StudyXing Medicine @USMLEStepStudy
Study 8100+ #MedEd "flash-XCreations"- Reminders of topics to do a deeper study-dive. Zebra hoof-beats? Think Tyrannosaurus Rex 🦖Thanks 56,000! Earth, WHO jurisdiction Joined November 2009-
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Mitral Valve Replacement Target INR: 2.5-3.5 (mechanical valve) 2.0-3.0 (biological valve) atrial fibrillation (2.0-3.0) Increased thrombotic risk of mitral position Mechanical Aortic Valve: 2.0-3.0 (lower risk position) Both valves: Use higher target (2.5-3.5)
HLA-B27-associated conditions = PAIR Uf B27 planes flew by --> “PAIR-U” -Psoriatic arthritis -Ankylosing spondylitis -Inflammatory bowel dz-assoc arthritis -Reactive arthritis -acute anterior Uveitis
Hemophilia A: X-linked, recessive coagulation deficiency of coagulation factor VIII; Expressed in males; females are carriers
Naegleria fowleri - thermophilic, free-living amoeba in warm freshwater & soil worldwide; Amebic meningoencephalitis (rapid progress & fatal CNS infection when contaminated H20 enters nasal passages, thru cribriform plate --> brain, necrotizing / hemorrhagic meningoencephalitis
Splenectomy (surgical removal of spleen) abnormalities that may appear together in blood: -Howell-Jolly bodies: nuclear remnants normally removed by the spleen -Acanthocytes: spiky RBCs -Target cells: spleen normally removes
-NL anion gap 8-12 mEq/L -High anion gap (>12-14 mEq/L) - Causes are many... -Always check for osmolar gap in suspected toxic ingestions -Lactic acidosis is most common cause in hospitalized patients -DKA should be considered in any diabetic with high anion gap acidosis
Lyme dz (Lyme borreliosis) - Borrelia burgdorferi infection, NE USA via bite of Ixodes scapularis tick; 1st stage (days-wks) - erythema migrans; 2nd stage (wks-months) - fever, joint pain, myalgias, neuro, cardiac; 3rd stage - Lg joint arthritis
Primary Ciliary Dyskinesia (PCD) Kartagener syndrome variant: Red Flag Symptoms: •Neonatal respiratory distress (unexplained) •Chronic wet cough from infancy •Recurrent sinusitis/otitis •Male infertility + respiratory symptoms •Situs inversus + respiratory disease
Other Immunocompromised states (con't) Keep you mind open to the conditions that mean patient's immune system is not optimally functioning
Invasive fungal infections are possible in specific occupations, particularly in individuals in any immunocomprimised state
Main HLA-B27 Associated Conditions: Ankylosing Spondylitis (AS) - 90-95% positive Psoriatic Arthritis - 60-70% pos (especially axial) Reactive Arthritis (Reiter's) - 80-90% pos Inflammatory Bowel Dz (Crohn's/UC) - 50-75% pos Acute Anterior Uveitis - 50-60% pos
Reading a Chest X-ray First... Technical Assessment - ✓ Patient ID correct? ✓ Proper inspiration? (8-10 ribs) ✓ Good penetration? (spine visible through heart) ✓ No rotation? (clavicles equidistant from spine) ✓ PA vs AP view? Then... ABCDEFGHI or RIPE
Sickle cell disease / post-splenectomy •Howell-Jolly bodies: nuclear remnants normally removed by spleen •Acanthocytes: spiky RBCs post-splenectomy •Target cells: spleen normally removes abnormally shaped cells
Maudsley Deprescribing Guide / Antidepressant Withdrawal - S/S incongruent with original mood disorder (nausea, dizziness, worse s/s, etc). Onset of s/s is days to weeks AFTER med d/c. S/S quickly resolve after med resumption, faster than expected from initial antidepressant Rx
Tetralogy of Fallot “boot” - (1) Lg. ventricular septal defect (VSD), (2) right ventricular outflow tract obstruction (MC due to infundibular and valvular pulmonary stenosis), (3) overriding aorta that receives blood from both ventricles & (4) right ventricular hypertrophy
Leiomyosarcoma - aggressive mesenchymal uterine malignancy; s/s: uterine bleeding, pelvic pain; ↑CA-125 may = adv dz; Path: atypia, ↑mitosis, tumor necrosis; Rx: en bloc TAH/TVH, B/L salpingo-oophorectomy & lymphadenectomy + gemcitabine/docetaxel, doxorubicin, radiotherapy
Post Op Fever/Complications - 5, uh 6 W's --> Wind, Water, Wound, Walking, Wonder drugs, & What the heck!
Asthma: Spirometry Obstructive Pattern: • FEV1/FVC ratio < 0.70 (or < 0.75-0.80 in kids) • Reduced FEV1 (often NL FVC initially) Reversibility Test: • ≥12% ↑FEV1 & ≥200 mL ↑from baseline after bronchodilator • ≥15% ↑FEV1 & ≥200 mL after anti-inflammatory Rx (over wks)
Hepatic encephalopathy - Liver dysfunction (cirrhosis) --> ammonia build up --> cross blood/brain barrier --> neurological & psych s/s; Rx: Lactulose --> bacteria break down into acids --> lower colon pH --> trap ammonia (ions) --> ↓ absorption
Metabolic dysfunction-associated steatotic liver disease (MASLD) in patients w/ T2DM, those with metabolic dysfunction-associated alcohol-related liver dz (MetALD) & alcohol-related liver disease (ALD) all increase risk of hepatocellular carcinoma (HCC)
Oren Gottfried, MD @OGdukeneurosurg
240K Followers 352 Following I work as a Duke Univ. Neurosurgeon/ Professor & TV Advisor, Producer, Writer, Actor. I post only from the med literature, Never my own or employer’s cases.
