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Dr. Loriaux holds the second cost-effective patient-centered case tournament! Congrats to the winning team on diagnosing amiodarone-induced toxicity!
#AMreport#MedEdpic.twitter.com/i6Iuno1gie
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What are we giving our patients when we order a ‘nectar thick’ diet? For
#AMreport,@reesezach3 lets us find out! We taste test thickened liquids- water, apple juice, and cranberry juice! While this diet
aspirating food, it won’t
aspiration of saliva or reflux! #MedEdpic.twitter.com/NTKttTVEEa
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B-ball Star Dr. Loriaux leads
#AMreport with can’t-miss EKG reads. Brugada syndrome is a diagnosis made by EKG, which can include coved ST elevations >0.2 followed by negative T waves in the precordial leads!#MedEdpic.twitter.com/V7e5X5VRkl
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Today’s
#AMreport led by@reesezach3 covers AMS w/u! If a patient has sub-clinical hypothyroidism, it’s still prudent to treat if TSH>10! As a bonus, we also covered the Guinness World Record holder for most 3-pointers in 24-hours... our very own@BrighamChiefs Dr.Loriaux!pic.twitter.com/BjDGcnrGok
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for more information, be sure to listen to this podcast by
@thecurbsiders https://bit.ly/2WSxOFO (Notes- https://bit.ly/2ImPZtR )Prikaži ovu nitHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
In today’s
#amreport,@MDApte tells a story of when she was called to an in-flight emergency when flying internationally. The most common cause of in-flight emergencies are from pre-syncope or syncope, and there is less in an airplane medical kit than we thought!#MedEdpic.twitter.com/FOATWdZd7h
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When you order blood testing, do you know what color tubes are for which labs?
@BIDMC_IM primary care chief@StaciSaundersMD teaches us the difference. The purple and pink top tubes both have EDTA but they’re different colors so the pink one gets routed to the blood bank!#MedEdpic.twitter.com/RK20pRKgSv
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Today’s
#AMreport by Chief@kpc322 covers that pesky influenza!#FunFact- during the Spanish Flu epidemic, there was a spike in deaths the same year aspirin became generic, leading to ingestion of up to 10g a day, perhaps confounding data with aspirin toxicity-related deaths!pic.twitter.com/q9Hed0CdTV
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Grand Rounds today by
@bwhdermatology@AMostaghimi on the diagnosis of cellulitis. Remember to use the ALT-70 score to assist you in predicting cellulitis in someone presenting to the ED with a red leg! Teamwork is always helpful too!pic.twitter.com/JdpLgpoGrt
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Welcome to
#IntakeRounds w/@StaciSaundersMD and@tony_breu! We review early feeding in acute pancreatitis- a commonly seen practice but why might this help? In addition to
nutrition and hydration, the bowel has
permeability so rest can lead to bacterial overgrowth! #MedEdpic.twitter.com/fdZdWAtskU
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For
#MedForum today, Dr. Loriaux presents a case of thrombocytopenia... and ends up solving the case himself as a patient with ITP! While there is not great data to support holding antiplatelet or anticoagulation in thrombocytopenia, experts recommend holding when platelets<30K!pic.twitter.com/pOHfQ68s3s
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What do new ATS/IDSA guidelines say about CAP? Chief
@reesezach3 leads#AMreport with a review. Concerned for MRSA or pseudomonas? Look for past culture data or recent hospital stay with IV ABx to consider re-sending cultures, but DON’T treat based on MRSA + nares alone!#MedEdpic.twitter.com/Clxt2QZz4L
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Dr. Loriaux presents us with the ultimate
#AMreport challenge. Residents become the ultimate (frugal) sleuths to solve a case! For abdominal pain, remember to check for Carnett’s sign on physical exam- it has a +LR 6.5 for abdominal wall pathology!#MedEdhttps://twitter.com/tony_breu/status/1217436002123382785 …
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The nerve!
@StaciSaundersMD leads#AMreport and creates a helpful framework for polyneuropathy. Diabetic neuropathy is a common diagnosis but remember that this manifestation only presents after prolonged poor glycemic control, and should be symmetric on exam!#mededpic.twitter.com/QQNBaU44Uv
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It’s a
@BostonChiefs reunion! Dr. Jon Li comes home to discuss population health! ACOs are making a dent in improving high-value care, but remember to use quality and cost metrics to assess for change!@yuliyam13 will join us soon,@DocBrock9 - we are waiting for you!pic.twitter.com/KpWrrCGuda
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Today we welcome future
@BID_CMRs Chief@StaciSaundersMD to the team as she leads her first#AMreport on posterior circulation strokes! A helpful framework for creating a differential for acute dizziness is TITRATE (TIming, TRiggers And Targeted Exam)!pic.twitter.com/RGtLLaKx4G
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See the tweetorial by
@tony_breu for more about the MPV. https://twitter.com/tony_breu/status/1079785110365446146?s=21 …https://twitter.com/tony_breu/status/1079785110365446146 …
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Have you ever looked at the mean platelet volume (MPV) in a CBC? We hadn’t either! BWH Chief Dan Loriaux presents a case of thrombocytopenia in a patient with a very high MPV. The MPV can be elevated if there are a large amount of immature platelets - as seen in ITP!pic.twitter.com/WgnxXZUP24
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In today’s
#amreport by@MDApte, BMC program director@DrYadavalli takes the place of@tony_breu (again) in an engaging discussion of hemolytic anemia. Warm hemolytic anemia needs immediate treatment with immunosuppressive medications (and splenectomy if anemia is refractory)pic.twitter.com/jM9zs0HF9N
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For
#AMreport , Chief @reesezach3 reviews how the physical exam can help us differentiate lower/upper motor neuron pathology from a myopathy! In addition to reflexes, remember to assess for tone and fasiculations!#MedEdpic.twitter.com/wqRxd3WkDV
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