#MedTweetorials
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Tweetorial By Title
A site that collects Medicine-related tweetorials
A site that collects Medicine-related tweetorials
Search for a #MedTweetorial by using Control F and search from there
| talk about #COVID-19 literature update today | #Pathophysiology #MedEd #Lecture #InfectiousDisease #ID #COVID19 #coronavirus #nCoV19 |
| Sleep and Viral Immunity | #Pathophysiology #MedEd #Immunology #SleepMedicine #Sleep #ViralImmunity #Tcells #Bcells #THelperCells |
| Here’s a thread for #tweetorials | #MedEd #MedTwitterFavorites #MedTwitter #MedStudentTwitter |
| Why does drinking coffee often send people running to the bathroom? Is it the coffee, the caffeine, or some kind of magic? | #Pathophysiology #GI #Gastroenterology #Caffeine #GiSymptoms #CaffeineandBMs #CoffeeandBowelMovements #LECOMTweetorials |
| Does dizziness make you feel dizzy? | #Pathophysiology #Neurology #Neuro #ENT #Otolaryngology #Vertigo #Dizziness #HINTS |
| Let’s finish off the upper extremity with the brachial plexus! | #Pathophysiology #Neurology #Neuro #Neurosurgery #BrachialPlexus |
| Let’s cover another neuroanatomy-based approach to clinical diagnosis topic: nerves and muscles of the arm and hand. | #Neuroanatomy #Neurology #Neuro #Neurosurgery #BrachialPlexus #UlnarNerve #RadialNerve #MedianNerve #MusculocutaneousNerve #AxillaryNerve |
| Here’s innervation of the leg/foot & approach to FOOT DROP | #Physiology #Neurology #Neuro #FootDrop #LegInnervation #Neuroanatomy |
| By popular request, this one is On the VISUAL PATHWAY and localizing VISUAL FIELD DEFICITS! | #Pathophysiology #ClinicalReasoning #Neurology #Neuro #HomonymousHemianopsia #OpticChiasm #VisualPathway #VisualFieldDeficit #VisualFieldCut #Stroke #LGN #OpticRadiation |
| Here are the basics of CEREBELLUM and ATAXIA! | #MedEd #Physiology #Neurology #Neuro #Cerebellum #Ataxia |
| The BRAINSTEM and CRANIAL NERVES | #MedEd #Neurology #Neuro #BrainStem #CranialNerves #EndNeurophobia #Neuroanatomy |
| THE SPINAL CORD | #MedEd #Neurology #Neuro #SpinalCord #EndNeurophobia #Neuroanatomy |
| EYE MOVEMENTS and GAZE PALSIES | #MedEd #Neurology #Neuro #EyeMovements #GazePalsies #EndNeurophobia #Neuroanatomy |
| Chromatin architecture, and effects on hematopoiesis | #pathophysiology #molecularbiology #Hematology #oncology #cohesin #Stag2Protein #Hematopoiesis #GeneExpression |
| PrEP and STI. You test for #hiv, #hbv (vaccinate prn), round out the sti testing and get a BMP | #case #MedEd #EBM #PrimaryCare #FamilyMed #IM #ID #PrEP #truvada #HIV #HBV #prevention #STI #condoms #GotPrEP |
| One of my favorite points to making when teaching diagnostic reasoning it to stress that positive findings are immensely more important than negative ones. I believe this so strongly that it is point 4 on my diagnostic reasoning yellow card. | #ClinicalReasoning #MedEd #IM #LikelihoodRatio #ID #predictive #symptoms #signs |
| So you are in the ICU and you have a patient on the ventilator with MAPs below 65. | #MedEd #case #ClinicalReasoning #CriticalCare #EmergencyMedicine #cardiology #hypotension #FrankstarlingCurve #CardiacOutput #CardiacPhysiology #MAP #Preload |
| A patient comes in with AMS. Being the astute clinician, we use the mnemonic MIST (@CPSolvers ) and find out the patient has an elevated white count with focal consolidation on CXR. For completeness sake, we get the TSH. | #ClinicalReasoning #EBM #HospMed #Hospitalist #Endocrinology #Endo #AMS #MIST #AlteredMentalStatus #EuthyroidSickSyndrome #Hypothyroidism #Hyperthyroidism #TSH |
| So let’s talk about azotemia (elevated blood urea nitrogen) after an upper gastrointestinal bleed | #pathophysiology #tweetorial #gastroenterology #GI #azotemia #PUD #GIBleed #UGIB #BUN |
| Frank’s sign. Diagonal Ear Crease Sign. The death of the Emperor Hadrian | #histmed #MedEd #cardiology #cardiotwiter #IM #Hadrian #Bedsidesounds #PhysicalExamPearl #Frankssign #DiagonalEarlobeCrease #CAD |
| The importance of nosology: Historical Medicine | #HistMed #case #InfectiousDisease #ID #Otolaryngology #ENT #GeorgeWashington #bloodletting #epiglottitis #tracheostomy #nosology |
| pesky definition of a fever, and where the 98.6 F average body temp came from! | #histmed #case #IM #ID #pedi #fever #bodytemperature #normal #diurnal #lowerthanyouthink |
| As promised, the first of two #Tweetorials/#Medthreads about the death of Charles II of Spain. | #Podcast #HistMed #PepporcornHeart #DeathofCharlesthe2ndofSpain #CharlesII #Charlesthe2ndofSpain #CharlesIISpain |
| Effect of Sunscreen Application on Plasma Concentration of Sunscreen | #publication #criticalappraisal #dermatology #suncreen #absorption #safety |
| CRRT vs HD | #ClinicalReasoning #Physiology Specialty: #Nephrology #Renal #Neph #criticalcare #Hemodialysis #CRRT #HD #renalfailure #ContinuousRenalReplacementTherapy |
| #hydroxyurea is currently the mainstay of disease modifying therapy in #sicklecell disease | #Pathophysiology #HistMed #Hematology #Heme #HemeOnc #hydroxyurea #sicklecellanemia #sicklecell |
| But this #tweetorial on #Priapism and #SickleCell is aimed at getting you comfortable with the science, and doing good. | #Pathophysiology #MedEd #Hematology #Heme #HemeOnc #Urology #Priaprism #SickleCellAnemia #SickleCell |
| The causative organism is Tropheryma whipplei (from the Greek “trophe,” nourishment, and “eryma,” barrier). A rod-shaped organism that can be visualised by EM | #MedEd #InfectiousDisease #ID #WhipplesDisease #TropherymaWhipplei |
| ’Physical Examination of the Dialysis Vascular Access’ | #MedEd #ClinicalImages #lecture #nephrology #Renal #VascularSurgery #ESRD #dialysis #VascularAccess #complications #PhysicalExam #Inspection #Palpitation #Auscultation |
| Dialysis Access Associated Venous Thoracic Outlet Syndrome (VTOS) | #physiology #MedEd #nephrology #ThoracicSurgery #vascularsurgery #dialysis #VascularAccess #ThoracicOutlet #VTOS #SubclavianVein #stenosis |
| credance, SGLT2 inhibitors | #pathophysiology #renal #nephrology #endocrinology #SGLT2 #inhibitor #glucose #co_transporter #glycosuria #diabetes #CREDENCE #EMPAREG #CANVAS |
| HERO graft | #MedEd #renal #nephrology #HeRO #half #catheter #graft #CentralVeinStenosis #patency #bacteremia #PulmonaryEmbolism |
| hydroxychloroquine quinine | #therapeutics #histmed #renal #rheumatology #hydroxychloroquine #quinine #cinchona #anti_malarial #lupus #RA #hyperpigmentation #BullsEyeMaculopathy |
| CREDANCE negative trials | #EBM #journalclub #renal #endocrinology #cardiology #CREDANCE #CKD #Diabetes #DM #ESRD #SGLT2inhibitor #negative |
| vascular access AVF the best dialysis , cost, patency | #EBM #MedEd #renal #nephrology #vascularsurgery #dialysis #vascular #access #AVF #patency #cost |
| Tutorial on ‘Dialysis Adequacy’ | #ClinicalReasoning #Physiology #Nephrology #Renal #Neph #DialysisAdequacy #Urea #TimeonDialysis #UFrate #NephPearls |
| But should Metformin be the 1st line therapy in T2DM patients with cardiovascular disease? | #ClinicalReasoning #EBM #Endocrinology #Endo #Cardiology #CardioTwitter #Metformin #T2DM #Type2DM #Diabetes #CVD #CardiovascularDisease |
| Teaching point re: Rx of dialysis catheter related bacteremia, IV antibiotic alone is NEVER the correct Rx choice | #ClinicalReasoning #Nephrology #Renal #Neph #dialysiscathterbacteremia #diaylsiscatheterinfection #CVCinfection #CVCexchange |
| SGLT2i: how is it’s diuretic effect potentially different from the Loop Diuretics? | #Physiology #Nephrology #Neph #Cardiology #SGLT2Inhibitor #Diuretic #LoopDiuretic |
| “CV considerations & #COVID19” Viral cell entry using ACE2 ACEi/ARB – don’t stop – no evidence of harm/benefit | #Pathophysiology #Cardiology #CardioTwitter #COVID19 #coronavirus #ACE2 #ACEi #ARB |
| HISTORY OF VACCINES tweetorial | #histmed #IM #peds #vaccines #EdwardJenner #SmallPox #Blossum #Pasteur #Maurice |
| Fever Tweetorials Peds. What is a fever? | #MedEd #Pathophysiology #Physiology #Pediatrics #Peds #InfectiousDisease #ID |
| unilateral or bilateral for the DDX.. Main systemic causes of bilateral leg edema are cardiac, hepatic and renal. | #physiology #MedEd #InternalMedicine #IM #peripheraledema #pedaledema |
| Fluid wars: We will try to expose the physiological irrationality of Normal Saline (NS). | #ClinicalReasoning #Physiology #EBM #Nephrology #Renal #Neph #NS #NormalSaline #FluidWars #IVFluids #LR #LactatedRingers |
| Tweetorial recap of an unusual & fascinating cause of dysphagia presented at @OslerResidency case conference! | #Case #InternalMedicine #IM #Endocrinology #Dysphagia #Thymoma #Thyrotoxicosis |
| advocating for increased access to healthcare for #SickleCellWarriors | #Advocacy #Hematology #Heme #HemeOnc #sicklecellwarriors #preventivecare #Sicklecelldocs #COVID19 #SSD #SicklCellDisease |
| Warfarin: Farmers across North America & Canada notice that their cattle 🐮 are haemorrhaging after minor procedures & sometimes spontaneously, causing them to bleed to death | #cardiology #hematology #warfarin #history sweet #clover #dicoumarol #VitaminK |
| Let’s go down the rabbit hole and talk about Abdominal Compartment Syndrome (ACS) in Severe Acute Pancreatitis (SAP) | #pathophysiology #MedEd #surgery #trauma #Abdominal_Compartment_Syndrome #ACS #SevereAcutePancreatitis #IntraAbdominalPressure #IAP #necrosectomy |
| The Surgeon as a Second Victim. | #Advocacy #Surgery #GenSurg #SoMe4Trauma #SoMe4Surgery #EmotionalStress #PsychologicalStress #TraumaticStress |
| Need-to-know updates re: COVID from the experts, courtesy of infectious disease grand rounds @UCSF_ID | #MedEd #Pathophysiology #ID #InfectiousDisease #COVID19 #coronavirus #CoronaOutbreak |
| Can we see Torsades coming? | #Physiology #Cardiology #CardioTwitter #Torsades #TorsadesDePointes |
| Here’s a ‘hemodynamics special’ | #Case #GraphicMed #Physiology #CriticalCare #Hemodynamics |
| Case of the bizarre PVCs | #case #cardiology #EKG #PVC #rhythm #bigemini #torsades |
| IV diuretic pharmacodynamic | #EBM #Physiology #Cardiology #CardioTwitter #CriticalCare #Diuretics #Diuresis #Bumex #bumetenide #lasix #furosemide |
| **How does pleural pressure (Ppl) affect alveolar capillary transmural pressure?** | #Physiology #Pulm #Pulmonology #PleuralPressure #AlveolarCapillaryTransmuralPressure #LungPhysiology |
| **Doppler knobology microskills: Wall filter** | #MedEd #POCUS #Vascular #Radiology #Rads #Ultrasound #Doppler #DopplerKnobology |
| Time to reacquant yourselves for ARDS management! Here is a @cardionerds #tweetorial review of this phenomenal lecture: On ARDS in #COVID19 | #Physiology #InfectiousDisease #ID #Pulmonology #Pulm #CriticalCare #COVID19 #coronavirus #nCoV2019 #ARDSManagement #ARDS |
| The Tale of the Low Chloride | #Case #Physiology #Nephrology #Renal #Neph #hypochloremia #hypokalemia #metabolicalkalosis |
| HIV. Sickle cell pain crisis. Metabolic acidosis | #physiology #MedEd #case #InternalMedicine #IM #Nephrology #renal #Neph #RTA #MetabolicAcidosis #RenalTubularAcidosis #WintersFormula #NAGMA #UrineAnionGap #tenofovir |
| mesenteric ischemia | #MedEd #IM #mesenteric #ischemia #thromboembolism #hypoperfusion #inflammation #LacticAcid #necrosis #syndrome |
| let’s re-visit the topic of Polycythemia! | #pathophysiology #hematology #polycythemia #erythropoeitin #hyperviscosity #primary #secondary |
| This case forced me to re-think my schema for mesenteric ischemia. | #MedEd #ClinicalReasoning #Case #InternalMedicine #IM #VascularSurgery #Vascular #Gastroenterology #GI #MesentericIschemia |
| #Medtwitter, join me while I scheme(a) on “generalized weakness” | #MedEd #ClinicalReasoning #Case #InternalMedicine #IM #GeneralizedWeakness #Weakness |
| Problem Representation. | #ClinicalReasoning #ProblemRepresentation #CPSolvers #VMR |
| WHY we give Fe to pts with HFrEF+anemia | #Pathophysiology #Cardiology #CardioTwitter #Hematology #IM #InternalMedicine #IronDeficiency #FeDeficiency #HFrEF #anemia #CHF #HeartFailure |
| FDA-approved therapies for AML | #pathophysiology #physiology #MedEd #oncology #AML #ATRA #differentiationsyndrome #leukemia #APL #APML |
| Diagnosis of acute leukemia and hyperleukocytosis, our index of concern for the development of leukostasis was dependent on if they had AML or AL | #pathophysiology #physiology #MedEd #oncology #AML #ALL #Leukemia #hyperleukocytosis #leukostasis #viscosity #leukocrit |
| Acute promyelocytic leukemia (APL) | #pathophysiology #physiology #hematology #oncology #HemeOnc #AML #APML #APL #Leukemia #ATRA #DIC #AuerRods #coagulopathy |
| Polycythemia: Based on the WHO guidelines, the following values constitute polycythemia | #MedEd #EBM #ClinicalReasoning #hematology #Heme #HemeOnc #Polycythemia #PolycythemiaVera #PV #SecondaryPolycythemia |
| Hi #MedTwitter, let’s talk about the workup of polycythemia and making a diagnosis of polycythemia vera (PV) vs. secondary polycythemia! | #MedEd #ClinicalReasoning #hematology #HemeOnc #IM #secondary #polycythemia #vera #PV #JAK_2 #HyperViscosity #EPO |
| frontline therapy options in TP53-deficient CLL (either 17p-deleted or TP53-mutated) | #MedEd #ClinicalReasoning #EBM #hematology #Heme #Onc #lymphoma #CLLtreatment #ChronicLymphocyticLeukemia |
| One of the most common consults we get is regarding heparin-induced thrombocytopenia (HIT). | #Pathophysiology #Hematology #Heme #HemeOnc #heparinInducedThrombocytopenia #HIT #Pathophysiology |
| Let’s talk about cytopenias in cirrhosis. Many patients with cirrhosis will have at least one cytopenia (sometimes pancytopenia) attributable to their liver disease, let’s talk about some of the mechanisms! | #MedEd #Pathophysiology #Hematology #Heme #HemeOnc #Gastroenterology #GI #Cirrhosis #Leukopenia #Thrombocytopenia #Anemia #Cytopenias #Pancytopenia #LiverDisease |
| thrombotic microangiopathies (TMAs) 2/2 autoimmune disease | #MedEd #Pathophysiology #Hematology #Heme #HemeOnc #Rheumatology #Rheum#ThromboticMicroangiopathies #TMA #AutoImmuneDisease |
| suppurative parotitis, | #MedEd #ENT #Otolaryngology #Parotitis #SuppurativeParotitis |
| myeloproliferative neoplasm (MPN) | #Pathophysiology #Hematology #Heme #HemeOnc #MPN #MyeloproliferativeNeoplasms |
| Pleural effusion evaluation and thoracentesis | #ClinicalReasoning #Pulmonology #Pulm #thoracentesis |
| A short tweetorial in honor of #WorldLeprosyDay today. Leprosy is a stigmatizing infectious disease caused by Mycobacterium leprae | #MedEd #Advocacy #InfectiousDisease #ID #WorldLeprosyDay #MycobacteriumLeprae #Leprosy |
| So get ready for a @BoggildLab tweetorial on #amoebiasis | #Pathophysiology #InfectiousDisease #ID #amoebiasis |
| Here’s a short #tweetorial on strongyloidiasis to honor | #MedEd #InfectiousDisease #ID #strongyloidiasis #nematode #parasiticnematodes |
| Fever in the Returning Traveler | #ClinicalReasoning #InfectiousDisease #ID#FeverintheReturningTraveler #Fever #ReturningTraveler #VectorBorneDisease #VaccinesWork |
| Skin Lesions in the Returning Traveler. | #ClinicalReasoning #MedEd #Dermatology #Derm #MedDerm #InfectiousDisease #ID #SkinLesionsintheReturningTraveler #ReturningTraveler #SkinLesions |
| Myocchi’s Granuloma. : A rare invasive mycosis worth knowing about. | #meded #dermatology #derm #medderm #InfectiousDisease #mycology #myocchisGranuloma #mycosis |
| Emerging Inf Diseases on aerosol and surface distribution of the virus that causes COVID-19 in a hospital in Wuhan, China | #Publication #MedEd #ID #InfectiousDisease #SARSCoV2 #coronavirus #WorkstationContamination #Fomites #Aerosolization |
| Here’s a Tweetorial on how to use EndNote to create separate bibliographies (restart numbering) all within one document | #Publication #EndNote #Bibliography #Citation |
| Opioids are often used in cirrhosis because pain is common in this population and many over-the-counter options are rightly (NSAIDs) or wrongly (APAP) feared among pts and clinicians | #pathophysiology #hepatology #GI #livertwitter #IM #cirrhosis #opioids #NSAIDS #APAP #encephalopathy |
| #tweetorial Reviewing CPI immune relate adverse events. Disclaimer: not an oncologist. What are CPI? There are “roadblocks” on the cell death program to keep the immune system in check. CPI takes away these road blocks and allows T cells to be activated. | #Pathophysiology #Pharmacology #HemeOnc #Immunology #CPI #Immunotherapy #PD1 #PDL1 #CTLA4 #CPI_Immunerelateadverseevent #Tcells #Cancer |
| Labs: AST 11,000, ALT 8000, Tbili 7 (direct bili 5), Alk phos 230, INR 4.35 (not on AC) | #ClinicalReasoning #Gastroenterology #GI #AcuteLiverInjury #AcuteLiverFailure #ElevatedLiverChemistries #Liver #IschemicHepatitis #Heptatitis |
| case of a young pt presenting with weight loss & night sweats | #Pathophysiology #InternalMedicine #IM #ESR #CRP #ErythrocyteSedimentationRate #SedRate #CReactiveProtein |
| 39yF with PMH of GERD presents w/ weight loss and weakness. 4 months decreased appetite and dysphagia, 3 months of progressive weakness. 30lbs weight loss, weakness when sitting>standing, pain in thighs and arms, weakness is so severe that she needs help getting up stairs. | #Case #Pathophysiology #IM #InternalMedicine #Rheumatology #Myopathy #InflammatoryMyopathy #NecrotizingMyopathy |
| value-based pricing #tweetorial about VBP for drugs follows below | #EBM #policy #IM #value_based_pricing #VBP |
| #policeviolence is both a #publichealth issue & one of explicit and structural racism. | #Advocacy #policeviolence #publichealth |
| #tweetorial time for SUPER FAST, no WINTER or (difficult) MATH evaluation of Anion-Gap Metabolic Acidosis: THE METABOLIC SEESAW. YEE HAW. | #MedEd #Biochemistry #IM #Renal #anion #gap #metabolic #acidosis #delta #compensation #bicarb #dAG #dBC |
| the basics of a 12-lead #EKG! | #MedEd #Cardiology #CardioTwitter #ECG #EKG #electrocardiogram #12lead |
| So, why is basically everyone in the hospital anemic? | #question #pathophysiology #hematology #heme #hemeOnc #anemia #macrocyticanemia #microcyticanemia |
| A case-based #tweetorial on #Hypothermia just as winter settles in 🥶. #medtwitter #medstudenttwitter #pgyfun | #Pathophysiology #ClinicalReasoning #Case #EmergencyMedicine #EM #hypothermia |
| today’s #tweetorial is on the ever challenging and misinterpreted lactate! | #Pathophysiology #Physiology #ClinicalReasoning #CriticalCare #EmergencyMedicine #EM #InternalMedicine #IM #lactate #lacticacidosis #lacticacid #lactic #coricycle #glycolysis #pyruvate |
| Because #COVID19 / #coronavirus is so hot right now, here’s a little #tweetorial on How To Emotionally Not Explode During Pandemic 2019 (and Survive!) | #MedEd #InfectiousDisease #ID #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus |
| Where would a measured blood pressure be highest? | #MedEd #Physiology #Cardiology #CardioTwitter #BloodPressure #Shock #MAP #CardiacOutput #StrokeVolume #Hemodynamics |
| PNH. Paroxysmal Nocturnal Hemoglobinuria. | #pathophysiology #hematology #immunology #PNH #paroxysmalnocturnalhemoglobinuria #PIGAgene #complement #intravascular #hemolysis #eculizumab #allogenincstemcelltransplant |
| Patients with iron deficiency anemia generally dislike taking oral iron (nausea, constipation) and often stop taking iron tablets. | #physiology #therapeutics #hematology #primarycare #ironreplacement #oraliron #ferroussulphate #Gisideeffects #Hepcidin #QODosing |
| An update on BK virus Nephropathy | #MedEd #Nephrology #Renal #Neph #BKVirus #BKVirusNephropathyScreening |
| Are infected people without symptoms an important cause of spread? | #MedEd #ID #InfectiousDisease #COVID19 #coronavirus #AsymptomaticCarrier |
| A collection of free, high-quality resources for medical school applicants in a thread | #MedEd #MedStudentTwitter #MedSchoolApplicationUK #MedSchoolApplicationResources |
| SARCOPENIA. @thecurbsiders podcast exploring an under-recognized and critically important problem: SARCOPENIA. | #Podcast #MedEd #Physiology #HospMed #Hospitalist #Geriatrics #GeriMed #sarcopenia |
| Creative solutions as published in @JAMA_current | #MedEd #Pathophysiology #InfectiousDisease #ID #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV @JAMA_current #Taiwan #CreativeSolutions @WHO |
| Urine electrolytes | #physiology #MedEd #nephrology #Renal #Neph #InternalMedicine #IM #UrineElectrolytes #sodium #Una #FeNa #prerenal #AKI #GFR |
