Discover and read the best of Twitter Threads about #MedStudent

Most recents (24)

Duration of Antibiotic Therapy
Deciding on the duration of antimicrobial therapy for an infection is neither straightforward nor simple. 馃憞
#MedTwitter #MedEd #USMLE #FOAMed #hospitalist #mbbs #medicine #doctor
#medschool #MedStudentTwitter #medstudent #TwitterRx
馃斀馃憞馃斀馃斀馃憞

/1
Most ID guidelines are based- either expert opinions or evidence-based medicine. Historically, duration of ABX Rx were based on arbitrary extension of days(magic numbers like 7, 10 & 14 days) rather than on reliable evidence with the main aim to 猬囷笍 failures & avoid underRx.

/2
There is growing evidence to support for shorter courses. It is important for prescribers to be up to date with best practices. Duration of therapy plays a pivotal role in antimicrobial stewardship programme within the global effort to optimize antibiotic use &猬囷笍resistance.

/3
Read 26 tweets
Lekarski Egzamin Ko艅cowy W2022- Centrum Egzamin贸w Medycznych opublikowa艂o klucz odpowiedzi do ostatniego egzaminu, w kt贸rym jest pe艂no b艂臋d贸w. Czy to jest ta nowa jako艣膰 kszta艂cenia? @MZ_GOV_PL @a_niedzielski
Kolejne "poprawne odpowiedzi" wg Centrum Egzamin贸w Medycznych. Pa艅stwo z kartonu
Pracownicy Centrum Egzamin贸w Medycznych nie znaj膮 te偶 angielskiego i tak z raka jajnika w angielskiej wersji testu powsta艂 rak szyjki macicy
Read 12 tweets
An in-depth review of Clavicle Fractures.

If you're interested in orthopedics you won't want to miss this one!

馃Υ鈿掞笍馃У馃憞
Clavicle fractures are typically the result of a fall onto the shoulder and are one of the most common fractures in children.

They may also occur from direct trauma, seizures, or a fall onto an outstretched hand (FOOSH).
The clavicle serves as the connection between the UE and axial skeleton.

It is the first bone to ossify and the last to fuse. It is S-shaped and widest medially.

Most fractures occur in the middle 1/3rd, roughly 80%, which is the thinnest segment.
Read 17 tweets
An in-depth review of Ankle Fractures.

If you're interested in orthopedics you'll definitely want to check this review out!

馃Υ鈿掞笍馃У馃憞
The ankle is a complex hinge joint comprised of the tibial plafond, talar dome, and distal fibula.

Ankle fractures most commonly occur in elderly females, with roughly 70% being isolated malleolar, 20% being bimalleolar, and 5-10% being trimalleolar. (1)
When first examining a patient with an ankle injury, you can utilize the Ottawa Ankle Rules to determine if you should x-ray the patient.

Our review of The Ottawa Ankle Rules can be found here:
Read 20 tweets
An in-depth review of Terrible Triad Injuries.

If you're interested in orthopedics you won't want to miss this one!

1/12
Terrible triad injuries are complex posterior elbow dislocations associated with coronoid and radial head fractures as well as capsular and ligamentous injuries.
These injuries commonly result from a fall on an outstretched arm and the structures of the elbow fail from lateral to medial.

LCL --> anterior capsule --> MCL
Read 13 tweets
An in-depth review of pediatric femoral shaft fractures.

If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!

1/10
Pediatric femoral shaft (PFS) fractures constitute a small portion of pediatric fractures roughly 1-2% with a bimodal age distribution

Most common causes:
鉁 Toddlers: falls
鉁 Teenage/adolescent: MVA
In children younger than walking age child abuse must be suspected. As high as 80% of PFS fractures in this age group are due to child abuse.

In the toddler age group as high as 25% of PFS fractures are due to child abuse, so it must be ruled out.
Read 11 tweets
An in-depth review of Slipped Capital Femoral Epiphysis (SCFE).

If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!

