MedTweetorial: #Tweetorial
Author: @BCMIDFellowship
Type: #GraphicMed #MedEd
Specialty: #InfectiousDisease #ID #Dermatology #Derm #MedDerm
Topics: #HIV #AIDS #SkinDiseasesinPWH #Rash
1/@HoustonAETC lunch & learns are ๐ฅ! โ
@MelanieGoebelMD gave a fantastic talk on primary manifestations of skin diseases in PWH (people with HIV)โ
Let's review rapid-fire style...โ
#IDFellows #IDTwitter #DermTwitter #MedTwitter โ@IDfellows @MedTweetorials https://twitter.com/HoustonAETC/status/1303742056511279118
MedTweetorial: #Tweetorial
Author: @FilaMentor
Type: #Case
Specialty: #InfectiousDisease #ID #Pulmonology #Oncology
Topics: #InvasivePulmonaryAspergillosis #IPA #Neutropenia #Aspergillosis #BDG #BetaDGlucan #Galactomannan
1/
First of 2 tweets! #GalactoMagic
44M from Maine w/ myelodysplastic syndrome s/p BMT 6 weeks ago has fevers. He is on voriconazole, moxifloxacin, atovaquone, & valacyclovir. He is taking topical steroids for the past 25 days due to mild skin graft versus host disease.
MedTweetorial: #Tweetorial
Author: @FilaMentor
Type: #Case #MedEd
Specialty: #InfectiousDisease #ID
Topics: #PulmonaryAspergillosis #IAPA #InfluenzaAssociatedPulmonaryAspergillosis
1/
First of 2 tweets! #GalactoMagic
55F w/ COPD has 3 days of fevers, SOB & cough. T 38.2C, HR 112, BP 100/75, RR 22, O2 93% on 100% non-rebreather. Exam- crackles b/l
CT chest- ground-glass opacities b/l
Rapid flu swab + for influenza A, sputum & blood cultures negative
MedTweetorial: #Tweetorial
Author: @pierrerod
Type: #MedEd
Specialty: #Orthopedics #Ortho #ID #InfectiousDisease
Topics: #SepticArthritis #Gout #PseudoGout



Septic Arthritis = Infection of a joint
Predisposing RF:
- Advanced age ๐ง
- Immunosuppression
- IV drug use ๐
- Recent joint surgery, trauma, injection or pre-existing disease
- Prosthetic joint
- Skin/soft tissue infection
MedTweetorial: #Tweetorial
Author: @BoggildLab
Type: ##Meded
Specialty: #ID #InfectiousDisease
Topics: #Schistosomiasis #IntestinalSchistosomiasis

