Top Tweets for #IDMesh
๐ง Behavioral identity is going real-time. #IDMesh now rates wallets by Git-trail reflections, DAO-tagged interaction zones & vote-weighted social proofs. Static KYC is dead โ dynamic trust is composable. ๐๐ #DigitalIdentity #DeID #Tokenization #Web3UX #ZKTech
๐ Fresh Utility Tokens Just Dropped ๐
1๏ธโฃ #SpeedChainX โ Lightning-fast transactions
2๏ธโฃ #PayPort โ Effortless crypto payments
3๏ธโฃ #GreenCore โ Eco-driven blockchain tech
4๏ธโฃ #IDMesh โ Decentralized ID solutions
Which one are you tracking?
11/11
#idmesh This article lays out the striking similarity between this boyโs symptoms & anti-NMDAR encephalitis https://t.co/VPuIgsuZJ7. Hope you learn something new. Please leave comments here. @ID_fellows @NNolanMD @swinndong @TxID_Edu @MedTweetorials @MohitHarshMD
10/11
#idmesh The Exorcist & anti-NMDAR enceph!
1949, 14 yo boy admitted in Alexian Brothers Hospital St. Louis, MO w/ bizarre behavior, recovered after an exorcism procedure. Chronicled in the book๐, this has inspired the movie The Exorcist. @DxRxEdu @rabihmgeha @tony_breu
@raveed_khan Halo! please find the unroll here: @WuidQ: ID Miscellany|physical Exam|Signs|Humanities #idmesh ๐๐๐ข๐ฅ๐๐ง๐๐ฉ๐ช๐ง๐-๐ฅ๐ช๐ก๐จ๐ ๐๐๐จ๐จ๐ค๐๐๐๐ฉ๐๐ค๐ฃ (๐๐๐๐๐ฉ'๐จ ๐จ๐๐๐ฃ) 1/11 Forโฆ https://t.co/R27O766xYR Share this if you think it's interesting. ๐ค
@raveed_khan Hello, please find the unroll here: @WuidQ: ID Miscellany|physical Exam|Signs|Humanities #idmesh 1/20 ๐๐๐๐๐ ๐๐ผ๐๐๐๐๐๐: ๐ผ ๐๐๐๐ ๐ผ๐๐? Great! Three quartersโฆ https://t.co/PKgodMlNgS Have a good day. ๐ค
20/20
Rounding out this #idmesh tweetorial.
Please share stories on how you used fever patterns in diagnosing patients. @PaulSaxMD @CarlosdelRio7 @DxRxEdu @rabihmgeha @GermHunterMD @FungalDoc @tosh_taniguc @NNolanMD @JonathanRyderMD @TxID_Edu @swinndong @LeMiguelChavez
19/20
I would like to also refer you to the master @tony_breu's recent tweetorial on fever. #idmesh
https://t.co/posnwGYmkz
1/14
Why do we feel cold (i.e., experience "chills") when we have a fever? Shouldn't we feel hot?
And what are rigors?
Answers to these questions will help us better understand when we should obtain blood cultures.
When do you think is the best time to draw them?