| 65 y/o woman who presents with shortness of breath | #Case #ClinicalReasoning #IM #InternalMedicine #Rheumatology #Dyspnea #GPA #GranulomatosiswithPolyangiitis #C_ANCA #PR3 #Levimasole |
| Incorporating #medtwitter into academic medicine | #MedEd #Question #PeriOp #PeriOpMedicine#PerioperativeTeaching #PerioperativeMed #PerioperativeTeaching |
| Ways to avoid specific vaccine-preventable illnesses (including influenza) preoperatively | #EBM #PeriOpMedicine #IM #surgery #FluShot #vaccination #preop #safe #HighRiskPopulation |
| What do you do if a patient scheduled for surgery has a URI? | #EBM #PeriOpMedicine #IM #surgery #URI #COLDS_score #TimingOfOnset #dyspnea #ProductiveCough #LungExam #MedRec |
| What is the primary driver of exertional hypoxemia in pulmonary arterial hypertension | #MedEd #lecture #GrandRounds #tweetorial #medtwitter #SoMe |
| HOW & WHY can you utilize the periop space to clinically TEACH | #MedEd #Question #PeriOp #PeriOpMedicine #PerioperativeMed #PerioperativeTeaching |
| “quantify and qualify the known comorbid conditions” | #MedEd #Question #PeriOp #PeriOpMedicine #PerioperativeMed #PerioperativeTeaching #ComordbidConditions #Comorbidities #Periopmedicine |
| What do New Year’s resolutions and pre-op optimization have in common?? | #Question #MedEd #PerioperativeMed #PeriOp #PeriOpMedicine #TobaccoCessation #NewYearsResolution |
| a #periopmedicine #tweeetorial #MedThread about marijuana management | #Physiology #PerioperativeMed #PeriOp #PeriOpMedicine #THC #CBD #marijuana |
| There are many facets of patient privacy & professionalism concerns in this communal space—I’m going to focus on this through the lens of case-based teaching | #Advocacy #MedEd #patientprivacy #professionalism #casebasedlearning |
| A #periopmedicine-meets-#COVID19 | #EBM #MedEd #PerioperativeMed #PeriOp #PeriOpMedicine #Surgery #COVID19 #SurgicalRisk #ElectiveSurgery #PreOpEvaluation |
| Ever wonder why magnesium (Mg) is used to treat Torsades de Pointes? | #MedEd #pathophysiology #cardiology #electrophysiology #EP #cardiotwitter #torsades #eclampsia #magnesium #calcium #arrhythmia #QT |
| Did you know how sickle cell trait protects against severe malaria? I didn’t. | #MedEd #Question #Pathophysiology #Hematology #Heme #HemeOnc #InfectiousDisease #ID #SickleCellAnemia #SickleCell |
| Many think that Van Gogh was “dig toxic” and that it impacted his vision and painting. Was that really true? | #Histmed #Humanities #pharmacology #opthalmology #VanGogh #digitalis #toxicity #yellow |
| The health of Abraham Lincoln has long been a source of speculation for medical historians.What actually ailed him? | #HistMed #Diagnosis #Endocrinology #Endo #AbrahamLincoln #PhysicalExam #MarfansSyndrome #LincolnSign #Loey_Dietz_Syndrome |
| Have you ever wondered why patients in shock are refractory to vasopressor support if also severely acidotic | #MedEd #pathophysiology #question #CriticalCare #EmergencyMedicine #EM #InternalMedicine #IM #hypotension #Shock #CardiacOutput #CardiacPhysiology #MAP #Acidosis #Vasopressors |
| Why do we forget what we learn so easily? | #question #psychology #learning #memory #adaptive #forgetting #creative |
| Ever wonder why a “STEMI” causes ST elevation on EKG? | #meded #physiology #Cardiology #CardioTwitter #EmergencyMedicine #EM #STEMI #STElevation #EKG |
| There seems to be an association between the use of “normal” saline and acute kidney injury (when compared with other IV fluids). | #Physiology #EBM #Nephrology #Renal #Neph #NormalSaline #IVFluids #AKI |
| Pulmonary vasodilators are generally not used for patients with pulmonary hypertension due to COPD, even if severe. Why would that be? | #pathophysiology #question #pulmonology #COPD #pulmonary #hypertension #sildenafil #inhalation |
| Why is cystic fibrosis (CF) one of the most common genetic diseases? Could heterozygous carriers have a selective advantage? | #Pathophysiology: #Pulmonology #Pulm #CysticFibrosis #CF #CFcarriers |
| Ever wonder why fever worsens brain injury after cardiac arrest? | #Pathophysiology #Cardiology #Neurology #Neuro #CardioTwitter #fever #CardiacArrest #HypothermiaProtocol #Glutamate #NeuronSpecificEnolase |
| Fingernail clubbing is associated with many systemic diseases, from lung cancer to TB to inflammatory bowel disease. Why would such different diseases all manifest with clubbing? | #Pathophysiology #InternalMedicine #IM #Clubbing #VGEF #VascularEndothelialGrowthFactor #NailClubbing #FingerNailClubbing #Hippocrates #Trousseau |
| Do you want to learn the mechanisms of the drugs being tested for #COVID-19 (aka SARS-CoV-2)? The WHO has launched the SOLIDARITY trial, rapidly testing 4 treatment regimens. | #MedEd #Research #InfectiousDisease #ID #Pharmacology #COVID19 #nCoV19 #coronavirus #SARSCoV2 #Lopinavir #remdesevir #Hydroxychloroquine #InterferonBeta |
| As the #COVID19 pandemic progresses, exactly why men get infected more frequently, and with greater severity, than women is unknown. This #tweetorial examines a theory (emphasis on theory) that might explain some of this difference. | #MedEd #Question #Publication #Pathophysiology #InfectiousDisease #ID #COVID19 #Coronavirus #GenderDifferences #GenderTheory #ACE2 #Smoking #TobaccoUse |
| A primer on the ABCDEF ICU liberation bundle | #lecture #criticalcare #IM #popupICU #ICUliberation #ABCDEFbundle #delirium |
| Why (and how) is umami so delicious? | #question #nephrology #IM #umami #L_glutamate #aginomoto #MSG #purines |
| Ever wonder why metronidazole (Flagyl) treats both bacteria and parasites? | #Pathophysiology #Gastroenterology #GI #Metronidazole #Flagyl #DisulfiramLikeReaction |
| Have you ever stopped to wonder why the right brain controls the left side of the body, and vice versa? | #Pathophysiology #Neurology #Neuro #Neurosurgery #Neuroanatomy #Decussation #OpticTracts |
| Why does cryptococcal meningitis cause such severe elevations in intracranial pressure | #Pathophysiology #ID #InfectiousDisease #Cryptococcus #CryptococcalMeningitis #ElevatedICP #IntracranialPressure |
| Venous air embolism. | #physiology #MedEd #HospMed #IM #CriticalCare #Cardiology #radiology #VenousAirEmbolism #RightVentricle #VaporLock #LeftLateralDecubitus #PEAarrest |
| The approach to managing tendonopathy | #MedEd #OrthopedicSurgery #Ortho #PMR #TendonopathyManagement #PhysicalTherapy #rehabilitation |
| Plague & Napoleon | #HistMed #MedEd #InfectiousDisease #ID #plague #BlackDeath #napolean #YersiniaPestis #RosettaStone |
| The approach to managing tendonopathy, like many things in medicine, is tiered. | #MedEd #OrthopedicSurgery #Ortho #PMR #Tendonpathy #TendonopathyManagement #PhysicalTherapy #rehabilitation |
| Most of you probably know the Circle of Willis – the anastomosis blood supply to the brain. So who was this guy Willis? | #HistMed #Neurology #Neuro #Neurosurgery #Neurosurg #CircleofWillis |
| The Plague of Justinian. (The second time being the Black Death in the Middle Ages and the third in the 19th century.) | #MedEd #histmed #InfectiousDisease #ID #BubonicPlague #BlackDeath #YersiniaPestis |
| Left atrial to coronary sinus shunt | #case #research #cardiology #cardiotwiter #PercutaneousAtriotomy #InterAtrialSeptum #AtrialShunt #LeftSidedInterventions |
| What do #COVID19 pts actually die from? In this @tony-breu -style #tweetorial, we’ll explore potential causes of approaches to treatments. | #MedEd #Pathophysiology: #InfectiousDisease #ID #COVID19 #SARSCoV2 #coronavirus #mortality |
| What is the primary driver of exertional hypoxemia in pulmonary arterial hypertension? | #physiology #pathophysiology #pulmonary #PAH #pulmonaryhypertension #pulmonaryHTN #hypoxemia #diffusion |
| Timing of pneumococcal vaccination in patients s/p splenectomy | #EBM #ClinicalReasoning #InfectiousDisease #ID #FamilyMed #splenectomy #vaccines #pneumococcalvaccination #pneumococcalvaccine |
| Can you think of a potential iatrogenic cause of iron deficiency anemia that can last decades if not recognized? | #Pathophysiology #Case #GI #Gastroenterology #Heme #Hematology #InternalMedicine #IDA #IronDeficiencyAnemia #PPI #IronAbsorption #LECOMTweetorials |
| diabetes and antipsychotic use | #publication #review #psychiatry #endocrinology #AntiPsychotics #diabetes #obesity #DKA #screening |
| Psychosis in Patients with Epilepsy.’ | #lecture #pathophysiology #psychiatry #neurology #psychosis #epilepsy #AIPD #clozapine |
| suicide risk assessment in the ED (or indeed anywhere) | #MedEd #EmergencyMedicine #EM #Psychiatry #Psych#Suicide #Depression #SuicideRiskAssessment #Psychosis |
| Lady Windemere Syndrome: Time for another #Pulmonology #Tweetorial that combines history, Oscar Wilde & questioning a long-held belief… | #pathophysiology #histmed pulmonology #LadyWindermere #OscarWilde #RML #MAC #GERD #CollateralVentilation |
| Ever wonder why patients with cystic fibrosis (CF) tend to have more severe disease in the upper lung fields, especially on the right? | #physiology #MedEd #Pathophysiology #pulmonology #pulm #Pediatrics #AdolescentMedicine #CysticFibrosis #CFTR #RightUpperLobe #reflux #aspiration |
| After caring for patients in the ICU with #COVID for the last week, the time seems right for a #pulmonology #tweetorial on #Proning or #PronePositioning | #Pathophysiology #MedEd #InfectiousDisease #ID #Pulm #pulmonology #CriticalCare #ICU #COVID19 #coronavirus #nCoV19 #Proning #PronePositioning |
| The @NBMEnow has a task force to study whether high-stakes exams like the USMLE contribute to student burnout. | #Advocacy #MedEd #MedicalSchool #USMLE #NBME #StudentBurnout #Step1Fever |
| ERAS: Residency Applications 2019 | #Advocacy #MedEd #ResidencyApplications #ERAS #ApplicationFever |
| The AAMC has recommended that residency programs offer only virtual interviews for the upcoming season. | #MedEd #AAMC #ERAS #ResidencyApplications #ResidencyInterviews #MD #DO #TheMatch #AACOM |
| Step 2 CS is suspended for 12-18 months. | #Advocacy #STEPCS #UsmleStep2CS #NBME #NBOME #ClinicalSkillsExam #MedStudentTwitter |
| High Hb tweetorial…1/11 High Haemoglobin can be either due to; | #pathophysiology #hematology #high #hemoglobin #polycythemia |
| #Tweetorial on Autism Spectrum Disorder in the UK from virtual elective with @MedicsAcademy | #MedEd #Psychiatry #Psych #Pediatrics #Peds #Autism #AutismSpectrumDisorder |
| What could cause decreased Na & increased K in a neonate | #Case #Pathophysiology #Nephrology #Renal #Neph #Pediatrics #Peds #Pseudohypoaldosteronism #PHA #Aldosterone #Hyperkalemia #Hyponatremia |
| When plotting epidemic curves or death totals, should we divide by population size? | #MedEd #Research #Biostatistics #Epidemic #EpidemicCurves #DeathTolls #PopulationHealth |
| HINTS exam | #MedEd #EBM #Neurology #Neuro #EmergencyMedicine #HINTSexam #Dizziness #Vertigo |
| 30 yoM w/ no significant PMhx or Fhx p/w long standing h/o fatigue, wt gain, cold intolerance and persistently elevated FT3 & FT4 and inappropriately elevated TSH. | #Case #Endocrinology #Endo #SecondaryHyperthyroidism #TSHsecretingPituitaryAdenoma #PituitaryAdenoma |
| First review of #COVID19 and the kidney | #MedEd #Pathophysiology #InfectiousDisease #ID #Nephrology #Renal #Neph #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV #nephjc |
| Each day we learn more about the #nCOV2019 outbreak. Here is a #tweetorial on 5 key questions and terminology in infectious disease epidemiology to help make sense of all of this information. | #MedEd #Epidemiology #InfectiousDisease #ID #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV |
| 5 key questions and terminology in infectious disease epidemiology to help make sense of all of this information. | #MedEd #Research #ID #InfectiousDisease #Biostats #R0 #RNaught #Epidemiology #IDEpidemiology #COVID19 |
| simple explanation of cohort vs case control studies | #MedEd #Biostatistics #Biostats #CaseControlStudy #CohortStudy #CaseVsCohort #Cohort #Research |
| Here by popular demand “How to Publish in Academics When Publishing Isn’t Your Thing”. | #MedEd #Publication #AcademicMedicine #ArticlePublication |
| A short #Tweetorial on how to (not) present a “busy” PowerPoint slide. | #MedEd #Lecture #PowerPoint #Lecture #MedicalLecture |
| Time for an #OBMedTweetorial on starvation ketoacidosis! Pregnant women are good at forming ketones. | #MedEd #OBGYN #OB #GYN #starvationketosis #starvationketoacidosis #hyperemesisgravidarum #pregnancy |
| Utility of Fecal Occult Blood Testing (FOBT) in the inpatient setting. | #ClinicalReasoning #EBM #Gastroenterology #GI #InternalMedicine #IM #FOBT #FecalOccultBloodTesting #guaiac #GIBleeding |
| Clinical decision rules(CDR) : How to use them | #EBM #CriticalAppraisal #EM #IM #ClinicalDecisionRule #CDR #direction #population #purpose #validation #WellsScore #CanadianHeadCT #PERC #LRINEC |
| “Why do we give some people antiplatelet therapy and other people anticoagulation therapy? | #Pathophysiology #Cardiology #CardioTwitter #Hematology #Heme #HemeOnc #DVT #Thromboembolism #AntiplateletTherapy #Anticoagulation |
| Should a penicillin allergy prevent you from prescribing a cephalosporin? | #MedEd #Pharmacology #ID #InfectiousDisease#PenicillinAllergy #Cephalosporin #AdverseDrugReaction #DrugAllergy #Antibiotics |
| SARS-CoV-2 infected host cell proteomics reveal potential therapy targets. Following requests, my first #tweetorial on our recent preprint Relevant: #COVID19, #SARSCOV2, #coronavirus, #COVIDー19, #COVID_19, #infection, #proteomics, #massspec, #Science | #Research #InfectiousDisease #ID #COVID19, #SARSCOV2, #coronavirus, #COVIDー19, #COVID_19 #infection, #proteomics #massspec #Science |
| I’ve been involved in @NationalSOMA since my first year of medical school, and I’m here to explain why it’s important for medical students to advocate for their position, and for why it’s important that everyone listens. | #Advocacy #mentalhealth #MedicalStudents #Burnout #Depression #anxiety @nationalSOM #medstudenttwitter |
| Auto-Brewery Syndrome | #pathophysiology#GI #ID #AutoBrewerySyndrome #candida #saccharomyces #alcoholintoxicationsymptoms |
| p-values, with specific attention to the implications of the recent remdesivir trial with p=0.059 for mortality | #EBM #Publication#InfectiousDisease #ID #Biostatistics #remdesevir #pvalues #Pvalue |
| Which animal is responsible for the discovery of warfarin? | #HistMed #Podcast #Hematology #Heme #warfarin #coumadin #EpoxideReductase #rodenticide #rats |
| Digoxin toxicity, 12LeadThursday. | #case #physiology #question #cardiology #cardiotwiter #electrophysiology #pharmacology #ECG #EKG #DigoxinToxicity #digoxin #ScoopedST #amiodarone #DrugInteraction #xanthopsia |
| Asystole: 12 Lead Thursday | #MedEd #case #cardiology #cardiotwiter #vagotonia #asystole #12LeadThursday |
| Are bowel auscultations worth the gurgle? | #EBM #Gastroenterology #GI #PhysicalExam #BowelSounds #borborygmi |
| Fever and bradycardia? Faget about it | #case #question #Pathophysiology #InfectiousDisease #ID #cardiology #MedEd #IM #fever #bradycardia #FagetsSign #PhysicalExam #Pulse_Temperature_Dissociation |
| What do ground glass opacities (GGO) look like? | #Pathophysiology #GraphicMed #Case #Radiology #Rads #GGO #GroundGlassOpacities |
| We bring to you a #tweetorial on ventilator management for all those folks who don’t normally manage ARDS who have stepped up to help in this pandemic. All credit goes to @AvrahamCooperMD ; | #MedEd #Pulmonology #Pulm #CriticalCare #VentilatorManagement #VentSettings |
| Alright shall we talk about a common condition Bell’s Palsy? | #MedEd #Neurology #Neuro #BellsPalsy |
| rippling muscle disease | #Pathophysiology #GraphicMed #Genetics #RipplingMuscleDisease #Caveolin3 #AutosomalDominantRipplingMuscleDisease #ADRMD |
| Hypertrophic Obstructive Cardiomyopathy | #physiology #cardiology #cardiotwitter #hypertrophicobstructivecardiomyopathy #HOCM #dyspnea #LVOT #obstruction #echofirst #septalablation |
| Why do people with cholestasis itch? | #physiology #pathophysiology #Gastroenterology #GI #hepatology #cholestasis #itch #pruritis #bilesalts #histamine #opioidantagonist #naloxone |
| magnet ingestion in childrens | #advice #Pediatrics #GI #EM #magnets #ingestion #buckyballs #NASPGHAN |
| Traumatic Shock and the Lethal Triad | #pathophysiology #Pathology #case #TransfusionMedicine #Hematology #EM #CriticalCare #Trauma #Resuscitation #Coagulopathy #ACOTs #WholeBlood #TranexamicAcid #Avengers |
| Autoimmune Hemolytic Anemia Case | #ClinicalReasoning #Hematology #Heme #HemeOnc #Pathology #HemolyticAnemia #AIHA #AutoimmuneHemolyticAnemia |
| Prophylactic administration of anti-D somehow induces a strong immunosuppressive effect to prevent D-antigen sensitization in Rh(D) neg mothers | #pathophysiology #hematology #TransfusionMedicine #anti_D #prophylaxis #immunusupression #EradicateRhDisease |
| A 23-year-old woman w/ a history of SLE was admitted to the hospital w/ abdominal pain & headache | #case #hematology #pathology #SLE #purpura #TTP #ADAMTS13 #PLASMICscore #apheresis |
| heres a quick #tweetorial on veisalgia, aka the “the alcohol hangover.” | #Pathophysiology #InternalMedicine #IM #veisalgia #hangover #alcoholhangover #NewYearsEve2020 |
| A pt was admitted with sepsis requiring pressors. An US guided IJ CVC was placed with dark blood return in all ports. Post-procedure X-ray is attached | #CriticalCareMedicine #IJ #CVC #CentralLine #ABG #DuplicatedSVC #coronarysinus |
| A Case of a man in his 40s with OSA and GERD presents with dyspnea, and headaches. | #MedEd #case #radiology #rads #oncology #pulmonology #thoracicsurgery #dyspnea #pemberton #CXR #mediastinum #SVCsyndrome |
| how often should you get CXRs on intubated patients in the ICU? In the comments let me know why. | #MedEd #case #ClinicalReasoning #radiology #rads #CriticalCare #ICU #CXR #RUL #collapse #ACRappropriateness |
| 50s F admitted after a fall with a femur fracture, found to have hypoxemia. | #Case #ClinicalReasoning #Pulmonology #Pulm #ChestXray #UpperLobeCollapse #EndobronchialLesion #CXR |
| Tweetorial about Lung Protective Ventilation and Driving Pressure motivated by the complex vent management in #Covid-19. | #Physiology #MedEd #Pulmonology #Pulm #ICU #CriticalCare #Ventilator #COVID19 #LungProtectionVentilation #VolumeControl #VentSettings |
| A 60s man was dx with Covid and sent. 3 days later he developed nausea, vomiting, lethargy, and confusion and his wife called EMS. | #Physiology #Case #InfectiousDisease #ID #InternalMedicine #IM #Toxicology #AspirinToxicity #MetabolicAcidosis #RespiratoryAlkalosis #SalicylateToxicity #COVID19 #aniongap |
| Nails: let’s talk about something that probably gets even less coverage in #meded than rashes – NAILS | #ClinicalImages #MedEd #dermatology #nails #psoriasis #LichenPlanus #trachyonychia #onychomycosis #Beauslines #dermatomyositis #melanoma |
| A derm resident’s review of some OTC ointments/creams you may find at your local pharmacy. | #pharmacology #images #dermatology #MedDerm #OTC #creams #ointments #vaseline #steroid #azole |
| how to send photos to a dermatologist. | #MedEd #Dermatology #Derm #MedDerm #TeleDerm |
| Do NSAIDs (ibuprofen, naproxen, etc.) somehow worsen coronavirus infection? Lots of people asking this question. | #MedEd #Pathophysiology #InfectiousDisease #ID #Nephrology #Renal #Neph #COVID19 #coronavirus #nCoV19 #NSAIDS #Pharmacology |
| The Principles of IV catheter flow. | #physiology #hemodynamics #case #EM #IM #CriticalCare #hematochezia #PeripheralIV #CentralLine #radius #length #HagenPoiseuillesEquation #pressors |
| A thread of information, my interpretation, links to sources & predictions of COVID19 | #MedEd #Pathophysiology #InfectiousDisease #ID #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV #COVID19Treatement |
| Auer rods! These peculiar cell inclusions are a worrisome finding, defining an immature blast cell as one of myeloid lineage | #histmed #hematology #oncology #auer #rods #McCrae #RomanowskyStain #APL #MDS |
| This is Mary from Norway (1914-2002), the first patient described with “proaccelerin” (Factor V) deficiency. | #histmed #MedEd #Hematology #Heme #HemeOnc #factordeficiency #coagulationfactors #FactorVLeiden #Hemophilia #ChristmasDisease |
| A #HematologyTweetstory 16 is about platelets | #histmed #hematology #platelets #giantcells #blood_plates |
