I described a gap between DOING and TEACHING reasoning
All of us DO reasoning every day
TEACHING what we DO is hard unless we
✔️have vocabulary to describe it
✔️know how to describe a process
✔️are ok being vulnerable in front of others
2/10
Apr 2, 2022 • 10 tweets • 3 min read
Yesterday, I discussed a pt who had subacute chest pain and dyspnea w/a group of learners
A pivot point in the case gave me some insight into the process of teaching reasoning
I'd love to share my experience #medtwitter#teachdx 1/
The patient's pain was pleuritic. Dyspnea, exertional. Symptoms worsening. Other history, sparse. The exam yielded signal:
Tachycardic, tachypneic, hypoxic, speaking short sentences, quiet lung bases
A dx and rx path was forming 2/
Jul 1, 2020 • 14 tweets • 5 min read
I recently discussed Chalk Talks with our newly minted @ucsdim R2s.
Until now, I’d never been, “meta” about this valuable teaching tool and thought I’d share what I learned from reflecting in a #tweetorial
Come explore with me #medtwitter! 0/14
1/#meded chalk talks typically deliver FOCUSED teaching in a short amount of time. While venues vary, we’ve probably encountered them in conference, rounds, or in the afternoon post-rounds/lunch.
Where have you encountered chalk talks most frequently?
May 26, 2020 • 17 tweets • 7 min read
My team recently asked WHY we give Fe to pts with HFrEF+anemia.
First answer: b/c someone told me so
Better answer: let me get back to you on that
Let’s explore and try to understand, #medtwitter#medstudenttwitter 0/14
1/First off, it helps to review a general schema for anemia.
I saw a number of patients with polycythemia recently, so for this #tweetorial, we’ll look at it from a generalist’s perspective and describe a schema algorithmically. Let’s go!
1/First, let’s remind ourselves that polycythemia itself isn’t a diagnosis. Like many things, it is a condition with an underlying cause.
How we define polycythemia:
-Male: Hb>16.5 g/dL, Hct>49%
-Female: Hb>16.0 g/dL, Hct>48%
Feb 19, 2020 • 8 tweets • 5 min read
“Doc, I feel weak all over”
This chief concern came up many times in the past couple weeks on wards and in @hdx case editing.
So I asked, why do people feel weak?
#Medtwitter, join me while I scheme(a) on “generalized” weakness... @hdx 1/
First: does the patient just FEEL weak (subjective), or do they have TRUE weakness (objective)?
Many things can manifest with a subjective feeling of weakness without actually affecting objective muscle strength.
Dec 11, 2019 • 9 tweets • 8 min read
Super proud of Dan Corbally, PGY2 @ucsdim. Stellar work writing this @hdx case!
1/ Spoiler alert:
This case forced me to re-think my schema for mesenteric ischemia.
Read on:
@ucsdim@hdx 2/
I used to think of mesenteric ischemia as a diagnosis, but now think of it as a syndrome resulting from an underlying disease process.
So, what processes can result in occlusion/ischemia of mesenteric vessels?
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