1/ Image
SCFE鈥檚 are an adolescent hip pathology with an average age of onset of 11-12.

The diagnosis may be initially missed because the patient may present with thigh or knee pain.
Risk factors include:
鉁 Obesity
鉁 Male gender
鉁 Prior radiation
鉁 Endocrine abnormalities
鉁 Certain ethnicities (e.g. African American)

Obesity is one of the most important and modifiable risk factors.
Read 12 tweets
#MedStudents, #Residents, #Fellows, and #Research Trainees - I recently had both a resident and fellow ask me how I got involved in research and published when I was a #trainee. I thought I would share my tips and advice in this thread. #MedTwitter #ACGME #MedStudentTwitter
1. Ask yourself馃憠what you want from this? To pursue research as career? To boost application for #residency #fellowship #employment? To get a recommendation letter? Regardless, aim for #publication (most value). Conference talks are cool, but publications stay on CV forever!
2. Basic science research=猬嗭笍time+lab training vs clinical research. Study designs: RCTs, prospective, retrospective, case reports, review papers. Publishing case reports+review papers are most feasible endeavors during training! Best way to boost #publication numbers.
Read 22 tweets
The Medicare DIS-Advantage Plans...
Many seniors are being lured into Medicare Advantage Plans due to the added benefits of hearing, dental, and gym membership coverage. Image
These plans are actually run by private insurers and actually quite profitable for insurance companies with profit margins of 5% or greater (industry average is 4%) khn.org/.../medicare-a鈥
Further these plans have the added problems of:
1) Narrow Networks - in fact, many of the most prestigious cancer centers in the country are excluded from these plans. Oddly enough 60% of Cancer diagnoses are in Medicare aged individuals... cancer.gov/about.../cause鈥
Read 6 tweets
1/ 馃帄 NEURO PROGRAM FEATURE 馃帄
Today we are featuring 鉁║niversity of Florida Neurology鉁

Program: University of Florida (@UFNeuroRes)
Location: Gainesville, Florida
Website: neurology.ufl.edu/education/resi鈥

Check out this 馃У to learn more!
#NeuroTwitter #Match2022 #NeuroMatch
2/ 馃搷What we look for (1/2):
馃搷We conduct a holistic review to find candidates with inherent curiosity for learning and a passion to serve neurological patients. As our chair Dr. Okun says - 鈥渢he patient is the sun and we orbit around them鈥.
2/ 馃搷What we look for (2/2):
A team-focused attitude is also key, as we have a great group of residents and faculty who all support one another.
Read 23 tweets
1/ 馃帄 NEURO PROGRAM FEATURE 馃帄
Today we are featuring 鉁 University of Chicago Neurology鉁 @NeuroUcmc

Location: Chicago, Illinois
Website: neurology.uchicago.edu
Instagram: instagram.com/uchicagoneurol鈥

Check out this 馃У to learn more!
#NeuroTwitter #Match2022 #NeuroMatch
2/ What we look for: (1/2)
馃搷 We look for applicants from diverse backgrounds that are passionate, motivated, and kind-hearted. One of our goals is to mold all of our residents into leaders in the field.
2/ What we look for: (2/3)
馃搷In addition, we take great pride in the fact that our residents work with an underserved population. Our residency stresses the importance of understanding our patients, their circumstances鈥
Read 23 tweets
1/馃帄PROGRAM FEATURE 馃帄
Program: University of Wisconsin
Location: Madison, WI
Website: neurology.wisc.edu/residency-prog鈥
Twitter: @UW_Neurology Image
2/ What we look for (1/2):
馃搷Attitude is more important than test scores!
馃搷We want to recruit good people who are going to bring a positive attitude and work to enhance our patients' care, engage in learning, and support their colleagues.
3/ What we look for (2/2):
...In return, we'll treat you with respect and help you become the best neurologist you can be! Image
Read 14 tweets
1/ 馃帄 NEURO PROGRAM FEATURE 馃帄
Today we are featuring 鉁║T Houston Neurology鉁

