Janet Pope
@Janetbirdope
Followers
19,176
Following
57
Media
2,138
Statuses
8,599
not so new at tweeting but always opinionated
Joined November 2017
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Kristi Noem
• 164257 Tweets
#SmackDown
• 91745 Tweets
Eagles
• 90489 Tweets
Nebraska
• 82280 Tweets
Bucks
• 59881 Tweets
Dame
• 54382 Tweets
Pacers
• 41072 Tweets
Omaha
• 39621 Tweets
#WWEDraft
• 35311 Tweets
GW初日
• 33474 Tweets
Middleton
• 33288 Tweets
#DesafioXX
• 26463 Tweets
Melo
• 22546 Tweets
Clippers
• 21472 Tweets
Self Esteem
• 21304 Tweets
Westbrook
• 17852 Tweets
Beba
• 16872 Tweets
連休初日
• 16012 Tweets
アラバキ
• 15949 Tweets
Haliburton
• 15112 Tweets
Bill Barr
• 13072 Tweets
Tyrese
• 13045 Tweets
Giannis
• 12315 Tweets
Kawhi
• 11921 Tweets
#ClinicalPearl
Pt with a sore throat then abdominal pain, microscopic hematuria and this finding. What is it and why? no hints as this is classic.
174
161
1K
#Diagnosis
in 1 picture. Hint: the dryest place on earth for the person experiencing this.
#ClinicalPearl
. Bonus - describe what you see.
42
114
942
#ClinicalPearl
. This young woman has a sore mouth intermittently and recurrent
#erythema
#nodosum
. She has had genital
#ulcers
too. What is the
#dx
and 1st line Rx?
#RheumTwitter
#MedEd
#MedTwitter
126
110
791
79
94
726
#ClinicalPearl
What do you see? What is the most likely
#diagnosis
. Hint NORMAL uric acid
#MedEd
#MedTwitter
#RheumTwitter
101
103
730
51
101
714
106
66
666
#Diagnosis
in 3 words. be specific. Scale, elbows, hairline BONUS How to treat
#MedEd
#RheumTwitter
#ClinicalPearl
#MedTwitter
#Dermatology
65
75
649
#ClinicalPearl
Can you guess the
#diagnosis
Large oral ulcer and painful lump on leg. Recurrent mucosal ulcers.
88
95
646
26
93
603
20
83
572
#ClinicalPearl
. No
#Raynauds
, Neg
#ANA
, no dilated nailfold capillaries, no telangiectasia. Severe tightness in hands & esp face and can’t close eyes. NOT
#scleroderma
. A mimicker.
#scleromyxedema
Look for MGUS. Protein in skin not collagen.
16
116
557
#ClinicalPearl
#rheumatoidarthritis
with MCP enlargement and some subluxation. What do you call the thumb abnormalities?
56
56
537
The satisfaction of demonstrating a
#knee
#effusion
using the bulge sign
#Medtwitter
.
#ClinicalPearl
4
108
505
Classic finding but hardly ever present! New
#headache
with a tender inflamed temporal artery….
#ClinicalPearl
#MedX
#MedEd
#RheumTwitter
.
54
52
441
#ClinicalPearl
. Spot dx. What do you see and list 2 diseases in the differential
#diagnosis
.
41
57
422
#ClinicalPearl
. This patient has
#rheumatoid
#arthritis
. What do you see? How to treat it - if at all?
31
55
420
#ClinicalPearl
What are these lumps? What would the pathology show? Hint also present in
#olecranon
bursa
28
44
407
#ClinicalPearl
57 yr old man with swollen eyelid. You see the ‘mass’. What would you order? hint what would bx show if abnormal IgG subtype?
33
70
395
#ClinicalPearl
Which antibodies are associated with this pt? She has Raynaud’s and uses artificial tears and has this finding.
62
41
394
#ClinicalPearl
50 year old man who is a heavy smoker. ANA borderline, type II DM. What is dx? What test(s) to do?
35
63
352
#Diagnosis
in 3 words (or 1 picture) Riding sunken nose. What is the clinical sign and what is the
#dx
?
#MedEd
#MedTwitter
#Nephro
#RheumTwitter
54
38
347
37
30
332
#ClinicalPearl
is this
#inflammatory
#myositis
or
#lupus
#SLE
. Hint sparing knuckles is specific for one dx and involving knuckles is the other
#dx
.
#MedTwitter
25
63
328
#ClinicalPearl
What could this be in a Rheumatolgy clinic patient! hint many possible answers.
46
51
325
#ClinicalPearl
If I aspirated this swollen and painful chronic MCP, what might I find? Hint at least a few answers. What if pt is a gardener with roses?
28
29
325
#Diagnosis
of
@clinical
finding in 1 picture. What is sign and what are the causes?
#ClinicalPearl
#MedTwitter
#MedEd
#RheumTwitter
38
44
311
83
33
292
#ClinicalPearl
. What do you see? Hint dry tongue, tongue isn’t straight, multiple telangiectasia on face. More than one problem.
23
47
287
#ClinicalPearl
#jointinjection
week. Lateral
#epicondylitis
Pain at lat epicondyle with resisted extension of wrist. Never touch needle.
26
40
284
#ClinicalPearl
This X-ray will get you ‘hooked’. What is the most likely
#diagnosis
?
#MedEd
#MedTwitter
#RheumTwitter
42
52
279
#ClinicalPearl
What 2 types of
#diseases
have these
#telangiectasia
? hint one runs in families more than the other.
