Welcome to #MedTweetorials
A #MedTwitter Project
A place to go to find collections of #MedEd #Tweetorials (aka MedTweetorials)
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Featured Tweetorials
Episode 25: Why can furosemide improve pulmonary edema from heart failure almost immediately?
For this episode, Avi reached back to a memory of a teaching conference given by a co-resident during internal medicine residency: furosemide works by non-diuretic mechanisms in the acute setting, providing immediate relief to patients with acute pulmonary edema even before an increase in urine output.
Featured Authors
This list includes authors includes previously featured medical educators from around the globe who have take to twitter and consistently created multiple #MedTweetorials
Creating Tweetorials
How does one create a Tweetorial?
Check out this 3 part series on identifying a topic, drafting/posting, and useful tools.
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Need a COVID-19 Tweetorial
Search the archives for some great reviews and interesting teaching topics on COVID-19
Learning under lockdown
According to an editorial in the BMJ: @Medtweetorials is a recommended follow for distance learning.
New England journal of medicine
Medical Educators who envision a place to streamline the search-ability of #MedTweetorials so you can find them all in one place.
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MedTweetorial: #Tweetorial
Author: @Ashka_TxID
Type: #MedEd #GraphMed
Specialty: #Dermatology #Derm #MedDerm #InfectiousDisease #ID
Topics: #MRSA #Vancomycin #LinearIgABullousDisease #StaphScaldedSkinSyndrome
#IDBoardPearls #IDTwitter #IDPhotoQuiz
📟 75 YO M with left knee PJI.
Blood cx + for MRSA. He is started on vancomycin but rapidly decompensated, requiring intubation
On day 6, he develops a new rash over his trunk & arms + 🤒
Bullae with serous fluid but absent Nikolsky’s sign
MedTweetorial: #Tweetorial
Author: @nihardesai7
Type: #HistMed #GraphicMed
Specialty: #Pathology #InfectiousDisease #ID
Topics: #TB #PeglerHuet #Granulocytes #LaminBReceptor #PeripheralSmear #PseudoPeglerHuet
The year was 1928. Carl Pegler saw this in the peripheral blood smear of 2 patients with disseminated TB. Unfortunately both patients died, making him believe that this was a marker of poor outcome.
1/8
MedTweetorial: #Tweetorial
Author: @SatyaPatelMD
Type: #Physiology #MedEd
Specialty: #Cardiology #Cards
Topics: #OrthostaticHypotension #HFrEF #Midodrine #Fludrocortisone #CHF #Orthostasis #Orthostatics
1/8 A patient with compensated HFrEF (EF 35%) has positive orthostatics. He is not hypovolemic. What medication is reasonable to prescribe?
#MedTwitter #MedEd #FOAMed #NeuroTwitter #GeriTwitter
MedTweetorial: #Tweetorial
Author: @caseyalbin
Type: #Physiology #MedEd
Specialty: #Neurology #Neurosurgery #Ultrasound
Topics: #SAH #Vasospasm #TranscranialDopplers #TCD #SubarachnoidHemorrhage
Twitter feed video.
1/🧵
In the early days of fellowship, I remember checking our SAH patients’ transcranial dopplers (TCD), scanning the Vmeans & if they were ~<70 cm/sec throughout thinking:
“Great. Perfect. TCDs globally low. Nothing to worry about here!”
Right?
A #tweetorial on TCDs
MedTweetorial: #Tweetorial
Author: @AlexChaitoff
Type: #MedEd
Specialty: #InternalMedicine #IM
Topics: #UncertaintyInMedicine #ClinicalReasoningInPrimaryCare
@JAMAInternalMed recently published a fascinating article about clinical reasoning in primary care that inspired me to reply with some thoughts in a Letter to the Editor.
Join me for a short #Medtwitter #Tweetorial about uncertainty in medicine!
1/14
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2782018
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InternalMedicine
Topics: #Perioperative #Diabetes #IHD
John is having elective surgery next month. He's referred to your perioperative clinic. He's on medications for diabetes and blood thinners.
What would you do? Open this thread and I'll share my approach.
