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Nov 17, 2021 • 4 tweets • 4 min read
1/ 🚨New Episode Alert🚨
Bringing you the latest edition of #MindTheGap: Hyperkalemia in CKD

Available on any podcast app:
iTunes: bit.ly/coreimpodcast
Show Notes: bit.ly/3Hrkwn0
CME/MOC: bit.ly/CIMCME Image
2/ Learn more about pseudohyperkalemia

Can there be pseudohyperkalemia if the lab doesn’t report it as #hemolyzed?!

What happens with whole blood collection that ⬇️ chances of pseudohyperkalemia?!

Sounds like you want to Keep listening right #MedTwitter ?... Image
3/ #MedTwitter, what have you learned in the past about restricting potassium in the diet in the context of CKD?

Talking with @sjoshimd, we discussed his approach, especially since high K foods have significant CV benefits, especially for those with CKD. Image
4/ Fin.
As always, thank you to our incredible team.
Hosts: @jwilliamMD, @nephron_andon
Guest Expert: @sjoshimd
Peer Review: @hswapnil, @RachelHilburg
Graphic: @DocScribbles
Audio Editor: Daksh Bhatia

• • •

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More from @COREIMpodcast

CORE IM Profile picture
Jan 5
1/ 🚨New Episode! 🚨

What is an “appropriate” Hgb bump?

Why do we usually say 1g/dL for 1 pRBC?

iTunes: bit.ly/coreimpodcast
Show Notes: bit.ly/3eUgyGw

First, let’s figure out how many grams of hemoglobin are donated?
2/ What is the patient’s PRE-transfusion #intravascular volume?

Usually 6.5% of body weight for women 👩
Usually 7.5% of body weight for men👨
3/ What is the patient’s POST-transfusion intravascular volume?
Read 7 tweets
CORE IM Profile picture
Dec 28, 2021
1/ #MedTwitter, welcome back to our #TriviaTuesday series

Today's question:
What disease is prevented by the "4-inch law"?

Hint- the reservoir/host is 4 inches...
2/ Non-typhoidal salmonellosis is prevented by the "4-inch law" !

What is the "4-inch law" ? Keep scrolling to learn more!
3/ The U.S. FDA bans the sale of small turtles <4 inches in length.

Did you know that turtles GI tracts are colonized with non-typhoidal Salmonella and often pet turtles swim in their feces?!
Read 6 tweets
CORE IM Profile picture
Oct 19, 2021
1/ Good Morning #MedTwitter and happy #TriviaTuesday!

Think you know where we’re going with this? Read on ⚡️
2/ The answer is… Takotsubo cardiomyopathy

Comment other triggers you can think of!
3/ So what is Takotsubo cardiomyopathy?

Let’s define it. Takotsubo cardiomyopathy refers to acute, stress-induced reversible dysfunction of the left ventricle. It has also been called “broken heart syndrome” 💔
Read 5 tweets
CORE IM Profile picture
Oct 13, 2021
1/🚨 New #MindtheGap Episode🚨

#MedTwitter, Can you use oral diabetes meds in the hospital? If so, which ones?!

🎶Listen on any podcast app!
iTunes: bit.ly/coreimpodcast
Show Notes: bit.ly/3mGXXRG
CME/MOC: bit.ly/3oVhwbI
2/ What about DPP-4s?

Usually well tolerated because they ONLY release insulin with a glucose load

So we don’t have to be too concerned if the patient will be NPO!
3/ What about GLP-1s? They act similarly to DPP-4s.

When should we avoid GLP-1s?
Read 5 tweets
CORE IM Profile picture
Oct 7, 2021
1/ Good morning #MedTwitter, it’s time for another episode of #12LeadThursday! Remember to approach every EKG systematically. Grab your calipers, and let’s dive in!

What are potential causes of this pause?
2/ We can think about pauses in three buckets below. We’ll get into why we think a PAC is causing the pause above, but stop for a moment and consider: what would the EKG look like if AVN blockade or sinus node dysfunction were at play?
3/ In the above EKG, we see the PAC hiding in a T wave! This PAC reset the SA node, and a pause was born!

Before we move on: if the AVN is dysfunctional, how do you differentiate a blocked PAC from a dropped beat?
Read 5 tweets
CORE IM Profile picture
Jun 24, 2021
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

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