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Such a great project, highly recommend it!

Strong points explaining ways in which the health care systems are killing our empathy. I do belive we can change it, the HOW is the main issue. | Isabel Hanson and Safdar Ahmed theguardian.com/commentisfree/…

Time for our first #IMPOCUSreport! Inspired by MedEd Pittsburgh’s #TwitterReport. We give a case, you use #pocus to figure it out. 27 yo M w paraplegia + chronic trach (not vent dependent) presents with fever + hypoxia requiring ventilation of trach. What else do you want to know?

Middle aged African man with recurrent episodes of bronchitis rx'd w abx. Diagnosis? Pathophysiology? Treatment? #pulmcc #MedEd #FOAMed

1/ Why are right-sided pleural effusions more common in patients with cirrhosis? If edema is the results of sodium/fluid retention with some contribution of hypoalbuminemia, why aren't they bilateral? Let's examine Laennec's cirrhosis and the associated hepatic hydrothorax.

Pearls from OHSU School of Medicine DOM Grand Rounds: 1) iodine is not an allergen. 2) shellfish allergy is NOT a contraindication to IV contrast.

As a believer in the testing effect and spaced learning, I thought it may be valuable to create a quiz of sorts, posting questions from prior #MedThreads. Below are 5 questions, followed by an "answer key" with links to the thread that discussed the topic. I hope you enjoy!

Which of the following would explain this finding?

1/ Today’s #TriviaTuesday comes to you in three parts. First, a little history:

1/ Why do some people treat B12 deficiency with oral B12 even if the problem is poor absorption? Is this a good idea? Is it a paradox? Let’s reconcile, @tonybrue #tweetorial style.

#POCUSpearls here: 1) Fresh clot can look relatively anechoic on ultrasound 2) Always compress to screen for thrombus before inserting a CVC (this was a patient's IJ) 3) Colour may be helpful to visualize a clot (or, at the very least, for nerd points 🤓)

How do you know the movement in this video is venous (not arterial)? If the patient is sitting upright, what would you estimate the CVP to be? What is the most likely underlying cardiac rhythm? #PhysicalExam #JVP ⁦Zaven Sargsyan⁩ ⁦OHSU IM Residency⁩ ⁦Med Peds Hospitalist⁩

If you are interested in clinical reasoning, diagnostic errors and the path towards expertise - read this article. I would bet @DxRxEdu and Rabih Geha have!

1/12 #Medtwitter friends, time for another #tweetorial! Summer is coming and it’s time to break out the hiking boots and get ready to review our favorite zoonotic infections. We’ll circle back to the idea of a “Doxycycline Deficient State”

It's time for another #PhysioQuizzo! Get your thinking caps out. This one's a two part-er! Finally done with the ICU, you are working the inpatient oncology unit. You see a patient with leukemia s/p marrow transplant. He is hypoxic. CT scan is shown.

1/ #UncleBob presents his answer to the question - When should we not give NS for a Na of 118? Many great answers - I will reinforce several outstanding tweets and add a few comments. First, I should have made explicit that this is real hyponatremia and not pseudohyponatremia

Peripheral edema does not equal heart failure Peripheral edema does not equal heart failure Peripheral edema does not equal heart failure Peripheral edema does not equal heart failure Peripheral edema does not equal heart failure

Tuesday practice: Interpret this EKG before reading the rest of the short thread. It was obtained in a patient with cirrhosis and subacute dyspnea. 1/7

#UncleBob has a “moments” page of favorite tweetorials (not all mine) x.com/i/moments/1102… If you are interested.

1/16 How can we make use of the MCH and MCHC provided with most complete blood counts? In my 13 years as a doctor, I can’t recall having ever utilized an MCH or MCHC. After reviewing some literature, that might change for me. Maybe this thread might change your approach too...