Discover and read the best of Twitter Threads about #JacobiIM

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Last week we had our traditional lecture on Dizziness by our amazing PD, Dr @AndrewGutwein!...
As you are probably very aware, this is a very common complain!, and can have many subtleties.

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#JacobiIM #JacobiNoonConference #medtwitter #FOAMed #DDx @CPSolvers @DxRxEdu
Dizziness is VERY relative...
Patient can describe it as spinning, lightheaded, "blacking out", but sometimes, it is just "Dizziness".

Newman et al evaluated the overlap of dizziness categories based on symptoms. (May Clin Proceedings, 2007-11-01,Vol 82,1)

2/n
#JacobiIM Image
But if it is just dizzy...DON'T STOP AT "JUST DIZZY"...try to really understand what is it!....As Dr Gutwein, says, "Dizziness is Meaningless".
A good way to try to understand what the patient means is:

3/n
#JacobiIM Image
Read 18 tweets
Yesterday we had an amazing noon conference on scleroderma with Dr Bahce! We discussed from pathophysiology to the differential diagnosis and common complications...here are some tips and pearls!
1/n (systemic sclerosis) Image
Although there were many reports of patient with symptoms compatible with sclerodermia, the term was coined in the beggining of the 19th century by Fantonetti and Thirial.

However, the skin was though to be the only involved organ, with no relationship with other symptoms.
2/n
Osler described it as "scleroderma is one of the
most terrible of all human ills. The disease progress until one is literally a mummy, encased in an evershrinking, slowly contracting skin of steel, is a fate not pictured in any tragedy, ancient or modern"
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Read 10 tweets

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