Lane Palmisano @IntimalFlap

I often listen to Bob Marley and his lineage (Damian, Skip, and YG) while studying. Most don't know that Bob unfortunately died at 36 from acral lentiginous melanoma. This rare skin cancer is more common in darker-skinned individuals and hides on the palms, soles, and nail beds.

The miasma theory, which even Hippocrates entertained, once attributed diseases such as cholera, bubonic plague, and typhoid to noxious "bad air" (miasma) emanating from decaying organic matter. Even malaria derives from mala aria ("bad air" in Italian)💨🦠

"Spindle cells" mentioned in Qs? Think beyond just "sarcoma." HY picks to consider (not exhaustive): •Kaposi sarcoma •Leiomyosarcoma •Pleomorphic undiff. sarcoma (my fav) •Sarcomatoid mesothelioma •Meningioma •Schwannoma & MPNST (think NF) •Phyllodes tumor #SpindleCell

The myth that Julius Caesar was born via C-section is unlikely. His mother lived into her 60s and probably would have died from infection. The name comes from caedere (“to cut” in Latin), not Caesar. The first documented case of mother and child surviving → 1500s Switzerland

Couinaud's Liver Segmentation and the Map of Paris

The @emresidents Antibiotic Guide is a cheat code for clinical rotations. Pocket-sized and well-organized for MS3, MS4, or PA students.💊🦠(This isn't an endorsement.) #Clinicals #MedTwitter #PAstudent

POV You’re a med student driving the lap scope for the first time Your attending: “The horizon still isn't straight” You *panics in sunset 🌇🌇* This @BehindTheKnife video might help 👇

Napoleon Bonaparte died in 1821 at age 51, exiled on St. Helena. Most evidence points to advanced gastric (stomach) cancer as the cause, despite debunked rumors of arsenic poisoning. His father reportedly died of gastric cancer as well at age 38. #HistoryFacts #MedTwitter #MedEd…

Quick QBank-style pearl for my fellow students: Myasthenia gravis (MG) loves to show up w/ a Thymoma in Step-style vignettes. The Q stem might even be generous enough to mention the anterior mediastinum. Just some food for thought. #MedTwitter #Step1 #Step2

Lane Palmisano @IntimalFlap

5 months ago

Quick QBank-style pearl for my fellow students: Myasthenia gravis (MG) loves to show up w/ a Thymoma in Step-style vignettes. The Q stem might even be generous enough to mention the anterior mediastinum. Just some food for thought. #MedTwitter #Step1 #Step2

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Most people know Aristotle Onassis as a billionaire Greek shipping tycoon and Jackie Kennedy's second husband. Fewer know he had Myasthenia Gravis (MG), an autoimmune neuromuscular disease that likely caused the ptosis (drooping of the upper eyelids) he hid under his sunglasses.…

This is Phocomelia→ a congenital anomaly most famously linked to Thalidomide (a drug once used for morning sickness) exposure in utero during the late 1950s to early 1960s. I once met someone with this condition who lived an ordinary life, married with children. Anatomy…

Modern Health @modernHealthMe

5 months ago

This is Phocomelia→ a congenital anomaly most famously linked to Thalidomide (a drug once used for morning sickness) exposure in utero during the late 1950s to early 1960s. I once met someone with this condition who lived an ordinary life, married with children. Anatomy… https://t.co/CJMI1ftfNF

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Flap Fact #9: When Q stems mention this infamous "B symptoms" combo, you should consider→ Lymphoma, TB, HIV, other malignancies. 1) FEVER 2) ⭐️NIGHT SWEATS⭐️ 3) unexplained WEIGHT LOSS #MedStudentPearls #USMLE #MedTwitter

Nikola Tesla couldn't stand the sight of pearls. When his secretary wore a pearl necklace, he refused to speak to her until she removed it. Today, some wonder if this kind of intense sensory aversion reflects traits we might now associate with neurodivergence. #Tesla…

Mary Mallon, known as "Typhoid Mary," was the first documented asymptomatic carrier of Salmonella enterica serotype Typhi in the U.S. An Irish immigrant and cook, she unknowingly infected dozens in the early 1900s. Forcibly quarantined, she spent over 25 years in isolation.…

Flap Fact #8: The RIGHTING REFLEX is a postural reflex that helps us maintain balance and upright posture. In Parkinson Disease, there is POSTURAL INSTABILITY (one of the 4 cardinal features in Qs) due to loss of postural reflexes→ This puts patients at an INCREASED FALL RISK.…

During a core rotation, Chilaiditi sign caught me slipping. I did indeed think it was free air under the diaphragm. For any other med students out there: Chilaiditi sign occurs when the bowel (usually colon) slips between the liver and diaphragm, mimicking free air on imaging…

Keith Siau @drkeithsiau

5 months ago

During a core rotation, Chilaiditi sign caught me slipping. I did indeed think it was free air under the diaphragm. For any other med students out there: Chilaiditi sign occurs when the bowel (usually colon) slips between the liver and diaphragm, mimicking free air on imaging…

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