Top Tweets for #PEARL4
USAF
Boeing KC-135T Stratotanker
Possibly with a couple of B-2 Bombers?
#PEARL4 57-0055
#PEARL5 58-0095
#Australia

USAF
Boeing KC-135 Stratotanker
#PEARL1 59-1520 (KC-135T)
#PEARL2 58-0086 (KC-135T)
#PEARL3 63-8022 (KC-135R)
#PEARL4 58-0095 (KC-135T)
Spotted over Northern #Australia supporting 3× B-2's.

#Pearl4: Strep gallolyticus species (think: bovis) are classically associated with colon cancer & new endocarditis. Other Strep species, which normally inhabit the oral tract & GI flora, and can less commonly be associated with endocarditis in s/o GI malignancy.
9/ #PEARL4:
"Medical management of mitral stenosis in pregnancy includes:
1. Heart-rate control w/ β-adrenergic–receptor blockers
2. Diuretics as needed"
Pt improved on metop (see CXR 👇🏾) but transient tachycardia & pulmonary edema subsequently recurred → Balloon valvuloplasty

9/ #PEARL4:
"Chloroquine should effectively end this relapse by eliminating parasitemia, it will not prevent future relapses, since it does not affect the latent forms of P. vivax (hypnozoites) in the liver. A 2wk course of primaquine can clear the hepatic reservoir of malaria"
さ、直そう直そう。
伝説的な機種を迎えて久々に興奮してしまうのでした。
#pearliv
#pearl4
#konishiroku
#konishirokupearl4
#赤いリングがカッコいい
#県ヒ3写
#NAGOYAANTIQUEMARKET
#ナゴヤアンティークマーケット
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