Khaled Abukhalaf @Abu_Khalaf7 Twitter profile

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Khaled Abukhalaf

@Abu_Khalaf7

5 months

🙏🙏❤️

Saleh

@SalehZoubii

5 months

Alhamdulillah! Our abstract has been published at the Journal of American College of Cardiology. Special thanks to our special team members! #ACC24 @ACCinTouch @JACCJournals

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Khaled Abukhalaf

@Abu_Khalaf7

4 months

Happy to share that I passed my Step 1 exam 🎉 was a very long and tiring journey but the satisfaction it brings is well worth it on to the next

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

This is by far the best website for anything ECG. Whenever I read something that is new to me I just look it up on their website and read their straight-to-the-point articles. Check it our for anybody interested (they even have 150 ECG questions!)

ECG Library

ECG library and interpretation. Clinical cases, contextual blog posts and high quality EKG images for download from LITFL ECG Library

litfl.com

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

By far my favorite videos on Medtwitter!!!! Highly highly recommend Dr. Sam’s videos every single time

Sam Ghali, M.D.

@EM_RESUS

1 year

Here’s a video I made breaking down this very important #ECG case of 40-year-old man who developed severe chest pain after using Crystal Meth #FOAMed

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

First tweet (kinda) as a part of #MedTwitter ! Im Khalid Abukhalaf, 4th year med student at BAU, Jordan. Hoping to build connections and expand my knowledge on here!

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@BrownJHM Glucagonoma! Necrolytic migratory erythema plus a history of diarrhea and diabetes. Remembered by the 5 D’s

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@EM_RESUS Low voltage + electrical alternans seems like cardiac tamponade

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Khaled Abukhalaf

@Abu_Khalaf7

7 months

@jasonryanmd In my 5 years of medical school and during the era of strategies like active recall, spaced repetition, updated online databases, and compact video lectures, I've rarely found a reason to use textbooks.

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@BrownHospMed Bilateral hilar lymphadenopathy + erythema nodosum Sarcoidosis

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@AvrahamCooperMD Right sided pre excitation pathway in WPW

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@AbelJosephMD Probably pigment gallstones due to RBC macroangiopathic hemolysis through the mechanical valve

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Khaled Abukhalaf

@Abu_Khalaf7

3 months

@smithECGBlog Huge P waves. My guess would be that the Atrial repolarization vector is pulling the ST segment downwards I would check lung status

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

Menetrier’s disease, a protein losing enteropathy caused by foveolqr hypertrophy of the gastric mucosa -> hypersecretion of mucus -> loss of protein Presents with weight loss, anorexia, vomiting, epigastric pain and edema. On CT, the stomach takes on a brain gyri appearance!

Klaus Mönkemüller, MD, PhD

@KMonkemuller

1 year

✅ Thickened gastric folds, anemia and hypoalbuminemia ➡️ What’s the diagnosis? ➡️ Would you biopsy using forceps or go for snare resection of a fold to reach the diagnosis? ✅ EndoCollab

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@EcgsOnly Inferior-posterior OMI RCA culprit

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Meigs syndrome! Triad of ovarian fibroma, ascites and pleural effusion.

Cynthia Cooper, MD

@DrCindyCooper

2 years

Tanka Name the Syndrome/Eponym #medtwitter #MedicineinBrief Ovarian mass Belly bloat as if with gas Stage 4 tumor scare Fluid stretched to pleural space Fibroma plucked, all erased

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Beckwith-wideman syndrome! ☑️ WT2 gene ☑️ Associated with a triad of: •Wilm’s tumor •Muscular hemihypertrophy •Macroglossia ☑️To differentiate it from Dennys-drash (which also causes Wilm’s tumor) i like to think of it as WIDE-man for hypertrophy 🥩

Aaron Goodman - “Papa Heme”

@AaronGoodman33

2 years

Some Pediatric Oncology! Diagnosis? Hint the pathology slide is from the kidney mass

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Avascular necrosis of femoral head due to steroid use! Mnemonic: “CAST Bent LEGS” C: Corticosteroids A: Alcoholism S: Sickle cell T: Trauma Bent : “Bends” Caisson disease LE: LEg-calve-perthes G: Gaucher’s S: SCFE

