Discover and read the best of Twitter Threads about #Endoscopy
Most recents (10)
80 yo M. Known cardiovascular disease and anemia. Acute abdominal pain and vomit.
Diagnosis? Only ONE answer is correct 😉
#radres #futureradres #FOAMrad #FOAMed #GITwitter #Endoscopy #GIpath
1. Ischemic colitis
2. IBD
3. Tumor
4. None of the above
Diagnosis? Only ONE answer is correct 😉
#radres #futureradres #FOAMrad #FOAMed #GITwitter #Endoscopy #GIpath
1. Ischemic colitis
2. IBD
3. Tumor
4. None of the above
Correct answer: None of the above. Why?
This is a case of ischemic colitis AND colon cancer⬇️
Were you able to pick up both? Can you see the difference?
This is a case of ischemic colitis AND colon cancer⬇️
Were you able to pick up both? Can you see the difference?
Learning points
🌟Satisfaction of search bias (CAREFUL!)
🌟There is a known ASSOCIATION between is ischemic colitis and tumor. Different patterns can be seen.
Old but useful paper to check out if you would like to learn more 🤓
🌟Satisfaction of search bias (CAREFUL!)
🌟There is a known ASSOCIATION between is ischemic colitis and tumor. Different patterns can be seen.
Old but useful paper to check out if you would like to learn more 🤓
How to be an excellent clinical teacher in medicine. Tweetorial.
Just my thoughts during a 15 year career as a teacher, with some dabbling in #MedEd research.
Some GI themes but applicable to all I hope.
#GITwitter #MedTwitter
Just my thoughts during a 15 year career as a teacher, with some dabbling in #MedEd research.
Some GI themes but applicable to all I hope.
#GITwitter #MedTwitter
This is practical & based on lived experiences as a learner - training & as a lifelong learner; experiences as a teacher; feedback I've received & how I changed; some literature; & how I've tested some stuff experimentally mainly in #endoscopy
(caveat - not saying I'm excellent)
(caveat - not saying I'm excellent)
1. Safe learning environments
Man this is critical.
I'll use my consult rounds as an example. Everyone seated. I make sure schedule is cleared - nothing lingering. I don't lead - the senior-most house staff leads the rounds.
The environment should be fun and positive.
Man this is critical.
I'll use my consult rounds as an example. Everyone seated. I make sure schedule is cleared - nothing lingering. I don't lead - the senior-most house staff leads the rounds.
The environment should be fun and positive.
1a) Welcome to a new #accredited #tweetorial on the management of aFXa-DOAC-associated #hemorrhage and specifically the role of coag laboratory testing in these challenging cases.
1b) Our expert author is #pharmacist Craig Beavers, PharmD @beaverspharmd CV Clinical Pharmacy Specialist @UK_COP, and Immediate Past Chair of the @ACCinTouch #ACCCVT Section
2) This 🆓program is accredited for 0.5h CE/#CME for #physicians #physicianassociates #nurses #nurespractitioners #pharmacists and is supported by a grant from AstraZeneca. See statement of accreditation and faculty disclosures at cardiometabolic-ce.com/disclosures/.
An 81-YO👵, type 2 DM: malaise, fever & anorexia, with oral pain & odynophagia, yellowish-white, pseudomembranous lesions on the tongue (A)
#endoscopy showed multiple shallow ulcers with a white coating (B)
1/6
doi.org/10.1503/cmaj.2…
#emergency #gastroenterology #MedEd
#endoscopy showed multiple shallow ulcers with a white coating (B)
1/6
doi.org/10.1503/cmaj.2…
#emergency #gastroenterology #MedEd
Glossal & esophageal🔬: multinucleated cells with moulded, ground-glass nuclei
PCR & immunohistochemical staining of the specimens: ➕ for herpes simplex virus type 1 (HSV-1)
HERPETIC GLOSSITIS AND ESOPHAGITIS
2/6
#GIPath #IDtwitter #microbiology
PCR & immunohistochemical staining of the specimens: ➕ for herpes simplex virus type 1 (HSV-1)
HERPETIC GLOSSITIS AND ESOPHAGITIS
2/6
#GIPath #IDtwitter #microbiology
Her hemoglobin A1c was 7.2%.
Doctors treated her with a 7-day course of acyclovir, intravenously because of her odynophagia, and the oral and esophageal lesions completely resolved.
3/6
#MedStudentTwitter #MedicalStudents
Doctors treated her with a 7-day course of acyclovir, intravenously because of her odynophagia, and the oral and esophageal lesions completely resolved.
3/6
#MedStudentTwitter #MedicalStudents
How do you train beginners at #endoscopy?
This week we are running the endoscopy #simulation course @UofTGastroHep @SMH_GI.
Our training to novices before they start endoscopic rotations is based on three educational principles.
#MedEd #GITwitter
This week we are running the endoscopy #simulation course @UofTGastroHep @SMH_GI.
Our training to novices before they start endoscopic rotations is based on three educational principles.
