MedTweetorial: #Tweetorial
Author: @mghmedres
Type: #Case
Specialty: #InternalMedicine #IM #Hematology #Heme #HemeOnc
Topics: #Pancytopenia
1/ 📟 🔊 you get paged as the overnight Bigelow intern about an admission in the ED:
75yo M brought in for malaise. You look at labs & see new
⬇️ PANCYTOPENIA 🧪🩸
The uptodate list is of ddx is overwhelming 🙉
Chief @ArielleMedford's here to the rescue! Follow this 🧵
MedTweetorial: #Tweetorial
Author: @DrShmouni
Type: #Pathophysiology
Specialty: #FamilyMed #InternalMedicine #IM #Cardiology #CardioTwitter
Topics: #MonogenicHypertension #MolecularMechanisms #GordonSyndrome #LiddleSyndrome #ApparentMineralocorticoidExcess #GellerSyndrome
#endocation #endorules #endotips #endotwitter
🫀Molecular mechanisms involved in the different types of monogenic hypertension (thread)👇
MedTweetorial: #Tweetorial
Author: @COREIMpodcast
Type: #MedEd #GraphicMed
Specialty: #IM #InternalMedicine
Topics: #Hyponatremia
1/🚨New Episode in collaboration w/ @ambossmed 🚨
5 Pearls on #Hyponatremia diagnostics
🎧Listen today: https://link.chtbl.com/Hyponatremia 🎧
Show Notes: https://bit.ly/3qksXHK
ACP CME: https://bit.ly/2LGM5Rs
MedTweetorial: #Tweetorial
Author: @PacoDardon
Type: #MedEd #Pathophysiology
Specialty: #GI #Gastroenterology #Neph #Nephrology #IM
Topics: #Cirrhosis #Albumin #AKI #HRS #Hepatorenal
Some days ago i had a pt with cirrhosis Child Pugh C admitted for AKI during my shift. Offending meds were withdrawn, IVC was seen at 0.9 cm and albumin infusion was started.
This common situation got my mind started: why is 🥚 so good for cirrhotic pts kidneys?
A brief 🧵:
👇🏽
MedTweetorial: #Tweetorial
Author: @NewYorkACP
Type: #MedEd
Specialty: #FamilyMedicine #IM #InternalMedicine
Topics: #SmokingCessation #Tobacco #TobaccoCessation
1/
Hi #MedTwitter: @CDCgov estimates >480k US deaths from 🚬
Let’s review the key elements for smoking cessation in this #Tweetorial
❓ Which pharmacological agent can NOT be used in combination with other agents for smoking cessation?
Continue reading to learn the answer!
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #ClinicalReasoning
Specialty: #IM #InternalMedicine #Nephrology
Topics: #AntiGBM #Glomerulonephritis #antiGBMantibodydisease #RenalFailure
🚨 Another @CPSolvers #VMR down🚨
Episode 223: https://clinicalproblemsolving.com/morning-report-december-23-2020/
w/ @sargsyanz @StephVSherman from a great @hdx case presented by @Rafameed w/ master discussants @TheRealDSrini & special guest @HannahRAbrams
Teaching points and tweetorial below 👇👇
MedTweetorial: #Tweetorial
Author: @admit_medics
Type: #MedEd #Pathophysiology
Specialty: #Pediatrics #Peds #IM #InternalMedicine
Topics: #Hypocalcemia #Hypoparathyroidism #22q112deletionsyndrome #BernardSoulierSyndromeCATCH22
You’re the medical registrar on-call and receive a call from the psychiatry SHO as a patient has an adjusted calcium of 1.76.
MedTweetorial: #Tweetorial
Author: @MahdiAbuAtta
Type: #Physiology #MedEd
Specialty: #IM #InternalMedicine #Toxicology #EM #EmergencyMedicine
Topics: #IronOverdose #AnionGapMetabolicAcidosis #Acidosis #IronToxicity
Last night I listened to an episode of @unremarkablelabs , then #UncleBob mentioned that iron poisoning can cause AG metabolic acidosis.
