sheila (@rheumarampa) 's Twitter Profile
sheila

@rheumarampa

rheumatologist. πŸ’— πŸ‡΅πŸ‡­ travelbug. geek. health professions education grad student. all these personified under perfectly shaped brows. ☺ tweets are my own.

ID: 890402431539888128

calendar_today27-07-2017 02:44:17

2,2K Tweet

1,1K Followers

281 Following

Deepti Agarwal (@deepti_pramod) 's Twitter Profile Photo

πŸ”¬ Why do Uric Acid & CPPD Crystals Show Different Birefringence? πŸ€”πŸ’Ž #WhyWednesday πŸ§ͺ Birefringence = Optical property where light splits into slow & fast rays as it passes through a material. (1/3)

πŸ”¬ Why do Uric Acid & CPPD Crystals Show Different Birefringence? πŸ€”πŸ’Ž #WhyWednesday

πŸ§ͺ Birefringence = Optical property where light splits into slow & fast rays as it passes through a material.

(1/3)
Deepti Agarwal (@deepti_pramod) 's Twitter Profile Photo

πŸ”Ž To identify crystals, we need: βœ… Analyser (Regular microscope) βœ… Polariser (Placed perpendicular to analyser) βœ… Interference Plate (Gives background color) (2/3) The color of the crystal depends on the orientation of the crystal w.r.t light (2/3)

Deepti Agarwal (@deepti_pramod) 's Twitter Profile Photo

πŸ’› Uric Acid (Gout) = Negative Birefringence 🟑 Yellow when parallel to light πŸ”΅ Blue when perpendicular πŸ’™ CPPD (Pseudogout) = Positive Birefringence πŸ”΅ Blue when parallel 🟑 Yellow when perpendicular 3/3

πŸ’› Uric Acid (Gout) = Negative Birefringence
🟑 Yellow when parallel to light
πŸ”΅ Blue when perpendicular

πŸ’™ CPPD (Pseudogout) = Positive Birefringence
πŸ”΅ Blue when parallel
🟑 Yellow when perpendicular

3/3
sheila (@rheumarampa) 's Twitter Profile Photo

Plenary lecture for #onePRA2025 done! β™₯️ Rheums play a central role in CVD risk mgt of pts with rheumatic dse & should establish coordinated care w/ GPs, internists & cardiologists β™₯️ CVD risk mgt should comprise tight dse control, non-pharma & pharma mgt πŸ“Έcredits@rheumarhyme

Plenary lecture for #onePRA2025 done! 
β™₯️ Rheums play a central role in CVD risk mgt of pts with rheumatic dse & should establish coordinated care w/ GPs, internists & cardiologists
β™₯️ CVD risk mgt should comprise tight dse control, non-pharma & pharma mgt
πŸ“Έcredits@rheumarhyme
Dr. John Cush (@rheumnow) 's Twitter Profile Photo

Full read review of Hydryoxychloroquine -its pharmacology, MOA (eg, blocking TLR 7 & 9), Dz specific efficacy and adverse effects buff.ly/Y2PBb9o

Full read review of Hydryoxychloroquine -its pharmacology, MOA (eg, blocking TLR 7 & 9), Dz specific efficacy and adverse effects  buff.ly/Y2PBb9o
Rohit Aggarwal (@docrota) 's Twitter Profile Photo

Join tomorrow (13Mar, 11amEST, 3pmGMT, 8.30pmIST) for β€œNavigating Myositis Auto-antibodies: Accuracy, Challenges, & Advances.” By distinguished experts: Dr. K.G. Chengappa (India) & Dr. Sarah Tansley (U.K.). Register: docs.google.com/forms/d/e/1FAI… Join here: us06web.zoom.us/j/85460286234?…

Join tomorrow (13Mar, 11amEST, 3pmGMT, 8.30pmIST) for β€œNavigating Myositis Auto-antibodies: Accuracy, Challenges, & Advances.” By distinguished experts: Dr. K.G. Chengappa (India) & Dr. Sarah Tansley (U.K.).  Register: docs.google.com/forms/d/e/1FAI…  Join here: us06web.zoom.us/j/85460286234?…
sheila (@rheumarampa) 's Twitter Profile Photo

Choose wisely! Requesting for and interpreting ANAs should be done in the appropriate clinical setting. Apart from rheumatic conditions, a (+) ANA can also be seen in infections, malignancy, hematologic & neurologic disorders. #rheumatology 𝓛𝓲𝓼π“ͺ πŸ³πŸ—ΊπŸ§­ Mark Lawrence Lagac

