StrangerMD2022

Pasado na.

[Dr. Roig @doctor_roig]

1/ Today's 🧵is about a teaching case.

The goal of this thread is to help you understand with real examples the importance of thinking beyond myocardial infarction in those patients with chest pain and elevated troponin levels.

Courtesy of @ekgdx

#ekgdx #CardioTwitter #CardioX

[Brandon Luu, MD @BrandonLuuMD]

As a Resident Doctor, I have now worked >100 24-hour shifts with little to no sleep. This took a huge toll on my health so I looked into the research

These are my top 3 evidence-based protocols to leverage exercise against the negative health effects of sleep deprivation
🧵1/12

[Jack (EMNote) @jackcfchong]

EM Literature
https://t.co/rKRd1qymee
- MgS04 for rapid A-fib
- NaHC03 for DRA
- Norepinephrine for post-ROSC
- Antihistamines for vertigo
- Contrast nephropathy
- NTG for RV MI
- Less fluid for pancreatitis
- High-dose NTG for SCAPE

[Jack (EMNote) @jackcfchong]

ACLS and BLS lecture notes, must read before taking the courses.
https://t.co/YZsBEEkxCJ
📌EMNote members can download PDF file at YouTube Community tab

[StrangerMD2022 @silentnorms]

@keirealubit Congrats Dra .

[Jack (EMNote) @jackcfchong]

Top 6 Teaching Videos:
1. Traumatic cardiac arrest:
https://t.co/V4p2HRQ6Pc
2. ACLS Pretest:
https://t.co/ley10qdK84
3. ECG Quiz:
https://t.co/LxI1Gf7NQv
4. Airway Tips:
https://t.co/7iVJxBkMGd
5. ACLS Megacode:
https://t.co/JHI9Rdoybh
6. ACLS Rhythm Test:
https://t.co/4hVwLEhcq1

[Modern Health @modernHealthMe]

✅ 𝐀𝐫𝐭𝐞𝐫𝐢𝐚𝐥 𝐁𝐥𝐨𝐨𝐝 𝐆𝐚𝐬 ✅

• 𝐍𝐨𝐫𝐦𝐚𝐥 𝐀𝐁𝐆 𝐕𝐚𝐥𝐮𝐞𝐬:

- 𝐩𝐇: 7.35-7.45
- 𝐏𝐚𝐎2 : 75-100 𝐦𝐦𝐇𝐠
- 𝐏𝐚𝐂𝐎2 : 35-45 𝐦𝐦𝐇𝐠
- 𝐁𝐢𝐜𝐚𝐫𝐛𝐨𝐧𝐚𝐭𝐞 (𝐇𝐂𝐎3): 22-26 𝐦𝐄𝐪/𝐋
- 𝐎2 𝐒𝐚𝐭uration: 94-100%

❓𝐇𝐨𝐰 𝐭𝐨 𝐑𝐞𝐚𝐝 𝐀𝐁𝐆? 👇

🪜 𝐒𝐭𝐞𝐩 1. 𝐃𝐞𝐭𝐞𝐫𝐦𝐢𝐧𝐞 𝐀𝐜𝐢𝐝𝐨𝐬𝐢𝐬 𝐨𝐫 𝐀𝐥𝐤𝐚𝐥𝐨𝐬𝐢𝐬:

• 𝑝𝐻 < 7.35 𝑖𝑛𝑑𝑖𝑐𝑎𝑡𝑒𝑠 𝑎𝑐𝑖𝑑𝑜𝑠𝑖𝑠.
• 𝑝𝐻 > 7.45 𝑖𝑛𝑑𝑖𝑐𝑎𝑡𝑒𝑠 𝑎𝑙𝑘𝑎𝑙𝑜𝑠𝑖𝑠.
• 𝑅𝑒𝑚𝑒𝑚𝑏𝑒𝑟 𝑃𝑟𝑖𝑚𝑎𝑟𝑦 𝑑𝑖𝑠𝑜𝑟𝑑𝑒𝑟 𝑚𝑎𝑦 𝑒𝑥𝑖𝑠𝑡 𝑤𝑖𝑡𝘩𝑖𝑛 𝑡𝘩𝑒 𝑛𝑜𝑟𝑚𝑎𝑙 𝑝𝐻 𝑟𝑎𝑛𝑔𝑒 - 𝐶𝑜𝑚𝑝𝑒𝑛𝑠𝑎𝑡𝑒𝑑 𝐷𝑖𝑠𝑜𝑟𝑑𝑒𝑟𝑠.

