Unremarkable Labs @UnremarkableLab
Discussing unremarkable labs to improve clinical reasoning! •Started by @UABIMRes CMRs & @medrants. Come learn with us at your convenience. youtube.com/channel/UCVQ3N… Joined June 2020-
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🫁 Chest X ray reading made easy #MedEd #MedTwitter #FOAMed
#UncleBob proudly presents Annals On Call - Exercise for Knee Osteoarthritis: Is More Better? @AnnalsofIM acpjournals.org/doi/10.7326/A2… featuring @ppattyperez Physical Therapist
#UncleBob - if you are a hypercalcemia fanatic, you will likely love this @rabihmgeha @DxRxEdu @CPSolvers @UnremarkableLab The Case | A 48-year-old man with recurrent hypercalcemia and uremia after parathyroidectomy kidney-international.org/article/S0085-…
#UncleBob Hot take - the biggest problem in evidence based medicine is understanding that the lack of evidence FOR something does not provide evidence AGAINST something. It depends on sample size and type of available studies.
Watch our first episode of the new year! Dr. Centor works through a case with a young woman presenting with abdominal pain.
#UncleBob and @NatashaMehraMD proudly present a new: Unremarkable Labs: An Uncommon Presentation of a Common Pathology youtu.be/z1BHcFlYuDg via @YouTube @uabimres @DxRxEdu @rabihmgeha
#UncleBob and @NatashaMehraMD proudly present a new: Unremarkable Labs: An Uncommon Presentation of a Common Pathology youtu.be/z1BHcFlYuDg via @YouTube @uabimres @DxRxEdu @rabihmgeha
Tumor lysis syndrome @InternAtWork #MedEd
Cause of eosinophilia:PACCMAN Parasites Asthma Churg-Strauss Chronic adrenal insufficiency Myeloproliferative disorders Allergy Neoplasia
#Medtwitter & #RheumTwitter What conditions typically treated by rheumatologists prompt the possibility of an underlying cancer? Dermatomyositis is one. What are some others? <3 @DxRxEdu
#2things Saturday Patient with creatinine 3.5, BUN 120 1. Step 1 - look @ the urinalysis - pH 5, sp gr 1.010, >25 RBC, >30 WBC, 3+ protein
A patient presents with hypertension, NAGMA, and elevated BUN/creatinine. Watch Dr. Eric Judd, UAB Nephrology Fellowship Director, and Dr. Centor @medrants, Professor Emeritus at UAB, work through this case and talk through multiple differential diagnoses. youtu.be/-kYm9lkGdY0
Consult for hypercalcemia. Patient had gone to their primary for a routine visit. Labs showed a calcium of 14.9 (Day zero). The next day the primary saw the labs and told them to go to the ED for AKI and hypercalcemia. First two sets of labs are below...
#2thingsSunday 1) A major dx to rule out in most acutely ill hospitalized patients is ADRENAL INSUFFICIENCY. ➡️ Hyperkalemia ➡️ Metabolic acidosis (NAGMA) ➡️ Hypoglycemia ➡️ Hyponatremia - Check 4-6 AM cortisol - Random cortisol must be ⬆️. “Normal”is not OK. 1/2
#2things Saturday 1. Diagnosing hyponatremia with dilute urine - pt had urine sp gr 1.004 (rule of thumb - multiply last 2 digits by 30) - said he drank as much beer as he wanted - non-specific - admitted that he ate little - therefore beer potomania - easily corrected w/ solute
Once again we diagnosed beer potomania. At a Na of 128 he had a major gait disturbance. Intern was amazed the this phenomenon really exists. We see it every few years. @uabimres @UnremarkableLab
#UncleBob loves this: Serum Cystatin C for Estimation of GFR ja.ma/3p3CnIN via @JAMA_current part of @JAMANetwork @UnremarkableLab @2thingsteam @UAB_NRTC @uabimres We have seen a couple of similar stories this year
This week’s episode presents with a very abnormal BMP and a very interesting diagnosis. Join @medrants discuss a case with PGY-3 Julie England and @NatashaMehraMD. youtu.be/hq_pqAmqv6U
How does Cushing cause hypokalemia? - One of the many questions that came up during today's @CPSolvers VMR weekly recap.😁 @rabihmgeha @MadellenaC @Rafameed @rav7ks @deboracloureiro 💙 For the answer, follow this thread :)
Got consulted on a great case today. Thought I’d share since it’s a very distinctive rash that I’ve seen many times in books but never in real life before! This isn’t my patient but his eruption looked exactly like this. Any ideas? 😏
Interesting question last night, recording @UnremarkableLab - why is potassium repletion so important in a patient with chloride responsive metabolic alkalosis. Difficult to find a clear answer @askrenal @kidney_boy @luck_urine @hswapnil
Joel M. Topf, MD FACP @kidney_boy
64K Followers 4K Following Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis COI: link👇🏼
Tony Breu @tony_breu
108K Followers 894 Following Hospitalist, VA Boston. Assistant Professor, @harvardmed and @HMSbioethics. Co-host, @CuriousClinPod. Usually at #AMreport. Views are my own.
