Lyell Jones MD
@LyellJ
Professor of Neurology @MayoClinic. Dean, Mayo Clinic School of Graduate Medical Education. Editor-in-chief @ContinuumAAN. President-elect @AANMember
- I don’t usually weigh in on non-neurology debates but thought I would fix a typo in this title
- The Case of the Dizzy and Confused: A 32 year old has had 4 weeks of progressive confusion and vertigo. Exam shows a mild left hemiparesis and end-gaze nystagmus with right upward gaze. What’s going on here #neurotwitter?
- A 52 year old woman comes in for evaluation of daily headaches. They’ve been present for about 2 years, occur on awakening, and resolve after her morning coffee. Her neurologic exam is completely normal. What do you do next for this patient?🧵#ContinuumCase
- How to Neurology (in 4 tweets. Please keep this between us, for job security reasons)
GIF - Not Wordle, just med students deciding which specialty to go into
GIF - Neurology is so cool: A 61 year old man comes in for another opinion on his diagnosis of ALS Several years of progressive upper limb weakness Exam: upper limb fasciculations, brisk lower limb reflexes One look at the C-spine MR and you know it’s not ALS. What’s going on?
- Neurologic differential for the new academic year: ➡️ Determine timeline: acute, subacute, chronic ➡️ Localization: focal (one place) or diffuse (widespread) Use this grid, work up what’s in that box. If it’s not there, it’s in an adjacent box #PostItPearls #NeuroPostItPearls
- How to Weakness: Localization is a barrier in neurology, but fortunately there are only 4 locations that cause most weakness: 1 Upper motor neuron 2 Lower motor neuron 3 Neuromuscular junction 4 Muscle
GIF