#MedEd #GITwitter
1. Modifying cognitive load
We use low fidelity simulators for basic skills (dial/button control, torque, stance, etc.) in a low risk envt. This allows the trainee to focus on basics without being overloaded by complex tasks - no patient, vital signs, assistants, sedation, etc.
We use low fidelity simulators for basic skills (dial/button control, torque, stance, etc.) in a low risk envt. This allows the trainee to focus on basics without being overloaded by complex tasks - no patient, vital signs, assistants, sedation, etc.
2. Optimizing challenge points
We favor matching complexity of task being taught to the skill of learner. If task is too simple - there is nothing to learn. If the task is too complex, the trainee will struggle to learn anything.
We favor matching complexity of task being taught to the skill of learner. If task is too simple - there is nothing to learn. If the task is too complex, the trainee will struggle to learn anything.
Happening now!
A discussion about Gastroenterology & the latest developments chronic diarrheal syndrome from one of GI’s global leaders-- Dr. Paul Feuerstadt from @Yale (@DrPaulGastro)
Youtube stream:
Clubhouse link: clubhouse.com/event/maWRBOp8…
A discussion about Gastroenterology & the latest developments chronic diarrheal syndrome from one of GI’s global leaders-- Dr. Paul Feuerstadt from @Yale (@DrPaulGastro)
Youtube stream:
Clubhouse link: clubhouse.com/event/maWRBOp8…
Time to register for #ACG2021 Annual Scientific Mtg & Postgrad Course!
Reconnect.
Renew Friendships.
Refresh Your Knowledge.
➡️acgmeetings.gi.org
Things we forward to LIVE & IN-PERSON:
‼️ Seeing colleagues in #GIcommunity‼️
#Gastroenterology #GItwitter #ACGfamily
Reconnect.
Renew Friendships.
Refresh Your Knowledge.
➡️acgmeetings.gi.org
Things we forward to LIVE & IN-PERSON:
‼️ Seeing colleagues in #GIcommunity‼️
#Gastroenterology #GItwitter #ACGfamily
#ACG2021 It's time to sign up!
ACG Annual Scientific Mtg & Postgrad Course
➡️acgmeetings.gi.org
Things we look forward to LIVE & IN-PERSON:
‼️World-class clinical education‼️
#Gastroenterology #GIcommunity #ACGfamily #GItwitter
ACG Annual Scientific Mtg & Postgrad Course
➡️acgmeetings.gi.org
Things we look forward to LIVE & IN-PERSON:
‼️World-class clinical education‼️
#Gastroenterology #GIcommunity #ACGfamily #GItwitter
#ACG2021 Registration is open!
ACG Annual Scientific Mtg & Postgrad Course
➡️acgmeetings.gi.org
Things we look forward to LIVE & IN-PERSON:
‼️Celebrating & uplifting #DiversityinGI‼️ #DiversityEquityandInclusion
#GIcommunity #ACGfamily #GItwitter
ACG Annual Scientific Mtg & Postgrad Course
➡️acgmeetings.gi.org
Things we look forward to LIVE & IN-PERSON:
‼️Celebrating & uplifting #DiversityinGI‼️ #DiversityEquityandInclusion
#GIcommunity #ACGfamily #GItwitter
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
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
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
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
#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
3/3
#Tweetorial on @AmerGastroAssn NEWLY released #COVID19 Rapid Review & #Guidelines in @AGA_Gastro! The most evidence-based #GI guidance on #PPE & #endoscopy #triage using #GRADE methodology @SultanShazi @SeragHashem @PDavitkov @DrJFeuerstein 1/13
1/
Sharing of measures observed at my institution in #HongKong currently in place for #COVID19 and some personal practice I have adopted, not exhaustive:
#endoscopy #medtwitter #gitwitter #bettersafethansorry #weareinthistogether #fighting
Sharing of measures observed at my institution in #HongKong currently in place for #COVID19 and some personal practice I have adopted, not exhaustive:
#endoscopy #medtwitter #gitwitter #bettersafethansorry #weareinthistogether #fighting
2/
Departmental
1. Cut all elective cases (only GI bleeds, cholangitis, OJ left; cancer cases reviewed case-by-case)
2. FTOCC +ve should be deferred if possible
3. Full PPE (hair net, face shield/goggles, N95, gowns, gloves etc) as appropriate per local guidance
Departmental
1. Cut all elective cases (only GI bleeds, cholangitis, OJ left; cancer cases reviewed case-by-case)
2. FTOCC +ve should be deferred if possible
3. Full PPE (hair net, face shield/goggles, N95, gowns, gloves etc) as appropriate per local guidance
3/
4. Extended use of N95, but not reuse (changing is protecting patients more than healthcare staff; if you take it off you shouldn't put the same one back on)
5. Scopes done by senior/independent endoscopists; no more training to reduce staff risk exposure and preserve PPE
4. Extended use of N95, but not reuse (changing is protecting patients more than healthcare staff; if you take it off you shouldn't put the same one back on)
5. Scopes done by senior/independent endoscopists; no more training to reduce staff risk exposure and preserve PPE
