@valcohranmd

@valcohranmd

@NEJM

@valcohranmd

Valeria Cohran, MD, MS

@valcohranmd

@MondayNightIBD

@MondayNightIBD @DCharabaty @BonumCe @TakedaPharma 2/ #MondayNightIBD #ShortBowelSyndrome #MedTwitter #GITwitter #MedPeds @BonumCe

🟠Earn #CME 🏆on Twitter!
🟠Full CME ℹ️ 🔗bit.ly/3Hgnpcf

📸 Faculty disclosures & important CME info 👇

@MondayNightIBD

@MondayNightIBD @DCharabaty @BonumCe @TakedaPharma 3/#MondayNightIBD

💊💉Meds = important 🛠 in mgmt of #ShortBowelSyndrome

💎Antimotility & antisecretory agents frequently used to control stool loss
💎Incl loperamide, diphenoxylate w atropine, codeine, & tincture of opium
💎Most effective ~30 min B4 meals & @ bedtime 🛏

@MondayNightIBD

@MondayNightIBD @DCharabaty @BonumCe @TakedaPharma 4/Growth factors also available for #ShortBowelSyndrome
🚦Somatropin (rhGH) approved in SBS
🛑Use largely discontinued due to unacceptable toxicity & modest long-term efficacy

#MondayNightIBD

Read 23 tweets

Bonum CE

@BonumCe

@DrMMurphy

💥#EndometrialCancer TKI/IO safety data & AE mgmt webinar 💥┈┈┈ w @DrMMurphy & @drteplinsky ┈┈┈🔹#CME info 👉 bit.ly/3Vqtabi 👈 @BonumCE ┈┈┈🔸Supported by edu grants from Eisai & @Merck 🔹#TumorBoardTuesday #gyncsm #OncTwitter twitter.com/i/broadcasts/1…

@Merck

1/#TumorBoardTuesday #OncTwitter

#1:Answer #PreTest❓bit.ly/PreTest-AEs-EC
#2:Tell us who u are👇
#3:🔁Retweet & tag colleagues

🧧#CME ℹ️bit.ly/3Vqtabi
Supported by edu grants from Eisai & @Merck

🟢Where r u in your career?

2/#TumorBoardTuesday #BonumCE #OncTwitter #GynCSM #gynonc #EndometrialCancer

🟠Earn 🆓 #CME 🏆
🟠#CME ℹ️🔗bit.ly/3YRDkog

📸 Faculty disclosures & important CME info 👇

Read 9 tweets

#TumorBoardTuesday

@TumorBoardTues

@DrMMurphy

@Merck

1/#TumorBoardTuesday #OncTwitter

#1:Answer #PreTest❓🔗bit.ly/EC_AEs_TBTpre
#2:Tell us who u are👇
#3:🔁Retweet & tag colleagues

🧧#CME ℹ️bit.ly/3Vqtabi
Supported by edu grants from Eisai & @Merck

🟢Where r u in your career?

3/#TumorBoardTuesday #BonumCE #OncTwitter #GynCSM #gynonc #EndometrialCancer

🟠Earn 🆓 #CME 🏆
🟠#CME ℹ️🔗bit.ly/3YRDkog

📸 Faculty disclosures & important CME info 👇

Read 9 tweets

#TumorBoardTuesday

@TumorBoardTues

@DrMMurphy

1/#OncTwitter #TumorBoardTuesday #MedTweetorial 🧵

✅#EndometrialCancer AE deep dive🤿
🧪Trial results
🔬Tox for TKI-ICI
w @DrMMurphy @MeganLeigh127 & us!

🆓#CME @BonumCe🔗bit.ly/3VBGJEJ
Supported by edu grants from Eisai & @Merck

🟢What's your specialty?

2/#TumorBoardTuesday #BonumCE #OncTwitter #gyncsm #gynonc #EndometrialCancer #MedTweetorial

🆓 CME > full info➕ref list🗒️& program archive
👉bit.ly/3VBGJEJ

🔑#CME info👇

3/#TumorBoardTuesday #BonumCE #OncTwitter #GynOnc #gyncsm #EndometrialCancer

🟢Which I/O +🎯tx combo is FDA approved for treatment of advanced or metastatic #EndometrialCarcinoma?

nivo = nivolumab
dostarlimab = dostarlimab-gxly
pembro = pembrolizumab

Read 27 tweets

#TumorBoardTuesday

@TumorBoardTues

@brian_rini

1/ #OncTwitter #NephTwitter #TumorBoardTuesday
✅#RenalCell #MedTweetorial🧵
w @brian_rini @shilpaonc @katy_beckermann

🦺TKI/IO safety data
🥽Tox to look 4
⛑AE mgmt

🆓#CME @BonumCe🔗bit.ly/3VDaK81
Support by edu grants from Eisai & @Merck

🟢What's your specialty?

