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Attended on our medicine consult service for 1 day Here are 5 teaching points that came up #MedTwitter #FOAMed #HospitalMedicine #NewsYouCanUse

1. Which prophylaxis do you chose after a hip or knee surgery? Simplistic: ASA=LMWH Correct: ASA has similar mortality & PE as LMWH but 1-2% more uncomplicated DVTs In people at very high VTE risk, may consider LMWH if convenience & cost not an issue x.com/AnilMakam/stat…

1/ I once heard that a fever in the ICU was a "fever of too many origins." Same can be said altered mental status/encephalopathy! We put together a comprehensive approach to these challenging patients for #SeminarsinNeurology A thread with our approach! pubmed.ncbi.nlm.nih.gov/39137901/

Matthew Ho This looks great! Here is our version of an approach to HLH/MAS — made with Nick Mark MD !

Approach to Abdominal Aortic Aneurysm (AAA)

Approach to anticoagulation in atrial fibrillation Anyone using CHA2DS2-VA (omitting sex) to predict risk of stroke?

Approach to Atrial Fibrillation (Rate vs Rhythm Control) Ref: uptodate, AHA 2023, Mayo IM board review course (Dr Abhishek Deshmukh)

Hey #NeuroTwitter , check out my #neuromuscularbuckets. It's a method to work backward when evaluating patients with neuromuscular disorders. Sometimes you know the patient has a peripheral nerve disorder, but you get stuck on where to go next. That's where the buckets are

Pseudo-AKI - some drugs cause an increase in creatinine due to decreased creatinine secretion. Cystatin C will be normal. #KidneyWk

Complications of Massive Blood Transfusion ⬆️PT/PTT = pRBC contain no coagulation factors ⬇️Platelet = pRBC contain no plt ⬇️Ca = Citrate in pRBC binds Ca ⬆️K = K leaks out of cells in stored RBCs ⬇️Temp (hypothermia) = RBC stored at 4°C ⬆️pH from metabolism of citrate to

Great reminder that Na delivery to distal tubules and aldosterone needed for kaliuresis. - diuretics (including caffeine) increase Na delivery to distal tubules —> k loss - hypovolemia decreases Na delivery to distal tubules —> reduction in K excretion

🆕 Infographic on Systemic Lupus Erythematosus! • Recognize signs/symptoms of #lupus and when SLE should be on your DDx • Learn what labs to send if you suspect SLE: And don’t forget to ☑️ UA/UPC ratio! 🫘 #RheumTwitter #MedX #MedTwitter #NephTwitter #Rheumatology

Here is our article that defines and disambiguates both #ockhamsrazor and #hickamsdictum for #differentialdiagnosis link.springer.com/article/10.100… And a blog post with additional information: medicalevidenceblog.com/2024/10/hickam… And tweetorial as promised

1/ Challenge accepted. I have run a series of breast mammograms (x-rays), ultrasounds and MRIs through versions of GPT4 and posted the results here previously. Even though it's data contamination to repost images I already used on X, it's an easy bench mark. So how did Grok do

Our first RCT on using an LLM on diagnostic reasoning is out! And the results are 🔥🌶️... adding ChatGPT did NOT improve diagnostic accuracy or reasoning, and the AI alone outperformed ALL the humans. What does this mean? A 🧵⬇️ x.com/EricTopol/stat…

A comprehensive review in Blood Journal on risk stratification/scoring in MPNs ashpublications.org/blood/article/…

1/6 TPE-FREE MANAGEMENT OF IMMUNE TTP (iTTP) Retrospective study from Austria and Germany ADAMTS13 activity at baseline <10% in all patients Treatment group (TPE-free): 42 acute iTTP episodes in 41 patients received TPE-free management with caplacizumab + steroids +/- Ritux

Simple concept of GN. It’s all about location! 1. Subendothelial deposits/injury by Ig, immune-complexes, complement, other mechanism leads to influx of leukocytes= inflammation=GN 2. Subepithelial deposits/injury= protected by GBM & endothelial cells=no inflammation=No GN. 1/3

Check out our latest episode "The Aquila Study: Blowing Hot Air or a Soaring Success for Smoldering Multiple Myeloma" with Manni Mohyuddin Anthony Perissinotti and Bernie Marini 🦅💨 #myeloma #badblood creators.spotify.com/pod/show/wolve…

🧵A brief thread on #CardiovascularSurgery and #PCI approaches for patients with heparin-induced thrombocytopenia (HIT) 🩸 Happy to share our review on this topic was recently published: mp.pl/paim/issue/art… #hemetwitter #hemesky #classicalhematology *not covering aHIT 1/8