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In this thread, let us learn a little more about the imaging approach to post-cholecystectomy complications.


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The latest @RadioGraphics article by @EKKpdx and her team at @OHSURadiology focuses on multimodality imaging of post-cholecystectomy complications and their management.

#RGphx @CookyScan #tweetorial

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Cholecystectomy is one of the most performed surgeries. Radiologists and surgeons will, therefore, inevitably encounter several post-cholecystectomy complications. This article reviews role of imaging in diagnosing, preventing, and managing surgical complications.

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Read 13 tweets
¿Te has preguntado por qué el signo de BABINSKI es tan importante?
Babinski? Babinsky?
Piramidal? "Extrapiramidal"?
Repasemos con este mini-#Twittorial un signo que todo médico debe dominar.

#Neurologia #MedicinaInterna #ENARM #medicina #neurophobia
1ero, entendamos los reflejos.
Evolutivamente ha sido necesario que existan respuestas motoras no mediadas por el cerebro, es decir, integradas en la médula espinal. Muchas respuestas de retiro (que permiten la supervivencia) solo requieren unas cuantas neuronas.
Definamos REFLEJO como una:
📋Respuesta motora.
📋Estereotípica (es decir, siempre igual).
📋Generada por estímulo de receptores.
En simple: Un reflejo obedece una ley de eficiencia evolutiva, solo usa la mínima cantidad de neuronas necesarias.
Read 18 tweets
Treatment of Iron Deficiency Anemia in CKD and End-Stage Kidney Disease

1/ Everything you need to know about IDA in CKD/ESRD. Follow along as we break down this recent @KIreports review.…

#twittorial #Nephtwitter #medtwitter
2/ We will discuss..

1. Pathophys of IDA in CKD
2. Types and modes of iron repletion
3. Therapeutic targets

Lets start with a question to warm up…

What is the role of Hepcidin in anemia of CKD?
3/ Chronic inflammation + decreased clearance - ↑ hepcidin in CKD pts
Iron absorption starts → apical membrane of the GI tract. Released into the blood via the basolateral membrane through ferroportin

Hepcidin promotes degradation of Ferroportin ↓ the release of iron → blood
Read 15 tweets
Antibiotics are commonly prescribed medications in the inpatient and outpatient setting and it's important to recognize #AdverseEvents, including idiosyncratic reactions, such as #encephalopathy.

Antibitiotics associated with #Encephalopathy:
- Beta lactams
- #Cephalosporins (#Cefepime is the most common,
- Imipenem
- #Penicillin procaine
- Fluoroquinolones
- Macrolides (clarithromycin)
- #Metronidazole
- Isoniazid

Read 14 tweets
- Make an initial list of programs you are interested in applying to.
- Do your #research: curriculum, front loaded?, number of residents, night float?, location, categorical or advanced (needs IM prelim)?
- Start asking for LoRs (May have to remind writer at least once)

- Start working on your PS
- Have a note or document on your phone/PC for
ideas: You never know when a moment of inspiration
may happen!💡).
- Make as many corrections as needed
- Contact programs with any questions, specially if something is not clear to you

Read 9 tweets
Functional Gait disorders ("FGD" for the purpose of this #twittorial) are common and disabling, usually accompanied by other symptoms. FGD are challenging for the non #MovDis physician and it can difficult to determine #inconsistencies and #incongruencies during examination.
A good approach is to identify #clinicalSigns to differentiate a #functional vs #organic cause

#Inconsistency is the variability in gait disorder severity over time.
#incongruency involves a combination of symptoms and sins not seen in organic disorders.
Read 19 tweets
1/ Classic #opticneuritis is characterized by a sub-acute loss of vision in one Eye, with central #scotoma, pain on #eyemovement, positive #RAPD
- Fundus exam is usually normal
- Age range 15-45 years
2/Talking about #MOGAntibodies:
- More frequent in #pediatric population, Associated with #ADEM
- #MOG IgG serum titers depend on disease activity and is mainly from extrathecal origin, enters #CNS from systemic circulation and reaches CSF through passive diffusion or broken #BBB
Read 10 tweets

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