#MedEd @MedTweetorials
#MedTwitter #MedStudentTwitter
@aoglasser
🌿 New Episode This Week! 🌿
The @CuriousClinPod will investigate why some people absolutely love cilantro while others taste soap if they try to eat it.
Pre-read this #tweetorial by @AvrahamCooperMD
1/13
Why does cilantro taste and smell so delicious to some people but like soap (or worse) to others?
Personally, I love cilantro. 🌿
Some folks can't even be around it. 🧼
Why?
#tweetorial #medtwitter
MedTweetorial: #Tweetorial
Author: @MayoClinicINFD
Type: #MedEd #Case
Specialty: #ID #InfectiousDisease
Topics: #Legionella #Legionellosis #PontiacFever #LegionnairesDisease
Weekend Digest
Name the pathogen and its treatment.
Clues:
1. Grows within protozoa
2. Decorative fountains
3. Hotel stay during travel
4. Cough + diarrhea
5. Antigen test
MedTweetorial: #Tweetorial
Author: @AdamRodmanMD
Type: #MedEd
Specialty:
Topics: #DigitalEducationSkills #MedTwitter #Podcasting
My (preaching to the choir) 🔥 take: digital educational skills -- whether teaching on #MedTwitter, podcasting, or making videos -- are essential #meded skills for the 21st century. And we can teach these to future educators.
A Tweetorial🧵:
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #MedEd #Case
Specialty: #EmergencyMedicine #Neurosurgery #EM
Topics: #Pneumocephaly #Pneumocephalus #PainStimulator
A 60 presents with Left leg weakness and slurred speech. Her CT is below. Paged out as a stroke alert. Answer will be revealed in 24 hours
MedTweetorial: #Tweetorial
Author: @AnnKumfer
Type: #MedEd
Specialty: #Rheumatology #Rheum
Topics: #ANA #Lupus #AntinuclearAntibody #Autoimmune #SpeckledPattern #PeripheralPattern
1/ Understanding #ANA #tweetorial a collab w/ @MithuRheum
You are seeing a 30yo patient in the clinic who is ? an elevated ANA titer. A few months ago she had 2 weeks of joint pains & a rash. As part of the evaluation, an ANA was+ with a titer of 1:80. What do you do next?
MedTweetorial: #Tweetorial
Author: @bilalksheikh @TheSkeletonKG
Type: #MedEd
Specialty: #Nephrology #Neph
Topics: #Hyponatremia #Sodium #ADH #OsmoticDemyelination
1/
📢Tweetorial alert!
Hey #medtwitter! #nephtwitter Have you checked out @TheSkeletonKG ‘s latest case ?
https://www.renalfellow.org/2021/06/28/skeleton-key-group-case-20-slow-down-use-the-desmopressin-brakes/
Let's go through it together!
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Heme #InternalMedicine
Topics: #Splenomegaly #Lymphoma #PhysicalExam
73M presents with an abdominal mass gradually enlarging over the last 3 months.
What do you think is going on?
Open this thread and I'll explain my thought process and reveal the final diagnosis.
@MedTweetorials #MedTwitter
@AndreMansoor @Anand_88_Patel
@grepmeded @geekymedics
MedTweetorial: #Tweetorial
Author: @Darcy_ID_doc
Type: #MedEd
Specialty: #InfectiousDisease #ID
Topics: #HIV #HIVDrugResistance #TransmittedResistance
1/ #IDTwitter #HIVTwitter #HIVDrugResistance
To keep the momentum going, let’s move on to transmitted drug resistance. For those just joining, we previously discussed that #HIVDrugResistance is important yet challenging for learners.
MedTweetorial: #Tweetorial
Author: @AvrahamCooperMD
Type: #HistMed
Specialty: #Anesthesiology
Topics: #Curare #NeuromuscularBlockade #Anesthesia
Twitter feed video.
1/🧵
This is the incredible story of an anesthesiologist who, in 1946, purposefully paralyzed himself using curare.
Though conditions were controlled, by the end of the experiment he was wide awake and fully paralyzed, without any sedation.
