Kang Xiao Zhang

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

[Andy Patton @AndyPattonCBB]

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

[Anil Makam @AnilMakam]

What is evidence-based diagnosis?

AKA Bayesian clinical reasoning

Watch my 2 minute pitch for why doctors should care

[Journal of Hospital Medicine @JHospMedicine]

Updates in #HospitalMedicine, Part 3
#Metformin #Aspirin #Calcium #Albumin #Cirrhosis #Steroids #WBC #CAP #Pneumonia #Apixaban #VTE #GPT #BetaBlockers

[Yihan Yang, MD MHS-MedEd @YihanYangMD]

This is a great talk on how to speak that more or less also summarizes “how to teach”

#MedEd

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🔥Just published 🔥
ESCMID Clinical Guidelines on the Evaluation and Management of a Reported Antibiotic Allergy #IDXposts
https://t.co/E1JJoaNIvu

[Ash Paul @pash22]

Please do not do that research: 10 topics that do not need to be studied
https://t.co/pHhJ4eQp3U via @adamcifu

[Anil Makam @AnilMakam]

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"

[Kang Xiao Zhang @IMUS_Spokane]

@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?

[Ashley Miller @icmteaching]

🧵 The Cardiac Function Curve — why it misleads (Part 1)
1/
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

[Ashley Miller @icmteaching]

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. 👇

[André Martin Mansoor @AndreMansoor]

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

[Ross Prager @ross_prager]

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

[Ken Milne MD @TheSGEM]

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

[Nick Mark MD @nickmmark]

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!
1/

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🆕🔥 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

[Kang Xiao Zhang @IMUS_Spokane]

@DrStevenTChen Thank you. Very helpful.

[James Diao @JamesADiao]

🧵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!

[Kang Xiao Zhang @IMUS_Spokane]

@ebtapper Are you routinely doing PJP prophylaxis for those for who are steroid responders?

[Elliot Tapper @ebtapper]

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