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Diego Ramonfaur Profile picture
Diego Ramonfaur
@d_ramonfaur
Internal Medicine Resident @ClevelandClinic | EMIS 36 | MSc @HarvardMed, MPH @JohnsHopkins | Aspiring 🫀 | Opinions represent my own
Dec 13, 2023 • 7 tweets • 2 min read
Evidencia de que los intereses comerciales de las farmacias van por arriba de la evidencia científica y del consenso médico.

No compren Antiflu-Des. Nunca. 🧵 Image Antiflu-Des es un medicamento que tiene tres sustancias activas:
1. Amantadina
2. Clorfenamina
3. Paracetamol

Cuál es el problema? 👇🏼

Uno por uno.
Aug 28, 2023 • 25 tweets • 12 min read
Careful evaluation of the hands 🤲 is a fundamental part of the physical exam.

What to look for?

A high-yield mega thread 🧵 Splinter hemorrhages:

Micro-hemorrhage of the nail bed capillaries. Trauma is most common cause. Also associated with vasculitis, antiphospholipid sx, and endocarditis in ~20% of cases. Look for concomitant fever, new murmur, neurologic deficits. They are most common in Black males. [1]