Discover and read the best of Twitter Threads about #medEd

Most recents (24)

So you wanna know more about #therapy while #BlackInAmerica :
[A brief #MedEd 🧵] 🛋
Kick back and read along while I answer some common questions about therapy for #mentalhealth and #wellbeing :
[#medtwitter #BlackTwitter #MentalHealthAwareness #bipocmentalhealthmonth ]➡️
Questions addressed in this 🧵:
📌Wait therapy? I thought you were a psychiatrist?
📌Therapy, isn’t that just for rich white people?
📌How can I be sure they ain’t just putting my business in the street?
📌 Okay, I may be interested, but how do I find one? #psychtwitter ➡️
✅All psychiatrist are therapist, but not all therapist are psychiatrist.

Okay, this is a very general statement, but true.
All graduates of medical residency programs in General and Child/Teen Psychiatry have been trained in different types of psycho-therapy. Psycho like 🧠➡️
Read 30 tweets
Currently reading a study with one of my favorite findings, so let's play an EEG game:

If I will report this as "normal," what is the OLDEST this patient can be? Vote in the next tweet 👇! #Tweetorial to follow #MedEd #neurology #MedTwitter #FOAMed
[Expand tweet to reveal poll if options not showing]

For this study to be normal, the patient must be UP TO:
Bonus question 👇🤓[again, might need to expand tweet to see the options]

Based on the finding above, What is the YOUNGEST this patient must be? CA = postconceptional age
Read 15 tweets
What do I do if I’m COVID positive? The @WADeptHealthPIO has a great handout on what to do (pictures attached). Highlights (a thread): (1/9)
FIRST, do NOT panic, most people (approx 80%) will have no or mild symptoms. Now let’s talk some specifics on how to keep yourself and others safe in this situation:
(2/9)
1. Your health - each person is very different, so contacting your personal health provider for specific recommendations is important! Things to watch out for: cough, shortness of breath/difficulty breathing, fever, diarrhea, fatigue/body aches, signs of stroke.
(3/9)
Read 9 tweets
#IdBoardReview 60 M AML on chemo, neutropenic w/ sepsis, BC neg, on vanc/cefepime: clinically worse. +skin lesion, biopsy shown. diagnosis? #medEd #IDmedEd
#Fusarium most commonly in pts with acute leukemia & profound neutropenia >3 wks. Also seen in HSCT pts, portal of entry unknown ?inhalation, ingestion, skin trauma. hematogenous spread w/ indwelling catheters
#fusarium skin lesions 60%-80% cases as multiple papule or painful nodules & later become raised, erythematous, necrotic. common on extremities but can be seen on trunk/face. +BC in 50%, septate hyphae have both acute & right angle branching
Read 4 tweets
#Ayurvedic treatment of fatty #liver – real world evidence: A #Thread
1/n
Overweight woman, early 40’s. Routine liver tests, mild enzyme abnormalities. Advised #ultrasound liver, showed grade 2 #fattyliver. GP advised vitaminE and #weightloss, review in 3mo
#livertwitter
2/n
Patient and husband doubtful. Hears fatty liver disease can lead to #cirrhosis. Seeks advice from #Ayurvedic practitioner nearby #home since #Herbal #DRUGS = safe. Assures complete #cure through #Ayurveda. Prescribes multiple #medicines, advises almost all foods restriction.
3/n
Lets look at medicines. #tablet APFIL. Packet mentions ‘for liver #diseases’. Which liver disease? There is #alcohol related, #hepatitis B/C, #NAFLD, primary biliary #cholangitis and more causes. Nine #herbs extract combo - clinical #evidence on safety and benefit ❌
Read 14 tweets
My rules for writing academic manuscripts: a #tweetorial

I love writing, and write with students/colleagues constantly, and yet the same issues pop up again and again.

Sharing this thread if useful. My take, everyone has a different style. #medtwitter #dermtwitter #meded
1. Communication is your number one priority.

The point of your manuscript is to tell a story or argument that the reader will receive. Your writing should easily walk the reader through your research or editorial. Never forget that.
Many people, especially students, have a “show all your work” mentality, perhaps afraid the reader won’t trust their authority. Data is important (yes, do the work), but only show as needed or you will bore the reader. You need a narrative, or you’ll lose people’s attention.
Read 26 tweets
#Meded faculty: please stop actively discouraging your #URM #medicalstudents from pursuing competitive specialties! I hear this almost weekly & it never ceases to shock me to hear how often medical educators kill students' dreams.