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A 55 year man with history of chronic steroid use presented with hip pain. What is the likely diagnosis? (Image @Radiopaedia , Dr Zeeshan Ghias Khan) #Medtwitter

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@smithECGBlog Sinus tachy and S1Q3T3 in a patient with CP and SOB should point towards PE

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@Drgomathi_tn Crew cut appearance, seen in extramedullary hematopoiesis conditions like thalassemia and sickle cell anemia

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

Neurologist

Adi

@IDdocAdi

1 year

Name attending specialty

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@BrownJHM @DrJamielinho Seizures + headache + visual field defect all point towards intracranial mass effect. Gender and psammoma bodies would make a meningioma as my top differential

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@smithECGBlog @PendellM 2:1 atrial flutter RV strain I want to say PE but this doesnt look like the usual PE ECGs i see here. The voltage is making me consider pulmonary hypertension -> RVH

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@IhabFathiSulima Bridging veins, i like to remember subdural hematoma to be caused by pathologies that tear the vein by stretching it, such as brain atrophy in elderly/alcoholics or due to something like alzeheimer’s. Also in shaken baby syndrome due to the same reason.

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@AaronGoodman33 Riedel thyroditis May Present similar to anaplastic carcinoma of the thyroid (compression of local structures) •Diffrentiated by age group: older females -> anaplastic carcinoma Younger females -> Riedel thyroditis

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@AaronGoodman33 Primary CNS lymphoma, differentiated from toxoplasmosis radiologically by presence of ring enhancing lesion in toxoplasmosis among other things.

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Khaled Abukhalaf

@Abu_Khalaf7

8 months

Woke up to amazing news today, so proud of our team 🙏❤️❤️

Mohammad Ibrahim

@M_Ibrahim_Rosan

8 months

Honored to present our accepted abstract at #ACC24 , Can't wait to meet @ACCinTouch Family. See you in Atlanta🫀⚡️ Grateful to our amazing team @ObadaDaqdouq @Abu_Khalaf7 @janaraed8

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Classic symtpoms of rheumatic fever with mitral stenosis murmur (disatolic with opening snap) 🫀

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A 10-year-old girl p/w fever & migrating joint pains in the knees & elbows. She had a sore throat a few days ago. Exam w/barely raised erythematous serpentine-like lesions on her back & this murmur. What is the likely diagnosis? (Video @pdxpdx2021 ) #MedEd

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Khaled Abukhalaf

@Abu_Khalaf7

8 months

@smithECGBlog Amazing case, thanks for sharing. Didn’t know AF can be slower than 300bpm Will definitely remember this though!

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Khaled Abukhalaf

@Abu_Khalaf7

10 months

Very happy to have my first ever paper as an author published! Check it out 👇

Frontiers - Pharmacology and Toxicology

@FrontPharmacol

10 months

New Research: Drug information-seeking behaviour among Jordanian physicians: a cross-sectional study #pharmacology

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

600 cards on my 600th day! hoping for better consistency moving forward

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@IhabFathiSulima Cardiac tamponade, the heart “swings around” in the pericardial effusion causing the electrical alternans and low voltage on the ECG. Physical signs make up Beck’s triad which are Hypotension, raised JVP and distant heart sounds on auscultation.

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Khaled Abukhalaf

@Abu_Khalaf7

5 months

@ekgpress Does not meet “STEMI” criteria but definitely OMI. V2 HATW + STD in inferior leads and the tiniest of ST elevations in I and aVL should point towards a proximal LAD culprit involving D1

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@smithECGBlog @PendellM Not “STEMI”, but the -pattern- of inferior HATW and lateral STDs in addition to a horizontal STD in V2 makes this highly likely and inferior-posterior OMI. NSTEMI.

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@BrownJHM @LITFLblog Severe bradycardia at 27bpm due to complete heartblock with idioventricular escape rhythm 🐢

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Beautiful Wolf Parkinson White ECG! Short PR interval and Delta wave clearly visible

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Eosinophilic granulomatosis with polyangiitis aka churg-straus syndrome -Vasculitic syndromes associated with asthma -P-ANCA

Aaron Goodman - “Papa Heme”

@AaronGoodman33

2 years

A bad case of asthma...