#histmed #medtwitter #tweetorial
MedTweetorial: #Tweetorial
Author: @TraumaSoapBoxes
Type: #MedEd #Physiology
Specialty: #CriticalCare #EmergencyMedicine #EM
Topics: #ETCO2 #WaveformCapnography #WFC #EndTidalCO2 #LacticAcidosis #MetabolicAcidosis #Shock
ETCO2 is the VS 🐐: A 🧵
ETCO2/waveform capno (WFC) is the Swiss Army knife of patient assessment. (™️)
Here’s the highlights of my absolute favorite vital sign.
(Slide from my recent TraumaCon presentation)
1/🧵
MedTweetorial: #Tweetorial
Author: @TessaRDavis
Type: #MedEd
Specialty: #Pediatrics #Peds #EmergencyMedicine
Topics: #Fever #FeverMyths #PediatricFever #PedsED
🌡️ Fever is one of the most common presentations to Paeds ED. Of course we worry about sepsis. But actually most children with fever are well.
In spite of it being so common, there's lots of fever myths that are still floating around.
Here are 5 common fever myths:
1/10
MedTweetorial: #Tweetorial
Author: @WuidQ
Type: #Case
Specialty: #InfectiousDisease #ID
Topics: #HemolyticAnemia #ClostridiumPerfringens #RBCGhostCells #GhostCells #Spherocytosis
68M fr Missouri w/ ab pain, fever x 1 d. ER: obtunded, ab tenderness. CT: colon mass w/ perforation. WBC 28, Hgb 6.1, plt 360. Blood chem can’t be done (markedly hemolyzed samples). Hgb 3.1 after 2 u transfusion. Smear: profound spherocytosis, RBC ghosts, toxic granules. Cause?
MedTweetorial: #Tweetorial
Author: @SatyaPatelMD
Type: #MedEd
Specialty: #InternalMedicine #IM #EmergencyMedicine #EM
Topics: #DVT #DeepVenousThrombosis #PhysicalExamFindingsInLowerDVT #PhysicalExam #POCUS
1/7 Let’s go over the evidence-based physical exam for lower extremity deep vein thrombosis (LE DVT). In the spirit of quantifying clinical concern, here is a question - besides inspection (and #POCUS), which tool will help you the most?
#MedTwitter #FOAMed #MedEd
MedTweetorial: #Tweetorial
Author: @LizzieAbyMD
Type: #MedEd
Specialty: #Gastroenterology #GI
Topics: #Cirrhosis #LiverDisease #Frailty #Sarcopenia #Malnutrition
🚨NEW PRACTICE GUIDANCE ALERT #tweetorial🚨
Malnutrition, Frailty & #Sarcopenia in Patients w/#Cirrhosis: 2021 Practice Guidance by the American Association for the Study of Liver Diseases by Lai & Tandon et al
https://aasldpubs.onlinelibrary.wiley.com/doi/epdf/10.1002/hep.32049
#livertwitter
MedTweetorial: #Tweetorial
Author: @DrJayMohan
Type: #MedEd #Pathophysiology
Specialty: #Cardiology #Cards #InterventionalRadiology #Radiology #VascularSurgery
Topics: #Clot #DVT #DeepVenousThrombosis #Inari #VenousDisease
Twitter feed video.
1/ Welcome to the first part of a #Tweetorial series on #VenousDisease.
🩸To begin how about we talk about the main player in the game- C.L.O.T. (and why you should care about it)
#Cardiotwitter #Irad #fellows #fellowtwitter #medthread #clot #medtwitter #clottwitter
MedTweetorial: #Tweetorial
Author: @Ortho_Reviews
Type: #MedEd
Specialty: #Ortho #Orthopedics
Topics: #HipDislocation #PosteriorHipDislocation
A review of posterior hip dislocations.
@MedTweetorials @RosenelliEM
#Orthotwitter #MedEd
1/11
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #GI #Gastroenterology #InternalMedicine
Topics: #Cirrhosis #AbdominalDistention #Ascites #PhysicalExam
A patient presents with abdominal distension.
What do you think is going on?
Open this thread and I'll explain my thought process and reveal the final diagnosis.
