
@inglisjosh
Physician in training. Tweeting on health innovation, avoiding too much medicine, debunking dogma and medical education.
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #IM #InternalMedicine
Topics: #Hypertension
#BloodPressure #BP

You’re an intern called to review a patient with an isolated BP of 170/100.
They're admitted with community-acquired pneumonia.
Would you prescribe an antihypertensive? Open this thread and I’ll share my approach.
#HighValueCare #ChoosingWisely
#MedTwitter #MedStudentTwitter
MedTweetorial: #Tweetorial
Author:@inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #CriticalCare #PalliativeCare
Topics: #Breathlessness #SOB #Hypoxia

76M with end-stage COPD presents with breathlessness and severe hypoxia. There is no reversible cause on workup.
Would you use high flow nasal oxygen for symptomatic relief?
Open this thread and I’ll share my approach.
#MedEd @MedTweetorials
#MedTwitter #MedStudentTwitter
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #HospitalMedicine #Cardiology #CardioTwitter
Topics: #HeartFailure #FluidBalance #Catheter #ChoosingWisely

You see a patient on the ward with an exacerbation of heart failure.
The team has inserted a urinary catheter for fluid monitoring. What would you do?
Open this thread and I'll share my approach.
#MedEd #Tweetorials
@MedTweetorials @SocietyHospMed
@tony_breu @AndreMansoor
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #Pathophysiology
Specialty: #Pulmonology #Pulm #InternalMedicine #IM
Topics: #Clubbing #Fingernails #LovibondAngle #LungFibrosis #SchamrothSign

A patient presents with shortness of breath. You're asked to examine their respiratory system.
Looking at their hands you notice something different about their fingernails.
What would you thinking?
#MedEd #Tweetorials
@MedTweetorials
@AndreMansoor @PeteSullivanPDx
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #Hematology
Topics: #Hemaglobin #Polycythaemia #PRV

60M has an incidental finding of a raised haemaglobin. How would you investigate?
Open this thread and I'll share my approach.
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@CPSolvers @Grepmeded
@ManualOMedicine @AnandJag1
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Gastro
Topics: #PrimaryBiliaryCirrhosis #PBC #Cholestasis

40F presents with fatigue and itching. Bloods show raised ALP and GGT with a normal bilirubin.
What's your approach? Open this thread and I'll share mine.
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@Grepmeded @ManualOMedicine
@ebtapper @drkeithsiau
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #Renal #Gastroenterology #CriticalCare
Topics: #Scar #RLQ #RenalTransplant

31M presents for a routine health assessment. You notice a scar in the RLQ. What would you be thinking?
Open this thread and I'll share my approach.
@MedTweetorials #MedTwitter
@AndreMansoor @grepmed @geekymedics
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #Endocrine #Geriatrics
Topics: #Osteoporosis

80M presents to you with a stooped posture. You find an exaggerated thoracic kyphosis.
What would you be thinking? Open this thread and I'll share my approach.
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@Grepmeded @ManualOMedicine
@tony_breu @RosenelliEM
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Rheumatology #InternalMedicine
Topics: #Reynauds

30F presents with episodic discolouration of their fingers.
What would you be thinking? Open this thread and I'll share my approach.
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@MedTweetorials
@Grepmeded @ManualOMedicine
@tony_breu @RosenelliEM
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Neurology
Topics: #PevCavus #Pes #HighArched #Foot

30M presents for a routine health inspection. You notice that they have high arched feet.
What's your approach? Open this thread and I'll share mine.
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@CPSolvers @Grepmeded
@ManualOMedicine
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Endocrine #Endocrinology
Topics: #Hyperglycemia #Diabetes #Type1 #Type 2

30M presents with a high blood sugar and you suspect they have diabetes. How would you investigate?
Open this thread and I'll share my approach
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@CPSolvers @Grepmeded
@ManualOMedicine
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Endocrine #Endocrinology
Topics: #Ketosis #Ketoacidosis #DiabeticKetoacidosis #DKA

50M presents with abdominal pain and has raised ketones of 2.3. What would you be thinking?
Open this thread and I'll share my approach
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@CPSolvers @Grepmeded @ManualOMedicine
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Endocrine #Endo #InternalMedicine
Topics: #Diabetes #Hyperglycaemia #HbA1c

60F presents for a review of type 2 diabetes mellitus. Bloods show an HbA1c of 8.5%.
What's your approach? Open this thread and I'll share mine.
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@Grepmeded @ManualOMedicine
@tony_breu @RosenelliEM
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #Medicine
Specialty: #Endocrine #Endo #InternalMedicine
Topics: #Diabetes #Hyperglycaemia #HbA1c

60F presents for a review of type 2 diabetes mellitus. Bloods show an HbA1c of 8.5%.
What's your approach? Open this thread and I'll share mine.
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@Grepmeded @ManualOMedicine
@tony_breu @RosenelliEM
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Endocrine #Endocrinology
Topics: #CushingsSyndrome #Hypercortisolism #Steroid

