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…
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…
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
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
After residency, I joined @UTHSC_Medicine faculty with a specific interest in ambulatory education
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?
🔥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:
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)
➡️⬅️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)
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
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"
💥🧂 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"
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
@MohitHarshMD
#MedTwitter #MedStudentTwitter #Medtweetorials
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/
- 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/
NS can lead to:
-compartment syndrome
-dilutional coagulopathy
-hyperchloremic metabolic acidosis
-immune dysfunction
pubmed.ncbi.nlm.nih.gov/16832250/
❗️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 🇺🇸
