Mackenzie Smith Steck, MD

PCCM fellow @SLUPCCM 🫁 Former Chief Resident @IM_SLU via @IUMedSchool & @butleru. Interested in clinical reasoning and #meded. Views are my own.

[SLU Pulmonary and Critical Care Fellowship @SLUPCCM]

@MackSteckMD and Stephanie Link collaborated on this poster with Dr Stoeckel #ATS2024

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

Most people are still using CAP and HCAP for pneumonias.

You should stop.

Here’s why:

[CHEST® Journal @journal_CHEST]

The latest journal CHEST® How I Do It covers a diagnostic approach to fungal #pneumonia, including when to suspect it and the pitfalls of diagnostic testing. Read the full article in the March issue: https://t.co/CctLnYqKb4
#MedEd #JournalCHEST

[Josh Farkas MD 💊 @PulmCrit]

free match day book giveaway: the Internet Book of Hospital Pulmonology😁

67 new chapters were added to the IBCC, to more broadly cover pulmonology & thoracic radiology

carefully curated from the finest books & articles, delivered straight to your phone

https://t.co/QDSQCv63IB

[Mithu Maheswaranathan, MD @MithuRheum]

🆕 2023 ACR Guidelines for Management of Interstitial Lung Disease (#ILD) in Systemic Autoimmune Rheumatic Diseases 🫁

🔸 Screening & Monitoring Recs
🔸 Treatment Guidelines ILD/RP-ILD

#RheumTwitter #PulmTwitter #MedTwitter #MedX

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

✅Summary of Important RCTs in ICU for the First Half of 2023!

Quickly summarize the intensive care RCTs published from January to June this year!

Specifically, 13 trials in NEJM, JAMA, and Lancet!

I hope this 🧵 is a useful review of important literature👇👇
#FOAMcc

[SLU Pulmonary and Critical Care Fellowship @SLUPCCM]

Welcoming our first year fellows @MackSteckMD @KaikaikaiQ @Mabdullah2096 and Jackson Meland. We are all excited to work with you. @RaviNayakMD @GkamelMD @edwardcharbek @CRBarrios3 @ktferg85 @SNpert

[SLU Internal Medicine Residency @im_slu]

🎙️We are honored to have served this wonderful program of residents, under the leadership of @RaviNayakMD @DrBuckholdSLU @pvaidyan and many others! 💙 For that, we are forever grateful! 🙏🏼
Good luck to the new Chiefs! 🌟
— @MackSteckMD @YanChuMD Kelvin Pollard & Heather Eschbach

[Mackenzie Smith Steck, MD @MackSteckMD]

Learned a ton today from some of the greatest minds in PE diagnosis and management at the Midwest Pulmonary Embolism Consortium! @PERTConsortium @SLUPCCM @im_slu

[Ghassan kamel MD FCCP @GkamelMD]

@RosovskyRachel discussing updates on PE risk stratification

#MidwestPE23

@PERTConsortium @keithppereira @SLUHospital @SLUPCCM @SLU_VIR @SLUEMRes

[Keith Pereira MD, #VIrad @keithppereira]

#MidwestPE23 off to a rocking start!

Potpourri of data and personalized approach to cases from global leaders in Pulmonary embolism in the country!

@vic_tapson @chriskabrhel @RosovskyRachel

[Yash @DoctorBhavsar]

A thread on mechanics, logistics and reasons behind positive end expiratory pressure (PEEP) significance while handling patients on mechanical or non-invasive ventilation 🧵

#MedTwitter #EDTweeter #PulmTwitter @PulmPEEPs

[Ryan O'Keefe @ROKeefeMD]

As an intern, one of the highest-yield schemas I learned was for persistent fevers despite treatment with abx.

I use it all the time as a resident, especially when working with cancer patients.

Let's go through it!

- Thread -

#MedTwitter #MedEd #FOAMed #tipsfornewdocs

1/24

[Tony Breu @tony_breu]

1/10
Many labs can be abnormally high OR low.

Others appear to have just one direction of abnormality. But some diagnoses may be suggested by the "reverse abnormality." For example, a...

↓aPTT
↓Alk phos
↓ALT
↑B12
↓HDL

...may mean something.

Let's have a look.

[Mackenzie Smith Steck, MD @MackSteckMD]

@GkamelMD @SLUPCCM Thanks, @GkamelMD! Looking forward to it!

[Mackenzie Smith Steck, MD @MackSteckMD]

Thrilled to be staying at SLU for Pulmonary-Critical Care Fellowship! @SLUPCCM 🫁🩻👩🏻‍⚕️

[SLU Internal Medicine Residency @im_slu]

Happy Fellowship Match Day 2023! We are SO proud of our brilliant residents who will go forth and do great things, whether here at SLU or elsewhere! Congratulation to all! 🎉🍾🥳 @DrBuckholdSLU @RaviNayakMD @GkamelMD
#MatchDay #medtwitter

[2things @2thingsteam]

#2thingssunday
1) Low anion gap - what are the causes?
⬆️ Cl
⬆️ Triglycerides
Toxicity: Br, I, Li
⬇️ Albumin
⬇️ Phosphorous
⬆️ K
⬆️ Ca
⬆️ Mg
⬆️ IgG

[Pulm PEEPs @PulmPEEPs]

We have a #RadiologyRounds from the pulmonary clinic this week! 🫁

A woman in her 80s presents to the clinic with a progressive, dry cough. She has had some associated dyspnea and weight loss. Here is her chest X-ray 🩻

[SLU Internal Medicine Residency @im_slu]

The Chili Cook-Off is less than a week away! This is an annual event we host to kick off the IM Residency Recruitment season! Can’t wait to see who’s our next chili champion. 😋🌶️🌶️

@DrBuckholdSLU @RaviNayakMD @PaulKunnath @mwschoen @GkamelMD @MackSteckMD @YanChuMD @AdiSureshMD

[CHEST @accpchest]

More than a symptom: Cough-specific quality of life can predict outcomes among patients with interstitial lung disease. Read the original research from the September @journal_CHEST issue:
https://t.co/yi5B7sLaQ7 @PFForg
#MedEd #MedTwitter