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@LITFLblog No, this is lead misplacement.

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

To differentiate the ACTH dependent subtypes we use CRH stimulation test or Dexamethasone suppression test: •Response in cortisol levels -> Cushing’s disease •No response in cortisol levels -> Ectopic ACTH secretion

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@BrownJHM @CaitlinHelmMD Left sided spontaneous pneumothorax, Right sided apical cavitation.

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@IhabFathiSulima AVNRT. Regular narrow complex tachycardia with retrograde P waves

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

SCLC secreting ACTH causing cushing’s syndrome. Cushing’s can be differentiated into ACTH dependent or ACTH independent by ACTH levels or by the CRH stimulation test: •ACTH increased-> ACTH dependent •ACTH stayed the same -> ACTH independent

Aaron Goodman - “Papa Heme”

@AaronGoodman33

2 years

Diagnosis? Is ACTH elevated or suppressed?

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

Very nice ECG showing a Multiple myeloma patient -> Hyper Ca -> shortening of QT interval! Here the QT is very short to the point that it is mimicking a STEMI pattern!

Manual Of Medicine

@ManualOMedicine

1 year

A 64-year-old woman with multiple myeloma presents with this ECG. - What abnormality is present? 👉 Answer and Interpretation: #medtwitter #foamed #meded #cardioed #ecg

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Khaled Abukhalaf

@Abu_Khalaf7

7 months

Answer: LCX To differentiate LCX from RCA in inferior OMI ECGs: STE in lead III > lead II favors RCA STE in lead II >= lead III favors LCX Alongside other features:

Inferior STEMI

A review of the ECG features of inferior STEMI, Inferior ST elevation myocardial infarction LITFL ECG Library

litfl.com

Khaled Abukhalaf

@Abu_Khalaf7

7 months

What is the culprit artery of the following ECG? #CardioEd #ACCMedStudent #MedTwitter

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

Cerebellar Hemangioblastoma. Could be part of VHL. VHL mnemonic: HARP H: Hemangioblastomas A: Angiomatosis R: Renal Cell Carcinoma (bilateral) P: Pheochromocytoma

Cynthia Cooper, MD

@DrCindyCooper

1 year

Tanka Name the Disease #medtwitter #MedicineinBrief Lab triggers a fuss Hemoglobin 20 plus! Balance lost, sore head Rosy hue from EPO shed Cystic bloody mass, dark red

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@ManualOMedicine 300 bpm! SVT likely Atrial flutter with 1:1 conduction

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Takotsubo cardiomyopathy aka broken heart syndrome! -The heart looks like a Japanese Octopus Trap (a “Takotsubo”) during Also just learned what a SCAD is which can also occur in states of heightened emotion and sometimes even alongside Takotsubo as in this case.

European Society of Cardiology

@escardio

2 years

#ESCardioEd challenge ❤️‍🩹 52 yo 🧑‍🦳G2P2, pw/ chest pain ❤️‍🩹 Her mother passed away 3d ago ❤️‍🩹 Trop. T = 3.90 ng/dl ⬆️ ❤️‍🩹 ECG: Inf. ST elev. ❤️‍🩹 CAG & LVgram ⬇️ What's your dx? A. #takotsubo B. #SCAD C. #NSTEMI D. #takotsubo (+) #SCAD E. #ARVD #cardiotwitter #ESCYoung

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Khaled Abukhalaf

@Abu_Khalaf7

5 months

Seeing all of these #ACC24 tweets makes me feel so jealous 🥹 hopefully next year god willing 🙏

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@AMiguelEM @UrgenciaUC @RobertHermanMD @maluendoc WPW, RPS pathway

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Limited Scleroderma aka CREST syndrome Calcinosis cutis, Raynaud’s phenomenon, Esophageal dysmotility, Sclerodactyly, Telangiactesia

Aaron Goodman - “Papa Heme”

@AaronGoodman33

2 years

"Doc I have trouble swallowing and my hands change colors" A nice constellation of symptoms with the perfect acronym. Diagnosis?