Zaven Sargsyan @sargsyanz
29K Followers 991 Following
Robert Centor MD MACP... @medrants
17K Followers 533 Following Academic internist focusing on teaching. Annals On Call podcast Unremarkable Labs @unremarkablelab
Robert Oubre, MD | Th... @Dr_Oubre
36K Followers 554 Following Helping busy inpatient doctors write notes faster and reduce lawsuits while demystifying billing. | Have transformed 730+ with my video courses.
Rabih Geha @rabihmgeha
19K Followers 2K Following Bub. In sync with older brother @DxRxEdu on https://t.co/A2e9Y4BLWP Co-founder @CPSolvers
André Martin Mansoor @AndreMansoor
79K Followers 394 Following Clinician. Author of #FrameworksForInternalMedicine. Cofounder https://t.co/iXxv1ZNGbj. https://t.co/1javJYYL59
2things @2thingsteam
6K Followers 97 Following A team of 7 physicians in various stages of their career and across different institutions get together here to share 2 things they have learnt everyday.
Prathit Kulkarni, MD @PrathitKulkarni
8K Followers 942 Following Inf Dz+Int Med faculty+ID fellowship Prog Dir @BCMHouston|Asst Chf of Med|Fmr @CDCgov EIS|Husb+dad|Opinions own|RT+likes not endorsements|Tweets not med advice
Andrew Sanchez @ASanchez_PS
8K Followers 2K Following Hospitalist @BIDMC_IM Teaching/Learning Dx @HarvardMed❓, Co-host @Dx_Atypia 🦓 🐎, @CPSolvers Academy🕵🏽♂️, @YaleIMed @ColumbiaPS @UF 👨🏽🎓
Rafael Medina @Rafameed
4K Followers 940 Following One life, so many dreams | @cpsolvers co-director of internal operations l @CUDeptMedicine Intern-To-Be|@oficialuem |🏳️🌈
Ann Marie Kumfer @AnnKumfer
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Gabe 🦊 @IdVilchez
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H. Moses Murdock @haematognomist
4K Followers 3K Following Heme/Onc Fellow @DanaFarber | IM Residency: @BrighamMedRes | MD @PennMedicine | Interests: Leukemia, BMT, MRD 🩸 🧬 | Pura Vida! 🇺🇸🇨🇷🇯🇲
TM Smith, D.O. FAAEM @RosenelliEM
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Adam Rodman @AdamRodmanMD
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Kirtan Patolia @KirtanPatolia
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Critical Concepts @critconcepts
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Kevin Hageman @Factor_XII
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FTM @followthemotive
211 Followers 5K Following Here to learn. Stuff I am curious about. Respect the limits (which are significant) of my own knowledge and grateful for the wisdom and knowledge of others.
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Vitor Borin P. de Sou... @vitorborin_
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Jaleel Jerry Sweis @JerrySweisMD
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AM @mindiscaqui
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Medicine, Onc & Heme,... @CuppaJoeBID
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jr @jnarv87
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John @4donjohn
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Didi @Dechen401053970
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Thejas @Thejas_K1
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Lefika Bathobakae, M.... @becomingdrbae
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Omar Khattab @OmarKhattab_9
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Daniel Boctor @DanbocMD
125 Followers 281 Following UCSF Internal Medicine Resident | MedEd, Cardiology/Crit Care, Clinical Reasoning 🫀💡 | 🇪🇬🇺🇸 | Proud @manutd fan ⚽️ (views my own not institution)
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Mayra🌑 @MayraSM27
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The Rational Hospital... @FutbolistaMedic
78 Followers 179 Following Average admirer on all things medicine and futbol.
Joel M. Topf, MD FACP @kidney_boy
64K Followers 4K Following Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis COI: link👇🏼
Robert Centor MD MACP... @medrants
17K Followers 533 Following Academic internist focusing on teaching. Annals On Call podcast Unremarkable Labs @unremarkablelab
Rabih Geha @rabihmgeha
19K Followers 2K Following Bub. In sync with older brother @DxRxEdu on https://t.co/A2e9Y4BLWP Co-founder @CPSolvers
2things @2thingsteam
6K Followers 97 Following A team of 7 physicians in various stages of their career and across different institutions get together here to share 2 things they have learnt everyday.
