Top Tweets for #APCU2019

Dr. Wagner: “there are literally a thousand charts like this” example of appropriateness criteria, for abdominal pain #APCU2019 #ChoosingWisely

ABC's of Trauma for Primary Care
Jason Lees, MD, OUHSC
21st Annual Primary Care Update #apcu2019
Ovarian Cancer Treatment:
Main tx's are: Chemotherapy and surgery #apcu2019
Ovarian Cancer dx is typically when pt has constellation of sx's: (subacute presentation) Abd. distension, bloating, early satiety, bowel changes or pain.
Imaging: Pelvic mass, ascities, omental caking,peritoneal carcinomatosis, lymphadenopathy #apcu2019
Up now at #apcu2019: welcome Oklahoma’s own @rshawnm to talk about @aafp advocacy efforts in “the fight for the future of American healthcare” #MedEd #FMRevolution
Pancreatic Cancer Treatment
Early detection will be aided by the sequencing of the pancreatic cancer genome: - Abnormal secreted proteins
- Genetic Fingerprints
- Several targeted "biological" approaches show promise in fighting systemic disease: Cancer Vaccines #apcu2019
Fibromyalgia Treatment:
Educate pt on dx
Must exercise/active (aerobic better than strength training)
Sleep hygiene
Meds: Not useful: Steroids/Opioids/Nsaids
What works: Nortriptyline/Amytrip, Duloxetine, Pregabulin, Milnacipran, Cyclobenzaprine, SSRI/TCA's, Tramadol #apcu2019
Dr. Edil: time from early cellular changes to #PancreaticCancer us up to 20 years - how could we find it earlier? #APCU2019


Heart Failure -
Stage A (at riskof HF - HTN, DM, Family hx histories)
Stage B (Structural Heart dz without any symptoms)
Stage C ( Stage B + symptoms of HF)
Stage D ( Advanced HF, sx's at rest despite med treatments) #apcu2019
Dr. Dasari: whether #heartfailure patients have normal or reduced ejection fraction, the outcome is equally poor #APCU2019 #heart

Heart Failure Epidemiology
-growing prevalence
-growing incidence
-Mortality is high!
IF systolic function is low and pt. have symptoms of HF, 50% mortality in next 5 years!!! #apcu2019
Meningioma update - Ian Dunn MD #apcu2019
Dr. @RussellKohl on #valuebasedhealthcare: will spending money to support patients where they live reduce health care spending? #apcu2019

Dr. @RussellKohl - to succeed in #valuebasedcare, "lose the word 'noncompliant' from your vocabulary; offer patients alternative options, don't write them off" #apcu2019 #FMRevolution #STFM19

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