Kyno Sales Diaz

UPCPH 2020 ⚕️UPCM 2025 #HealthIsARight

[Jason Ryan @jasonryanmd]

When I was a 3rd year resident already matched into cardiology we had an EKG conference. I was asked to interpret an EKG that was classic for pericarditis but I didn’t recognize any of the findings. I just hadn’t seen much pericarditis in training. I was embarrassed to miss this when I was headed for a career in cards.

Fast forward a couple of years to when I was a fellow and an ED attending showed me an EKG and asked me what I thought it showed. It took me about 2 seconds to recognize it was pericarditis because I had seen it so many times before. A huge change in my skills had occurred from experience.

One of the cool things about medicine is mastering that which once seemed confusing or difficult. As you move along in training things that were challenging or even overwhelming will become so easy they are almost second nature. It’s a cool journey. If you’re in the middle of it, enjoy the ride.

[K 💫 @keifornal]

the fact that the new pope brought back the papal mozzetta (symbol of temporal power) which pope francis declined to wear because he prefers simplicity and humility shows their major difference and the direction he’ll possibly take 🥲

[André Martin Mansoor @AndreMansoor]

1/13
A man is admitted with acute abdominal pain, nausea, vomiting, and diarrhea. HR 130, BP 90/52.

You walk into the room to meet the patient. What do you notice? This should generate at least one hypothesis.

[André Martin Mansoor @AndreMansoor]

1/
A middle-aged man presents with acute sudden-onset dyspnea and hypotension. He is sitting upright.

What do you notice? Let’s see if we can figure out the cause of hypotension.

[Dr. Glaucomflecken @DGlaucomflecken]

Kinda torn on this. I don’t think a night shift as a med student is necessary to learn how to practice medicine. However, I think it can be helpful as a way to foster compassion for your fellow physicians. Seeing the chief surgery resident fall asleep mid procedure note after operating all night left an impression on me. Maybe it’s a good idea to show a med student going into internal medicine or emergency med what surgery residents are dealing with and vice versa.

That doesn’t mean a student has to work more than 14 straight hours. How about a night shift surrounded by days off? We need to understand each other’s work lives a little better, so we can be nicer, more understanding colleagues. Med school is the perfect time for that to happen before we all get lost in our own specialties.

[Ritika Tuli @RitikaTuliMD]

CardioNugget 51/365

The Valsalva Maneuver has 4 phases:

1️⃣ Initial Strain: ↑ Intrathoracic pressure → Brief ↑ BP, reflex bradycardia

2️⃣ Sustained strain: ↓ Venous return → ↓ CO, ↓ BP, reflex tachycardia

3️⃣ Release: Sudden ↓ Intrathoracic pressure → Transient BP drop

4️⃣ Recovery: Rapid venous return → BP overshoot, reflex bradycardia

Bubble study to look for ASD?
Perform at release (Phase 3-4) when venous return surges, which increases RAP, maximizing R→L shunt detection!

#CardioNuggets #CardioTwitter #MedEd

[Dr. Glaucomflecken @DGlaucomflecken]

40% of students apply to med school with no intention of practicing clinical medicine? That seems high. Is that a real stat?Physicians are leaving medicine because the government and private corporations sponsored by the government have made our jobs miserable and almost impossible. Fix that first please.

[Simplify Rx 📱 @simplify_drugs]

🙌

[Richard Ferraro @RichardAFerraro]

Such an excellent review of ECG findings in occlusion MI in @AnnalsofEM

A lot of value in reading and collaborating with our colleagues in other departments. Recommend reading!

https://t.co/731rLgyXKG

[Ritika Tuli @RitikaTuliMD]

CardioNugget 11/365

🫀
Q. When to use Dopamine vs Dobutamine for inotropy?

🤔 Dopamine: Inotrop & pressor. Use in bradycardia or low systemic vascular resistance.

💡 Dobutamine: Pure inotrope. Great for HF w/ low CO but normotensive.

#CardioTwitter #MedED

[Willy Frick @willyhfrick]

For anyone interested in learning more about angiography, come check out my introductory guide!

Come see my annotated diagrams like the one shown below.

https://t.co/IJTDAMNPfU

[Dr. Medica🩺 @DrMedica_13]

Types Of Pneumothorax 🫁
•••
#MedEd #MedX #PulmoMed

[The Heart @ZHeart11768530]

🔴ECG: Cardiac Rhythms Cheat Sheet⤵️ 🔹

#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular #MedTwitter #medical #medEd #cardiotwitter #medicineball

[The Heart @ZHeart11768530]

🔴Left anterior fascicular block (LAFB)

What is the formal criteria for LAFB?!
✅Left axis deviation w/o LVH
✅qR pattern in lead aVL
✅R-peak time in lead aVL of 45 ms or more
✅QRS duration less than 120 ms

[André Martin Mansoor @AndreMansoor]

1/9
A 33 y/o F with carpal tunnel syndrome presents with polyuria and polydipsia. She has a fasting serum glucose of 212 mg/dL and a hemoglobin a1c of 9.7%.

Do you have an approach to hyperglycemia?

[Dropout @dropout]

Since Monday, Dropout has received an unsustainable amount of physical threats to the safety of our staff and existential legal threats to the company.

[Khairul Azri @mkhairulazri]

Biggest sellout. Cancel @nasdaily.