Spent yesterday reviewing some common coagulation 🩸labs and their interpretations.

Here is a graphic I made as a refresher🙂

Keep reading for a few additional points on PT and PTT. /1 Recall that PT and PTT measure clotting times relating to the extrinsic and intrinsic pathways of the coagulation cascade, respectively.

From this, elevated PT or PTTs in patients with specific factor deficiencies or inhibitors can be easily predicted 😎 /2

How many times have you heard: “Patient's MAP is 50! What pressor should we start?”

A 🧵on shock and pressors... /1 First let’s review🚨SHOCK: a state of decreased perfusion enough to cause end organ damage (AKI, mental status change, elevated LFTs etc).
Not all shock requires a low blood pressure, but thinking about shock in terms of low MAP can be helpful to organize its etiologies 👇
/2

Took some time last week to focus on my own learning gaps regarding DIGOXIN 💊

What are its 2 main indications?
How does it work for those indications?
How do we monitor toxicity and how do we treat?

This is what I've learned, in a tweetorial🧵(graphic at the end!) /1 First, which is NOT an indication for Digoxin? /2

I've been spending this month on the infectious disease service🦠and thinking more deeply about a favorite antibiotic on the wards...vancomycin!

Why do we use it and when does it *actually* work? Sharing what I've learned in a🧵 1/n
#medtwitter #medstudenttwitter First, let's remember how vancomycin works.

Q1: How does it kill bacteria?
2/n