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 22: Why is cystic fibrosis one of the most common genetic diseases?
Listen to the episode belwo
Time for another #MedTwitter #Tweetorial on murmurs. You're examining a patient presenting with SOB. You get to the chest and you hear a blowing holosystolic murmur. Now what?
@inglisjosh
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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
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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: @GStetsonMD @MedEdTwagTeam!
Type: #MedEd
Specialty:
Topics: #Feedback #ClinicianFeedback #ReceivingFeedback
1/ Receiving feedback is HARD!
It puts into tension two core human needs:
- To grow🪴 & learn🎓
- To be accepted as we are🫂
Today’s #TweetorialTuesday is going to provide tools to navigate this struggle.
Thanks for joining the @MedEdTwagTeam!
MedTweetorial: #Tweetorial
Author: @caseyalbin
Type: #MedEd
Specialty: #Radiology #Rads #Neurology #Neuro
Topics: #VST #VenousSinusThrombosis #COVIDVaccine
You know you have found the right career, when you see "VST" and think "omg one of my favorites!" Happy to add to the #tweetorial @AaronLBerkowitz!
Recognizing VST IS hard! So, an appreciation of the "classic" imaging findings is key
@RyanBPetersonMD would have more, i'm sure https://twitter.com/AaronLBerkowitz/status/1382383629007949828
🚨A new Curious Clinicians Episode is out!! 🚨
Why does "bendopnea" occur?
@AvrahamCooperMD @HannahRAbrams @tony_breu
Episode 23: Why does “bendopnea” occur? http://curiousclinicians.com/2021/04/14/episode-23-why-does-bendopnea-occur/
MedTweetorial: #Tweetorial
Author: @dr_dmorgan
Type: #Publication
Specialty:
Topics: #DiagnosticAccuracy #PostTestProbability #PretestProbability
How good are doctors at diagnosis?
This is the most relevant paper I have written. Not perfect but addresses a huge issue I think could change medicine if acknowledged
…it has changed how I think about diagnosis
https://ja.ma/3rQNtjv
@JAMAInternalMed
@drjohnm
1/n
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Cardiology #CardioTwitter
Topics: #Murmurs #HolosytolicMurmur #MR #TR #VSD
#AS #CardiacMurmurs #PhysicalExam
Twitter feed video.
Time for another #MedTwitter #Tweetorial on murmurs.
You're examining a patient presenting with SOB. You get to the chest and you hear a blowing holosystolic murmur.
Now what?
@MedTweetorials
MedTweetorial: #Tweetorial
Author: @IM_Crit_
Type: #Case
Specialty: #CriticalCare #Cardiology #CardioTwitter
Topics: #CardiacTamponade #PericardialEffusion #Tamponade
ICU stories: Middle age pt was admitted with delayed presentation (probably 4 days' old) inferior wall MI
MedTweetorial: #Tweetorial
Author: @hrh_approved
Type: #Research
Specialty: #EmergencyMedicine #EM
Topics: #EMWorkForce #EMPhysicianSurplus @ACEPNow @emresidents @CORD_EM @ABEMCert @ACOEP @AAEMRSA
Live 🧵of the EM Workforce of the Future webinar
CliffNote: Estimated surplus of 9,413 EM physicians by 2030
@ACEPNow @emresidents @CORD_EM @ABEMCert @ACOEP @AAEMRSA
MedTweetorial: #Tweetorial
Author: @AvrahamCooperMD
Type: #Pathophysiology #MedEd
Specialty: #Anesthesiology
Topics: #Propofol #PropofolRelatedInfusionSyndrome #PRIS
1/ 🧵
Why can propofol infusion at high doses cause Propofol-related Infusion Syndrome (PRIS)?
To understand why we have to revisit the old adage of supply and demand.
#Tweetorial #MedTwitter
MedTweetorial: #Tweetorial
Author: @jholtzman3
Type: #MedEd
Specialty: #Cardiology #CardioTwitter #EM #EmergencyMedicine
Topics: #STEMI #CoronaryVasculitis #NSTEMI
🚨How do you get a STEMI without atherosclerotic coronary artery disease?? 📟
✏️ Drawing a blank? 📃
Join me to learn more about the world of non-atherosclerotic coronary artery disease and coronary artery vasculitis!
