Discover and read the best of Twitter Threads about #gitwitter

Most recents (6)

Just scoped a patients with GI bleed 🩸 BUT no pathology identified❓

Following the @ScopingSundays GI bleed theme and inspired by @ebtapper let me try and share some practical tips / thought process as a #tweetorial #GItwitter #MedTwitter

GI bleed 🩸- ‘Normal endoscopy’

▶️ No endoscopic Dx
(10% no source established)
Dagradi et al. Am.J.Gastroent


▶️ Wrong endoscopic Dx

No Endoscopix Dx

➕ Blood 🩸 but NO lesion

➖ No blood 🩸 & NO lesion

Read 26 tweets
Have you ever wondered ... how beta-blockers treat #cirrhosis?

Here's a #tweetorial featuring:
3⃣Cheap, life-saving interventions!

#livertwitter #gitwitter #meded

First, why do variceal bleeds happen?

Throwback to this #tweetorial:


1. #cirrhosis forces blood around the liver
2. Varices are bypass routes
3. Some run in the esophagus/gut
4. They can tear/bleed
5. Tragic

Imagine this scene

It's 1980:
🩸variceal bleeds=surgical disease
🚫banding not invented
👶Sclero in its infancy
💉Somatostatin⬇️portal pressure,😢1/2-life
🩸🩸Rebleeding=the norm
⚰️Mortality crazy high

We need a durable way to ⬇️portal pressure!!

Read 17 tweets
“TODAY in #AmJGastro:
48% of patients w. #COVID19 presented w. #GI symptoms first.
They did worse/had delayed admission (⬆️ community transmission?). Do we need broader testing criteria. #GITwitter remember to keep in mind when seeing new-onset GI symptoms”
Dr. Badgley, M.D. Response:
GI SYMPTOMS IN COVID-19 INFECTION: the described symptoms suggest that parasympathetic dysautonomia might be result of the coronavirus pathophysiology.
Anosmia and headache are also reported as common premonitory symptoms, and these bespeak of central neurological dysfunction; perhaps at brainstem level.
Read 13 tweets
Here is a sad poem by our GI fellow #DaneCook on #COVID19 affecting training. #GItwitter #MedTwitter
A thread...
So covid is here
I’ve been told not to scope
How will I go on?
How will I cope?
You’ve taken away
The one true joy in my life
How will I tell
My kids and my wife
Read 6 tweets
Sharing of measures observed at my institution in #HongKong currently in place for #COVID19 and some personal practice I have adopted, not exhaustive:

#endoscopy #medtwitter #gitwitter #bettersafethansorry #weareinthistogether #fighting
1. Cut all elective cases (only GI bleeds, cholangitis, OJ left; cancer cases reviewed case-by-case)
2. FTOCC +ve should be deferred if possible
3. Full PPE (hair net, face shield/goggles, N95, gowns, gloves etc) as appropriate per local guidance
4. Extended use of N95, but not reuse (changing is protecting patients more than healthcare staff; if you take it off you shouldn't put the same one back on)
5. Scopes done by senior/independent endoscopists; no more training to reduce staff risk exposure and preserve PPE
Read 10 tweets
1/14 "In defense of Simethicone" - a Tweetorial for #GITwitter, #Gastroenterology - Instead of focusing on why we can't use Simethicone, I'll try to show you why we (endoscopists) should put it in the water, if u haven't, or re-start if you stopped.
2/14 - When you are doing a colonoscopy, bubbles are your enemy. There are now countless studies showing that adding simethicone improves both colon prep, inspection time, and most improtantly - Adenoma Detection Rate.
3/14 - Now the first mention of using Simethicone in the water bottle that I could find dates to 1995, so not too long ago. Ever since then, many docs, all over the world used it, and believe me when I say, if you forget to add it to the water, you really notice its absence.
Read 16 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!