Dr Joshua Walinjom @walinjom
104K Followers 16K Following #ECFMG Certified #AAMC ID: 16486652 #Cardiology Fellowship @ #Kings #College #London, #Cardiologist UY1 🩶#Interventional #Cardio #Christian #Jesus is #Lord.
Classify Rx 📱 @simplify_drugs
99K Followers 4K Following Classify Rx 📱 : The best pharmacology app. All content posted for educational purpose only. Not an endorsement for any brands/generics.
Conrad Fischer @SeeFisch
101K Followers 509 Following The World's Most Prolific Teacher of Medicine Tweets only reflect personal opinions.
Top Biomedical Scienc... @imedverse
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❗NTE®️N🅰️L ... @pgMedicine
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Medicalposts_SQU @MedPostsSQU
14K Followers 718 Following MD || Sultan Qaboos University 🇴🇲 || A medical account where mostly child health-related content will be posted || ENJOY!! 💉💊
Aditya Gupta @DrAditya2935
51K Followers 399 Following Pediatric Oncologist by training. Teacher by Passion. Part time Youtuber. Full time nerd.
Nutrition Science @NutrioSci
64K Followers 4K Following Everything about Nutrition Science. #Nutrition #Science #Technology #Research #News #Education #Health #Life #Foods
MedSurvival Mnemonics... @MedSurvivalRaza
18K Followers 518 Following Internist | Proud dad | #MedSurvival | Tweets & RTs =X=Medical advice
Parth @flozinatorMD
3K Followers 842 Following PGY 5 | Internal Medicine (AIIMS, New Delhi) | Alma mater (GMC, Rajkot)
Alejandro Toro-Pedroz... @toroalejandr
9K Followers 3K Following Medical Intern @Icesi @FVLCali 🇨🇴 | Passionate about IM, Hem/Onc, Rheum & Impactful Research | Lili CAR-T Group🩸 | IM & H/O Interest Groups Coordinator
LugawMD @LugawMd
5K Followers 546 Following Medicine Graduate @ Olfu 🏥🩺 💉🧪🔬RMT 27 yrs old ➡️Future MD ➡️Laban lang ➡️You and I will get that MD ➡️ Road to PICC➡️ Road to Licensed MD 💯 🏥🥼🩺
Kajal sharma @Kajalsharm19953
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Dr Nada Alaa ✨ @MayaAlon1000
637 Followers 4K Following Intern doctor🩺 الله أكبر ولله الحمد أشهد أن لا إله إلا الله وأشهد أن محمد رسول الله سبحان الله استغفر الله العظيم قرآننا دستورنا♥️ مصر أم الدنيا 🇵🇸🇪🇬
yusuf sadiq @assaddiq
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Kwesi Amankwa @IbnChristie
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Haneen @Haneen392489563
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Mohamad @Mohamad39798803
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Hailey Cain @Glam_Hailey
1K Followers 50 Following Love reading books, Living in His Grace, Finding Strength, Hope, and Love in God Every Day #AmericaFirst 🇺🇸
isim boş bırakılam... @ibrahimay152
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Héctor Cárdenas @HectorFCH1
240 Followers 2K Following Estudiante de Medicina - Universidad Nacional de Colombia
Mariam @mariamanwar95
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Sagan @sagan_x1
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ball @ball1717517
3 Followers 481 Following a resident nephrologist and internist interested in learning and and knowledge in general
abcd @NamitYadav6971
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Liran Liport @LLiport
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Rin kashimo @rin_kashimo
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kazindo emmanuel @Zzindos
73 Followers 819 Following
Rafet @rftbsr9
281 Followers 491 Following Medical Doctor#Istanbul Faculty of Medicine#Working MD Anderson Cancer Center(Stem Cell Transplantation) In Houston#GalatasarayFan
Akaza @7ooda5264
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Yohannes Tamirat @johnnytamirat
2 Followers 54 Following Assistant professor of Emergency Medicine and critical: Researcher
Johnnie Ngattu Sr;BML... @jmngattu
723 Followers 8K Following Importers and Distributors: Start, Expand,Renovate or Acquire Laboratory Equipment;🔬💸🧬💷🧪💶⚗️💴💉 please engage us on WhatsAapp +256 755 480 969
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290 Followers 267 Following
barsha yadav @ydvbarsa
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Dr .Sardar Zeeshan Ak... @DrSzeeshan
22 Followers 209 Following Resident cardiologist,,,,,, 🫀🫀 USmLe step 1 USmLe step 2 ECFMG certification AAMC ID 16739218 #2026 match applicant #internal medicine #Family Medicine
UNIVERSITY IN YOU (U ... @sharkblood190
31 Followers 107 Following Charlie Kirk got killed at college by Robinsons Tyler. There are no courses in college that teach students how to kill to become a killer. Hence U.I.Y founded.
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K @knyways
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Dr.Anas Alabsi @Anasabsii
7 Followers 49 Following “It’s not how smart you are, it’s how much you can endure
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Seerat @Abida95844
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Sayyeda Nayab Bukhari @NayabSayyeda
9 Followers 110 Following Post Graduate Resident - Internal Medicine
micrometerkubis | use... @maspratam_
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