Daniel Feuer, MD

PGY-3 @utswinternalmed | Alumn @UFMedicine | Incoming Pulmonary and Critical Care Fellow | Coffee Enthusiast | Subpar Runner

[Daniel Feuer, MD @danielfeuer97]

Eager to announce that I’ll be coming back home to Miami to pursue my Pulmonary and Critical Care fellowship at the @UMiamiHealth! 🌴☀️

[Daniel Feuer, MD @danielfeuer97]

Had a great time at ATS in San Francisco this year! #ATS2025

[Daniel Feuer, MD @danielfeuer97]

@jb_katz Just saw one as MICU consult. Lactate 4.5ish. N/V + abd pain. CT AP with anasarca. POCUS with LVEF ~10%. Went to CCU but did well with just afterload reduction and diuresis.

[Daniel Feuer, MD @danielfeuer97]

@mdonnino @KateMBerg @PulmCrit @PulmPEEPs @BIDMCEM @MHayes_MD @tony_breu @jeremyfaust @AliRaja_MD @HarvardPulm @jandersUF Would do a quick POCUS on r hemithorax to discern pleural effusion vs collapsed lung w/ elevated diaphragm

[Daniel Feuer, MD @danielfeuer97]

@utswheart Ddx strongyloides, other parasites, eosinophilic PNA, hypereosinophilic syndrome, CMV?, rejection, PTLD

[UTSW Heart @utswheart]

You asked and we delivered! Our popular Medical Mysteries series is back! Hear from E. Ashley Hardin, M.D. as she shares the mystery this year. What's your diagnosis? Check back in later this afternoon for the big reveal. #WhatsYourDiagnosis

[Daniel Feuer, MD @danielfeuer97]

Answer for #MedBits 2

Nebulized budesonide 4-8 mg/day

[Daniel Feuer, MD @danielfeuer97]

#MedBits 2

For patients with acute exacerbations of chronic obstructive pulmonary disease who have contraindications to systemic steroids, what alternative medication, route, and dose would provide similar anti-inflammatory effects?

[Daniel Feuer, MD @danielfeuer97]

@lucypgeridoc @WilliamAird4 I’ve seen point 2 not infrequently and the only thing I could find is a possibility of decreased platelet function (despite many having thrombocytosis)

[Daniel Feuer, MD @danielfeuer97]

3. (theoretical) Terlipressin alters Pulm vascular resistance. In some cases -> increased PVR -> worsens pulm hypertension/exacerbates hypoxic pulm vasoconstriction. In other cases -> decreases PVR -> impedes protective benefits of hypoxic pulm vasoconstriction (shunt)

[Daniel Feuer, MD @danielfeuer97]

#MedBits 1

What are three mechanisms responsible for terlipressin associated respiratory failure when used for hepatorenal syndrome AKI?

[Daniel Feuer, MD @danielfeuer97]

Answer for #MedBits 1

1. Terlipressin -> metabolized to vasopressin -> increases systemic vascular resistance (V1) -> increased LV afterload -> Pulm edema
2. Terlipressin -> vasopressin -> activates V2 receptors -> H2O retention in collecting duct -> Pulm edema

[Daniel Feuer, MD @danielfeuer97]

I’m starting a series called #MedBits, where I’ll share internal medicine-related questions that come up throughout residency. I hope to have people answer them, and I’ll post a summary of the responses, along with any answers I can find online, the following day.

[Daniel Feuer, MD @danielfeuer97]

@WilliamAird4 Copper deficiency would be a rare cause

[Daniel Feuer, MD @danielfeuer97]

#criticalcare and #nephrology X, how fast are you correcting severe symptomatic hyponatremia (<120) & what factors influence your rate of correction?

[Daniel Feuer, MD @danielfeuer97]

@jasonryanmd IM resident clinic at a large VA: asthma/copd, lots of chronic msk pain, mood disorders, substance use disorders, dementia, hypothyroidism, CKD, primary headache disorders, gout, peripheral neuropathy, & more

[Daniel Feuer, MD @danielfeuer97]

Proud to represent UTSW at Texas ACP and thrilled to take home 2nd place in Doctor’s Dilemma! Incredible teamwork and a great experience. #TexasACP #DoctorsDilemma #UTSW @UTSWIMchief @UTSWInternalMed @AndreeFrans @ACPIMPhysicians

[Frans Serpa @AndreeFrans]

ACP Texas Chapter Meeting

✔️UTSW IM 2nd place in Doctor’s Dilemma
✔️Clinical Vignette from legendary Parkland
✔️ Great talks with @ClinicianCorner

@Texas_ACP @UTSWIMchief @UTSWInternalMed

[Daniel Feuer, MD @danielfeuer97]

@DShaywitz @EvidenceOpen @UpToDate @zakkohane @Bob_Wachter @atulbutte In my experience it’s best for specific (more research oriented) questions. For clinical recommendations, it can often draw info from articles that are 10-20 years old. You have to be specific with wording to get good results. Still very helpful and I use it daily as a resident.

[Daniel Feuer, MD @danielfeuer97]

An important pearl that recently came up in treating an immunocompromised patient with diarrhea

[Uriel Suárez @UsuarezMD]

Tissue-invasive CMV disease. 👇🏻