Discover and read the best of Twitter Threads about #nsmc2021

Most recents (5)

People are living in crisis from hunger 🚨 @USDA est that 30 mil in USA (includ 12 mil children) are experiencing food insecurity.
Many Americans are just a job loss, missed paycheck, or πŸ₯ medical emergency away from experiencing hunger.
#HCWvsHunger 🍎 #UrineItToWinIt 🍏
🧡1/
Food insecurity (FI) is lack of *consistent & socially acceptable* access to enough safe food for an active, healthy life. The COVID-19 pandemic has exacerbated FI for so many.
#HCWvsHunger 🍎 #UrineItToWinIt 🍏
2/
Why should FI matter to #NephTwitter? It’s a social determinant of health w/ *major* implications πŸ‘‰ poorer overall levels of health, chronic med conditions, & lower levels of psychosocial/physical functioning.
renalfellow.org/2018/02/13/hun…
@mcstarr1 @RenalFellowNtwk
#HCWvsHunger
3/
Read 14 tweets
I cannot believe a year has gone by πŸ—“οΈπŸƒβ€β™€οΈ
What an absolutely incredible experience the w/ @NSMCInternship. Thank you so much to all #NSMC faculty mentors, but especially to @docanjuyadav @kidney_boy @hswapnil & @Nephro_Sparks.
Wish this graduation night could have been in-person! https://www.nsmc.blog/
For anyone interested in #nephrology education and/or sharpening your social medial skills, the @NSMCInternship is the absolute best! πŸ†
I cannot recommend this highly enough!
πŸ‘‰ nsmc.blog/about
#FOAMed #MedEd #NephForward ImageImageImageImage
Read 4 tweets
1/
πŸ‘» AKI in patients with a kidney transplant can sometimes be β€œSCARI”

🧡Let’s talk about an approach I recently learned to some common causes of late (>3 months) allograft dysfunction to overcome the fear together #Tweetorial #NephTwitter
2/
πŸŽƒ Allograft dysfunction is defined by a rise in serum Cr of approximately 25%

πŸŽƒ It is often asymptomatic, identified on routine blood work

πŸŽƒ It can also present with nonspecific symptoms such as nausea, vomiting or diarrhea.
3/
Let's start with a not-so-SCARI case!

πŸ‘¨πŸ½ 50 y/o M with ESKD due to DM2 s/p deceased donor kidney transplant 5 yrs ago

πŸ§ͺ Cr 2.0 (176 umol/L) baseline Cr 1.3 (115 umol/L). No change in urinary frequency, amount or color. No recent illness

What kidney imaging do you suggest?
Read 21 tweets
Medullary Sponge Kidney

It's out there if you just know what you are looking for

Take a journey with me to find out more πŸ‘‡

@NSMCInternship @ASPNeph @IPNA_PedNeph #tweetorial #Nephtwitter #medtwitter
17 yr woman with a long standing history of recurrent UTI’s. Normal kidney function and electrolytes. US showed normal sized kidneys with bilateral nephrocalcinosis with medullary cysts.
What is your top differential?
Before we get to the answer, first what is on your differential for nephrocalcinosis?
Depends on your serum calcium level, right?
πŸ‘‡
πŸ‘‡
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Read 16 tweets
1/ 🚨#Tweetorial alert. Let’s discuss a couple cases of #Hypercalcemia 🦴πŸ₯›
@NSMCInternship #NSMC2021 #TeamTwobules #NephTwitter #MedTwitter #MedEd 🧡
2/ A patient admitted with c/o decreased appetite, abdominal pain, & constipation. Found to have severe #AKI (with hyperkalemia + acidosis) & hypercalcemia.
3/ What’s your differential for #hypercalcemia?
C - Calcium supplements
H - Hydrochlorothiazide
I - Immobilization
M - Multiple Myeloma, Milk-alkali
P - Parathyroidism
A - Alcohol
N - Neoplasm
Z - Zollinger-Ellison
E - Excessive Vit D
E - Excessive Vit A
S - Sarcoidosis
Read 24 tweets

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