Discover and read the best of Twitter Threads about #Medtweetorials

Most recents (5)

1/ Happy #TweetorialTuesday from @ChrisDJacksonMD!
 
Hi #MedTwitter, I’m Chris Jackson. Honored and pumped to join @JenniferSpicer4, @GStetsonMD, and @YihanYangMD to share my love of #MedEd with you all through the @MedEdTwagTeam
 
A brief intro… Image
2/ I’m a current @UTHSC_Medicine senior APD of curriculum, assistant clerkship director @UTHSCMedicine, academic general internist @RegOneHlthFDN @CCHSmemphis

You may have seen me on #MedTwitter with my threads on #EBM or interactions via @primarycarechat
3/ I became interested in #MedEd after meeting inspiring role models & mentors @AU-UGA Medical Partnership: @3owllearning, Dr. Howard Cohen and @UTHSC_Medicine: Dr. Jim Lewis
 
After residency, I joined @UTHSC_Medicine faculty with a specific interest in ambulatory education Image
Read 9 tweets
1/🧵
🔥PART 2/2 on #PD catheter complications

#NephTwitter #NSMC #medtweetorials #medtwitter #Nephmadness
You see a patient w/ a past history of C-section for poor inflow/outflow 1️⃣ week post laparoscopic PD catheter insertion
📊What are the possible causes of flow problems?
2/

What’s your approach to flow?

1️⃣ Catheter irrigation → 1L of solution (dialysate/saline)
2️⃣ If slow fill → Flush/aspirate with syringe (aseptic technique! 🧤 😷)
3️⃣ If resistance both ways → Likely two-way obstruction

👇 Use an approach to catheter flow problems:
3/

➡️⬅️obstructions due to intraluminal/extraluminal process

👉Fibrin → most common cause of intraluminal obstruction

👉Fibrin → arises with inflammation (e.g. peritonitis)/embedded catheters too!

👉 Diagnose by clinical suspicion (🔎 for fibrin traces in drain bag)
Read 14 tweets
How much salt is not enough?

The most common dietary rec made by physicians is sodium restriction

But to what extent?

Is an overly sodium restricted diet harmful? Especially in HF?

🔥Grab a salted pretzel and read on
#medtweetorials #nephtwitter #cardiotwitter #MedTwitter
What degree of sodium restriction to you recommend to your heart failure patients?
🔥🧂 is important

💥🧂 conservation during human evolution from sea to land was vital

In the book From Fish to Philosopher, Homer Smith wrote “The tenacious conservation of salt is one of the most primitive - if not the most primitive - of functions in the vertebrate kidney"
Read 17 tweets
1/ LR has been making the rounds on #MedTwitter recently so I decided to put all of the important points versus NS into an infographic with additional points
@MohitHarshMD
#MedTwitter #MedStudentTwitter #Medtweetorials Image
2/ NS can cause coagulopathy
- NS dilutes clotting factors ➡️ impairing coagulation and hemostasis.
-NS can cause a functional impairment of thrombin and fibrinogen
- ⬆️ disruption of existing clots.
- acidic milieu can also ⬇️ clot formation/stability

pubmed.ncbi.nlm.nih.gov/17414340/
3/ In Traumatology:
NS can lead to:
-compartment syndrome
-dilutional coagulopathy
-hyperchloremic metabolic acidosis
-immune dysfunction

pubmed.ncbi.nlm.nih.gov/16832250/
Read 12 tweets
❗️Just what you’ve been waiting for❗️Sunday @BoggildLab #Tweetorial on Fever in the Returning Traveler!! 🤒✈️🏝🏖💉🦟🌞Buckle up, friends 😊🙏🙏 @MedTweetorials @AcademicChatter #AcademicChatter #MedTweetorials #Fever #Travel #VectorBorneDisease #VaccinesWork 1/23
2/23 Fever = hypothalamic thermostat reset to a ⬆️ temp in response to infection. It’s an adaptive biological response to pathogen invasion that assists w/ immunological control of infections. Most texts refer to fever as temp >38 C. See JAMA paper also: ncbi.nlm.nih.gov/pubmed/1302471
3/23 Fever in returning travelers is common in our population due to high mobility & travel proclivities. We collectively log millions of miles of air and land transit annually to countries that have very different endemicity profiles for infectious diseases compared to 🇨🇦 or 🇺🇸
Read 24 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!