Discover and read the best of Twitter Threads about #hospmed19

Most recents (4)

OK #hospmed19, I had told myself I wasn't going to make another #tweetorial until next week to give myself a break, but I can't help but be motivated by all the amazing #tweeps at this meeting. Long story short, here's a #medthread on #PSORIASIS!

#MedEd #FOAMed PC:@dermnetnz
1/
More and more, we are recognizing psoriasis to be a systemic disease. Aside from the psoriatic #arthritis we all know and love, there is more convincing evidence that psoriasis is linked with #cardiovascular disease and risk. As such, #multidisciplinary care is important!

2/
There are many different variants of psoriasis. The most classic is plaque psoriasis, described commonly as "salmon colored plaques with micaceous scale."

Q: Ever notice how psoriasis doesn't really get impetiginized/superinfected but eczema does? Why do you think that is?

3/
Read 17 tweets
#hospmed19 is here, and I'm excited to join up with all my @SHMlive colleagues soon! In honor of the momentous occasion, I put together one last inpatient #tweetorial before the conference!

Let's chat about RED MAN SYNDROME (RMS)!

#MedEd #FOAMed #medthread #dermatology
1/
What is RMS? It's a hypersensitivity reaction, most commonly reported to vancomycin. However, it's been reported with other anti-infectives too (including cipro, rifampin, amphotericin, etc). What is the usual distribution seen clinically with RMS?
2/
RMS usually occurs around the head and neck and upper torso. That's why it's other name is "Red Neck Syndrome." The clinical exam is described as flushing & erythema. Patients complain of pruritus, & can also get pain, spasms, and even hypotension!

pc: aac.asm.org/content/56/12/…
3/
Read 12 tweets
Next week I'll be giving a talk at the Society of Hospital Medicine Annual Conference (#hospmed19).

In anticipation, I'd love your thoughts on a few cases/questions.

I'll be discussing your answers and my thoughts on Tuesday 3/26 at 11am.
Case 1:

A 60-year-old man with hypertension and hyperlipidemia presents with substernal chest pressure. After initial evaluation in the emergency department, including a normal ECG and one negative troponin, he is admitted to medicine for “ROMI”.
Case 1, Question 1

After a second troponin returns negative, would you suggest a stress test?
Read 7 tweets
1) I’m preparing a cirrhosis update for @shmlive #hospmed19 later this month and, to procrastinate, thought I’d put together another short #tweetorial on the history of treatment (in particular, paracentesis) #meded
2) Numerous historical figures (politicians, athletes, musicians…) have had cirrhosis. Here’s a graph showing the impact liver disease has had in just one group (jazz musicians) over the last 60 years. ncbi.nlm.nih.gov/pmc/articles/P…
3) Perhaps the most notable patient to require paracentesis had a “complex medical history” that (supposedly) also included Paget’s, syphilis, lead poisoning, and recurrent pancreatitis (among others)
Read 9 tweets

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