So i created this thread 🧵
@medrants
#medtwitter #tweetorial @MedTweetorials
1/
MedTweetorial: #Tweetorial
Author: @rav7ks
Type: #MedEd #Physiology
Specialty: #IM #InternalMedicine #CriticalCare
Topics: #Phosphate #Hypophosphatemia #Hypoxia #RespiratoryFailure
1/ "Don't forget to correct that phosphate so that the it can help the patient recover from acute respiratory failure !" This concept triggered a lot of questions on rounds.
It's worth taking a quick look at this association !
#medtwitter #MedStudentTwitter #FOAMed #phosphate
MedTweetorial: #Tweetorial
Author: @raina_patel1
Type: #MedEd #Case
Specialty: #GI #Gastroenterology #IM #InternalMedicine #Surgery
Topics: #VitaminDeficiency #GastricBypass #CopperDeficiency #Zinc #DentureCream
1/
What are the "not so common" vitamin deficiencies seen in gastric bypass surgery?
I typically associate peripheral neuropathy with vitamin B12, however there are other deficiencies to consider!
Read on... ☺️
@RosenelliEM @MedTweetorials
MedTweetorial: #Tweetorial
Author: @runthelistpod
Type: #Podcast #MedEd
Specialty: #Endocrinology #IM #InternalMedicine
Topics: #AI #AdrenalInsufficiency
Another RTL #Tweetorial for some #SpacedRepetition coming your way! 😃 This week's thread covers Episode 39: Adrenal Insufficiency!
Special thanks to @Rafameed for this week's tweetorial!
RTL Handout🗒️: https://runthelistpodcast.com/endocrinology/#adrenal…
RTL Episode🔊: http://apple.co/2XhpRIU
#FOAMed
MedTweetorial: #Tweetorial
Author: @Rafameed
Type: #ClinicalReasoning
Specialty: #InternalMedicine #IM #Nephrology
Topics: #Rhabdomyolysis #RenalFailure #Gynecomastia #Hyperlipidemia @CPSolvers
This was my 8th case on @CPSolvers VMR 🙀 with some twists and riddles to @jeff_sharman , @rachel_tenney , and @hraza222
Fortunately, I was faster than @rabihmgeha and turned off my mic first😄
A 25 y.o M w/ brown urine + altered lipid profile test -how can you link these 2?🤔
MedTweetorial: #Tweetorial
Author: @tony_breu
Type: #Physiology #MedEd
Specialty: #Cardiology #CardioTwitter #EM #EmergencyMedicine #InternalMedicine
Topics: #Hyperkalemia #Calcium #CardiacMembraneStabilization
1/17
How does calcium "stabilize the cardiac membrane" in hyperkalemia?
I learned early in my intern year to use calcium in the setting of severe hyperkalemia.
I never really learned how it works. The answer requires some history. And uncovers a forgotten alternative treatment.
MedTweetorial: #Tweetorial
Author: @RosenelliEM @CPSolvers
Type: #Case #MedEd #ClinicalReasoning
Specialty: #InternalMedicine #IM #Rheumatology
Topics: #CavitaryLungLesion #GPA #GranulomatosisWithPolyangiitis
A 42-yo male w/ cough, shoulder pain, & weight loss. Curve Ball!
Another great case on @CPSolvers VMR yesterday. Thanks, @ASanchez_PS for the case, great discussion @sargsyanz @StephVSherman @BJegorovic @melashwal97
Spoiler Alert in following tweets
https://clinicalproblemsolving.com/morning-report-november-17-2020-2/
MedTweetorial: #Tweetorial
Author: @AnnKumfer
Type: #MedEd #Case
Specialty: #IM #InternalMedicine #Hematology
Topics: #CPC #NEJM #MCV #Thrombocytosis #CBC #Anemia
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.
