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UCSD Internal Medicine Residency Profile picture
UCSD Internal Medicine Residency
@ucsdim
The official UCSD IM Chief Resident twitter! Follow us also on instagram @ucsd_medicine and our blog https://t.co/84GtfiJzpe as we train doctors in America's Finest City
Jan 19, 2021 • 8 tweets • 9 min read
#Infectiousdisease encyclopedia @Darcy_ID_doc carried us through another #HIV-focused #MTC at #Hillcrest this morning!!
Chief @photon_ick & PGY3 Dr. Sheila Bhavsar shared a cool case of #Toxoplasmosis, specifically #Toxo encephalitis!! Check out our 🗝️👇!! 1. Abrupt-onset weakness needs a stroke code evaluation. Our patient presented with #fevers & < 3 hr of L-sided #weakness!! ⏱️=🧠, so this comes first!!

2. Ultimately you'll end up with a #CT scan, where you are really looking for #bleeding or other space-occupying lesions. Image
Jan 11, 2021 • 6 tweets • 9 min read
Hey #MedTwitter!!
This morning at our VA we had Chief @photon_ick give us a case of #ChronicSOB, where it turned out that the patient had #ABPA (#allergic bronchopulmonary #aspergillosis). It's a diagnosis we don't see too often, but one you'll definitely encounter here!! 🗝️👇 This is an #allergic condition, with 2 main predisposing conditions: #asthma & #cysticfibrosis
It can be more rarely seen in other lung disease/immunodeficiencies, but without the right lung environment like this, it is almost NEVER seen!!
Jan 5, 2021 • 5 tweets • 8 min read
Our #residents got to learn about #syncope & #adrenalinsufficiency today from Rising Chief @LizzyHastie, Chief @photon_ick, & Endo-enthusiast @tsantoscavaiola!!

Check out some highlights below we wanted to make sure we shared with our #MedEd peeps on #MedTwitter!! Image Don’t forget about adrenal insufficiency!! For patients with things like #syncope or #hypotension, it’s easy to forget about cortisol as a cause! While things like dehydration, infection, & other things may be more common overall… AI is #treatable, so make sure you catch it!!
Nov 3, 2020 • 7 tweets • 11 min read
#Pulmonary Hypertension (pHTN) can really take your breath away!

For today's #MTC, Chief @photon_ick, PGY3 Dr. Armando Martinez, & #CTEPH expert Dr. Demos Papamatheakis reviewed a super cool case of a legit #SPY diagnosed with pHTN & CTEPH, flown to #UCSD for management! 1. pHTN is increased pressure in the #pulmonaryarteries
2. Most common symptoms include: EXERTIONAL #dyspnea, fatigue, pleuritic chest pain, and even #hemoptysis🩸
3. It's typically diagnosed on #ECHO showing dilated arteries, right❤️strain, & elevated RV systolic pressure!