Skip to content
By using Twitter’s services you agree to our Cookies Use. We and our partners operate globally and use cookies, including for analytics, personalisation, and ads.

This is the legacy version of twitter.com. We will be shutting it down on June 1, 2020. Please switch to a supported browser, or disable the extension which masks your browser. You can see a list of supported browsers in our Help Center.

  • Home Home Home, current page.
  • About

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @
  • Language: English
    • Bahasa Indonesia
    • Bahasa Melayu
    • Català
    • Čeština
    • Dansk
    • Deutsch
    • English UK
    • Español
    • Filipino
    • Français
    • Hrvatski
    • Italiano
    • Magyar
    • Nederlands
    • Norsk
    • Polski
    • Português
    • Română
    • Slovenčina
    • Suomi
    • Svenska
    • Tiếng Việt
    • Türkçe
    • Ελληνικά
    • Български език
    • Русский
    • Српски
    • Українська мова
    • עִבְרִית
    • العربية
    • فارسی
    • मराठी
    • हिन्दी
    • বাংলা
    • ગુજરાતી
    • தமிழ்
    • ಕನ್ನಡ
    • ภาษาไทย
    • 한국어
    • 日本語
    • 简体中文
    • 繁體中文
  • Have an account? Log in
    Have an account?
    · Forgot password?

    New to Twitter?
    Sign up
grepmeded's profile
GrepMed
GrepMed
GrepMed
@grepmeded

Tweets

GrepMed

@grepmeded

Image Based Medical Reference: Sharing crowd-sourced checklists, algorithms, decision aids, #PhysicalExam #POCUS, and more - by @GeraldMDMD + @k00bideh

Sacramento, CA
grepmed.com
Joined March 2018

Tweets

  • © 2020 Twitter
  • About
  • Help Center
  • Terms
  • Privacy policy
  • Imprint
  • Cookies
  • Ads info
Dismiss
Previous
Next

Go to a person's profile

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @

Promote this Tweet

Block

  • Tweet with a location

    You can add location information to your Tweets, such as your city or precise location, from the web and via third-party applications. You always have the option to delete your Tweet location history. Learn more

    Your lists

    Create a new list


    Under 100 characters, optional

    Privacy

    Copy link to Tweet

    Embed this Tweet

    Embed this Video

    Add this Tweet to your website by copying the code below. Learn more

    Add this video to your website by copying the code below. Learn more

    Hmm, there was a problem reaching the server.

    By embedding Twitter content in your website or app, you are agreeing to the Twitter Developer Agreement and Developer Policy.

    Preview

    Why you're seeing this ad

    Log in to Twitter

    · Forgot password?
    Don't have an account? Sign up »

    Sign up for Twitter

    Not on Twitter? Sign up, tune into the things you care about, and get updates as they happen.

    Sign up
    Have an account? Log in »

    Two-way (sending and receiving) short codes:

    Country Code For customers of
    United States 40404 (any)
    Canada 21212 (any)
    United Kingdom 86444 Vodafone, Orange, 3, O2
    Brazil 40404 Nextel, TIM
    Haiti 40404 Digicel, Voila
    Ireland 51210 Vodafone, O2
    India 53000 Bharti Airtel, Videocon, Reliance
    Indonesia 89887 AXIS, 3, Telkomsel, Indosat, XL Axiata
    Italy 4880804 Wind
    3424486444 Vodafone
    » See SMS short codes for other countries

    Confirmation

     

    Welcome home!

    This timeline is where you’ll spend most of your time, getting instant updates about what matters to you.

    Tweets not working for you?

    Hover over the profile pic and click the Following button to unfollow any account.

    Say a lot with a little

    When you see a Tweet you love, tap the heart — it lets the person who wrote it know you shared the love.

    Spread the word

    The fastest way to share someone else’s Tweet with your followers is with a Retweet. Tap the icon to send it instantly.

    Join the conversation

    Add your thoughts about any Tweet with a Reply. Find a topic you’re passionate about, and jump right in.

    Learn the latest

    Get instant insight into what people are talking about now.

    Get more of what you love

    Follow more accounts to get instant updates about topics you care about.

    Find what's happening

    See the latest conversations about any topic instantly.

    Never miss a Moment

    Catch up instantly on the best stories happening as they unfold.

    1. MedEd Pittsburgh‏ @MedEdPGH 3 Apr 2019
      • Report Tweet
      • Report NetzDG Violation

      Put on your thinking caps for this week's #PhysioQuizzo! After finishing ID consults two weeks ago, you find yourself on renal consults. Your attending gives you two new consults: 1) 30yoM, serum Na 121, SOsm 252 2) 30yoM, serum Na 120, SOsm 253 (Questions on the next page!!!)

