Joined April 2026
- Tweets 2,376
- Following 359
- Followers 155
- Likes 1,403
69 Photos and videos
R.ABDUL KARIM retweeted
Patient with complaints of fast breathing and weight loss. What is the diagnosis? What investigation would you request? Management?
#MedTwitter #MedX #GITwitter #FOAMed @albertoortegana @MEmwanta @IhabFathiSulima @ChefKarim02 @Internist_02 @elidyynwa @dokitawaa
5
2
7
234
R.ABDUL KARIM retweeted
🏥 🩺 Today I had a tough clinic consultation!
"Why do women turn into prosecutors after one bad bed performance? One flop and the man is cancelled”
4
1
23
1,630
R.ABDUL KARIM retweeted
Elderly patient with chronic shoulder pain Horners syndrome upper limb weakness.
What is the diagnosis ?
7
8
21
1,458
R.ABDUL KARIM retweeted
Friends, let’s be there tomorrow 2pm 📌
5
11
42
951
R.ABDUL KARIM retweeted
A man in his 20s presented with shortness of breath.
Thoughts?
6
3
23
6,331
R.ABDUL KARIM retweeted
A 48-year-old patient presents with chronic pain in the right hip joint with no history of trauma; what is the diagnosis?
4
3
11
567
R.ABDUL KARIM retweeted
Adult patient with chronic knee pain swelling locking sensation.
What is the diagnosis ?
6
15
58
6,468
R.ABDUL KARIM retweeted
What is the name of this rare, congenital condition?
8
8
47
8,426
R.ABDUL KARIM retweeted
The debate shouldn’t be about reducing intern facilitation, but increasing it. Interns carry a huge workload in hospitals, and under-supporting them risks weaker service delivery and avoidable loss of lives.
#TheCapitalGang @derrickwandera2
2
18
52
2,251
R.ABDUL KARIM retweeted
MoH directed to deploy senior medical consultants to general hospitals to boost local healthcare delivery & expand critical placement slots for medical interns. Additionally, MoH is developing new guidelines to strictly regulate electronic medical practice/telemedicine.
9
29
2,517
R.ABDUL KARIM retweeted
🔥 This is exactly what we want to hear from our leaders- the truth!
A balanced opinion indeed!
🔥 Thank you Hon @BaryomunsiChris 🙏
🔥 The policy is very good it just has to protect our most vulnerable - the medical interns.
#PayAllMedicalInterns
I missed this Cabinet debate while away, but as someone who did internship, private interns must be paid. The workload in our referral & district hospitals is heavy and full-time. I’m engaging the President to re-table this; we must find the money to fund all interns. #CapitalFM
9
25
102
6,214
R.ABDUL KARIM retweeted
📚CASE: A 64YF, admitted with laboured breathing, and complaints of burning epigastric pain and cold extremeties. Managed for DKA.
✍️Admitting RBS 23, BP 60/35mmhg, without resolution. Died 8 hours later. Let's dissect this EKG🪦 @kisubi_hospital @UgandaPhysician @InternalmedMak @TrackYourHeart @ManualOMedicine @PMcardioApp @HeartAssociatn @American_Heart @kirudduNRH @Makerere_Medics @Ecgloverr @IhabFathiSulima
4
13
25
3,208
R.ABDUL KARIM retweeted
This patient was initially pregnant. She suddenly started bleeding for days, and decided to come for scan.
Let's see what we saw on ultrasound..
3
1
18
717
R.ABDUL KARIM retweeted
Going to town to get a copy to read and then archive for my children💃🏻💃🏻💃🏻
Who has the spoiler already?
38
15
136
8,439
R.ABDUL KARIM retweeted
Clinics prefer Clinical Officers simply because they'll prescribe more medicine and make the facility money. MOs will all their knowledge prefer to give the patient just what they benefit from
One approach makes the facility more money. The other makes patient's outcome much better.
48
44
260
18,453
R.ABDUL KARIM retweeted
Middle Aged patient With ;
Chronic abdominal pain
Low grade fever.
What is the diagnosis?
Check red arrow!!!
#MedX
8
9
43
4,334
R.ABDUL KARIM retweeted
Granulomatous amebic encephalitis (GAE)
A rare, subacute-to-chronic, and nearly always fatal central nervous system infection.
Unlike acute amebic infections, GAE progresses slowly over weeks to months, making it exceptionally difficult to diagnose before it becomes terminal.
Causative Organisms...
The disease is primarily caused by two genera of ubiquitous, free-living environmental amebas found in soil, dust, and freshwater:
*Acanthamoeba species:
The most frequent cause, typically targeting individuals with compromised immune systems.
*Balamuthia mandrillaris:
A highly aggressive pathogen that can infect both immunocompromised individuals and completely healthy, immunocompetent hosts.
*Sappinia pedata:
An extremely rare cause, tied to only a single documented human case
oncohemakey.com/free-living-…
2
1
11
537
R.ABDUL KARIM retweeted
Granulomatous amebic encephalitis.
He was started on empiric treatment for meningitis, but he continued to have progressive neurologic decline with the development of seizures, and died 9 days later.
Autopsy of the brain showed liquefactive necrosis.
Microscopy showed trophozoites and cysts.
Polymerase chain reaction identified acanthamoeba species.
MRI Scans:
Image A
An early, subtle high-signal lesion in the left basal ganglia (red arrow).
Image B
A massive, rapidly progressive lesion with extensive vasogenic edema and a severe mass effect causing midline shift.
Image C (Gross Pathology):
The sliced brain tissue shows distinct areas of hemorrhagic liquefactive necrosis and tissue destruction.
Image D:
High-power microscopic examination demonstrates prominent amebic trophozoites (arrowhead) and a spherical amebic cyst with a double wall (black arrow) amidst inflammatory cells.
nejm.org/doi/full/10.1056/NE…
2
2
17
747