โ๏ธPublication alert in honor of #WorldNTDDayโ๏ธFive key points about intestinal #schistosomiasis for migrant health practitioners out in @TMAID1. Congratulations to superโญ๏ธ @BoggildLab alums & trainees @LeilaFMakhani @swana_kopal @ShvetaBhasker ๐๐๐ฏ๐คโค๏ธ๐ฅ A short thread ๐ 1/13 https://twitter.com/BoggildLab/status/1222843602314940416
MedTweetorial: #Tweetorial
Author: @MahdiAbuAtta
Type: #HistMed
Specialty: #ID #InfectiousDisease
Topics: #EpsteinBarrVirus #EpsteinBarr #EBV
#AnthonyEpstein #YvonneBarr #DenisBurkitt
#MedTwitter #tweetorial
#histmed
1/
A short #medthreadย ๐งตabout the discovery of the only virus (in my opinion) named after two people:
Anthony Epstein and
and Yvonne Barr.
#MedTwitter #tweetorial
#histmed
MedTweetorial: #Tweetorial
Author: @FilaMentor
Type: #Case #MedEd
Specialty: #ID #InfectiousDisease
Topics: #Mucor #Mucormycosis #Galactomannan #Betadglucan #Fungi
1/
We are starting the MCQs today! Here we go!
This is the first of 2 tweets! #GalactoMagic
35F with PMHx DM2 (A1c 14%) and HTN presents to ED with fevers, HA, and sinus pressure. ENT noted an ulceronecrotic lesion on R medial nasal turbinate
MedTweetorial: #Tweetorial
Author: @WuidQ
Type: #Pathophysiology #Case
Specialty: #ID #InfectiousDisease #Orthopedics
Topics: #Osteomalacia #Osteoporosis #HIV #TenofovirDisoproxilFumarate #TDF #Hypophosphatemia #
52/M HIV (CD4 780 VL<20) on TDF/FTC/efavirenz w/ +b/l prox leg weakness, severe pain/tenderness ribs, back, hips, legs x 6 mos, requiring assistance. N/l Crea, โฌ๏ธCa โฌ๏ธALP. Hip XR: b/l pseudofractures fem neck. Spine XR: poor quality. W/c of the ff is needed to dx this condition?
MedTweetorial: #Tweetorial
Author: @MahdiAbuAtta
Type: #HistMed
Specialty: #Oncology #ID #InfectiousDisease
Topics: #EBV #EpsteinBarrVirus #Herpesviridae #Burkittlymphoma
1/
A short #medthreadย ๐งตabout the discovery of the only virus (in my opinion) named after two people:
Anthony Epstein and
and Yvonne Barr.
#MedTwitter #tweetorial
#histmed
MedTweetorial: #Tweetorial
Author: @WuidQ
Type: #MedEd
Specialty: #IF #InfectiousDisease
Topics: #COVID19 #Covid19Vaccine #mRNA #Pfizer #Moderna #SpikeProtein
57/M completed Pfizer COVID vaccine 4 weeks ago. He now goes to a commercial lab to get serologic COVID testing (test detects nucleocapsid IgG). His test comes back positive. He does not have symptoms. Assuming that this is not false positive, what might this test indicate?
MedTweetorial: #Tweetorial
Author: @AvrahamCooperMD
Type: #MedEd @Pathophysiology
Specialty: #InfectiousDisease #ID #Nephrology
Topics: #Cefepime #Neurotoxicity #GABA #Cephalosporin #BetaLactamRing

1/15
Why can cefepime cause neurological toxicity?
And why is renal failure the main risk factor for this complication?
The answer requires us to learn about cefepime's structure and why it unexpectedly binds to a certain CNS receptor.
#MedTwitter #Tweetorial
MedTweetorial: #Tweetorial
Author: @MahdiAbuAtta
Type: #MedEd #Physiology
Specialty: #ID #InfectiousDisease #Nephrology #Neph
Topics: #Hypomagnesemia #Aminoglycosides #Magnesium #Mg
1/
[How] does aminoglycoside hypomagnesemia?
I've long assumed that aminoglycoside's primary toxicities are nephrotoxicity, ototoxicity, and neuromuscular blockade.
we know a little about potential Electrolyte abnormalities
ARE you ready for a #tweetorial?๐งต
#medtwitter
MedTweetorial: #Tweetorial
Author: @WuidQ
Type: #MedEd #Case
Specialty: #ID #InfectiousDisease
Topics: #boardprep #IDCompendium #idreview
1/4
Introducing ๐๐ฎ๐ข๐๐ ๐๐จ๐ฆ๐ฉ๐๐ง๐๐ข๐ฎ๐ฆ for #boardprep #teachingaid & #idreview, ๐๐๐ช๐ก๐ฉ๐จ 1 ๐ฉ๐ค 4. Refer to links ๐. Feel free to share! @ID_fellows @NNolanMD @LeMiguelChavez @TxID_Edu @JonathanRyderMD @swinndong @DrH_flu
โช๏ธ ๐๐๐ช๐ก๐ฉ 1 https://twitter.com/i/events/1349107159905218564?s=20
MedTweetorial: #Tweetorial
Author: @andresmartine2
Type: #MedEd #Case
Specialty: #ID #InfectiousDisease
Topics: #Histoplasmosis #DisseminatedHistoplasmosis #HIV

Today's VMR was about an interesting case of Disseminated Histoplasmosis in a transgender woman with HIV, so I decided to make a little (not so little) thread ๐งต (1/15)
MedTweetorial: #Tweetorial
Author: @transplantID
Type: #case
Specialty: #ID #InfectiousDIsease
Topics: #HIV #AIDs #Rash #PalmarRash #Syphilis #SecondarySyphilis

