Discover and read the best of Twitter Threads about #MGH
Most recents (5)
Why did MGH DAO join the @fluf_world which is coined to be the Music and Entertainment #Metaverse of tomorrow?
A thread...
A thread...
1/ PFP #NFT projects have been flooding @opensea and #cryptotwitter due to the rise in popularity of #cryptopunks and #BAYC for a long time now. PFPs date back to the beginning of the internet where people uploaded pictures of themselves to represent their personas on the web.
1/ Covid (@UCSF) Chronicles, Day 41
Still stable at @ucsfhospitals. Today, we have 12 patients, 4 on ventilators (Fig on L). Outcomes continue to be good: we’ve discharged 44 patients & had a total of 2 deaths. In SF: 1424 cases (up 16), 23 deaths overall (up 1)(Fig R).
Still stable at @ucsfhospitals. Today, we have 12 patients, 4 on ventilators (Fig on L). Outcomes continue to be good: we’ve discharged 44 patients & had a total of 2 deaths. In SF: 1424 cases (up 16), 23 deaths overall (up 1)(Fig R).
2/ Despite stability @ucsf, SF hospitalizations stubbornly stable (Fig L), as are Bay Area cases (Fig R). Prob why leaders of 6 Bay counties today extended stay-home until 5/31 bit.ly/3cW6Kci Tough call, but our leaders have called ‘em right so far, & earned our trust
3/ I’ll start with a few newsworthy items (#5-8), & then I’ll focus on impact of tech on Covid (& vice versa). Super-long (sorry), but lots to chew on and health tech is my favorite topic…
Covid (@UCSF) Chronicles, Day 4
Still calm-before-storm feel; NYC makes it seem real-er. Slow rise in #s @UCSFHospitals, but no surge yet. Today: 10 Covid+ pts in house (up 2), 2 ICU. @NewYorker piece by C. Dalton, ED doc @ #MGH, captures zeitgeist bit.ly/2U9QJJ2 (1/6)
Still calm-before-storm feel; NYC makes it seem real-er. Slow rise in #s @UCSFHospitals, but no surge yet. Today: 10 Covid+ pts in house (up 2), 2 ICU. @NewYorker piece by C. Dalton, ED doc @ #MGH, captures zeitgeist bit.ly/2U9QJJ2 (1/6)
Speaking of @NewYorker, nice to see @Atul_Gawande get back on the writing saddle. (The med student writing group @Penn calls themselves “The Gawanabees.”) Atul describes how Hong Kong & Singapore flattened their curves bit.ly/2Uw6Dwa The piece is hopeful/reassuring (2/6)
Atul focuses on relatively low risk to HCWs, noting zero HCW infections after major exposures @ucdavis bit.ly/3dn19MO & Singapore bit.ly/2UrjlMP Yet cont concerns, esp in ED docs & in surgical/anesthesia colleagues who do much of their work near mouth/nose (3/6)
Time for a #tweetorial/#medthread on:
#CALCIPHYLAXIS!
This is a devastating diagnosis often seen in inpatients, so this goes to all the @DermHospitalist & #hospitalists out there!
#FOAMed #MedEd #dermatology #dermatologia #dermtwitter #medtwitter @SHMlive @DermHospitalist
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#CALCIPHYLAXIS!
This is a devastating diagnosis often seen in inpatients, so this goes to all the @DermHospitalist & #hospitalists out there!
#FOAMed #MedEd #dermatology #dermatologia #dermtwitter #medtwitter @SHMlive @DermHospitalist
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First of all, what is it? The exact mechanism is unknown. What we do know is that there is calcium in the arterioles of the skin, with arterial thrombosis. This interruption of blood flow causes painful ulcers and retiform purpura. Remember this?
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That interruption of blood flow causes the clinical picture of calciphylaxis - retiform purpura with a predilection for fatty areas, violaceous borders, necrosis with ulceration, and TERRIBLE PAIN. Without the pain, I really think one needs to reconsider the diagnosis!
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It's been about a week, so I thought it'd be a good time for another #dermatology #tweetorial/#medthread! Let's talk about another derm emergency that really gets me worried for the patient: #purpura fulminans (PF)!
Thanks @dermnetnz
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#FOAMed #MedEd #dermtwitter #medtwitter
Thanks @dermnetnz
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#FOAMed #MedEd #dermtwitter #medtwitter
What is purpura fulminans? It's basically retiform purpura, EVERYWHERE! But what is retiform purpura? It's the sharp angulated purpuric plaque/patch you can see in the skin. When you see retiform purpura, it means there's likely either a vasculitis or vasculopathy causing it!
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Why does that happen? (Nerd-alert - this is one of my favorite ah-ha moments from residency) - The skin is perfused in cones, so if you knock them out, you get circles of necrosis. When you combine a bunch, you get the angular appearance! See my terrible MS paint attempt:
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