These threads discuss the disordered physiological processes associated with disease or injury in a new and easier to way to understand. Check them out directly on Twitter here: #Pathophysiology
MedTweetorial: #Tweetorial
Author: @TylerLarsenMD
Type: #Pathophysiology
Specialty: #Cardiology #CardioTwitter
Topics: #BNP #Obesity #NTproBNP
1/
Why does obesity cause a "falsely low" B-type natriuretic peptide (BNP) in patients with heart failure?
I often hear this used to explain unexpectedly low BNP results, but I've never really understood why.
Let's explore in a #tweetorial.
#medtwitter #cardiotwitter
MedTweetorial: #Tweetorial
Author: @AARazmjou
Type: #Pathophysiology
Specialty: #Heme #Hematology #Rheumatology
Topics: #Thrombocytopenia #SLE #ITP #Lupus
1/8
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
MedTweetorial: #Tweetorial
Author: @nsrosenberg
Type: #MedEd #Pathophysiology
Specialty: #Pulmonology #Pulm
Topics: #UlcerativeBronchiolitis
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
MedTweetorial: #Tweetorial
Author: @NEPHKIDS1
Type: #MedEd #Pathophysiology
Specialty: #Nephrology #Renal #Neph #Pediatrics #Peds
Topics: #Dehydration
#NEPHTWEETORIAL #NEPHKIDS2020 LET'S TALK DEHYDRATION!🥵 Welcome to our first tweetorial where we'll be discussing the pathophysiology of dehydration🤯& try and answer the WHAT, WHY, WHERE, WHEN, HOW in management.🤔 -@jpsugumar @IPNA_PedNeph
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: @MohitHarshMD
Type: #Pathophysiology
Specialty: #Rheumatology #Rheum
Topics: #Scleroderma #SSc #SystemicSclerosis #Scl70Antibody #AntiTopoisomerase #ANA #AnticentromereAntibody
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!
1/12
MedTweetorial: #Tweetorial
Author: @AndrewOngML
Type: #Pathophysiology #MedEd
Specialty: #Gastroenterology #GI
Topics: #Belching #Burping
#GITwitter, #MedTwitter, after enjoying a hearty meal, it feels appropriate to do a #tweetorial on belching.
Belching is common, yet it is what one of those symptoms that are often ignored
So how do we evaluate and mx belching?
@MedTweetorials
1/11
MedTweetorial: #Tweetorial
Author: @AvrahamCooperMD
Type: #Pathophysiology #MedEd
Specialty: #Neuro #Neurology
Topics: #BrainFreeze #Headache #TrigeminalGanglion #SphenopalentineGanglion
1/
What is the mechanism of brain freeze?
Why do some people (myself included) get piercing headaches when eating cold food or drinks while others are totally unaffected?
#medtwitter #tweetorial
MedTweetorial: #Tweetorial
Author: @RosenelliEM
Type: #MedEd #Pathophysiology
Specialty: #EM #EmergencyMedicine
Topics: #ETOH #Alcohol #FalsePositive
When you order a serum alcohol level, what does the lab measure? An answer and a quick #Medtweetorial on false elevations in #ETOH
MedTweetorial: #Tweetorial
Author: @runthelistpod
Type: #MedEd #Pathophysiology
Specialty: #Heme #Hematology #HemeOnc #IM #InternalMedicine
Topics: #Pancytopenia #Copper #Zinc #CopperDeficiency #Hypocupremia #ExcessZinc
Because we ♥️ #SpacedRepetition, let’s revisit Pancytopenia with another RTL #Tweetorial!
Thanks @_Nick_Arp for this week’s edition!
MedTweetorial: #Tweetorial
Author: @rav7ks
Type: #Pathophysiology #MedEd
Specialty: #IM #InternalMedicine #Hematology
Topics: #Anemia #AnemiaOfHospitalization
1/Why does the Hg/Hct drop in the first two days during hospitalization ?
We'll explore this issue in this short #medtweetorial
#medtwitter #FOAMed #MedStudentTwitter
MedTweetorial: #Tweetorial
Author: @DrSamanthaWang
Type: #Pathophysiology
Specialty: #Cardiology #CardioTwitter
Topics: #Troponin #Troponinemia #ElevatedTroponin
1/15 #MedTwitter: You're admitting a 64YO male with ESRD on HD for hyperkalemia after missing dialysis. A troponin was checked & returned at 0.78 (nl<0.055 ng/mL), similar to his baseline. He is w/osymptoms and EKG is w/o dynamic changes. What would you call this #tropbump?
MedTweetorial: #Tweetorial
Author: @SharashidzeVera
Type: #Pathophysiology
Specialty: #Radiology #Neurology #Neuro
Topics: #CTP #ComputedTomographyPerfusion #CTPerfusion #Stroke #CBV #CBF #CapillaryBloodFlow #CapillaryBloodVolume
History of Computed Tomography perfusion began in 1979.
https://www.hindawi.com/journals/bmri/2015/397521/
CTP is essential decision-making tool for thrombectomy vs medical care in acute ischemic stroke, as it identifies those outside the 4.5-hour window for use of tPA who have salvagable brain tissue.
MedTweetorial: #Tweetorial
Author: @ssjaroudi
Type: #Pathophysiology
Specialty: #Endocrinology #Endo #Gastroenterology #GI
Topics: #Pancreatitis #Hypertriglyceridemia #LPL #LipoproteinLipase
1/6
Can insulin drips be used for more than DKA?
