Priyanka Solanki

Daily fun facts about using AI in medicine! | @NYULangone Clinical informatics 🤓 | '24 @UPMC IM ☔ | '21 @templemedschool 👩‍⚕️ | '16 @penn_state 🦁

[Priyanka Solanki @PriSolankiMD]

How can AI be used to help in research? Try https://t.co/ojyqBuzLvd - a free AI based tool engine that pulls/summarizes research articles. A great tool to overcome the initial activation energy to start any research project and lit review!

#MedEd #AIinHealthcare #MedTwitter

[Priyanka Solanki @PriSolankiMD]

Chat GPT, and other large language models, have difficulty with negation (ex. "not") due to the semantic complexity. It can confuse the model and lead to false results!

See this example: should hypertension have been listed?

#MedED #ChatGPT #AIinEducation #FOAMed #MedTwitter

[Priyanka Solanki @PriSolankiMD]

What does GPT mean? "Generative Pre-Trained Transformer"

What's the difference between Chat GPT and GPT: ChatGPT (from Open AI) uses GPT (the means of AI) to power its chatbot. But many say "GPT" and mean "ChatGPT" in context!

#MedEd #ChatGPT #aiInfluencer #FOAMed

[Priyanka Solanki @PriSolankiMD]

Things to remember for heart failure:

- falsely decrease BNP: obesity, SGLT2inh (use pro-BNP instead)

- falsely increase BNP: CKD, age > 65yo

#MedEd #MedTwitter #CardioTwitter #heartfailure #Cardiology #FOAMed #MEDX

[Priyanka Solanki @PriSolankiMD]

ESRD patients can get acquired von Willebrand disease (nrl PT/PTT, inc risk of bleeding from poor plt aggregation).

MOA: ⬆️ urea (BUN) -> ⬆️ NO production -> ⬇️ plt adhesion/activation

#MedEd #MedTwitter #RenalTwitter #ESRD #dialysis #FOAMed #MedX

[Priyanka Solanki @PriSolankiMD]

It may be easy to forget, but don't forget to screen all females > 65yo for incontinence during their primary care visit. Elderly patients may have a hard time bringing this up. #MedEd #MedTwitter #primarycaredoctor #FOAMed #MedX

[Priyanka Solanki @PriSolankiMD]

Screening and treating asymptomatic bacteruria is typically not recommended. Treatment is recommended if pt is undergoing an invasive urologic procedure (could lead to seeding of bacteria). #MedEd #MedTwitter #UroTwitter #UTI #bacteria #FOAMed #MedX

[Priyanka Solanki @PriSolankiMD]

Diuretics that were recently ingested will result in high urine chloride and UNa >40. Diuretics taken more than 24 hrs ago will result in low urine chloride.

#MedEd #MedTwitter #RenalTwitter #FOAMed #MedX

[Priyanka Solanki @PriSolankiMD]

Antibiotics that are safe to give in pregnancy for UTI:

- Augmentin
- Fosfomycin
- Cephalosporins

If any signs of pyelonephritis, guidelines recommend for inpatient admission.

#MedEd #MedTwitter #UTI #obslovetwt #pregnantlife #FOAMed #medX

[Priyanka Solanki @PriSolankiMD]

Patients with CKD and metabolic acidosis should be treated with NaHCO3 for bicarb <22. There is a strong association between the progression of CKD and metabolic acidosis. #MedEd #MedTwitter #kidneyhealth #renaltwitter #ckd #FOAMed #MedX

[Priyanka Solanki @PriSolankiMD]

Post-menopausal women and men >50y taking chronic steroids (at least 7.5mg/d >3 mo) should be on bisphosphonates to prevent fragility fractures. #MedEd #MedTwitter #steroids #fractures #Bones #MedX #FOAMed

[Priyanka Solanki @PriSolankiMD]

In general, those with a baseline O2 requirement will need to increase their rate by 1-2L when flying in a plane.

#MedEd #MedTwitter #airtravel #plane #flight #MedX #FOAMed

[Priyanka Solanki @PriSolankiMD]

Elevated prolactin is common in CKD because of:
1. poor clearance of PRL
2. increased production of PRL

#MedED #MedTwitter #RenalTwitter #EndoTwitter #prolactin #gotmilk #FOAMed #MedX

[Priyanka Solanki @PriSolankiMD]

Abx with greater risk for C diff:
- Fluoroquinolones
- Clindamycin
- 3rd/4th gen cephalosporins
- Carbapenems
- Monobactams

#MedEd #MedTwitter #antibiotics #cdiff #diarrhea #GITwitter #IDTwitter #FOAMed #MedX

[Priyanka Solanki @PriSolankiMD]

Metformin reduces the absorption of vit B12 by 30%. For diabetic patients with neuropathy, rule out vit B12 deficiency before diagnosing diabetic peripheral neuropathy. #MedEd #MedTwitter #DiabetesChat #EndoTwitter #vitamins #Feet #FOAMed #MedX

[Priyanka Solanki @PriSolankiMD]

For new GERD dx*, when deciding therapy, try using this rule of thumb:
- sx <2 days/week: H2 blockers
- sx ≥2 days/week: PPI

if no improvement on PPI daily, can inc to BID

*assuming H pylori neg, no other insidious causes

#MedEd #MedTwitter #GITwitter #gerd #MedX #FOAMed

[Priyanka Solanki @PriSolankiMD]

Always screen for hypothyroidism prior to starting statin therapy. Untreated hypothyroidism can increase risk of statin induced myopathy.

#MedEd #MedTwitter #statin #hypothyroidism #cholesterol #CardioTwitter #EndoTwitter #MedX #FOAMed

[Priyanka Solanki @PriSolankiMD]

Triad of Lofgren's syndrome:
- hilar lymphadenopathy
- erythema nodosum
- bilateral ankle arthritis

Treatment: NSAIDs

#MedEd #MedTwitter #MedX #dermatologia #Lofgren #skintific #FOAMed

[Priyanka Solanki @PriSolankiMD]

Melatonin is a great medication for sleep regulation but ideally dosed several hours before sleep to effect the circadian rhythm. #MedEd #MedTwitter #sleep #countingsheep #FOAMed

[Priyanka Solanki @PriSolankiMD]

USPSTF recommends daily ASA 81mg for CVD primary prevention for adults 40-59yo w/ ASCVD > 10% if no contraindication.

#MedEd #MedTwitter #CardioTwitter #primarycare #prevencion #FOAMed #MEDX