Neha Patel

Medicine hospitalist. Med/Peds trained.
Hoosier.
lover of floofs and education
Organize, Agitate, Innovate, Educate. In that order

[Neha Patel @nrpate4]

@MPAcadHosp @nmpra @DoctorVig @AJenkins_MD @tbradynottheqb @elisha_mccoy Do you want me to reach out to Christina Perez?

[Elliot Tapper @ebtapper]

An older man comes to the ED with abrupt onset nausea, & diarrhea

He is joined by her daughter whom he is visiting from abroad

Testing is below
The diagnosis is unclear
Until his daughter got just as sick too
🧵
#livertwitter #liverstory #MedTwitter

[Jia Ng, MD MSCE @jiahweing]

I struggled to publish research papers until I developed the habit of writing.

Now, I write daily from 8-10am Tuesdays through Fridays.

These were the 4 mindset shifts that helped me break through. 💡

[Nick Mark MD @nickmmark]

Pulmonary teaching case: you are called to the bedside of a 60yo man who was admitted for pneumonia a week ago. You were called because “he coughed and now his chest is PULSATING!”

This is what you see at the site of a previously removed chest drain:

What’s the diagnosis?
1/

[Journal of Hospital Medicine @JHospMedicine]

🛑 Stop

🤔 Think

💭 Does my patient need those labs?

🧘 Promoting mindful lab ordering in training programs

QI study empowering residents to think before ordering

https://t.co/02eZgEiR6r

@RawalRachna @JabberJ11 @PaulKunnath @hvpaa @im_slu

#VisualAbstract by @SuchitaSata

[NephroPOCUS @NephroP]

🚨#echofirst image of the day:
Clinical: 20-year-old with h/o exertional shortness of breath, intermittent sharp chest pain, and recurrent fevers and chills. Recent near-syncope after physical exertion.
#POCUS #MedEd #FOAMed
Please find the diagnosis/source article in thread👇

[NephroPOCUS @NephroP]

🚨#POCUS image of the day.
What's happening here?
#echofirst #MedEd #FOAMcc
Courtesy 🔗https://t.co/1tzOyLbptm

[CORE IM @COREIMpodcast]

1/ Welcome back to #StatswithCoreIM !

A rapid antigen test for COVID-19 has a 98% sens. and 99% spec. It was studied in ICU pts with PCR-confirmed COVID-19 and PCR (-) adults in the community (controls). ALL pts received both rapid &PCR tests.

Which type of bias is present?

[Charles Milrod, MD @CharlesMilrod]

Picture this:

Your patient with myeloma presents with hypercalcemia.

You find this 👇 on your evaluation.

How (and why) is this an emergency? 🤔

A #tweetorial 🧵 1/7

[Journal of Hospital Medicine @JHospMedicine]

❌ ECGs for low/intermediate chest pain pts lead to ⬆️ costs & testing w/o improved patient outcomes

👍 Instead, use serial troponins & risk scores to 👀 high risk patients

https://t.co/iOqtozYoj1

@jhospmedicine @RebeccaGomezMd @AdventHealth

#VisualAbstract by @SuchitaSata

[DrBK @DRBK_EDU]

Haven’t seen this before. Frequent IVC-ers, what do we think? Ascites? Patient with HF exacerbation pre-diuresis. @NephroP @katiewiskar @ria_dancel @POCUS_Manifesto @ThinkingCC @PulmCrit

[Cyrus Askin, MD, FACP @Askins_Razor]

I would have LOVED to see graphics like this as a first year fellow. It took me far too long to learn this stuff! #pulm #ccm #pccm #ICU #CritCare

[Neha Patel @nrpate4]

@gbosslet You want mugs? I make mugs.

[Sam Ghali, M.D. @EM_RESUS]

Chief complaint: “Heartburn”

Here’s a video I made breaking down this very important #ECG case from the ER

#FOAMed

[Sam Ghali, M.D. @EM_RESUS]

Here’s a video I made breaking down this very important Chest X-Ray

#FOAMed

[Sam Ghali, M.D. @EM_RESUS]

Here’s a video I made breaking down a very important #ECG case of 40-year-old man who developed severe chest pain after using cocaine

#FOAMed

[Sam Ghali, M.D. @EM_RESUS]

Here’s a video I made breaking down this #ECG of a 75 year old lady who presented to the ER with sudden onset chest tightness

#FOAMed

[Charles Arthur @charlesarthur]

Sam is amazing. Must-watch.
For the non-medics out there*: perfusion = blood supply, V fib = ventricular fibrillation (heart rhythm fast and ineffective). CPR, as he says, you should know - cardio-pulmonary resuscitation.

* all my medical expertise comes via ER, the TV series.

[Sam Ghali, M.D. @EM_RESUS]

Here’s a video I made breaking down this very important #ECG that you must be able to interpret accurately

#FOAMed

[Sam Ghali, M.D. @EM_RESUS]

Here’s a video I made breaking down the #ECG of a 35-year-old man who was found down in Cardiac Arrest

#FOAMed