Jorge Cortés Profile picture
Sep 1, 2020 4 tweets 2 min read
#LeadPoisoning

👉Abdominal pain, microcytic anemia, basophilic stippling, polyneuropathy, encephalopathy, seizures

💧 Basophilic stippling: Basophilic granules of RNA seen in RBC; arsenic poisoning, sideroblastic anemia, myelodysplastic syndrome, thalassemia, others ⚠️Diagnosis: blood lead level (BLL) , basophilic stippling, microcytic-hypochromic anemia, patient's exposure history

⛔Exposure: Ayurvedic therapies, herbal supplements, glazed ceramic cookware, lead-contaminated opium (majority of illicit opium comes from Afghanistan)
Aug 7, 2020 5 tweets 3 min read
#CushingSyndrome Hypercortisolism

General framework from Frameworks for Internal Medicine @AndreMansoor. Additional info from @UpToDate, @TheLancet, European Society of Endocrinology. @grepmeded @RosenelliEM
Jul 23, 2020 6 tweets 3 min read
ANCA/ANA positive associated diseases Image 🔹ANCA

@UpToDate : Testing for the presence of antineutrophil cytoplasmic antibodies (ANCA) is useful to help diagnose ANCA-associated vasculitis.

Other considerations:
🔸ANCA-associated drug-induced vasculitis
🔸 ANCA-associated nonvasculitic disorders Image