THREAD:
/1
I've lost count how many times I've had a #URM / #UIM #medicalstudent tell me they were discouraged from pursuing a competitive specialty and should pursue primary care.

/2
I've lost count how many times I've had a #URM / #UIM #medicalstudent tell me that their #Step1 score is why they aren't pursuing #dermatology. And in the majority of these times, the score is >220, often >230.

WHAT ARE WE DOING???

/3
Read 19 tweets
1/ Hey #MedEd and #MedTwitter! We are back with a brand-new edition.

For this week’s #TweetorialTuesday from the #MedEdTwagTeam we are going to talk about #VirtualWhiteboards

#VirtualLearningEnvironment, #VirtualLearning, #Zoom (@zoom_us)
2/ Here is the series of #tweetorials that @JenniferSpicer4 from @EmoryDeptofMed and I have been bringing you every Tuesday.

Welcome to Week 5! Make sure to go back and check out our previous threads if they are of interest.
3/ Last week, @JenniferSpicer4 dropped some knowledge on improving the #learningclimate & interaction.

One of my favorite ways to increase interaction when I am teaching IRL is a #chalktalk

🙏 to @a_steverson for her #chalktalk on “troponinemia”

👀 the @gradydoctor #shoutout!
Read 16 tweets
#idboardreview 40 F injection drug use, 3+male partners in past month, has pets 🐈 🐶 🐠 presents with pain/swelling of hand. Severe allergy to penicillin: diffuse hives. Diagnosis? Treatment? #medEd #idmedEd
Non motile facultative anaerobic gram negative cocobacilli
#Pasteurella multocida due to 🐈 bite. Pasteurella is S to penicillin, 2nd/3rd gen cephalosporins, carbapenems, tetracycline, FQ, tmp/smx. Pt had tenosynovitis underwent I&D and doxy
Read 6 tweets
#Tweetorial! Continuing with the #NeuroBootCamp my co-chiefs and I are leading @EmoryNeurology on #NeuroEmergencies, today’s #MedEd topic will be:
“Myasthenic Crisis”

Keep in mind I’m approaching this with my #NeuroCritCare hat on @MedTweetorials
1/
Some basic background info: Myasthenia Gravis is an autoimmune disorder causing faulty neuromuscular junction transmission. Typically due to one of the following antibodies:
-AchR
-MuSK
-LRP4
-Can be seronegative

20% have crisis within 1st yr of diagnosis!
2/
Clinically Myasthenia manifests itself with ptosis, fatigable weakness, eye movement abnormalities, and in the case of crisis- respiratory compromise.
3/
Read 20 tweets
#IDBoardReview 40 M severe cutaneous SLE s/p multiple immunosuppressive drugs, belimumab, originally from 🇲🇽 presents with confusion, F 102F, HIV NR, CSF wbc 4k 98%PMN, 2%mono, gluc3, prot 230, images shown, diagnosis? #medEd #IdmedEd
pulmonary nodule, L frontal mass, L occipital mass, CSF branching gram+ bacilli
#Nocardia gram+ beaded weakly AFB+ branching rods. N asteroids commonest pathogenic group. Infection via direct inoculation thru skin or inhalation
Read 9 tweets
1/n Dr. Mark Siegel is a superb critical care physician, ethicist & legendary Internal Medicine Residency Program Director whose weekly notes I read eagerly. This week’s note is titled “what I’d say to new interns” #MarksWisdom #TipsForNewDocs #MedEd
facebook.com/1444114056/pos…
2/n Siegel starts saying #COVID19 took away joys of orientation: pizza, hot dogs, cold beer, gelato, unscripted conversations & new friendships. But don’t worry, show up, work hard, don't worry, you'll do great & then follows with 14 SPECIFIC TIPS: #MarksWisdom #TipsForNewDocs
3/n Tip #1: Take your own histories. Charts are rife with inaccurate, missing information. Key exposures, mounting symptoms, details patients held back- until you asked. To paraphrase Osler, patients will tell you the diagnosis, if you listen. #MarksWisdom #TipsForNewDocs #MedEd
Read 16 tweets
1/
#AGEP (ACUTE GENERALIZED EXANTHEMATOUS PUSTULOSIS)!

