Internal Medicine

🩺 Internal Medicine & Infectious Diseases & Autoimmune Diseases

[Lea Alhilali, MD @teachplaygrub]

1/If you aren’t cheating, you aren’t trying!

Are you looking at MRIs?

Feeling some confusion about the diffusion?

Feel impaired when it comes to the FLAIR?

Wish you could cheat a little?

Here’s a little cheat sheet on all the sequences you NEED to know for looking at MRIs!

➡️T1: It’s for anatomy, so brain structures reflect the same color as real life.

🔸So gray matter is gray on T1 & white matter is white on T1.

🔸It’s also for contrast. Contrast is taken up by masses making them light up & easier to see.

➡️T2: It’s the water sensitive sequence.

🔸What is pathologic water in the brain? Edema!

🔸Remember--everything bad in this world is trying to turn you back into what you came from—water!

➡️DWI: Diffusion detects stroke, which are bright on DWI.

🔸But anything that makes space tight in the brain can be bright on diffusion (cellular masses, pus under pressure, etc.)

➡️Gradient: Gradient is sensitive to metals.

🔸What’s the most important metal in body? Iron—bc iron is in blood.

🔸So gradient is our blood sensitive sequence

🌟So remember🌟

▶️T1 is for Anatomy & Contrast
▶️T2 is for Water & Edema
▶️DWI is for stroke
▶️Gradient is for blood

Hopefully, this will help you next time you have an MRI--who says cheaters never win? 😉

[CardioTeca @cardioteca]

🆕📌 Guía NICE 2023 Hipertensión arterial en adultos: diagnóstico y tratamiento.

🔓 https://t.co/ZNHOmQQsZ1

[Gabriel Puche, MD/PhD @gabi_puchepalao]

🔁 Update: "POLIMIALGIA REUMÁTICA"

👉Enfermedad inflamatoria
👉Dolor y rigidez, principalmente en los hombros y la pelvis
👉Mayores de 50 años.

🧪Es común que se ⬆️ reactantes fase aguda

Dentro hilo🧵🪡

[Internal Medicine @internalmed_]

¿La inmunidad frente a SARS - CoV - 2 se transmite a la descendencia? 👇🏻

[Journal of Infectious Diseases @JIDJournal]

Vertical Transmission of SARS-CoV-2-Specific Antibodies and Cytokine Profiles in Pregnancy

✅ Just Accepted
🆓 Freely Available
🔗 https://t.co/pozYzNg4Kk

[GEAS | Enfermedades Autoinmunes SEMI @GEAS_SEMI_]

Effect of antimalarials on clinical outcomes in lupus nephritis https://t.co/Yqlv3qPcnW

[Medicina Interna HCSBA @MHcsba]

BMJ 2023: Hepatotoxicidad inducida por terapia anti-tuberculosis
https://t.co/hVxk2epnmQ
#MedEd #MedTwitter

[Internal Medicine @internalmed_]

🔹 Corticoterapia en neumonía adquirida en la comunidad 👇🏻

[Clinical Infectious Diseases @CIDJournal]

Efficacy and Safety of Corticosteroid Therapy for Community-Acquired Pneumonia: A Meta-Analysis and Meta-Regression of Randomized, Controlled Trials

✅ Just Accepted
https://t.co/66UdvBXwRD

[Clinical Infectious Diseases @CIDJournal]

Association of CMV DNAemia with Long-Term Mortality in a Randomized Trial of Preemptive Therapy (PET) and Antiviral Prophylaxis (AP) for Prevention of CMV Disease in High-Risk Donor Seropositive, Recipient Seronegative (D+R-) Liver Transplant Recipients

https://t.co/9EXxhOpGpR

[GT_EnfermedadTromboembolica #17ETVSEMI @GT_Trombo]

#16ETVSEMI

📢📢Nuevas recomendaciones de nuestro grupo

Recomendaciones de tratamiento de Trombosis Venosa Profunda de miembros inferiores

[Medicina Interna HCSBA @MHcsba]

New England Journal of Medicine (NEJM) 2023: Revisión de síndrome hemolítico urémico asociado a E.Coli productora de Toxina Shiga
✅ No toda MAT es PTT en el adulto
#MedEd #MedTwitter
DOI:10.1056/NEJMra2108739

[Diego Segura-Rodríguez @SeguraCardio]

📌Safety of Continuing Mineralocorticoid Receptor Antagonists Treatment in 👥 w/ #HFrEF & Severe Kidney Disease
🔸MRA: 32%, 45%, 54%, 54% w/ eGFR<30, 30–44, 45–59 or ≥ 60 mL/min/1.73m2, respectively
🔸MRA safety profile was consistent across the entire eGFR spectrum

#CKD #HF

[Internal Medicine @internalmed_]

¿Cuándo realizar un ecocardiograma en un paciente con bacteriemia? 👇🏻👇🏻

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

This is the type of reviews that I read "tout de suite"
🆕️⚡️🔥 @CMIJournal
Bacteremia with gram positive bacteria - when and how do I need to look for endocarditis? #IDXposts #IEWiki
cc @Cortes_Penfield
https://t.co/ZiYnmMYEDX

[Journal of Infectious Diseases @JIDJournal]

Accelerated T-Cell Immunosenescence in Cytomegalovirus-Seropositive Individuals After Severe Acute Respiratory Syndrome Coronavirus 2 Infection

🔓 Open Access
🔗 https://t.co/4W8JIdXCCr

[NEJM @NEJM]

A woman with multiple episodes of pulmonary embolism and venous thrombosis who had platelet-activating antibodies to PF4 was treated with high-dose IVIG, plasma exchange, and daily ibrutinib after several strokes.

🔗 Read the full correspondence: https://t.co/2W77RYEB82

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

🆕️🌟 Narrative Review @CMIJournal
Mycobacterium abscessus, a complex of three fast-growing subspecies sharing virulence traits with slow-growing mycobacteria #IDXposts
https://t.co/ne6w60Xifh

[Clinical Infectious Diseases @CIDJournal]

IWGDF/IDSA Guidelines on the Diagnosis and Treatment of Diabetes-related Foot Infections (IWGDF/IDSA 2023)

✅ Just Accepted
🔓 Open Access
https://t.co/kMHgaAEbPd