| A tweetorial all about the spleen | #HistMed #Question #Hematology #Heme #HemeOnc #Spleen #Splenomegaly #Anatomy |
| Not a day goes by when someone doesn’t tweet about an academic promotion they’ve just received. I’m happy for y’all – but there’s also been good discussion of late about #careerism | #HistMed #Careerism #AcademicRanks #AcademicPromotion |
| a thread on how the confusing “myelo-” nomenclature arose | #HistMed #MedEd #Neurology #Neuro #Myelo #MedicalNomenclature #MDS #MMsM #Myelodysplasia #AML #Myelofibrosis #Myeloma #Poliomyelitis #Myelomeningocele |
| Keep reading & see our recent post on hypoMg | #MedEd #Nephrology #Renal #Neph #magnesium #hypomagnesemia @TheSkeletonKG |
| Why does propofol burn so much? | #question #Anesthesiology #propofol |
| Patient complained of lower abdominal pain and was sent for a pelvic ultrasound. I found a nice big Hemorrhagic cyst and a little cystitis | #case #clinicalimages #radiology #OBGYN #abdominalpain #pregnancy #hemorrhagiccyst #ovarianectopic |
| 53M w/3 months L foot numbness, 2 months HA and nausea, 1 day dyspnea, facial edema, rash. Day of presentation 300 mL hemoptysis. ROS: Non-productive cough. No fever, chest pain, melena | #ClinicalReasoning #Case #IM #InternalMedicine #ANCAnegativeEGPA #EGPA #EosinophilicGranulomatosiswithPolyangiitis #SpacedRepetition #VirtualMorningReport |
| 30M p/w 2 mo fatigue, cough, malaise, unintentional weight loss , last day decr. appetite, HA, NBNB emesis, worsening back pain, fever, dyspnea | #MedEd #Case#ID #InfectiousDisease #VirtualMorningReport #CPSolvers #ClinicalPearls #Coccidioidomycosis #Coccidio #CoccidioidesImmitis |
| 21F p/w subacute to chronic progressive b/l neck swelling & pain w/neck palpation, fevers, chills & sweats. No dysphagia, voice changes, muffling, or weight loss. | #MedEd #Case #ID #InfectiousDisease #Syphillis #SpacedRepition #StudentVirtualMorningReport #Lymphadenopathy #CPSolvers |
| Have you ever wondered how a vaccineSyringe is made and how long it takes before it reaches your arm Flexed biceps? #medtwitter #tweetorial #NKFClinicals #COVID19 | #MedEd #InfectiousDisease #ID #Pharmacology #COVID19 #coronavirus #nCoV19 #Vaccines #vaccination |
| Can toddlers get heart Growing heart attacks? | #MedEd #Case #Pediatrics #Peds #ID #InfectiousDisease #Kawasaki #MucocutaneousLymphNodeSyndrome #LECOMTweetorials |
| End Stage Kidney Disease and regular exercise? | #MedEd #Nephrology #Renal #Neph #ESRD #Excercise #ExcerciseRegion #Nephmadness |
| Which fluid is more appropriate in patients with hyperkalaemia 0.9% saline or Hartmann’s? | #Physiology #MedEd #Pediatrics #Peds #PICU #Nephrology #Hyperkalemia #HyperK #HartmannsSolution #NS #BalancedSolution #NormalSaline |
| Burn-out is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. | #MedEd #burnout #physical #mental #selfcare |
| SGLT2i Pill are emerging as a promising agent to prevent and the progression of DKD. What do they do to electrolytes? Why r these diuretics not associated with electrolyte depletion? | #Pathophysiology #Pharmacology #Nephrology #Renal #Neph #SGLT2i #DKD #Diabetes #KidneyDisease #NephMadness #ChronicKidneyDisease #Diuretics |
| This January @NHSBT are focussing on recruiting more male donors but why are men so important as blood donors? Which components are specifically made from donations from men and why? | #pathophysiology #question #hematology #TransfusionMedicine #blood #donation #male #donor #HLA |
| There’s a lot of talk about *potentially* using hydroxychloroquine to treat COVID. This is the most relevant I’ve been in weeks, so here’s a thread which addresses HCQ ssociated retinal toxicity | #MedEd #Pharmacology #Ophthalmology #Optho #InfectiousDisease #ID #Hydroxychloroquine #COVID #COVID19 #coronavirus #retinaltoxicity #HCQRetinalToxicity |
| Ok here’s what everybody wants right now, a 9 tweet eyeball education thread: | #MedEd #Case#Opthalmology #Optho #CRAO #RAPD #CentralRetinalArteryOcclusion #RelativeAfferentPupillaryDefect #Cataract |
| Celiac is an #autoimmune disease | #lecture #GI #immunology #IM #celiac #autoimmune #gluten |
| Based on what I’m seeing in my weekly grocery trip, people need a primer on how to use disposable gloves properly. As a scientist who wears gloves to protect me from lethal chemicals (abd to avoid contaminating ice age specimens), let me share some tips: | #MedEd #InfectiousDisease #ID #COVID19 #coronavirus #nCoV19 #gloves #disposablegloves #propergloveuse |
| review on the utility of #whyCMR in the differentiation of #cardiac #mass | #publication #review #cardiology #oncology #CMR #cardiacmass #rhabdomyoma #fibroma #hemangioma #angiosarcoma #lymphoma #metastases |
| Status epilepticus is defined by two time points t1 & t2 | #MedEd #ClinicalReasoning #Neuro #Neurology #Seizures #StatusEpilepticus #ConvulsiveStatusEpilepticus #NonConvulviseStatusEpilepticus |
| Liver transplant | #Physiology #MedEd #GI #Gastroenterology #livertwitter #LiverTransplant #Liver #Cirrhosis #LiverPhysiology #LiverDisease |
| Irritable bowel | #Physiology #MedEd #GI #Gastroenterology #IBS #IrritableBowelSyndrome |
| dermatomyositis and anti-synthetase syndrome | #MedEd #Pathophysiology #Rheumatology #Rheum #Dermatology #Derm #MedDerm #AntiSynthetasesyndrome #Dermatomyositis |
| VenousEXcessUScore guided diuresis in Red heartrenal sx. Pt w T2DM and CKDG4A3 with HFpEF. After multi-agent diuresis (targeted to normalize venous flow patterns) pt lost 14 kg and returned to basal kidney function | #Physiology #POCUS #Cardiology #CardioTwitter #Diuresis #HFpEF #POCUSGuidedDiuresis #VenousEXcessUScore |
| One of the big differences between EM and hospitalists is how we think about observing patients | #MedEd #HospitalMedicine #EM #EmergencyMedicine #Observation #Obs #Admission #Discharge #TinctureofTime |
| This short paper is a really great example of the importance of being clear about your question & using that to drive your methods. So, a #tweetorial on research that’s *not* causal, and why it’s OK (& maybe even really good!) that this study does NOT adjust for confounding! | #Publication #Research #Confounders #Causal #Causality #OpenCollider #Collider |
| Have you ever wondered … how beta-blockers treat #cirrhosis? | #Pathophysiology #Gastroenterology #GI #Cirrhosis #BetaBlocker |
| A celebration of paracentesis | #tweetorial #Gastroenterology #GI #hepatology #QI #paracentesis #coagulopathy #SBP #cirrhosis |
| Elevated ferritin? Is it hemochromatosis? Probably not! | #diagnosis #diagnosticreasoning #hepatology #GI #gastroenterology #ferritin #diagnosis #hemachromotosis #acuteliverinjury #ALI |
| What’s the deal with pain control in #cirrhosis? | #pathophysiology #pharmacology #case #hepatology #livertwitter #GI #IM #cirrhosis #PainControl #CYPP450 #APAP #NSAIDs #opiates #tramadol |
| “The Hepatologist’s CBC” #cirrhosis #tweetorial all about the platelet | #pathophysiology #MedEd #physiology #Gastroenterology #GI #livertwitter #Cirrhosis #Coagulopathy #Platelets #PortalHypertension #Thrombopoeitin |
| Wilson’s Disease: Are we trying to diagnosis Wilson Disease or … do we just like to say ceruloplasmin? | #pathophysiology #EBM #GI #Hepatology #livertwitter #WilsonsDisease #Cu #Copper #Ceruloplasmin #RareDisease |
| Why is vibrio vulnificus so bad for people with liver disease? | #Pathophysiology #Question #Gastroenterology #GI #InfectiousDisease #ID #vibriovulnificus #vibrio #liverdisease #cirrhosis |
| How do we provide a prognosis of #cirrhosis? A #livertwitter #tweetorial Let’s go deep to the very first prognostic tools & see how everything old is new again. Keywords: Child class, MELD, Frailty | #Pathophysiology #Gastroenterology #GI #Prognosis #Cirrhosis #MELD #ChildPughScore #FrailtyIndex |
| Why is your pt’s ALT (or AST) >1000? A #livertwitter #tweetorial Take-homes: 1. Top 3 causes of acute liver injury 2. I always say it’s ischemic hepatitis; 50% of the time, I’m right every time | #Pathophysiology #Gastroenterology #GI #AcuteLiverInjury #Cirrhosis #ALT #AST #Transaminitis |
| What’s the deal with Ammonia in hepatic encephalopathy? A #cirrhosis QI #tweetorial | #Pathophysiology #Gastroenterology #GI #Ammonia #Cirrhosis #HepaticEncephalopathy |
| What is hepatorenal syndrome? | #Physiology #InternalMedicine #IM #Gastroenterology #GI #HepatorenalSyndrome #Hepatorenal #Cirrhosis |
| Portopulmonary hypertension (PPH) | #Pathophysiology #Gastroenterology #GI #PPH #PortopulmonaryHypertension #Cirrhosis #Hepatology |
| Hepatopulmonary Syndrome – | #Pathophysiology #Gastroenterology #GI #HepatopulmonarySyndrome #Cirrhosis #Hepatology |
| Hepatic encephalopathy in the hospital | #Gastroenterology #GI #HepaticEncephalopathy #lactulose #Cirrhosis #Hepatology |
| 30-day Readmissions in cirrhosis | #Gastroenterology #GI #30dayReadmission #Readmissions #Cirrhosis #Hepatology |
| What in the world is anti-smooth muscle antibody (SMA)!? | #Pathophysiology #Gastroenterology #GI #SMA #SmoothMuscleAntibody #AutoImmuneHepatitis |
| Ceruloplasmin! | #Pathophysiology#Gastroenterology #GI #WilsonDisease #Ceruloplasmin #LiverDisease |
| what is cirrhosis | #Pathophysiology #Gastroenterology #GI #Cirrhosis #WhatisCirrhosis #Liver |
| What’s the deal with … Gilbert’s syndrome? | #Pathophysiology #Gastroenterology #GI #Hyperbilirubinemia #UnConjugatedHyperbilirubinemia #GilbertsSyndrome #GilbertsDisease |
| Ever wonder why meditation helps reduce anxiety? | #Pathophysiology #Psychiatry #Psych #Neurology #Meditation #Anxiety #Neuroanatomy #PrefrontalCortex #Amygdala #LECOMTweetorials |
| Lets review a classic case of Loiasis (Loa Loa Infection) | #pathophysiology #InfectiousDiseases #ID #LoaLoa #eyeworm #filaria #nematode |
| #COVID19 Thread: my first case of acute #Hydroxychloroquine intoxication. How do you manage it? Here is what I learned and useful resources I would like to share for your next case, as this presentation may become common. | #Pathophysiology #MedEd #Case #InfectiousDisease #ID #Toxicology #Pharmacology #COVID19 #coronavirus #nCoV19 #Hydroxychloroquine #HydroxychloroquineIntoxication |
| acute #Hydroxychloroquine intoxication | #MedEd #Toxicology #EM #EmergencyMedicine #Hydroxychloroquine #HydroxychloroquineToxicity #Hypokalemia #ProlongedQTc |
| It’s time to clear up the issues about testing. So I’ve put together a #COVID19 thread on spread. Addressing the Super-spreaders, Spreaders, and the essentiality of testing | #MedEd #InfectiousDisease #ID #COVID19 #coronavirus #nCoV2019 #superspreader #CovidTesting #Covid19testing |
| Why is lactate elevated in sepsis or septic shock? | #physiology #MedEd #CriticalCare #InternalMedicine #sepsis #lactate #lacticacidosis #aniongap #pyruvate #thiamine |
| VTE treatment in cancer | #MedEd #ClinicalReasoning #Hematology #Heme #HemeOnc #VTE #cancer #DVT #PE #VenousThromboembolism #DeepVenousThrombosis |
| Misinformation covid | #Advocacy #MedEd #ID #InfectiousDisease #Misinformation #PublicHealth #SARSCoV2 #COVID19 #Mitigation #ControltheSpread |
| Takotsubo cardiomyopathy/syndrome (TTS) | #Case #Pathophysiology #GraphicMed #Cardiology #CardioTwitter #TakoTsuboCardiomyopathy #Takotsubo |
| COVID-19 AND COAGULOPATHY | #Pathophysiology #Hematology #ID #InfectiousDisease #CriticalCare #COVID19 #Coagulopathy #DIC #Sepsis #Fibrinogen #Thrombocytopenia |
| Zika, as a disease, is not what we think it is | #research #journalclub #infectiousdisease #ID #zika #ZikaVirus |
| As people are exploring racism, bias, and their impact on Black people, it behooves us to include the impacts in medicine. | #MedEd #MedicalMyths #BiologicalDifferences #BLM #BlackLivesMattters #HealthDisparities |
| Do you train #MachineLearning models on #medicalimaging #data? | #MedEd #Radiology #Rads #MachineLearning #MedicalImaging #Data #Radres #DataScientists |
| Can hemolytic anemia exist with no reticulocytosis? | #MedEd #question #Hematology #Heme #HemeOnc #hemolyticanemia #b12deficiency |
| #Lymphopenia has recently been under the spotlight with the ongoing COVID-19 pandemic. | #Pathophysiology #Hematology #Heme #HemeOnc #Lymphopenia #COVID19 #nCOV2019 #coronavirus #transientlymphopenia |
| There is more to serum protein electrophoresis (SPEP) than meets the eye | #MedEd #ClinicalReasoning #Hematology #Heme #HemeOnc #SPEP #SerumProteinserumElectrophoresis |
| Diabetes mellitus is one of the most active areas of drug development. | #MedEd #Physiology #Endocrinology #Endo #InternalMedicine #IM #GLP1agonist #GLP1 #Diabetes #DiabetesMellitus |
| This is the curious case of a patient I took care of in the MICU a few weeks ago. | #MedEd #Physiology #Case #Endocrinology #Endo #InternalMedicine #IM #SulfonylureaOverdose #Octreotide #Hypoglycemia #Diabetes #DiabetesMellitus |
| What is your first reflex when you are faced with sinus tachycardia? | #ClinicalReasoning #Case #MedEd #Physiology #InternalMedicine #IM #EmergencyMedicine #EM #SinusTachycardia #Tachycardia |
| My patient has tachycardia, fevers and lactic acidosis. | #Case #ClinicalReasoning #Pulmonology #IM #InternalMedicine #CriticalCare #SIRS #NonSepticSIRS #Sepsis #SepsisMimicker |
| A serological assay to detect SARS-CoV-2 seroconversion in humans | #MedEd #InfectiousDisease #ID #Immunology #COVID19 #nCoV19 #Coronavirus #immunity #Vaccine #COVIDVaccine #Antibodies |
| Acute allergic-like reactions to intravascular iodinated contrast: Who’s at risk and how do you reduce the risk | #MedEd #EBM #radiology #rads #IVcontrastAllergy #IodineAllergy #AllergicReaction #HypersensitivityContrastAllergy #ContrastAllergy |
| You are seeing a patient with suspected #COVID19. When is imaging (CXR or CT) indicated? A #TWEETORIAL summary of the Fleischner Society consensus statement @Radiology_RSNA | #Publication #Radiology #Rads #FleischnerSociety #COVID19Imaging #ChestImagingCOVID19 #ImaginginCOVID19 |
| Let’s talk a bit about germinoma…an uncommon but important #Neuropath diagnosis | #Pathophysiology #Case #Pathology #Neuropath #germinoma #germcelltumor |
| a #thread about #PersonalStatements | #MedEd #PersonalStatements #Residency #Interviews #GrowthMindset |
| want to learn how to quickly master reading rapid rhythm ECGs ahead of your EM elective? | #MedEd #Cardiology #Cards #EM #EmergencyMedicine #ECG #EKG #ECGbasics #Tachycardia #MedStudentTwitter |
| anterior knee pain in adolescent | #case #orthopedics #pediatrics #FM #anterior #knee #pain #ThinkHip #extensor #tightness #stretch |
| #COVID19 treatment protocols to tackle antiviral and hyperinflammation pathoimmunology | #MedEd #InfectiousDisease #ID #Pharmacology #COVID19 #coronavirus #nCoV19 #COVID19Treatment |
| support of #BlackLivesMatter protests by public health experts and healthcare workers was hypocritical, risked our credibility, as these events risk #SARSCOV2 transmission : argument agianst | #Advocacy #MedEd #ID #InfectiousDisease #Epidemiology #SARSCoV2 #coronavirus #BlackLivesMatter #BLM #SARSCoV2transmission |
| A new use of ECG calipers (blunted, mind you) for endocrinologists! Measurement of skinfold thickness in Cushing’s syndrome (have thin skin) Less than 2 mm is considered thin skin | #MedEd #EBM #Endocrinology #Endo #CushingsSyndrom #CushingsDisease #ECGCalipers #PhysicalExamPearls |
| Does knowing type of diabetes matter to clinicians and trainees Yes, will try to explain why in this #tweetorial #medtwitter #MedEd #diabetes | #MedEd #Endocrinology #Endo #Diabetes #DM1 #DM2 #Type2Diabetes #Type1Diabetes #type1diabetes #type2diabetes |
| Older patient p/w fatigue, dizziness, melena & hematochezia. Based on @NEJM #CPS from 2/5/15. | #case #GI #IM #GIB #melena #angioectasis #LVAD |
| Patient presented with pruritus. Summarized #pearls from @NEJM CPS from 3/5/15 | #case #dermatology #IM #pruritis #uremia #collapsing #glomerulopathy #steroids |
| Clinical #Pearls and summary of @NEJM #CPS: “An Unusual Cause of Abdominal Pain” | #case #ClinicalReasoning #Rheumatology #Rheum #Vascular #abdominalpain #vasculitis #polyarteritisnodosa #PAN |
| Clinical #Pearls and summary of @NEJM #CPS: “A Chilly Fever” | #EBM #ClinicalReasoning #Case #InfectiousDisease #ID #fever #malaria #PlasmodiumVivax |
| A middle-aged man w/ CAD, chronic diarrhea, & weight loss p/w acute LUQ abdominal pain and chest pressure | #case #ClinicalReasoning #Gastroenterology #GI #abdominalpain #celiacdisease |
| Young woman at 25 weeks gestation p/w respiratory distress, cough, and blood-tinged frothy sputum, +chest pain, no fevers or LE edema. | #case #clinicalreasoning #OBGYN #cardiology #pregnancy #MitralStenosis |
| “A Gut Instinct” – tweetorial/case summary for @NEJM #CPS from 8/7/14 Young woman p/w acute anorexia, diarrhea, & intractable feculent vomiting. BMI 19, temp: 40C, +orthostasis, soft abdomen w/ epigastric tenderness | #case #ClinicalReasoning #ID #InfectiousDiseases #IM #abdominalpain #vomiting #SBO #IntraabdominalTB #TB |
| A previously healthy, 25 yo man p/w epigastric abdominal pain, nausea, vomiting, and weight loss | #Case #ClinicalReasoning #Gastroenterology #GI #InfectiousDisease #ID #AbdominalPain #Ménétriers #MénétriersDisease #MenetriersDisease #CMV |
| 40yo F w/ hx of treated immature teratoma & HBV infection p/w chronic, progressive diffuse pain and weight loss @NEJM #CPS summaries! | #Case #ClinicalReasoning #InternalMedicine #IM #Weightloss #RenalTubularAcidosis #Hypokalemia #Hypophosphatemia |
| A young healthy woman presents in the winter w/ subacute cough/rhinorrhea followed by vomiting, diarrhea & abdominal pain | #Case #ClinicalReasoning #Cardiology #CardioTwitter #InfectiousDisease #ID #Myocarditis #Influenza #Flu #CardiogenicShock |
| Time for another @NEJM #CPS summary! 64 yo M presents 7 wks s/p heart transplant (on MFM, tac, pred, c/b acute rejection + more steroids) with intermittent fevers + chills, nausea, and headaches. | #Podcast #Case #ClinicalReasoning #InfectiousDisease #ID #Immunosuppression #Fever #TrypanosomaCruzi |
| Get pumped for another @NEJM #CPS summary! Face with monocle will be our clinical reasoning avatar Focus: overlapping schemas, thinking critically about tests/lab results | #ClinicalReasoning #Case #Pulmonology #Pulm #Hematology #Heme #HemeOnc #NEJM #CPS #Dyspnea #CriticalThinking #OverlappingSchemas |
| New day, new @NEJM #CPS summary! 55yo F p/w acute falls, dizziness, & lethargy i/s/o vomiting & reduced PO intake. BP 64/40 + tachycardic. Serum Cr was 11.8 (bl = 1.4), BUN: 58, K: 8.1 1st things first: emergencies. That K is scary. Get EKG | #MedEd #Podcast #ClinicalReasoning #Nephrology #Renal #Neph #OxalateNephropathy #AKI #RenalFailure |
| A tweetorial of tweetorials – resources that may be helpful for our first days on the job! We are all in this together | #MedEd #InternOrientation #InternResourceGuide #MedTwitter #InternYear |
| the most informative analysis of more than 25,000 #COVID19 cases in Wuhan that I’ve seen. Here are some key lessons (none of which we are following in the US). | #MedEd #Pathophysiology #InfectiousDisease #ID #COVID19 #coronavirus #nCoV19 |
| Why can TMP/SMX (Bactrim) cause a bump in Cr without affecting GFR? | #Physiology #Nephrology #Renal #Neph #Pharmacology #TMPSMX #Bactrim #GFR #Cr #Creatinine |
| Let’s take a quick look at odds ratios | #MedEd #Research #Biostats #OddsRatio #RelativeRisk #Biostatistics #Statistics |
| Let’s take a quick look at odds ratios | #EBM#publichealth #epidemiology #odds #ratios #relative #risk |
| Time for another #tweetorial on fluid restriction in #hyponatremia from SIADH. Is there a way to predict which patients with SIADH will respond to fluid restriction? | #ClinicalReasoning #Physiology #Question #Nephrology #Renal #Neph #SIADH #Hyponatremia #FluidRestriction |
| Fluoroquinolones: A review | #MedEd #lecture #InfectiousDiseases #ID #fluoroquinolones #DNAgyrase #topoisomeraseIV #resistance |
| Common Conundrum about #HBV | #MedEd #ClinicalReasoning #Gastroenterology #GI #HBV #HepatitisB #LiverTwitter #HepBTreatment |
| Which #OldSchool tool do you value most for volume assessment in ESKD? | #ClinicalReasoning #Nephrology #Renal #Neph #VolumeAssessment #JVP #BP #VolumeOverload #ESRD #ESKD |
| Continuing statins for primary prevention in our elderly (age >75) patients – yea or nay? | #EBM #PrimaryCare #Pcare #InternalMedicine #IM #Geriatrics #Statins #Statin #PrimaryPrevention #Deprescribing #Stroke #CAD |
