Luis D Hernández

Medicina Interna/Reumatologia.
I think the boring stuff is the stuff I remember the most.

[Luis D Hernández @LDHL89]

@SportsCenter No sólo fueron los 3 puntos
Fue el tiro motivador (ese fue el impacto real)

[Luis D Hernández @LDHL89]

@_NBAESP_ Kobe ... nada eficiente, las estadisticas no lo ponen en top5

[Rheuma Doc @LastManStand85]

Treatment of Axial Spondyloarthritis #Rheumatology #MedTwitter

[Aravind Palraj @Rheumat_Aravind]

Key updates from the 2025 EULAR recommendations for RA management!

Focus on early remission, MTX as 1st line, and escalating to bDMARDs if needed. Important insights for rheumatologists! #EULAR2025 #Rheumatology #APLAR2025 #MedTwitter @IhabFathiSulima

[Luis D Hernández @LDHL89]

@doctormacias Practicamente en todos los hospitales escuchan que alguien tiene covid y le buscan el cuarto mas escondido y sin ventilación posible

[Alejandro Macias @doctormacias]

En una reunión, abrir una ventana reduce el riesgo de transmisión de COVID-19 ~ 40% pues de lo contrario el virus empieza a acumularse progresivamente, flotando en el aire circundante.

Debemos promover la cultura de la ventilación de los interiores. https://t.co/LDdBaxoSB1

[Luis D Hernández @LDHL89]

@grok Dame una evaluacion de ASUS Laptop Zenbook 14/14" OLED/Intel Core Ultra 5 225H 14 Núcleos/Intel AI Boost NPU hasta 13TOPS/16GB RAM/512GB SSD/Numberpad/Teclado Retroiluminado/Funda y dime cual es su competencia?

[Aravind Palraj @Rheumat_Aravind]

🧵1/10
🌡️ A thread on the latest evidence-based clinical rheumatology updates for 2024-2025. Covering RA, axSpA, SLE, PsA, Gout & more, based on the newest ACR & EULAR guidelines. #RheumTwitter #MedEd @IhabFathiSulima

[Psychiatry Excellence @psycheureka]

Which antidepressants work most effectively, and which barely beat placebo?

The largest meta-analysis (Cipriani et al., 2018) compared 21 antidepressants in 116,477 patients, revealing striking differences in efficacy and tolerability.

Here’s how this data can transform your prescribing practice 🧵👇

[Aravind Palraj @Rheumat_Aravind]

🧵 UTI vs Asymptomatic Bacteriuria — Treat the Patient and the Numbers
A positive urine culture doesn’t always mean infection — even in immunosuppressed rheumatology patients.
Here’s the clear, evidence-based guide. 👇
@IhabFathiSulima @DrAkhilX @CelestinoGutirr @DurgaPrasannaM1 #MedTwitter #MedEd

[EASO @EASOobesity]

Long overdue - helpful article in @jama_current on GLP-1 medications for patients @JAMA_current

https://t.co/bE788tu1HY
HT @DanielJDrucker

[Luis Del Carpio Orantes @CarpioOrantes23]

Tomen nota de los complementos dañinos organizados en familias

[Dr Alo, DO, FACC @MohammedAlo]

GLP-1 RA & Nutritional Deficiencies

In a new study of 460k people on GLP-1 RA, it was shown that:

1️⃣ Vitamin D deficiency was most common (13.6%).
2️⃣ 12.7% developed nutritional deficiencies in 6 months.
3️⃣ 22.4% within 12 months.
4️⃣ 8% of people saw a dietitian within 6 months.
5️⃣ This means people who saw a dietitian were more likely to find out about deficiencies.

Study Link: https://t.co/eYwP34iHzt

[Dr. John Cush @RheumNow]

ICYMI: TNF Inhibitor Drug-Induced Lupus

A study from the FDA's adverse event reporting system (FAERS or Medwatch) database identified cases of drug induced systemic lupus erythematosus (SLE) in patients receiving tumor necrosis factor-α (TNF-α) inhibitors - a paradoxical reaction to common antiinflammatory biologic agents.

https://t.co/eVTiHPTE1R

[Carlos Moreno @CarlosJMoreno_]

Características clínicas y auxiliares diagnósticos de los tipos más comunes de encefalitis autoinmune en la UCI.

Intensive Care Med. 2019;45(12):1795-1798.

[Rheuma Doc @LastManStand85]

Hydroxychloroquine beneficial in reducing Cardiovascular disease 🫀 versus those who were not taking HCQ. However no evidence that it has any effect on reducing Preeclampsia rates during pregnancy🤰[EULAR25] #Rheumatology #MedTwitter

[Dr Gurdeep S Dulay @gurdeep_dulay]

IF #Denosumab treatment stopped (needs careful consideration)- these steps may be helpful 👇🏼

#Osteoporosis

[Aravind Palraj @Rheumat_Aravind]

💡 Rheumatology Pearl:
Migratory arthritis = diagnostic red flag 🚩
🔍 Think:
• Acute Rheumatic Fever
• Gonococcal arthritis
• Viral arthritis (Parvo B19, Hep B/C, Chikungunya)

⚠️ Not SLE — usually symmetric & non-migratory

📌 Ask: Where did it start? Where did it go?

#MedTwitter #Rheumatology #ClinicalPearls @IhabFathiSulima @DrAkhilX

[reUNma2023 @reUNma2023]

Ojo rojo en reumatología
caso 1: Dolor articular. CCP + alto
caso2: Dolor ocular progresivo unicamente
caso3: Disfonia asociada
caso4: Xerostomia y xerodermia

Encuesta 👇👇

[ERM @Owner_X429]

Osteoporosis medical treatments