Discover and read the best of Twitter Threads about #Tweetorials

Most recents (8)

1: What causes WBC/PMN elevation (neutrophilic-predominant pleocytic) ascites? The differential is broad and extends beyond Spontaneous Bacterial Peritonitis (SBP).

(A #MedTwitter and #Tweetorials contribution). Appreciate edits by @ebtapper.
2: 26yoW w/ cirrhosis 2/2 congestive hepatopathy 2/2 hypoplastic L heart syndrome s/p Fontan presented to OSH with fevers, abdominal pain. Prev tx by PCP for ?PID w/ IM CTX, doxycycline. Dx para shows WBC 2480, PMN 74%, total protein 4.3, SAAG >1.1. What is cause of ascites here?
3. Portal Hypertension (PH) due to liver dz causes albumin- and protein-poor ascites. This is due to sinusoidal scarring causing reduced albumin and protein translocation into ascites [Serum-Ascites Albumin Gradient (SAAG) >1.1]. But this case is not due to cirrhosis...
Read 25 tweets
As @DrMarthaGulati destroys her competition today at #ACC19 , there really is no worthy debate on whether a physician should participate in #SoMe or not.

A thread on where physicians need to obtain #SoMe skills and lead...
The principles of advocacy.

Op-ed piece by Dr. LeeAnne Luft:
ncbi.nlm.nih.gov/pmc/articles/P…

Call to action by Dr. Angira Patel @sciam blogs.scientificamerican.com/observations/i…

Eye-opening @ETSshow podcast w/ @PeterHotez explorethespaceshow.com/podcasting/pet…
Novel uses of #SoMe & documentation of impact.

#Tweetorials perspective by @Doctor_V 33charts.com/tweetorial/

Article on Physician exemplars ( incl. @EricTopol @SeattleMamaDoc )
patientpop.com/blog/marketing…

#SoMe portfolios for academics jgme.org/doi/full/10.43…
Read 5 tweets
1: What causes triglyceride elevation in pleural fluid studies?

My previous understanding of this diagnostic test was recently challenged and lends credence to the fascinating diversity of pleural effusions/dz.

(A #MedTwitter and #Tweetorials contribution).
2: A middle aged woman OSH patient was transferred with LEFT pleural effusion that developed 5 days post-CABG.

Initial pleural fluid studies:
protein <0.8 LDH 2300 glucose 278 RBC 400 WBC 17.5k trigs 204 cholesterol 225 chylomicrons (-)

What type of effusion is this?
3: This is not a case of hemothorax despite the presence of (many) RBCs. A true hemothorax diagnosis requires EITHER of the following:
1.Pleural fluid hematocrit (hct) >50% peripheral hematocrit
2.RBC/100,000 (estimate for pleural fluid hct if not obtained) >50% peripheral hct
Read 19 tweets
Really impressed by the recent #tweetorials by @ADAlthousePhD & @venkmurthy on study design. I was thinking that there are lots of awesome study design methods tweetorials. I'd like to capture them in one place. Here are my favorites. Please add yours (with one line on the topic)
@venkmurthy on test vs population characteristics and other iwatch issues
Read 12 tweets
In preparation of my upcoming talk on #dermatology emergencies for the @SHMlive conference, I thought I'd put together my first #tweetorial on Stevens Johnson Syndrome (SJS). Having never done this, apologies in advance for subpar tweeting! Here we go!
1/
#medtwitter #dermtwitter
SJS and its more severe cousin, Toxic Epidermal Necrolysis (TEN), are life-threatening dermatologic toxicities, usually caused by a drug trigger. In rare cases, they can be triggered by infection (more commonly seen in the #pediatric population).

2/
#SJS usually presents with an atypical targetoid macular (flat) eruption with +nikolsky. This is in contrast to another entity on the ddx, erythema multiforme, which has classic target papular (raised) lesions. See the difference? (hands are EM, back is SJS). CC @dermnetnz!

3/
Read 11 tweets
Putting my #livertwitter #tweetorials in one place
I must have deleted my original index tweet.
(More are coming in 2019)
Read 5 tweets
Thank you so much to @PlenarySessShow @Plenary_Session for having me on episode 4 to talk about the benefits of #medtwitter! It was great to find another venue (ie not typing in < 280 characters) to discuss its role in learning, patient care, advocacy, & professional development
shout out to @ReneeDversdal (about a minute after my segment starts ~24:30) and another podcast (wink, wink, nudge, nudge @thecurbsiders)
HT also to my closest #medtwitter network, who I've gotten to collaborate with after meeting on twitter, one of the benefits discussed, with subtle nods to past and current projects!
@RJmdphilly @gretchendiemer @MargMChapman @michellebr00ks @WrayCharles @tony_breu
Read 4 tweets
1/ Thread: This morning I gave Dept of Medicine #GrandRounds @OHSUSOM @OHSUNews. In #medtwitter’s spirit of sharing & learning, here is my first #Tweetorial summarizing highlights & crediting #hcsm’s incredible contributors & source material
2/ 4 months ago EBM & cardiology expert Dr. Milton Packer published a blog post detailing how he found Twitter uninformative and emotion/opinion driven
Is this the reality of #medtwitter??
medpagetoday.com/blogs/revoluti…
3/ #SoMe is digitally based mediums that helps us
CREATE
SHARE
PARTICIPATE
60% of physicians say their most popular activity on #hcsm = Following what colleagues are sharing and discussing
Channel the “look at me” negative stereotype of #SoMe into “look at THIS” learning etc...
Read 28 tweets

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