Travis Smith, D.O

@RosenelliEM

LECOM Regional Dean , Emergency Medicine @UFMedicineJax @floridastate alum, Jags, Rays. Amateur Golfer. @medtweetorials #FOAMed @hdx & @CPSolvers contributor medtweetorials.com

#SuddenCardiacArrest 
#Podcast #MedEd #Cardiology #CardioTwitter #EmergencyMedicine #EM #SuddenCardiacArrest #CardiacArrest #ECG
66-year-old-female w/a pmhx HTN and tobacco abuse p/w chronic cough, chest wall tenderness, fatigue, and global muscle weakness with PIP joint inflammation
#MedEd #Case #InternalMedicine #IM #ClinicalReasoning #VirtualMorningReport #ClinicalPearls #Dermatomyositis #AntisynthetaseSyndrome
25 yo man w/ obesity & recent travel to India presented w/ 3 days of atraumatic right shoulder pain assoc w/ low-grade fever and tachycardia, elevated WBC, elevated liver chemistry tests, and an 8 cm hypoechoic liver lesion on US
#MedEd #Case #InternalMedicine #IM #ClinicalReasoning #VirtualMorningReport #ClinicalPearls #Amebiasis #EntamoebaHistolytica #LiverAbscess
#AirwayManagement for nonintensivist
#MedEd #Podcast #InternalMedicine #IM #AirwaryManagement #VentSettings #VentilatorManagement #Vent #COVID19
#AirwayManagement for nonintensivist part2
#MedEd #Podcast #InternalMedicine #IM #AirwaryManagement #VentSettings #VentilatorManagement #Vent #COVID20
EM boards Kidney stones  #MedEd #ClinicalReasoning #EBM #Podcast #EM #EmergencyMedicine #kidneystones #ureterolithiasis #nephrolithiasis
A 70-year-old female with pmhx of HTN, obesity, & migraine presenting w/ a week of frontal headache (different from prior) assoc w/ sinus pressure/neck pain & one episode of word-finding. #MedEd #ClinicalReasoning #Podcast #Case #IM #InternalMedicine #Headache #VirtualMorningReport #ClinicalPearls
A 65 y/o male w/ PMHx of unprovoked DVTs, T2DM, and HTN c/o 2 weeks of non-bloody vomiting, liquids less so than solids, and weight loss
#ClinicalReasoning #Podcast #InternalMedicine #IM #HemeOnc #ID #InfectiousDisease #MAC #MycobacteriumAviumComplex #Vomiting #Lymphopenia
The most common cause of hypothyroidism in iodine-sufficient populations is Hashimoto’s, or autoimmune destruction of the thyroid #MedEd #Podcast #Endocrinology #Endo #Hypothyrodisim #Curbsiders
A 65 y/o male w/ PMHx of unprovoked DVTs, T2DM, and HTN c/o 2 weeks of non-bloody vomiting, liquids less so than solids, and weight loss
#MedEd #Podcast #Case #ID #InfectiousDisease #IM #InternalMedicine #MAC #MycobacteriumAviumComplex #MycobacteriumAvium #DVT
Vertigo can be a frustrating workup for EM docs due to the vague description & usually incongruent and confusing symptoms provided by patients.  #MedEd #Podcast #EM #EmergencyMedicine #Neurology #Neuro #Dizziness #Vertigo #Dizzy
A 50 y/o female w/ a PMH of alcohol use disorder presents w/ lower back pain after a mechanical fall & found to be tachy, Down-pointing double triangle w/hepatomegaly & a hemolytic anemia
#MedEd #Podcast #Case #ClinicalReasoning #HemeOnc #Heme #GI #Gastroenterology #IM #InternalMedicine #ZieveSyndrome #HemolyticAnemia #VirtualMorningReport
20 y/o F with history of migraines on a vegan diet presented with episodic orthostatic lightheadedness associated with nausea and palpitations followed by confusion found to have tachycardia without hypotension, and elevate lactic and low K
#MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #POTS #PosturalOrthostaticHypotension #Orthostasis #VirtualMorningReport
A 60 yo male w/ a PMH of schizophrenia, treated HCV & SJS from Bactrim presented w/ acute onset scattered erythematous macules w/ central pigmentation & flaccid blisters that include oral mucosa after receiving bactrim, with skin biopsy
#MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #FixedDrugEruption #VirtualMorningReport
A 31 yo male presenting w/ PMH (except he owns a rat) presents w/ subacute fever, found to have a wide pulse pressure, new diastolic murmur, splinter hemorrhages, and aortic vegetation dx with Culture negative Infective endocarditis.
#MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #SubacuteInfectiveEndocarditis #RatBiteFever #StreptobacillusMoniliformis #VirtualMorningReport
Can I give #LactatedRingers or LR to a patient with renal failure and hyperkalmia? #EBM #EM #EmergencyMedicine #Nephrology #Neph #LactatedRingers #LR #Hyperkalemia
An 82 yo male w/ PMH PTSD from Cambodia p/w 2 mon of anorexia, weightloss of 14lbs, and dizziness found to have sarcopenia, and orthostasis on exam and labs showing inflammation with Up-pointing triangleESR, PLTsDown-pointing triangle, ALBDown-pointing triangle & Down-pointing trianglecortisol stim test.
#MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #AdrenalInsufficiency #Tuberculosis #Orthostasis
A19 y/o with a PMH of migraines, anxiety, and an adnexal mass presents to the ER with new onset-recurrent seizures & possible Todd’s paralysis, was found to have a low grade temp of 38C on arrival w/ a mild anemia, thrombocytopenia, and a nml MRI brain
#MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #Neurology #AntiNMDAReceptorEncephalitis #AutoimmuneEncephalitis #Teratoma
Follow along for a #Medtweetorial recap of great show notes #SubarachnoidHemorrhage  #MedEd #EmergencyMedicine #EM #SAH #SubarachnoidHemorrhage
A 76yo female w/ extensive cardiac history, recent stenting & intensification of med mgmt p/w prox weakness & syncope, found to have myopathy w/ rhabdo, muscle necrosis on bx, & anti-HMG CoA red Ab dx w/ autoimmune necrotizing myositis
#MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #Neurology #Myositis #HMGCRAntibody #AutoimmuneNecrotizingStatinAssociatedMyositis
60F w PMH of HTN, alcohol use, and smoking, who presents to the ED with 2 weeks of progressive bilateral LE edema. Exam is notable for tachypnea, normotension, hepatojugular reflux, abdominal distention, fluid wave, and bilateral 2+ pitting edema
#ClinicalReasoning #Podcast #InternalMedicine #IM #GI #Gastroenterology #VirtualMorningReport #AIH #AutoimmuneHepatitis
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