| Sleep duration and Myocardial Infarction’ in the Journal of the American College of Cardiology today! | #Research #publication #cardiology #cardiotwiter #SleepMedicine #SleepMed #epidemiology #MI #CAD #SleepDuration #Shortsleep #Longsleep |
| Tweetorial on genetic susceptibility to HLH as a potential modifier of COVID disease severity. | #Pathophysiology #Hematology #ID #InfectiousDisease #COVID19 #coronavirus #HLH #HemophagocyticLymphoHistiocytosis |
| Recently, there has been a deluge of people brought to PGH for methanol toxicity from drinking lambanog. | #Pathophysiology #Tox #Toxicology #EmergencyMedicine #EM #MethanolToxicity #ToxicAlcohols |
| For my past duties, I got 2 referrals for anaphylaxis which responded to IM epi. Yesterday, had an informal consult for anaphylactic shock. No response to IM epi and resorted to IV. He improved. But what if he didn’t? [When IM epinephrine fails: a thread] | #Pathophysiology #Case #Allergy #Immunology #EmergencyMedicine #EM #anaphylaxis #Epi #anaphylacticshock |
| “Pulsus Paradoxus” Can we rename it “Pulsus Exaggeratus” | #pathophysiology #cardiology #IM #eradicating #misnomers #pulsesparadoxus #pulsesexaggeratus |
| “Pulsus Paradoxus” Can we rename it “Pulsus Exaggeratus | #MedEd #cardiology #MedicalMisnomer #PulsusParadoxus #PulsusExaggeratus |
| I wrote a letter to @nytimes like many of you, after reading this problematic article, but I never heard back, so I figured I’d include it here. | #Publication #MedEd #ID #InfectiousDisease #SARSCoV2 #N95 #SurgicalMask #COVID19 #Masks |
| Have you ever had the clinical situation arise where you had to choose between vitamin K, prothrombin complex concentrate (PCC) & fresh frozen plasma to reverse warfarin in a clinically significant bleed? | #pathophysiology #question #hematology #clinically #relevant #bleed #VitK #PCC #FFP |
| How comfortable are you with right heart catherizations and the changing diagnostic criteria in PH? | #Physiology #Pulmonology #Pulm #CriticalCare #RightHeartCath #PulmonaryHypertension #PulmHTN |
| This one is on shared decision-making in healthcare. | #MedEd #SharedDecisionMaking #hapc #pedpc |
| antiplatelet therapy after PCI | #publication #EBM #cardiology #antiplatelettherapy #PCI #clopidogrel #resistance |
| A 45 y/o M with no known medical history presents after a seizure with a sodium of 102 mEq/L. | #Physiology #Case #Nephrology #Renal #Neph #Hyponatremia |
| Cognitive load theory and its implications for our teaching in the classroom & clinical setting. | #MedEd #CognitiveLoadTheory #CognitiveLoad #MedicalEducation |
| optimizing #Zoom settings for the #VirtualLearningEnvironment | #MedEd #Zoom #ZoomSettings #VirtualLearning #VirtualTeaching |
| Does Vitamin C, Thiamine, and Hydrocortisone cure sepsis? | #Publication #CriticalCare #EmergencyMedicine #EM #sepsis #VitaminC #Thiamine #Hydrocortisone |
| Here’s how I’d logically think about this tachycardia:.Every 3rd beat is narrow and other two look classic RBBB aberrancy, so would be thinking SVT. | #MedEd #case #Cardiology #CardioTwitter #Tachycardia #NarrowComplexTachycardia #AVNRT #PJRT #SVT #EKG |
| CRP – what I wish I’d been taught! | #pathophysiology #immunology #InfectiousDisease #ID #CRP #pentamer #encapsulated #bacteria #hepatocytes |
| Staph aureus is a gram positive facultative anaerobe | #Pathophysiology #InfectiousDisease #ID #Staphaureus #staph |
| Blood Bank Education A B AB O | #MedEd #case #ClinicalReasoning #Hematology #Heme #HemeOnc #Pathology #BloodBank #bloodtransfusion #transfusionreaction #IgAdeficiency |
| protein to creatinine ratio (PCR) in AKI | #pathophysiology #physiology #MedEd #nephrology #Renal #Neph #proteintocreatinineratio #PCR #GFR #AKI |
| CLL is famous for causing pseudohyperkalemia | #physiology #MedEd #nephrology #renal #Neph #Oncology #Onc #HemeOnc #pseudohyperkalemia #hyperkalemia #CLL |
| An interesting metabolic panel, metabolic acidosis | #physiology #case #nephrology #renal #Neph #CriticalCare #EmergencyMedicine #EM #MetabolicAcidosis #acidosis #AnionGap |
| contrast nephropathy | #EBM #nephrology #nephrology #renal #contrast #nephropathy #AKI #osmolar #PropensityScoring |
| A tweetorial on a case of hyponatremia | #Case #ClinicalReasoning #Nephrology #Renal #Neph #hyponatremia |
| the @ASNKidney did a webinar on COVID-19. I highly recommend it. I am going to do a #Tweetorial covering the high points. | #MedEd #Pathophysiology #InfectiousDisease #ID #Nephrology #Renal #Neph #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV |
| Knee osteoarthritis (OA) in Australia 2010-2019: A decade of (mainly) mismanagement. | #EBM #orthopedics #knee #OA #replacement #TKR #arthroscopy #australia |
| bromoderma from citrus drinks. | #HistMed #Physiology #Pharmacology #Toxicology #Bromide #Hyperchloremia #BromideToxicity #HistoricalSedative |
| What even is bronchiolitis? Bronchitis but smaller? | #Pathophysiology #Pulmonology #Pulm #Bronchiolitis #BOOP #BronchiolitisObliterans |
| Today I’m going to do a #Tweetorial on non-resolving pneumonia (NRP)! | #MedEd #physiology #pulmonology #ID #InfectiousDisease #pulm #NonResolvingPneumonia #pneumonia #bug #drug #diagnosis #host #SourceControl |
| Let’s differentiate pyogenic from amebic liver abscess | #Pathophysiology #InfectiousDisease #ID #Gastroenterology #GI #pyogenicliverabscess #amebicliverabscess #liverabscess |
| “Does DVT/PE cause fever?” | #Pathophysiology #IM #InternalMedicine #Hematology #Heme #HemeOnc #DVT #PE #Fever #DeepVenousThrombosis #PulmonaryEmbolism |
| A Hypervirulent Strain of CDiff! | #Pathophysiology #ID #InfectiousDisease #GI #Gastroenterology #CDiff #ClostridiumDifficile #ClostridioidesDifficile #HypervirulentCDiff |
| Well #medtwitter and M4s, here is a #tweetorial trying to minimize some of those unknowns on applying to residency. | #MedEd #COVID19 #medtwitter #ResidencyInterviews #Residency #MedStudentTwitter #ResidencyApplications |
| meta-analysis of steroids and GI bleeds | #Research #MedEd #JournalClub #Gastroenterology #GI #GIBleed #steroids #gastrointestinalbleeding #GIBleeding #lecture #radiology #cardiology #MRI #physics #CardioVascularMagneticResonance #CMR |
| With an exponential rise in COVID cases, it’s time to talk about how to avoid running out of ventilators. NYC is encountering this now, and other locales will follow shortly. ICU resources (especially invasive ventilation) are unfortunately finite | #MedEd #Advocacy #CriticalCare #Pulmonology #Pulm #COVID19 #nCoV2019 #coronavirus #Ventilators #NYC #ICU #VentilatorShortage |
| A patient with diffuse scleroderma presents with acute hypertension and progressive AKI with a bland urinary sediment. | #Pathophysiology #Nephrology #Renal #Neph #Rheumatology #Rheum #Scleroderma #SclerodermaRenalCrisis #Prednisolone |
| A patient with metastatic gastric adenocarcinoma is receiving a palliative chemotherapy regimen including capecitabine. | #MedEd #Pathophysiology #Hematology #Heme #HemeOnc #Gastroenterology #GI #Chemotherapy #Capecitabine #GastricCancer |
| A patient presents with fatigue and easy bruising. Bloods show anaemia, neutropenia and thrombocytopenia. Coagulation studies are consistent with DIC. | #MedEd #Case #ClinicalReasoning #Hematology #Heme #HemeOnc #DIC #APML #Leukemia #AcutePromyelocyticLeukemia |
| You are caring for a patient with Burkitt’s lymphoma who is commencing chemotherapy. | #Pathophysiology #Hematology #Heme #HemeOnc #TumorLysisSyndrome #TLS #Chemotherapy |
| A patient with a long history of multiple sclerosis presents with new neurological deficits. The MRI brain looks unusual and the consultant is concerned for PML. | #Pathophysiology #Case #Neurology #Neuro #JCVirus #MultipleSclerosis #MS #PML #Natalizumab #HumanDxProject #ImmuneReconstitutionInflammatorySyndrome #IRIS |
| Time for a #MedTweetorial on pneumocystis pneumonia | #MedEd #ClinicalReasoning #InfectiousDisease #ID #Hematology #Heme #PJP #Pneumocystis #Lymphoma #NHL #Pneumonia #GGO |
| St John’s Wort, Everything you’ve ever wondered (and not) about its medicinal properties for treating various ailments and more. | #MedEd #HistMed #Pharmacology #StJohnsWort #Flavinoids #LECOMTweetorials |
| How might eating a ketogenic diet exert anti-seizure effects? | #MedEd #Pathophysiology #Neurology #Neuro #KetogenicDiet #Seizures #Epilepsy #LECOMTweetorials |
| MRI Physics | #lecture #radiology #cardiology #MRI #physics #CardioVascularMagneticResonance #CMR |
| Prophylaxis for chemotherapy induced Cardiotoxicity | #EBM #research #cardiology #cardiotwiter #oncology #HemeOnc #cardiotoxicity #chemotherapy #trastuzumab #anthracyclines #CECCY #ClinicalTrial |
| Why we want to know more about outcomes data in regards to cancer patients receiving TAVR? | #EBM #review #cardiology #oncology #AS #TAVR #XRT #safety |
| 18 y.o. male, Heart Failure👻NYHA IV in 3 months 📛 F/H: Mother died age 38 yo of sudden cardiac death. | #case #clinicalimages #cardiology #genetics #ECHO #CMR #LGE #HCM #phenocopy #danondisease |
| ‘Healthy minds in the midst of Covid-19’ | #Advocacy #Psychiatry #Psych #MentalHealth #Stress #MedStudentTwitter #Relax #wellbeing #burnout #perfectionism #kindnessmatters #stressmanagement #medschool #stressrelief #medicalstudent #medtwitter |
| 7 principles of mentorship | #Advocacy #Mentor #Mentorship #collaboration |
| Got a metabolic acidosis but no anion gap | #nephrology #renal #acidbase #metabolicacidosis#NAGMA #RTA #nogapacidosis |
| I just want to do a quick thing on how sulfonylureas (glipzide, glyburide, glimepiride, etc.) work. Not a big deal #FOAMTox and #FOAMEd, so chill out. | #Physiology #Endocrinology #Endo #FOAMTox #Sulfonylureas #Glipizide #Glyburide #Glimeperide #insulinsecretagogues |
| A 60-Year-Old Black Woman with Breast Cancer | #MedEd #Advocacy #Oncology #HemeOnc #StructuralRacism #BreastCancer #LECOMTweetorials |
| Maternal Death Rates | #Advocacy #Publication #OBGYN #OB #GYN #MaternalMortality #MaternalDeath #MaternalDeathRate |
| Another awesome day deconstructing electrolytes. Join us as we diagnose and manage severe hypernatremia! | #pathophysiology #renal #nephrology #hypernatremia #thirst #irritability #hyperreflexia #coma #adipsic |
| Have you ever overshot your goal for hyponatremia correction ? | #Physiology #Nephology #Neph #ICU #CriticalCare #Hyponatremia #SevereHyponatremia #DDAVP #DDAVPClamp #HypoNa #LowSodium #HyponatremiaTreatment |
| Management of post‐TIPS refractory Hepatic Encephalopathy (HE) | #MedEd #Pathophysiology #IR #InterventionalRadiology #GI #Gastroenterology #TIPS #HE #HepaticEncephalopathy |
| #PAD awareness, diagnosis and management. | #pathophysiology #physiology #cardiology #radiology #TwittIR #podiatry #surgery #ID #endocrine #PAD #peripheralarterydisease #critical #limb #ABI #claudication |
| A #MedTwitter #TenTweetTweetorial to best explain when to place IVC filters, when to remove them, what are the benefits, the risks, and medicolegal implications… | #MedEd #IR #Vascular #IVCFilter #IVCF #PREPICTrial #perforation #migration #FilterOUT #IRad #InterventionalSpecialist |
| The top causes of non-traumatic acute pancreatitis (AP) are… | #Pathophyphysiology #GI #Gastroenterology #Pancreatitis #AcutePancreatitis #NonTraumaticPancreatitis |
| A second #ClinicalFrailtyScale tweetorial (tweetegesis?) prompted by three questions from last time: 1. Why include disability when discussing ways in which people can be frail – weren’t the two disentangled long ago? 2. Isn’t frailty a syndrome? 3. Can it be diagnosed? | #MedEd #geriatrics #clinical #frailty #score #disability #diagnosis |
| Was asked good questions re: the Clinical Frailty Scale, so this Tweetorial. Case | #case #geriatrics #clinical #frailty #scale |
| Clinical Question: Hydroxychloroquine (HCQ) is used against malaria and autoimmune diseases, and new data suggest it may be effective against CoVID-19. What exactly is CQ, how does it work against so many different diseases? | #Pathophysiology #InfectiousDisease #ID #Pharmacology #COVID19 #nCoV19 #coronavirus #HCQ #Hydroxychloroquine |
| I am giving a talk on “SARS-CoV-2 testing and Immunity” this week. Thought it would make a good #Tweetorial. | #MedEd #ID #InfectiousDisease #Immunology #COVID19 #Immunity #coronavirus #SARS_CoV_2 |
| A little #tweetorial post my step-1 exam about an interesting topic. Did you ever wonder to yourself while studying statistics or during your research “why is alpha 5%? Why not any other number?” | #MedEd #Biostats #NullHypothesis #alpha #hypothesis |
| Why do we have to disprove the null hypothesis first? Why not just prove the alternate hypothesis? | #MedEd #Biostats #NullHypothesis |
| End of life care and digestion | #MedEd #NarrativeMed #hospice #palliativecare #endoflifecare |
| The more we’re required to meet virtually, the better we need to get at it. I’ve seen some GREAT pro-tips on the technical features of @zoom_us. | #NarrativeMed #MedEd #Zoom #ZoomintheTimeofCOVID #zoomlife |
| personal statement | #MedEd #PersonalStatement #MedicalSchool #ResidencyInterview |
| The conversation between my sons was so mundane. First they talked about Tiktok. Then about our upcoming vacation. It sounded so easy. | #Advocacy #NarrativeMed #ConversationWithMySons #EndRacism #BlackLivesMatter #WhiteCoatsForBlackLives #RealTalk |
| hidden curriculum | #narrativemed #tweetstoryal #IM #hiddencurriculum #influence #streetsiswatching |
| elevatorpitch | #narrativemed #tweetstoryal #IM #elevatorpitch #consumer #contentcreator #amplifier #fasting #mission |
| gradyelder | #narrativemed #tweetstoryal #IM #gradyelder #ladydoctor #headdoctor #rolemodel #perspectives |
| haiku | #narrativemed #tweetstoryal #IM #haiku |
| code blue | #narrativemed #tweetstoryal #IM #codeblue #brothers #perspective |
| cancer | #narrativemed #tweetstoryal #IM #gradyelder #cancer #happy #sad |
| NationalAnthem | #narrativemed #tweetstoryal #IM #NationalAnthem #glory #resilience #BlackHistory |
| Represent: You weren’t an angry patient banging your fist on a tray table. Or a frustrated family member. You were a learner. | #narrativemed #tweetstoryal #IM #represent #minority #feedback #mentor |
| ACS: I remember because that was the same night that my dad had an ST elevation MI. | #narrativemed #tweetstoryal #IM #iceinatooth #ACS #biaskills |
| consults | #narrativemed #tweetstoryal #IM #consults #curbside #youalright |
| flushot | #narrativemed #tweetstoryal #IM #noday #flushot #maybeday #slick |
| homelessish and homelessness | #narrativemed #tweetstoryal #IM #home #less #ish #peace |
| bias | #narrativemed #tweetstoryal #IM #hungry #tired #biased |
| #JoyintheTimeofCorona: A True, Feel Good Story | #Advocacy #FeelGoodStory #impact #stayintentional |
| Patient undergoes coronary CTA for intermittent chest pain and normal ECG. | #Pathophysiology #Allergy #Immunology #EM #EmergencyMedicine #Radiology #KounisSyndrome #Epinepherine #AllergicReactjon #IVContrast |
| 73-year-old female, 10-day history of fever and lethargy | #MedEd #Case #ID #InfectiousDisease #Urology #Pyelonephritis #LobarNephronia #XanthogranulomatousPyelonephritis |
| 46 year old male with h/o seronegative arthritis C/O excessive somnolence, inability to read, urinary incontinence, recent weight loss | #MedEd #Case #InfectiousDisease #Rheumatology #IM #SeronegativeArthritis #WhipplesDisease #TropherymaWhipplei #OculomasticatoryMyorhythmia #RemittingSeronegativeSymmetricalSynovitisWithPittingEdema |
| 63M h/o diabetes with c/o fever, chest pain, dyspnea x 3 days | #Case #ID #InfectiousDisease #Melioidosis #Whitmoresdiseas #BurkholderiaPseudomallei |
| Why does lymphopenia occur in #COVID19? A normal WBC count and lymphopenia are seen in patients affected by COVID-19, but why it occurs has bothered me since the pandemic onset. | #Pathophysiology #InfectiousDisease #ID #Hematology #Heme #HemeOnc #COVID19 #coronavirus #nCoV2019 #Lymphopenia |
| Thrombocytopenia in #COVID19 While lymphopenia takes most of the hematology spotlight on the #COVID stage (80+%), accompanied #thrombocytopenia is also seen in ~36% of cases. Why it occurs is equally as interesting. | #Pathophysiology #Hematology #Heme #HemeOnc #Thrombocytopenia #COVID19 #Coronavirus |
| This is a photo of Leonid Ivanovich Rogozov, who successfully removing his own appendix in 1961. Rogozov knew he was in trouble when he began experiencing intense pain in the lower right quadrant of his abdomen. It could only be one thing: appendicitis | #histmed #surgery #appendicitis #antartica #ProphylacticAppendectomy #self_appendectomy |
| Here’s a THREAD👇 about how smallpox – one of the deadliest & most contagious disease known to man – was used as a biological weapon during the American Revolution in one of the earliest documented examples of germ warfare. | #histmed #ID #infectiousdiseases #smallpox #inoculation #Jenner #Washington |
| Edward Jenner was an 18thC pioneer of vaccination. Let me tell you about his importance in medical histor | #MedEd #HistMed#Immunology #ID #InfectiousDisease #Vaccines #SmallPox #EdwardJenner |
| pulmonary vein thrombus | #clinicalimages #case #radiology #rads #pulmonology #CT #pulmonary #vein #thrombosis #thrombus #sign #artifact #LungTransplant #pneumonectomy #Rfablation #fibrosis |
| Necrotizing Autoimmune Myopathy | #Pathyophysiology #MedEd #Neurology #Neuro #NecrotizingAutoimmuneMyopathy |
| CALLING ALL 1st AND 2nd YEAR MED STUDENTS, are you as terrified about going into clinical years as I was? | #MedEd #ClinicalYears #Clerkships #Medstudent #HistoryandPhysical #ddx #DifferentialDiagnosis #Tests #Wards |
| Double Simultaneous Defibrillation (DSiD) or is it Double Sequential Defib (DSD)? Same thing right? | #EmergencyMedicine #Cardiology #CriticalCareMedicine #double #external #defibrillation #DED #oscilloscope |
| A middle aged woman with PMH of HTN is brought to the ED complaining of dysuria, decreased urination, and malaise. | #case #EBM #IM #CriticalCare #EM #fluids #caprefill #ANDROMEDA_SHOCK #MAP #goal |
| Interesting issue in mechanical ventilation of #COVID19 patients, each one here after >10 days of mechanical ventilation. How might we monitor for development of this? Time to pay attention to resistance, oft neglected in the age of COVID #ARDS… | #ClinicalReasoning #MedEd #CriticalCare #Radiology #Rads #COVID19 #ARDS #MechanicalVentilation #SARSCoV19 |
| A 50 yo man with no PMH came to ED with confusion & hypoxemia. Admission CXR shown. Possible COVID+ contact. | #Case #ICU #CriticalCare #POCUS #Confusion #Hypoxemia |
| A Delicate Balance: Intraglomerular Hemodynamics Across Ages in Type 1 Diabetes | #publication #pathophysiology #nephrology #endocrinology #diabetic #nephropathy #RAS #GomezEquation #SGLT2 |
| APRV in the time of Corona: Heavy check markPts w/ COVID-19 may have hypoxia refractory to “normal” ventilator settings.Heavy check markAPRV is a ventilator mode that may benefit this population. | #Physiology #CriticalCare #Pulmonology #Pulm #COVID19 #Coronavirus #ventsetting #hypoxia #APRV #refratoryhypoxia |
| 47F PMH: granulomatosis w/ polyangiitis Rx: pred/MTX/rituxima | #Case #ID #InfectiousDisease #IDTwitter #MycobacteriumChelonae #Mchelonae #Mabscessus #NTM |
| Summertime in MN. 57M. No PMH. Hiking and outdoor activities. | #MedEd #Case #ID #InfectiousDisease #PowassanVirusEncephalitis #TickBorneIllness #Ixodes |
| In March, 40M has severe influenza. ICU admission. ECMO. Complications: MSSA BSI. | #Pathophysiology #Case #InfectiousDisease #ID #Aspergillosis #Influenza |
| #Aspergillosis | #MedEd #Lecture #InfectiousDisease #ID #Aspergillosis #PulmonaryAspergillosis |
| Topic: Clinical vs statistical significance | #MedEd #EBM #Biostatistics #Statistics #Pvalue #EvidencedBasedMedicine #NNT #StatisticalSignificance |
| A 26yoF with SLE off meds for 2 months p/w acute onset of respiratory distress, SpO2 90% on 15L | #MedEd #ClinicalReasoning #case #InfectiousDisease #ID #Rheumatology #Rheum #RespiratoryDistress #SLE #Lupus #Pneumonia #Legionella |
| What is a tweetorial | #question #tweetorial #Whatisatweetorial #clinicalreasoning #pathophysiology #rheumatology #rheum #raynaudsphenomenon |
| Knowledge is king with regards to clinical reasoning. Broadening your illness scripts and pathophysiology knowledge helps you better formulate a working diagnosis for your patients | #clinicalreasoning #pathophysiology #rheumatology #rheum #raynaudsphenomenon |