🪜𝐒𝐭𝐞𝐩 2. 𝐈𝐝𝐞𝐧𝐭𝐢𝐟𝐲 𝐑𝐞𝐬𝐩𝐢𝐫𝐚𝐭𝐨𝐫𝐲 𝐨𝐫 𝐌𝐞𝐭𝐚𝐛𝐨𝐥𝐢𝐜 𝐃𝐢𝐬𝐭𝐮𝐫𝐛𝐚𝐧𝐜𝐞:
• 𝑂𝑏𝑠𝑒𝑟𝑣𝑒 𝑡𝘩𝑒 𝑟𝑒𝑙𝑎𝑡𝑖𝑜𝑛𝑠𝘩𝑖𝑝 𝑏𝑒𝑡𝑤𝑒𝑒𝑛 𝑝𝐻 𝑎𝑛𝑑 𝑃𝑎𝐶𝑂2 𝑐𝘩𝑎𝑛𝑔𝑒𝑠.
- 𝑅𝑒𝑠𝑝𝑖𝑟𝑎𝑡𝑜𝑟𝑦: 𝑝𝐻 𝑎𝑛𝑑 𝑃𝑎𝐶𝑂2 𝑚𝑜𝑣𝑒 𝑜𝑝𝑝𝑜𝑠𝑖𝑡𝑒𝑙𝑦 { 𝑒𝑔. 𝑅𝑒𝑠𝑝𝑖𝑟𝑎𝑡𝑜𝑟𝑦 𝐴𝑐𝑖𝑑𝑜𝑠𝑖𝑠 𝑤𝑖𝑙𝑙 𝑠𝘩𝑜𝑤 𝐿𝑜𝑤 𝑝𝐻 & 𝑅𝑎𝑖𝑠𝑒𝑑 𝑃𝑎𝐶𝑂2}

- 𝑀𝑒𝑡𝑎𝑏𝑜𝑙𝑖𝑐: 𝑡𝘩𝑒𝑦 𝑐𝘩𝑎𝑛𝑔𝑒 𝑖𝑛 𝑡𝘩𝑒 𝑠𝑎𝑚𝑒 𝑑𝑖𝑟𝑒𝑐𝑡𝑖𝑜𝑛.

🪜𝐒𝐭𝐞𝐩 3. 𝐂𝐡𝐞𝐜𝐤 𝐟𝐨𝐫 𝐂𝐨𝐦𝐩𝐞𝐧𝐬𝐚𝐭𝐢𝐨𝐧:
- 𝐶𝑜𝑚𝑝𝑒𝑛𝑠𝑎𝑡𝑖𝑜𝑛 𝑟𝑎𝑟𝑒𝑙𝑦 𝑛𝑜𝑟𝑚𝑎𝑙𝑖𝑧𝑒𝑠 𝑝𝐻.
- 𝐸𝑥𝑝𝑒𝑐𝑡𝑒𝑑 𝑐𝑜𝑚𝑝𝑒𝑛𝑠𝑎𝑡𝑖𝑜𝑛 𝑓𝑎𝑐𝑡𝑜𝑟𝑠 𝑝𝑟𝑜𝑣𝑖𝑑𝑒𝑑 𝑓𝑜𝑟 𝑣𝑎𝑟𝑖𝑜𝑢𝑠 𝑑𝑖𝑠𝑜𝑟𝑑𝑒𝑟𝑠.

