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Joel M. Topf, MD FACP Profile picture
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9 Nov, 4 tweets, 3 min read
More drinking games with ⁦@BookBurton⁩: the myth of breaking the seal.
The set up for the ultimate nephrologist
party game
Then @Jwaitz invents Edward Licorice hands but @LeticiaRolonMD had already played it!
And @Boka_MD with the illustration #EdwardLicoriceHands #hypokalemia #SAME

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Joel M. Topf, MD FACP Profile picture
7 Nov
Polarization in #KidneyWk Educational Community by Avrum Gillespie @AvrumGillespie
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Joel M. Topf, MD FACP Profile picture
7 Nov
Michelle Lim @whatsthegfr on Visual Abstracts. She runs the NSMC Graphical Communication Rotation. No one, even @AndrewMIbrahim himself (sorry), would be a better speaker for this talk. Great get by @ASNKidney #KidneyWk
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7 Nov
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This is going to be good!
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Joel M. Topf, MD FACP Profile picture
6 Oct
Wow, the Steve Jobs film at Apple.com is really good. Don't miss it.
I know that Steve was an asshole to a lot of people and was greedy when he didn't need to be and did some shameful acts. But for many years he was a singular hero and inspiration.
My career arc is a result of thinking differently. Many nights as I worked on projects I felt kinship with the team who developed the Macintosh. The ability to stay focused on making something insanely great in a world where good enough is usually all that anyone expects.
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Joel M. Topf, MD FACP Profile picture
8 Aug
#AskRenal Patients can get hypotensive after relieving urinary obstruction. Does clamping the foley and slowing bladder decompression protect against the hypotension?
Not in this RCT: pubmed.ncbi.nlm.nih.gov/23859894/
Or in this Case Control trial: ncbi.nlm.nih.gov/pmc/articles/P…
Read 4 tweets
Joel M. Topf, MD FACP Profile picture
30 Jul
🧂 Hyponatremia #CaseReport #Tweetorial

(and a gif for the people who want to rename this hyperhydronemia)
Patient came to the hospital with abdominal pain, nausea, and vomiting. Patient has alcohol use disorder. Last drink was about a day prior to admission.

After arrival to the ER the patient has a seizure.
Besides the weirdly elevated anion gap, and the hypokalemia, the initial labs just show some AKI. I don't have an ABG but I suspect combined metabolic alkalosis and lactic acidosis.
Read 17 tweets

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