| How to mentor medical students and residents who are POC even if you are just a plain old white person. | #Advocacy #NarrativeMed #Mentoring #WhiteCoatsForBlackLives #Diversity #MentoringMedicalStudents #MentoringResidents #BLM #BlackLivesMattters |
| KawasakiDisease | #MedEd #Lecture #Peds #Pediatrics #Kawakaki #KawasakiDisease |
| This #covid19 moment isn’t unique. | #HistMed #MedEd #ScienceDenialism #HistoryofScience |
| Our patient’s TEE came back with an aortic valve lesion concerning for a “Lambl’s Excrescence”. | #MedEd #Case #Cardiology #CardioTwitter #LamblsExcrescence #TEE #echo |
| A #tweetorial on ANA, for non-immunologists. | #ClinicalReasoning #Rheumatology #Rheum #ANA #AntiNuclearAntibody |
| Follow this #tweetorial for some highlights on PSLF and loan repayment #finances #financialhealth #studentloans #bizmed | #Advocacy #finances #financialhealth #studentloans #bizmed #PSLF |
| What can history, if anything, teach us about #Covid_19 ? What pathogen was responsible for a global pandemic in 1918? | #MedEd #HistMed #InfectiousDisease #ID #COVID19 #coronavirus #nCoV19 |
| The #ProPSMA study was recently published in @TheLancet | #MedEd #Publication #Urology #Oncology #Onc #HemeOnc #PSA #PETCT #ProstateCancer #Prostate |
| Cardiac Amyloid, HFpEF | #pathophysiology #cardiology #cardiotwiter #HemeOnc #CardiacAmyloid #ALAmyloid #HFpEF #ATTR #CM #DiagnoseEarly |
| Why do we consider 1cc/kg/hr normal urine output in pediatrics? | #pathophysiology #MedEd #pediatrics #nephrology #urine #output #RIFLE |
| Antibiotics!! To kick things of we’ll be taking a look at Amoxicillin! | #pharmacology #ID #pediatrics #IM #FM #amoxicillin #bacteriocidal #strep #UTI #listeria #rash |
| B of ABCDE, thoracic injuries | #MedED #GraphicMed #EM #EmergencyMedicine #Trauma #ChestTube #ChestDrains #ThoracicInjuries |
| We’ve been in full #COVID19 mode in my hospital in Alcorcón (Madrid), Spain for the past 2 weeks. This crisis has forced us to adapt like we never thought possible. Here’s how we’re doing that on our units, in hope that it’ll help others across the globe | #MedEd #COVID19 #coronavirus #nCoV2019 #HospitalPreparation #PPE #FOAMcovid |
| An interesting new paper on #PedsICU #delirium has been published online in | #EBM #publication #pediatrics #ICU #delirium #LengthOfStay #sedation #CognitiveDecline |
| A tweetorial on ear pain: Otogenic Otalgia | #ClinicalReasoning #Otolaryngology #ENT #Otalgia #EarPain #OtogenicOtalgia |
| Patient with sudden onset left sided chest pain. He is hemodynamically stable but is tachycardic with a heart rate of 120 beats per minute. Oxygen saturation of 90 percent while breathing ambient air. | #ClinicalImages #Case #POCUS #PCCM #lung #ultrasound #SeaShoreSIgn #BarcodeSign #pneumothorax |
| On behalf of Chest Infections Network, it is my pleasure to present following information on #COVID19. | #MedEd #InfectiousDisease #ID #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus |
| Insulin and Potassium regulation! | #MedEd #Physiology #Endocrinology #Endo #InternalMedicine #IM #Insulin #Potassium #PotassiumHomeostasis #Hyperkslemia |
| pt 2 in Potassium #Tweetorial series. This time, Aldosterone and Potassium Homeostasis | #MedEd #Physiology #Endocrinology #Endo #InternalMedicine #IM #Aldosterone #Potassium #PotassiumHomeostasis |
| part 1 of a tweetorial series on K homeostasis/Hyperkalemia. This is a big topic, so I’ll stick to concepts. | #MedEd #Physiology #Endocrinology #Endo #InternalMedicine #IM #Insulin #Potassium #PotassiumHomeostasis #Hyperkalemia |
| #Tweetorial on #NTProBNP comes from a case of volume overload | #Physiology #Case #Cardiology #CardioTwitter #BNP #pBNP #NTproBNP #CHF #CognitiveAutopsy |
| what is sterile pyuria? | #MedEd #Urology #ID #InfectiousDisease #SterilePyuria #UTI #UrinaryTractInfection |
| 35M from Mexico p/w syncope found to have ventricular tachycardia 2/2 Chagas’ disease | #Case #IM #InternalMedicine #ID #InfectiousDisease #Cardiology #Syncope #VentricularTachycardia #ChagasDisease #ClinicalPearls #VasoVagalSyncope |
| Resistant HTN Tx. A case: 29 y/o M PMH #HTN and stage 4 #CKD, now with BP 220/110. Asymptomatic, no chest pain, changes in vision or headaches. | #MedEd #case #nephrology #renal #IM #HTN #SecondaryHypertension #ResistantHypertension #spironolactone #PATHWAY_2_Trial #reninoma |
| Let’s start talking SIBO (small intestinal bacterial overgrowth) – since we’re all a little bloated at times. | #Pathophysiology #Gastroenterology #GI #SmallIntestinalBacterialOvergrowth #SIBO |
| Let’s get going with SIBO part II. | #Pathophysiology #Gastroenterology #GI #SmallIntestinalBacterialOvergrowth #SIBO #Part2 #Diagnosis #SIBOdiagnosis #SmallIntestinalBacterialOvergrowthDiagnosis |
| selumetinib treatment for kids w/inoperable plexiform neurofibromas | #Publication #MedEd #Genetics #Pediatrics #Peds #NF1 #neurofibromas #selumetinib |
| #Tweetorial #NephJC #Hypernatremia Reviews and guidelines say to correct hypernatremia in adults by no more than 10 mmol/L per day. | #Physiology #EBM #Nephrology #Renal #Neph #Hypernatremia |
| PseudoHyponatremia Case: What type of hypoNa are we dealing with here? | #physiology #case #MedEd #nephrology #renal #InternalMedicine #IM #hyponatremia #osmolality #ADH #cisplatin |
| Acid Base Review: we’ll walk through our approach to uncovering #acidbase disorders & our mnemonic #pLACO using this example | #physiology #biochemistry #MedEd #CriticalCare #InternalMedicine #IM #renal #Nephrology #acidbase #pLACO #aniongap #deltadelta |
| Let’s talk about school closures re COVID-19. It’s a tough topic, scientifically and pragmatically. It’s hard to estimate the benefits precisely. And closing schools can have costs, such as health care workers having to stay home, kids missing subsidized | #MedEd #InfectiousDisease #ID #SchoolClosure #COVID19 #nCoV19 #coronavirus #NPI #NonPharmacologicalIntervention |
| Let’s talk about the fact that both the attack rate and the death rate among the young is indeed very low with COVID19, unlike most prior pandemics. And let’s speculate about some of the biological reasons. | #HistMed #MedEd #InfectiousDisease #ID #attackrate #deathrate #COVID19 #nCoV19 #coronavirus #CaseFatalityRate #sCFR #infectionfatalityrate #IFR |
| Let’s talk about what happens if you get COVID19 and recover. Are you immune to the disease? How long does the immunity last? And what does that mean for your life and for the public health and economy of our society? | #Pathophysiology #Immunology #InfectiousDisease #ID #COVID19 #nCoV19 #coronavirus #Immunity #Immunization |
| Let’s talk about what happens if you get COVID19 and recover. Are you immune to the disease? How long does the immunity last? And what does that mean for your life and for the public health and economy of our society? | #MedEd #InfectiousDisease #ID #Immunology #COVID19 #nCoV19 #Coronavirus #immunity #Vaccine #COVIDVaccine |
| Respiratory virus shedding in exhaled breath & EFFICACY OF FACE MASKS? | #MedEd #Publication #InfectiousDisease #ID #COVID19 #ViralShedding #facemasks #coronavirus |
| How do we manage CAD in advanced CKD? | #Publication #MedEd #Cardiology #CardioTwitter #CADinCKD #CAD #coronaryarterydisease #CKK #chronickidneydisease |
| Time for a Tweetorial on the BNP! | #Physiology #ClinicalReasoning #Cardiology #CardioTwitter #BNP #CHF #Dyspnea #HeartFailure #LikelihoodRatio #PreTestProbability #PostTestProbability |
| Iron Deficiency Anemia Edition | #Pathophysiology #EBM#Heme #Hematology #IM #InternalMedicine #FamilyMedicine #IDA #IronDeficiencyAnemia #IronDeficiency #IVIron |
| 33M, RHD, here with 1mo hx of dry cough, malaise and L shoulder and upper back pain. | #ClinicalReasoning #Case #EBM #Pulmonology #Pulm #Pneumonia #AspirationPneumonia |
| Another spot diagnosis. | #MedEd #EM #EmergencyMedicine #PrimaryCare #FamilyMedicine #Paronychia #Felon |
| 49M with 2 day fever, cough & hemoptysis comes to ED at 3AM with respiratory distress & Afib RVR. | #case #criticalcare #hypotension #oliguria #perfusion #CERTAIN |
| basics of function and the symptoms of a palsy | #MedEd #Lecture #Neurology #Neuro #CN #CranialNerves #Anatomy |
| What is a Levine Sign? | #ClinicalReasoning #Cardiology #CardioTwitter #LevineSign #ACS |
| A 50-year-old male with a prior cardiac surgery with right heart failure. Exam shows a JVP of 15 cm and an estimated 20 kg of interstitial edema | #Pathophysiology #Physiology #Cardiology #POCUS #ConstrictivePericarditis #Pericarditis #ECHO #JVP #EchoFirst |
| New study published in the “Journal of Mental Health” examines patients’ attitudes & experiences reading their psychotherapists’ notes online. | #publication #psychiatry #psycology #open #therapy #notes #mentalhealth #valuable |
| What is ACE2? We’ve been hearing about it a lot because of #coronavirus and its implications with hypertension and ACE-I and ARBS. As it turns out, my college research gig was in ACE2. | #MedEd #Pathophysiology #Pharmacology #InfectiousDisease #ID #Cardiology #cardiotwitter #COVID19 #coronavirus #nCoV19 #ACEi #ACEinhibitors #ACE2 |
| 10-day-old male p/w 10-second seizure-like episode of left arm and left leg jerking, followed by 2 succeeding episodes occurring in the ER, w/o loss of consciousness during episodes. | #Case #Physiology #Pediatrics #Peds #NeonatalHypocalcemia #Hypocalcemia #Seizure #Hyperparathyroidism #LECOMTweetorials |
| What’s the kuf of a coffee paper filter? What’s the kuf or UF coefficient? | #Physiology Specialty: #Nephrology #Renal #Neph Topics: #kuf #UFcoefficient #dialysis #ESRD |
| Why does soap work so well on the SARS-CoV-2, the coronavirus and indeed most viruses? | #MedEd #Pathophysiology #InfectiousDisease #ID #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV |
| Do you know the difference between hospice, palliative care, and primary palliative care? | #MedEd #hospice #palliativecare |
| Add these ABCs to your search pattern for every emergency body CT you read on call: | #MedEd #case #radiology #Rads #RadRes #CT #SearchPattern #ABC #pneumoperitoneum #freeair #hemorrhage #clot #thrombus #pseudoaneurysm #pearls |
| Patients have an increased incidence of venous thromboembolism (PE & DVT), including upper & lower extremity DVT & PE | #Publication #Hematology #Heme #HemeOnc #Radiology #Rads #COVID19 #DVT #DeepVenousThrombosis #PE #COVID2019 #nCOV2019 |
| Coronary Plaque Assessment | #MedEd #EBM #Pathophysiology #Cardiology #CardioTwitter#CoronaryPlaqueAssessment #CTCoronary #CoronaryCT #CardiacCT |
| 60 y/o hx of seizures & cirrhosis presenting after seizure & found to have distended abdominal wall veins. What is the cause? | #ClinicalReasoning #MedEd #PhysicalDiagnosis #InternalMedicine #IM #Gastroenterology #GI #Cirrhosis #DistendedAbdominalWallVeins #SVCobstruction #IVCobstruction #CaputMedusae |
| Cardiac auscultation is all about identifying normal from abnormal sounds. | #Physiology #Cardiology #CardioTwitter #CardiacAusculatation #PhysicalExam #HeartSounds |
| The Aldosterone Paradox, and the Potassium Switch. | #Pathophysiology #Nephrology #Renal #Neph #Aldosterone #AlderstoneParadox #PotassiumSwitch #Potassium |
| This developed over a few calls I got this week from parents of children with type 1 diabetes, who experienced hypoglycemia | #pathophysiology #MedEd #Endocrinology #pediatrics #IM #diabetes #hypoglycemia #70mg_dL #ketones #insulin #SUGAR |
| 3 month old male presents to the ER with difficulty breathing and stridor for 2 days | #MedEd #Neurosurgery #Neurology #Stridor #ObstructiveHydrocephalus #ChiariMalformation #LECOMTweetorials |
| rapid review of tachy/bradyarrhythmias in strokes | #MedEd #Neurology #Cardiology #Stroke #Arrrthymia |
| I thought I’d run through a brief summary on evaluating the hospitalized neuromuscular disease (NMD) patient and figuring out when to worry (and how to worry) | #Pathophysiology #Neurology #Neuro #HospMed #Hospitalist #NMD #Neuromusculardisease #HospitalizedNeuromuscularDisease |
| Our case: 62 yo M w hx of known CHF w EF 35 who presents with cough and generalized malaise. | #images #case #POCUS #pulmonology #cardiology #IM #CHF #diuresis #pneumonia #VolumeManagement #IVC #PLA |
| 73 yo M w hx of COPD presents with generalized weakness, failure to thrive, SOB, weight loss, and cough. | #Clinicalimages #MedEd #case #POCUS #pulmonology #SOB #malignancy #PE #echo #Rvenlargement #B_lines #DVT |
| Ultrasound: #IMPOCUS case here, discussing clinical integration of #POCUS in acute chest pain | #case #MedEd #ClinicalImages #cardiology #cardiotwiter #POCUS #AcuteChestPain #RWMA #TakotsuboCardiomyopathy #LHC |
| Ultrasound: A lines, B lines, Consolidation… the ABCs of Lung Ultrasound | #MedEd #ClinicalImages #case #POCUS #pulmonolgy #EM #IM #LungUltrasound #Alines #Olines #Zlines |
| POCUS: 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w ascites who presents with abd pain + distention | #meded #case #pocus #ascites #cirrhosis #ultrasound |
| a comparison of two cases with hopes to stimulate discussion on how #POCUS may or may not help in these cases. | #Case #ClinicalReasoning #InternalMedicine #IM #POCUS #LungUS #CardiacUS #Dyspnea #ShortnessofBreath #PulmonaryEdema |
| Ever found DVT POCUS challenging? | #GraphicMed #MedEd #POCUS #DVT #LowerExtremityDVT #DeepVenousThrombosis #DVTUltrasound |
| A 52 yo M with hx of EtOH/HCV cirrhosis, VTE on Eliquis, HFrEF presents w worsening abd distention and pain. He is disoriented and unable to give much history. | #Case #POCUS #AbdominalPain #Ascites #Cirrhosis |
| A front line account of COVID from a front-line ICU physician in a Seattle hospital | #MedEd #Advocacy #InfectiousDisease #ID #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV |
| Notes from the front lines on COVID19: Sharing from another physician From an ID conference in Californi | #MedEd #InfectiousDisease #ID #IDAC #COVID19 #coronavirus |
| Stop KILLING Your Patients with Fluid! | #ClinicalReasoning #Physiology #POCUS #Ultrasound #FluidOverload #VenousCongestion |
| Complete Guide to CARDIAC Ultrasound in #COVID19. New Blog POST! What are 5 things you MUST know to save your patients? | #MedEd #GraphicMed #Radiology #Rads #Cardiology #CardioTwitter #USinCOVID #CardiacUltrasound #CardiacUSinCOVID19 #COVID19 #ECHO #POCUSforCOVID |
| Learning Ultrasound Physics, Doppler, and Artifacts doesn’t have to be Terrible! | #MedEd #POCUS #Radiology #USphysics #UltrasoundPhysics #Doppler #Artifacts #Ultrasound |
| Multiorgan #POCUS Approach with ED/Outpatient and Inpatient Algorithms | #ClinicalReasoning #MedEd #POCUS #Ultrasound #Radiology #COVID19 #coronavirus #MultiOrganUltrasound |
| SARS-CoV-2 and the RAAS System Curious about the role of ACE2 in the pathophysiology of #COVID19? Read on! | #Pathophysiology #Cardiology #CardioTwitter #InfectiousDisease #ID #COVID19 #SARSCoV2 #RAAS #ACE2 #nCO#coronavirus |
| Cerebral Pheohyphomycosis | #pathslides #pathology #neuropath #cerebral #pheohyphomycosis #fungal #hyphae #GiantCells #melanin |
| Beta-blockers. | #MedEd #Cardiology #CardioTwitter #BetaBlockers #Mortality #GoodOrBad |
| Today’s Tweetorial is courtesy of my friends Thomas Treibel, Charlotte Manisty, and James Moon! | #Question #InfectiousDisease #ID #COVID19 #coronavirus #SARSCoV2 #Transmission #Lockdown #PPE #Biostatistics |
| talk on sensitivity and specificity | #MedEd #InternalMedicine #Sensitivity #Specificity #Testing |
| Renal denervation and blood pressure reduction. A review | #MedEd #Publication #EBM #Nephrology #Renal #Neph #Cardiology #CardioTwitter #RenalDenervation #HTN #hypertension |
| What Was Kussmaul Seeing in his Sign? | #MedEd #histmed #physiology #cardiology #cardiotwiter #KussmaulsSign #ElevatedJVP |
| Fever. The Journey to a Diagnosis part 2 | #Pathophysiology #InfectiousDisease #ID #InternalMedicine #IM #fever #part2 |
| Fever. The Journey to a Diagnosis part 1 | #Pathophysiology #InfectiousDisease #ID #InternalMedicine #IM #fever #part1 |
| Dyspnea What about the time course? | #ClinicalReasoning #EBM #Pulmonology #Pulm #Dyspnea |
| Cellular lysis… Not all cells are equal. | #ClinicalReasoning #EBM #Hematology #Heme #HemeOnc#CellLysis #TLS #TumorLysisSyndrome |
| Osteomyelitis 2 completely different diseases… | #ClinicalReasoning #EBM #InfectiousDisease #ID #Osteomyelitis |
| H2O toxicity…Say what? Yes…H2O toxicity.The Story and The Schema. | #ClinicalReasoning #EBM #Nephrology #Renal #Neph #H20Toxicity #hyponatremia #Watertoxicity |
| Upper GI Bleed..4 chief concerns 3 common diagnosis2 key Dx questions | #ClinicalReasoning #EBM #Gastroenterology #GI#UpperGIBleed #GIBleed |
| Teaching Rounds Day 10/15 Weight Loss 2 Key Steps 2 Common Pitfalls and 1 intriguing question. | #ClinicalReasoning #InternalMedicine #IM #weightloss #ChronicInflammation |
| Venn Diagrams from a practical lens… | #ClinicalReasoning #MedEd #VennDiagrams #VennDiagram |
| Teaching Rounds Diarrhea – Part 1 3 Misleading Mimics 2 Key Questions | #Gastroenterology #GI #HospMed #Hospitalist #InternalMedicine #IM #Diarrhea #TeachingRounds #ClinicalReasoning |
| Teaching Rounds Day 2/15Venn Diagrams Part 2 -Length Familiarity & Certainty Part 1 – Pivot and Filter – | #ClinicalReasoning #VennDiagrams #PivotandFilter |
| Teaching Rounds Day 4 Anemia – Part 2 Slow loss & The Bone Marrow Factory Check out part 1 | #ClinicalReasoning #HospMed #Hospitalist #Hematology #Heme #HemeOnc #InternalMedicine #IM #Anemia #TeachingRounds #Part2 |
| Teaching Rounds Day 3 Anemia – Part 1 | #ClinicalReasoning #HospMed #Hospitalist #Hematology #Heme #HemeOnc #InternalMedicine #IM #Anemia #TeachingRounds #Part1 |
| Teaching Rounds Day 5 Thrombocytopenia Hold your breath. Schistos? Heparin? | #ClinicalReasoning #HospMed #Hospitalist #Hematology #Heme #HemeOnc #InternalMedicine #IM #Thrombocytopenia #TeachingRounds |
| Teaching Rounds Day 12/15 The Real AMA…Adjusted Medical Advice | #ClinicalReasoning #HospMed #Hospitalist #AMA #AgainstMedicalAdvice #TeachingRounds |
| Teaching Rounds – the final chapter. Abdominal Pain From the first hour until today… | #ClinicalReasoning #EmergencyMedicine #EM #HospMed #Hospitalist #AbdominalPain #ApproachtoAbdominalPain #TeachingRounds |
| Every time we hear bradycardia, our reflex is to immediately assess for hemodynamic stability. | #ClinicalReasoning #Pathophysiology #Cardiology #CardioTwitter #Bradycardia |
| “the sample is hemolyzed.” part 1 | #ClinicalReasoning #Hematology #IM #InternalMedicine #Hemolyzed #Synergy #Interdependence #Hemolysis |
| Up for an evening #CPSmorningreport ? I’m a few minutes late, but it looks like we are starting with a case of a middle aged M with 10 months of diarrhea, epigastric pain, and progressive weight loss. | #Podcast #ClinicalReasoning #InternalMedicine #IM #Gastroenterology #GI #Diarrhea #ZollingerEllison #zollingerellisonsyndrome #Gastrin |
| Today we have a 60 something F presenting with a 2 wk history of leg edema. | #ClinicalReasoning #Podcast #IM #InternalMedicine #LEedema #LegEdema #LowerExtremityEdema #Legswelling |
| Today we had a middle aged F presenting with dyspnea x 3 months | #ClinicalReasoning #Podcast #IM #InternalMedicine #Dyspnea #Agoraphobia #PanicDisorder #CPSmorningReport #VirtualMorningReport @CPSolvers |
| What defines hypersensitivity? When immune responses go from protecting to damaging the body. | #Pathophysiology #Allergy #Immunology #HypersensitivityReactions |
| A new potential #COVID19 therapy. Convalescent plasma for #coronavirus | #MedEd #Publication #InfectiousDisease #ID #COVID19Therapy #COVID19 #SARSCoV2 #convalescentplasma #coronarvirus |
| Just finished leading a conference about #COVID19 and hematology. >50% of my citations were preprints, so that got me thinking: why write my own preprint when I can just do a tweetorial? So here goes: TrumpetDrum[fanfare] COVID-19 for the HEME CONSULT fellow or attending. | #Pathophysiology #Hematology #Heme #HemeOnc #COVID19 #lymphocytes #platelets #RBCs #HemeConsult |
| Should we use #hydroxychloroquine (HCQ) +/- azithromycin to treat #COVID19 #SARSCoV2? Let’s take a look at the data. Here’s: #HowIReadThisPaper on the only trial published to date on HCQ for COVID19 in humans: | #ClinicalReasoning #EBM #InfectiousDisease #ID #Pharmacology #COVID19 #coronavirus #nCoV2019 #HCQ #Azithromycin #Hydroxychloroquine |