Program: UT Houston Neurology
Location: Houston, TX
Website: med.uth.edu/neurology/educ鈥
Twitter: @UthoustonR
Instagram: @uth.neuro.residents

#NeuroTwitter #Match2022 #NeuroMatch Image
2/ What we look for (1/2):
馃搷Our residents thrive because they love spending time with each other and our faculty, are great team players, and enjoy a good work life balance. Image
2/ What we look for (2/2):
馃搷If you are passionate about neurology, hardworking, and envision yourself contributing to the field, either locally in Houston, nationally, or globally, consider training with us! Image
Read 16 tweets
(1/) It can be difficult to remember all the different breathing patterns馃珌 associated with brainstem 馃 injury! Here are my rules of thumb when attempting to localize a breathing pattern. #tweetorial #neurotwitter #MedEd #Neurology #Medstudent Image
(2/) Major Caveat: like all of neurology, these rules have exceptions and nuances. Think of it more like a way to ballpark 鈿撅笍 an injury within the brainstem. A quick google search can result in all sorts of useful pictures 馃摳! Image
(3/) Higher level injuries (Cortex, Thalami, or Midbrain) tend to result in patterns with faster breathing 馃尙锔. Compare this to injuries to the Medulla which can result in ataxic breathing or even respiratory arrest 鈽狅笍. High = Hyperventilation. Image
Read 7 tweets
1/ Tinkling of Ice: #Alcohol & Me

Personal Share: As a 1st year #MedStudent 35 years ago (#MardiGras 1986), I was a cyclic, binge-drinker. It threatened my future as a physician & my personal safety. I draw on these experiences with pts.

#medtwitter #tipsfornewdocs #nurses
2/ For me, #recovery meant detaching from harmful zones of behavior. Years of ups & downs. I often share my story w patients when it comes up. I find this builds a powerful connection between us and helps us both. #healing

#medstudenttwitter #academictwitter #nursetwitter
3/ I needed to give up, fess up, make amends, and keep up. I stumbled along the way & am thankful to those who supported me & did not judge me.

#HOPE = Hang On, Peace Exists

#healing #workinprogress #addiction @ASAMorg @AlAnon_WSO @RyanForRecovery
Read 7 tweets
A person messaged me asking if he could continue taking this following drug for memory boosting.

The drug contains 'Brahmi' from herb Bacopa.

Fact: Depending on #Ayurveda, which itself, #quackery, embodiment of #pseudoscience 鉃★笍#herbal #memory booster is #fraud. #medtwitter
1
People age, som develop cognition disorders - there R identifiable risk factors, treatable&controllable.

Cognition disorders鉃★笍bit.ly/2KnXZ25 - which of these are prevented by Bacopa? Actually none

Let us see 2 large metanalyses/systematic reviews on Bacopa extracts
2
A - pubmed.ncbi.nlm.nih.gov/24252493/
Result: some potential, nothing definite because it is never compared with a standard drug. I dont know Y complementary and alternative medicines R always compared with placebo when there are other better standards 2 compare them with! #livertwitter
3
Read 5 tweets
#Mentalhealth x #minorityhealth are very close to my heart! I serve on the board of @SAMHINorg , a NJ based NPO focused on #SouthAsian mental health

We are looking for dedicated #volunteers (1/n)
with an interest and skills in the following:
- #socialmedia management
-social media content creation
- fundraising