A #medtwitter #dermtwitter #tweetorial! #MedEd #FOAMEd

This is a drug reaction that we can see on inpatients, with an exam full of pustules!

Let's start with a question - How long after drug exposure does AGEP appear?
2/
The correct answer is 24-48 hours!

The other answers are typical time frames for other types of reactions.
Urticaria usually manifests minutes to hours after drug exposure.
Morbilliform drug eruptions occur 4-14 days after drug exposure.
DRESS occurs 2-6 weeks afterward!
3/
Unlike DRESS and morbilliform eruptions, AGEP doesn't require repeated exposure of drug. So one single dose can definitely cause AGEP. A typical place we see this is with perioperative antibiotics!

Common culprits are Penicillins, quinolones, sulfa, antifungals, and CCBs!
Read 12 tweets
#Tweetorial on best practices for #residency interviews

⭐️This year there will be some nuanced challenges of virtual interviewing⭐️

So it will be even more important to be intentional about #interview practices

#MedEd #MedTwitter #MedStudentTwitter
1/
Since the pros/cons of virtual interviews has been written extensively by others including @jbcarmody in his blog post below, I won’t cover it here
2/
What do we hope to learn about applicants during interviews?

🎯Get to know the applicant beyond what’s in the file
🎯Part of the holistic review
⭐️Communication skills
⭐️Professional interests
⭐️Goals, values, aspirations

AND give them a chance to learn about the program
3/
Read 11 tweets
I recently discussed Chalk Talks with our newly minted @ucsdim R2s.

Until now, I’d never been, “meta” about this valuable teaching tool and thought I’d share what I learned from reflecting in a #tweetorial

Come explore with me #medtwitter! 0/14
1/#meded chalk talks typically deliver FOCUSED teaching in a short amount of time. While venues vary, we’ve probably encountered them in conference, rounds, or in the afternoon post-rounds/lunch.

Where have you encountered chalk talks most frequently?
2/First some general thoughts:

-Keep them short: limit yourself to <10 mins. On rounds? <2 minutes
-Tools: a sheet of paper or a dry erase marker in your pocket
-Bite-sized: even 1 or 2 pearls works! More later (s/o #BSTMode)
-Patient-focused: more engaging
Read 14 tweets
HepatoADrenal syndrome

Say WHAT?!

⌚️It's #tweetorial o'clock

Be prepared to:
1⃣Define adrenal insufficiency of critical illness
2⃣never look @ a lipid panel the same
3⃣respect how sick ppl w/#cirrhosis get

#MedTwitter #meded #livertwitter
1/
First, what is AI (adrenal insufficiency)?

1⃣Critical illness can make the HPA axis😢
Fig1
⬇️Cortisol release
⬇️ACTH response
⬇️Tissue response to cort

2⃣Definition
Fig2-3
➡️Random cort <10➡️AI!
➡️Random cort >9➡️ACTH stim
➡️Cort⬆️<9➡️AI!

2/
Second: adrenal insufficiency(AI) is real, common & matters

1⃣Fig1:People who die from sepsis have:
⬆️baseline cort
⬇️ACTH response

2⃣Fig2:This time: correlation is causation
➡️norepi🚫work in AI
➡️give steroids, norepi work

3⃣Fig2: steroids (may) help for AI

3/
Read 9 tweets
Hey #MedStudentTwitter

It's that time of year again - preparing applications for residency.

Let's talk about how you can use the personal statement to your advantage!

(preview to the pep talk I'm giving @UofUInternalMed students tonight!)
1/
Every PD will tell you that your personal statement has to be, well, personal.

Take it a step further and make it authentic - it's your opportunity to tell a story, and make it your own!

How do you do that?
Recognize as @gradydoctor stresses - ”Becoming is better than being”
2/
So let's get to the nitty gritty.

Go back to your med school personal statement, and use it to gain perspective.

Use reflection to help define your growth which will help you tell your story.

Write all of this down uncensored and get it on the page.
Read 13 tweets
1/ The problem with Myalgic Encephalomyeltis/Chronic Fatigue Syndrome #MECFS is that it seems so ridiculous that exercise could actually make patients worse

How can exercise be so bad for #pwME but so good for almost every other serious illness?