#MedEd @MedTweetorials
#MedTwitter #MedStudentTwitter
@AndreMansoor @PeteSullivanPDx @grepmeded @CPSolvers
MedTweetorial: #Tweetorial
Author: @Darcy_ID_doc
Type: #MedEd #Pathophysiology
Specialty: #InfectiousDisease #ID
Topics: #HIV #HIVResistance
1/ #IDTwitter #HIVTwitter
Let’s begin session 2 of our #HIVResistance Tweetorial series: Basic Principles.
MedTweetorial: #Tweetorial
Author: @grepmeded
Type: #MedEd #GraphicMed
Specialty: #InfectiousDisease #ID
Topics: #Meningitis #KernigsSign #BrudzinskisSign #Kernigs #Brudzinski #NuchalRigidity
Twitter feed video.
New Intern #PhysicalExam Series: Meningitis - Important to remember these signs are rare and have very poor sensitivity.
Brudzinski’s Sign - https://www.grepmed.com/?q=Brudzinski+physicalexam
#FOAMed #MedEd
🧵 1/
MedTweetorial: #Tweetorial
Author: @DoubleDawgMD
Type: #MedEd
Specialty: #InfectiousDisease #ID
Topics: #UA #Urinalysis #LeukocyteEsterase #Nitrite #UAInterpretation
Twitter feed video.
The arrival of new interns in July is an excellent opportunity for us to revisit the basics- today let’s talk about a test that is simultaneously one of the most overused and poorly interpreted tools in medicine: the UA.
Say it with me now… INFLAMMATION ≠ INFECTION
1/10
MedTweetorial: #Tweetorial
Author: @MayoClinicINFD
Type: #MedEd #Case
Specialty: #InfectiousDisease #ID
Topics: #Gonorrhea #Tenosynovitis #Neisseria #NeisseriaGonorrhea #SepticArthritis #PNH
Images of Infectious Diseases
18F with tenosynovitis of left arm, followed by pain / swelling in left knee, right thumb, right wrist, both ankles. Left knee effusion: TNC 36,900 cells; mostly PMN. Gram stain ( https://doi.org/10.1128/JCM.00932-17 )
What is your diagnosis? #MayoIDQ next
MedTweetorial: #Tweetorial
Author: @IUIDfellowship
Type: #MedEd #Case
Specialty: #InfectiousDisease #ID
Topics: #Pertussis #BordetellaPertussis
#idboardreview Elementary school teacher w/ fever, rhinorrhea, malaise x several days f/b progressively worsening dry cough. Sick x12d. CXR normal. Dx based on Nasal pcr+. Pic only for reference. dx? management of contacts? #idmedEd #medEd #idtwitter
MedTweetorial: #Tweetorial
Author: @meganranney
Type: #MedEd
Specialty: #InfectiousDisease #ID
Topics: #COVID19 #DeltaVariant
Twitter feed video.
Lots of fears about delta variant right now. Some of it is right. Some is overblown. A thread 🧵
MedTweetorial: #Tweetorial
Author: @DrStevenTChen
Type: #MedEd
Specialty: #Dermatology #DermTwitter
Topics: #AngularChelitis
It's been a long time since my last #dermatology #tweetorial (sorry!), so I thought I'd answer the call for a thread on:
ANGULAR CHEILITIS!
#dermtwitter #medtwitter #meded #FOAMed
Let's start with a question:
When you see this diagnosis, what do you immediately want to do?
1/
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #IM
Topics: #RedLegs #CellulitisMimics #ErythemaNodosum #PhysicalExam
A patient presents with red legs.
What do you think is going on? What would you do next?
Open this thread and I'll explained my thought process and reveal the final diagnosis.
#MedEd @MedTweetorials
#MedTwitter #MedStudentTwitter
@AndreMansoor @PeteSullivanPDx @grepmeded
MedTweetorial: #Tweetorial
Author: @ebtapper
Type: #Pathophysiology #Publication
Specialty:#Gastroenterology #GI
Topics: #AlcoholicHepatitis #Steroids #Prednisone #Prednisolone #DiscriminantFunction #Maddrey #Cirrhosis
1/
WHY are steroids used for alcoholic hepatitis?
SHOULD we?