Here鈥檚 our Instagram:

instagram.com/samhinorg?igsh鈥

Here鈥檚 our website:

samhin.org

DM me if interested for the application process!
Read 5 tweets
Checkout my slides from our #TCTConnect abstract presentation. Learn how we use #3Dprinting @KidsAtColumbia to care for our patients with #CHD. Abstract TCT196 for full video clips! 1/10
#TCT2020 @ColumbiaSurgery @MartyMleon @mmamas1973 @jgranadacrf @Drroxmehran @mirvatalasnag Image
Our J750 @Stratasys is housed in the Vagelos Center and is a multimaterial multicolor #3Dprinter. We reviewed our #3Dmodeling and #3Dprinting cases over 2 years. 2/10
#TCTConnect #TCT2020 #crf @purviparwani @PushpaShivaram @ShelbyKuttyMD @DrJenniferCo_Vu @iamritu @MaterialiseNV Image
We have created 32 models over 2 years for indications of 馃憠complex #CHD
馃憠#VAD planning
馃憠AAOCA or
馃憠other #CHD 3/10
#TCTConnect #TCT2020 #CRF #3Dprinting
#womeninmedicine #WomenInSTEM
@ebrosenzweig @ShannonNNees @kt_heartfailure @Heart_SCCT @SCMRorg Image
Read 11 tweets
1/12
Separating the #men from the #boys
Here is a #PubMed #indexed, #Elsevier published #journal reporting '#exclusive' #treatment of #covid19 through #Ayurveda leading to full recovery in a #patient. Great #news right?! No. The #proof of the #pudding is in the eating! Spoons out
2/12
The #journal. Its legit, 'becoz' its publishd by #Elsevier. Journal ownd by World Ayurveda Foundation & Trans-Disciplinary Univ, #Bengaluru. 4mer, a 4-men 'world foundation'[bit.ly/3is0CdR], latter @TDUFRLHT founded @sampitroda, vettedby likes of @kiranshaw
3/12
The study - 43yr old #newyork #banker develops fever,cough durng peak #COVID season, 'PRESUMED' to be #coronavirus. Self #Quarantine at #home, phone calls #ayurvedic #Doctors at #Chennai, #india, offer鈽庯笍 treatmnt until fever break, therby reporting #covid19 cure via Ayurveda
Read 13 tweets
#NeurologyMorningReport #NMR Case 65 #MedTwitter #NeuroTwitter Updates & Answers posted later today. Asking your help #MedEd #neurology #neurologyresident #neurologist #medstudent #NeurologyProud #MedStudentTwitter Join me in educating. Share your questions and knowledge.

1/ Image
Page - 25yo man, hx B cell ALL, ?seizure, now w/ AMS Please come to bedside
Admitted w/diarrhea & GI graft vs host disease
h/o ALL, multiple relapses including leptomeninges now in remission

What further information do you need? What are your 1st thoughts about what's going on?
See image for details of event and vital signs

Medications: tacrolimus, infliximab, remicade

3/ Image
Read 15 tweets
Q: Doc, doc there鈥檚 a patient with sudden onset shoulder pain which worsened precipitously over a couple of hours after recovering from the flu. What should we do?
A: Sounds like a typical history for Parsonage Turner Syndrome. You suspect this when there鈥檚 acute onset really severe shoulder pain after an infection, operation, pregnancy or vaccination.
Read 15 tweets
Q: Doc, doc, got a 35 year old chap in for terrible muscle aches after running a race. He says his urine is black. What could it be?
A: Black urine suggests myoglobin. What鈥檚 his CK? Is it elevated together with other muscle enzymes (AST, ALT, Aldolase)? If so, think rhabdo. Now the question is whether he鈥檚 got a provoked attack or has underlying genetic susceptibility.
Read 22 tweets
Q: Doc, doc, got a middle-aged patient with subacute onset of proximal muscle weakness and CK of 10K. What could it be?
A: Any cutaneous or joint or respiratory issues? If it鈥檚 just muscle, it might be necrotizing autoimmune or toxic myopathy with that level of CK.
Read 19 tweets
Q: Doc, doc, have a patient with subacute weakness and suspected myositis. Why in the world are we considering these humongous panels of autoantibodies? Can鈥檛 we just do a muscle biopsy?
A: Just 2 reasons - diagnosis and prognosis. We send myositis specific antibodies (MSA) and myositis associated antibodies (MAA). MSA are antibodies specifically associated with inflammatory myopathies.
Read 16 tweets

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