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UTSW Internal Medicine Chiefs Profile picture
UTSW Internal Medicine Chiefs
@UTSWIMchief
UT Southwestern Internal Medicine Chief Residents: sharing pearls from conferences and lectures; supporting our phenomenal UTSW residents.
Jul 28, 2020 • 9 tweets • 6 min read
Tough case of a man with a hx of drug use and skin popping who presented with anasarca. @DinoKazi providing mentorship and pearls throughout

For pitting edema: there's generally an issue with :
⬆️Hydrostatic pressure
⬇️Plasma oncotic pressure
🔥Vessel wall inflammation Image Non-pitting edema is usually caused by:
🍗increased protein secretion in the interstitium(i.e myxedema)
🚧some issue with lymphatic drainage Image
Jul 17, 2020 • 11 tweets • 5 min read
1/10 Hey #medtwitter, stay with us to learn about the curious case of a woman with heart failure & weight loss. Now… that is interesting 🤔. #medstudenttwitter Unless end-stage, this patient should have gained weight. What are some of the possible etiologies, right off the bat? 2/10 Young W without PMH p/w 3 weeks of SOB and abdominal swelling ➡️ volume overload. We talked about the BIG THREE causes (cardiac, liver and kidney) and the overlap with SOB. Having a schema for frequent CC is vital, for SOB ➡️ dyspnea pyramid or @CPSolvers are our favs.