Josh Inglis

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
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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.

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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.

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@MedTweetorials @SocietyHospMed
@tony_breu @AndreMansoor

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?

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@MedTweetorials
@AndreMansoor @PeteSullivanPDx

60M has an incidental finding of a raised haemaglobin. How would you investigate?

Open this thread and I'll share my approach.

@MedTweetorials
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#MedEd #Tweetorial

@CPSolvers @Grepmeded
@ManualOMedicine @AnandJag1

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
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#MedEd #Tweetorial

@Grepmeded @ManualOMedicine
@ebtapper @drkeithsiau

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

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

30F presents with episodic discolouration of their fingers.

What would you be thinking? Open this thread and I'll share my approach.

#MedEd #Tweetorial
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@MedTweetorials

@Grepmeded @ManualOMedicine
@tony_breu @RosenelliEM

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

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

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

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

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

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

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

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

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

30M patient presents with red legs.

What would you be thinking? Open this thread and I'll share my approach.

#MedEd #Tweetorial
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@MedTweetorials

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

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

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
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@grepmeded @AndreMansoor @geekymedics

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
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@grepmeded @AndreMansoor @geekymedics

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
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@grepmeded @AndreMansoor @medrants

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

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
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