Welcome to #MedTweetorials

1/ Why so floppy? Today we learn about neonatal botulism from our fantastic teaching senior, Dr. Caitlin Billingham! What % of botulism cases are attributed to honey?

Another @CuriousClinPod dropped with @HannahRAbrams @AvrahamCooperMD @tony_breu

Episode 14: Why do septic pulmonary emboli occur in the periphery and bases of the lungs?
http://curiousclinicians.com/2020/11/25/episode-14-septic-pulmonary-embolism/

Listen and check out the show notes below 👇

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Ready for a #NeoNeph #tweetorial? Let's look at kidney support therapy (KST) in #neonates.
@ASPNeph @EBNEO @MedTweetorials @MedEdBot @IrishNeonatal @AAPneonatal #SoMe
Credit: NICKS course by @DDD_Askenazi & team. Great article by @menonshina https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6777586/

1/ What are the benefit and harms of interventions to treat breathlessness (dyspnea) in people with advanced cancer?

We explore non-pharmacologic interventions in @JAMAOnc #supponc #pallonc

A tweetorial...

https://jamanetwork.com/journals/jamaoncology/fullarticle/2773116

1/ Just finished reading this CP solving article which I highly recomend:(https://www.nejm.org/doi/full/10.1056/NEJMcps2002083)
This thread will contain spoilers.
Since the article did not analyze the labs, I wanted to take some time to review how the "non-specific labs" can help to narrow the ddx.

A 37 year old male presents to the outpatient clinic reporting several months history of low libido and headaches. Recently, he has also noticed a progressive loss of vision and bumping into objects frequently...

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What is the pathogenesis of thrombocytopenia in SLE/ITP (<100,000)? 🩸🩸🩸

First you should consider if this is straight antibody mediated (type II hypersensitivity, ie from SLE), versus another process:
🔸TTP/HUS
🔸Anti-phospholipid syndrome
🔸DIC
🔸HLH
🔸Medications

Let's talk about placement of small bore nasoenteric feeding tubes and use of ultrasound for this (A thread)

Scenario: Pt with gastroparesis and COVID/ARDS, planning to prone, want post-pyloric tube. No dedicated team for this. Can we place safely w #POCUS guidance?

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Ladies, let me reassure you--unless you are purposely wiping back to front, your hygiene isn't the problem.

A 🧵 on recurrent UTIs.

Tweetorial: An amp of 8.4% NaBicarb in the ICU 💉. Panacea or poison?

#NephTwitter #askrenal #medtwitter @askrenal

Normally, at a pH of 7.4, what is the concentration of H+ in the arterial plasma?

1/12 Giving a talk to our UCLA IM Residents in the Med Ed Pathway @uclaimchiefs @PamelaTsing inspired me to make a thread on how to construct questions to maximize learning! Thanks @rktsevat and your group for the inspiration behind this example!

#MedEd #FOAMEd #MedTwitter

With temperatures dropping, heaters turn on ♨️
My dad heard our heater acting up and got it checked out to learn its leaking Carbon Monoxide ⚠️📛

So here's a quick glance of CO intoxication & a reminder to keep it on your differential

(1) #FOAMed #FOAM #MedEd #MedTwitter

Another new diagnosis I had never heard of until this pulm rotation: Ulcerative Bronchiolitis (yup, you saw that right). 🧵of an illness script of a rare condition!

Inspired by @EmmGeezee's comments here
https://twitter.com/EmmGeezee/status/1324928165207216128?s=20

#MedTwitter #tweetorial

1/ #tweetorial Having doubt on gout? I teamed up with @MithuRheum to tackle the topic. Based on 2020 ACR guidelines (https://pubmed.ncbi.nlm.nih.gov/32391934/) and UTD.

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31 yo F w SLE who presented with volume overload attributed to nephrotic syndrome 2/2 lupus nephritis. On admission, no dyspnea or hypoxia. Physical exam with diffuse anasarca. Initiated on aggressive diuresis w good UOP and improvement in edema.

Hi #MedTwitter & #NephTwitter
How's everyone doing? while waiting for the #Election2020, let's do a #Tweetorial on #Neonatal #Hypertension
@MedTweetorials @EBNEO @AAPneonatal
Summarizing nice review by Drs. Dionne, @CabitbolZyx & @drjosflynn
https://link.springer.com/article/10.1007/s00467-010-1755-z#Tab1
A thread
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Check out this great review on #FebrileSeizures by @EMBoardBombs

Yes this is great for all you med-peds out there and not just EM folks. https://www.emboardbombs.com/s/Febrile-Seizures.pdf

They are the MC neurologic d/o in children & occur in 2-4% of children b/t 6 mon-5yrs, w/a peak incidence at 15 mon https://twitter.com/EMBoardBombs/status/1324320621946437632

21/M student p/w 5 d +fever, headache, myalgia. Exam: +tender palpable spleen, b/l cervical LNs, largest 2x2 cm. WBC 14 w/ atypical lymphs. 4th gen HIV/RNA neg. No PMH. 5 other students developed same Sx around 10 d after a picnic & hiking trip in Missouri. Most likely cause?

Let's talk about microbiology in infertility and pelvic inflammatory disease!

A 🧵:

Hey #MedTwitter fam!

Time for the inaugural #MedDermTwagTeam #tweetorial on #Scleroderma

This is a diffuse (get it?) topic so @RashDecisionz & I will try to keep it focused

I’ll tweet on illness script

S/O to @CPSolvers @MedEdTwagTeam and many others for the inspiration!
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‼️#Tweetorial Time‼️

“Spinal Cord Vascular Supply”

For my pub in @NeurologyCP I reviewed the vasc supply of this small space in the CNS!

https://cp.neurology.org/content/early/2020/10/19/CPJ.0000000000000995

@MedTweetorials @RealDrHu @RyanBPetersonMD @Gradydoctor @EmmGeezee @Tracey1milligan @AaronLBerkowitz #MedEd
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