Priyank Chokshi

Graduate of Government Medical College, Rajkot 🇮🇳
PGY2 IM at Rutgers-Jersey City Medical Center 🇺🇸
Teaching enthusiast | Cardiology enthusiast

[Priyank Chokshi @PriyankC05]

@DARPANkothia Does it apply to people who were already on diuretics ? Or what things to consider when patient has been on chronic diuretics?

[Priyank Chokshi @PriyankC05]

@DoctorBhavsar May be EKG could help, Acute ST-T changes (difficult to know if no baseline available) and serial trop measurements, however, I don't know it's exact utility though.

[Priyank Chokshi @PriyankC05]

@DoctorBhavsar Looks like Junctional rhythm, ?buried p waves, narrow complexes, other symptoms may be because of bradycardia secondary to severe hypothyroidism !

[Priyank Chokshi @PriyankC05]

@DoctorBhavsar A tension pnuemothorax could explain all three !

[TheLiverDoc™ @theliverdoc]

1/45
Middle aged man, James is brought for admission

Deeply jaundiced, confused, incomprehensible

His wife is desperate

Docs elsewhere gave him 3 more months of life

What did they say he has? I ask her

Alcoholic hepatitis, she says

& I think to myself - 'docs were right'

[Priyank Chokshi @PriyankC05]

@DoctorBhavsar It could be Cyanide toxicity secondary to Nitroprusside use !

[Priyank Chokshi @PriyankC05]

@DoctorBhavsar Biphasic T waves in V2 V3! Possible Proximal occlusion of LAD, I would definitely go for cath !

[Priyank Chokshi @PriyankC05]

@SeeFisch The desperation borns out of the financial draining that candidates face with each match cycle !

[Priyank Chokshi @PriyankC05]

My cat loves to walk me on busy roads! #CatsOfTwitter

[Lea Alhilali, MD @teachplaygrub]

Knowledge is contagious!

Infectious encephalitis is a difficult diagnosis, but patterns on MRI can suggest an etiology.

Most know herpes & the temporal lobe

Do YOU know any more?

Here’s a figure to help you remember the most “common” encephalitis patterns for different organisms

Since CSF PCR studies take time, imaging can provide helpful clues:

▶️ Temporal lobe

🔸Although other infectious agents may involve the temporal lobe, statistically this is overwhelming HSV-1

▶️ Deep Gray

🔸Think of flaviviruses such as Japanese encephalitis & West Nile encephalitis

▶️ Splenium

🔸Think of common infections, especially infections kids get—rotavirus, influenza, COVID.

▶️ Brainstem

🔸This is most commonly enteroviruses (hand, foot and mouth disease).

🔸Remember, all the motor fibers for the hand, foot, & mouth meet in the brainstem, so this is where the encephalitis from hand, foot & mouth will be!

▶️ Infarcts

🔸Think VZV. Varicella and Vasculitis both start with V!

▶️ White matter

🔸Think of immunocompromised viruses (HIV, PML/JC virus)

Hopefully, now you will have an infectious curiosity for the MR findings in encephalitis!😂

[Priyank Chokshi @PriyankC05]

@DrRajeshG1 Please demonstrate how to do that ? More than excited to learn about these skills !

[Pallav Singh @pallavserene]

My father will die, soon or very soon.

Yes, I know what I am saying.

I am writing this while standing in a queue at AIIMS Delhi

Please read🙏.

[Priyank Chokshi @PriyankC05]

Middle aged male, chronic alcoholic, presented with these lesions over neck, hands and feet of 1 week duration - complains burning pain over the lesions, possible ddx ? #MedTwitter #USMLE #Dermatology

[Priyank Chokshi @PriyankC05]

Finding happiness during residency interview season means working a 24-hour shift, admitting patients, taking care of over 50 patients, and receiving their kind compliments. It's a reminder of the rewarding journey ahead. 😇 #IMG #ResidencyInterviews #MedTwitter #Match2024

[Jasmine Sethi @JasmineNephro]

🧪Bedside Cryoglobulin test

20 ml 🩸collected in🧪 (Pre warmed 37C

🌡️If not Pre warmed-immediately put tube 🧪in warm H2O (38-40C)-for 1hr

⚙️centrifuge 3000rpm x15 min

🌡️Serum➡️fridge 4C-see daily

✅precipitates at 4°C+resolubilize at 37*C-Positive

📸@chetanmudrabett

[Nick Mark MD @nickmmark]

"Hey what’s this funny donut 🍩 stuck on the crash cart?"

It's a 🧲 magnet! We keep it there because it can be life-saving if applied over a pacemaker or ICD.

A 🧵about magnets, pacemakers & ICDs. Some useful facts that everyone in an ICU ought to know.
#FOAMcc #FOAMed
1/

[Jasmine Sethi @JasmineNephro]

👇Easy guide of oral hypoglycaemic dose adjustment in CKD 💊🔥✅

👍✏️📝No dose adjustment-Glipizide/Gliclazide/linagliptian/Semaglutide/pioglitazone

#MedX

@AJKDonline

[IMCrit @IM_Crit_]

Shock is not about hypotension, shock is about hypoperfusion!

[Saint Peter's Internal Medicine Residency Program @SPUHIMresidents]

Residents attended an excellent class with Dr. Mangioni on the importance of observation in reaching accurate diagnoses. 🧐🔬 #MedicalEducation #ObservationSkills #DiagnosisMatters

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Narrow-band Imaging International Colorectal Endoscopic (NICE) Classification