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25 Mar, 4 tweets, 3 min read
1/ #MedTwitter Today, March 25, we want to remember the Medical Committee for Human Rights (MCHR), a branch of the Civil Rights movement. Image
2/ MCHR recognized the fundamental inseparability of fight for racial justice and the fight for health equity. Image
3/ MCHR no longer exists in name, but it lives on in the legacy of institutions like @PNHP and @P4HR.

So, #MedTwitter, consider this a call to action: what are you doing to promote equity in healthcare today? Image
4/ Credits:
🔘content: @sheila_okere
🔘graphics:@Preeyal_P

Find this post and more on our website: coreimpodcast.com/2021/03/25/phy…

/fin

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More from @COREIMpodcast

CORE IM Profile picture
24 Jun
1/ Good morning, #medtwitter, and happy Thursday! We’re excited to bring you our latest edition of #ReadingRoom. Dim the lights, and get ready to clinically correlate!

You’ve got two abdominal plain films below. Which one is from a patient with a SBO?
2/ Let’s take a closer look, starting with the image on the right: here, there’s no abnormal dilation and the distribution of gas is normal. This is a normal abdominal film.
3/ On the other hand, here we see an abnormally dilated small bowel with predominant small bowel gas while there is no rectal gas and scant colonic gas. This is concerning for a SBO.
Read 7 tweets
CORE IM Profile picture
13 Apr
1/ Good morning, #MedTwitter, and happy Tuesday! We’re excited to bring you our latest installment of #ReadingRoom today. Dim the lights; it’s time to clinically correlate!

What object is labeled in the CXR below? What is it used for? Image
2/ That, friends, is our dear friend: the NG tube. It is our portal for tube feeds and PO meds (technically Per Nasus?), or if you put the thing down flip it and reverse it you can use the NGT to decompress the stomach. Image
3/ Next question: should you place that order that says “OK to use NG tube”?

The graphic below shows a systematic approach to ensure correct placement. This one is good to go! Image
Read 6 tweets
CORE IM Profile picture
13 Aug 20
1/ It’s Thursday, #MedTwitter, which means it’s time to take out your calipers and get to business. It’s #12LeadThursday!

Remember to use your system to go through each and every ECG methodically.
2/ Rate: ~75bpm
Rhythm: NSR
Axis: ...
3/ Do you have a schema or framework for thinking about a right axis deviation? What’s your differential?

Let us know in the comments below, and check out the framework we’ve provided!
Read 7 tweets
CORE IM Profile picture
16 Jul 20
1/ Welcome back, #medtwitter, to the latest installment of #12LeadThursday - #covid19 edition! Let’s put those calipers to work!

Take a look at this ECG. Approach it systematically. What do you see?
2/ In the above ECG, you’ve got an irregular narrow complex tachycardia. What’s your final read? Reply with your reasoning!
3/ Let’s take a closer look. In the graphic below, we’ve highlighted what you would expect to see in flutter - and none of it is present here. Our patient is fibbin’ away, folks.
Read 6 tweets
CORE IM Profile picture
14 Jul 20
1/ Happy Tuesday, #medtwitter! It’s time to take that walk down the hall to radiology for another round of #readingroom - let’s go!
2/ Looking at the previous tweet, where is the abnormal air located?
3/ If you said mediastinum, you’re right! This is also well characterized on chest CT pictured below.

Next question: how on earth did air get into the mediastinum? Reply with your thoughts, differentials and/or schema!
Read 7 tweets
CORE IM Profile picture
11 Apr 20
1/ Good morning, #medtwitter! This 1 goes out 2 everyone who hasn’t had to interpret a blood gas since Steps, prelim year or their last episode of ER (@DGlaucomflecken).

FYI: this ain’t a course on Winter’s Formula. We’re talking practical vent adjustments today. #covid4MDs
2/ There are 4 variables we might want to adjust on the vent based on our ABG results: PEEP, FiO2, RR and Vt. The first two we adjust to achieve appropriate oxygenation while the latter two we adjust to achieve adequate ventilation.
3/ Now that we’ve had that brief review, take a look at the following gases. What’s the problem, and how might you fix it?

Keep scrolling through the thread for the answers!
Read 7 tweets

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