45yo man w/ T2DM on insulin, HTN, h/o hypertriglyceridemia induced pancreatitis presents w/ constant severe epigastric pain x 1 day. TG levels >1500.
Why was an insulin drip started? #medtwitter #tweetorial
MedTweetorial: #Tweetorial
Author: @JoshuaBudhu
Type: #MedEd #Pathophysiology
Specialty: #Neuro #Neurology
Topics: #Hallucinations #AntonSyndrome #VisualHallucinations
Yup, it was Anton Syndrome! This is a good time for a refresher on visual hallucinations!
#NeuroTwitterNetwork #neurotwitter #MedTwitter #MedEd
@MedTweetorials
MedTweetorial: #Tweetorial
Author: @RosenelliEM @EMBoardBombs
Type: #MedEd #Case #Pathophysiology
Specialty: #EM #EmergencyMedicine #Neuro #Neurology #CriticalCare
Topics: #TPA #Angioedema #Stroke
While on the topic on #Angioedema with @EMBoardBombs
It was mentioned about tPA causing angioedema. It is scary and happened to me. I didn't know about it until it happened to me.
Follow along for a short #medtweetorial case report with some tips. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307711/pdf/wjem-16-175.pdf
MedTweetorial: #Tweetorial
Author: @tony_breu
Type: #Pathophysiology
Specialty:
Topics: #Demerol #Meperidine #Rigors
1/5
Why is meperidine (Demerol) particularly good at treating rigors?
This is another association I learned early in training without hearing a potential mechanism.
For the second installment in my fevers, chills, and rigors tweetorial follow-up, let's have a brief look.
MedTweetorial: #Tweetorial
Author: @arte_medicina
Type: #MedEd #Pathophysiology #HistMed
Specialty: #Neurology #Neuro
Topics: #SirCharlesBell #Opisthotonos #Tetanus #ClostriudiumTetani
El opistótonos es un signo clínico clásico de la medicina típicamente asociado al tétanos, pero puede ser causado por una gran variedad de patologías.
Hablemos del opistótonos!
Abro Hilo 🧵🧵
*Pintura por Sir Charles Bell (más adelante hablaremos de él)
MedTweetorial: #Tweetorial
Author: @tony_breu
Type: #MedEd #Pathophysiology
Specialty: #IM #InternalMedicine #ID #InfectiousDisease
Topics: #Fever #Rigors #Chills #Bacteremia #Temperature
1/14
Why do we feel cold (i.e., experience "chills") when we have a fever? Shouldn't we feel hot?
And what are rigors?
Answers to these questions will help us better understand when we should obtain blood cultures.
When do you think is the best time to draw them?
MedTweetorial: #Tweetorial
Author: @AnnKumfer
Type: #EBM #MedEd #Pathophysiology
Specialty: #IM #InternalMedicine #GI #Gastroenterology
Topics: #Ammonia #Hyperammonemia #Encephalopathy
1/ #medtwitter #tweetorial Raise your hand if you have ever inappropriately checked an ammonia level.🙋
1. Why is ammonia ⬆️ in liver failure and how is this connected w/ encephalopathy?
2. When should levels be checked?
3. Aside from cirrhosis, what other conditions ⬆️ammonia?
MedTweetorial: #Tweetorial
Author: @jlberrymd
Type: #MedEd #Pathophysiology
Specialty: #Heme #Hematology
Topics: #IDA #IronDeficiencyAnemia #Thrombocytosis #Platelets
On consults this weekend, I faced a question of whether a patient's thrombocytosis was secondary to iron deficiency or due to a clonal process, and it got me thinking...
Why does iron deficiency (ID) cause thrombocytosis?
MedTweetorial: #Tweetorial
Author: @kidney_boy
Type: #Pathophysiology #MedEd
Specialty: #Nephrology #Neph #IM #InternalMedicine
Topics: #Hyponatremia
1/ This is like the Bat Signal for me... #Tweetorial #Hyponatremia #LoudlyForThePeopleAtTheBackOfTheRoom https://twitter.com/tonlajr/status/1304011343226437637
MedTweetorial: #Tweetorial
Author: @AvrahamCooperMD
Type: #Pathophysiology #MedEd
Specialty: #Hematology #IM #InternalMedicine
Topics: #Eosinophils #Steroids #Prednisone #Eosinopenia
1/
Ever wonder why eosinophils vanish from the blood after exposure to steroids?
I assumed that steroids somehow destroy them and that is why they disappear.
But there's a lot more going on.
#tweetorial #medtwitter
MedTweetorial: #Tweetorial
Author: @MahdiAbuAtta
Type: #MedEd #Pathophysiology
Specialty: #Pediatrics #Peds #ID
Topics: #EcoliSepsis #Galactosemia #NeonatalSepsis
So, here goes my first #medtwitter #tweetorial …
Why does E.COLI sepsis occur in neonatal galactosemia ?
#pediatrics #tweetiatrician
1/
MedTweetorial: #Tweetorial
Author: @JO_future_MD
Type: #MedEd #Pathophysiology
Specialty: #Urology #OBGYN #OB #GYN
Topics: #Clitorus #ClitorialAdhesions #UrinaryDysfunction #SexualDysfunction #ClitoralPhimosis
1/14
#tweetorial for @Uro_Stream incoming!
Let’s get things started with a question: What has 2 corpora cavernosa, a glans, and a prepuce?
Where did your mind automatically go? Penis? NOT TODAY!
TODAY we are turning our attention to the great and glorious CLITORIS!