2/ #TumorBoardTuesday #BonumCE #RenalCell #OncTwitter #NephTwitter
🆓#CME info ➕ full ref list🗒️ 👉 bit.ly/3VDaK81

✳️The critical elements👇

3/ #TumorBoardTuesday #BonumCE #RenalCell
#OncTwitter #NephTwitter #MedTwitter

🟢 Which of the following TKI/IO combo regimens is 🚫NOT approved by the FDA for the frontline mgmt of #RenalCell carcinoma?

Read 27 tweets

Shilpa Gupta

@shilpaonc

@brian_rini

1/ #OncTwitter #NephTwitter
✅#RenalCell #TumorBoardTuesday #MedTweetorial 🧵
w @brian_rini @shilpaonc @katy_beckermann

🦺TKI/IO safety data
🥽Tox to look 4
⛑AE mgmt

🆓#CME @BonumCe🔗bit.ly/3VDaK81
Support by edu grants from Eisai & @Merck

🟢What's your specialty?

2/ #TumorBoardTuesday #BonumCE #RenalCell #OncTwitter #NephTwitter
🆓#CME info ➕ full ref list🗒️ 👉 bit.ly/3VDaK81

✳️The critical elements👇

Read 27 tweets

Bonum CE

@BonumCe

@MarkYarchoan

📽️Watch NOW & Summit #HCC Mts🏔---🧗🏽AEs w AA ICIs & combos--- 🧗‍♂️Practical approaches & nuances---🧭w @MarkYarchoan @marinabaretti @MPishvaian---🆓#CME BonumCE🔗bit.ly/3D2O60S---Supp… by edu grants from Eisai & @Merck---#TumorBoardTuesday twitter.com/i/broadcasts/1…

https://twitter.com/TumorBoardTues/status/1585634735061053444

🪂BEFORE diving in 🪂…
🔗👇open link below (right click🖱️> open in 🆕tab)
✅ Answer #PreTest polls
🔁Retweet & tag colleagues

https://twitter.com/TumorBoardTues/status/1585634735061053444

3/ #TumorBoardTuesday #HCC #OncTwitter #GITwitter #LiverTwitter

🟠Earn 🆓 #CME 🏆
🟠#CME ℹ️🔗bit.ly/3D2O60S

📸 Faculty disclosures & important CME info 👇

Read 10 tweets

Neudrawlogy

@neudrawlogy

#NeudrawlogyMigraineEdition, part 5! 🤕 🧠

Here goes a review of the preventive treatments for migraine! 🧵 (1/10)

✅ Learn here:
🎯 Indications;
💊 General recommendations about the treatment.

#NeuroTwitterNetwork #NeuroTwitter #FOAMed #MedEd #MedTweetorial

1/❓But first, a question:
A 28-year-old woman with migraine without aura has 2 attacks/month lasting 8h, and her episodes are relieved by NSAIDs. Would you prescribe her a preventive migraine treatment?

2/❓Let’s suppose the same person has hemiplegic migraine with 1 attack/year. Would you treat her?

Read 18 tweets

Luciano J Costa

@End_myeloma

@jmikhaelmd

@jmikhaelmd @BonumCe @JanssenUS @pfizer 2/ 🎇🆓 AMA PRA Credit 🎇
CME ℹ️ & ref list👉 bit.ly/3DtOjtZ
🗝️ Disclosure info 👇
#BonumCE #MMSM

@jmikhaelmd

@jmikhaelmd @BonumCe @JanssenUS @pfizer 3/🛫Taking off...
🤔#biomarker definitions
🎯Dx biomarkers distinguish👥w disease &👥 w/o
🔮Prognostic biomarkers forecast likelihood of a clin event, dz progression or recurrence
🔮Predictive biomarkers identify 👥 more likely to experience favorable/unfavorable effect from 💊💉

@jmikhaelmd

@jmikhaelmd @BonumCe @JanssenUS @pfizer 4/ 📊 #BonumCE #MMSM

SP is 63 yo/M presents w anemia & bone pain
BMBX shows 70% clonal plasma cells and FISH reveals t(11;14)
MRI shows multifocal bone lesions
sBCMA is 227 ng/mL and SLAMF7 8.3 ng/mL by ELISA

☑️ Which is diagnostic of #multiplemyeloma in SP❓

Read 25 tweets

POCUS 101

@Pocus101

Hypotensive Patient Got you Stumped 🙄? Learn the RUSH Exam 🚀 to Solve the Problem! #POCUS

Learn:
1⃣What the RUSH Exam is
2⃣The HI MAP Mnemonic
3⃣Ultrasound pathology that causes Hypotension

✅ New Post
🔗👉pocus101.com/RUSH

#medtweetorial 👇 (1/n)

The RUSH (Rapid Ultrasound for Shock and Hypotension) Exam was first described in 2006 by Weingart et al using the "HI MAP" Mnemonic.

