Juan Pablo Meruvia

Bolivian 🇧🇴 || DO || PGY-2 UCF Internal Medicine. Gamer. Coffee lover.

[Willis Kwandou @Willis_Kwandou]

3D ECG Lead

[Lea Alhilali, MD @teachplaygrub]

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 if you are 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 material is taken up by masses making them light up & them easier to see.

--T2: It’s the water sensitive sequence. What is pathologic water in the brain? Edema! My attending once said, “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 diffusion. But anything that makes space tight in the brain can be bright on diffusion (highly cellular masses, clotted blood, pus under pressure, etc.)

--Gradient: Gradient is sensitive to metals. And what’s the most important metal in body? Iron—bc iron is in blood. So gradient is our blood sensitive sequence

Hopefully, this knowledge of the MRI protocol will stay with you for the long haul!

[Dr. AK 🇮🇳 @docakx]

American Heart Association proposes to omit the following terminologies in it's latest scientific statement (May 2024)

❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙪𝙧𝙜𝙚𝙣𝙘𝙮

❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙘𝙧𝙞𝙨𝙞𝙨

1/2

[Top Biomedical Science @imedverse]

Can’t Miss ECG Findings for the Emergency Medicine Provider

@ZHeart11768530 #ECG #CardioEd #Cardiology #cardioTwitter

[ICU OnePager @OnePagerICU]

ICU OnePager on How to Run a Code, covering:
📢 Leadership
⏱️ Temporal structure
👩‍⚕️ Roles & physical structure
⚡️ Defib & CPR
🔎 Differential diagnosis (Hs & Ts)
💉 Other procedures (pericardiocentesis, thoracotomy, etc)
❤️‍🩹 Family presence

https://t.co/FTCovb4UVH

[Jacob Kirkpatrick, DO @JKirkpatrickDO]

🌊🧂 SIADH and Hyponatremia

👉 Why would would giving NS (SODIUM chloride) to someone with SIADH lead to hyponatremia?

A 🧵on physiology, fluids and accounting:

#MedTwitter
@GlassHealthHQ
Inspired by: @DxRxEdu and @rabihmgeha ❤️

[Stefan Milutinovic @stefankmil]

📄 20 studies that Internal Medicine Residents should read in the first year 👇

1/ 🏃‍♀️ RACE II trial: Lenient resting HR < 110 was non-inferior to a strict HR < 80 in patients with atrial fibrillation.

🧵

[Sam Ghali, M.D. @EM_RESUS]

Here’s the #ECG of a young woman recorded immediately after she was resuscitated from cardiac arrest

What’s the diagnosis?

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

Are you overwhelmed as a senior resident?

You DON'T have to know everything.

7 Tips for being a great senior resident

[TA✨ @DrPharmDMDTh]

🫀T wave inversion explained clearly

#medicine #medical #medicalschool #ekg #ecg #medicaltiktok #medicalstudent #cardiology #myocardialinfarction #twave @TA_pharmacy

[Charles Milrod, MD @CharlesMilrod]

Picture this:

A young man presents with a WBC of 100k, and you find this 👇 on your evaluation.

Why (and how) is this an emergency? 🤔

A #tweetorial 🧵 1/6

[Asim Shabbir, MD @asimshabbir54]

Having trouble finding emails in Outlook? Here are some tips to organize your outlook.
I learned them as a chief resident - wish I had known them earlier.
Medical Edition 🧵

[Arjun Khadilkar, MD @akhadilkarMD]

One of the most important diagnostic tests in Cardiology to interpret is the EKG.

Here are my thoughts and notes. Will continue to this thread. Let me know what you think!

Thread #10: Fascicular Blocks

#arjuncardiology #medtwitter #CardioTwitter #MedEd #IMG

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

What should you call that elevated Creatinine?

That's the easy question.

But what is their baseline?! That's tougher.

A thread 🧵

[Journal of Brown Hospital Medicine @BrownJHM]

Saddle PE and extraction of thrombus #Medtwitter #MedEd

[Connie Ge @_conniege]

I just had a mock interview and they asked me for a weakness - I said “self doubt, but I’m working on it bc I know I am qualified”.

Then I open this email and see myself and other students referred to as “rejects” and it’s hard to remember that I have any qualifications at all.

[Nick Mark MD @nickmmark]

Had a blast chatting #hypoxemia with @thecurbsiders! @DoctorWatto @PaulNWilliamz @Askins_Razor

We covered a lot:
-how to assess a hypoxemic patient
-the SIX causes of hypoxemia
-O2 delivery devices
-why SpO2 may be inaccurate in people with darker skin

https://t.co/aU6nJ8kWGv

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

This is Landolfini’s sign, where severe aortic regurgitation causes the pupil to dilate in diastole and contract in systole

#MedTwitter