Alka Tyagi

Verbosity obfuscates. Nephrology @UofLKidney and Critical Care Medicine @UofLMedicine

[Alka Tyagi @ladydrseuss]

@KIReports @brian_rifkin @NSMCInternship @happiedoc @JMGardnerMD @msc271

[Alka Tyagi @ladydrseuss]

Friendly and easy to follow review of basic IABP physiology! Thanks, as always go out friendly neighborhood @CardioNerds

[Rachel Goodman @goodmra1]

1/28
You are the resident on CICU. A patient arrives with an intra-aortic balloon pump (IABP). What is it? How does it work? How do you troubleshoot?

It's ⏰ for a @CardioNerds tweetorial!
AKA things I've gotten wrong on rounds so you don't have to.

First up: the basics

[John Montford @JohnRMontford]

If you are decongesting a patient with diuretics who needs it, and the SCr is making you hesitate - the solution is to stop checking the SCr.

[Alka Tyagi @ladydrseuss]

Honored to be the Proximal Tubule of this group! Thank you for the fine tuning and thank you @OhioStateNeph for the endless teaching, memories, and role models! It’s been a surreal two years! See y’all around!

[Ohio State Nephrology @OhioStateNeph]

What an amazing #Fellowship Graduation tonight! ❤️🤗🥰🎉
Here are a few pics with more to come!
#NephRocks #FellowFriday #FacultyFriday #Graduation2022
CONGRATULATIONS FELLOW CLASS OF 2022 🎉🤗❤️🎉👏🥰🎉❤️👏

[Shematologist, MD @acweyand]

Here’s to over educated women!

May we know them.
May we be them.
May we raise them.

[Aisha Shaikh @aishaikh]

🗣CRRT does not Rx lactic acidosis. Rx of lactic acidosis is source control. In severe acidemia CRRT can provide bicarbonate in an isovolemic way to buffer lactic acid. Sometimes bicarbonate can improve with CRRT but AGAP can remain ⬆️ if lactate ⬆️

[Alka Tyagi @ladydrseuss]

@PriRenalAKI Don’t say I never did nothing for you.

[Alka Tyagi @ladydrseuss]

@PD_Perls @rheault_m @NephJC @bthomas215

[Alka Tyagi @ladydrseuss]

@NephJC Do most programs' PD culture protocols include a fungal culture? Or should we routinely be sending fungal culture with initial cell count, gram stain, and culture? Is the PPX regardless of a negative fungal culture? How long is the anti-fungal course? #NephJC

[Alka Tyagi @ladydrseuss]

General Fellow from @OhioStateNeph. Excited to 'dwell' in the shadows of #NephJC tonight to get up to date on PD peritonitis guidelines with @PriRenalAKI @NephJC

[Alka Tyagi @ladydrseuss]

Ready to lurk around #nephJC tonight to get the skinny in the ISPD guideline updates regarding PD peritonitis. 🦠 Also here to support my girl @PriRenalAKI on her first chat hosting! 🙌🏽 Tune in y’all 💻 📱

[Priya Yenebere @PriRenalAKI]

I know, I know. It's a lengthy read. So, check out the great summary by @NephroSeeker and @Husamjz!
https://t.co/y7nXL0waht
#NephJC

[Alka Tyagi @ladydrseuss]

Emotions, and GFRs, running high during the final picks for @OhioStateNeph’s #NephMadness. Why can’t we all get along and make #institutionalinitiatives for each of the regions? #happinessisawarmgun 🌈 🙏🏽☮️ @AJKDonline @NephMadness

[Alka Tyagi @ladydrseuss]

Reasons why Nephrology >>>> literally everything else. 🦒🐳🐻🐟#NephMadness + 🍕

[Priya Yenebere @PriRenalAKI]

“Your BP is high, but it’s not as bad as a giraffe’s.” - @JasonProsek Strong start to @OhioStateNeph’s #NephMadness party! So much discussion that we ran out of time! Until next week for part 2! @AJKDonline @NephMadness

[Alka Tyagi @ladydrseuss]

@PriRenalAKI @OhioStateNeph Nephron Bomb actively being deployed -- 200 lasix, 10 metolazone, 50 of spiro and 150 acetazolamide... that's ok, right? Right? It'll be fine? Line to be placed in the AM! ;) #nephJC future topic?

[Alka Tyagi @ladydrseuss]

Tyagi here. General Neph fellow from
@OhioStateNeph. Not cool enough to have COIs. I say, diurese to contraction alkalosis, because it's in my name. #NephJC. Also @PriRenalAKI made me.

[Alka Tyagi @ladydrseuss]

Finally, let's look at common symptomatic presentations ‼️ and associated clinical conditions to consider cyro-vasculitis.

[Alka Tyagi @ladydrseuss]

Excellent @GlomCon session today with @aishaikh reviewing Cryoglobulinemic disease in an understandable 😅 and applicable manner! Check out some pearls 💎 to follow 👇🏽 #nephtwitter

[Alka Tyagi @ladydrseuss]

Quick visual review of the pathogenesis of cryoglobulinemic vasculitis. @aishaikh
⚡️ Abarrent Ab production by B-cells
⚡️ Sustained antigenic stimulation
⚡️ Subsequent monoclonal/polyclonal activation of B-lymphocytes
⚡️ HCV🦠infects, induces B-cells ➡️ polyclonal Ab production

[Alka Tyagi @ladydrseuss]

@PriRenalAKI White board is life. 🙌🏽 I surrender.