Discover and read the best of Twitter Threads about #Medicine

Most recents (24)

1/🧵 Hacked on Twitter - what did I learn⁉️

I & other physicians’ @verified @Twitter accts were hacked last week…
 
This “micro-dose” of being silenced reminds me to do all I can to amplify the voice of others.
 
And it made me want to share a few thoughts about this platform…
2/ How did it make me feel?

📍Vulnerable
📍Silenced
📍At the mercy of others
📍Out of control
📍Small

Of course, it’s just social media

But how we handle ourselves here prepares us to fight #Testimonial #Injustice

No one wins if we stifle the voice & truth of another person.
3/ Detachment

I’ve been working on detachment from the lure of worldly things.

When the hackers stole control of my account, my 1st thought was that this was a perfect opportunity for me to practice detachment.

If I’m truly detached, my pulse should remain a calm 46 bpm 😎
Read 11 tweets
Speaking to a trainee doctor a few weeks ago who is scarily like me when I was a trainee - we both discussed having been labelled #aggressive at various points as men in the same scenario have been labelled #assertive
I looked up what they mean; aggressive according to the Cambridge English Dictionary is “behaving in an angry and violent way towards another person” & the more positive “assertive” is someone who “behaves confidently and is not frightened to say what they want or believe”.
So why is that women are more likely to be called aggressive rather than assertive ?

Probably as Women are expected to be warmer and more nurturing but they are also expected to demonstrate competence and be tough when they need to, without compromising
Read 13 tweets
Heartening to know that today there are gobs & scads of young #Dentist's who want to learn more about who precisely WAS "C.C. Bass, M.D", and what did he have to say about #PreventiveDentistry?
For the last few decades or so, just about any young #Dentist, when they first learn the real story of who "C. C. Bass, M.D." is, and what he actually did, are puzzled.
A couple of channels results from their #DentalSkool teaching, and thus their thinking.
Read 37 tweets
For more challenging drug questions, it’s great to have a wealth of information on your phone.

AppsHive announces the top 5 Best Apps for Pharmacists to help make your life simple

#appshiverecommends #Pharmacist #pharmacy #medicalapps #medicine #mobileapps
A thread📜
1) @GoodRx

What we liked:🤩

👉Easy to use and a great way to save money
👉The cost comparison feature is best which gives proper insight into saving on different medicines
👉Deliver your Rx at any time and anywhere you want
👉Easy refills and reminders
2) @medisafeapp

What we liked:🤩

👉It is intuitive, flexible, comprehensive, and very reliable.
👉It also keeps track of when you finally do take it, so you can check back and see if being late with medication was the root of any medical issues
Read 7 tweets
1) Cephalosporins are a commonly used class of antibiotics --> what's not so commonly known is that some members of this drug class can cause major bleeding complications!

4 groups of cephalosporins have been implicated in this problem!
2) This is based on the different side chains attached to position 3 of the cephem nucleus!
The first and largest group is the NMTT (N-methylthiotetrazole) side chain containing group --> cefamandole, cefotetan, cefmatazole, moxalactam and cefoperazone!
3) Other groups include MTDT and HTT side chain containing cephalosporins as well as cefoxitin which doesn't have any side chains attached to the 3 position of the cephem nucleus!
Read 10 tweets
A 26-YO👩‍🦰, sexually active: 1-month of right knee and metacarpal arthralgia, tenosynovitis & pustules on her hand, developed an enlarging chest wall mass.

CT: an abscess on her chest wall, requiring drainage.
1/4

DOI: doi.org/10.1503/cmaj.2…
#IDTwitter #MedEd Image
Urine gonococcal nucleic acid amplification test: ➕ was positive,
16S rRNA with gene sequencing of wall fluid:➕for Neisseria gonorrhoeae.

DISSEMINATED GONOCOCCAL INFECTION

Ceftriaxone IV stopped after the abscess had resolved
2/4

#MedicalStudents #microbiology
Neisseria gonorrhoeae is transmitted mainly through unprotected vaginal, anal and oral intercourse
3/4

#MedTwitter #MedStudentTwitter
Read 4 tweets
Lactante 4 meses, dermatitis atópica, su hermana con laringitis aguda: erupción papulosa de evolución a costras en 1 día, predominando sobre placas de eccema preexistentes.