🪜𝐒𝐭𝐞𝐩 4. 𝐂𝐚𝐥𝐜𝐮𝐥𝐚𝐭𝐞 𝐀𝐧𝐢𝐨𝐧 𝐆𝐚𝐩 (𝐢𝐟 𝐦𝐞𝐭𝐚𝐛𝐨𝐥𝐢𝐜 𝐚𝐜𝐢𝐝𝐨𝐬𝐢𝐬):
- 𝐴𝐺= [𝑁𝑎+] - ([𝐶𝑙-] + [𝐻𝐶𝑂3-]) - 12 ± 2.
- 𝐶𝑜𝑛𝑠𝑖𝑑𝑒𝑟 𝘩𝑦𝑝𝑜𝑎𝑙𝑏𝑢𝑚𝑖𝑛𝑒𝑚𝑖𝑎 𝑎𝑑𝑗𝑢𝑠𝑡𝑚𝑒𝑛𝑡.

🪜𝐒𝐭𝐞𝐩 5. 𝐀𝐬𝐬𝐞𝐬𝐬 𝐀𝐧𝐢𝐨𝐧 𝐆𝐚𝐩 𝐈𝐧𝐜𝐫𝐞𝐚𝐬𝐞:
- 𝐸𝑣𝑎𝑙𝑢𝑎𝑡𝑒 ∆𝐴𝐺/∆[𝐻𝐶𝑂3-] 𝑟𝑎𝑡𝑖𝑜.
- 𝑅𝑎𝑡𝑖𝑜 𝑏𝑒𝑡𝑤𝑒𝑒𝑛 1.0 𝑎𝑛𝑑 2.0 𝑖𝑛𝑑𝑖𝑐𝑎𝑡𝑒𝑠 𝑢𝑛𝑐𝑜𝑚𝑝𝑙𝑖𝑐𝑎𝑡𝑒𝑑 𝑎𝑛𝑖𝑜𝑛 𝑔𝑎𝑝 𝑚𝑒𝑡𝑎𝑏𝑜𝑙𝑖𝑐 𝑎𝑐𝑖𝑑𝑜𝑠𝑖𝑠.

Our Website: https://t.co/TGOmd5vjPB

#ABG #MedTwitter #ModernHealth

[William Aird @WilliamAird4]

1/9

MICROCYTIC ANEMIA AND SYSTEM 2 THINKING

The 2 most common causes of microcytic anemia are IDA and thalassemia trait. According to the morphological classification of anemia, microcytic anemia is divided into normochromic and hypochromic subtypes.

[StrangerMD2022 @silentnorms]

@AwesomeMD2024 Ang awesome niya maging mentor. Sana meron akong prof na tulad niya nun medschool. Naku doc, sasakit ang tiyan mo kay Doc T pag onsite.

[StrangerMD2022 @silentnorms]

@omwtoMD Yes, Ma'am. Economics and biostat.

[Betty @102024MD]

Fake account https://t.co/Ypc0oNwlXu do not message here

[Ronnie E. Baticulon @ronibats]

One thing they always teach you in Medicine: your degrees, honors, and all the letters that come after your name don’t matter unless you actually use them to do good, be kind, and serve others.

Sa lahat ng pagkakataon, higit sa pagiging magaling ang pagiging mabuti.

[StrangerMD2022 @silentnorms]

@joietoyourworld Strassinger pa rin po Ma'am yun motherbook sa medtech?

[StrangerMD2022 @silentnorms]

@docvenil I will always be grateful for the time and effort you put into teaching us Doc Venil. Thank you so much po Dra sa mga highyield lecture.

[StrangerMD2022 @silentnorms]

Salamat CDB. 🥺🥺🥺

[StrangerMD2022 @silentnorms]

@MeiDi2024 Doc pwede makihingi ng link? For my friends po sana. Salamat po doc.

[StrangerMD2022 @silentnorms]

@SchwartzHeiress Uro dept pakigalaw na po ang baso. 🥺

[StrangerMD2022 @silentnorms]

@drtb1993 DM doc

[StrangerMD2022 @silentnorms]

Salamat dun sa (Day 3) Proctor na nakapansin na imbis Application no. lagay ko sa first sheet ng scantron, yun mismong number ng scantron yun nailagay ko.

Sana masarap ulam mo lagi Ma'am.