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #Case #ClinicalReasoning #MedEd
Specialty: #HemeOnc #Oncology #IM #InternalMedicine
Topics: #MantleCellLymphoma #NHL
A little #SpacedRepetition from @CPSolvers @rabihmgeha @DxRxEdu #VMR https://clinicalproblemsolving.com/morning-report-november-13-2020/. Watch if you haven’t already! A 58-yo presented with abd distention and SOB
MedTweetorial: #Tweetorial
Author: @SatyaPatelMD
Type: #Case #Question #Advocacy
Specialty: #IM #InternalMedicine
Topics: #VIGNETTES #ClinicalVignettes #MaximizeLearning #DeliberateCaseCreation
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
MedTweetorial: #Tweetorial
Author: @RosenelliEM @UnremarkableLab
Type: #MedEd #ClinicalReasoning
Specialty: #Neurology #Neuro #IM #InternalMedicine
Topics: #PRES #HypertensiveEmergency #PosteriorReversibleEncephalopathySyndrome
Last night on @UnremarkableLab w/ @UABIMRes
and @medrants there was a patient who presented with aphasia and his BP was extremely elevated >250 systolic. What is the ddx here?
1. Hemorrhagic stroke
2. Posterior Reversible Encephalopathy Syndrome
3. Hypertensive Emergency
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #MedEd
Specialty: #GI #Gastroenterology #IM #InternalMedicine
Topics: #Splenomegaly #IBD #ExtraintestinalManifestations #CrohnsDisease
Splenomegaly in Crohn’s disease? Something I learned in @CPSolvers #VMR yesterday with @rabihmgeha @DxRxEdu from a case by @BJegorovic association of the spleen has been recorded on only a few previous occasions.
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #Podcast #ClinicalReasoning
Specialty: #InternalMedicine #IM
Topics: #PleuralEffusion #Chylothorax #ChestPain #VMR #ClinicalProblemSolvers
Time for some #SpacedRepetition: @CPSolvers @DxRxEdu @rabihmgeha @sargsyanz @StephVSherman @hraza222 @RachelPauleyIM @mariosuitofmd
#ClinicalPearls #VirtualMorningReport
Ep165: 10.14.2020 https://clinicalproblemsolving.com/morning-report-october-14-2020/
A 40-year-old female h/o a prolactinoma p/w 3wks of CP & cough
MedTweetorial: #Tweetorial
Author: @UnremarkableLab @allon_steven
Type: #MedEd
Specialty: #Rheum #Rheumatology #IM #InternalMedicine
Topics: #RheumatoidFactor #RF
What is a rheumatoid factor anyway?
RF is a polyclonal antibody that is against the Fc portion of IgG. Normally, IgM is the only RF Ab measured, however, there are RFs of the other Ig classes. What is the most specific antibody for rheumatoid arthritis?
#MedTwitter #meded
MedTweetorial: #Tweetorial
Author: @WashUIMRes
Type: #Case #ClinicalReasoning
Specialty: #InternalMedicine #IM #Hematology #Heme #HemeOnc
Topics: #Dyspnea #Syncope #HemolyticAnemia
Hey #MedTwitter! It’s time for our first #TeachingThursday post! We’ll start with a thread highlighting #MedEd #Pearls from our first #CPC of the year with @Nathanrm0616 @HimaAtluri
28M w/ no PMHx p/w 3 months dyspnea, fatigue, and recent syncope
What’s on your mind?
MedTweetorial: #Tweetorial
Author: @MedEdPGH
Type: #Case #MedEd
Specialty: #IM #InternalMedicine
Topics: #DKA #EuglycemicDKA #SGLT2i
1/ Welcome back to #TwitterReport. This week we have a short case for you.
🚨Buckle up: it is jam-packed with learning!
Case: A 40yoF p/w diffuse abd pain, severe SOB, and worsening lethargy. Labs shown. HR 120, BP 140/90, RR 33, SpO2 98%.
What else do you want to know?
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