Spokane IM faculty UWSOM IM clerkship site director. US enthusiast,PE diagnosis, better at the bedside. tweets are my own not reflective of my employer #impocus
BREAKING: Carter Nilson, a 6'5 forward from Gonzaga Prep, will join the #Zags this season. Carter is the son of former Zag Mike Nilson, who won WCC Defensive Player of the Year in 2000 and spent 20 years as GU's Director of Performance and Nutrition
More: https://t.co/ybNgNcfrpU
Best of 2025 in Hospital Medicine
Expanded in video with more details with paired EBM critical appraisal pearls
If you prefer to read a rapid fire summary, check out my post below
one person described it as the "best summary of major articles...! you beat all my NEJM Journal Club and JAMA subscriptions hands down"
@ebtapper Love this and have shared it with my trainees. Was told by a hepatologist to never use IV Lasix since oral absorption should be preserved vs CHF where there is gut edema. and iv lasix can precipitate HRS, can you comment?
🧵 The Cardiac Function Curve — why it misleads (Part 1)
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The cardiac function curve is one of the most recognisable images in physiology.
Unfortunately, it’s also one of the most misdrawn, mislabelled, and misunderstood.
Let’s redraw it — and see what it really tells us about the circulation.
#MedX #FOAMed #physiology
1️⃣
Some patients with severe venous congestion have almost no oedema — and that’s confusing at first.
It only starts to make sense once you unpack the physiology. 👇
What: Physical diagnosis course
When: December 2-4, 2025
Who: Any of you anywhere in the world you might be
Where: Virtual
Why: We will have fun and learn together - 3 hours per day for 3 consecutive days
Sign up here: https://t.co/otVgZW6Qod
More details at https://t.co/rXm7jRCcib
I hear clinicians say the physical exam is dead.☠️ This is just not true 🛑
Here are the 10 most important clinical exam findings in the ICU
A 🧵
(and some things you can probably stop doing...)
#medtwitter#foamed
For all the new medical students starting this fall there are 10 lessons they don’t teach in medical school (but should) @ross_prager
https://t.co/tZ5GmLeKtf
@SchulichMedDent@WesternU
You've probably heard "don't give lactated ringers because it raises lactate"
This statement is ~98% false, but there's one crucial practice-changing fact that you need to know.
A 🧵 all about lactic acid and lactated ringers!
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🆕🔥 State of the art review article @CMIComms 🌟s @DrToddLee@DrEmilyMcD
Approach to Clostridioides difficile Diarrheal Infection ( CDI)
Excellent discussions about the management of CDI #IDXposts#mustread
https://t.co/dXNvlF6iDf
🧵1/ Last year, a thoughtful reply to our @JAMA_current article sent me down a rabbit hole on CVD prevention.
Should statins be prescribed less or more often? Available OTC? Added to the water supply??
Let’s talk trials, thresholds, and tradeoffs!
A great study answers a clinical question
And this is a great study
Does one kind of steroid help patients with alcohol-associated hepatitis more than the other?
No
https://t.co/lsrW5SRaZy @HepCommJournal@juanpabloarab