Se inician en el tronco, incluyen cabeza, área del pañal y vesículas en boca.
1/5

#pediatria #Pediatrics
PCR (para herpesvirus y enterovirus):➕para enterovirus Coxsackie A6

ECCEMA COXSAKIUM

El A6 produce también: erupción vesículo-bullosa erosiva, cuadro Gianotti-Crosti-like y rash purpúrico-petequial

✒️Martín A y col continuum.aeped.es/screens/play/5… @aepediatria #dermatology
2/5
@aepediatria El eccema coxsackium puede producir fiebre con pápulas, vesículas y costras confluyentes en región peribucal, cuello, tronco, antebrazos, pantorrillas y dorso de manos y pies.

Generalmente, una enfermedad autolimitada con buen pronóstico.
3/5

@ContinuumAEP #Pediatrics
Read 5 tweets
Niña de 5 años, araña entre las sábanas (1): fiebre de 2 días y placa eritematosa indurada en muslo con crecimiento centrífugo y una escara necrótica central (2)
¼

✏️M. Sendín-Martín y col. @HospitalUVRocio
DOI: 10.1016/j.anpedi.2020.12.005
#pediatria #Pediatrics
@HospitalUVRocio PICADURA DE LA ARAÑA RECLUSA PARDA

Las arañas del género Loxosceles o arañas reclusas o arañas violinistas debido a la morfología dorsal de su cefalotórax tienen una distribución mundial

La lesión se resolvió los días siguientes, sin dejar cicatriz.
2/4

#MedEd #dermatology
@HospitalUVRocio Las arañas reclusas parda causan lesiones necróticas a través de una enzima denominada esfingomielinasa D1. Los síntomas sistémicos incluyen fiebre o náuseas.

De forma infrecuente, signos graves como coagulación vascular diseminada o la rabdomiólisis
3/4
#IDtwitter #MedTwitter
Read 5 tweets
Вейпинг нарушил работу подросткового сердца, но только у мужского пола 🫀

Новое исследование, проведенное американскими учеными, впервые дает представление о том, что происходит с сердечно-сосудистой системой подростков при курении электронных сигарет.

#medicine
Причем результат воздействия вейпинга на сердце зависит от пола подростка.
Сотрудники Медицинского колледжа Университета штата Огайо (США) впервые провели исследование влияния аэрозоля, создаваемого электронными сигаретами, на сердечно-сосудистую систему. Испытуемыми стали мыши обоих полов трех-пяти недель от роду (мышиный аналог подростков).
Read 22 tweets
Recién nacida, bajo peso al nacer: lesiones cutáneas vesículoampollosas anulares, violáceo-grisáceas, de predominio en espalda y miembros, con descamación de🤲y plantas, aspecto séptico, irritabilidad y tremulaciones
½

DOI: 10.1016/j.anpedi.2020.05.012
#pediatria #Pediatrics
Serología para sífilis de madre y RN:
PCR de Treponema pallidum (lesiones y LCR):➕

SÍFILIS CONGÉNITA PRECOZ

2/2
✏️MV Ordoño y col.
analesdepediatria.org/es-sifilis-con…
#microbiology #dermatology #MedEd #IDtwitter
La recien nacida recibió 10 días con penicilina G sódica I.V., con cicatrización de las lesiones del pénfigo sifilítico al nacimiento, persistiendo alopecia residual

#MedTwitter #Doctor #MedStudentTwitter
#resident #medicine #MedicalStudents #pediatric
Read 3 tweets
When you watch this video among others covering the #COVID19 and #monkeypox story as well as the #AIDS story you can only come to one conclusion: make medicine and bioresearch non-profit. No one should be allowed to make money from health research or anything related to it.

