Top Tweets for #BoardPrepWednesday

about 1 year ago

#BoardPrepWednesday 55M with tAML s/p MUD alloHCT following MAC. Both he and the donor are CMV seropositive. His post-HCT course was complicated by mucositis and mild aGVHD of the skin treated with topical steroids. He received antifungal prophylaxis and standard-dose acyclovir. On day +32, he presents with low-grade fever, fatigue, and dry cough. Oxygen saturation is 92% on room air. Chest CT shows patchy, bilateral peripheral GGOs. ANC is 1,400, platelets are 45,000, and creatinine is normal. He was not started on letermovir (LMV) due to formulary delay. Plasma CMV PCR returns at 18,000 IU/mL. Bronchoscopy is deferred due to thrombocytopenia and borderline oxygenation. Which of the following is the most appropriate next step?

Antonio Jimenez Jimenez @amjimenezmd

about 1 year ago

📍 #BoardPrepWednesday 58F with decompensated cirrhosis is admitted to the ICU with hematemesis and hypotension. She is transfused 2 units PRBCs. Hb is 7.5 g/dL, platelets are 64K, INR is 2.4, and fibrinogen is 134 mg/dL. Creatinine is 1.2. GI is preparing for urgent endoscopy. Peripheral smear shows no schistocytes. What’s the most appropriate next transfusion intervention?

Antonio Jimenez Jimenez @amjimenezmd

over 1 year ago

Board-style questions for trainees shouldn’t be locked away. Weekly vignettes focused on TCT, with general heme along the way. 🧠 #BoardPrepWednesday See you every Wednesday. #MedEd #FellowTwitter #HemeTwitter #HOFellows 🔁 @HemOncMiami @HemOncFellows

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