WHAT is the deal with prednisolone vs prednisone?
WHERE did the discriminant function come from?
ARE you ready for a #tweetorial
#livertwitter #medtwitter #meded #cirrhosis
MedTweetorial: #Tweetorial
Author: @Anand_88_Patel
Type: #MedEd
Specialty: #HemeOnc #Oncology #Hematology
Topic: #HemeConsults #TipsForInterns
Starting a two-week block of heme-onc consults today! Given that many interns may be calling their first heme-consult in the coming days, I figured it would be helpful to share important info to have for different questions! #MedTwitter #hemetwitter #onctwitter
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #MedEd
Specialty: #InfectiousDisease #ID
Topic: #Paracoccidioidomycosis #Lymphadenopathy #Paracocci @hdx
@Rafameed gave @jackpenner & I a great @hdx to solve yesterday.
A Rafa special is always a great infectious case that has great teaching points and pearls. This one was a case of a pt presenting with syncope. Final Dx #Paracoccidioidomycosis. Here are a few pearls I learned 🧵
MedTweetorial: #Tweetorial
Author: @cardiomet_CE
Type: #MedEd
Specialty: #Cardiology
Topic: #DAPT #CAD #Diabetes #DualAntiPlateletTherapy
Join here tomorrow for the launch of a new accredited tweetorial on DAPT in patients with stable CAD+diabetes who have not (yet!) had an MI or stroke! Earn 0.5 CE/CME credits: physicians, nurses, pharmacists! Expert faculty @gabrielsteg. #medtwitter @academiccme #CardioTwitter
MedTweetorial: #Tweetorial
Author: @SRameshMD
Type: #MedEd
Specialty: #OBGYN #Nephrology
Topic: #Contraception #BirthControl #CKD #ChronicKidneyDisease
🚨Tweetorial alert🚨
Contraception in patients with kidney disease
🆘 Help! I have a woman of reproductive age in my office for contraception advice!
25-year-old with stage III CKD (eGFR 42) due to reflux nephropathy.
How comfortable are you with providing advice?
MedTweetorial: #Tweetorial
Author: @PaulNWilliamz
Type: #MedEd
Specialty:
Topic: #Attending #RoleModel #BecomingAGoodAttending #NewAttendings #TipsForNewDocs
How to not know stuff – a thread for new attendings by someone who doesn’t know stuff.
Let's pretend there's a funny gif here.
1/18
MedTweetorial: #Tweetorial
Author: @cardiomet_CE
Type: #MedEd
Specialty: #InternalMedicine #Nephrology
Topic: #Hyperkalemia #HyperkalemiaManagement #CKD
1) Welcome to our accredited tweetorial on optimal contemporary chronic mgt of #hyperkalemia. Earn 0.5h CME/CE credit by following this thread. I am @edgarvlermamd. @MedTweetorials #medtwitter #cardiotwitter #endotwitter #nephtwitter #nephjc @kidney_boy @DanielJDrucker
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #Rheumatology
Topic: #RaynaudSyndrome #PhysicalExam
A patient presents with episodic discolouration of their fingers.
What would you be thinking? What would you do next?
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@MedTweetorials
Graphic courtesy of @grepmeded
MedTweetorial: #Tweetorial
Author: @DocInCrocs
Type: #MedEd
Specialty: #OsteopathicMedicine #OMM
Topics: #OMMVideos #ChapmansPoints #Counterstrain #RibEnergy #MedStudentTwitter
Hi osteopathic friends!!! Sharing my top 3 favorite OMM videos in this thread! Quick 15 minute review to slam dunk easy points on exam day!
MedTweetorial: #Tweetorial
Author: @VRubesch
Type: #MedEd
Specialty: #Cardiology #CardioTwitter
Topics: #DeviceInterrogation #PM #ICD #CRT #Pacemaker #Defibrillator
My 1st try with a tweetorial on an approach to device interrogation. I'd like to share my routine – no matter if it’s a PM, ICD or CRT or manufacturer.
