Discover and read the best of Twitter Threads about #thrombocytopenia

Most recents (5)

Amy Offutt, MD: Rickettsial & Related Diseases
#RMSF Rocky Mountain Spotted Fever
#Ehrlichiosis
#Anaplasmosis
#Qfever
#Scrubtyphus
#ILADS2022 ImageImage
2/Offutt Ticks are the primary vectors for spotted fevers; some species may be spread by fleas and mites #ILADS2022 #RMSF #Richettsia
3/Offutt: #RMSF is the most severe rickettsial illness in the US with risk of death. Early treatment with #doxycycline is critical, regardless of age #ILADS2022 Image
Read 10 tweets
1) Welcome to a #tweetorial on what every #ICU #nurse should know about #hypertensive crisis, or #hypertensive #emergency as it is now more properly termed. I’m Bryan Boling @bryanboling, ICU #NP, & co-host of the @icuscenarios podcast. Follow this 🧵for 🆓CE/#CME credit!
2) This accredited educational activity is intended for healthcare providers & is supported by grants from AstraZeneca, Bayer, & Chiesi. Faculty disclosures cardiometabolic-ce.com/disclosures/. Like ❤️this topic? More CE/#CME on #hypertension mgt at cardiometabolic-ce.com/category/hyper….
3) So let's start with a case: 65yo ♂️, presents to the #ED with #headache, lethargy & confusion. PMH: #HTN, #hyperlipidemia, #DM2, COPD. Initial VS: HR 85, BP 205/120, T 37.2 RR 12, SpO2 92% on RA. Family reports that he has been more lethargic over the past 2 days.
Read 37 tweets
UPDATE 11/03/2021
#Belgische_meldingen bijwerkingen #covidvaccins
Er zijn #5314_MELDINGEN
van deze zijn er SLECHTS 1673 GERAPPORTEERD IN #1673__EUDRAVIGILANCE
#3641_MELDINGEN (nog) #NIET_DOORGEGEVEN aan #EUDRAVIGILANCE

fagg-afmps.be/nl/news/corona…
Dit betekent dat er op dit moment #3641_MELDINGEN #NIET_DOORGEGEVEN werden aan #EUDRAVIGILANCE
Dit betekent dat #eudravigilance minstens een vertekend beeld geeft van de gemelde bijwerkingen.
04/3/2021 werden er vd 4090 meldingen
slechts 1361 meldingen doorgegeven. DWZ dat er in de week van #11/03/2021 SLECHTS #312_meldingen (1673-1361) doorsijpelden in #EUDRAVIGILANCE.
Read 15 tweets
@EU_Commission "Should all such evidence not be available, we demand that approval for use of the gene-based vaccines be #withdrawn until all the above issues have been properly addressed by the exercise of due diligence by the @EMA_News ."
link.medium.com/lm6tAugjweb
Following intramuscular injection, it must be expected that the gene-based vaccines will reach the bloodstream and disseminate throughout the body [1].
If such evidence is not available, it must be expected that the vaccines will remain entrapped in the circulation and be taken up by endothelial cells. There is reason to assume that this will happen particularly at sites of slow blood flow, i.e. in small vessels and capillaries
Read 14 tweets
1/ A 46-year-old man with a history of #malaria presented to the @JohnsHopkinsDOM on 8/12/1923 with

-- 3 years of generalized arthralgia
-- intermittent joint swelling

-- 40 lbs weight loss

@CPSolvers @DxRxEdu #medtwitter #MedEd
2/ Exam

-- synovitis of the 2nd and 3rd MCPs

-- diffuse joint tenderness

-- lymphadenopathy

-- pyorrhea alveolaris* of the few remaining teeth.


What do you want to do next? What's your #DDX?

Remember: Sir William Osler died in 1919, so it's all you...
So far, we have #tuberculosis on the differential. “Consumption” or “#phthisis”, wasting away, as #Tb was often referred to, certainly could explain this patients weight loss and adenopathy.

But does it explain the rest?
Read 16 tweets

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