Narrative medicine can help build empathy and trust through reflection enhancing our professional skills. Check out this great article (no physical exam vignette today 😉) JAMA. 2001;286(15):1897-1902. doi:10.1001/jama.286.15.1897

Role of a Case Manager: -Coordination/facilitation of care -Utilization review -Utilization resources/management -Transitional planning -Discharge planning Remember patient care is team work!

Rene Theophile Hyacinthe Laennec using an early version of his invention-the stethoscope observations: he has his eyes closed to focus intently to listen and the mother has an encouraging smile for her child! Do you know what necessitated this invention? mentalfloss.com

This patient received deceased donor renal transplant one year ago. This lesion is pruritic and the patient has a few such lesions. -Can you describe this lesion? -Possible diagnosis? (Dermnz.net)

Final SHELF for the class of 2022. It was a great journey with you, both on twitter and on the wards. Can't wait for you to start your sub-I.

for the new m3s... turned our instruction today about morning rounds into a phone lock screen for those first few weeks

Don't forget to check our our Geriatric Cardiology 'Special Topic' in the Pathways Collection where we tackle #deprescribing and providing CV care for our geriatric patients #ACC21 #ACCFIT Ashok Krishnaswami Craig Beavers, PharmD, FACC, FAHA, FCCP, BCCP,CACP Parag Goyal MD MSc VCU Health Pauley Heart Center

A previously healthy 36 y/o F presents with vaginal discharge, bilateral ankle pain, and a lower extremity skin rash (see image), all of which developed after unprotected vaginal intercourse with a new male partner. What is the diagnosis? For the answer: rdcu.be/ckW5C

Looking forward to a wonderful (more in-person) year with the class of 2023!

This is such a great example of hyperreflexia + clonus from serotonin syndrome 🎥 David Juurlink #MedTwitter

Tumor Lysis Syndrome Thoughts, #MedTwitter <3 @DxRxEdu

They like to say that the jugular venous pulse cannot be visualized in the presence of a beard. They like to say a lot of things.

HIV + Chronic diarrhea HIV alters the diagnostic landscape of many chief concerns, including chronic diarrhea. Thoughts, #medtwitter? <3 @DxRxEdu

They like to say that you'll never hear an Austin Flint murmur in your career. They like to say lots of things.

Your patient with cirrhosis has dyspnea Thoughts, #medtwitter? <3 @DxRxEdu

1/2 CAP is one of the most common infections that we see. A summary of the IDSA/ATS guidelines to help in making this Dx & when combined with Rabih Geha 's journey through the Dx of CAP, it can help in making identifying this condition #medtwitter #MedEd #MedStudentTwitter

❓ What could cause nail changes like this ❓ --> ANSWER : 👉 manualofmedicine.com/spot-diagnosis… #foamed #medtwitter #meded #medicine

Rbc cast or pseudo cast? Jay R. Seltzer Juan Carlos Q Velez #UrineSediment

✳️ Why are infections more common in #cirrhosis❓ 1. Immune dysfunction 2. Alteration in gut barrier 3. Altered #microbiome ⬇️ Translocation of bacteria, bacteremia ⬇️ Proinflammatory response ➡️ tissue injury ➡️ organ failure Jasmohan Bajaj NEJM #MedEd #GITwitter #medtwitter

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