Top Tweets for #2thingsSunday
#2thingssunday
ECG pattern in Secundum ASD:
1) Crochettage sign (see https://t.co/YIlCtKC4GB)
2) Right axis deviation, incomplete RBBB
Clinical signs: parasternal impulse, fixed S2 splitting, pulmonary outflow murmur
#2thingssunday
1) Assessment of bleeding risk prior to a procedure:
HEMSTOP - if > 2 then stop and refer for Hematology eval.
#2thingssunday
Urticaria
1) 90% of hives are NOT allergic - can be due to non-Ig E mediated mast cell degranulation.
2) Antihistamine effectiveness:
Cetirizine = Fexofenadine > Loratadine
Drowsiness:
Cetirizine > Loratadine > Fexofenadine
#2thingssunday
Had couple patients w adrenal masses w cancelled surgeries;
1) Right adrenal mass - pt didn't take her antiHTN meds - came w uncontrolled HTN emergency.
- Please do not stop any antiHTN before surgery in these patients.
1/2
#2thingssunday
1) Pyridoxine (B6) deficiency - manifestations:
- Sideroblastic anemia
- Neurologic manifestations
- Seborrheic dermatitis
- Hypochromic microcytic anemia
2) B6 deficiency - causes:
- Drugs (INH)
- Malabsorption
- Malnutrition
- EtOH abuse
#2thingssunday
1) Causes of urinary incontinence - DIAPERS
Drugs/Diet
Infection - UTI
Atrophic urethrits
Psych - Delirium/Depression
Endo - DM
Restricted mobility
Stool impaction/constipation
1/2
#2thingssunday
1) Purtscher Retinopathy - chorioretinopahy associated with indirect trauma, non-ocular injury, associated with a constellation of retinal findings including cotton-wool spots, hemorrhages, optic disc edema, and Purtscher flecken (areas of inner retinal whitening)
#2thingssunday
An unvaccinated 2 y/o child presented w fever, ear pain and purulent copious drain from the ear.
WBC 42k, CRP 18
1) CT head w contrast - r/o intracranial abscess but found abscess in ext ear canal
2) CT temporal bone w contrast - found extensive mastoiditis
1/2
#2thingssunday
1) What is the impact of PTH on Ca and P?
⬇️ PTH --> ⬇️Ca ⬆️ P
⬆️ PTH --> ⬆️ Ca ⬇️ P
2) What is the impact of vit D in Ca and P?
⬇️ vit D --> ⬇️Ca ⬇️ P
⬆️ vit D --> ⬆️Ca ⬆️ P
#2thingssunday
1) Zoonotic/vectorborne causes of FUO (Fever of Unknown Origin)
- Rickettsia
- Babesia
- Anaplasma
- Lyme
- Ehrlichia
- Bartonella
- Leptospira
- Brucella
- Q fever
- Viral (Hantavirus, Powassan, WNV, Zika, dengue, Chikingunya, St Louis encephalitis, etc.
1/2
#2thingssunday
1) What is type 1 refractory celiac disease?
- villous atrophy
- intraepithelial lymphocytes similar to conventional celiac disease
2) What is type 2 refractory celiac disease?
- abertant clonal T-cell expansion in the GI tract and other organs
....1/2
#2thingssunday
2 type of antidiabetic medications that have ⬇️ CV complications?
1) SGLT2 inhibitors - ⬇️ mortality in heart failure.
2) GLP-1 agonist (semaglutide) - ⬇️ 20% risk of adverse CV events in non-DM patients w heart disease
#2thingssunday
Causes of pericarditis:
1) Viral:
coxsackie, echovirus, adenovirus, EBV, CMV, HSV, Flu, Varicella, Rubella, HIV, HBV, mumps, PVB19, smallpox vaccine, SARS-CoV-2
2) Parasitic:
- Echinococcus
- Amebic
- Toxoplasma
#2thingssunday
1) Gallavardin phenomenon: Auscultation at the cardiac apex reveals a murmur that sounds holosystolic and may mimic the murmur of mitral regurgitation - but is due to aortic valve stenosis
Making #2thingssunday based on this manuscript:
1) What is the correct dose of plasma?
- 10-15 ml/kg
2) Shall plasma be used to correct INR < 1.8
- No
- When INR is < 2 all coagulation factors are aleeady > 30% - which is the minimum necessary for appropriate clotting fx.
Glad to share my new manuscript - a review on Plasma - the journal site is https://t.co/iCBNcaXXng
#2thingssunday
1) ASA class:
I no problems,
II mild illness,
III sickle cell, CHD, severe asthma, DM, etc
IV severe systemic disease (ICU),
V if no procedure/won’t live
VI brain dead/dead patient
#2thingssunday
1) Risk factors for recurrence of Febrile Seizure:
- Age < 1 y/o
- Duration of fever < 24h
- Fever 38-39ºC
- Fam Hx febrile sz
- Fam Hx epilepsy
- Complex febrile sz
- Daycare
- Male gender
- Low Na2+ level at time of Dx
#2thingssunday
1) Universal and effective education for victims of Intimate Partner Violence (IPV): CUES
- Confidentiality
- Universal Education
- Empowerment
- Support
2) How to connect patients w help: 2-1-1
https://t.co/e6uN73r3iQ
#2thingssunday
1) Every 1% ⬇️ in HbA1c:
- ⬇️ progression rate of DM retinopathy ~ 37%
2) Kidney transplant rejection (Allograft intolerance)
- fever
- hematuria
- graft pain
- refractory anemia
- congested kidney
- need to r/o infection
#2thingssunday 2/2
2) Linezolid adverse effects:
- ⬇️ platelets
- Myelosuppression
- Neuropathy (peripheral, optic)
- Serotonin syndrome
- Lactic acidosis
- Abdominal pain, n/v
- Black tongue
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