I saw a patient , hiv/aids ( cd4<35) and was called for "rash" , I walked in with standard glove precautions, and walked immediately back out to get a gown because my initial reaction was Norwegian crusted scabies because of this case we wrote up as a fellow #IDTwitter #HIV
MedTweetorial: #Tweetorial
Author: @acweyand
Type: #MedEd #Case
Specialty: #Hematology #ID #InfectiousDisease
Topics: #COVID19 #COVID19Vaccine #Thrombocytopenia
A physician died of severe thrombocytopenia (low platelets) a few weeks after #COVID19 vaccine
His death is currently being investigated and is not currently thought to be 2/2 the vaccine.
A ๐งต1/x
https://www.nytimes.com/2021/01/12/health/covid-vaccine-death.html?smid=tw-share
MedTweetorial: #Tweetorial
Author: @ElieNaddaf3
Type: #MedEd #Pathophysiology
Specialty: #CriticalCare #InfectiousDisease #ID
Topics: #CriticalIllnessMyopathy #Myopathy #CIM #COVID #COVID19

Since #COVID hit, we're hearing a lot about critical illness #myopathy (CIM). Follow this tweetorial that will cover the basic aspect of CIM. Photos below are from a patient with COVID-related CIM.
MedTweetorial: #Tweetorial
Author: @VirusesImmunity
Type: #MedEd #Research
Specialty: #Immunology #InfectiousDisease #ID #PreventativeMed
Topics: #COVID19 #Vaccine #Covid19vaccine #1DoseVaccine #2DoseVaccine
My first tweet of 2021 is going to be about 1 dose vs. 2 dose vaccine. I have tweeted in the past of the immunological advantages of a 2 dose vaccine. However, given the enhanced transmission variants on the rise, we need a modified strategy. (1/n)
https://www.theatlantic.com/science/archive/2020/12/virus-mutation-catastrophe/617531/
MedTweetorial: #Tweetorial
Author: @runthelistpod @k_vaishnani
Type: #MedEd #Podcast
Specialty: #InfectiousDisease #ID #Hematology #Heme #HemeOnc
Topics: #Lymphadenopathy #LAD

Based on Run The Listย ๐ Episode 48, here goes nothing with a #tweetorial on lymphadenopathy (LAD)
Thanks to Kushal (@k_vaishnani) for this week's RTL edition!
MedTweetorial: #Tweetorial
Author: @farid__jalali
Type: #Pathophysiology
Specialty: #InfectiousDisease #ID
Topics: #COVID19 #P๐น๐ฎ๐๐ฒ๐น๐ฒ๐A๐ฐ๐๐ถ๐๐ฎ๐๐ถ๐ผ๐ป #P๐๐น๐บ๐ผ๐ป๐ฎ๐ฟ๐E๐ป๐ฑ๐ผ๐๐ต๐ฒ๐น๐ถ๐ฎ๐นD๐ฒ๐๐๐ฎ๐ฏ๐ถ๐น๐ถ๐๐ฎ๐๐ถ๐ผ๐ป #S๐ฒ๐ฟ๐ผ๐๐ผ๐ป๐ถ๐ปI๐ป๐ต๐ถ๐ฏ๐ถ๐๐ถ๐ผ๐ป #SSRI

Proper attention to ๐ฎ๐น๐น aspects of pathology in COVID19, simultaneously, is paramount to proper treatment:
๐ฅpulmonary endothelium
โฌ๏ธโฌ๏ธ
๐ฅplatelets
Products of platelet-endothelial activation:
โก๏ธthrombi
โก๏ธplatelet-derived mediators
MedTweetorial: #Tweetorial
Author: @kkidia
Type: #Advocacy
Specialty: #ID #InfectiousDisease
Topics: #Vaccine #Cholera #CholeraVaccine #COVID19Vaccine
THREAD
1/
As a @harvardmed doctor, I will be one of the first people to get a vaccine. My family in Zimbabwe, however, will be some of the last, if they get vaccines at all.
In global health, vaccination coverage has been an issue since vaccines were a thingโฆ
MedTweetorial: #Tweetorial
Author: @mghmedres
Type: #MedEd
Specialty: #ID #InfectiousDisease
Topics: #CatScratchDisease #BartonellaHenselae
1/ Happy Friday Everyone! Let's recap some pearls on
๐Cat Scratch Disease๐บ
Start by solving our MCQ below!!
@mgh_id @ID_fellows #MedTwitter
MedTweetorial: #Tweetorial
Author: @MayoClinicINFD
Type: #MedEd
Specialty: #ID #InfectiousDisease
Topics: #PML #JCVirus #Mirtazapine #progressivemultifocalleukoencephalopathy

