Discover and read the best of Twitter Threads about #ivig
Most recents (7)
Tratamiento de la #nefropatía #lúpica: cambio en el paradigma
Dr. Ricard Cervera Segura
🧵
#Lupus #Nephritis 🫘🧪💉💊🏥⚕️🩻🫀🫁🔬🥼🩺
#25TenTopicsBCN
Dr. Ricard Cervera Segura
🧵
#Lupus #Nephritis 🫘🧪💉💊🏥⚕️🩻🫀🫁🔬🥼🩺
#25TenTopicsBCN
Epidemiología de la #nefropatía #lúpica
#Lupus #Nephritis 🫘🧪💉💊🏥⚕️🩻🫀🫁🔬🥼🩺
#25TenTopicsBCN
28% prevalence of #Lupus #Nephritis
#Lupus #Nephritis 🫘🧪💉💊🏥⚕️🩻🫀🫁🔬🥼🩺
#25TenTopicsBCN
28% prevalence of #Lupus #Nephritis
Cambio de paradigma en el tratamiento de la #nefropatía #lúpica
#Lupus #Nephritis 🫘🧪💉💊🏥⚕️🩻🫀🫁🔬🥼🩺
#25TenTopicsBCN
#EuroLupus #CYC #AZA #MMF #TAC #IVIg #RTX
#LN #Tripleterapia
#Lupus #Nephritis 🫘🧪💉💊🏥⚕️🩻🫀🫁🔬🥼🩺
#25TenTopicsBCN
#EuroLupus #CYC #AZA #MMF #TAC #IVIg #RTX
#LN #Tripleterapia
Great article on neurocritical care of the pregnant patient by Dr. Malaiyandi: ncbi.nlm.nih.gov/pmc/articles/P…
Some pearls:
👉 🔑 tenet is prioritize outcome of mother while minimizing harm to fetus #reproductiverightsarehumanrights
👉PA<AP radiation
👉Use preservative free heparin
Some pearls:
👉 🔑 tenet is prioritize outcome of mother while minimizing harm to fetus #reproductiverightsarehumanrights
👉PA<AP radiation
👉Use preservative free heparin
👉 NCCT head <0.001mGy exposure👉 Avoid use of lead over abdomen for CT - may actually increase radiation exposure
👉POCUS can raise temp from absorption of sound waves. B-mode best, Doppler worst. Minimize time
👉CT contrast = cat B, use when urgently needed vs MRA when not
👉POCUS can raise temp from absorption of sound waves. B-mode best, Doppler worst. Minimize time
👉CT contrast = cat B, use when urgently needed vs MRA when not
👉avoid Gadolinium, however, but ok to breastfeed post
👉tPA/tNK do not cross placenta, but ⬆️ risk uterine bleeding - per @StrokeAHA_ASA give when benefit>risk
👉Lovenox best for AC. DOACs ⬆️ risk of miscarriage
👉#PCC/FFP/protamine cat. C. #andexanet = cat. N
👉tPA/tNK do not cross placenta, but ⬆️ risk uterine bleeding - per @StrokeAHA_ASA give when benefit>risk
👉Lovenox best for AC. DOACs ⬆️ risk of miscarriage
👉#PCC/FFP/protamine cat. C. #andexanet = cat. N
Deconditioning theory officially expelled !! Scientists prove what's causing exertion intolerance in #LongCovid- Link it to ME findings and likelihood of developing #MECFS. Have we just solved the pathology of acute to chronic post viral sequel??
jornaldepneumologia.com.br/details/3604/e…
jornaldepneumologia.com.br/details/3604/e…
Can we now fully do away with the biospychosocial theory and start investing research into developing effective treatments?? #BPSbeGone #StopTheHarm #EndTheStigma #FundTheResearch #FindTheTreatments
"through invasive CPET, that O2 delivery was normal and associated with reduced peripheral O2 extraction and elevated mixed venous O2 saturation compared to controls, resulting in reduced peak VO2, indicating lower diffusive O2 delivery to the mitochondria.(3)"
🧵 *** The researchers found no evidence of a difference in response in biochemical markers of #inflammation between patients with #MIS-C/PIMS-TS who were treated with #IVIG, #steroids, or #biologics, compared with those who were not.