      3 replies 12 retweets 56 likes
      Show this thread
    2. MedEd Pittsburgh‏ @MedEdPGH 3 Apr 2019
      • Report Tweet
      • Report NetzDG Violation

      2/ #PhysioQuizzo Patient #1: Na 121, SOsm 252, asymptomatic. The attending tells you his urine Osm is 70. She asks you how you want to cure the patient's hypoNa. You say that, before you decide, you want to know more about the patient's... [You only get 1 choice]

      3 replies 1 retweet 3 likes
      Show this thread
    3. MedEd Pittsburgh‏ @MedEdPGH 3 Apr 2019
      • Report Tweet
      • Report NetzDG Violation

      3/ #PhysioQuizzo Patient #2: Na 120, SOsm 253, asymptomatic. Yesterday, Patient #2 got 1L of normal saline. His SNa yesterday was 119. Urine studies today: UOsm 506, UNa 170, UK 54. The primary team wants guidance on how much normal saline to give and how fast. You say...

      2 replies 2 retweets 6 likes
      Show this thread
    4. MedEd Pittsburgh‏ @MedEdPGH 3 Apr 2019
      • Report Tweet
      • Report NetzDG Violation

      We'll post answers in 2 days when the polls end!!! @PittIMChiefs @PittIMPD @PittIMPOCUS @OHSUIMRes @thecurbsiders @OHSUIMRes @UTSWIMchief @JMAllenbaugh @TempleIM @kidney_boy @NephroMD @IMCreighton @BostonChiefs @BrighamChiefs @BMCimRES @mgsimonson1 @MFleshner301 @akohlimd

      2 replies 1 retweet 2 likes
      Show this thread
    5. MedEd Pittsburgh‏ @MedEdPGH 5 Apr 2019
      • Report Tweet
      • Report NetzDG Violation

      4/x #PhysioQuizzo Great work everyone! Here are the solutions. 1) Patient #1: You want the HISTORY. UOsm < SOsm, so this patient has an ADH *independent* cause of hyponatremia (ADH is low, urine is relatively dilute)! But what does that mean?

      1 reply 0 retweets 0 likes
      Show this thread
    6. MedEd Pittsburgh‏ @MedEdPGH 5 Apr 2019
      • Report Tweet
      • Report NetzDG Violation

      5/x Patient 1 solution With dilute urine / low ADH, your Ddx is narrowed down to - poor solute intake (beer potomania, tea and toast diet) -excessive water intake (1* polydipsia) A good patient history will help you decide which of these three is the culprit!

      2 replies 0 retweets 2 likes
      Show this thread
    7. MedEd Pittsburgh‏ @MedEdPGH 5 Apr 2019
      • Report Tweet
      • Report NetzDG Violation

      6/x Patient #1 solution. A note about "Volume Status" and hyponatremia. --> It is unreliable and therefore unhelpful. See this study: https://www.ncbi.nlm.nih.gov/pubmed/3674097  Physicians inconsistently distinguish hypovolemia from euvolemia by exam alone (correct ~47-48%). That's a coin flip!

      1 reply 1 retweet 6 likes
      Show this thread
    8. MedEd Pittsburgh‏ @MedEdPGH 5 Apr 2019
      • Report Tweet
      • Report NetzDG Violation

      7/x #PhysioQuizzo Speaking of Volume Status and hypovolemia, nephrologist extraordinaire @NephroMD taught us a different schema for thinking about hyponatremia. We'll post our version here (what we remember) , and ask for corrections from @NephroMD and the rest of @askrenalpic.twitter.com/uzZ7rUjsMd

      4 replies 3 retweets 24 likes
      Show this thread
    9. aldorodrigo‏ @aldorodrigo 5 Apr 2019
      • Report Tweet
      • Report NetzDG Violation
      Replying to @MedEdPGH @NephroMD @askrenal

      Agree with the pathophysiologic approach of #hyponatremia. Not the "classic" Volume based approach. This is our hyponatremia schema approach. @Saltwebsite @grepmeded http://www.medigraphic.com/pdfs/revmed/md-2014/md142i.pdf …pic.twitter.com/U0DKvRGaBv

      2 replies 3 retweets 13 likes
    10. Helbert Rondon, MD, MS, FACP, FASN‏ @NephroMD 5 Apr 2019
      • Report Tweet
      • Report NetzDG Violation
      Replying to @aldorodrigo @MedEdPGH and

      The only issue is that Uosm > 100 not always means presence of ADH.

      1 reply 0 retweets 4 likes
      GrepMed‏ @grepmeded 6 Apr 2019
      • Report Tweet
      • Report NetzDG Violation
      Replying to @NephroMD @aldorodrigo and

      are there particular conditions where this is not true or is it just not reliable?

      4:47 PM - 6 Apr 2019
      • 2 Likes
      • GeraldMD GrepMed
      1 reply 0 retweets 2 likes
        1. Helbert Rondon, MD, MS, FACP, FASN‏ @NephroMD 6 Apr 2019
          • Report Tweet
          • Report NetzDG Violation
          Replying to @grepmeded @aldorodrigo and

          No, so that is why is better to compare Uosm and Posm. Appropriate response to hypotonicity is to produce a diluted urine (Uosm < Posm), if Uosm>Posm then this is an inappropriate response, then vasopressin must be present.

          0 replies 3 retweets 8 likes
          Thanks. Twitter will use this to make your timeline better. Undo
          Undo

      Loading seems to be taking a while.

      Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.

        Promoted Tweet

        false

        • © 2020 Twitter
        • About
        • Help Center
        • Terms
        • Privacy policy
        • Imprint
        • Cookies
        • Ads info