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Cellulitis reflects the notion of complexity in simplicity 💕 It's more than what meets the eye ✨ Let's unravel it's layers and intricacies 🧵 The Clinical Problem Solvers Rabih Geha @DxRxEdu Sharmin Shekarchian Zaven Sargsyan Andrew Sanchez Steven Chen 陳持威, MD, MPH, MHPEd Jas Bajwa Şeyma 𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @SatyaPatelMD

It’s not always myositis.. #BethlemMyopathy #Rarediseaseawareness Cleveland Clinic MD consultqd.clevelandclinic.org/case-study-mus…

🧠 🫘 What is MGRS? MGRS = kidney disease caused by a nonmalignant B-/plasma-cell clone producing a nephrotoxic immunoglobulin. 📌 Not cancer, but still causes end-organ damage. 🎯 Needs clone-directed therapy, not just immunosuppression. #MedTwitter

1/ 🎭👩‍⚕️ “I don’t deserve to be here.” If you’ve ever felt like an imposter in medicine—or mentored someone who has—this tweetorial is for you. A 🆕 study of residents sheds light on what actually helps. Let’s talk about #ImpostorSyndrome and how leaders can help. 🧵 #MedEd

🚨 PPCM A rare but life-threatening cause of heart failure around childbirth. 🫀 Often missed due to symptom overlap with pregnancy 🧬 Driven by hormonal + genetic factors ⚠️ High morbidity, esp. in AA women 🔍 Early recognition = better outcomes ⬇️ #MedTwitter

Hepatorenal Syndrome In cirrhotic patients with worsening renal function without shock, nephrotoxins, or parenchymal kidney disease, think HRS. 🔑 Key: Type 1 (HRS-AKI): Rapid rise in Cr Type 2: More gradual 🎯 Treat with albumin + vasoconstrictors - terlipressin #MedTwitter

Deeply honored to receive the Merit Award and sincerely grateful for the support and guidance from my mentors!!🙏 Charles Jiang MD, MPH Ryan Nipp, MD, MPH, MBA, FASCO Robin Yabroff Xuesong Han Excited for my first ASCO!!! #ASCO25

Fumiko Ladd Chino Highlighted Jiazhang Xing’s Study on Medical Debt and Cancer Incidence at ASCO 2025 Fumiko Ladd Chino, MD, FASCO Jiazhang Xing oncodaily.com/insight/jiazha… #OncoDaily #Oncology #Cancer #Health #Medicine #MedX #MedEd #MedNews #ASCO25 CancerWorld

FUO = ≥38.3°C for ≥3 weeks without diagnosis despite reasonable workup. Top causes: 🦠 Infection, 🔥 Inflammation, 🧬 Malignancy, 💊 Drugs TB, endocarditis, Still’s disease, lymphoma = classics. PET-CT + exposure history often crack the case. Up to 50% remain undiagnosed #MedEd

Dr sthanu subramanian Ravi Singh Fever of Unknown Origin (FUO): A Diagnostic Challenge manualofmedicine.com/topics/fever-o…

#MedTwitter Join us for the latest episode of the Clinical Unknown Series! Mark presents a case of Constipation to Debora and Mengyu, leading to an unpredictable turnover. Don't miss it! 🎧bit.ly/3SFiCGl

Black tongue isn’t always benign — don’t brush it off. From bismuth & bacteria to melanoma & mucosal manifestations of systemic disease, the differential is broad. 🧠Here’s a high-yield infographic to guide your approach. #MedEd #IMdocs

Truly humbled and honored to be named ‘Resident of the Year.’ and awarded with “Albert J. Himelfarb Award in Professionalism and Humanism” Words cannot express my gratitude for the unwavering support of my incredible colleagues and the guidance of my inspiring mentors.

📌 Langerhans Cell Histiocytosis (LCH) LCH is a myeloid neoplasm with features of both inflammation & malignancy. 🔬 Clonal CD1a+, CD207+ dendritic cells 🦴 Bone, 🫁 lung, 🧠 pituitary involvement common #MedTwitter

🎉 Welcome to the family! Thrilled to have our new Internal Medicine interns join the team. You're about to grow, learn, and make an impact — and we’re here for you every step of the way. 💙👨‍⚕️👩‍⚕️ #MedTwitter #Match2025

🧠 Demyelinating Diseases of the CNS: Damage to myelin → impaired signal conduction → neuro symptoms. 🟡 Covered: -MS -NMOSD (AQP4-IgG+) -MOGAD (MOG-IgG+) -ADEM -Optic Neuritis -Transverse Myelitis Know the differences in antibodies, imaging, & treatment! #MedEd

🚨Leg pain ? Use an anatomic approach to localize -narrow your differential: 🔹 Vascular: DVT, PVD, PAD 🔹 MSK: Muscle strain, tendonitis, fx 🔹 Joint: Septic arthritis, gout, OA 🔹 Bone: OM, tumor 🔹 Skin : Cellulitis, lymphedema 👉Think structure, then etiology.Kirtan Patolia

🚨 Sepsis vs Septic Shock – Know the Difference! 🦠 Sepsis = Life-threatening organ dysfunction from infection ⚠️ Septic Shock = Sepsis + hypotension requiring vasopressors + lactate >2 mmol/L 🔍 Recognize early: Fever/hypothermia AMS, dyspnea, ↓ urine, hypotension #MedEd