Discover and read the best of Twitter Threads about #distancemeded
Most recents (5)
Great #DistanceMedEd about Mx of Variceal bleeding from @TedWJamesMD and thanks for this invite!
TIPS, BRTO and BATO - 🤦♀️Too many puzzling acronyms?
Lets break this down for you from #Irad perspective with a #Tweetorial
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TIPS, BRTO and BATO - 🤦♀️Too many puzzling acronyms?
Lets break this down for you from #Irad perspective with a #Tweetorial
1/
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TIPS: basic overview of variceal anatomy and flow dynamics ( will help understanding BATO and BRTO later)
Normal Liver: hepatopedal flow
Cirrhotic Liver: hepatofugal flow
TIPS: Restored hepatopedal flow
TIPS: basic overview of variceal anatomy and flow dynamics ( will help understanding BATO and BRTO later)
Normal Liver: hepatopedal flow
Cirrhotic Liver: hepatofugal flow
TIPS: Restored hepatopedal flow
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TIPS performed since 1982, but whats 🔥 ?
Contraindications ⬇️ with time. Why? Newer #Irad techniques
TIPS now possible in chronic Portal vein thrombosis, specially relevant as these patients not transplant eligible
High technical success, 39% underwent transplantation
TIPS performed since 1982, but whats 🔥 ?
Contraindications ⬇️ with time. Why? Newer #Irad techniques
TIPS now possible in chronic Portal vein thrombosis, specially relevant as these patients not transplant eligible
High technical success, 39% underwent transplantation
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Day 3 of #DistanceMedEd for #dermtwitter and #medtwitter! We've done 2 of the 5 reaction patterns so far, so let's focus in on the....
DERMAL reaction pattern!
#MedEd #FOAMEd #tweetorial #medthread PC: @dermnetnz
Day 3 of #DistanceMedEd for #dermtwitter and #medtwitter! We've done 2 of the 5 reaction patterns so far, so let's focus in on the....
DERMAL reaction pattern!
#MedEd #FOAMEd #tweetorial #medthread PC: @dermnetnz
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As opposed to the papulosquamous reaction pattern, the dermal pattern implies the action is DEEP in the DERMIS. This means that without epidermal alteration, you shouldn't see scale!
There is of course an exception with overlying xerosis or if you have another process on top!
As opposed to the papulosquamous reaction pattern, the dermal pattern implies the action is DEEP in the DERMIS. This means that without epidermal alteration, you shouldn't see scale!
There is of course an exception with overlying xerosis or if you have another process on top!
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When you see something dermal, you have to think about what is infiltrating the skin. A few possibilities/examples:
Edema/fluid 👉 urticaria (1)
Inflammatory cells (reactive) 👉 granuloma annulare (2)
Inflammatory cells (cancer) 👉 CBCL (3)
Collagen 👉 Morphea (4)
When you see something dermal, you have to think about what is infiltrating the skin. A few possibilities/examples:
Edema/fluid 👉 urticaria (1)
Inflammatory cells (reactive) 👉 granuloma annulare (2)
Inflammatory cells (cancer) 👉 CBCL (3)
Collagen 👉 Morphea (4)
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2nd installment of #dermtwitter #DistanceMedEd. Today's #tweetorial will be a brief one on...
VESICOBULLOUS REACTION PATTERN!
#MedEd #FOAMEd #dermatology #medtwitter
PC: @dermnetnz
2nd installment of #dermtwitter #DistanceMedEd. Today's #tweetorial will be a brief one on...
VESICOBULLOUS REACTION PATTERN!
#MedEd #FOAMEd #dermatology #medtwitter
PC: @dermnetnz
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First things first - some definitions:
Vesicle: fluid filled <1 cm
Bulla: fluid filled >1 cm
Pustule - Filled with pus
- Ahem, the word you're looking for describe something with a lot of pus is "purulent," not what you're thinking....🤨
First things first - some definitions:
Vesicle: fluid filled <1 cm
Bulla: fluid filled >1 cm
Pustule - Filled with pus
- Ahem, the word you're looking for describe something with a lot of pus is "purulent," not what you're thinking....🤨
3/
Next, the name is self explanatory. The vesicobullous pattern implies you're seeing vesicles or bullae. There is one very important exception:
If you see COLLARETTES of scale (round pattern of scale remnant), these can indicate a prior vesicle or bulla (like an old footprint)
Next, the name is self explanatory. The vesicobullous pattern implies you're seeing vesicles or bullae. There is one very important exception:
If you see COLLARETTES of scale (round pattern of scale remnant), these can indicate a prior vesicle or bulla (like an old footprint)
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Motivated by @TedWJamesMD to put together a #dermtwitter/#medtwitter #tweetorial for #DistanceMedEd today.
Let's do one about PAPULOSQUAMOUS DISORDERS of the skin.
What would be a good example of a papulosquamous rash you might see on #skinexam?
PC: @dermnetnz
Motivated by @TedWJamesMD to put together a #dermtwitter/#medtwitter #tweetorial for #DistanceMedEd today.
Let's do one about PAPULOSQUAMOUS DISORDERS of the skin.
What would be a good example of a papulosquamous rash you might see on #skinexam?
PC: @dermnetnz
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Psoriasis is the perfect example of a papulosquamous disorder. Before we break down what this means, let's start with the basics. I was taught that skin rashes & lesions fall in one of 5 reaction patterns:
- papulosquamous
- eczematous
- vesicobullous
- dermal
- red (vascular)
Psoriasis is the perfect example of a papulosquamous disorder. Before we break down what this means, let's start with the basics. I was taught that skin rashes & lesions fall in one of 5 reaction patterns:
- papulosquamous
- eczematous
- vesicobullous
- dermal
- red (vascular)
3/
By knowing which category each rash/lesion is, you can limit your Ddx.
For example:
If something is both vesicobullous and eczematous, you're probably dealing with some type of eczema.
If you're dealing with something dermal, you can probably take psoriasis off your ddx!
By knowing which category each rash/lesion is, you can limit your Ddx.
For example:
If something is both vesicobullous and eczematous, you're probably dealing with some type of eczema.
If you're dealing with something dermal, you can probably take psoriasis off your ddx!
Cardiac effects of positive pressure ventilation: LV effects. PPV increases intrathoracic pressure and decreases venous return. This will decrease LV filling pressures (preload). Increased intrathoracic pressure decreases the "transmural gradient" for the LV #distancemeded 1
By the law of Laplace a decreased gradient will decrease LV afterload. I think it is easier to imagine PPV squeezing the heart and making it easier to pump. In summary PPV decrease LV preload and LV afterload. #distancemeded 2
Positive pressure ventilation increases intrathoracic pressure and decreases venous return to the RA. So PPV decreases RV preload.