#MedEd
#MedTwitter
32
40
274
67
35
267
What’s this? Bilateral swollen legs below knees - cool, minimal pitting, painful. Her
#rheumatoid
#arthritis
is excellent. No CHF, normal echo, albumin and CXR.
#MedEd
#RheumTwitter
#MedTwitter
52
35
263
#Diagnosis
in 1
#picture
. Advanced level - 3 or more findings that support your answer.
#ClinicalPearl
#MedX
#RheumX
#RheumTwitter
#MedEd
31
40
264
#ClinicalPearl
What is most likely
#diagnosis
of this nail finding?
#MedEd
#MedTWITTER
Hint - common cause and this patient is well / healthy
48
35
256
#Diagnosis
in 3 words. immunesuppression, skin cancer. What drug(s).
#ClinicalPearl
#MedEd
#MedTwittet
16
29
255
#ClinicalPearl
is it
#lupus
or
#dermatomyositis
? Why? Diff patterns of between knuckles vs on knuckles. If bad enough the rashes can look the same.
17
49
254
#Diagnosis
in 3 words. Flail foot, diabetes.
#ClinicalPearl
18
29
251
14
36
244
#ClinicalPearl
Tight pigmented and depigmented skin on abdomen and ant chest. No where else. Do you know the
#diagnosis
?
24
34
242
#ClinicalPearl
. What is the white subcutaneous lump? Hint normal uricase acid +ANA - often centromere or nucleolar.
21
28
243
#ClinicalPearl
. Dry eyes and new ‘freckles’ on shins. Spot dx. hint the dots used to be red.
20
34
233
#Diagnosis
in 3 words: proximal weakness, synthetase
#MedEd
#MedTwitter
#ClinicalPearl
#RheumTwitter
Be precise please. Hint Pic adds more findings.
14
41
221
#ClinicalPearl
#Diagnosis
in 1 video. Why would this
#olecranon
#bursa
not be drain-able? Hint a few answers.
#MedX
#MedEd
#RheumX
#RheumTwitter
15
26
223
#ClinicalPearl
Beware what lurks beneath. Red eye in a pt with severe sero+
#rheumatoid
#arthritis
what is it and what to do?
25
24
221
43
30
212
67
20
217
#ClinicalPearl
What dx did this pt have? hint pt was on prednisone and has
#SLE
. Now shooting pain.
49
25
217
44
26
218
#ClinicalPearl
. What Abs are likely to be positive in this pt who was referred to rheumatology?
36
39
218
#ClinicalPearl
. Common problem looking a bit uncommon. Skin is shiny, itchy and a bit thick in hyper-pigmented shin areas. Symmetrical
23
34
209
35
35
209
#Diagnosis
in 3 words: sclerodactyly, dysphagia, centromere
#MedEd
#RheumTwitter
#MedTwitter
#ClinicalPearl
19
37
206
#ClinicalPearl
Bony ulnar styloid is due to erosion and bony remodelling. What is the most common disease to have this?
45
22
195
Come in limping, leave office skipping! Satisfaction re draining a giant knee effusion
#ClinicalPearl
#MedEd
#MedTwitter
#jointinjection
week
6
20
197
#ClinicalPearl
This patient has a
#connective
#tissue
#disease
#CTD
What do you see? What could the
#diagnosis
be?
#MedEd
#MedTwitter
#RheumTwitter
37
34
198
#ClinicalPearl
Dry tongue, wrinkled around mouth, thin lips. What overlap of
#CTD
’s does this pt have.
35
39
199
#ClinicalPearl
Can you differentiate between a
#malar
#rash
and
#acne
#rosacea
?
List at least 3 features
18
27
200
#ClinicalPearl
What is the most likely diagnosis? Hint MCPs spared, PIPs spared mostly. Pt was gardening on a sunny day.
39
39
197
#ClinicalPearl
If you can’t get into the knee joint easily with pt sitting, change direction aiming for centre of the joint either from medial or lateral joint space.
3
26
197
#ClinicalPearl
#Neck
sign. This pt has reduced oral opening,
#Raynauds
and
#puffy
#fingers
.
#MedEd
#MedTwitter
18
23
196
#ClinicalPearl
#Complication
of chronic
#dermatomyositis
Rock hard muscles that no one wants. Difficult to treat
#Calcinosis
#MedX
#RheumTwitter
11
25
194
#ClinicalPearl
What type of capillary pattern do you see? Hint enlarge pic to get a better view.
16
34
193
10
15
193
#ClinicalPearl
This woman has Crohn’s disease. What do you see? What is
#diagnosis
? Hint far more often on the legs.
17
25
193
#ClinicalPearl
Upper motor neuron UMN or lower LMN? Should be as easy as raising your brow!
#MedEd
#RheumTwitter
#MedTwitter
41
44
192
22
31
194
23
32
191
19
26
185
Rash week seemingly in clinic before holidays. Nearly as exciting as Shark week. Pt w CTDs - SLE, dermatomyositis and Sjögren’s u has e multiforme on trunk & prox extremities. Had a viral pneumonia and now ? E marginatum. L thigh shows it well. I think it is viral reaction 🤷
13
20
187
#ClinicalPearl
This patient has arthritis and these nails. Describe the nails and guess what type of inflammatory arthritis. Hint perhaps not classical nail findings
#MedEd
#MedTwitter
52
40
183
63
17
184
#ClinicalPearl
what do you see and what is
#diagnosis
? Hint hands are spared. legs are involved. Feels v tight on arms - ‘woody’
8
29
179