17/20
A closely related topic is the temperature-pulse dissociation (Fagetโs sign) which weโve discussed previously on #idmesh
https://t.co/h2KzFzaY3k
ID Miscellany|physical Exam|Signs|Humanities #idmesh
๐๐๐ข๐ฅ๐๐ง๐๐ฉ๐ช๐ง๐-๐ฅ๐ช๐ก๐จ๐ ๐๐๐จ๐จ๐ค๐๐๐๐ฉ๐๐ค๐ฃ (๐๐๐๐๐ฉ'๐จ ๐จ๐๐๐ฃ)
1/11
For every 1 deg F rise in temp, HR incrementally increases by 8-10 bpm (๐๐ฒ๐ฎ๐ซ๐ฎ๐ป๐ถ๐ฎ๐ฒ๐ผ๐ฝ๐ฎ๐ปโ๐ผ ๐ป๐พ๐ต๐ฎ)
https://t.co/BfqjQWxyE8
16/20
Knowledge of fever patterns is also helpful in differentiating the major causes of periodic fever syndromes๐: https://t.co/qqBoRWZdLM
โช๏ธ FMF: <2d + serositis/arthritis/rash
โช๏ธ Hyper-IgD: <4-6d + LAD/rash/localized myalgia
โช๏ธ TRAPS: >2wks + rash/conjunctivitis
#idmesh
15/20
We talked about some of the causes of hyperpyrexia (in the setting of rigidity) here before: https://t.co/uyeos9yxVJ #idmesh
5/9 The table ๐ is not exhaustive. But faced with a rigid patient, it is helpful to go through some important differential diagnosis. @MohitHarshMD @rabihmgeha @DxRxEdu @CPSolvers
14/20
An aspect of fever that is most useful is the degree. Hyperpyrexia (>106.7 F), can be seen in infections but more commonly w/ hyperthermia (set point unchanged, inability to lose heat from excess production or exogenous exposure). #idmesh
@grepmeded @DxRxEdu @rabihmgeha
12/20
8โฃ Biphasic (saddleback, dromedary) fever: not truly relapsing; course marked by onset of fever for a few days, followed by an afebrile phase
โช๏ธ Exemplified by dengue, Colorado tick fever, leptospirosis #idmesh
Refer to our prior discussion https://t.co/gIEzFMIWb0
4/10
1โฃ Biphasic illness
Depicted in the infographics ๐.
Not specific to leptospirosis. Others diseases classically described as biphasic include:
โช๏ธ Most flaviviruses (dengue, WNV, yellow fever)
โช๏ธ Chikungunya
โช๏ธ Coltivirus (Colorado tick fever)
11/20
7โฃ Double quotidian fever: 2 distinct daily peaks of fever; seen only in a few conditions๐https://t.co/6AHBUaK07Q
โช๏ธ Adult Stillโs: most cited in literature
https://t.co/6AHBUaK07Q @alhkim @LisaZickuhr
โช๏ธ Gonococcal endocarditis
โช๏ธ Visceral leishmaniasis
#idmesh
10/20
There are also Pel-Ebstein-like patterns that are characteristic of:
5โฃ Relapsing fever: tick- or louse-borne: Fever for 3 days (2-7 days), afebrile period of 7 days (Fig 1๐)
6โฃ Undulant fever a/w some cases of brucellosis (Fig 2๐) https://t.co/QzSfg2miIF
#idmesh
9/20
4โฃ Pel-Epstein fever๐: characterized by 3-10 days fever w/ subsequent afebrile period of 3-10 days.
โช๏ธ Thought to be characteristic of lymphoma. https://t.co/4RszUZZAv7 #idmesh
8/20
Malarial intermittent fevers๐
โช๏ธ P. vivax & ovale: intermittent tertian
โช๏ธ P. falciparum: intermittent subtertian
โช๏ธ P. knowlesi: quotidian (daily) #idmesh
https://t.co/1LeGtjfkQ0
7/20
3โฃ Intermittent fever (hectic, โpicket fenceโ): present only for several hrs during the day. Exemplified by the majority or pyogenic infections.
โช๏ธ Classically a/w malaria, TB, lymphoma
#idmesh
6/20
Typhoid has a peculiar pattern of continuous fever called:
2โฃ Step-ladder fever๐https://t.co/W3mBYYN8aP. In tropical countries, this has been shown to be of immense value in typhoid fever diagnosis (LR 177.4) https://t.co/Pljf3zTxWh
#idmesh
5/20
๐๐๐ ๐๐๐๐๐ ๐๐ผ๐๐๐๐๐๐
1โฃ Continuous/sustained fever: fever doesnโt fluctuate >1 C, doesnโt normalize
โช๏ธ Classically a/w lobar pneumonia, rickettsial diseases, & typhoid. #idmesh
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