MedTweetorial: #Tweetorial
Author: @rav7ks
Type: #Pathophysiology #MedEd
Specialty: #InfectiousDisease #ID
Topics: #Hypothermia #Sepsis #IL10 #IL1 #IL6 #TNF #Cytokines #AntiInflammatoryCytokineRelease
1/8 Why can an infection cause hypothermia ? Great question from my MS3 last week. My reaction was " I have no idea but we can look it up "
So why does it exactly happen and why is it important not to simply brush this finding aside !
#MedTwitter #MedStudentTwitter #FOAMed
MedTweetorial: #Tweetorial
Author: @AnnKumfer
Type: #MedEd
Specialty: #Gastroenterology #GI #Nephrology #Renal #Neph
Topics: #Cirrhosis #AKI #AcuteKidneyInjury #DecompensatedCirrhosis #HRS #HepatoRenalSyndrome
#tweetorial #MedEd cirrhosis +AKI Ddx
You are admitting a patient with cirrhosis who is transferred to your hospital for worsening renal function with concern for HRS. On admission BP 165/95, Cr 3 (b/l 1.2), 53 RBCs, protein 3+, Urine Na 30. Which is most likely?
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #Physiology #MedEd
Specialty: #Cardiology #CardioTwitter
Topics: #RACPClinicalExam #RACP #CardiovascularExam #Murmur #PhysicalExamPearls
Twitter feed video.
A patient presents with SOB. You examine the CVS and hear a murmur. Now what?
Here's my approach to auscultating a murmur:
1. Time the murmur
2. Listen for the character
3. Perform dynamic manoeuvres
4. Auscultate in all areas
#Tweetorial @MedTweetorials
#MedEd #MedTwitter
MedTweetorial: #Tweetorial
Author: @NephroP
Type: #GraphicMed
Specialty: #POCUS #Nephrology #Renal #Neph
Topics: #VeXus #IVC #VenaCavaUS #IVCUltrasound
1/ Thought of doing a quick #tweetorial on image acquisition for #POCUS friends starting to do #VExUS
It's kind of "how I do it" guide and not necessarily optimized for research.
1st: Look at the IVC in both long and short axes
If big, do further scans 👇 #MedEd #FOAMed
MedTweetorial: #Tweetorial
Author: @Themis_Kourk
Type: #MedEd
Specialty: #Surgery #GenSurg #Gastroenterology #GI
Topics: #Alcohol #RYGB #GastricBypass #RouxEnYGastricBypass #AlcoholMetabolism #AlcoholDehydrogenase
1/7 In a pt with RYGB how many drinks would you recommend per day? #MedTwitter #livertwitter #GITwitter @AdamMikMD @rabataller @tony_breu @ebtapper
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Hematology #Heme #HemeOnc
Topics: #HITs #Platelets #Thrombocytopenia
You’re asked to consult on a post-operative cardiothoracic patient with low platelets.
You consider the diagnosis of heparin-induced thrombocytopaenia (HITs).
HITs is caused by autoantibodies to heparin complexed with:
@MedTweetorials #Tweetorial
#MedEd #MedTwitter
MedTweetorial: #Tweetorial
Author: @AaronGoodman33
Type: #GraphicMed
Specialty: #Hematology #Heme #HemeOnc
Topics: #BloodSmear
Name the organ failing or missing just by looking at a blood smear. Hematologists don't need advanced imaging!
Tweetorial/Pictorial
1/5
First one to Tweet back all 4 answers wins
MedTweetorial: #Tweetorial
Author: @ebtapper
Type: #MedEd
Specialty: #Gastroenterology #GI
Topics: #MELDScore #MELD #TIPs #LiverTwitter #Cirrhosis
1/
HOW long do you live with #cirrhosis?
WHERE did MELD Score come from?
WHAT is a "TIPS"?
