CORE IM Profile picture
Apr 13, 2021 6 tweets 3 min read Read on X
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
4/ Let’s look at another NGT. This one looks a little different - how? And why? What is it? Image
5/ This one is distinctive because of its thick, weighted tip - a Dobhoff.

Drs. Dobbie & Hoffmeister invented the smaller, more flexible tube, and added a metal tip wrapped in silicone in an attempt to increase the chances of successful placement. Image
6/ And that’s it for this week’s #ReadingRoom! You can find this post and more on our website: coreimpodcast.com/2021/04/13/wha…

Credits
Graphics: @SalimNNajjar Content: @TomMulveyMD

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with CORE IM

CORE IM Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @COREIMpodcast

Sep 11
1/ 🚨 NEW #AtTheBedside: Moral Distress Part 1: Definitions, Causes & Consequences

Time to really name, talk about, and hopefully unpack some of the hidden weight we carry in the practice of medicine ⤵️

🖥️:
Sponsor: @Pan_Financial coreimpodcast.com/2024/09/11/mor…
Image
2/ Moral distress:

When clinicians are:
☀️ Stopped from taking what they believe to be ethically appropriate actions
☀️ Forced to take actions that are ethically inappropriate based on their professional obligations

Results in a sense of complicity & wrongdoing
3/ Moral distress occurs at:

☀️Patient or family level
☀️Unit or team level
☀️System level
Read 8 tweets
Jun 5
1/ 🚨 NEW #5Pearls on HFpEF!

HFpEF is:
- Clinical syndrome of heart failure w/ EF 50%+
- ☂️ term | Heterogeneous disease 

HFpEF is NOT:
- Classic high BP, causing stiff ventricles

🖥️ :
ACP CME:
Sponsor:  coreimpodcast.com/2024/06/05/hfp…
bit.ly/CIMCME
coreimpodcast.com/Freed
Image
2/ Clinically, HFpEF is:

🫀Dyspnea on exertion
🫀PND
🫀Orthopnea
🫀Fatigue
🫀Exercise intolerance
🫀JVD
🫀Pulmonary rales
🫀LE edema
3/ On echo, HFpEF is NOT:
🫀Just diastolic dysfunction

**Diastolic dysfunction CAN be seen in HFpEF 

But, it was not observed on resting echocardiograms of ⅓ of HFpEF patients in the Paragon-HF trial ‼️
Read 7 tweets
May 13
1/ 🚨 NEW #5Pearls episode on Cardiorenal Considerations 🫀🫘

So many diuretic options, so which to choose and why?

Use the toolkit ⤵️ for all your diuresis needs!

🖥️:
CME: 
Sponsor:  bit.ly/3wx8tnB
bit.ly/CIMCME
coreimpodcast.com/Freed
Image
2/ Not all AKI in heart failure is cardiorenal syndrome!

In pure cardiorenal, expect a “bland” UA with no:
🥩 Protein
🩸 Blood
🦠 Granular or other cell casts!

**Remember, keep a broad differential for AKI
3/ You suspect volume overload in a patient…what dose of diuretic do you start with?

2.5x their home dose of diuretic (in IV form)!

IV options include:
💉 Furosemide
💉 Bumetanide

**Bumetanide drip at higher doses is associated with myalgias
Read 9 tweets
Jun 8, 2023
1/ Time for #12LeadThursday!

What’s the axis and do you notice anything about the precordial leads? Image
2/ What do you see on ECG to identify extreme axis deviation?

Negative deflection in lead I + negative deflection in aVF = extreme axis deviation Image
3/ What about the precordial leads?

Do you notice dominant R waves, S waves, or T-wave inversions? Image
Read 5 tweets
Apr 13, 2023
1/ What better way to end off a week of pacemakers and ICDs than recapping and revisiting our #12LeadThursday series!

🧵 Image
2/ Which patients get pacemakers?

Think of 2 big buckets: conduction disease and heart failure Image
3/ Let’s start with conduction disease!

Refresh your memory with this past byte - 80 y/o M with hx of CABG…what's the rhythm?
bit.ly/40cAry0
Read 15 tweets
Jan 18, 2023
1/ Atrial Fibrillation: #GrayMatters Series

What do you do with that episode of #Afib when sick or post-op in the hospital?

What type of monitoring is best?

🎧: link.chtbl.com/Afib
🗒️: bit.ly/3QPiLFt
CME: bit.ly/CIMCME
Sponsor: go.amboss.com/CoreIM-E9
2/ When do you start AC for new Afib post-op?

We hope this infographic will be handy for the many times we may be in the gray zone!

From @accpchest guidelines

A few things to consider:
🤔 Patient specific risk
🤔 Blood thinner of choice
🤔 Bleeding risk of the surgery
3/ Credit to the team that worked tirelessly on this!

Hosts: Dr. Nick Villano, @Ali_Trainor, @FreedoBaggins
Off-air producer: @ShreyaTrivediMD
Experts: @jasonmatosmd, @PoojaJagadishMD, @gregorykatz
Graphic: Josie Levey

🎧:link.chtbl.com/Afib

coreimpodcast.com/2023/01/18/dia…
Read 5 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(