Discover and read the best of Twitter Threads about #conferencetwearls
Most recents (3)
1/ 34 y/o F with new AML dx on chemo (7+3) ANC 200. Counts are expected to continue to drop & not get better for at least another ~10d. Has been febrile 🌡️🔥 & on cefepime 2g q8 for the past 5 days💊💉. What do you do next?
#MedTwitter #OncTwitter #IDTwitter
#MedTwitter #OncTwitter #IDTwitter
2/ Former chief resident & leukemia doc @andrewbrunner from @MGHCancerCenter spoke about acute leukemias & #FebrileNeutropenia (F+N) ! Here are some #ConferenceTwearls
Definition:
Febrile: ≥ T 100.4 🌡️
➕
Neutropenia: ANC ≤ 500 or an expected 📉 to an ANC of ≤ 500 in 48h
Definition:
Febrile: ≥ T 100.4 🌡️
➕
Neutropenia: ANC ≤ 500 or an expected 📉 to an ANC of ≤ 500 in 48h
3/ It's 🔑to look for a source of possible infection. BCx for all comers! Additional w/u depends on the clinical context.
📸Low threshold to image/scope these pts since they may not present classically---> e.g. pt w perforated abdomen can present w soft abdomen on PE.
📸Low threshold to image/scope these pts since they may not present classically---> e.g. pt w perforated abdomen can present w soft abdomen on PE.
1/36 y/o F hx of anxiety p/w a 2nd episode of transient chest pain w emotional stress & her admission EKG shows 4 mm ST elevations in leads V1-V3. Her 1st troponins check was high. She is currently chest-pain free & vitals are normal.
What do you do next?
#MedTwitter
What do you do next?
#MedTwitter
2/ This is a picture of her EKG 
3/ You look up and notice the STEMI pathway chart conveniently plastered above your workstation‼️
You recognize the patient's presentation is consistent with ACS and her ST elevations meet criteria for STEMI---> you appropriately escalate and decide to call "code STEMI" 🚨📞
You recognize the patient's presentation is consistent with ACS and her ST elevations meet criteria for STEMI---> you appropriately escalate and decide to call "code STEMI" 🚨📞
1/ID docs are known for their smarts, amazing notes and for being.....NOSY! 👃🔍
Former chief resident & ID fellow @PierreAnkomah unravels the clinical reasoning behind
🕵️♀️Why ID docs ask so many Questions
Follow for #ConferenceTwearls!
#IDtwitter @mgh_id @MGHBWHIDFellows
Former chief resident & ID fellow @PierreAnkomah unravels the clinical reasoning behind
🕵️♀️Why ID docs ask so many Questions
Follow for #ConferenceTwearls!
#IDtwitter @mgh_id @MGHBWHIDFellows
2/ One of the core concepts of clinical reasoning in ID is to
🔍 name the syndrome (i.e acute febrile diarrheal illness)
while exploring the interaction between
🦠 Microbes
👤 Host
🌍 Environment
🔍 name the syndrome (i.e acute febrile diarrheal illness)
while exploring the interaction between
🦠 Microbes
👤 Host
🌍 Environment
3/ see the example below that showcases the
🔍syndrome👤host 🌍environment
When it comes to 🦠 microbes, think of them in BUCKETS:
💥Viruses
💥Typical bacteria
💥Atypical bacteria
💥Mycobacteria
💥Fungi
💥Parasites
See an example w a ddx of ring enhancing brain lesions🧠
🔍syndrome👤host 🌍environment
When it comes to 🦠 microbes, think of them in BUCKETS:
💥Viruses
💥Typical bacteria
💥Atypical bacteria
💥Mycobacteria
💥Fungi
💥Parasites
See an example w a ddx of ring enhancing brain lesions🧠