ARE you ready for re-#tweetorial
#livertwitter #medtwitter #meded
MedTweetorial: #Tweetorial
Author: @Wilkinsonjonny
Type: #GraphicMed #MedEd
Specialty: #POCUS Topic: #LungUltrasound #LungPocus #Blines
Twitter feed video.
Today it’s Lung #POCUS for you!
It is:
Easy to perform
Accurate
Sensitive
Repeatable
Negates irradiation or transport elsewhere!
#FOAMed #POCUS #FOAMcc #foamus @icmteaching @ICUltrasonica
Where do we scan then?? Linear/curvilinear or phased probe positions shown👍👇
MedTweetorial: #Tweetorial
Author: @ebtapper
Type: #Pathophysiology
Specialty: #Gastroenterology #GI
Topics: #GGT #GammaGlutamylTtransferase
1/
WHAT the heck is GGT?
#tweetorial #livertwitter #medtwitter
MedTweetorial: #Tweetorial
Author: @caseyalbin
Type: #GraphicMed #MedEd
Specialty: #Neurosurgery #Neurosurg #Neurosurgery #Neurosurg
Topics: #CervicalArteryDissection #Intracranial #Anticoagulation
Twitter feed video.
1/
Attending: “But never anticoagulation for an intracranial dissection!”
Me as a resident: “Of course. Totally!”
Also me ⬇️: [googling “where do the internal carotid arteries and vertebral arteries become intracranial?”]
Feel familiar? A #tweetorial @MedTweetorials
MedTweetorial: #Tweetorial
Author: @rbganatra
Type: #Publication #Research
Specialty: #InfectiousDisease #ID #PerioperativeMed #PeriOp #PeriOpMedicine
Topics: #COVID19 #PerioperativeMortality
1/
#COVID19 increases perioperative mortality.
But how long after diagnosis should we delay a needed surgery?
Here’s #HowIReadThisPaper on the COVIDSurg Collaborative study published in @Anaes_Journal:
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15458
(Thread)
MedTweetorial: #Tweetorial
Author: @JulieAFortin
Type: #Advocacy
Specialty:
Topics: #GenderBias #AcademicTwitter #PublicationBias #Publication #PublicationBiasAgainstWomen
1/ In @ScienceMagazine, there has been a marked bias against women in the attention afforded to their publications in recent years. We don’t know why. #tweetorial @AcademicChatter #AcademicTwitter
🚨A new Curious Clinicians Episode is out!!🚨
They explore a theory about the prevalence of CFTR gene mutations and why cystic fibrosis carriers may have a selective advantage.
Pre-read a related #Tweetorial by
@AvrahamCooperMD
https://twitter.com/AvrahamCooperMD/status/1224814287379562496
Episode 22: Why is cystic fibrosis one of the most common genetic diseases? http://curiousclinicians.com/2021/03/31/episode-21-why-is-cystic-fibrosis-one-of-the-most-common-genetic-diseases/
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #MedEd
Specialty: #ID #InfectiousDisease
Topics: #Dengue #DengueFever #Flavivirus #BreakboneFever
Twitter feed video.
Is a SS RNA flavivirus that is transmitted by the Aedes mosquito
>100,000 mill/yr
Epidemics in Americas, Asia, Africa, & Australia (2.5 bil at risk)
Most cases are asymptomatic (75%) but can lead to death, 20-25k deaths mostly in children
40% fatality rate if left untreated
MedTweetorial: #Tweetorial
Author: @tony_breu
Type: #Pathophysiology #MedEd
Specialty: #GI #Gastroenterology
Topics: #AlkalinePhosphatase #AlkPhos #ALP #BiliaryObstruction
1/11
Why is alkaline phosphatase elevated in biliary obstruction?
This question was debated for decades. The current explanation is NOT what I had expected.
Will you be surprised too?
MedTweetorial: #Tweetorial
Author: @SatyaPatelMD
Type: #MedEd #GraphicMed
Specialty: #InternalMedicine #IM
Topics: #InpatientPocketCardSet #Intern #TipsForNewDocs #MedStudentTwitter
1/11 Congrats to those who matched! I tweeted about an inpatient pocket card set in 2020 and got great feedback. Here is the result of a big overhaul: http://bit.ly/pocketcardset
Let's review what's inside!