| Feeling overwhelmed by the #COVID19 #SARSCoV2 literature? Me too. We’re in this together. I’ll show you #HowIReadThisPaper and my appraisal. Add, comment, and correct me where I am wrong. | #Publication #InfectiousDisease #ID #COVID19 #SARSCoV2 #NEJM #HowIReadThisPaper #CoronaVirusChina |
| Should we use #remdesivir (RDV) to treat #COVID19 #SARSCoV2? Let’s take a look at the data. | #criticalappraisal #journalclub#InfectiousDisease #CriticalCare #caseseries #remdesivir #Covid_19 |
| What is the risk of macrovascular thrombosis among critically ill patients with #SARSCoV2 #COVID19? Let’s take a look at the data. | #Publication #Hematology #Heme #HemeOnc #InfectiousDisease #ID #COVID19 #SARSCoV2 #Thrombosis #MacroVascularThrombosis |
| Should we use #Remdesivir (RDV) to treat #SARSCoV2? #COVID19 Let’s take a look at the data. | #Publication #InfectiousDisease #ID #Remdesivir #RDV #SARSCoV2 #COVID19 #howireadthispaper #Lancet |
| Should we use #Lopinavir-ritonavir (LPV/r) + #Ribavirin (RBV) +/- #Interferon beta-1b (IFN) to treat #SARSCoV2 #COVID19? Let’s take a look at the data. | #Publication #Research #InfectiousDisease #ID #InternalMedicine #IM#Lopinavir_Ritonavir #LPVr #Ribavirin #RBV) #Interferonbeta1b #IFN #SARSCoV2 #COVID19 #HowIReadThisPaper #TheLancet |
| How common is loss of smell (anosmia) in #SARSCoV2 #COVID19, and how useful is it for ruling the diagnosis in or out? Let’s take a look at the data. | #Publication #EMB #EmergencyMedicine #EM #InfectiousDisease #ID #Biostatistics #COVID19 #SARSCoV2 #HowIReadThisPaper #PPV #NPV #Prevalence #Anosmia #Hyposmia |
| A tweetorial on false positives & transposing the conditional!Or why interpreting type 1 error can be so confusing. | #MedEd #ClinicalReasoning #EBM #Statistics #FalsePositive #Type1Error #α #probability #NHST #HypothesisTesting |
| The origins of Hgb A1c targets for Type 2 Diabetes Mellitus | #MedEd #histmed #endocrinology #Endo #A1c #Type2DM #Diabetes #Type1DM #DiabetesMellitus |
| Tweetorial on this WSJ article, and the importance of understanding confounders & colliders when making causal inferences. | #MedEd #Biostatistics #Inference #COVID19 #Confounders #Colliders #CasualInferences |
| Causal reasoning is a core part of the practice of medicine, but it is sometimes neglected in our EBM curriculum. | #EBM #epidemiology #causal #reasoning #association #interference #counterfactuals |
| Tweetorial on two common sources of bias in Observational Studies: | #EBM #epidemiology #counfounding #bias #observational #studies |
| Finger Sprains | #MedEd #Physiology #ClinicalReasoning #OrthopedicSurgery #Ortho #fingersprain #BoutonniereDeformity |
| some pointers in case the new #coronavirus continues to spread across borders, here’s some thoughts from an ICU doc who worked through SARS and saw friends get sick. | #MedEd #CriticalCare #IM #EM #coronavirus #PPE #recenttravel #BiPAP #PAPR #eyeprotection |
| Hepatic masses. More than a YEAR later, here it is! #pathology #liverpath | #Pathophysiology #Gastroenterology #GI #Hematology #Heme #HemeOnc #HepaticMasses #LiverMass #LiverMets #LiverMetastasis |
| Anxiety amidst #COVID19: A teen asked if I could up their SSRI dose. They had well-managed anxiety, but something changed. “They’re anxious about coronavirus”, | #MedEd #Pediatrics #Peds #Psychiatry #Psych #Anxiety #anxiety #SSRI #COVID19 |
| Addressing Adolescent Adherence (how’s that for alliteration?): | #MedEd #Pediatrics #Peds #AdolescentAdherence #Teenswithchronicdisease #chronicdisease |
| Polls for far; 67% concerned of overcorrection when correcting hypernatraemia presumably neurological concerns. Let’s review sodium physiology in the brain. | #Pathophysiology #Nephrology #Renal #Neph #sodium #hypernatremia #hyponatremia #cerebraledema |
| When to use “corrected sodium” versus “measured sodium” in caring for a patient with hyperglycemia? | #ClinicalReasoning #Physiology #Question #Nephrology #Renal #Neph #Hyponatremia #CorrectedSodium #Na #MeasuredSodium #HyperOsmolarHyponatremia |
| Ischemic bowel disease | #MedEd #ClinicalReasoning #GI #Gastroenterology #Vascular #IschemicBowelDisease #MesentericIschemia |
| Misnomers in medicine and few pearls re: AST/ALT, ALP/Bili | #MedEd #Gastroenterology #GI #HospMed #Hospitalist #InternalMedicine #IM #MisnomerInMedicine #LFTs #Transaminitis |
| Congenital Long QT Syndrome (CLQTS) | #Case Electrophysiology #EP #Cardiology #CardioTwitter #CongentialLongQTSyndrome #LQTS #CLQTS |
| “The sample is hemolyzed” – In vitro vs In vivo | #ClinicalReasoning #Hematology #IM #InternalMedicine #Hemolyzed #Synergy #Interdependence #Hemolysis #InVitro #InVivo |
| This study compared COVID-19 mortality rates by racial/ethnic group AND age. | #Publication #InfectiousDisease #ID #COVID19 #Epidemiology #SARSCoV2 #BlackMortality #HispanicMortality |
| V/Q scan images airflow or ventilation (V) and perfusion (Q) or blood flow in your lungs | #anatomy #images #radiology #NuclearMedicine #VQScan #ventilation #perfusion #CTPA #PE #PulmonaryEmbolism #PIOPED_Iicriteria |
| Why do most deaths during triathlons occur during the swimming portion, despite it being the first and shortest of all three legs? | #pathophysiology #IM #CriticalCare #pulmonology #cardiology #triathlon #swimming #SIPE #pulmonaryedema #sildenafil |
| Hypophysitis. @CPSolvers episode 56 recap | #Podcast #Pathophysiology #Hematology #HemeOnc #Heme #CheckPointInhibitors #Immunotherapy #hypophysitis |
| How to remember the components of Asthma through Asma’s short story | #MedEd #Pulmonology #Pulm #Asthma |
| Right-sided infective endocarditis ~ for 5% to 10% of all IE | #MedEd #cardiology #ID #IM #InfectiveEndocarditis #RightSided #TV #IVDU #fungal #echo #repair #valvectomy |
| 86-yo man w class III CHF severe eccentric mitral regurgitation w ⬇️ functional capacity,🚫Sx candidate Q:Can we treat w #mitraclip? | #case #question #cardiology #ECHO #mitraclip #MR |
| the successes and struggles of the healthcare system. ID social political determinats | #SDOH #advocacy #ID #social #political #determinants #HepC #HIV injection_drug_use #transportation |
| DIURETIC RESISTANCE (an #UncleBob #5goodminutes tweetorial) | #pathophysiology #physiology #case #nephrology #renal #neph #cardiology #diureticresistance #diuretic #furosemide #torsemide #metolazone #dailyweights #heartfailure #HFrEF |
| Why #UncleBob often asks for the urine sp gravity (which many students and residents seem to ignore)? The patient was likely volume contracted from very significant diarrhea | #Podcast #ClinicalReasoning #InternalMedicine #IM #UrineSP #UrineSpecificGravity #AKI #AcuteKidneyInjury |
| Treating metabolic acidosis, brief tweetorial #UncleBob Today’s @CPSolvers Virtual Morning Report: complicated patient w/ an AKI. Labs: normal gap acidosis w/ inadequate compensation. Whether to treat the acidosis created some controversy | #ClinicalReasoning #EBM #Podcast #InternalMedicine #IM #Nephrology #Renal #Neph #NAGAM #BicarbReplacement #bicarb #acidosis #CPSolver #VirtualMorningReport |
| #UncleBob has some thoughts about liver test interpretation. During today’s @CPSolvers Virtual Morning Report, we had a robust discussion of the meaning of the liver tests. I hope this thread will be worth #5goodminutes | #ClinicalReasoning #Gastroenterology #GI #InternalMedicine #IM #5goodminutes #LFTs #livertests #AST #ALT #ALP #Hepatitis #GGT #albumin #INR |
| 50s, severe brain injury, all input from IV & feeding tube, stage 4 decubitus ulcer, now has markedly increased urine output (3 l/day) & hypernatremia | #Physiology #ClinicalReasoning #Nephrology #Neph #IM #InternalMedicine #Hypernatremia |
| Collecting 24 hour urine is fraught with difficulty. | #MedEd #Physiology #Nephrology #Neph #GFR #eGFR #Creatinine #CockcroftGault |
| Acute Kidney Injury | #ClinicalReasoning #MedEd #Nephrology #Renal #Neph #AKI #AcuteKidneyInjury |
| I consider the development of chalk talks a very useful (perhaps even essential) activity for successful clinician-educators. | #MedEd #InternalMedicine #IM #ChalkTalks #5goodminutes |
| The paradox of treating ARDS is this: because we don’t have a drug to reverse lung injury, we provide supportive care with two therapies – oxygen and mechanical ventilation – that can both cause ARDS. | #Pathophysiology #CriticalCare #Pulm #Pulmonology #Hyperoxia #Oxygen #MechanicalVentilation #ARDS #OxygenToxicity |
| The chalk talk | #advice #academia #research#chalktalk #lab #jobsearch #practice |
| Handout from our first COVID Conversations episode on “Non-ICU Inpatient Management” is now out! | #MedEd #Podcast #InternalMedicine #IM #ID #InfectiousDisease #COVID19 #nCOV2019 #Coronavirus |
| ARDS management resources | #EBM #MedEd #CriticalCare #COVID19 #ICUManagement #Proning #VentilatorManagement #SARSCoV2 |
| Here’s a brief #tweetorial on the distinctions between primary & secondary hypothyroidism: | #Podcast #Pathophysiology #IM #InternalMedicine #Endo #Endocrinology #Hypothyroidism #PrimaryHypothyroidism #SecondaryHypothyroidism #Thyroid |
| hyperthyroidism, Graves’ disease, & interpretation of radioactive iodine uptake studies | #MedEd #Endocrinology #Endo #Hyperthyroidism #GravesDisease #Graves #RadioactiveIodine |
| “Introduction to Health Inequities” | #Advocacy #Podcast #HealthInequalities #HealthDisparities #Racism |
| PTH-dependent & PTH-independent causes of hyperCa | #Podcast #Endocrinology #Endo #Hypercalcemia #PTHdependent #PTHindepenedent |
| HYPOCALCEMIA | #MedEd #Podcast #Endo #Endocrinology #Hypocalcemia |
| tried & true, dermatologist-recommended skin care tips: | #MedEd #Dermatology #Derm #MedDerm #handwashing #handcare #dermatitis #eczema #handmoisturizer #DrySkin #SkinCream #SkinOintment #SkinLotion |
| A Brief History of Coronary Angioplasty and the Roots of the Interventional Cardiology Field | #HistMed #cardiology #cardiotwiter #InterventionalCardiology #radiology #RHC #LHC #angioplasty #angiogram #PTCA #CoronaryAngioplasty #Grϋntzig |
| Can smartphone apps measure blood pulse oximetry reliably? | #Question #MedEd #SmartPhoneApps #PulseOx #PulseOximetry |
| There are Two major types of COVID-19 L Type and S Type | #MedEd #ID #InfectiousDisease #COVID19 #coronavirus #CoronaOutbreak |
| Tweetorial of heart-lung interactions in the setting of mechanical ventilation (MCV) from @cardionerds episode 20. These concepts will apply to critically ill COVID-19 patients that are developing concurrent respiratory and cardiac failure. | #Pathophysiology #Cardiology #CardioTwitter #CriticalCare #COVID19 #coronavirus #mechanicalventilation #RespiratoryFailure #CardiacFailure #RespiratoryDistress #Hemodynamics #LVFailure #RVFailure #CardioNerds |
| A 17-year-old boy was rushed to the ER by his brothers struggling to breathe found to be in profound resp distress | #case #management #EmergencyMedicine #EM #CriticalCare #RespiratoryDistress #Asthma #intubation #hyperinflation #BIPAP #IVEpi #Magnesium #steroids |
| Here’s a great #ECG of a man who presented to the ER with crushing chest pain. | #case #EM #cardiology #chestpain #posterior #STEMI #ACS |
| what’s all the fuss with #candidemia? | #question #MedEd #EBM #InfectiousDisease #ID #candidemia #candida #glabrata #albicans #echinocandin #fluconazole #tropicalis #krusei #parapsilosis |
| #Bacteremia myth: Do fevers predict bactermia | #EBM #InfectiousDisease #BloodCultures #Bacteremia #ESBL |
| Here we discuss history, epidemiology, ecology, some cool facts about #Cocci, and reasons why #fluconazole may not be the best drug for Cocci. | #Pathophysiology #EBM #InfectiousDisease #ID #Cocci #Coccidioidomycosis #Fluconazole |
| Going along with @cardionerds Part 1 of 4 (Episode 24), here’s some info regarding #COVID19 treatment | #ClinicalReasoning #EBM #InfectiousDisease #ID #Pharmacology #COVID19 #coronavirus #nCoV2019 #HCQ #Azithromycin #Hydroxychloroquine #Remdesivir #kaletra #COVID19Treatment |
| “human leukocyte antigen (HLA) and typing”) | #MedEd #pathophysiology #Nephrology #renal #Neph #Hematology #Heme #HemeOnc #humanleukocyteantigen #HLA #transplantation #kidneytransplant #HLAbasics |
| Calcineurin inhibitors: A review | #pathophysiology #pharmacology #immunology #nephrology #dermatology #rheumatology #calcineurin #inhibitors #CNI #NFAT #kidneytransplant #toxicities |
| Immunosuppresion: mammalian/mechanistic target of rapamcyin inhibitors | #pathophysiology #immunology #nephrology #TransplantNephrology #immunosuppression #mTORi #Rapamycin #sirolimus #ILD |
| In light of the conversion of many of our interactions to virtual experiences, a #tweetorial on @zoom_us features that may enhance your teaching/conferences/meetings etc | #MedEd #Lecture #VirtualTeaching #Zoom |
| kidney replacement therapies (KRT) | #Pathophysiology #MedEd #Nephrology #Renal #Neph #KRT #KidneyReplacementTherapies #ESRD #Dialysis #hemodialysis #IntermittentHemodialysis |
| Dextromethorphanology follow up from the roboshots post this morning. | #Physiology #MedEd #Toxicology #Tox #EM #EmergencyMedicine #Dextromethorphan #DXM #DextromethorphanToxicity #Pharmacology |
| What happens after you inhale Histoplasma into your lungs? Is #histoplasmosis always a deadly disease? | #pathophysiology #ID #pathology #histoplasmosis #disseminated #spelunking #GMSstain #narrowbasedbudding #pathslides #pathology #immunology #necrosis #neutrophils #suppurative #caseous |
| Histologic flavors of necrosis. | #pathophysiology #ID #pathology #histoplasmosis #disseminated #spelunking #GMSstain #narrowbasedbudding #pathslides #pathology #immunology #necrosis #neutrophils #suppurative #caseous |
| These serpiginous fibroblast plugs are diagnostic if organizing pneumonia (formerly BOOP), a path tweetorial | #histopathology #pathslides #pulmonology #PulmPath #OrganizingPneumonia #fibroblasts #PillFiller #aspiration #Vegetableparticles |
| Can a diagnosis of mesothelioma be made on the basis of cytology alone? | #pathophysiology #ClinicalReasoning #Pathology #Pulmonology #pulm #Oncology #mesothelioma #cytology #IHCpath #mesothelialmarkers #diagnosis |
| A (somewhat verbose) patient interaction story + clinical pearls about opioid metabolism | #NarrativeMed #Case #Advocacy #Physiology #PerioperativeMed #PeriOp #PeriOpMedicine #OrthopedicSurgery #Ortho #PostOpPain #opioids #paincontrol #opioidmetabolism |
| volume resus in septic patients | #pharmacokinetics #IM #CriticalCareMedicine #EM #volume #kinetics #resuscitation #halflife #crystalloids #septic #shock |
| Remember you’re at the meeting to learn AND to network. Don’t know how to network? To the person attending an academic conference for the first time: Too afraid to network? | #NarrativeMed #MedEd #Networking #AcademicNetworking #AcademicConference |
| Here’s a new thread – “Popular Twitter Tips Academics Should Ignore” | #NarrativeMed #MedEd #Academia #AcademicTwitter #TwitterTips #AcademicTipsTwitter |
| You’ve joined Twitter. Now what? Pt. 2 | #NarrativeMed #AcademicTwitter #HowTo #Part2 |
| There are a ton of great articles on WHY scholars should join Twitter, but most don’t offer an in-depth HOW-to. This leads to hesitation and timidness. So, I present a thread “You’ve joined Twitter. Now what?” #AcademicTwitter #scicomm #SoMe | #NarrativeMed #AcademicTwitter #HowTo |
| More research is showing that those recovered from COVID-19 might be able help those currently suffering…Time for a #convalescentplasma for #COVID19 intro | #Pathophysiology #InfectiousDisease #ID #convalescentplasma #COVID19 #coronavirus |
| Let’s talk about blood urea nitrogen (BUN) | #MedEd #physiology #case #nephrology #renal #Neph #InternalMedicine #IM #BUN #Uremia #Azotemia #BloodUreaNitrogen #Uremic |
| Another day on service and you are starting with answering a page from PACU. “Hi this is nephrology fellow returning your page”. “Great! This is Ortho, and our patient post op has low potassium here; I believe you call it HYPOkalemia” #Loveourorthopods #Tweetorial #medthread | #case #physiology #renal #nephrology #IM #hypokalemia #urinary #electrolytes #urine_potassium_to_creatinine_ratio #RefeedingSyndrome #hypophos |
| Hypokalemia: Would ECG be abnormal? | #EBM #physiology #Cardiology #CardioTwitter #nephrology #renal #neph #hypokalemia #ECG #Uwave |
| Prone vs. Supine? | #MedEd #Physiology #CriticalCare #Pulmonology #Pulm #InfectiousDisease #Proning #ProneVentilation #VentManagement #LECOMTweetorials |
| Time for another hematology tweetorial! #nerdalert #hemetwitter Another rare diagnosis, but one not as commonly taught/known. | #Case #Pathophysiology #Hematology #Heme #HemeOnc #methemoglobinemia |
| Now that we all know about blue blood, let’s learn about the man with the “golden arm” 1/n | #pathophysiology #hematology #golden #arm #alloimmunization #D_antigen |
| A case of heavy menstrual bleeding. 14yo female presents to primary care with a complaint of fatigue. | #Case #ClinicalReasoning #OBGYN #OB #GYN #Pediatrics #Peds #HeavyMenstrualBleeding #HMB #MenstrualCycle #menstruation |
| et’s embark on another female related tweetorial and learn about IUDs! | #MedEd #hematology #pediatrics #primarycare #menstruation #periods #HMB #IUD #copper #levonorgestrel |
| Iron deficiency | #Physiology #Hematology #Heme #HemeOnc #IronDeficiency #Hepcidin #IronSupplements #IronReplacement |
| Coagulopathy in patients with COVID-19 | #Pathophysiology #InfectiousDisease #ID #Hematology #Heme #HemeOnc #COVID19 #coronavirus #DIC #DVT #PE #Thrombosis |
| Tweetorial on Role of Angiotensin‐Converting Enzyme Inhibitors & β‐Blockers in Primary Prevention of Cardiac Dysfunction in Breast Cancer Pts | #Publication #ClinicalReasoning #Cardiology #CardioTwitter #Hematology #Heme #HemeOnc #ACEInhibitors #βBlockers #BBlockers #BetaBlockers #BreastCancer #CardiovascularPrevention |
| Ever wondered why doctors and people with type 2 diabetes are getting so excited about low carbohydrate diets? | #MedEd #Endocrinology #Endo #DM2 #Type2DM #Type2Diabetes #LowCarbDiet |
| Tips on the mechanically ventilated ARDS and sick hypoxemic patient. Protect the lungs from the start! | #Physiology #Pulmonology #Pulm #CriticalCare #ARDS #Ventilator #Hypoxemia #MechanicalVentilation |
| ED management of the critically ill patient with cirrhosis? | #MedEd #ClinicalReasoning #EmergencyMedicine #EM #GI #Gastroenterology #Cirrhosis #CriticallyIllCirrhotic #GIBleed #Varices #Gastrotintestinalbleeding |
| Can you be in shock and HYPERtensive? | #pathophysiology #case#criticalcare #cardiology #shock #cardiomyopathy #hypertension #nitrogtt |
| #ExerciseIsMedicine #Tweetorial is here | #MedEd #Psychiatry #ExerciseInMedicine #MentalHealth #Anxiety #Depression |
| Eating, pooping, peeing, sleeping, moving. | #MedEd #HospitalMedicine #IM #eating #pooping #peeing #sleeping #moving |
| Physical Exam Skills, JVP, S1 & S2 | #Physiology #Cardiology #CardioTwitter #JVP #S1 #S2 #physicalexaminationskills |
| Wondering the impact #stayathome and #socialdistancing has against #coronavirus? Read on! I’ve broken down @nytimes and @uw’s Christopher Adolph’s excellent analyses. | #Advocacy #Question #InfectiousDisease #ID #StayAtHomeOrder #SocialDistanacing #COVID19 #coronavirus |
| Why are people with nephrogenic diabetes inspidius, who are peeing lots, sometimes given a thiazide diuretic for treatment? | #Pathophysiology #Question Specialty: #Nephrology #Renal #Neph #nephrogenicdiabetesinspidius #thiazidediuretic #thiazide |
| Today’s topic: insulin! We all know that insulin release is stimulated by glucose. So, let’s start with a question. | #pathophysiology #question #endocrinology #insulin #IV #oral |
| Let’s talk about #COVID19 and the cardiovascular system. You may have heard that SARS-CoV-2 uses the ACE2 receptor to gain entry into host cells. If you’re like me, this was a little confusing. ACE2 “receptor?” Huh? Time to review our good old friend RAAS! | #MedEd #Pathophysiology #InfectiousDisease #ID #Cardiology #cardiotwitter #COVID19 #coronavirus #nCoV19 #ACEi #ACEinhibitors #ACE2 #RAAS |
| Child presented with several weeks of abdominal pain, weight loss. Then agitation, restlessness, could not attend school any longer. Hemoglobin 8.1 g/dL. Endoscopy neg. Here is blood smear. Most of you will immediately make the diagnosis | #toxicology #hematology #lead #poisoning #encephalopathy #DMSA |
| Stevens Johnson Syndrome | #dermatology #derm #SJS #rash #stevenjohnsonsyndrome #TEN #dermemergency |