THREAD
2/ New study by @4WorkWell @sunsopeningband et al shows that #MECFS patients have metabolic defects that cannot be explained by exercise phobias, deconditioning or 'illness beliefs'

#pwME have reduced oxygen consumption during exercise tests
buff.ly/2CXH6Hj
3/ #pwME have an impaired ability to increase their oxygen consumption during exercise

This is entirely different to every other disease we know including cardiovascular disease, lung disease, end-stage renal disease, hypertension & cystic fibrosis

…nslational-medicine.biomedcentral.com/articles/10.11…
Read 11 tweets
Hey #MedStudentTwitter #neurology residents, another #EndNeurophobia #MedEd #tweetorial to celebrate joining the @CPSolvers team!

CORTICAL REGIONS AND STROKE SYNDROMES

cc: @Tracey1milligan @MadSattinJ @CrystalYeoMDPhD
@DxRxEdu @MedTweetorials
But first a moment of silence for

#RayshardBrooks
#BreonnaTaylor
#GeorgeFloyd
#AhmaudArbery
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Grateful for❤️ for #EndNeurophobia but hope you read rest of my feed, which seeks to amplify voices I’m learning from on the path to being an antiracist ally.

to learn more, follow/learn from #BlackMedTwitter #BlackintheIvory
listen @thepraxispod @thenocturnists
read @dribram
Read 22 tweets
Muscle cramps!

We have all had them
But imagine they woke you up every night
For many people with #cirrhosis, that's life!

A #livertwitter #tweetorial featuring:
1⃣Who
2⃣Why
3⃣What to do

#meded #medtwitter #MedStudentTwitter

1/7
Cramps in #cirrhosis

1⃣Mainly @🌙,in the🦵, intense
2⃣Common: 1 in 3 people
3⃣Risk factors? anyone cramps! No diff in labs!
4⃣Turns quality of life into💩

2/
But why cramps in #cirrhosis⁉️

1⃣⬇️ATP in muscle of ppl w/cirrhosis
🤔ATP needed for myosin to detach from actin

2⃣cramping in cirrhosis associated with
⬇️plasma volume &
⬆️renin activity
🤔Nerve perfusion depends on volume
&⬇️vol also⬆️sympathetic nerve activity

3/
Read 7 tweets
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
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
Read 10 tweets
1/
Why does smoking have a protective effect in Ulcerative Colitis (UC) and a deleterious effect in Crohn Disease (CD)?

Generally speaking: Which CD4+ T-cells are the drivers for UC and CD?
@RosenelliEM
#tweetorial #MedEd #MedTwitter #IBD
2/
UC & CD have some shared cytokine changes relative to a healthy state, yet, each has its own unique cytokine milieu. There is much more to learn about UC and CD before fully understanding the implications of this, but it will generally help to start with what we know:
3/
UC & CD both exhibit elevated levels of: IL-12, IL-18, IL-21, and IL-27 as compared to control (1)
Read 14 tweets
#MedTwitter Surprise: @drdangayach thanks for question. When I joined social media because of COVID in April 2020, I never knew it would provide unexpected gifts like this question to 🤔. Neha, here are a few thoughts: First, I’ll never master critical care...#MedEd #pulmcc 1/...
Answering Neha (cont): saying I’ve mastered critical care would be like saying I’ve mastered life. Every day I start over, just as enthused as I was 30 years ago. How? It is love of the game, really. I have established daily habits of prayer/meditating, reading & recharging... 2/
Answering Neha (cont): Spending time looking people (patients) in the eyes and realizing they are much more than a disease or person in need of a procedure. Stuff you already know, I am sure. Aren't we lucky to be brought into their lives? What a joy 💪⚡️... 3/
Read 5 tweets
1/ Just finished reading "A Matter of Life", a quick but enjoyable read on the history of IVF= in-vitro fertilization. goodreads.com/review/show/34… #bookreviews #meded
2/ Nowadays IVF is almost routine, and there are million of babies who have been born with it. And yet, in the 40's it was the wild-eyed dream of Robert Edwards, toiling away with rabbit embryos and waking up in the middle of the night to extract mice ova.
3/ Over the next 10 years Robert Edwards built a reputation as a prominent embryologist and dabbled in immunology, but he maintained an interest in human reproduction, and almost as a hobby, collected ova from friendly gynecologists when they would be removing ovaries.
Read 46 tweets

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