1
If we do that, all pandemics will come to a halt because, with no profit to make on new vaccines, gain of function research will stop. They make you think they are doing it for preparedness, but no, they are doing it to make vaccines and forcing it on governments, which then

2
Go deeper and deeper in debt with private companies. This is the situation we are in right now. Our governments are owned because of the ever growing debt they are in. That paves the path for the #GreatReset. So medicines, vaccines and health care in general should be

4
Read 7 tweets
16 meses, dermatitis atópica: erupción vesículo-ampollosa, con agrupación distal, con edema (1 y 2), vesiculación y costra central; peribucal y nasal, con costras de aspecto melicérico (3) y erosiones en área del pañal
¼
👇
DOI: 10.1016/j.anpedi.2020.10.012
#pediatria #Pediatrics
PCR (frotis faríngeo, rectal y vesículas):➕para enterovirus. Se identificó Coxsackie, serogrupo A6

ECCEMA COXSACHIUM

Forma de enfermedad mano-pie-boca atípica, por serogrupos menos frecuentes, como Coxsackie A6
2/4

✏️D Pérez-González y col
analesdepediatria.org/es-eccema-coxs…
#pediatric
Esta variante de enfermedad boca-mano-pie presenta erupciones vesículo-ampollosas generalizadas, con predominio en zona perioral, área del pañal y extremidades, especialmente en zonas de dermatitis atópica.
¾

#MedEd #IDtwitter #MedTwitter #Doctor
Read 4 tweets
#Thread #Health #Elders #SeniorCitizens

By Arnaldo Liechtenstein, physician: "Whenever, I teach #clinical #Medicine to students in the fourth year of medicine, I ask the following question:

"What are the causes of mental confusion in the elderly?"

1
Some answer: "Tumors in the head".

I answer: No!

Others suggest: "Early symptoms of Alzheimer's".

I answer again: No!

With each rejection of their answers, their responses dry up.

And they are even more open-mouthed, when I list the three most common causes:

2
- uncontrolled diabetes
- urinary infection
- dehydration

It may sound like a joke; but it isn't.

People over 60 generally stop feeling thirsty and consequently, stop drinking fluids.
When no one is around to remind them to drink fluids, they quickly dehydrate.

3
Read 9 tweets
Видеоигры оказались полезными для развития интеллекта у детей 🎮

Эксперименты европейских психологов показали, что когнитивные навыки детей, проводящих за играми больше среднего времени, растут слегка быстрее, чем у их сверстников.

#medicine #GenshinImpact
При этом просмотр телевизора или социальные сети не оказывают ни положительного, ни отрицательного влияния.
Психологи проследили за корреляцией между временем, которое дети проводят за компьютером, и развитием их когнитивных навыков.
Read 13 tweets
Record Numbers of Americans Dying of Overdoses. Instead of Justice, We Get Theater👨‍⚖️

"Whole thing is kabuki theater, It ought to be about money" said Ausness. "About who pays what & instead they want to make Sacklers listen to people complain about them"
newsweek.com/record-numbers…
Guggenheim joined several other museums last week w/an announcement they are removing the Sackler nameplate from their arts center,

Once again victims are being offered busy work as though it were meaningful reform.
#opioids #medtwitter #sacklers #HarmReduction @praddenkeefe
We are in the midst of the opioid crisis, an addiction & overdose crisis fed by the ubiquity of illicit & deadly fentanyl in the black market,

over 108k people died from an opioid overdose in 2021,
npr.org/sections/healt… #opioids #addiction #news #twitter #CrimesAgainstHumanity
Read 27 tweets
Exactly 7 years ago, I spent #StrokeAwarenessDay undergoing emergency #thrombectomy for #basilar artery occlusion. #BAO

Today, I'm still in awe and celebrating how #modern #medicine saved me from locked-in syndrome and enabled me to live a normal life, against all odds.

1/ 🧵
2/ So far, I have avoided sharing this information as part of my professional life, fearing it would somehow disqualify me as a credible clinician-scientist. Finally, I realize that the experience only strengthened my resolve to give future patients the second chance I was given.
3/ What happened in brief:

I was a healthy, 25yo medical student, all excited to have finished the first 10K run of my life not even 5 hours before my family reacted #FAST and called 911.
Read 20 tweets
There’s a locksmith who as he gets better, moves from assistant to master, ends up upsetting customers because he can fix their locks quickly.
The locksmith is saving - time and money for client. But they don't feel the value is there for money due to the shortened time input. Image
Fable says Pablo Picasso faced a similar paradox. One warm summer’s day he was sitting in a park when a woman recognised the artist, approached him, and insisted he sketch her. Smiling Picasso reached for his sketchpad and created her portrait with a single stroke of his pencil. Image
Read 18 tweets
#confluence
#Engineering #medicine #management

More and more IIT alumni are donating money to their mother institutions (IITs) to build and run medical colleges.

