Discover and read the best of Twitter Threads about #MedicalStudentTwitter

Most recents (9)

INTRAVENOUS THROMBOLYSIS (fibrinolytic therapy) can be successfull if given

A. Within 30minutes to 12 hrs in STEMI

B. Within 3-4.5 hrs in Acute ischemic stroke

C. Within 14 days in Pulmonary embolism

Choose the āœ…ļøcorrect statement/s among the above.

#Medtwitter #MedEd Image
āœ…ļøTRUE statement/s among the above three
Fibrinolytic agents are plasminogen activators(PA) that act by converting plasminogen to plasmin. Plasmin then degrades the fibrin matrix of thrombi and produces soluble fibrin degradation products resulting in clot lysis. Image
Read 15 tweets
Drug of choice for ANAPHYLAXIS in a patient with no response to Epinephrine?
Patient is on Propranolol 60 mg BD for essential tremors.
#MedTwitter #emergencymedicine #CriticalCare Image
Anaphylaxis is a severe, life threatening systemic hypersensitivity reaction characterized by being rapid in onset with potentially life threatening airway, breathing, or circulatory problems and is usually, although not always, associated with skin and mucosal changes.( ICD-11)
Read 9 tweets
27 yrs old patient, detected to be pregnant when she missed her periods one day back. She has Graves disease on Rx for past 3 years, presently on Carbimazole 5mg daily and not on propranolol. She was euthyroid with Rx for past 1 year. Best strategy ?
Present reports šŸ‘‡ Image credit: Usatine RP, S...
A. Stop carbimazole and monitor by weekly/fortnightly TSH, FT4 levels and follow up.

B. Switch to PTU 50mg bd and do FT4, TSH after 2 weeks and review

C. Switch to PTU 50 mg bd + LT4 50mcg OD. TSH, FT4- 4wkly

D. PTU 50mg BD and Propranolol XL 20mg , Monthly TSH,FT4-followup
Read 21 tweets
1/šŸ§µ Letter to Young Scientists

Are there professional trends in academia that are robbing scientists of joy & vocational success?

When #scientists burnout, it robs pts of answers to their problems & increasing their suffering.

Letā€™s discussā€¦
Ā 
#AcademicTwitter
2/ The goal of science is to determine the truth about question no one knows the answer toā€¦so that we can make things better for others.

I thought I'd share a few thoughts about discernment and the scientific process that I learned while graying šŸ’«
Ā 
#ScienceTwitter
3/ Discovery in medicine, for example, is not a job. It is not work.

It is creating art. It's painting.

And when we are being artistic, most of us enjoy diving all the way in & immersing ourselves without undo distraction.
Ā 
#MedTwitter
Read 15 tweets
1/ ICU Rounds ā°: QUESTION for YOU šŸ‘‡

An #overdose patient admitted to #ISeeYou (deliberate misspelling) is now safe for transfer to floor. Do you bless triage decision & move on to your next pt? Or is there more to your job this morning?

#MedTwitter #tipsfornewdocs #pulmcc Image
2/fin ICU Rounds:

You have 1 shot in helping this person before his transfer. Was medical tx enough or should it include you šŸŖ‘down to listen...To prove itā€™s an ā€œI SEE šŸ‘€ YOUā€? How do you know thereā€™s not more you can do unless you sit down &šŸ‘‚?

#medicalstudenttwitter #meded Image
P.S. Often rounds are too busy and we have to keep moving. So I jot down šŸ–Š a ā€˜to doā€™ item on my patient list: ā€œgo backā€ āœ…
Read 3 tweets
@drdangayach 1/ ANSWERS: How to create your best ACADEMIC MEDICAL READING program? @drdangayach

Hereā€™s what I have done >30 yearsā€¦there are three types of reading: daily reading, journal reading, & book readingā€¦stay tuned

#tipsfornewdocs #medtwitter #medicalstudenttwitter #pulmcc #meded
@drdangayach 2/ Why care to read scientific literature more effectively & thoroughly? Applied knowledge at the bedside is how you ā€œspeakā€ for your patient ā€“ maximizing her dignity & respect. Reducing suffering through knowledge is mercy. The eyes are your lamp, use them to read and shine!
@drdangayach 3/ I got depressed as a young MD when I saw docsā€™ journals piling up in plastic wrappers, unread. I vowed never to let that happen because my patients deserve better. So bought into Oslerā€™s mantra to ā€œset reading habits early & youā€™ll be set for life.ā€
Read 14 tweets
1/ Rikers Island Prison & #COVID19:

The New Yorker: bit.ly/3fgxnt3

Many think of inmates as young strong healthy dangerous men, when in reality they are often #AGING, sick, and definitely #VULNERABLE. Covid on top of this is a time šŸ’£

#geriatrics #MedTwitter #pulmcc
2/ Rikers Island Prison & #COVID

#Anxiety & #Fear. You canā€™t implement effective social distancing in an room that houses dozens of men. You cannot implement effective social distancing when those ~40 men are using the same sinks.

#medicalstudenttwitter
3/fin Rikers Island Prison & #COVID19

You cannot implement effective social distancing in a prison when staff interact with them & has to touch them in course of day. This isnā€™t going to play out well. Read article. #empathy starts here. I donā€™t know the solution!

#disparity
Read 3 tweets
1/ Brain šŸ§  #COVID19: Op-Ed w @danielalamas & šŸ‘€ tweets 2&3

ā€œDelirium is mistakenly written off as a sidekick of major illnessā€”an innocent bystander to real problems. #Delirium is not innocent.ā€

bit.ly/39GD3LS

#medtwitter #tipfornewdocs #medicalstudenttwitter #pulmcc ImageImage
2/ Brain šŸ§  #COVID19: Op-Ed pt #1

My 1st EVER tweet šŸ˜€ April 2020 (below) featured Tisha Holt w #COVID19 texting on vent. Her permission granted: she remains on O2 & suffering PTSD. She Zooms in for our CIBS ICU Support group to help w #PICS. Are you following COVID survivors?
3/fin Brain šŸ§  #COVID19: Op-Ed pt #2

Pt permission granted: Adam Killion survived vent and COVID to make it w wife Beth to sonā€™s šŸŽ©!! See him rehabbing & w family here. There is so much HOPE. Letā€™s work together to cultivate this hope through service to our amazing patients! ImageImageImage
Read 3 tweets
1/ CXR rounds #16 ā°:

1. What famous CXR finding is found on these 2 films?
2. What does it mean and what dz is #1 cause?
3. What would you hear w your stethoscope?

#medstudenttwitter #tipsfornewdocs #pulmcc ImageImage
2/ CXR rounds #16 ā°:

1. The Double Density sign
2. HUGE left atrium wrapping around behind the right atrium from mitral stenosis as a complication post Rheumatic Fever
3. Decrecendo Crescendo Diastolic Heart murmur

Bonus? What is Rheumatic Fever? šŸ‘€ next... Image
3/fin Med Trivia ā°: RHEUMATIC FEVER šŸ„µ

Iā€™m tired of typing so just read the criteria and look at the rash and memorize the time course. I had a patient with mitral stenosis from rheumatic fever yesterday which prompted this trip trivia!

#tipsfornewdoctors #MedTwitter #MedEd ImageImageImageImage
Read 4 tweets

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