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
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!

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?

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
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?
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!

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.…
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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