Discover and read the best of Twitter Threads about #Endocrinology

Most recents (10)

1/n) ICMR released Standard Treatment Workflows (STWs) volume 3 which contains 11 specialties with 52 diseases. It is accessible at stw.icmr.org.in/stws and on the Mobile App.
@MoHFW_INDIA @DeptHealthRes #STW
2/n) Standard Treatment Workflows (STWs) on #𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐲 containing 14 major diseases. It is accessible at stw.icmr.org.in/stws and on the Mobile App. @MoHFW_INDIA @DeptHealthRes
3/n) Standard Treatment Workflows (STWs) on #Endocrinology containing 06 major diseases. It is accessible at stw.icmr.org.in/stws and on the Mobile App. @MoHFW_INDIA @AyushmanNHA @WHOSEARO #diabetes
Read 12 tweets
I'll be adding short important points which would hopefully help in remembering certain concepts during #PLAB preparation, to this thread🧵every now and then as I take them out from my scattered notes. Feel free to comment your tips and tricks which would help others, as well 👇
Please don't take any of these as medical advice 😂🙏. Real life stuff is much more nuanced. These are just clinchers for the sake of the exam.
#PLAB
1. Drug contraindications...
-Avoid BAN drugs in Asthma (Beta blockers, aspirin, NSAIDS) &
-DAMN drugs in diarrhoea (Diuretics, ACEIs, Metformin, NSAIDs)
#PLAB
Read 60 tweets
Niveles elevados de glucosa en sangre (hiperglucemia) en pacientes con #COVID19

Abro 🧵👇🏼

1/15

#SARSCoV2 #Diabetes #Glucose
Primero algunos (4) conceptos:

1️⃣ Insulina

Es una pequeña proteína producida por el páncreas. Le indica a nuestras células que deben absorber la glucosa que les llega a través del torrente sanguíneo

2/15

#Insulin #pancreas #metabolism
2️⃣Adiponectina

La adiponectina es una hormona producida por las células que almacenan la grasa (adipocitos), tiene dos funciones principales: hacer que las células sean más sensibles ante la insulina, y...

3/15

#FatTissue #Endocrinology #Hormones
Read 16 tweets
100 years ago, #insulin was discovered—today, it is inaccessible for millions.

The Lancet journals reflect on this life-saving treatment and the "golden opportunity to improve access to insulin and #diabetes care" the centenary represents: hubs.li/H0Rp3p40 #Insulin100⬇️ Quote: 100 years after its discovery, insulin should be acce
The discovery of insulin ranks among the leading triumphs of medical research, with effects on #endocrinology, #medicine, and society that reverberate 100 years later.

Track "the birth of an idea" in @TheLancetEndo, by Robert Hegele and Grant Maltman: hubs.li/H0Rbx1D0
Although insulin has changed the lives of countless people with #diabetes, writes David Beran et al, the time for celebration has not yet arrived due to the absence of concrete action on #insulin access.

Read the Comment in @TheLancetEndo: hubs.li/H0QMPY00 #Insulin100 Quote: We need to be blunt—urgent action is required to ad
Read 6 tweets
1) Welcome to a tweetorial on #insulinhesitancy in contemporary #T2D management. This serialized program is accredited for 0.5h by @academiccme: #physicians, #nurses, #pharmacists! I am @AliceYYCheng . . . Image
. . . and this educational activity is intended for healthcare providers and is supported by grants from AstraZeneca, Bayer, Chiesi, and NovoNordisk.
Read 31 tweets
Every speciality who is on (or wants to be) the ‘Mucor’ team- how many are willing to admit a patient with Mucor under their care and manage (even after surgical debridement). How many were admitting before and will admit after the pandemic? (1/n)#Mucormycosis #COVID19India
Some hypothetical consultations in the emergency before and after the pandemic:

#ENT : We will operate and transfer back

#Ophthalmology : Call us during the Surgey, we will coordinate with ENT in the OT, if needed

#Neurology : Continue Amphotericin (2/n)
#Endocrinology : Send us a consultation after admission under primary, we will control sugars

#Neurosurgery :No active neurosurgical intervention required

#Nephrology :We will do renal modification of Amphotericin

#Medicine/ #Infectiousdisease Admit under any of the above
Read 4 tweets
This week we are going to cover some #Endocrinology topics for #medstudenttwitter.

Going to start with some fundamentals to get us going as grasping these basics really makes interpretation much easier!
Endocrinology is about communication! 📞📢

Hormones are messengers that travel around the body to act in distant organs and tissues.

There are 2 main types of hormones. Knowing a little about this helps predict hormone behaviour:
STEROIDS🔶 – cortisol, aldosterone, sex hormones. Vit d and thyroid hormones are included in this group as they behave similarly.

Water insoluble - circulate on binding proteins, have long t1/2

Diffuse across lipid membrane to act via NUCLEAR receptors ➡️ SLOW effect on genes
Read 4 tweets
Myxedema Coma vs severe hypothyroidism
First #Medtwitter #Tweetorial #ICUconsult
Do I have the correct diagnosis ?
Why steroids ? Why cortisol ?
Do I wake up endo at 3AM ? #endotwitter
Looking for answers ? 👇
A thread 🧵

#Medthread #MedStudentTwitter #pccm
Myxedema coma is a medical emergency. Period.
Act fast, efficiently and start treatment if your pretest probability is very high. No TSH ? No prob.
We don't wait for a CTA in a patient with massive PE and don't wait for an arterial duplex in acute limb ischemia right? same here
Ok How do I know/suspect myxedema ?
1. #History (if severe pt may be obtunded, ask family!)
2. #physical #exam (thyroid scars, delayed reflexes, macroglossia, slow mentation, bradycardia, hypothermia, low BP, myxedema in extremities....)

when in doubt @UpToDate Image
Read 10 tweets
Strange cause for #cirrhosis
Maybe very #rare #MedEd
53yrs man, voice change, recurrent headaches, male breast enlargement. Stops socialising. Has bleed one day, #endoscopy varices, #biopsy fatty liver cirrhosis
No metabolic syndrome.
MRI Brain done. #livertwitter #radio
1/3 Image
What is the diagnosis?
In patients with cirrhosis, always try to find the cause in those who present early. There is no idiopathic, no cryptogenic. Its all 'missed' cirrhosis.
2/3 #liverpath
#MedTwitter #pathology #radiology #MRI #brain #Neurology #Endocrinology #NeuroTwitter Image
#diagnosis: #fatty liver related cirrhosis due to #pituatory macro adenoma with high prolactin, high GH, low #thyroid function. #clinical examination, acromegaly features with central obesity. #Examine 1st, then investigate. #MedicalStudent #medicine #MedStudentTwitter
3/3
Read 4 tweets
Treatment w/SGLT-2, what can & can’t the wonder drugs do 🤷🏻‍♀️

✅⤵️plasma&interstitial💦
✅⤵️❤️filling pressures&LV remodeling
✅⤴️♥️energy by ⤴️ ketogenesis👉🏻 shift♥️fuel from glucose👉🏻 ketones
✅⤴️erythropoietin👉🏻⤴️RBC ➕⤴️HCT👉🏻⤴️♥️02💨delivery

🛑SGLT-2 do NOT 👇🏻read below👇🏻🛑 Image
In pts WITHOUT hyperglycemia
⤴️diuresis does not occur👉🏻effects on renal volume excretion is dependent on the threshold of glucose in the nephron

📖DAPA-HF trial👉🏻NO ❌ reduction in diuretic req w/ ➕ of dapaglizflozin
✅ 15% ⤵️in BNP👉🏻LOWER effect size compared w/loops alone
Read 3 tweets

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