Top Tweets for #IDRounds
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows @IdVilchez
#IDrounds: refractory lymphoma patient presented with fever, cough, rash, & GGO on CT-Chest day 110 after T-cell depletion allo-HST (alemtuzumab conditioning) with GVHD. ALC 200/ul, hepatitis & hematuria.
Likely cause:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows @IdVilchez
#IDrounds: smoker with atherosclerosis presents with #FUO and intrascapular back pain after recent TAVR for AS. BC with MSSA. TEE and full spinal MRI negative. Persistently febrile despite oxacillin.
You would order:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows @IdVilchez
#IDrounds: healthy patient with 5-days double vision & ambulatory dysfunction. URI 10-days prior. Brain MRI negative. CSF protein >60 g/L & WBC/RBC 0. COVID-19, EBV, & CMV negative. Positive anti-GQ1b.
Your diagnosis?
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: traveler to Cameroon seen for 3-month history of recurring focal swellings of hand and forearms.
12 noon Giemsa stained blood sample demonstrates microfilaria.
Which is most likely?
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: when your team knows you well!
@mmPharmD @EB_Hirsch @ErinMcCreary @JRBPharmD @liunezolid
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: college traveler returns from Nepal with 4-weeks diarrhea, abdominal pain, & 10 lbs weight ⬇️.
Negative Shigella, Salmonella, Campylobacter, Giardia, Cryptosporidium, & E histolytica.
You start:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows @IdVilchez
#IDrounds: Ethiopian immigrant referred for evaluation of a hypoesthetic 1.5 x 2.0 cm hypo-pigmented macular lesion on the arm present for many years.
Most likely cause:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows @IdVilchez
#IDrounds: CLL patient with Richert transformation to diffuse large B-cell NHL & monthly IVIG for CVID planned for R-CHOP. Pre-IVIG HBV serology negative. Recent serology: HBVsAg-, HBVcAB+, HBVsAB+, & HBV-DNA-.
You:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: patient with CKDG5 requiring RRT thrice weekly and spinal orthopedic hardware infection due to Pseudomonas aeruginosa now converted to levofloxacin suppression.
Poll: What dosing would you suggest?
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#AMRrounds #IDrounds @JHMed_ID @JohnsHopkinsSPH
Thank you @HopkinsMedicine, and Division of Hospital Medicine for this incredible honor to be among the amazing list of nominees for consultant of the year!
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#AMRrounds #IDrounds @JHMed_ID @HopkinsMedicine @JohnsHopkinsSPH
Thank you @IDSAInfo for this wonderful opportunity to be recognized as a fellow (#FIDSA) in such a great society!
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#AMRrounds #IDrounds #MedTwitter
#Olympics2024 and @reeses with new peanut butter cup shapes.
Poll: What is your favorite Reese’s peanut butter cup shape and why? (Please reply)
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: patient seen for recent painless genital ulcer with blurry vision & “floaters” alone. No HA, stiff neck, or N/V. RPR ≥1:32. HIV-RNA <20 copies/ml.
Recommendations to treat neurosyphilis should be:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: Louisianian recently consumed mollusks/crabs seen for occipital HA, N/V, & left vermillion vesicle. WBC 8.2 (Eosinophils 8%). CSF WBC 428, eosinophils 48%, & negative cultures.
Most likely cause:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: teenager with lower extremity pyoderma & AKI improving on PCN-G 1 MU IV q6. UA with hematuria, dysmorphic RBC, & proteinuria.
Which of the following could be useful in determining the etiology?
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: patient with native vertebral osteomyelitis due MRSA seen in clinic on day 17 of vancomycin (VAN) with now 0.9 ANC (WBC 2.1). ANCA+ Daptomycin started at 8mg/kg/d.
Regarding future use of VAN you:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: lung transplant patient seen for fever, somnolence, & hypoxia. Brain MRI with symmetric insular/cingulate signal abnormalities. Blood/respiratory cultures negative. Serum NH4 >1500.
Your start:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: AML patient completed 7+3 cytarabine/idarubicin now asymptomatic with <5% blasts and recovered CBC. HSCT scheduled for consolidation. CMV status is R+/D-.
Which do you recommend:
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: oncology patient on trimethoprim-sulfamethoxazole (SXT), acyclovir (ACY), & posaconazole (POS) presents w/ worsening HTN, ⬇️K, ⬆️ Na, & ⬇️ extremity edema. Stable Cr & ⬆️ HCO3.
Most likely cause:
#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows #TwitteRx @IdVilchez
#IDrounds: fisherman w/ EtOH use disorder seen w/ MAP 40-50, WBC 35 & bilateral lower extremity hemorrhage bullous lesions. Records report history of raw oyster ingestion.
Most likely cause:
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