Lyell Jones MD
4,393 posts
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 - A 75 year old woman comes to the ED with 3 days of low back pain, imbalance, and tingly feet She has diabetes and melanoma. “I just finished my first round of chemo last week!” She has moderate lower limb weakness & absent reflexes How would you approach this #ContinuumCase?🧵
- It’s official! The latest Continuum issue on Cerebrovascular Disease is online, and shipping! 🧠Latest on treatment and prevention of acute ischemic stroke 🧠Diagnosis and management of CV disorders (CVT, dissection, AVMs) 🧠Pediatric stroke Link: journals.lww.com/continuum/page…
- Do neurologists need to know how to manage pain? We think so, and our first ever issue of Continuum completely dedicated to pain is online and shipping! Why dedicate a full issue of a neurology journal to pain management? 1/ Issue link: journals.lww.com/continuum/page…
- #ContinuumCase! A 48 year old is found unresponsive by her family. She was intubated for respiratory depression with no response to naloxone. She was comatose with intact brainstem reflexes Urine drug screen was negative. MRI below (DWI⬆️/FLAIR⬇️) What’s the diagnosis???🧵