Images of Infectious Diseases
35F referred to clinic for concern of malignancy.
PMH dermatomyositis on pred / cyclophosphamide. Previous rituximab.
4 wks difficulty walking, weakness, blurred vision
PE: nonverbal. L hemispheric neglect
MRI (photo)
DDx / work up? #MayoIDQ
MedTweetorial: #Tweetorial
Author: @r_edekovwere
Type: #MedEd
Specialty: #ID #InfectiousDisease
Topics: #TB #Tuberculosis
1/15
๐จTWEETORIAL ALERT๐จ
Letโs dive into my first #tweetorial with @MedicsAcademy
๐ฆ DIAGNOSING TUBERCULOSIS๐ฆ brought to you by @r_edekovwere
@MedTweetorials @MedTweetsHQ
#MedTweetorial #MedEd #MedTwitter #TB #infectiousdisease
MedTweetorial: #Tweetorial
Author: @ID_fellows
Type: #MedEd #GraphicMed
Specialty: #ID #InfectiousDisease
Topics: #KICS #KaposiSarcomaInflammatoryCytokineSyndrome #KS #KaposiSarcoma

1/
Hello #IDFellows #IDTwitter! Here is a summary from yesterday's #IDFellowCase in case you missed it or want to review the graphics/links again!
Final dx ultimately was Kaposi Sarcoma inflammatory cytokine syndrome (KICS)
Check out graphic for features of KS on histopath
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #MedEd
Specialty: #GI #Gastroenterology #ID #InfectiousDisease
Topics: #Diarrhea #Ehistolytica #EntamoebaHistolytica

Yesterday on @CPSolvers Student Only VMR with @jackpenner, we ran through a case of a 39-year-old male who presented with a persistent subacute non-bloody diarrheal illness.
If you haven't listened to the discussion๐https://clinicalproblemsolving.com/morning-report-november-29-2020/ or scroll down for the teaching points
MedTweetorial: #Tweetorial
Author: @LPCHPedsChiefs
Type: #Lecture #MedEd
Specialty: #Peds #Pediatrics #InfectiousDisease #ID
Topics: #Botulism #NeonatalBotulism #Honey
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?
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #Podcast #MedEd
Specialty: #Pulmonary #ID #InfectiousDisease #Radiology
Topics: #SepticPulmonaryEmboli #SPE #SepticPE
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 ๐
MedTweetorial: #Tweetorial
Author: @IUIDfellowship
Type: #Case
Specialty: #ID #InfectiousDisease
Topics: #Nocardia #DisseminatedNocardia




#idboardreview 40 M diffuse nodular lesions x 3+yrs, hemoptysis 1 yr ago: lung cavity & now w/ gait abnormality, blurred vision. Diagnosis? #medEd #idmedEd
MedTweetorial: #Tweetorial
Author: @MayoClinicINFD
Type: #Case #MedEd #GraphicMed
Specialty: #InfectiousDisease #ID
Topics: #SleepingSickness #Trypanosoma #TrypanosomaBrucei

Weekend Digest
Peripheral blood smear of a woman from Guinea who presented with headache, itchy skin and lymphadenopathy (photo credit CDC)
Name the pathogen, its vector and its treatment.
MedTweetorial: #Tweetorial
Author: @WuidQ
Type: #Case
Specialty: #InfectiousDisease #ID
Topics: #MononucleosisLikeIllness #CervicalLymphadenopathy #Splenomegaly #Toxoplasmosis
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?
MedTweetorial: #Tweetorial
Author: @smalltownOMS
Type: #MedEd
Specialty: #OBGYN #OB #GYN #InfectiousDisease
Topics: #PID #PelvicInflammatoryDisease #Infertility #Microbiology
Let's talk about microbiology in infertility and pelvic inflammatory disease!
A ๐งต:
MedTweetorial: #Tweetorial
Author: @RahulAggarwalMD
Type: #Publication #MedEd
Specialty: #InfectiousDisease #ID
Topics: #COVID19 #AgeRelatedMortality #COVID19Mortality