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Khaled Abukhalaf

@Abu_Khalaf7

8 months

@ecgandrhythmRoe I think those are pseudo R’ waves. Probably AVNRT

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@IhabFathiSulima Coved STE in V1-V3, bruguda

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@Tareq_alhunaity الله عليكك🫡🫡

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Khaled Abukhalaf

@Abu_Khalaf7

11 months

@ManualOMedicine Atrial flutter 3:1 or 4:1 Digoxin toxicity (reverse tick sign)

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Ovarian endometrioma with the characteristic appearance of a “chocolate cyst” 🍫 It is due to ectopic endometrial tissue inside the ovary (endometriosis) that bleeds with the menstural cycle causing cyclic pain and eventually the blood becomes like shown below 🍫

Cynthia Cooper, MD

@DrCindyCooper

2 years

Tanka Name the Disease #medtwitter #MedicineinBrief Escape womb artist Hiding out in corners darkest Cycles of distress Spattered, splashed along the gut Pale pink cysts of ‘chocolate’

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Khaled Abukhalaf

@Abu_Khalaf7

11 months

@ECGWeekly Dagger Q waves characteristic of HOCM

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Sezary syndrome Mycosis Fungoides is a cutaneous CD4+ T cell lymphoma with characteristic cribriform nuclei 🧠. If it disseminates into the blood as shown in this slide, it becomes Sezary syndrome.

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A 48 year old man presented with dyspnea, cough & a worsening itchy red rash all over his body. Labs w/⬆️WBC, ⬇️Hb, platelets. What is the diagnosis? #Hemetwitter

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@ekgpress Sinus rhythm, bifasicular block, STE in aVR and STD diffusely. I am thinking diffuse subendocardial ischemia due to occlusion of the Left Main Coronary

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

Very interesting

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Kawasi disease 🍓 Pediatric vasculitis CRASH and burn mnemonic: C -> conjunctivitis R -> Rash (maculopapular) A -> Adenopathy S -> Strawberry tongue H -> Hand-Foot erythema Burn -> fever

Journal of Brown Hospital Medicine

@BrownJHM

2 years

An 10-year-old girl came with 1 week hx of fever & rash. She had a diffuse macular rash, fissured lips, conjunctival injection in both eyes, enlarged cervical LN, erythema of the palms & soles & periungual desquamation. What is the diagnosis? #Medtwitter #Pediatrics (Image: IJDVL)

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

ACTH dependent cushing’s can be: •Cushing’s disease -> ACTH secreting pituitary adenoma •Ectopic ACTH secretion -> Cushing’s syndrome as a paraneoplastic syndrome ACTH independent can be: •Exogenous glucocorticoids intake •Adrenal tumor/hyperplasia

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Khaled Abukhalaf

@Abu_Khalaf7

11 months

@world_of_med1 Anticholinergic crisis with ECG showing wide QRS and Terminal R wave in aVR -> TCA toxicity Give NaHCO3

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

• CMV infection of immunocompromised patient with periventricular calcifications on CT. • MR DICS mnemonic for congenital infections: M -> Microcephaly R -> mental Retardation D -> Deafness (sensorineural) IC -> Intracranial calcifications (periventricular) S -> Seizures

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A 21-year-old woman w/HIV (CD4 31 cells/uL) p/w confusion, high fever, & headache. Physical exam w/ nystagmus, but no meningeal signs. CSF w/lymphocytosis. Pathology w/macrophage containing “owl’s eye” inclusions. What is the diagnosis & treatment? #IDtwitter #Medtwitter

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Khaled Abukhalaf

@Abu_Khalaf7

10 months

@IhabFathiSulima Evidence of high lateral wall involvement + anterior wall involvement -> proximal LAD

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@md1talk Pulmonary Embolism اكتر اشي sensitive هو ال sinus tachycardia بال تخطيط تبع هاي الحالات (الحالة هاي 150bpm) و مش الS1Q3T3 و لكن وجودها زائد وجود الRight ventricular strain pattern بساعد جداً بالتشخيص

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Giant cell temporal arteritis 🤕 -Large-vessel vasculitis of the temporal artery -Causes unilateral headache in the temples and jaw claudication -Can lead to blindness if not treated promptly