| We all learn about Systemic Lupus Erythematosus (SLE) in medical school, but did you know there are multiple forms #lupus can take in the #skin? | #MedEd #dermatology #Derm #MedDerm #rheumatology #Rheum #SLE #Lupus #DiscoidLupus #ACLE #SCLE #CCLE |
| PYODERMA GANGRENOSUM | #pathophysiology #MedEd #dermatology #Derm #MedDerm #pyodermagangrenosum #neutrophilic #dermatoses #immunosuppresion |
| erythema multiforme | #MedEd #question #dermatology #dermtwitter #erythema #multiforme #HSV #mycoplasma #SJS #papular #SupportiveCare #target |
| The erythemas | #MedEd #question #dermatology #dermtwitter #erythemas #erythemamultiforme #erythemamigrans #erythemanodosum #Erythemachronicummigrans |
| Why exactly do the lesions in pityriasis rosea appear in the “Christmas Tree” pattern? | #Pathophysiology #Dermatology #MedDerm #pityriasisrosea |
| STAPHYLOCOCCAL SCALDED SKIN SYNDROME | #Pathophysiology #InfectiousDisease #ID #Dermatology #Derm #MedDerm #Staphaureus #staph #StaphylococcalScaldedSkinSyndrome #SSSS |
| #purpura fulminans (PF)! | #Pathophysiology #Dermatology #Derm #MedDerm #purpurafulminans #purpura |
| Calciphylaxis | #Pathophysiology #Dermatology #Derm #MedDerm #Nephrology #Renal #Neph #Calciphylaxis |
| HOW TO TREAT ACTINIC KERATOSES AT HOME | #EBM #MedEd #Dermatology #Derm #MedDerm #ActinicKeratoses #actinickeratosis |
| Let’s do one about PAPULOSQUAMOUS DISORDERS of the skin. | #MedEd #ClinicalReasoning #Dermatology #Derm #MedDerm #PapuloSquamousDisorders #rash |
| #whitecoatsforblacklives effort | #Advocacy #WhiteCoatsForBlackLives #BlackLivesMattters #Racism #MedTwitter |
| Burkitt’s lymphoma: A review and history | #histmed #hematology #oncology #pathology #burkitts #lymphoma |
| In 1956, Benjamin Castleman et al described 13 cases of mediastinal lymph node hyperplasia that resembled thymomas grossly and microscopically | #Pathophysiology #Hematology #Heme #HemeOnc #CastlemansDisease #MCD #MulticentricCastlemansDisease #HHV8 |
| the rare risk of blindness associated with the prone position | #MedEd #Advocacy #Surgery #GenSurg #PronePositioning #blindness #VisualImpairmentFollowingSurgery |
| Liver disease in pregnancy | #MedEd #Pathophysiology #Gastroenterology #GI #OBGYN #OB #AFLP #AcuteFattyLiverDiseaseInPregnancy |
| alcohol withdrawal. | #Pathophysiology #MedEd #Gastroenterology #GI #AlcoholWithdrawal #ETOHWithdrawal #Alcohol #GABA #Glutmate |
| 64 yo M w/ HCV cirrhosis presents for f/u. He has had his HCV eradicated but feels progressively more fatigued & lightheaded over the last month | #case #GI #hepatology #portal #hypertensive #gastropathy #snakeskin #watermelonstomach |
| Binge Drinking and Pancreatitis | #pathophysiology #MedEd #question #Gastroenterology #GI #pancreatitis #AlcoholInducedPancreatitis #AlcoholAbuse |
| Why is upper GI bleeding so deadly and sometimes difficult to treat? | #MedEd #Pathophysiology #CriticalCare #GI #Gastroenterology #GIBleeding #UpperGIbleeding #GIBleed #GastrointestinalBleeding |
| So far I have covered who needs to be screened for varices. Today let’s talk about what to do when we find them (before they have bled). | #MedEd #ClinicalReasoning #Gastroenterology #GI #Varices #EsophagealVarices #ScreeningForVarices |
| What do we do when varices bleed? | #ClinicalReasoning #MedEd #Gastroenterology #GI #Varices #VaricealBleeding #Cirrhosis #EsophagealBleeding |
| Why do we start a PPI for a presumed upper GI bleed? | #ClinicalReasoning #MedEd #Gastroenterology #GI #PPI #UpperGIBleed #GIBleed |
| Why don’t we talk about a different virus for a change? Hepatitis A (HAV) seems to get glossed over but is an important pathogen to know! | #MedEd #ClinicalReasoning #Gastroenterology #GI #InfectiousDisease #ID #HepatitisA #HAV |
| 25 yo M p/w 3 days of progressive abd pain & distention. He has been afebrile & denies N/V. No significant PMH. A&Ox 3, has shifting dullness w/ hepatomegaly. | #MedEd #ClinicalReasoning #Case #Gastroenterology #GI #BuddChiariSyndrome |
| 46 yo F w/ obesity presents w/ 5 hours of epigastric abd pain. Temp:39 & RUQ tender to palp. | #MedEd #ClinicalReasoning #Case #Gastroenterology #GI #GallStonePancreatitis #Pancreatitis #GallStones |
| What if the natural history of acute pancreatitis is actually the plot of #TigerKing ? | #MedEd #ClinicalReasoning #Gastroenterology #GI #Pancreatitis #Pancreas |
| So far I have outlined how to screen for varices and what to do when they bleed. What if these interventions fail to achieve hemostasis? Today let’s talk about TIPS | #MedEd #ClinicalReasoning #Gastroenterology #GI #TIPS #Varices #TransjugularIntrahepaticPortosystemicShunt |
| For day 10 of #DistanceMedEd let’s go over Zenker’s diverticulum management. | #MedEd #ClinicalReasoning #Gastroenterology #GI #ZenkersDiverticulum |
| A 42 yo F p/w fatigue and pruritis. She doesn’t drink alcohol or take any medications | #Case #Question #MedEd #Gastroenterology #GI #AMAantibody #PrimaryBiliaryCirrhosis #AntimitochondrialAntibodies #Jaundice #LiverTwitter #Pruritus |
| normal aorta function | #pathophysiology #CardioVascularMedicine #normal #aorta #pulsatility #PressureCushion #AmazingAorta #NotJustAPipe |
| abnormal aorta function | #pathophysiology #CardioVascularMedicine #abnormal #aorta #stiffness #elastin #collagen #aging #ISH #ponytail #exercise #NotJustAPipe |
| The endothelium is integral to atherosclerosis and coronary artery disease. | #MedEd #Pathophysiology #Cardiology #CardioTwitter #Endothelium #Arteriosclerosus #Atherosclerosis #CAD #CoronaryArteryDisease |
| intrarenal acute kidney injury aki | #MedEd #ClinicalReasoning #Case #nephrology #Renal #Neph #AKI #AcuteKidneyInjury #Urinalysis #UA #IntraRenalAKI |
| 26-year-old man presented with 2 weeks of progressive shortness of breath and cough. #AllergicBronchopulmonaryAspergillosis #ABPA | #MedEd #case #ClinicalReasoning #pulmonology #pulm #dyspnea #ShortnessofBreath #AllergicBronchopulmonaryAspergillosis #ABPA |
| An 85M with ischemic cardiomyopathy (EF 20%) with an AICD for primary prevention presents with a syncopal episode | #MedEd #case #ClinicalReasoning #cardiology #cardiotwiter #Hematology #Heme #HemeOnc #Dyspnea #Syncope #SVCSyndrome #SuperiorVenaCavaSyndrome #case #MedEd #ClinicalReasoning #IM #PreTest #PostTest #probability #pneumonia #PE |
| 72-yo-woman with HTN, DM, & knee replacement (10 days ago) p/w pleuritic chest pain, dyspnea and cough. | #case #MedEd #ClinicalReasoning #IM #PreTest #PostTest #probability #pneumonia #PE |
| 46F presented with 2 weeks of diffuse abdominal pain, nausea and vomiting. PART 1. | #case #MedEd #ClinicalReasoning #IM #InternalMedicine #Rheumatology #Rheum #SclerodermaRenalCrisis #Scleroderma #SystemicSclerosis #Part1 |
| 46F presented with 2 weeks of diffuse abdominal pain, nausea and vomiting. PART 2. | #case #MedEd #ClinicalReasoning #IM #InternalMedicine #Rheumatology #Rheum #SclerodermaRenalCrisis #Scleroderma #SystemicSclerosis #Part2 |
| Doxycycline Deficient State: A Case and review | #case #MedEd #ID #InfectiousDisease #doxycycline #ticks #rickettsia #typhus #anaplasmosis |
| Our chief complaint is fatigue, malaise, and abdominal pain | #Case #Pathophysiology #ClinicalReasoning #Endocrinology #Endo #Hypoglycemia #AdrenalInsufficiency #AI |
| Consider this important medical diagnosis the next time you encounter personality change or psychosis in a young patient! | #ClinicalReasoning #Case #InternalMedicine #IM #Neurology #Neuro #Psychosis #AMS #AlteredMentalStatus #MIST #ProblemRepresentation #PersonalityChanges |
| A 30 yo man presented with 1 week of fevers, chills, & headache after travel to South America. Take a mental pause and think through your DDx. | #Pathophysiology #Case #Podcast #ClinicalReasoning #Hematology #Heme #HemeOnc #ID #InfectiousDisease #HemolyticAnemia #FeverInaReturingTraveler #Bartonellosis #Bartonella |
| With interview season coming to a close, it’s about time applicants got a primer on the exciting, albeit nerve-wracking task of creating and submitting their rank lists This is a #tweetorial on rank lists for the #urologymatch | #MedEd #Urology #urologymatch2020 #residencymatch #match #nrmp |
| Caffeine and performance in Basketball players | #MedEd #SportsMedicine #Caffeine #ergogenicaids #physicalperformance #basketball |
| Some thoughts on Chest X-Ray interpretation in the COVID era | #MedEd: #Radiology #Rads #COVID19 #ChestXrayReview #CXR #ChestXray #ChestXrayInterpretation |
| Contact Precautions for MRSA and VRE | #EBM #IM #HospMed #ID #InfectiousDisease #MRSA #VRE #ContactPrecautions #handhygiene #AntimicrobialStewardship |
| We all learn in medical school to give calcium in hyperkalemia for ‘membrane stabilization’. But what does ‘membrane stabilization’ actually mean? | #Physiology #Cardiology #CardioTwitter #Nephrology #Renal #Neph #Hyperkalemia #MembraneStabilization #CalciumGluconate #CalciumChloride #Potassium |
| Speaking of staying at home House building… let’s not forget that #AdvancingAmericanKidneyHealth (AAKH) aims to have 80% of people with kidney failure use a home dialysis modality or obtain a transplant by 2025. Do you know how close we are to that goal? | #MedEd #Advocacy #Nephrology #Renal #Neph #ESRD #Dialysis #PD #PeritonealDialysis #HomeDialysis |
| why leeches work the way they do | #MedEd #HistMed #Leeches #BloodLetting #LECOMTweetorials |
| What is a possible clinical presentation of normal flora acting as a causative pathogen? | #Case #MedEd #InfectiousDiease #ThoracicSurgery #Thoracics #StrepAnginosus #Mediastinitis #LECOMTweetorials |
| Why is cancer considered a hypercoagulable state? | #Podcast #InternalMedicine #IM #HemOnc #Oncology #DVT #HypercoagulableState #Cancer #VTE #PE #Hypercoagulable #CuriousClinicians |
| #Myelofibrosis : It is a BCR-ABL1–negative myeloproliferative neoplasm | #MedEd #Oncology #HemeOnc #Myelofibrosis #MyeloproliferativeNeoplasm |
| #PhlegmasiaCeruleaDolens | #Case #Pathophysiology #Urology #CystocerebralSyndrome #PhlegmasiaCeruleaDolens #UrinaryRetention |
| Case: A Patient presents to the ICU with severe hypotension. History and exam are unrevealing. Based on this CBC , why is this patient in shock? | #Case #pathophysiology #MedEd #CriticalCare #Hematology #InfectiousDisease #Endocrinology #AdrenalInsufficiency #SepticShock #CBC #eosinophils #NeutrophilLymphocyteRatio #NLR |
| Here is a #medtweetorial recap of @thecurbsiders Episode #191 #Lipids Update and #CardiovascularRiskReduction with Erin Michos MD | #Podcast #Cardiology #CardioTwitter #FamilyMed #InternalMedicine #IM #Lipids #LipidManagement #Triglycerides #Hypercholesterolemia #CardiovascularRiskReduction |
| Medications to Avoid for Patients on #Dialysis. #ESRD A part 2 of 3 | #Podcast #Nephrology #Renal #Neph #Dialysis #ESRD #MedicationsToAvoid |
| A #Medtweetorial recap from the @thecurbsiders episode #192. #Dialysis for the Internist w/ the legendary Dr. Topf @kidney_boy. Comparing types of dialysis, medication management in #ESRD, & common mistakes | #Podcast #ClinicalReasoning #Nephrology #Renal #Neph #Dialysis #ESRD #RenalDisease #CKD #ChronicKidneyDisease #EndStageRenalDisease |
| A review of anticoagulation for #Stroke prevention in #AFib PAF | #ClinicalReasoning #EBM #Cardiology #CardioTwitter #Neurology #Neuro #AFIB #PAF #AtrialFibrillation #ParoxysmalAfib #CHADs2VASC #StrokeRisk |
| A #Medtweetorial recap Part 3 of 3 from the @thecurbsiders Episode #192. | #Podcast #Nephrology #Renal #Neph #Dialysis #ESRD #DialysisInitiation #PhosphorusBinders #CancerScreening #Statins |
| A #Medtweetorial recap on episode 68 with @CPSolvers A 22y/o male with LE weakness and allodynia. | #Podcast #Pathophysiology #Neurology #Neuro #InternalMedicine #IM #ThiamineDeficiency #BeriBeri #DryBeriBeri #VitaminB1 #Thiamine #B1Deficiency |
| #CopperDeficiency assoc myelopathy is a recently recognized condition. It is often described “classically” with the presence of other hematologic derangements such as anemia and leukopenia. | #Pathophysiology #MedEd #Neurology #Neuro #Copper #CopperDeficiency #Myelopathy |
| Let’s take a ride (or a wave) with a Flash! Pulmonary Edema, review #MedTweetorial #SCAPE #FlashPulmonaryEdema #PulmonaryEdema @EMBoardBombs @blakebriggsMD | #Physiology #Podcast #EmergencyMedicine #EM #Cardiology #CardioTwitter #SCAPE #FlashPulmonaryEdema #PulmonaryEdema #SympatheticCrashingAcutePulmonaryEdema |
| A #Medtweetorial from EP: 202 on @thecurbsiders from @MayoClinic: An approach to lymphadenopathy w/ @cathompsonmd. Discussing the history, ddx, high yield lab testing, imaging, counseling pts with adenopathy, biopsing | #MedEd #ClinicalReasoning #Hematology #Heme #HemeOnc #LAD #Lymphadenopathy |
| A short #Medtweetorial from EP:201 @thecurbsiders on how to create your own online curriculum for #meded | #MedEd #OnlineCurriculum #DistancedLearning #Residency #MedicalSchool |
| After listening to the @CPSolvers Virtual Morning Report on 4/2/20 on a 35 y/o who presented with chest pain I wanted to comment on my own ER approach to the initial evaluation, differential, and labs/imaging that I usually start with. @DxRxEdu @rabihmgeha @HannahRAbrams | #ClinicalReasoning #EBM Specialty: #EmergencyMedicine #EM #ChestPain #VirtualMorningReport @CPSolvers |
| After listening to yesterday’s @CPSolvers 4/3 #VirtualMorningReport & the recap on Diffuse Alveolar Hemorrhage from PCP & Strongyloides i realized that I forgot about a #silverstain. | #MedEd #HistMed #InfectiousDisease #ID #GMS #SilverStain #PCP #Pneumocystis #GomoriMethenamineSilverStain #GyörgyGömöri |
| A #MedTweetorial on Infections Down Under: UTIs in Adults. Compliments of @EMBoardBombstMD UTIs, more common than #COVID19, and something we deal with daily. let’s cover risks, complications, and treatments. | #Podcast #ClinicalReasoning #InfectiousDisease #ID #EmergencyMedicine #EM #UTI #UrinaryTractInfection |
| A #Tweetorial #pearls recap of @thecurbsiders episode 200 on #COVID19 Update with @PaulSaxMD @BrighamSK @PaulNWilliamz @DoctorWatto Practical tips and discussion on transmission, testing, NSAIDs, ACE inhibitors, quarantine, treatment, and PPE | #Podcast #InfectiousDisease #ID #InternalMedicine #IM #COVID19 #nCoV19 #coronavirus #curbsiders |
| Time for another #MedTweetorial on Polycystic ovary syndrome #PCOS with @katherinesherif from her appearance on EP 198 (wow its been that many) of the @thecurbsiders @DoctorWatto @BrighamSK @PaulNWilliamz Check out the show notes for another way to view. | #Podcast #EBM #OBGYN #OB #GYN #InternalMedicine #IM #PCOS #PolycysticOvarianSyndrome |
| Let’s take a little break from #COVID19 and talk #appendicitis were I breakdown the @EMBoardBombs ULTIMATE appendicitis guide | #EBM #MedEd #EmergencyMedicine #EM: #Appy #Appendicitis |
| Speaking of Goats. Let’s talk about #Brucellosis!!! A short #tweetorial to follow. | #MedEd #ID #InfectiousDisease #Brucellosis #Remittingfever #undulantfever #MediterraneanFever #Maltesefever #Gibraltarfever #Crimeanfever #goatfever #Bangdisease. |
| 71yo woman w/ recently diagnosed htn p/w Down pointing backhand index PO intake, dark urine, LE edema, met alkalosis, hypok, & nephrotic synd | #MedEd #Case #InternalMedicine #IM #ClinicalReasoning #VirtualMorningReport #ClinicalPearls #SecondrayHypertension #LowerExtremityEdema #NephroticSyndrome |
| A 27 yo woman HC worker w/ pmhx of migraines p/w 2 mo of worsening headaches, chronic cough of 2 months, weight loss, and left-hand paresthesias, found to have bilateral papilledema. | #MedEd #Case #InternalMedicine #IM #ClinicalReasoning #VirtualMorningReport #ClinicalPearls #Paresthesia #Headache #ChronicCough #Fatigue #Weightloss |
| 50yo woman p/w 2 mo HA, daily fever & constitutional symptoms found to have leukopenia, thrombocytopenia, ↑ Cr and ↑ AST and ALT | #MedEd #Case #InternalMedicine #IM #ClinicalReasoning #VirtualMorningReport #ClinicalPearls #Leukopenia #Headache #Fever #Thrombocytopenia |
| How should we think about predicting, diagnosing, and treating alcohol withdrawal in sick hospitalized patients? | #MedEd #InternalMedicine #IM #AddictionMedicine #AlcoholWithdrawal |
| What is the mechanism of night sweats? | #pathophysiology #tweetorial #nightsweats #fever |
| Why is the chancre of primary syphilis painless? | #pathophysiology #physiology #ID #InfectiousDisease #syphilis #historyofmedicine #historyofmed #bedsiderounds |
| Why do we use multiple drugs to active treat tuberculosis (TB)? | #pathophysiology #physiology #ID #InfectiousDisease #pharmacology #medications #tuberculosis #TB #MTB #drugresistance |
| Why, if thrombocytopenia leads to petechiae, do we not see the same with aspirin? | #pathophysiology #physiology #hematology #hemeOnc #coagulation #bleeding #clotting #asapirin #ASA |
| Why do thiazide diuretics cause more hypokalemia than loop diuretics? | #pathophysiology #physiology #renal #nephrology #thiazides #thiazide #loopdiuretic #furosemide #HCTZ #chlorthalidone #hypoK #hypokalemia #hypertension |
| How does the drug name Sinemet (carbidopa/levodopa) provide insights into why it was developed and its mechanism of action? | #pathophysiology #physiology #pharmacology #pharmacy #medications #neurology #parkinsons #PD #sinemet #carbidopa #levodopa #etymology #dopamine #BBB |
| Why do we administer potassium to a goal of ≥4.0 mEq/L? | #pathophysiology #physiology #cardiology #nephrology #renal #hypokalemia #AMI #acuteMI #myocardialinfarction #potassium #repletion |
| How does alcohol cause macrocytosis? | #pathophysiology #physiology #hematology #macrocytosis #alcohol #EtOH #MCV #acetealdehyde #adducts |
| Why are right-sided pleural effusions more common in patients with cirrhosis? | #pathophysiology #physiology #hepatology #GI #gastroenterology #pulmonary #pulmonology #pleuraleffusions #hydrothorax #hepatichydrothorax #cirrhosis |
| Why does albumin decrease in inflammatory conditions? | #pathophysiology #physiology #nephrology #renal #Rheumatology #albumin #CRP #ESR #acutephasereactant #acutephaseprotein |
| Why do patients with immune thrombocytopenia (ITP) appear to have less severe bleeding than patients with equivalent platelet counts due to bone marrow suppression? | #pathophysiology #physiology #hematology #coagulopathy #ITP #immunethrombocytopenia #bleeding #thrombosis #platelets #platelet #PLT #MPV #IPF |
| Why do we use urine antigen tests to diagnose respiratory pathogens | #pathophysiology #physiology #ID #InfectiousDisease #renal #nephrology #pulmonary #pulmonology #urinaryantigen #urinaryAg #strep #legionella #respiratory #pneumonia |
| How does acetaminophen decrease fever and pain, without affecting inflammation? | #pathophysiology #physiology #MedEd #Medications #Medication #pharmacy #acetaminophen #APAP #NSAIDs #fever #pain #inflammation #analgesia #antipyretic #PGE2 #COX #cyclooxygenase #peroxidase |
| What causes the increase in pCO₂ in patients with acute COPD exacerbation treated with supplemental oxygen? | #pathophysiology #physiolog y#MedEd #pulmonary #Pulmonology #COPD #emphysema #hypercarbia #hypercapnea #oxygen #carbondioxide #O2 #CO2 #haldaneeffect #haldane #bohreffect #bohr #hypoxemia #vasoconstriction |
| Does the tryptophan in turkey really cause a food coma? | #pathophysiology #physiology #MedEd #neurology #sleep #tryptophan #thanksgiving #foodcoma #LNAA #largeneutralaminoacids |
| How do thiazides (e.g., hydrochlorothiazide/HCTZ) lower blood pressure? | #pathophysiology #physiology #MedEd #renal #nephrology #hypertension #diuretics #HCTZ #thiazides #thiazide #chlorthalidone #SVR #CO #cardiacoutput |
| Why do we need to correct hypomagnesemia in order to correct hypokalemia? | #pathophysiology #physiology #MedEd #renal #nephrology #hypokalemia #hypoK #hypomagnesemia #hypoMg #potassium #magnesium #repletion #ROMK |
| How do steroids cause an increase in the white blood cell (WBC) count (i.e., leukocytosis)? | #pathophysiology #physiology #MedEd #hematology #immunology #ID #InfectiousDisease #steroids #corticosteroids #glucocorticoids #leukocytosis #WBC #demargination #neutrophils #neutrophilia |
| Is there a mechanistic rationale for the use of sanatoria in the treatment of tuberculosis? | #pathophysiology #MedEd #historyofmedicine #ID #InfectiousDisease #TB #MTB #tuberculosis #sanitorium #sanitoria #satitarium #BedsideRounds #VitaminD |
