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
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?
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 🤓
Read 3 tweets
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
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)
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.
Read 21 tweets
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/.
Read 37 tweets
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
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
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
Read 6 tweets
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
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.
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.
Read 6 tweets
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
#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
#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
Read 11 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
Background: Healthcare workers are at ⬆️ risk for #COVID w/o adequate #PPE (20-30% of cases). In #GI, upper scopes are aerosolized-generating procedures (AGPs) & therefore even ⬆️ risk for #COVID. Lower scopes also = ⬆️ risk 2/2 some e/o AGPs w/bx + fecal oral spread. 2/13
Rec 1: Wear N95s (or better) for all upper scopes REGARDLESS of #COVID status. (Strong rec, mod quality evid). Why? Testing is inadequate & w/community spread, take universal precautions. If rapid testing for endo pts is avail, prioritize #N95s for known COVID 3/13
Read 13 tweets
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
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
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
Read 10 tweets

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