Alcibiades Fleires

MD

[Nayib Bukele @nayibbukele]

En este momento, hemos ofrecido ayuda al Gobierno de Venezuela a través de nuestra Cancillería.

300 rescatistas y paramédicos, junto con 50 toneladas de equipo, medicamentos e insumos de primera necesidad, están listos para partir hacia Caracas 🇸🇻🇻🇪

[kiosko 3d @Kiosko3d]

#Viña2025 #GeorgeHarris "ya quisieras tener la carrera que yo tengo mi chamo "

[yenni 🎸 @jnnkwsn]

"ojala tu tengas la carrera que tengo yo" #Vina2025 #GeorgeHarris

[Alex Goncalves @elalexgoncalves]

Es muy jodido así!

[Elon Musk @elonmusk]

I’m coming for you Maduro! 🚀💣

I will carry you to Gitmo on a donkey 🫏

[Elon Musk @elonmusk]

The dominoes continue to fall

[Alcibiades Fleires @alciFleires]

@POCUSpeek @westernsono @Arredondo_MD

[Alcibiades Fleires @alciFleires]

@Eivert Margarita

[Stefan Milutinovic @stefankmil]

📎Point-of-Care Ultrasound (POCUS) for IM Residents

💧 How to assess volume status (IVC + 🫁 US), when to do it, and some evidence-based medicine behind it

Part 1️⃣: Let’s talk about some numbers first and why you should do it on a daily basis

Thread 🧵

1/

[Alcibiades Fleires @alciFleires]

@Arredondo_MD

[Dan Kim @dan___kim]

You may have heard of subcostal TAPSE, but have you heard of subcostal VTI?
#echofirst #echo #POCUS

Check it out: "A modified subcostal view: a novel method for measuring the LVOT VTI" in @JournalSiumb
https://t.co/BnlW3Tzhp7

[NephroPOCUS @NephroP]

Extracardiac #POCUS signs of fluid overload. (A) Internal jugular vein (IJV), (B) inferior vena cava (IVC), (C) hepatic venous flow, (D) portal venous flow, (E) optic nerve diameter, (F) transcranial Doppler, (G) 🫁 B-lines, and (H) renal interlobar vein Doppler.
#MedEd #Nephpearls #criticalcare
🔗 https://t.co/uNDDEpRjMi

[Alcibiades Fleires @alciFleires]

Check out new work on my @Behance profile: "Maui, Hawaii" https://t.co/i7DGuCdLYX

[Alcibiades Fleires @alciFleires]

Check out new work on my @Behance profile: "Grand Tetons & and Yellowstone National Park" https://t.co/aQaSw9yGeV

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

DARE-ESKD 1: Pharmacokinetic Properties of SGLT2 inhibitor (SGLT2i) Dapagliflozin in Patients on Hemodialysis and Peritoneal Dialysis ca. 2023 from @CJASN #Nephpearls

- Well tolerated
- Slightly dialyzable
- Non-accumulating pharmacokinetic properties

https://t.co/cTRliEUxPG

[Alcibiades Fleires @alciFleires]

@NephroP @Arredondo_MD

[NephroPOCUS @NephroP]

Uremic pericarditis
🔗https://t.co/6vG6Lj7eY7
#POCUS #MedEd #IMPOCUS #Nephrology

[NephroPOCUS @NephroP]

Parasternal #echofirst views obtained from a patient who presented with a 2-month history of progressive dyspnea, dysphagia, cough, and weight loss 👇🏼
What’s going on here?
Poll in 🧵 followed by 🔗 to the source article.
#POCUS #IMPOCUS #FOAMed

[Alcibiades Fleires @alciFleires]

@Jose_Diaz_Gomez @NephroP @NEJM @GabrielPradaMD @ray_stainback @SCCM @ASE360 @VLSorrellImages @msenussiMD @pdsalinas @Arredondo_MD

[Alcibiades Fleires @alciFleires]

@NephroP @gpaulinerg

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

How these patients survive such complications?The role of pericardium is terrific, kept the patient alive till the surgeon operated him and saved him.Thanks to our Cardiac surgery HOD, another Rajesh.He is Prof Dr Rajesh S. Rare situation, both Cardio& CVTS prof are ‘Rajesh’s 🙂