🧩 #FGCaseReport | The biliary mystery 26-year-old with jaundice & biliary dilatation. Imaging? Looked like a choledochal cyst. MRCP? Maybe IPNB. Surgery? Revealed something else entirely... 👉 Mucinous cystic neoplasm of the cystic duct — confirmed by ovarian-type stroma. Only

💧𝗜𝗻𝘁𝗲𝗿𝗽𝗿𝗲𝘁𝗮𝗰𝗶𝗼́𝗻 𝗱𝗲 𝗹𝗶́𝗾𝘂𝗶𝗱𝗼𝘀 𝗰𝗼𝗿𝗽𝗼𝗿𝗮𝗹𝗲𝘀💧 ⬇️⬇️⬇️⬇️ 🦵 𝘼𝙧𝙩𝙧𝙤𝙘𝙚𝙣𝙩𝙚𝙨𝙞𝙨 ➡️𝙒𝘽𝘾 >2000/𝙢𝙢³: inflamatorio (séptico, cristalino, autoinmune). ➡️𝙒𝘽𝘾 >50,000/𝙢𝙢³: sugiere artritis séptica (mayor si >100,000). ➡️𝙂𝙧𝙖𝙢 +

The infamous “Rule of 5” of non-invasive testing presented at #ACG2025 ▪️LSM cutoffs: 5–10–15–20 kPa ▪️<10 kPa excludes; ≥15 kPa = cACLD ▪️≥20 kPa ± Plt <150k → CSPH risk ▪️Skip EGD if <20 kPa & Plt ≥150k ▪️Repeat q1y or q3–5 yrs if mild disease 🙏Nancy Reau

Pharmacologic management of irritable bowel syndrome. https://t.co/u6zfH2kqLv

This 55-year old patient underwent retrograde double balloon enteorscopy for recurrent "lower" gastrointestinal bleeding (hematochezia) and was found to have this in the ileum, about 80 cm proximal from the ileocecal valve. What is your diagnosis? Reply below for the answer

Emphysematous pyelonephritis (EPN): Definition & Pathophysiology •EPN is a severe, necrotizing infection of the renal parenchyma (sometimes also perirenal space) characterized by gas formation within renal tissues and/or around the kidney. •The gas is produced by bacterial

RECTAL OXYGEN ADMINISTRATION Japanese scientists just tested a wild idea — intrarectal oxygen administration! 27 volunteers received rectal doses of perfluorodecalin, a liquid that carries oxygen with high efficiency.

Gastrointestinal (GI) Bleeding - Causes #medtwitter #foamed #usmle

honeycomb gallbladder appears as a multiseptated gallbladder with a thickened wall and multiple non-shadowing echogenic septa (internal walls) crisscrossing the lumen. #EchoTech

A 30 y/o man with a 15-month history of intermittent discomfort in the right upper quadrant of the abdomen. The physical examination revealed hepatomegaly with a palpable hepatic mass. - What is the diagnosis ? #medtwitter #foamed #usmle

Recurrent dysphagia with chest pain what’s the condition ❔

23M with ASD + severe constipation → Stercoral colitis on CT 💩 Managed with sigmoidoscopy & bowel regimen 💪 Later: puborectalis dysfunction 🧠 Needs pelvic floor therapy 🔗 https://t.co/GwcMnXKs6y #GITwitter #Endoscopy #MedTwitter #MedEd @NEJM @my_ueg @ESGE_news

The word stoma means mouth in Greek. In plants, stomas are small mouth-like pores present in leaves that are responsible for gas exchange. Here, a leaf is shown breathing in carbon dioxide and breathing out oxygen through a stoma 🍃🌬️ https://t.co/d3dgzCpLd6

EUS guided gastroenterostomy has ✨revolutionized✨ management of malignant gastric outlet obstruction Grateful for my training at #CIE @AdventHealth allowing me to bring this intervention to our #WestHouston community patients! 📈 PO intake ⬇️ Symptom recurrence #GITwitter

Estimados, He creado una calculadora GRADE para el análisis de la evidencia, de manera que podamos leer una revisión sistemática con meta-análisis para la toma de decisiones. https://t.co/bds5ZXRqQA Espero sus comentarios

This microscopic image was featured in the Nikon Small World prize, but for bonus points, which organ was this taken from?

Manejo de la intubacion despierto. Por el colegio americano de médicos de emergencia. Ann Emerg Med. 2025;85:21-30 https://t.co/ZzA1132Q86 #intubation #awake #emergency #anesthesia #anestesia #urgencias #airway #viaaerea #medicina

Now THAT is a big common bile duct stone! #gitwitter #surgery @Stentingwoman @EUSandEndoscopy @DavidDiehlMD

Gastrectomia vertical

Total pelvic exenteration for locally advanced carcinoma rectum #Oncology #cancersurgery