*** Despite a lack of evidence, 🇬🇧 and 🇺🇸 treatment guidelines for MIS-C/PIMS-TS have become very similar.
*** By the end of the study period, most patients had received immunomodulation.
#AcademicChatter #AcademicTwitter #MedTwitter #foamed #MedStudentTwitter #LongCovidKids
*** By the end of the study period, most patients had received immunomodulation.
#AcademicChatter #AcademicTwitter #MedTwitter #foamed #MedStudentTwitter #LongCovidKids
Thank you to @BethDarnall for speaking at #Minnesota @MinnesotaDHS #Opioid Work Group mtg on Thursday: Spoke of importance of #patientcenteredcare, #patientconsent necessary if taper & strongly advised AGAINST force tapers & using pre-determined MME'S. #ChronicPain #NoOneSize
MN #opioid Work Group created Taper Guidance. It will be out 4 public comment soon. Some areas extremely problematic. Although it states NOT 2 taper solely 2 meet system or state policy; MN Quality Improvement requires Drs 2 meet MME thresholds = TAPER TO MEET STATE POLICY. 🤔
If #ChronicPain pt wants 2 try 2 taper from #opioid analgesics 4 any reason & CONSENTS, there needs 2 be safe way 2 do it. Problem throughout U.S, incl #Minnesota; is non-consensual tapering. Many experts, incl #addiction specialists, stress dangers & even state it's UNETHICAL.
Good Morning #MedTwitter #neurotwitter #MedEd #Neurotwt #Neuroresidents #NeuroOphthalmology #Neuroimmunology #twittorial. Let's have a quick review on #OpticNeuritis and #NMO - Grab a #coffee and let's Start!
1/ Classic #opticneuritis is characterized by a sub-acute loss of vision in one Eye, with central #scotoma, pain on #eyemovement, positive #RAPD
- Fundus exam is usually normal
- Age range 15-45 years
- Fundus exam is usually normal
- Age range 15-45 years
2/Talking about #MOGAntibodies:
- More frequent in #pediatric population, Associated with #ADEM
- #MOG IgG serum titers depend on disease activity and is mainly from extrathecal origin, enters #CNS from systemic circulation and reaches CSF through passive diffusion or broken #BBB
- More frequent in #pediatric population, Associated with #ADEM
- #MOG IgG serum titers depend on disease activity and is mainly from extrathecal origin, enters #CNS from systemic circulation and reaches CSF through passive diffusion or broken #BBB
thread
Remarkable @bmj_latest @BMJCaseReports report documenting the extreme lengths a bedbound patient went through to get a diagnosis of #POTS, #MCAS, #SIBO and #tachycardia
read her story here
#MedEd #MedTwitter @MayoClinic
casereports.bmj.com/content/2018/b…
Remarkable @bmj_latest @BMJCaseReports report documenting the extreme lengths a bedbound patient went through to get a diagnosis of #POTS, #MCAS, #SIBO and #tachycardia
read her story here
#MedEd #MedTwitter @MayoClinic
casereports.bmj.com/content/2018/b…
2. After suffering for 16 years, seeing 19 docs with repeated misdiagnosis:
Her cardiologist couldnt diagnose #POTS
Her gastroenterologist couldnt diagnose #SIBO
Her immunologist couldnt diagnose #MCAS
Her neurologist referred her to a #psychiatrist!
casereports.bmj.com/content/2018/b…
Her cardiologist couldnt diagnose #POTS
Her gastroenterologist couldnt diagnose #SIBO
Her immunologist couldnt diagnose #MCAS
Her neurologist referred her to a #psychiatrist!
casereports.bmj.com/content/2018/b…
3. Patient: the "neurologist was out of ideas and suggested I get a psych evaluation, which I declined"
the patient <referred herself> to @MayoClinic
#SickNotWeak #chronicillness #chronicpain #MedEd #medtwitter
casereports.bmj.com/content/2018/b…
the patient <referred herself> to @MayoClinic
#SickNotWeak #chronicillness #chronicpain #MedEd #medtwitter
casereports.bmj.com/content/2018/b…