HI MAP Stands for

Heart
IVC
Morison's Pouch (eFAST exam)
Aorta
Pulmonary

Attached is a table that summarizes the pathology you may find in each system. Check out the full blog post for more details!

🔗👉pocus101.com/RUSH

Read 22 tweets

Yihan Yang

@YihanYangMD

@MedEdTwagTeam

1/ You’ve got multiple learners on your inpatient team. How do you know if you’re teaching them what they need and want to learn?

It’s another #TweetorialTuesday from the @MedEdTwagTeam!

#MedTwitter #MedEd #MedEdTwagTeam #MedTweetorial #FacDev

@JenniferSpicer4

2/ We are still covering the foundations of inpatient teaching.

If you missed these threads, catch up on:
🔥@JenniferSpicer4’s how to plan for teaching on rounds - tinyurl.com/roundsprep
🔥@GStetsonMD’s how to boost teaching with learning objectives - tinyurl.com/LObjectives

3/ This week, we cover how to use shared goal-setting to build upon teaching preparation & learning objectives.

Read 18 tweets

Ann Marie Kumfer

@AnnKumfer

1/ #medtweetorial on bacteremia real or not real?
A 70yM comes in with SBO and tachycardia and leukocytosis. Blood cultures are sent on admission. 1 out of 2 comes back with Clostridium spp (not perfrigens/ septicum). To treat or not to treat?

2/While true bacteremia needs to be aggressively treated, there is also a high rate of contamination. Figuring out which blood cultures represent true infection can be tricky.

3/ What is the contamination rate of blood cultures?
What is the chance a positive blood culture represents bacteremia?
There is a .6-12.5% contamination rate of blood cultures.

Read 15 tweets

Satya Patel, MD

@SatyaPatelMD

@MedTweetorials

1/18 Chest pain is a frequently seen reason for admission. Here's my take on when to consider ACS in patients with chest pain!
#MedTwitter #CardioTwitter #MedEd #FOAMed #MedTweetorial @MedTweetorials

2/18 Our evaluation of ACS starts with 3 things:

1⃣ History
2⃣ EKG
3⃣ Troponin

The primary focus of this thread is going to be on the history (a heads up - the flowchart at the end will go a little bit out of order)!

3/18 When taking a chest pain history, we ask lots of questions about associated symptoms and alleviating/aggravating factors, mostly because we were taught to obtain and report this history. But is there a more focused way to approach this?

Read 18 tweets

Archana Vajjala

@ArchanaVajjala

@ASPNeph

1/📢Hello #medtwitter
This month's (Aug) @ASPNeph Radiology webinar was all about vesicoureteral reflux (VUR)
Here are some clinical pearls!

What's new!?
#Medtweetorial #nephtwitter #ASPNeph #vesicoureteralreflux #vur
VUR - Against the flow!

2/ Let's get started with a poll!
Which one of these is true about VUR?

3/ Ans - All the above
PMID: 32022517

Let's quickly define vesicoureteral reflux
Retrograde flow of urine from the bladder into the upper urinary tract due to dysfunctional vesicoureteric junction (VUJ)

Read 25 tweets

Milad Memari, MD

@MemariMD

@JHospMedicine

1/14
Hey #MedTwitter!

Ever question the utility of asymptomatic urine testing in delirious, older patients?

Passionate about avoiding low-value tests that may harm vulnerable patients?

If so, please join us on this Tweetorial journey based on our @JHospMedicine @TWDFNR piece!

2/14
Let's start off by getting a sense of how everyone approaches this clinical situation.

In the work-up of delirium in an older adult, which of the following groups would benefit from urine testing?

@jama

3/14
Some background on delirium's impact:

This @jama study (Oh et al, pubmed.ncbi.nlm.nih.gov/28973626/) states that in US alone, more than 2.6 million adults 65 years and older each year develop delirium, accounting for an estimated $38-$152 billion in annual healthcare expenditures!

