Christine Bassig-Santos

MS4 at Chicago Medical School #EMBound

[Christine Bassig-Santos @cbassigsantos]

I’ve worked and waited 10 years postgrad to get this email. Still doesn’t feel real. I’m officially going to be an emergency medicine physician 😭🥹♥️ #Match2023 #EMBound

[Krishna Shah, MD @KrishnaDShah]

love helping out M1s with their physical exam skills but it’s even better w your bestie 🫶🏼

[Krishna Shah, MD @KrishnaDShah]

This might be lame, but i’m excited for whichever program I match at to post my picture on their “incoming residents” page 🥺

[Christine Bassig-Santos @cbassigsantos]

@KrishnaDShah @MasumiPadhye @AshniNPatel Alexa play we are all in this together from high school musical 🫰🏽

[Krishna Shah, MD @KrishnaDShah]

Interview season can be filled with so many emotions- from happiness and accomplishment to confusion and self doubt and everything in between! Grateful to have supportive friends around me through this process 🫶🏼 @MasumiPadhye @AshniNPatel @cbassigsantos

[Christine Bassig-Santos @cbassigsantos]

Is there a way for me to learn how to stop jumping every time my phone buzzes? Asking for a friend #interviewszn

[Belle @IsabelleBCastro]

Whatever happens, I want to remember that today I am proud of myself. 🌹

[Christine Bassig-Santos @cbassigsantos]

Letting out that exhale. Celebrating with a levain cookie. ERAS FINALLY SUBMITTED!! This does not feel real right now. #EMbound #Match2023

[Christine Bassig-Santos @cbassigsantos]

Hi #MedTwitter, in honor of submitting #ERAS soon, here’s my #Match2023 intro: My name is Christine, an M4 at the Chicago Medical School-RFUMS and I’m applying to Emergency Medicine! Hoping to meet #EM peers and mentors on Twitter! #EMBound #EMRA #itshappening

[Christine Bassig-Santos @cbassigsantos]

Another must not miss dx: fournier gangrene. Look for crepitus, swelling, ecchymosis, and purulent drainage. It's a clinical dx, but needs immediate surgical and urological consultation. Cover gram +, gram -, and anaerobes. #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

Something I didn't consider until discussing with an attending: just because you're more clinically suspicious for pancreatic vs liver pathology or vice versa, you still usually order both lipase and LFTs, instead of just the one you're concerned for. #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

When it comes to testicular torsion, the window for best outcomes with detorsion is 6 hours. If at a hospital or on a case where time is ticking, can consider manual detorsion (think to go in the direction of opening a book) to potentially buy some time. #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

Advice I've been given when calling consults: introduce yourself, initially set the precedent with what you're concerned for/what is needed/why the consult, then give hx/testing details supporting the concern, get consult's name and note time. #FoaM4Cook
@CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

Some things to consider with mechanical falls while history taking, especially in elderly patients: fall onto what kind of surface (wood, concrete), down how many stairs, fall onto what part of the body, LOC, head trauma. #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

Pro tip for patient reevaluations: if a patient is tender or rigid upon initial abdominal exam, it is always a good idea to reevaluate the patient and document changes/improvements on later abdominal exams. #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

With festival season upon us, substance intoxications to consider: alcohol, marijuana, MDMA, cocaine, and hallucinogens. Focus on ABCs first, but often these patients just need time to sober up. Then be smart about assessing decision making capacity. #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

A must not miss dx that I just learned about when it comes to ENT: Ludwig's Angina. Red flag signs to look out for- trismus, drooling, raised tongue, and a hard, "woody" floor of the mouth. #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

Why do we end up giving diphenhydramine with metoclopramide in the classic "headache cocktail"? It helps with possible extra pyramidal side effects like akathesia from metoclopramide. #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

Most common FB ingestions to be concerned about in the ED? 1. battery 2. sharps 3. magnets. You can also tell if a coin in the trachea if it looks linear on an AP xray due to the tracheal rings not being a full circle giving the coin space to move #FoaM4Cook @CookCountyEM

[Christine Bassig-Santos @cbassigsantos]

Got the chance to observe ophthalmology on a severe subconjunctival hemorrhage s/p punch to the eye. His advice to me in assessing eye concerns in the ED? Getting visual acuity and pressures in both eyes via Tonopen is a lot of help prior to a consult. #FoaM4Cook
@CookCountyEM