This is excellent start of a revolution. Let's try to predict the direction.

#Thread
IITs have been truly star institutes of India. Almost all produce occupies highest possible positions home and abroad. And in civil services as well.

Every Indian parent nurtures IIT dream for their children and IIT alumni run coaching institutes also to fulfil that dream.
Intelligent engineers quickly quit their base speciality and enter very lucrative management work in for-profit organisations. Our best brains are well known to make tons of money for investors and share holders. Enriching the whole world in this process.
Read 10 tweets
Duration of Antibiotic Therapy
Deciding on the duration of antimicrobial therapy for an infection is neither straightforward nor simple. 👇
#MedTwitter #MedEd #USMLE #FOAMed #hospitalist #mbbs #medicine #doctor
#medschool #MedStudentTwitter #medstudent #TwitterRx
🔽👇🔽🔽👇

/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 ⬇️ 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 &⬇️resistance.

/3
Read 26 tweets
LASIX and HF
👇👇👇👇
#MedTwitter #MedEd #USMLE #FOAMed #hospitalist #mbbs #medicine #doctor

👇👇👇

/1
4-chloro-N-(2-furyl-methyl)-5-sulfamoyl-anthranilic acid, member of the sulfa’s. Potent natriuretic drug, inhibits Na+-K+-2Cl− cotransporter in the ascending limb of the loop of Henle.
Direct Vd effects results in its therapeutic effectiveness in the Rx of acute pulm edema.

/2
Vasodilation leads to reduced responsiveness to vasoconstrictors, such as angiotensin II and noradrenaline, and decreased production of endogenous natriuretic hormones with vasoconstricting properties.

/3
Read 15 tweets
#Free #Resources from learning to #Discount #Medicine

Movies online free
la.axn.com

tubitv.com/home

Writing grants fellowships

freedomwithwriting.com/freedom/uncate…

Free certifications for coders.
freecodecamp.org
Colleges free courses
futurelearn.com/courses/collec…

Needs Submissions for 12 Upcoming Books
freedomwithwriting.com/freedom/uncate…

Jobs for Writers freedomwithwriting.com/freedom/uncate…
16 Calls for Pitches Directly from Editors (Up to $1000+ Per Article) freedomwithwriting.com/freedom/uncate…
Read 21 tweets
Angioedema:

Edema of the deep dermis & subcutaneous tissues.

Etiology, types and treatments👇👇👇👇⬇️⬇️⬇️⬇️👇👇👇👇

/1


#MedTwitter #MedEd #USMLE #FOAMed #hospitalist #mbbs #medicine #doctor
👇⬇️⬇️⬇️⬇️👇👇👇👇
Mast cell–derived mediators tend to affect layers superficial to subcutaneous tissue, including the dermal-epidermal junction. These mediators cause urticaria & pruritus.

In bradykinin-mediated angioedema, the dermis is usually spared, so urticaria & pruritus are absent.
 
/2
Read 7 tweets
Pseudomonas aeruginosa (PA):

Gram-negative bacillus found widely in nature, in soil and water.
/1


#MedTwitter #MedEd #USMLE #FOAMed #hospitalist #mbbs #medicine #doctor @ImproveDX
The genus Pseudomonas >140 species,> saprophytic & >25 species are associated with humans. Most known to cause disease in humans are associated with opportunistic infections.

⬆️ MR : ⬇️ host defenses, resistance to ABX & production of extracellular enzymes & toxins.
/2
Often found in water in sinks & can contaminate respiratory equipment, which can serve as an environmental reservoir, especially in ICUs. Is the most serious pathogen causing ventilator-associated pneumonia & remains the most important pathogen in patients with CF.
/3
Read 15 tweets
🌬️ Breath testing for #SIBO: everything you need to know! 🎈 😮‍💨 💩 🦠 🐄 📈

#MedTwitter #medicine #science #GITwitter #GI #microbiome #IBS #diet #nutrition

cghjournal.org/article/S1542-…
To kick things off: how do you diagnose #SIBO?
#SIBO is a disorder characterized by excessive colonization of the small intestine by organisms usually found in the colon, especially Gram-negative bacteria.

(NB: the more we learn, it seems the *type* of bacteria is more important than the *number!*)
Read 26 tweets

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