Kieran Patel

CMR at @washuimres | Interests: cardiology, medical education, and Philadelphia sports | Tweets are my own

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

NEW 🔥🔥#CID @BradSpellberg
A simple diagnostic ASP ⛔ routine ordering of urine cultures using education, audit&feedback➕ hospital-wide screensaver👇
⬇️ inpatient U. Cx orders(~-50%) & rates of hospital CAUTIs w/o change in hospital mortality
#IDtwitter https://t.co/riIDH28dff

[Jeremy S. Pollock @bmorecardiology]

Really nice review of HFpEF in @JACCJournals
Amazing how far we've come in the last 10 years!

https://t.co/hDMpts5TkX

[Talal Hilal 🩺 @THilalMD]

I did not expect this piece to resonate with so many people. This is dedicated to all the clinicians in the trenches. https://t.co/BfDLUH5lmq

[Stephanie Socias @stephsocias]

Looking forward to a great Medicine Grand Rounds this week!

[Benoy Shah MD @dr_benoy_n_shah]

#echofirst image for trainees / fellows (not for experienced docs! 😃)

Acute chest pain admission - bedside POCUS in ED

1) What do you see?
2) What is your top differential diagnosis?
3) What would you do next?
4) What urgent intervention does this patient need?
@ASE360 #ACCFIT

[Stephanie Socias @stephsocias]

Come one, come all to Solid Organ Transplant Day at Medicine Grand Rounds! Thursday. 8am. Clopton.

[Zaven Sargsyan @sargsyanz]

Ultrasound: “no evidence of cholecystitis”

Op report: “gangrenous cholecystitis with extremely friable tissue. Purulent drainage with manipulation of gallbladder.”

I've seen this many times.

Thread

1/

[Stephanie Socias @stephsocias]

DOM Grand Rounds this Thursday. 8am. Clopton. Learn about amyloidosis, meet new colleagues, and eat kolaches!

[WashU Medicine Cardiovascular Division @WashUCardiology]

Very excited for Dr. Alan Braverman’s presentation at @WUDeptMedicine CPC tomorrow!

[Kieran Patel @KieranPatelMD]

@stephsocias Ddx includes fly larvae…

[Stephanie Socias @stephsocias]

Join us for a great case discussion! Clinical reasoning to the max with Dr. @Sonia_lite and Dr. Blinder. Tomorrow. High noon.
@WashUHeme @WashUIMRes @WUSTLmed @WUHemeOncFellow

[Kieran Patel @KieranPatelMD]

@shayaluko @TessaRDavis This checks outs

[Elliot Tapper @ebtapper]

Door to prednisone time for alcohol-associated hepatitis...

doesnt matter

Take your time.
Rule out infection.
Sit down and hammer out a plan for the AUD.
Feed the patient.
#livertwitter

[Josh Farkas MD 💊 @PulmCrit]

quick thread on the BOX trial and how my thinking about Bp following cardiac arrest has evolved over time...

in other words why I was wrong... 🧵

[Kieran Patel @KieranPatelMD]

@samizarro

[Elliot Tapper @ebtapper]

Peppermint oil for irritable bowel syndrome

I loved this treatment when I was a fellow. And now a meta-analysis by Ingrosso and friends in @APandT

NNT for symptom relief: 4
Tradeoff, possible GERD, dyspepsia
https://t.co/UGfDIEfqnw #gitwitter

[Beverly G. Tchang, MD @BevTchangMD]

Who's ready to take a deep dive into SURMOUNT-1 by @AniaJastreboff @ljaronne @NEJM evaluating @lillypad's tirzepatide for #obesity? Here are interesting particulars I pulled from the manuscript and appendix, as compared to Wegovy's STEP-1: 1/

[Kieran Patel @KieranPatelMD]

Excited for journal club tomorrow w @RahulPeravali where we’ll about the results of the SURMOUNT-1 trial @WashUIMRes

[Alfonso Valle @ValleAlfonso]

#SURMOUNT-1 in @nejm👇

⏰72-week trial with #tirzepatide
👥 mean body weight was 104.8 kg, mean BMI was 38.0

🎯 mean percentage change in weight 👇
💉5 mg⤵️ −15.0%
💉10 mg⤵️-19.5%
💉15 mg ⤵️20.9%

👉 Improvements in all prespecified cardiometabolic measures @secardiologia

[Alfonso Valle @ValleAlfonso]

#SURMOUNT-1 trial
👉 Tirzepatide Once Weekly for the Treatment of Obesity
⏰ 72-week
💉5 mg, 10 mg, or 15 mg of tirzepatide once weekly
📌 change in weight
⤵️−15.0% with 5-mg
⤵️−19.5%
⤵️−20.9% with 15-mg doses

[WashU Medicine @washumedicine]

Need another reason to love St. Louis? Whether you’re driving, using public transportation or biking, commuting here is a breeze – especially compared to increasingly congested major cities. Full video here: https://t.co/MH97WB5Jpq

[IMCrit @IM_Crit_]

ICU Infectious Disease Pearls and Pet Peeves: I love ID (or at least I did until COVID-19 came into our lives…) and for quite some time I wanted to write a relevant thread. These are some of the simple things that I always try to keep in mind and discuss/apply during rounds: