Arjun G. Shah
Consultant Neurologist. Cinema. Travel. Wildlife. Investing. तत् त्वम् असि #MedTwitter
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A few of my favourite medical books from my MBBS days! 1. Clinical Examination by Talley and O’Conner. Personally my favourite book on clinical examination (as evident from the cu...
A recent case we had that reiterates an important exception to the rule : Acute is usually Acquired A 24 year old gentleman comes with loss of vision. He says a month back he not...
This gentleman woke up to realise he cannot read the newspaper He is able to write, but unable to read. What’s more fascinating?! He is unable to read even what he has written hims...
This gentleman has been following up since 2 decades! An expert diagnosis made by someone when exotic tests were unavailable. A life-altering diagnosis for not just the patient, b...
How does a visually impaired person start "seeing" visual hallucinations?! Are dreams a sort of hallucination? How does this all relate with Lijo Jose Pelliserry's brilliant film...
Distraught parents bring their son to you. They tell you that he has been having weakness of his left hand since 1 year. With wasting. No sensory symptoms. They have been told, M...
You are again asked to see a patient with GBS. A young man in his 30's, does not seem perturbed by his acute onset of weakness of lower limbs. He says he has been through it on ma...
Young boy w/ acute onset quadriparesis with areflexia, admitted to ICU with "GBS". You happen to glance at Urine Bag. something is off! The old urine is darker!? The patient is sq...
Right sided pronator drift! This gentleman had an abrupt onset weakness over the right side. By the time he came to hospital, he said he had recovered, however subtle signs of pyra...
RAPD or Marcus Gunn Pupil Alternatively shine a light back and forth on each pupil and observe. 1 second interval in a diy lit room. Ask pt to fixate on a distant object Avoid...
Blepharospasm : a focal Dystonia Orbicularis oculi involuntarily and forcefully contract Can be severe enough to temp. impair vision 😓 This gentleman has come for regular Botulinu...