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A middle aged male presented with sudden onset of right sided headache along with double vision & jaw pain. Labs w/⬆️ESR. What is the likely diagnosis & next steps? #Medtwitter #MedEd #FOAMed

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Khaled Abukhalaf

@Abu_Khalaf7

7 months

@smithECGBlog @PendellM The patient is very cold 🥶

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Khaled Abukhalaf

@Abu_Khalaf7

9 months

@ecgandrhythmRoe WPW, the AP is probably around the Right Mid Septal area

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Reed sternberg cell of Hodgkin’s lymphoma 🦉

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A 41 year old man came with abdominal pain, diffuse lymphadenopathy, weight loss, night sweats & malaise. What is the diagnosis? #Hemetwitter (Image: ASH; )

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

Meig’s syndrome Ovarian Fibroma+ascites+pleural effusion

Journal of Brown Hospital Medicine

@BrownJHM

1 year

A middle aged woman presented with dry cough, shortness of breath, weight loss & abdominal distention. Chest X-ray showed pleural effusion. What is the likely diagnosis? (Image: @Radiopaedia , Dr Oluniyi Samson Afolabi) #Medtwitter

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@IhabFathiSulima ST elevation in aVR and ST depression in all the other leads -> occlusion of the Left Main Coronary artery with subsequent diffuse subendocardial ischemia

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

Identify the tachycardia! Is it AVNRT, AVRT, Afib with RVR, or something else? Left: symptomatic Right: after adenosine #MedTwitter #EPeeps #ECG @LITFLblog @EPeeps_Bot

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Khaled Abukhalaf

@Abu_Khalaf7

11 months

@DidlakeDW Much needed as just yesterday i decided to try to learn ladder diagrams. Good luck!

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

-“Punched out” lytic bone lesions in skull -Low back pain -Anemia -Hypercalcemia All suggestive of Multiple Myeloma!

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A 46-year-old man presented with shortness of breath, low back pain & weight loss. Labs w/⬇️Hb, ⬆️Ca. What is the diagnosis? #Medtwitter #Hemetwitter #MedEd

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@MaruanCarlos Can you please tell me what this pattern is? I see the following •1st degree heart block with a wide QRS and RBBB •Left axis deviation •Q waves and STE in inferior leads and V4-V6. •Tall T waves V2-V3 and TWI in I and avL. Inferolateral old mi? Trying to learn 😇

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Although im not really sure of this case, but its good to remember that down’s syndrome patients carry a drastically increased risk of ALL and AML (Megakaryoblastic type specifically). ☑️Below the age of 3-4: AML>ALL ☑️After the age of 3-4: ALL>AML

Sanam Loghavi, MD صنم لغوی 🔬🧬

@sanamloghavi

2 years

Young 👦🏻 (20s) with #DownSyndrome & pleural effusion. You’re looking @ pleural fluid. What’s Ur Dx & what’s the most likely molecular abnormality? I’ll be discussing this case at #EAHPSH2022 in #Florence 🇮🇹 so tune in & let me tell U why good🕵🏻‍♀️work matters 😊 #hemepath #cytopath

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@DrJamielinho @BrownJHM Whipple’s

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@marioalrb84_a @angna_86 @The_Nanashi_O @PacoDardon @DidlakeDW @BrooksWalsh @MaruanCarlos @RobertHermanMD Bifasicular block. Hyper K+

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Khaled Abukhalaf

@Abu_Khalaf7

4 months

Thank you all! ❤️❤️

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Burkitt lymphoma! ✨Starry night appearance in histopatholgy (my favorite histopathology 👨‍🎨) ✨Two forms: •Sporadic form involves the pelvis and abdomen •Endemic (African) form involves the jaw as shown below ✨t(8:14) translocation of MYC oncogene to heavy chain locus

Aaron Goodman - “Papa Heme”

@AaronGoodman33

2 years

Pathology all of med Twitter should know!