#MatchDay2021 #MedStudentTwitter #MedTwitter #TipsForNewDocs #FOAMed
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #Physiology #MedEd
Specialty: #Cardiology #CardioTwitter
Topics: #RACPClinicalExam #RACP #CardiovascularExam #LEedema #PittingEdema #VenousWaveforms #TricuspidRegurgitation #PhysicalExamPearls
Here's a #Tweetorial for those preparing for the #RACP clinical exam.
A common stem is the patient presenting with shortness of breath. Examine the cardiovascular system.
As part of your general inspection you look at the legs and this is what you see.
@MedTweetorials #MedEd
MedTweetorial: #Tweetorial
Author: @FilaMentor
Type: #MedEd #Case
Specialty: #InfectiousDisease #ID
Topics: #BloodCultures #Pneumonia #Galactomannan #BetaDGlucan
1/
First of 2 tweets! #GalactoMagic
80F nursing home resident presents w/ 3 days of fever, cough, & SOB
Vitals: T 38.6C, HR 110, BP 120/80, O2 94% on 3L. Exam notable for left basilar rhonchi & crackles
CXR shows LLL opacity. She is started on ceftriaxone & doxy
MedTweetorial: #Tweetorial
Author: @caseyalbin
Type: #MedEd
Specialty: #CriticalCare #Neurology #Neuro #Neurosurgery #Neurosurg
Topics: #BrainDeath #Ventilator #OverBreathing
Twitter feed video.
1/
Your patient that is “over breathing” the vent may still be dead by brain criteria.
A #tweetorial #medtweetorial for providers in #criticalcare #EM #neuro #neurocriticalcare. @MedTweetorials
MedTweetorial: #Tweetorial
Author: @Anand_88_Patel
Type: #MedEd
Specialty: #Hematology #Heme #HemeOnc
Topics: #HemolyticAnemia #MAHA #PNH #ColdAgglutininDisease #MicroangiopathicHemolyticAnemia
Starting my final block of heme-onc consults as a fellow! Day 1 = sharing the recent @BloodJournal series on hemolytic anemia:
WAIHA: https://ashpublications.org/blood/article/137/10/1283/475030/How-I-treat-warm-autoimmune-hemolytic-anemia
Cold agglutinin dz: https://ashpublications.org/blood/article/137/10/1295/475028/How-I-treat-cold-agglutinin-disease
PNH: https://ashpublications.org/blood/article/137/10/1304/475031/How-I-treat-paroxysmal-nocturnal-hemoglobinuria
MAHA in cancer: https://ashpublications.org/blood/article/137/10/1310/475029/How-I-treat-microangiopathic-hemolytic-anemia-in
MedTweetorial: #Tweetorial
Author: @SinaiBmoreIMRes
Type: #Case
Specialty: #IM #InternalMedicine
Topics: #Dyspnea #DyspneaInCancer #PleuralEffusion
1/6#Morningreport @SinaiBmoreIMRes
by K. Hasel
recently featured an elderly pt with dyspnea
– Onset: progressive over last 2 months
#DDx ? #MedTwitter #MedStudentTwitter #FOAMed
MedTweetorial: #Tweetorial
Author: @febrilepodcast
Type: #MedEd #Podcast #GraphicMed
Specialty: #InfectiousDisease #ID
Topics: #NTM #NonTuberculousMycobacteria
1/ Looking broadly at NTM disease
4 clinical syndromes:
🫁pulm
🧣lymphadenitis (cervical lymphadenitis is predominant in peds!)
🦵SSTI, bone/joint dz
🧍disseminated inf in immunocompromised hosts
#IDTwitter #IDMedEd
Stay tuned in coming days for more graphics and links!
MedTweetorial: #Tweetorial
Author: @WuidQ
Type: #MedEd #Case
Specialty: #ID #InfectiousDisease
Topics: #GramPositiveRods #GramPositiveRodSepticemia #Corynebacterium
56/M w/ neutropenic fever after recent chemoTx. Exam +multiple hemorrhagic papules. CVC site w/ no purulence. Cefepime initiated but went on to develop septic shock. 2 sets of BCx grew non-branching Gram positive bacilli. Which of the ff is the most likely cause of infection?
