with its top leaders. The local police administration seems biased against the victims, raising serious concerns about impartiality. Given these circumstances, it is imperative that this case be handed over to the Central Bureau of Investigation (CBI) to ensure a fair and unbiased investigation. Narendra Modi Dr Mohan Yadav Amit Shah DGP MP National Commission for Scheduled Castes NCW Home Department, MP Madhya Pradesh Police

Suraj Kumar Bauddh

59,882 Aufrufe • vor 2 Jahren

While West Bengal is seething with anger, given Mamata Banerjee's apathy and Kolkata Police’s botched cover-up attempt, RG Kar Medical College authorities break down room walls, inside the Chest Medicine Dept, where the on-duty junior doctor was subjected to brutal rape and murder, destroying what could be crucial circumstantial evidence, which could have led the CBI investigating team to the murderers. Area marked as Resident Doctor's Area and Toilet (Female) inside the Chest Medicine Dept also being broken down in the name of renovation. This leaves no one in doubt that Mamata Banerjee was all along eliminating evidences and covering crime trail to protect those involved in the heinous crime, who, it is speculated, happen to be family members of influential TMC leaders. Repeat: No woman is safe in Bengal.

While West Bengal is seething with anger, given Mamata Banerjee's apathy and Kolkata Police’s botched cover-up attempt, RG Kar Medical College authorities break down room walls, inside the Chest Medicine Dept, where the on-duty junior doctor was subjected to brutal rape and murder, destroying what could be crucial circumstantial evidence, which could have led the CBI investigating team to the murderers. Area marked as Resident Doctor's Area and Toilet (Female) inside the Chest Medicine Dept also being broken down in the name of renovation. This leaves no one in doubt that Mamata Banerjee was all along eliminating evidences and covering crime trail to protect those involved in the heinous crime, who, it is speculated, happen to be family members of influential TMC leaders. Repeat: No woman is safe in Bengal.

Amit Malviya

587,607 Aufrufe • vor 2 Jahren