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Zach Reese, MD proslijedio/la je Tweet
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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Zach Reese, MD proslijedio/la je Tweet
1/13 Why does HIV cause an elevated protein gap? The protein gap is due to excess immunoglobulin production. And yet, patients with HIV have problems with humoral immunity. Why? The explanation for this paradox provides insights into other complications of HIV...pic.twitter.com/tfLXWNhuIO
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Zach Reese, MD proslijedio/la je Tweet
For more goodness, see
@tony_breu’s in depth dive on tryptophan!
https://twitter.com/tony_breu/status/1064215816806248450?s=20 …
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Zach Reese, MD proslijedio/la je Tweet
What form of deep neck infection is most commonly associated with trismus?
@priscwang dives deep into neck planes for#AMreport! Up to 2/3 of peritonsillar abscesses present with trismus due to irritation of mastication muscles!#MedEdpic.twitter.com/kGSl1m8FvK
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Zach Reese, MD proslijedio/la je Tweet
What’s scarier than being pimped on rounds? Disney villains taking over
@BostonChiefs today! Watch out for some new trick-or-treaters on candy rounds
@MDApte@benatkinsonj@kpc322@reesezach3pic.twitter.com/lLw3sYc1q6
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Zach Reese, MD proslijedio/la je Tweet
How do you prepare a patient for fecal microbiota transplant?
@reesezach3 leads#MedForum on recurrent Cdiff. If delivering FMT via the upper GI tract, a PPI is needed one day prior to lessen stomach acid interaction with the sample!#FMT#GI#MedEdpic.twitter.com/4ZY0RmCb9V
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Zach Reese, MD proslijedio/la je Tweet
Intern Retreat 2019! Thanks to all who helped to make this happenpic.twitter.com/GQLFEk9MbP
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Zach Reese, MD proslijedio/la je Tweet
Why is the ratio of AST:ALT = 2 in heavy EtOH users?
@reesezach3 takes it to the cellular level for#AMreport. Hepatocytes have AST and ALT in cytoplasm but only AST in mitochondria- EtOH preferentially damages mitochondria, so more AST will be released into the serum!#medEdpic.twitter.com/pONhlNs2VS
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Zach Reese, MD proslijedio/la je Tweet
@reesezach3 laying down some physiology (while also debunking common myths about gout!)#amreport#meded#whoknewpegloticaseexisted?!pic.twitter.com/OcZisvJm55
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Zach Reese, MD proslijedio/la je Tweet
Excited to have visiting professor
@BrennanSpiegel here at VA Boston. Starting the day with an interesting case of chronic diarrhea with@reesezach3pic.twitter.com/qLKKfdTEY5
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Zach Reese, MD proslijedio/la je Tweet
When do you treat empirically for osteomyelitis?
@reesezach3 reviews 3 fresh cases this#AMreport to show it’s a grey area. IDSA guidelines are weak and low grade, but say avoid ABx until bone cx (which reveal positive dx 87%!), but treat for anyone with hardware!#MedEdpic.twitter.com/ceBllZGPnf
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Zach Reese, MD proslijedio/la je TweetHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
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Zach Reese, MD proslijedio/la je Tweet
Day 1 of modules off to a great start
@MDIBL#BIDMC_IM@BID_CMRs@bess_flashner@StaciSaundersMD@AndyHale33@DanielRicottaMD@reesezach3pic.twitter.com/I3mzXR1wEV
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Zach Reese, MD proslijedio/la je Tweet
When should you consider closing PFOs?
@marktuttle comes back home to teach about its role! Newer studies on patients <55 with non-lacunar cryptogenic strokes and large PFOs may benefit from reduced risk of repeat CVA after PFO closure!#cardiotwitterpic.twitter.com/gEvPsJAIMlHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Zach Reese, MD proslijedio/la je Tweet
How do you think about hypoxia?
@reesezach3 illustrates the pathophysiology in a single alveolus!#TeachingPearl from@tony_breu - while dead space itself does not cause hypoxia, it can lead to diversion of blood flow to other areas that increase Q, leading to decreased V/Q!pic.twitter.com/LlXqeoR6wS
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Zach Reese, MD proslijedio/la je Tweet
How do you think about myopathy?
@reesezach3 leads#AMreport with a helpful breakdown. To diagnose HIV myositis, you need to also have a detectable viral load. Our morning report patient has HIV but was ultimately dx with lupus myositis.#MedEd#RheumWeekpic.twitter.com/1WQwqi5FGs
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Zach Reese, MD proslijedio/la je Tweet
Journal club today!
@reesezach3 leads a great discussion on basal-bolus insulin and how the RABBIT 2 trial helps ground this inpatient practice. Want more info? Tune in to today’s@thecurbsiders episode with@tony_breu discussing#TWDFNR, including SSI! https://thecurbsiders.com/podcast/165-twdfnr …pic.twitter.com/m2On766Ekz
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Zach Reese, MD proslijedio/la je Tweet
How does chronic EtOH use change neurotransmitter synapses?
@reesezach3 gets cerebral with his#AMreport. Inhibitory GABA R are
regulated and excitatory NMDA R
regulated. When we treat withdrawal, BDZ target GABA R while phenobarbital will act on both!#MedEdpic.twitter.com/HX22c4SqfR
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For Monday’s
#AMreport,@MDApte discusses infections that can be seen in renal transplant patients. Remember that CMV prophylaxis is only indicates for the first 6 months post-transplant!#MedEdpic.twitter.com/1suHD4eZir
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Zach Reese, MD proslijedio/la je Tweet
What are some effects that cirrhosis has on the RAAS system?
@reesezach3 paints us a picture that
angiotensin II leads to
vasoconstriction,
ADH and
Na reabsorption, to counteract vasodilatory effects of nitric oxide! #amreport#mededpic.twitter.com/3JX82oKXBh
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