| Why is the AST/ALT ratio >2 in alcoholic liver disease? | #pathophysiology #physiology #MedEd #hematology #GI #gastroenterology #ALT #AST #transaminitis #alcoholicliverdisease |
| Why does cirrhosis predispose to “bacterial translocation”? | #pathophysiology #physiology #Gastroenterology #GI #hepatology #SBP #Ascites #Cirrhosis #Translocatin #BacterialOvergrowth #Paracentesis #Peritonitis #Permeability |
| How do calcium channel blocks (e.g., amlodipine) cause edema? | #pathophysiology #physiology #cardiology #cardiotwitter #Nephrology #renal #Neph #edema #CCB #amlodipine #Starling #cirrhosis |
| How does diabetes mellitus (DM) lead to an increased risk of infection? | #pathophysiology #endocrinology #endo #InfectiousDisease #ID #Diabetes #DM #Sorbitol #Polyol #NADPH |
| Why do we use Vitamin C (ascorbic acid) to promote iron absorption? | #pathophysiology #hematology #iron #ironabsorption #VitaminC #ascorbicacid #PPI |
| Why does influenza have a “seasonal” trend with a winter peak | #MedEd #histmed #question #pulmonology #ID #InfectiousDisease #pulm #influenza #flu #FluSeason |
| Why is cancer associated with elevated lactate dehydrogenase (LDH)? | #pathophysiology #HemeOnc #oncology #IM #cancer #lactate #dehydrogenase #LDH #pyruvate #lactate #glycolysis #glucose |
| How can we make use of the MCH and MCHC provided with most complete blood counts? | #Pathophysiology #Hematology #Heme #HemeOnc #MCH #MCHC #MeanCorpuscularHemoglobin #MeanCorpuscularHemogloblinConcentration #CBC |
| Why is too much oxygen (hyperoxia) harmful? | #Pathophysiology #Pulmonology #Pulm #Anesthesiology #Hyperoxia #SupplementalO2 #SupplementalOxygen #OxygenToxicity #Oxygyen |
| Why is tricuspid valve (TV) endocarditis more common in those who use intravenous drugs? | #Pathophysiology #Nephrology #Renal #Neph #Endocarditis #TricuspidValve #TVendocarditis #IVDU #IVdrugUser |
| Why does acute pulmonary embolism (PE) cause hypoxia? | #Pathophysiology #Hematology #Heme #HemeOnc #Pulmonology #Pulm #Hypoxia #PE #PulmonaryEmbolism |
| Why makes cancer a hypercoagulable state? | #Pathophysiology #Hematology #Heme #HemeOnc #Cancer #Hypercoagulable |
| Why does alcohol make you urinate so much? And, is there any truth to the bar admonition: “don’t break the seal!”? | #Pathophysiology #Nephrology #Renal #Neph #Alcohol #IncreasedUrineOutput #ADH #Vasopressin #AntiDiureticHormone |
| Why hasn’t group A strep (GAS) developed resistance to penicillin? | #Pathophysiology #InfectiousDisease #ID #Syphilis #Penicillin #PenicillinResistance #PCN #TreponemaPallidum |
| Why does giant cell arteritis (GCA) have a predilection for the temporal artery? | #Pathophysiology #Rheumatology #Rheum #VascularSurgery #Vascular #GCA #GiantCellArteritis #TemporalArteritis #Vasculitis |
| Why doesn’t unfractionated heparin (UFH) increase the PT/INR? | #Pathophysiology #Hematology #Heme #HemeOnc #Heparin #PTINR #PT #UnfractionatedHeparin |
| Why does it seem like MRSA is more virulent than MSSA? | #Pathophysiology #Nephrology #Renal #Neph#MRSA #MSSA #StaphAureus #Staph |
| Why does gout preferentially affect the big toe? | #Pathophysiology #Rheumatology #Rheum #Gout #BigToe #GreatToe #GoutyArthritits |
| Should I consider atrial fibrillation a risk factor for pulmonary embolism? | #Pathophysiology #Cardiology #CardioTwitter #Afib #AtrialFibrillation #PulmonaryEmbolism #PE #Anticoagulation |
| “Why do my fingers get all wrinkly when I take a bath?” This was the question my 3-year-old daughter asked me recently after bath time. | #Pathophysiology #Vascular #Vasoconstriction #WrinkledFingerTips |
| Why hasn’t syphilis developed resistance to penicillin (PCN)? | #Pathophysiology #InfectiousDisease #ID #Syphilis #Penicillin #PenicillinResistance #PCN #TreponemaPallidum |
| Have you ever wondered by we don’t use steroids to treat acute pancreatitis (AP)? I have! | #Pathophysiology #EBM #Gastroenterology #GI #Surgery #GenSurg #Pancreatitis #Steroids #cytokines #AcutePancreatitis |
| How does an understanding of the [Na+] of normal saline inform the concept of “pseudohyponatremia”? | #Pathophysiology #Nephrology #Renal #Neph #pseudohyponatremia #hyponatremia #normalsaline #NS |
| Why do patients with hyperbilirubinemia become jaundiced? Patients with hemochromatosis don’t get “scleral bronze”. Why does bilirubin “do” what it does? | #Pathophysiology #Gastroenterology #GI #Hyperbilirubinemia #Jaundice #hemochromatosis |
| Why does herpes simplex virus type 1 (HSV-1) encephalitis localize to the temporal lobe? | #Pathophysiology #InfectiousDisease #ID #Neurology #Neuro #HSV #HSVencephalitis #Encephalitis #HSV1 #temporallobe |
| Why doesn’t pneumonia (or other issues with gas diffusion) lead to increased pCO₂? | #Pathophysiology #question #Pulmonology #Pulm #Pneumonia #Hypoxia #pCO2 #gasdiffusion #hypoxemia #hypercapnia #pO2 |
| Why doesn’t the stomach digest itself? | #Pathophysiology #Gastroenterology #GI #StomachAcid #GastricAcid |
| Why does nephrotic syndrome (NS) present with periorbital edema? | #Pathophysiology #Nephrology #Renal #Neph #NephroticSyndrome #PeriorbitalEdema |
| Ever wonder: Why are abdominal aortic aneurysms (AAAs) more common than thoracic aortic aneurysms (TAAs)? | #Pathophysiology #VascularSurgery #Vascular #Cardiology #CardioTwitter #AAA #TAA #AbdominalAorticAneurysms #ThoracicAorticAneurysms |
| Why do patients with acute hemorrhage become anemic? | #Pathophysiology #EmergencyMedicine #EM #Surgery #GenSurg #Hemorrhage #Anemia #AcuteHemorrhage |
| Why isn’t insulin administered orally? | #pathophysiology #endocrinology #IM #insulin #diabetes #big #peptide #hydrophillic |
| Why does HIV cause an elevated protein gap? | #PAthophysiology #Infectiousdisease #ID #HIV #AIDS #ProteinGap #Hypergammaglobulinemia |
| How does aortic stenosis cause syncope? | #Pathophysiology #Cardiology #CardioTwitter #Syncope #AorticStenosis |
| How does one create a Tweetorial? This is thread ONE of a THREE PART series. | #MedEd #MedTweetorial #Research #CreatingTweetorialsPart1 |
| How does one create a Tweetorial? This is thread TWO of a THREE PART series. | #MedEd #MedTweetorial #Research #CreatingTweetorialsPart2 |
| Why does E. coli clear from the blood faster than S. aureus? | #Pathophysiology #InfectiousDisease #ID #EColi #StaphAureus #Staph #ReticuloendothelialSystem #MPS #MononuclearPhagocyteSystem |
| How does one create a Tweetorial? This is thread THREE of a THREE PART series. III. Tools I use when creating a Tweetorial | #MedEd #MedTweetorial #Research #CreatingTweetorialsPart3 |
| How do diuretics lead to metabolic alkalosis? | #Physiology #Cardiology #CardioTwitter #Nephrology #Renal #Neph #Diuretics #MetabolicAlkalosis #ContractionAlkalosis |
| Why is azithromycin considered anti-inflammatory? | #MedEd #Pathophysiology #Pharmacology #ID #InfectiousDisease #Azithromycin #Macrolides #AntiInflammatory #Antibiotic |
| Why are the AST and ALT relatively low in alcoholic hepatitis? | #Pathophysiology #Gastroenterology #GI #AST #ALT #AlcoholicHepatitis #LiverFunctionTests #HepatocellularInjury |
| Why do patients with liver injury or dysfunction have conjugated hyperbilirubinemia? | #Pathophysiology #Gastroenterology #GI #Hyperbilirubinemia #ConjugatedHyperbilirubinemia #LiverFunction #Hepatocytes #LiverInjury #Hepatitis |
| [How] does caffeine act as a diuretic? | #MedEd #Pathophysiology #Nephrology #Neph #Caffeine #Diuretic #CaffeineDiuretic |
| 45 yo woman comes to ED for dizziness, nausea and vomiting. | #Case #MedEd #Neurology #Neuro #Stroke #CVA #StrokeRiskFactors #NeurologyMorningReport |
| 24-year-old male with presents with headaches, dizziness/vertigo and trouble walking | #Case #Neurology #Neuro #NeurologyMorningReportCase #PPTID #PinealTumor |
| 48 yo woman p/w sudden onset R face and R arm weakness. | #Case #Neurology #Neuro #HIT #HeparinInducedThrombocytopenia #LupusAnticoagulant #CVST #SuperiorSagittalThrombosis |
| #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 |
| A 56 yo F presents with a PMH of sero neg arthritis and HLD p/w fever, sore throat, and rash found to have leukocytosis, eosinophilia, liver injury, & mediastinal lymphadenopathy dx with DiHS likely 2/2 sulfasalazine and possible HHV-6 | #MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #Dermatology #Derm #DRESS #DiHS #DRESSsyndrome |
| A 49 y/o M with HIV on HART presents with facial rash, penile lesions, cough, & subjective fever for 2 days along with sudden onset of CP and SOB that was relieved with nitro and was found to be febrile, hypotensive, and tachy. His RPR/FTA ab were +& he was given PCN PTA | #MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #Dermatology #Derm #JarischHerxheimerReaction #Syphillis |
| A previously healthy 30y/o female presents with recurrent fevers over the last few months found to have bilateral lung infiltrates, and an intracardiac mass dx with Candidal and Aggregatibacter abscess w/ possible underlying myxoma | #MedEd #Podcast #Case #ClinicalReasoning #IM #InternalMedicine #Cardiology #CardioTwitter #ID #InfectiousDisease #Myxoma #CardiacMass #Aggregatibacter #HACEK |
| Some really good #ClinicalPearls about #Psittacosis | #MedEd #ID #InfectiousDisease #Pulmonology #Psittacosis #ChlamydiaPsittacosis #ParrotFever #Ornithosis #AvianChlamydiosis |
| Soldiers were suffering from a relapsing fever unlike anything they had previously encountered | #HistMed #MedEd #ID #InfectiousDisease #TrenchFever #Bartonella #BartonellaQuintana |
| Clubbing was first described 2,500 years ago by Hippocrates, making it perhaps the oldest physical finding in medicine | #Podcast #InternalMedicine #IM #Clubbing #FingernailClubbing #PhysicalExam #VGEF |
| 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 |
| Why is a thin nasal feeding tube often called a ‘Dobhoff’? | #HistMed #CriticalCare #Surgery #IM #dobhoff #feedingtube |
| Does atelectasis cause post-operative fever? | #EBM #ClinicalReasoning #Surgery #GenSurg #Atelectasis #EPF #EarlyPostOpFever #PostOpFever |
| “How good is a tuberculosis (TB) ‘rule-out’?” | #EBM #Case #InfectiousDisease #ID #Pulmonology #Pulm #TBRuleout #TB #Tuberculosis #AFBCulture |
| I recently discovered that several everyday English words and idioms have origins in medical history. After some research, I’ve decided to compile a brief (and random) #histmed #medthread to share some of the interesting stories behind the etymology of these words/idioms. | #MedEd #HistMed Idioms #MedicalIdioms |
| Why are EKG waves named starting with the letter P? What happened to letters A through O? | #MedEd #HistMed #Cardiology #CardioTwitter #ECG #EKG #Electrocardiogram |
| “Who feels comfortable evaluating a tracheostomy?” | #ClinicalReasoning #CriticalCare #Pulmonology #Pulm #Hospitalist #Tracheostomy #Trachs #Tracheostomies |
| 50yo M w/o any significant PMH presenting with a painful L distal tibia mass | #Case #ID #InfectiousDisease #BrodieAbscess #Blastomycosis #Osteomyelitis |
| A history of RSV | #MedEd #histmed #Pathophysiology #pediatrics #peds #RespiratorySyncytialVirus #RSV |
| A 32-year-old man with no significant past medical history presented with progressively worsening shortness of breath for last one week. He had been #vaping THC until two weeks ago. | #Case #Pulmonology #Pulm #vapingassociatedlunginjury #VALI |
| Do you know if you have implicit bias? | #MedEd #Advocacy #OBGYN #OB #Obstetrics#ImplicitBias #MaternalMortality #BLM #LECOMTweetorials |
| Latest tweetorial: ICU vent management for dummies. | #MedEd #Physiology #InfectiousDisease #ID #Pulmonology #Pulm #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV #ARDS #ICUVentManagement #VentManagement |
| I’m jumping right in with a #Tweetorial that combines my curiosity for the language of medicine and passion for powerful visuals and teaching about antibiotics! | #lecture #MedEd #ID #InfectiousDisease #antibiotics #spectrum #coverage #narrow #broaden #VisualLearning |
| Positive blood cultures; What to do next… | #EBM #ClinicalReasoning #InfectiousDisease #Bacteremia #BloodCultures |
| Infammatory form of cerebral amyloid angiopathy, amyloid-β–related angiitis, and primary angiitis of the CNS share several clinical features and investigation results. | #pathophysiology #vascular #neurology #cerebralamyloidangiopathy #I_CAA #ABRA #PACNS |
| History of Computed Tomography perfusion began in 1979. | #MedEd #HistMed #Neurology #Neuro #Radiology #Rads #CTPerfusion #CTscan #ComputedTomography #CTP #Stroke |
| Q: What are the determinants of Blood Flow (Qb) in IHD? | #Physiology #Nephrology #Renal #Neph #Hemodialsysis #HemodialysisKinetics #BloodFlow #Qb |
| anatomy education. detailing the importance of anatomy from both sides (student and teacher). | #MedEd #anatomy #cadaver #education #student #teacher |
| QT/ √ RR is wrong? | #Physiology #Electrophysiology #EP #Cardiology #CardioTwitter #QTc #QTInterval #Torsades |
| Miller Fisher variant of Guillain-Barré syndrome (GBS) | #Pathophysiology #Neurology #Neuro #GBS #MillerFisherVariant #GuillianBarreSyndrome |
| What is convalescent plasma? How is it useful as a therapeutic for COVID-19? | #Pathophysiology #Immunology #InfectiousDisease #ID #COVID19 #SARSCoV2 #convalescentplasma |
| Understanding Functional Neurological Disorder – a commonly misunderstood disorder | #MedEd #Neurology #Neuro #FuntionalNeurologicalDisorder |
| breat cancer screening: The Google AI mammogram paper is FLAWED. | #EBM #Publication #Research #PreventativeMed #BreastCancerSreening #CancerScreening #BreastCancer #Mammogram #AI |
| Suggestions on how to review manuscripts effectively (thread): | #Publication #Research ManuscriptReview #Feedback |
| IV fluids on the Medicine Wards | #quesion #pathophysiology #IM #EM #surgery #fluids #resuscitation #LR #potassium #lactate |
| So here’s a #tweetorial on LVADs | #Physiology #Cardiology #CardioTwitter #EmergencyMedicine #EM #LVAD #LeftVentricularAssistDevice |
| 45 F, 1 day upper Abd pain w/ nausea, does not radiate, constant, able tolerate PO, last BM 1day ago wnl; | #Case #EmergencyMedicine #EM #Trauma #Surgery #AbdominalPain #DiaphragmaticHernia |
| Tweetorial on riot-control agents, aka tear gas | #Pathophysiology #EM #EmergencyMedicine #RiotControlAgents #RiotControl #TearGas #Toxicology |
| Troponin, troponinaemia, troponinitis, troponin leaks – distinguishing type 1 MI from type 2 or nonischaemic myocardial injury | #pathophysiology #cardiology #IM #troponin #TypeI TypeII #myocardial #injury #sensitivity |
| “Ending Medical Reversal” | #MedEd #EMB #Biostastics #EndingMedicalReversal #MedicalTrials #EBM #EvidencedBasedMedicine #MedicalStudies #MedicalReversal |
| I get it. You’re young, you’re healthy, and you’re not worried about #COVID19. Give me a chance to tell you why you should be in this #tweetorial. | #MedEd #InfectiousDisease #ID #COVID19 #coronavirus #CoronavirusOutbreak #Coronavirus #nCOV |
| A case of crytococcus. 61M ESRD s/p kidney transplant 2016 (CMV D-/R-), on tac/pred, 6 mos progressive memory loss, falls, headache, blurred vision. No fever. | #Case #InfectiousDisease #ID #Cryptococcusneoformans #Cryptococcus |
| 45/M visiting US from India, p/w 10 days of fevers chills and RUQ abd pain. No diarrhea. | #Case #MedEd #ClinicalReasoning#InfectiousDisease #ID #Gastroenterology #GI #Amebicliverabscess #EntamoebaHistolytica #Amebiasis |
| 𝗖𝗼𝘃𝗶𝗱-𝟭𝟵: 𝗻𝗼𝘁𝗲𝘀 𝗼𝗻 𝗮 𝗽𝗮𝗻𝗱𝗲𝗺𝗶𝗰 | #MedEd #InfectiousDisease #ID #COVID19 #coronavirus #Covid_19 |
| 24/M born in Mexico, works as a RN, in the US for the past 2 years . Seen in clinic for a + TST. TSPOT +. | #MedEd #Case #EBM #InfectiousDisease #ID #LTBI #Tuberculosis #LatentTuberculosis |
| 𝙏𝙚𝙢𝙥𝙚𝙧𝙖𝙩𝙪𝙧𝙚-𝙥𝙪𝙡𝙨𝙚 𝙙𝙞𝙨𝙨𝙤𝙘𝙞𝙖𝙩𝙞𝙤𝙣 (𝙁𝙖𝙜𝙚𝙩’𝙨 𝙨𝙞𝙜𝙣) | #ClinicalReasoning #MedEd #ID #InfectiousDisease #PhysicalExamSigns #FagetsSign #TemperaturePulseDissociation |
| Monteggia variant fracture | #case #orthopedics #EM #fracture #Xray #monteggia #ulna #radius |
| “Sharing uncertainty around a diagnosis or treatment can provide patients with reassurance…” | #MedEd #IM #uncertainty #Idontknow #teach #model |
| #MedEdMethodsMonday is on Strategies for #BedsideRounds | #MedEd #HospMed #Hospitalist #BedsideRounds #StrategiesForBedsideRounds #TWDFNR |
| Do you mentor or are you: a learner wanting to improve exam scores? Dx the reason for low test scores in today’s #MedEdMethodsMonday! Inspired by @thecurbsiders ep193 featuring @Missydoc0128 | #Podcast #MedEd #Mentoring #Learning #MedEdMethods |
| In the last 2 wks, #MedEdMethodsMonday reviewed benefits of #BedsideRounds, categorized challenges to teaching @ the bedside, & highlighted several strategies for facilitating learners. This wk focuses on strategies to overcome patient-related barriers to bedside rounds. | #Advocacy #MedEd #BedsideRounds #PatientRelatedBarriers #MedEdMethodsMonday |
| currriculum development part 1 | #MedEd #curriculum #development #part1 #problemidentification #needsassessment |
| currriculum development part 2 | #MedEd #curriculum #development #part2 #goalsobjectives #educationalstratergies |
| currriculum development part 3 | #MedEd #curriculum #development #part3 #implementation #evaluation |
| Today’s #MedEdMethodsMonday reviews strategies for responding as a bystander to #microagressions and #bias from patients. | #MedEd |
| strategies for responding as a bystander to #microagressions and #bias from patients. | #MedEd #microagressions #bias #bystander #goodintent #explainimpact |
| -Benefits of goal setting | #MedEd #goalsetting #end #means #SMARTgoals |
| life is often a precarious juggling act. How do you stay on track in #academics? | #MedEd #time #management #setgoals #prioritize #plan #organize #minimize #waste |
| Strategies to Facilitate Learners @ the Bedside | #MedEd #facilitate #learners #real #talk #buy_in #engagement #engagement |
| Report facilitation strategies fro chief residents | #MedEd #MorningReport #ChiefResidents #MedEdMethodsMondays |
| Today’s Tip 2 – Asking Questions Effectively! | #MedEd #MorningReport #AskingQuestions #ChiefResidents #MedEdMethodsMondays |
| Tip 3 Engage All Learners & Tip 4 Embrace Silence | #MedEd #MorningReport #EngageLearners #EmbraceSilence #ChiefResidents #MedEdMethodsMondays #MedEdPearls #ChiefTips |
| Manage Faculty & Model Humility | #MedEd #MorningReport #ManageFaculty #ModelHumility #ChiefResidents #FacultyDevelopment #MedEdMethodsMondays #MedEdPearls #ChiefTips |
| Abandon Objectives PRN, Consolidate Learning | #MedEd #AbandonObjectives #ConsolidateLearning #MorningReport #ChiefResidents #MedEdMethodsMondays #MedEdPearls #ChiefTips |
| Which animal has the highest blood pressure? | #physiology #IM #cardiovascular #ComparativePhysiology #BloodPressure #giraffe #LongNeck #Lvthickness #ReteMirabile |
| Which patient can have cyanosis? A patient with Hb 4 g/dl (severe anemia) or a patient with Hb 20 g/dl (polycythemia). | #pathophysiology #hematology #IM #cyanosis #severeanemia #polycythemia |
| How smoking ‘helps’ Ulcerative Colitis? | #Pathophysiology #Question #Gastroenterology #GI #UlcerativeColitis #Smoking #IBD |
| Beef with maintenance fluids: This salty #tweetorial will pose some questions and explore common pitfalls of using IV fluids “for maintenance.” | #physiology #MedEd #HospMed #CriticalCare #Renal #pitfalls #fluids #replacement #maintenance #NS #LR #NPO |
| Orthostatic hypotension and vitals: short #tweetorial with a case, couple principles, and a few tips. | #physiology #MedEd #case #HospMed #IM #cardiology #cardiotwitter #orthostasis #OrthostaticHypotension #LowPreload #Sepsis #AutonomicDysfunction |
| aVR: What’s up with this lead? | #MedEd #physiology #cardiology #EP #IM #EM #EKG #aVR #LV #Lmocclusion #SubEndocardialIschemia #STDepression #STElevation |
| Interpreting QTc in setting of prolonged QRS.. | #Physiology #ClinicalReasoning #Cardiology #CardioTwitter #QTc #ProlongedQTc #QRS #ProlongedQRS |
| What’s a stronger regimen of furosemide, 40 daily or 20 bid? I ask this question often on rounds. The answer: it depends. | #Physiology #MedEd #Cardiology #CardioTwitter #InternalMedicine #IM #Diuretics #Furosemide #Lasix #Diuresis |
| Eosinophils matter: | #Pathophysiology #ClinicalReasoning #Hematology #HemeOnc #ID #InfectiousDisease #IM #InternalMedicine #Eosinophilia #Eosinophils |
| What’s wrong with this ABG attempt? | #MedEd #ABG #VascularPunctures #ArterialBloodGas #ABGTechnique |