Top Tweets for #twearls
Thursday thyroid #twearls:
👁️RAI therapy for Graves or toxic adenoma is contraindicated in patients with severe orbitopathy, as it can worsen thyroid eye disease.
🚬 Smoking can also increase risk and severity of thyroid eye disease!
Diabetes in Pregnancy👼🤰👩🍼 #twearls adapted from Dr. Daryl Selen from @BrownEndocrine
PSA that HYPERGLYCEMIA IS A TERATOGEN!!! 🚨
1⃣Risk of a major or minor congenital anomaly is directly related to periconceptional A1c, and can be as high as 20% in those with an A1c of 14%!
On service! Time for #Twearls @WeillCornell Day 1: false positive RPR can be due to TB, rickettsial disease, endocarditis, pregnancy, and vaccines - check confirmatory treponemal-specific test! https://t.co/l79BVuJQIV
Catching up on our final Clinical #Twearls @WeillCornell with Day 12/14: Reviewed hot-off-the-press ACORN prospective RCT which found no difference in AKI between pts randomized to pip-tazo vs cefepime (sorry @mghmedres!) https://t.co/Ij9sB95Jje
Day 10/14 @WeillCornell #Twearls: While patients with HIV can get pulmonary infections from less common causes such as mycobacterium, CMV, cryptococcus, toxo, the most common cause of pneumonia in HIV patients is strep pneumo! https://t.co/txv4pxT1zp
@ETSshow @VikiLovesFACS @trishgreenhalgh for some UK perspective on COVID
@jtrebach toxicology #twearls (just don’t ever get on a plane w him 😜)
@acweyand heme #tweetorials
@WFKARS for #MedTwitterCooking
Plenty of FOMO missing #SGIM22 and #SHMconverge this week while snuggling the new babe but grateful to all tweeting their conference #twearls! @WCMGIM
Hey #medtwitter - check out these #twearls from Dr @JackieKercheval, underscoring not only the amazing residency training but also #thisishowwehospitalist
Also, ❤️ the team shoutouts.
Good teams teach each other. Great teams have fun doing it. Better teams = better patient care.
After a month-long hiatus (thanks to a busy gen med rotation!), this #InternPearl categorizes some of my favorite learning points into diseases, diagnostics, management, and "other". Thank you to the patients and providers who taught me so much! 🧵
1/The amazing Dr. Nora Abo-Sido, MedPeds PGY-3 gave an excellent noon conference on
🩸Sickle Cell Disease (SCD)🩸
We share some #Twearls in this thread

Grand rounds #Twearls from our alum @NnekaUfereMD !
Thank you @JacquelineChuMD (another GI alum) for putting together this awesome summary 😃
So many 🔥 takeaways from Dr @NnekaUfereMD!
👉ESLD is terminal- learn from experience of pall care in cancer
👉ESLD pts similar OS to met cancer but nonlinear progression makes prognosticating difficult
👉ESLD pts see hepatologist as main dr- our responsibility to discuss early!

1/ More than just diabetes!!!
Dr. Sam Wainwright @MghMedPeds resident gives a ✨Virtual✨chalk talk with the smart board on the sweet new thing:
SGLT-2 inhibitors!! Follow along for some #Twearls
#medtwitter #cardiotwitter @MGHMedicine

Is it a chalk talk? A PowerPoint? BOTH??!!!! 🤯🤯
The RIME group (Residents Interested in MedEd) had not one but TWO amazing chalk talks on our smart board!!!🤩 courtesy of SARs @charlotteleemd & Sam Wainwright
✍STAY TUNED for some #Twearls

Flexing my teaching muscles again for the next two weeks on service with @WeillCornell @WCM_MedChiefs residents! Already two days behind, but #Twearls coming at you. Apologies if any are repeats, but my twearling skills are rusty. I'll be back in shape in no time.
3/ #MedTwitter #IDtwitter #Twearls
Bonus questions:
Ingestion of what food item is associated with V. vulnificus septicemia❓
What comorbidity has been associated with increased risk of a serious infection with V. vulnificus❓
👇Write your answer(s) below!
1/Today's noon conference #Twearls on immune checkpoint inhibitors & immune-related adverse events (irAEs) 🔥
Thanks to Dr. Kerry Reynolds! @MGHCancerCenter
✅Incidence of irAEs is > 10% but fatal toxicity is rare ☠️
✅Having one irAE increases your risk of another
Hey #RheumTwiter & Fellows-in-Training, this session is NOT TO MISS
It's filled with wonderful #Twearls & Pearls!
John gives this talk @MGHrheumatology conferences & I still learn something new each time
Join Sunday @ 11 AM EST
https://t.co/VZu9ykzuzo
#ACR20 #rheumatology
Dr. John Stone & @JKolfenbach presenting clinical #rheumatology pearls Sun. Nov 8 #ACR20 @MGHrheumatology @MGHMedicine https://t.co/Q0Ll8p2lxQ
#Twearls for Enthesopathy US in #psoriasis arthritis and SpA #ACR20 by Dr. Bakewell
Achilles Thickness:
> Have patient extend tendon to 180 degrees, see figure below (Figure B)
> Compare contralateral tendon
RA synovitis vs PsA enthesitis
> Doppler in PsA is in tendon
#mskus

Helpful #Nutrition #twearls by @zmemel @mghmedres for Primary Care
And also for #Rheumatology --#gout, #RheumatoidArthritis, #psoriaticarthritis where diet can help modify CV risk factors
@zmemel Can you make this a #tweetorial?!
#nutrition #HealthyFood #HealthyLiving #MedEd

3/ Some #Twearls:
🖤 It's all about the story! Hx>EKG
🖤 STE in L1 & L2 is very unlikely to be STEMI given the wide territories>Hint for pericarditis
🖤Sgarbossa criteria for LBBB is SPECIFIC but not sensitive. Can't use it to RULE OUT an MI
🖤 QRS> 240 specific for hyperK
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