1) I have had the pleasure of listening to this podcast episode by @ebtapper and @ShreyaTrivediMD among others.

It is hands down the best review of alcohol-associated hepatitis I have had the pleasure of perusing in the past few years.
3) These are the important pearls from this segment in csase you don't have 40 mins to listen to the podcast!

coreimpodcast.com/2022/11/09/alc…
4) What is the most important thing I learnt from this episode?

1. Patients with AAH almost always have some form of malnutrition.

2. Alcohol is the BIG BULLY of the gut --> it gets absorbed faster and prevents other macro and micronutrients from getting in!
5) Contd from above

3. The most important interventions to improve mortality?

Alcohol cessation and nutritional support!
6) CFA

4. The most important cause of death --> infections

Check the skin, teeth, backside, basically everywhere for the first sign of infection --> these will kill!
7) CFA

5. Steroids can be used for severe cases (MELD>20 or Maddrey DF > 32) provided INFECTION HAS BEEN RULED OUT.

STOPAH trial is most cited.

The mortality benefit of prednisolone (or prednisone) extend only to 28 days and not to 90 days!
8) CFA

6. Pentoxifyline +/- NAC --> doubtful benefit.

7. Liver transplant is an ethical gray zone.

8. NEVER FORGET to refer to a psychiatrist like @askdheeraj IN HOSPITAL to start treatment for alcohol use disorder!

• • •

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

Keep Current with Aditya Ganguly MBBS MD II Internist

Aditya Ganguly MBBS MD II Internist 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 @AdiG1993

Nov 27
1) Why is biochemistry so commonly disliked by medical students?

Because they are made to memorize metabolic pathways without rhyme or reason.
2) They spend hours memorizing the structures of amino acids and the Krebs cycle.

Its a classic case of missing the forest for the trees.

They never learn integrated metabolism as a whole and with proper clinical correlation.
3) I started MBBS in 2012 and I have checked out several biochem texts over the years.

Harper is the worst --> for 1st year.

The Indian textbooks don't do much better either.
Read 11 tweets
Nov 27
1) I am presently working on curating the best free resources for medical professionals.

I will focus on the medical subspecialties.

I will also post some of my own work.
2) Why am I doing this?

Because FOAMed is the future.

Because we have some amazing work on Twitter and other SM that does not get the visibility it deserves.
3) All creators will be credited.

If by any chance, it is not --> please bring it to my attention.
Read 4 tweets
Nov 26
I follow a lot of educational podcasts.

This is a recent addition to my list that I am finding extremely useful both as a refresher and for first time reading.

I would recomment it for gen med residents without hesitation.
Pros

1. Crisp and clear explanations.

2. Short duration

3. Deals with common topics that are dealt with everyday in the wards.

4. The website has additional material that can be perused for further reading.
Read 6 tweets
Nov 23
I normally don't push brands on social media but @SkechersIndia has to be an exception.

I have suffered from plantar fasciitis for years and it has been gruelling.

I have tried every brand --> homegrown to foreign and most of those don't work. Image
I bought this pair of running shoes a few days back and put them through the paces.

They are amazing. No doubt about it.

Single best pair of shoes I have ever worn.
Hard surface or soft, uneven ground or metalled roads --> this has your back.

The heel support is great and it really feels like an extension of your feet.

This is a great buy as far as I am concerned.
Read 9 tweets
Nov 23
1) The most important aspect of a medical residency and one that I always pay great heed to --> how well you are able to follow up your patients.

I cannot overstate how vital this is.
2) A lot of residents love talking about how they have seen this case and that --> but they have no case details and have no longitudinal data on the patient.

It means nothing.
3) You discharge your patient and they never come back to you.

How will you know whether the diagnosis you have made or the treatment that you have started has yielded benefit?

Longitudinal data is crucial.
Read 7 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 on Twitter!

:(