60M presents with 3-months of change in facial appearance and hypertension. What would you be thinking?
Open this thread and I'll explain my approach.
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@CPSolvers @Grepmeded @ManualOMedicine
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Endocrinology #Endocrine
Topics: #Goitre #Graves #Hyperthyroidism

40F presents with a swelling in her neck. What would you be thinking?
Open this thread and I'll explain my thought process and reveal the final diagnosis.
@MedTweetorials
#MedTwitter #MedStudentTwitter
#MedEd #Tweetorial
@CPSolvers @Grepmeded @ManualOMedicine
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InfectiousDisease #ENT #GP
Topics: #Tonsillitis #Pharyngitis

20F presents with 1-week of sore throat, fever and malaise. You examine their throat and here's what you find.
What would you be thinking? Open this thread and I'll share my approach.
#MedTwitter #MedStudentTwitter
@MedTweetorials
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Rheumatology #Dermatology
Topic: #SLE #Lupus

24F presents with a facial rash.
What would you be thinking? Open this thread and I'll share my approach.
#MedTwitter #MedStudentTwitter
@MedTweetorials
@Rheum2improve @BethanRichards3 @MithuRheum
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #Dermatology #Rheumatology
Topics: #ErythemaNodosum #Sarcoidosis #PhysicalExam

30M patient presents with red legs.
What would you be thinking? Open this thread and I'll share my approach.
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@MedTweetorials
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Rheumatology
Topics: #RheumatoidArthritis #Hands #PhysicalExam

60F presents with difficulty using her hands. On exam you notice obvious deformities.
What would you be thinking? Open this thread and I'll share my approach.
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@MedTweetorials
@Rheum2improve @BethanRichards3 @MithuRheum
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Endocrine #Geriatrics
Topics: #Osteoporosis #ThoracicKyphosis #PhysicalExam

80M presents to you with a stooped posture. You examine their spine and find an exaggerated thoracic kyphosis.
What would you be thinking? Open this thread and I'll share my approach.
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@MedTweetorials @AndreMansoor @medrants
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #Oncology
Topics: #LUQPain #PhysicalExam #Splenomegaly

73M presents with a LUQ abdominal mass gradually enlarging over the last 3 months.
What would you be thinking? Open this thread and I'll share my approach.
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@grepmeded @AndreMansoor @geekymedics
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Rheumatology
Topics: #Dermatomyositis #ProximalMyopathy

60F presents with weakness and you examine their upper limbs. You notice that they appear to be sunburnt.
What would you be thinking? Open this thread and I'll share my approach.
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@grepmeded @AndreMansoor @geekymedics
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Cardiology
Topics: #Murmurs #PhysicalExam

70M presents with SOB. You're asked examine the cardiovascular system.
As you auscultate the heart you hear a murmur. What would you do next?
Open this thread and I'll share my approach.
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@grepmeded @AndreMansoor @medrants
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Cardiology
Topics: #PeripheralOedema #Murmurs

70F presents with SOB. You're asked examine the cardiovascular system.
You look at the legs and detect peripheral oedema. What would you do next?
Open this thread and I'll share my approach.
#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@thecurbsiders @CPSolvers @grepmeded
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Endocrinology
Topics: #Cushings #Hypercortisolism #Steroids https://twitter.com/inglisjosh/status/1445358110944768003
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InfectiousDisease #Immunology
Topics: #HIV #Lipodystrophy https://twitter.com/inglisjosh/status/1443206771586240517
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Rheumatology #Dermatology
Topics: #FacialRash #MalarRash #SLE #Lupus https://twitter.com/inglisjosh/status/1435598257812606978
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Endocrine #Endocrinology #InternalMedicine
Topics: #Hyperthyroidism #GravesDisease https://twitter.com/inglisjosh/status/1432689641350647815
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #InfectiousDisease #ENT
Topics: #Tonsillitis #Pharyngitis #Streptococcus #Mononucleosis https://twitter.com/inglisjosh/status/1430152926492831749
MedTweetorial: #Tweetorial
Author:
@inglisjosh
Type: #MedEd
Specialty: #InternalMedicine #Geriatrics
Topics: #Capacity #DecisionMaking https://twitter.com/inglisjosh/status/1426169331579248644
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #Nephrology #Neph
Topics: #Transplant #Kidney #PhysicalExam https://twitter.com/inglisjosh/status/1422542796716711937
MedTweetorial: #Tweetorial
Author: @inglisjosh
Type: #MedEd
Specialty: #ID #Heme
Topics: #Malaria #TravelMedicine

A case for those of you who miss travelling.
20M presents with a fever after returning from overseas. The lab calls you about the blood smear.
What would you be thinking? Open this thread and I'll share my approach.
#MedEd @MedTweetorials
#MedTwitter #MedStudentTwitter