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Happy Birthday to YOU! https://youtu.be/sjk4ywGrqU4 via
@YouTube Always awesome to be remembered on your special day!Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Doc Jim proslijedio/la je Tweet
Congratulations to
#NGMCGME Internal Medicine resident Amy Kaur, DO and General Surgery resident, Elaine Mirabile, MD, for being selected as co-presidents of the GME House Staff Organization (HSO). To learn more, read the latest#NGMCGME blog here https://bit.ly/2S1WHcF pic.twitter.com/i7k1ppWJIS
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Doc Jim proslijedio/la je Tweet
In “Deported to Danger,”
@hrw met with asylum seekers like “Angelina N.” who fled sexual abuse by a gang member in El Salvador only to be deported in 2014 and raped by the same abuser. US’ narrow asylum protections place Salvadorans in harm’s way: http://www.hrw.org/node/338248/ pic.twitter.com/9BhO2H72uo
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Doc Jim proslijedio/la je Tweet
Our fearless leader
@fm_newton creating a recipe for a rockstar family medicine residency@ngmcgme by comparing the process to baking cookiespic.twitter.com/BgU6UWbHze
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Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
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Best birthday present...watching your champions win 4:1
#NGMCIMResidency#NGMCGenSurgResidency@ngmcgme#HARDWiredforExcellencepic.twitter.com/EwjRNm4xv8
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Having fun with soccer on the side after the work is done.
#HardwiredforExcellence#NGMCIMResidency#NGMCGenSurgResidency@ngmcgmepic.twitter.com/HmBRBJcOpy
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A little soccer...a lotta wellness
@ngmcgme#NGMCIMResidency &#NGMCGenSurgResidency#HardwiredforExcellence#DeepInterdependencepic.twitter.com/EVT3jxEip8
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Doc Jim proslijedio/la je Tweet
Something I never thought I would write when I was training: All the patients in my practice with HIV are over 70. (Back in the early 1990's I also never thought I would "tweet" that, but that is a different story).
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Doc Jim proslijedio/la je TweetHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
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Doc Jim proslijedio/la je Tweet
To summarize: 1. Fever is a specific clue to "inflammation" But it's not sensitive enough. Don't discount the presence of inflammation in an afebrile patient. 2. Most, but not all, elevated temperatures, represent a fever. Consider hyperthermia early. It could be life saving.
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Doc Jim proslijedio/la je Tweet
This is what we call hyperthermia, which results from either: 1. Excess heat exposure - e.g, heat shock 2. Excess heat production - e.g, tonic muscle contraction 3. Impaired heat dissipation - e.g, anticholinergic toxicitypic.twitter.com/mo10tPbeZC
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Doc Jim proslijedio/la je Tweet
Fever is one of the most specific signs of inflammation, but it's NOT sensitive enough to rely on every time. Here is a striking example - https://bit.ly/396j6wf Up to 50% of patients with Staph Aureus bacteremia had no fever!
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Doc Jim proslijedio/la je Tweet
Let's zoom out. The core problem we are often solving isn't fever. It's "inflammation".
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Doc Jim proslijedio/la je Tweet
Teaching Rounds Day 4/15 Fever. The Journey to a Diagnosis... Part 1 Join us,
#medtwitter &#medstudenttwitterpic.twitter.com/QP46l35fqE
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Doc Jim proslijedio/la je Tweet
Springing a leak...
#MedTwitter, we are excited to share our new schema on an approach to elevated troponin! Find it on the website here: http://bit.ly/3b2AYdb And on the app: http://bit.ly/2YqRF0L pic.twitter.com/A9hBuPMqun
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Doc Jim proslijedio/la je Tweet
Starting off our fourth year course, Critical Appraisal of the Landmark Medical Literature with two classics (and a "reminder" slide). https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32714-9/fulltext … https://www.nejm.org/doi/full/10.1056/NEJMoa0810988 …pic.twitter.com/U3xauPnAwv
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Doc Jim proslijedio/la je Tweet
How do you podcast? For @DHpharmed, it's all about making his drive to work a learning opportunity: "Shout out to the Core IM team for keeping my work commute educational!"
#medtwitter#HDYPpic.twitter.com/he1bSMjkvL
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Doc Jim proslijedio/la je Tweet
#TipsForNewDocs Sometimes, when the patient speaks, their spouse/partner rolls their eyes or sighs or looks annoyed. Try to figure out why – there’s usually an important story there. Pay attention to dynamics- you’ll learn a lot!#kittlesonrulesHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Doc Jim proslijedio/la je Tweet
Age Distribution of Hypertension Etiologies .
#meded#foamed#usmle#medtwitterpic.twitter.com/bRcIvAK5oH
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