Choose wisely! 
Requesting for and interpreting ANAs should be done in the appropriate clinical setting. 
Apart from rheumatic conditions, a (+) ANA can also be seen in infections, malignancy, hematologic & neurologic disorders. 
#rheumatology 
<a href="/rheumarhyme/">𝓛𝓲𝓼π“ͺ πŸ³πŸ—ΊπŸ§­</a> <a href="/marklagacmd/">Mark Lawrence Lagac</a>
sheila (@rheumarampa) 's Twitter Profile Photo

Preconception counseling is crucial in pts with rheumatic dses. Remember: - Do a medication review & if possible, switch to pregnancy-safe drugs - Check for organ involvement w/c may affect #pregnancy mgt - Collaborate with OB-GYN #rheumatology

Preconception counseling is crucial in pts with rheumatic dses. 
Remember:
- Do a medication review &amp; if possible, switch to pregnancy-safe drugs
- Check for organ involvement w/c may affect #pregnancy mgt
- Collaborate with OB-GYN
#rheumatology
TheDaoIndex (@kdao2011) 's Twitter Profile Photo

For every 1 mg increase in prednisone, risk of organ damage in the future goes up by 3% including osteonecrosis - Dr Petri #CCRE25. You can’t even get away with 1 month of high dose steroids!

For every 1 mg increase in prednisone, risk of organ damage in the future goes up by 3% including osteonecrosis - Dr Petri #CCRE25. You can’t even get away with 1 month of high dose steroids!
sheila (@rheumarampa) 's Twitter Profile Photo

PCP President Dr. Imelda Mateo’s call to action on how #physicians can help mitigate climate change: 🧩 Be informed 🧩 Be proactive 🧩 Become a climate champion 🧩 Be involved KaPCPeeps #MedTwitter #PCP2025 𝓛𝓲𝓼π“ͺ πŸ³πŸ—ΊπŸ§­ gwen.mom.md rudy pagcatipunan Inocencio Perez Alejandro Sidney Erwin Manahan πŸ‡΅πŸ‡­

PCP President Dr. Imelda Mateo’s call to action on how #physicians can help mitigate climate change: 
🧩 Be informed
🧩 Be proactive
🧩 Become a climate champion
🧩 Be involved
<a href="/KaPCPeeps/">KaPCPeeps</a> 
#MedTwitter #PCP2025 
<a href="/rheumarhyme/">𝓛𝓲𝓼π“ͺ πŸ³πŸ—ΊπŸ§­</a> <a href="/gdyagra/">gwen.mom.md</a> <a href="/Docrsp/">rudy pagcatipunan</a> <a href="/GerRheumDoc/">Inocencio Perez Alejandro</a> <a href="/PhRheumaJr/">Sidney Erwin Manahan πŸ‡΅πŸ‡­</a>
sheila (@rheumarampa) 's Twitter Profile Photo

Enlightening talk by Dr Dominic Ligot πŸ‘πŸ‘ He aptly reminds us physicians on the use of #SoMe by quoting d #HealthXPH manifesto & concludes with these impactful words as we continue to engage online: Care. Connect. Champion #PCP2025 KaPCPeeps 𝓛𝓲𝓼π“ͺ πŸ³πŸ—ΊπŸ§­ gwen.mom.md Iris Thiele Isip Tan MD, MSc

Enlightening talk by Dr <a href="/docligot/">Dominic Ligot</a> πŸ‘πŸ‘
He aptly reminds us physicians on the use of #SoMe by quoting d #HealthXPH manifesto &amp; concludes with these impactful words as we continue to engage online: Care. Connect. Champion
#PCP2025 <a href="/KaPCPeeps/">KaPCPeeps</a> <a href="/rheumarhyme/">𝓛𝓲𝓼π“ͺ πŸ³πŸ—ΊπŸ§­</a> 
<a href="/gdyagra/">gwen.mom.md</a> <a href="/endocrine_witch/">Iris Thiele Isip Tan MD, MSc</a>
Dr. John Cush (@rheumnow) 's Twitter Profile Photo

SLE trends: pulse methylprednisolone followed by low dose steroids is rec by various guidelines. Risk factors for SLE flare after GC withdrawal: high Dz activity, active serology, younger age, shorter remission duration, faster tapering strategy, shorter duration/cessation of

SLE trends: pulse methylprednisolone  followed by low dose steroids is rec by various guidelines. Risk factors for SLE flare after GC withdrawal: high Dz activity, active serology, younger age, shorter remission duration, faster tapering strategy, shorter duration/cessation of