Hope you'll share some thoughts on this! A 🧵
MedTweetorial: #Tweetorial
Author: @SkylerLentz
Type: #MedEd #Physiology
Specialty: #Cardiology #CardioTwitter
Topics: #PulsePressure #HeartFailure #CHF #Endocarditis
New heart failure presentation and a BP like this 114/33?
👇
😯🚨
#FOAMed #FOAMcc
MedTweetorial: #Tweetorial
Author: @DogICUma
Type: #Publication
Specialty: #CriticalCare #EmergencyMedicine #Cardiology Topics: #Hypothermia #TherapeuticHypothermia #CardiacArrest #TTM2trial @NEJM #Normothermia #OutOfHospitalCardiacArrest
The #TTM2trial was published today in the @NEJM
https://www.nejm.org/doi/full/10.1056/NEJMoa2100591?query=featured_home
Here’s a summary of what we did, what I think the trial means, and what next.
@ttm2trial @nielsen_niklas @CritCareReviews @NEJM
MedTweetorial: #Tweetorial
Author: @AmbarishSatwik
Type: #Histmed
Specialty: #ID #InfectiousDisease Topics: #TB #Tuberculosis #Consumption #MycobacteriumTuberculosis
Images of the romantic disease. A fungal ball in a tubercular cavity. The cannonball hole is where the Mycobacteria ate the lung and the airway. The fungus Aspergillus lives in it now. This 36-year-old male came to the casualty coughing out blood incontinently.
MedTweetorial: #Tweetorial
Author: @ebtapper
Type: #Histmed #Pathophysiology
Specialty: #GI #Gastroenterology #EmergencyMedicine #EM Topic: #APAPToxicity #APAP #NAC #NacetylCysteine #TylenolOverdose #Glutatione
1/
Why do we use NAC (n-acetylcysteine) for tylenol overdose?
A #tweetorial
tylenol is also known as paracetamol, acetaminophen, APAP
#livertwitter #meded #medtwitter
MedTweetorial: #Tweetorial
Author: @PrathitKulkarni
Type: #MedEd
Specialty: #InfectiousDisease #ID
Topics: #IDPearls #InfectiousDiseaseTips #Antibiotics #Sepsis #Bacteremia #Osteomyelitis #MRSA #CAUTI #Abscess
1/ Just finished rounding for a half month on the ID service with an outstanding team.
As we gear up for the new academic year, here are some fundamental tips and tricks for students, residents, and fellows to succeed on the ID service.
Read on to learn more!
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Rheumatology
Topics: #PhysicalExam #Hands #RheumatoidArthritis
A patient presents with difficulty using their hands. Here's what you find.
What do you think is going on? Open this thread and I'll share my approach.
#MedEd @MedTweetorials
#MedTwitter #MedStudentTwitter
Many of the graphics are courtesy of @AndreMansoor @PeteSullivanPDx
MedTweetorial: #Tweetorial
Author: @dr_alexharris
Type: #MedEd #Pathophysiology
Specialty: #Psychiatry #Neurology
Topics: #Stress #RewardSeeking #GABA #NucleusAccumbens
Our new paper https://rdcu.be/cmhx3 linking neural activity during stress and reward-seeking is finally out in @NatureComms! Here's a quick #tweetorial
1/n
MedTweetorial: #Tweetorial
Author: @CPSolvers
Type: #MedEd
Specialty: #InternalMedicine
Topics: #VirtualMorningReport #VMR #VMRPearls #ImageNegativeAbdominalPain #Hypoglycemia #BrashSyndrome #Hyperkalemia #Hypovolemia
1/
#Medtwitter, stop scrolling & check out the 🧵 below for this week's #CPSVMRPearls!
Spoiler alert: these pearls are fantastic!
MedTweetorial: #Tweetorial
Author: @mendesthiagob
Type: #MedEd #Physiology
Specialty: #Endo #Endocrinology
Topics: #Iodine #WolffChaikoffEffect #JodBasedowEffect #Thyroid #Hypothyroidism #Hyperthyroidism
Hey #medtwitter
📢 Wolff-Chaikoff and Jod-Basedow effects are well known to affect thyroid function.
What does it mean? Examples? How about a way to memorize which one causes hypothyroidism?🤔
Follow the 🧵
#MedEd #Endotips
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