1/ ๐ฅHot Off the Press๐ฅ (Actually still in press)
@NicholasChiuMD & I review an expedited @nature article from France evaluating:
Worldwide #COVID19 mortality-rates
#MedEd @MedTweetorials
Data openly shared/replicable: see last post
@BIDMC_IM @harvardmed @WHO @CDCgov
MedTweetorial: #Tweetorial
Author: @AvrahamCooperMD
Type: #Pathophysiology #MedEd
Specialty: #ID #InfectiousDisease
Topics: #Daptomycin #Pneumonia #CK

1/14
Why doesn't daptomycin treat pneumonia?
The answer also explains why dapto raises serum CK levels.
#medtwitter #tweetorial
MedTweetorial: #Tweetorial
Author: @MayoClinicINFD
Type: #Case #Publication
Specialty: #Dermatology #Derm #MedDerm #InfectiousDisease #ID
Topics: #DrugInducedLinearIgAbullousdermatosis #LABD #Vancomycin #LinearIgAbullousdermatosis

Weekend Digest
Name the condition and the most likely offending antibiotic.
@NEJM Image in Clinical Medicine by our fellow Dr. @JohnRaymondGo1 and faculty Dr. @OmarAbuSaleh15
MedTweetorial: #Tweetorial
Author: @nihardesai7
Type: #MedEd
Specialty: #InfectiousDisease #ID #Pharmacology
Topics: #๐๐จ๐ซ๐ข๐๐จ๐ง๐๐ณ๐จ๐ฅ๐ #antifungals #IDTwitter #oncology #MedTwitter #MedStudentTwitter #hematology
Antifungals have come a LOOOONGGG way but we still lose many battles against these stubborn bugs๐ข
Let's focus on ๐๐จ๐ซ๐ข๐๐จ๐ง๐๐ณ๐จ๐ฅ๐ today !!
A short thread.
#antifungals #IDTwitter #oncology #MedTwitter #MedStudentTwitter #hematology
MedTweetorial: #Tweetorial
Author: @IUIDfellowship
Type: #MedEd #Case
Specialty: #InfectiousDisease #ID
Topics: #Ecoli #EColi0157 #EscherichiaColiO157H7 #EHEC


#idboardreview family visited a pumpkin patch & enjoyed apple cider slushies & 5 days later present w/ fever, nausea, vomiting, abd pain, diarrhea which is now bloody. Diagnosis? #MedEd #IDMedEd
MedTweetorial: #Tweetorial
Author: @COREIMpodcast
Type: #HistMed #MedEd
Specialty: #ID #InfectiousDisease
Topics: #SixFeet #TwoMeters #COVID19 #SocialDistancing

1/ Six feet. Two meters. Theyโre nice, even numbers. Where do they come from? Is six really the magic number??
#medtwitter #COVID19 #covid4MDs
MedTweetorial: #Tweetorial
Author: @BCMIDFellowship @A_Spallonii
Type: #MedEd
Specialty: #InfectiousDisease #ID
Topics: #Mycology #Fungus #Dermatophytes
#TineaVersicolor #SuperficialFungalInfections

1/๐#IDFungiFriday๐
ย
This is part 2 of @A_spallonii basic med mycology #tweetorial
ย
See Part 1 hereโฆ https://twitter.com/BCMIDFellowship/status/1304453941275627520?s=20
#IDFellows #IDTwitter #IDMedED @MedTweetorials
MedTweetorial: #Tweetorial
Author: @BCMIDFellowship @A_Spallonii
Type: #MedEd
Specialty: #InfectiousDisease #ID
Topics: #Mycology #Fungus #Terminology #Morphology #Mycoses
1/Welcome #IDFellows #IDTwitter #MedTwitter to another #IDFungiFriday
๐ For the next few tweetorials @A_spallonii @BCMIDFellowship is presenting a refresher in Med Mycology
๐ Todayโs tweet will focus on basic terminology, ๐ฌ morphology, and intro to mycoses
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #Podcast #MedEd
Specialty: #IM #InternalMedicine #ID #InfectiousDisease
Topics: #Metronidazole #Flagyl #Antibiotic #AntiParasitic
If you have not listened to the @CuriousClinPod most recent podcast (Episode 10: Why does metronidazole treat both bacterial and parasitic infections?) then I suggest you tune in.
http://curiousclinicians.com/2020/09/30/why-does-metronidazole-treat-both-bacterial-and-parasitic-infections/
I'll summarize their show notes here in short #medtweetorial