Read 16 tweets

TM Smith, D.O.

@RosenelliEM

Some optics neuritis pearls in a short #Medtweetorial 🧵…. We all know that optic neuritis is frequently associated with multiple sclerosis (MS). But optic nerve inflammation can exist from autoimmunity, infection, granulomatous disease, paraneoplastic disorders, & demyelination

Classical ON from MS is unilateral, moderate, painful color vision loss with an afferent pupillary defect & normal fundus examination.

In those with ON, 95% of patients showed unilateral vision loss & 92% had associated retroorbital pain that frequently worsened w/ eye movement.

Read 14 tweets

Ravi Singh

@rav7ks

1/ 10 The most recognized form of Non-Cardiogenic pulmonary edema(NCPE) is ARDS, however the scope of NCPE is much broader with many causes. One particular cause of NCPE we encountered was due to opoid use which is explored in this #medtweetorial
#MedTwitter #MedStudentTwitter

2/10 The onset of noncardiogenic pulmonary edema after opioid overdose was first described by Osler
during an autopsy in 1880

Osler W. Oedema of the left lung — morphia poisoning: Montreal General Hospital Reports Clinical and Pathological. Montreal: Dawson Bros., 1880:291.

3/10 Its presentation and clinical course was not appreciated until the 1950s-60s.
-mechanism is known to involve ⬆️ alveolar capillary permeability
-Opioid-related NCPE presents as :
dyspnea +/- pink, frothy pulmonary secretions
+ hypoxia
Other criteria is detailed below:

Read 10 tweets

OBGynInternChallenge

@OBGynChallenge

@learnarist

1/ OK, so today #OBGynInternChallenge diagnosed an ectopic! What do you do once that's accomplished? Let's talk about treatment with a #tweetorial! We'll do these occasionally to cover content we couldn't get to in our @learnarist course. Bonus knowledge! #MedEd #FOAMed #FOAMob

2/ When you think about #treatment for any medical condition, it can be helpful to organize your thoughts into three broad categories: #medical, #surgical, and #expectant. We often forget about that last one! #MedTwitter #OBGynTwitter

3/ With #ectopic #pregnancy, #surgery is what you probably think of first. It's appropriate in three cases: 1) hemodynamically unstable patient; 2) a patient who desires surgery instead of medical therapy; 3) a patient has a contraindication to medical therapy.

Read 10 tweets

Casey Albin, MD

@caseyalbin

@MedTweetorials

A #tweetorial #medtweetorial
@MedTweetorials

1/
3 AM: Pager Pager Pager

Me [very groggily]: Hey, what’s up?

Awesome overnight APP: Sorry to wake you! But, Mrs. Very-Small-Stroke-NIHSS-2-Had-Been-Clinically-Stable-All-Day just PEA arrested.

Me [not so groggily]:

@emoryneurocrit

2/
Awesome APP: We successfully got ROSC (bc team
@emoryneurocrit
= Flexed bicepsStar-struck) and have him stabilized. Going to scan now!

So, #neurotwitter, where’s the lesion?

3/
Trick question.

All of these areas through neurologic pathology – stroke/seizure/bleed - could all have caused a sudden death (or at the very least sudden LOC).

Read 24 tweets

Casey Albin, MD

@caseyalbin

@MedTweetorials

1/
Your patient that is “over breathing” the vent may still be dead by brain criteria.

A #tweetorial #medtweetorial for providers in #criticalcare #EM #neuro #neurocriticalcare. @MedTweetorials

2/
First and foremost, let’s be clear that to be dead by brain criteria, the patient must have cessation of ALL brain function *INCLUDING absence of respiratory drive.*

Thinking "But... I thought you just said...."?

3/
The contradiction here lies in that ventilators are sometimes too sensitive.

Read 13 tweets

Casey Albin, MD

@caseyalbin

@MedTweetorials

1/ Alright, #Neurotwitter, the votes for today’s #neuroDDxThursday were overwhelmingly in favor of multiple cranial neuropathies!

Thought about one slide, but this needs a #tweetorial! So that you aren't 😬😬😬 when confronted with this:

#MedEd #FOAMed @MedTweetorials

2/
Reminder: The 12 cranial nerve nuclei are located in the brainstem, and if you have trouble remembering where they are, welcome to the club. Here’s a reminder! Will post the medulla section Monday, stay tuned.

3/
We’ll move from central to peripheral etiologies.

The brainstem is like Times Square in NYC- so much going on in a very small space.

A small insult can easily cause damage to multiple cranial nerves. amiright, #stroketwitter?

Read 15 tweets

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