Discover and read the best of Twitter Threads about #1⃣

Most recents (6)

#JaiHind @samarkohli ji,
I see all Indians as one. I have no interest in comparing one state to another. It make no difference to me. However such falsehoods need to be debunked with facts & fuigures. So hear you go, lets demolish these false claims, one by one 🧵👇
1/n
Claim #1⃣ - Punjab feeds the nation:
In wheat production Punjab is at #3, preceded by MP-#2 & Up=#1
2/n Image
In rice production, Bengal is #1, followed by UP-#2, and then Punjab at #3.
There is no way that "Punjab is feeding the nation", That claim should go to UP, MP & Bengal.
3/n
tractorjunction.com/blog/top-10-ri…
Read 9 tweets
@TumorBoardTues @ASCO @JohnEbbenMDPhD @SushmaJonna @HeekeMd #TumorBoardTuesday
#ASCO22 Biomarker Recap

😀Don't know about you all - but I had a great time at the meeting this year!

👉I will🔦a few biomarker based studies that caught my👁️

😉Did you notice that TWO of the plenary abstracts were for biomarker based trials‼️ Image
@TumorBoardTues @ASCO @JohnEbbenMDPhD @SushmaJonna @HeekeMd @pashtoonkasi @KReissMD @DrR_DUNNE @FogacciJoao @AJacomeMD @OncBrothers @oncologician @DrSteveMartin @stolaney1 #TumorBoardTuesday
#1⃣
✅Dr. Yoshino🧑‍🏫the results of the Ph 3 PARADIGM trial
➡️FOLFOX-Pani vs. FOLFOX-Bev for RAS WT left CRC
👉823 Pts

👏OS>with Pani 36.2 vs. 31.3 months
👏ORR also > with Pani 75% vs. 67%

🤔BUT the curves don't separate until 26 months❓

🔎Abstract #LBA1 Image
@TumorBoardTues @ASCO @JohnEbbenMDPhD @SushmaJonna @HeekeMd @pashtoonkasi @KReissMD @DrR_DUNNE @FogacciJoao @AJacomeMD @OncBrothers @oncologician @DrSteveMartin @stolaney1 #TumorBoardTuesday
#2⃣

✅Dr. Modi🧑‍🏫the results of the Ph 3 DESTINY-Breast04 trial
➡️T-DXd vs. SOC for HER-2 low metBreast Ca
👉557 Pts

👏PFS>with T-DXd 10.1 vs. 5.4 months
👏OS also > with T-DXd 23.9 vs. 17.5 months

🔎Abstract #LBA3 Image
Read 17 tweets
🚨Acute #stroke case (from the archive):

Patient in 60s presents with sudden onset fluctuating LOC, dysarthria, mild right arm weakness (disabling)

Last seen normal 2hrs (witnessed onset).

You urgently take to CT- motion artifact, no clear early ischemic changes. CTA normal. Image
2 schools of thought/approaches:

Approach #1⃣: Acute onset, disabling symptoms- proceed with lytic 💉and defer CTP

Approach #2⃣: Dx is still a bit unclear (ddx: seizure⚡️, etc)- proceed to CTP

If in camp #2, here are the CTP maps (CBF, MTT, Tmax>8s) Image
CTP confirms suspected localization of left thalamus (with possible internal capsule involvement).

CTP helped confirm the etiology (not a mimic), but delayed lytic administration by about 7-10 min (did not change management).

Which camp/approach are you in for this case🧠?
Read 4 tweets
1/ Good afternoon #MedTwitter and happy #TriviaTuesday :

What part of a plane are you most likely to come into contact with bacteria? ✈️
2/ And there you have it… the armrest!

Not what you expected? Read on
3/ We’re familiar with the ways infections can spread- contact, droplet/airborne, vector, and food/water.

We’re going to focus on contact precautions today:
Read 5 tweets
How often do you check for Primary Aldosteronism (PA)?

Chances are, NOT nearly often enough!

VA study reveals widespread undertesting...can we do better?

acpjournals.org/doi/10.7326/M2…

If you've seen 10 pt's with HTN ➡️ you've probably seen PA!

Let's review in this #medtweetorial
I feel comfortable diagnosing Primary Aldosteronism
3/ First, why even check for PA?

🚫🦓It's NOT a zebra‼️

It IS one of the most common causes of 2* HTN:
📛5-10% of those w/ HTN
📛20% w/ resistant HTN

Have you seen 10 patients with HTN?

If yes, you've likely seen PA!
Read 20 tweets
ACC/CCA COVID Webinar - Serious Illness.

Hope everyone can join!

This will pair very well with @CardioNerds Episode #20 on COVID in the ICU: cardionerds.com/episodes/covid…
Starting off with a case presentation.

31 M p/w fever, cough. from Wuhan

H/o DM & HLD

T 38.5C, HR 152, RR 24, BP 134/107

⬇️wbc & plt
⬆️CRP
🤒CT with patchy opacities including ground glass
Bloodwork.
CT.
Read 30 tweets

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