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@Sreenath_Sree @cardiodoc1988 @DidlakeDW @ecgrhythms @EPeeps_Bot @GangoliBorun @nihar_nayak2 @nihardesai7 @paramesh_mohan @syamkumarmd @RobertHermanMD @UlhasDr CHB with junctional escape rythm (Narrow QRS not in relation to p waves)

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Horseshoe kidney 🐎 developmental disorder where the inferior poles are fused together at the midline. Normal Ascent of the kidney is disrupted ans the kidney becomes stuck at the Inferior Mesentric Artery. Kidney is functional but with increased risk of UTI and stones.

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A 30 year old presented with recurrent urinary tract infections. What is the likely diagnosis ? (Image @Radiopaedia , case by Dr Abdel-Rahman Abdel-Halim) #Medtwitter

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

✅Sandblaster for many years ✅Egg-shell calcification on CXR =Silicosis! 🥚

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A middle aged man who worked as a sandblasting worker for many years p/w chronic cough, fatigue & exertional dyspnea. CXR showed these findings. What is the likely diagnosis? #MedEd #MedTwitter

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@DrCindyCooper Bilateral vestibular shawannoma at the Cerbellopontine angle! Seen in NF2.

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

Spot diagnosis: what is causing the following ECG pattern? #MedTwitter #EPeeps #Cardiotwitter

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Lung adenocarcinoma with lepidic growth pattern 🐆 ✅Peripheral in location. ✅Common in female NON-smokers! ✅Columnar to cuboidal histology. ✅Associated gene mutations include EGFR, KRAS and ALK.

Aaron Goodman - “Papa Heme”

@AaronGoodman33

2 years

"Doc I have gotten more short of breath over the last year..." I know if I see this I call @JackWestMD Diagnosis?

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Thromboangiitis Obliterans 🪄 Vasculitis in smokers that can cause autoamputation and spreads to contiguous nerves and veins 🧟‍♂️

Aaron Goodman - “Papa Heme”

@AaronGoodman33

2 years

Another reason not to smoke! Diagnosis?

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@shaykh_hamed @IhabFathiSulima @MishiePishi @MedTweetorials @BrownJHM @imedverse @Innov_Medicine @histocasino @pathpedia @histopathology Meningioma Serous cystadenocarcinoma Papillary carcinoma of the thyroid Endometrial cancer These were from the top of my head, but i cant recall more 🫡

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@IhabFathiSulima Leser trelat sign. Suggestive of gastic adenocarcinoma

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Khaled Abukhalaf

@Abu_Khalaf7

11 months

Answer: Elevated PA pressure This ECG shows peaked P waves + elevated voltage in right sided leads = Right atrial enlargement + RVH For this to happen the strain must be on the right ventricle alone due to the ⬆️ afterload from the pulmonary system

Khaled Abukhalaf

@Abu_Khalaf7

11 months

What is the most likely finding in this patient? A) Elevated systemic blood pressure B) Elevated pressure in the Pulmonary artery C) Apex Heave D) Ejection systolic murmur over the carotids #ECG #Medtwitter

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@IhabFathiSulima There seems to be evidence of chamber enlargement (LVH) but i cant see the “dagger q waves” of HOCM

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@DrCCaroli Just read up on it, so its RBBB in precordial leads and LBBB in limb leads. Thank you!

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Khaled Abukhalaf

@Abu_Khalaf7

1 year

@BrownJHM @Radiopaedia Coffee bean sign, sigmoid volvulus

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@IhabFathiSulima Narrow complex tachycardia with retrograde p waves. AVNRT?

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

@IhabFathiSulima IV Mg to terminate Torsades de Pointes

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Khaled Abukhalaf

@Abu_Khalaf7

2 years

Polyarteritis Nodosa! -Vasculitis of middle sized vessels -30% of patients have +ve serum HBsAg -Symptoms are multi systemic as shown in this case -Renal angiogram produces a “beads on a string” appearance 📿 -Biopsy shows fibrinoid necrosis -Tx is steroids/cyclophosphamide

Journal of Brown Hospital Medicine

@BrownJHM

2 years

A 50-year-old woman w/hx of Hep B infection p/w fever, abdominal pain, painful skin lesions in the right leg, associated w/progressive weakness & sensory loss in the affected limb. Vitals w/⬆️BP. Labs w/⬆️CRP, ESR. What is the likely diagnosis? #Medtwitter