MedTweetorial: #Tweetorial
Author: @CSWhiteMD
Type: #MedEd
Specialty: #Neuro #Neurology
Topics: #Headache #TrigeminalAutonomicCephalgia #TAC #NeuroTwitter #HeadacheDisorders
And now for a #neurology #tweetorial. Today’s topic: Trigeminal Autonomic Cephalagias or #TACs for short. Hopefully, you can learn more about a lesser known, but very debilitating group of diseases. #NeuroTwitter #MedTwitter #MedEd #HeadacheDisorders 1/
MedTweetorial: #Tweetorial
Author: @tony_breu
Type: #Pathophysiology
Specialty: #Nephrology #Renal #Neph #Rheumatology
Topics: #ACEInhibitors #ACE #Scleroderma #SclerodermaRenalCrisis
1/12
Why do we use ACE inhibitors in scleroderma renal crisis?
I learned this early in training but never understood why these drugs were so game-changing.
Let's have a look.
MedTweetorial: #Tweetorial
Author: @faheema_hasan
Type: #MedEd
Specialty: #HemeOnc #Onc #Oncology
Topics: #CNSLymphoma #PCNSL #NHL #Lymphoma #DLBCL
#MedTwitter
#tweetorial
#lymsm
#PCNSL
#NHL
#CNSTo200M
#NCA
1 NHL a week Series.
Let us have a small summary / #tweetorial on Primary CNS Lymphomas
MedTweetorial: #Tweetorial
Author: @FilaMentor
Type: #MedEd #Case
Specialty: #InfectiousDisease #ID
Topics: #Fungemia #Candidemia #FungalCulture #BDG #BetaDGlucan
1/
First of 2 tweets! #GalactoMagic
50F w/ EtOH cirrhosis & DM presents to ED w/ AMS & decreased UOP. She is febrile & hypotensive
She is started on vasopressors & CVVHD via central lines in the ICU
Due to concern for SBP, she is started on ceftriaxone
MedTweetorial: #Tweetorial
Author: @mendesthiagob
Type: #MedEd
Specialty: #Endocrinology #Endo
Topics: #Weightloss #PhysicalActivity
Hey #MedTwitter friends
Do you recommend physical activity for weight loss?
As a general rule, it will not work. Nevertheless, physical activity is important for good health.
Follow the 🧵
#MedEd #Endotwitter #obesity
MedTweetorial: #Tweetorial
Author: @blakebriggsMD
Type: #MedEd
Specialty: #EmergencyMedicine #EM
Topics: #PID #PelvicInflammatoryDisease #IUD #IntrauterineDevice
1/
Let's chat about IUDs and PID (a very tricky dx). @MedTweetorials @RosenelliEM #FOAMed #MedTwitter
MedTweetorial: #Tweetorial
Author: @blakebriggsMD
Type: #MedEd
Specialty: #EmergencyMedicine #EM
Topics: #Resus #Intubation #Resuscitation #Unstable
You should never enter a intubation just "hoping" the pt doesn't code (see pic below). We focus so much on the act of intubation, but in unstable pts we need to optimize them beforehand. My 2 cents... #MedTwitter #FOAMed @RosenelliEM @JohnCSakles @MedTweetorials @WakeEMresidency
MedTweetorial: #Tweetorial
Author: @ebtapper
Type: #MedEd #Pathophysiology
Specialty: #Gastroenterology #GI
Topics: #Cirrhosis #PalmarErythema #Estrogen #LiverDisease #Spironolactone #Testosterone
1/
WHY does #cirrhosis cause palmar erythema?
HOW is estrogen involved?
WHO is ready for a #tweetorial?
