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grepmeded's profile
GrepMed
GrepMed
GrepMed
@grepmeded

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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

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    1. Varun Phadke MD‏ @VarunPhadke2 12 Oct 2019
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      8/ Ideally, we could arrange all the clinically important organisms in a way that allowed us to depict every abx as a continuous horizontal bar – alas, this is not possible, and thus most abx have “holes” in their coverage!pic.twitter.com/sp3DnidgOk

      1 reply 2 retweets 10 likes
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    2. Varun Phadke MD‏ @VarunPhadke2 12 Oct 2019
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      9/ Let’s take it a step further and put actual organism names on the spectrum – this lets us compare/contrast important drug classes with granularity. For example, here’s the Gram pos part of the spectrum filled in with the penicillins and cephalosporins.pic.twitter.com/WUOjiuCorD

      1 reply 2 retweets 15 likes
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    3. Varun Phadke MD‏ @VarunPhadke2 12 Oct 2019
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      10/ Here’s the Gram neg end of the spectrum comparing some common beta lactam drugs.pic.twitter.com/XAOkjsQsBd

      1 reply 2 retweets 13 likes
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    4. Varun Phadke MD‏ @VarunPhadke2 12 Oct 2019
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      11/ We can combine these two ends into 1 continuous spectrum. I also add anaerobes as the bridge between the two, and place intracellular organisms (like Legionella and Mycoplasma) on one end. In the next tweet will be the composite figure with all the commonly encountered abx!pic.twitter.com/ZcYFdZl8De

      1 reply 2 retweets 14 likes
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    5. Varun Phadke MD‏ @VarunPhadke2 12 Oct 2019
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      12/ In this final figure, abx are divided by beta lactam and non beta lactam. Since we know that in vitro activity does not equal clinical use, I’ve color coded the abx bars – green means active and preferred, dark blue means active, and light blue means unreliably active.pic.twitter.com/jykLIrvHh2

      15 replies 91 retweets 285 likes
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    6. Varun Phadke MD‏ @VarunPhadke2 12 Oct 2019
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      13/ Thoughts #IDTwitter? How do you teach abx/spectra of activity to your learners? What other visuals have you seen? How can we make this better? @CarlosdelRio7 @BonuraErin @BSchwartzinSF @Armstrws @BradSpellberg @Payal_Patel @PCH_SF @serotavirus @MDdreamchaser @gradydoctor

      24 replies 7 retweets 63 likes
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    7. Nico Cortes‏Verified account @Cortes_Penfield 12 Oct 2019
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      Replying to @VarunPhadke2 @CarlosdelRio7 and

      This is great, and also way more than what I teach students & residents on rounds. I describe four categories: gram-positive (within which we think about MRSA), gram-negatives (within which we think about P.aeruginosa), anaerobes, and “atypical things treated with doxycycline”

      1 reply 0 retweets 2 likes
    8. Nico Cortes‏Verified account @Cortes_Penfield 12 Oct 2019
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      Replying to @Cortes_Penfield @VarunPhadke2 and

      We can layer on complexity like activity vs enterococci, ESBL & CRE, etc later, but what I’m more interested in is then going over the human microbiome and then making the connections re: *why* we use the combinations of antibiotics we use for infections @ different sites.

      1 reply 0 retweets 3 likes
    9. Jennifer Fulcher MD PhD‏ @FulchJen 14 Oct 2019
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      Replying to @Cortes_Penfield @VarunPhadke2 and

      I take a similar approach for med students and housestaff starting with broad categories (GP, GN, anaerobes, etc) then add details during didactic lectures. Not specific enough for an ID nerd (such as myself🤓), but a framework to get started. Also, I like pretty colors.pic.twitter.com/ldexflGAJx

      UCLA Multicampus ID Fellowship, UCLA Internal Medicine Chief Residents and DGSOM at UCLA
      1 reply 0 retweets 7 likes
    10. Jennifer Fulcher MD PhD‏ @FulchJen 14 Oct 2019
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      Replying to @FulchJen @Cortes_Penfield and

      Ok, revised to include the at least partial gram positive activity of mero-vabor, imi-rele, ceftaz-avi, cefto-tazo (partial owing to the absent enterococcus and unreliable staph of the ceftaz-avi and cefto-tazo). Thanks @dan_uslan for the feedback!pic.twitter.com/28UIww0BW7

      4 replies 10 retweets 30 likes
      GrepMed‏ @grepmeded 19 Nov 2019
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      Replying to @FulchJen @Cortes_Penfield and

      Terrific reference image. 👍 We shared this to make it easy for others to search and bookmark. "antibiogram" ->https://www.grepmed.com/images/6389 

      5:25 PM - 19 Nov 2019
      • 4 Likes
      • Gerome Escota Brian Schwartz Nico Cortes Carlos del Rio
      0 replies 0 retweets 4 likes

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