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The medical education community on X is unparalleled. Here are some of my favorite posts and threads related to #meded from 2023! Each and every one of these exceptional educators deserves a follow! What posts/threads would you add? 1/27

Interesting view on Advance Care Planning: Limited value in stating preferences for future hypothetical scenarios More useful for (1) illness education (2) eliciting values/goals to guide current decisions (3) Preparation for future end of life decisions agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Well , non Infectious But.... very common! Today,my patient with K= 5.8 Internal Medicine team recommended ECG Things We Do for No Reason: Obtaining an electrocardiogram for managing mild hyperkalemia in hospitalized adults #MEded Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social Brad Spellberg …mpublications.onlinelibrary.wiley.com/doi/10.1002/jh…

Hey #MedTwitter #hospitalmedicine look at this amazing diagram from Journal of Allergy and Clinical Immunology showing a timeline of typical onset of various drug hypersensitivity syndromes. Thanks Kimberly Blumenthal, MD, MSc and team! jacionline.org/article/S0091-…

Should we start statins for primary prevention in older adults? 2x RCTs are ongoing. In the interim, this propensity score matched analysis found that statins users had lower mortality and MACE independent of frailty status. #MedTwitter JAGS agsjournals.onlinelibrary.wiley.com/doi/full/10.11…

A Scientific Statement From the American Heart Association: Orthostatic Hypotension in Adults With Hypertension ahajrnls.org/3UMqEzt

Rising #MedTwitter #MedX interns, here are my favorite approaches for acute inpatient medicine issues! 🚨 1) Hypoxemia, by Clement Lee, MD, MSc 🫁 Ditch the alveolar gas equation (sorry Pulm PEEPs) & use this practical approach. x.com/ClementLeeMD/s…

Good Morning from #SGIM2024 #Medtwitter ! Get those shoulders, knees and toes loosened for the Joint pain thought train 💪🚂. As always, feedback is much appreciated. (thinking about doing a rheum series! :D) Much thanks to Sarah Goglin The Clinical Problem Solvers

American Heart Association proposes to omit the following terminologies in it's latest scientific statement (May 2014) ❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙪𝙧𝙜𝙚𝙣𝙘𝙮 ❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙘𝙧𝙞𝙨𝙞𝙨 Use of subjective emotive language such as 𝙘𝙧𝙞𝙨𝙞𝙨 and

🌟 SYNCOPE - Types 🔸️Neutrally mediated syncope 🔸️Orthostatic hypotension 🔸️Cardiac syncope From : 2018 ESC Guidelines for the diagnosis and management of syncope academic.oup.com/eurheartj/arti…

Irony: the more severe the pulmonary process prompting the chest CT, the more likely it is that it will be blurry

#TipsForNewDocs Ask the right questions: “Do you get short of breath lying flat? Do you prop yourself up on pillows to breathe?” Not “How many pillows do you sleep on?” Just because a patient sleeps on 2 pillows doesn’t mean they have orthopnea. #kittlesonrules

For all of the new interns: How to learn and remember the 3 types of emphysema ⬇️ C/o radiopedia #MedTwitter

Spine

Agree These diagnoses are harbingers of a diagnostic error: UTI Pneumonia HFpEF exac B/l cellulitis AMS

Why numbers are sometimes better than words. What people think you say when you say “little chance,” “probably not,” or “highly likely.”

Clinical reasoning just got a revamp! Honored & thrilled to introduce the new direction for the JGIM Journal of General Internal Medicine Exercises in Clinical Reasoning. Exciting times ahead with my fantastic co-editors Sharmin Shekarchian Anand Jagannath Check it out & send us your submissions! 🔗link.springer.com/article/10.100…

Exactly what I’m looking for in CPCs. Looking forward to reading!

36% reduction in urine cultures (although trending down before intervention) and 36% reduction in antibiotic use with no change in LOS, transfer to higher level of care, or mortality using BLADDER score in work-up of potential UTI. cambridge.org/core/journals/…

Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on eprognosis.ucsf.edu to help answer this question. #FOAMed #meded