Let's talk hormones, the liver, the impact of imbalanced testosterone/estrogen, & the history of spironolactone
#livertwitter #medtwitter #MedEd
MedTweetorial: #Tweetorial
Author: @cardiomet_CE
Type: #MedEd #CME
Specialty: #Endocrinology #Endo #Nephrology #Renal #Neph
Topics: #DKD #DiabeticKidneyDisease #Diabetes #CKD #ChronicKidneyDisease
1) Welcome to our accredited tweetorial on the evidence-based primary care management of diabetic kidney disease (DKD). Expert faculty @drkevinfernando. Accredited for 0.5 credits: physicians, nurses, pharmacists! Supported by Abbott, AstraZeneca, Bayer, Chiesi, NovoNordisk.
MedTweetorial: #Tweetorial
Author: @RammyaMathew
Type: #Publication
Specialty:
Topics: #Pitfalls #ObjectiveMeasurement #AvoidingPitfalls #Research
2. Here’s a #tweetorial on measurement for improvement, mostly addressing common pitfalls and how to avoid them
🌿Inspired by this excellent paper from @MaryDixonWoods and team
https://qualitysafety.bmj.com/content/30/2/106
#QI #quality #meded @TheQCommunity @MedTweetorials
MedTweetorial: #Tweetorial
Author: @apsmunro
Type: #MedEd #Pathophysiology
Specialty: #InfectiousDisease #ID
Topics: #Fever #FeverHistory #FeverMythBusting
1/15 #Fever #tweetorial
Parents and paediatricians alike are obsessed with fever
We've all got fever fever 🔥 But it is SO misunderstood
Let's take a look at what fever actually is, and finish off with some myth busting!
#FOAMPed #FOAMed #IDTwitter #PedsICU #PedsID
MedTweetorial: #Tweetorial
Author: @iMedEducation
Type: #HistMed
Specialty: #InfectiousDisease #ID
Topics: #Fever #FeverDefinition
Why is fever considered to be ≥ 100.4 F?
A wonderful Tweetorial by @JennyShihMD, reviewed by @AvrahamCooperMD and @AdamRodmanMD.
MedTweetorial: #Tweetorial
Author: @tony_breu
Type: #MedEd #Pathophysiology
Specialty: #InfectiousDisease #ID
Topics: #Fever #BenefitsOfFever #FeverEtiology
1/14
How does fever help us fight infections?
For millennia, fever has been recognized as a beneficial response to invading pathogens.
If this is so, why don't we have a resting temperature of 102°F (38.9°C)? Wouldn't that protect us even better?
Let's have a look.
MedTweetorial: #Tweetorial
Author: @blakebriggsMD
Type: #MedEd
Specialty: #EmergencyMedicine #EM #Cardiology
Topics: #AorticDissection #Dissection
1/
If you're expecting to see this👇every time you think dissection, you'll be missing a lot of dissections (>40%). Everyone talks re widened mediastinum but its absence does NOT exclude it. Let’s chat about pitfalls of dissection.
#MedTwitter #FOAMed @MedTweetorials @RosenelliEM
MedTweetorial: #Tweetorial
Author: @menonshina
Type: #MedEd
Specialty: #Nephrology #Renal #Neph #CriticalCare
Topics: #ECMO #AKIinECMO #AcuteKidneyInjury #ExtraCorporealMembraneOxygenation
1/ What causes #AKI with extracorporeal membrane oxygenation (ECMO)?
🗣️🗣️Let’s explore this 🔥topic from #NephMadness 2021
🧵#tweetorial #CriticalCare #NephTwitter @NSMCinternship @ASPNeph
Poll: How common is AKI in patients receiving ECMO?
MedTweetorial: #Tweetorial
Author: @divyaa24
Type: #MedEd #Advocacy
Specialty: #Nephrology #Renal #Neph
Topics: #kidneydiseaseinwomen #CKD #KidneyDisease #womenempowerment #WomensDay #WomensHistoryMonth
1/17 Taking forward the theme of #WorldKidneyDay let’s discuss what it means for “#WOMEN to live well with #kidney disease” 💃
🧵ahead is for anyone who cares about 💃!
@womeninnephro #womenempowerment #WomensDay #WomensHistoryMonth
Q-Do kidney diseases affect women differently?
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