Ann Marie Kumfer @AnnKumfer
4K Followers 844 Following she/her, hospitalist at UNC. Always learning. Occasional podcaster. Always looking for opportunities to talk about my dog.
The Clinical Problem ... @CPSolvers
53K Followers 333 Following CPSolvers create a culture of compassion and community to disseminate and democratize the stories and science of diagnostic reasoning. https://t.co/hH4a57KLyC
H. Moses Murdock @haematognomist
4K Followers 3K Following Heme/Onc Fellow @DanaFarber | IM Residency: @BrighamMedRes | MD @PennMedicine | Interests: Leukemia, BMT, MRD 🩸 🧬 | Pura Vida! 🇺🇸🇨🇷🇯🇲
TM Smith, D.O. FAAEM @RosenelliEM
5K Followers 3K Following Private Physician | EM Boarded @UFJAXTrauma | Medical Advisor @HHS/OASH | Former Senior Advisor HHS IOS/HRSA | God | Family | Golf #MAHA #Noles | Ai Enthusiast
The Curbsiders @thecurbsiders
50K Followers 500 Following Internal Medicine podcast 🎙️ that uses expert interviews to bring you clinical pearls & practice changing knowledge! ~Join our Patreon Community! 🤝👇🏼
Journal of Hospital M... @JHospMedicine
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Gaurav Jain @jaingauravmd
328 Followers 202 Following Nephrologist #UAB nephrology. Interests: home dialysis, value based care and innovation in nephrology. Patient centered care. Tweets are my own.
Cosette Champion, MD @CosetteChampion
359 Followers 509 Following Cardiology fellow @DukeCardiology 🫀👩🏼⚕️ she/her
Edward Daniel @EdwardMDPhD
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247 Followers 164 Following husband, father, proud medical educator, general internist
Franco Murillo @FrancoMurilloCh
448 Followers 938 Following 🇵🇪 | MD | #ClinicalReasoning | #MedEd #Rheumatology | Tweets are my own
R S @sandhuR_md
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Erum I. Khan @the_nEuRiUM
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Kelly McMaster, MD MB... @KellyMcMaster11
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AL.com @aldotcom
397K Followers 1K Following All things Alabama. Managed by the social media team at https://t.co/3Gx0Qor1mE.
Brian may @Bmayzing
564 Followers 1K Following Med-Peds hospitalist | MedPeds APD | CBME, milestones, assessment, antiracism | tweets= my own, ≠ medical advice. he/his, #BLM
White Coat Bites @WhiteCoatBites
2K Followers 127 Following Hey, you with the white coat! Here's a bite for you. #FOAMed #MedEd #TipsForNewInterns #TipsForNewDoc Sign up:
Slack eyed Yokel @cnhill91k
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Luis Caballero @LuisCaballero24
165 Followers 431 Following Gaditano. Enfermedades Infecciosas en el HRUM. Amante de varios deportes y los descansos entre ellos.
John A. Carroll @haitianhearts
292 Followers 968 Following
Jehanzeb Bilal @nephron2011
317 Followers 892 Following Nephrologist, Renal Hypertension Center-National Kidney Partners, Sarasota , FL
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41 Followers 269 Following Internal Medicine Physician; MPH candidate, Johns Hopkins
Noreen Nasir @noreenasir
799 Followers 4K Following Assistant Professor @AKUGlobal | Rheumatologist | clinical interest in inflammatory arthritis | myositis| CTD-ILD | MSUS l clinician first.
Nikolas Foresteire, D... @NikForesteire33
67 Followers 343 Following Emergency Medicine Resident | 🎓B.S University of South Florida ‘16 🇺🇸
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Mar @marciasmonge
226 Followers 223 Following ella (she/her) • en memoria a la persona que seré • views my own
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39 Followers 268 Following Incoming IM resident. Share knowledge! Aprende y comparte
Vinny Arora MD MAPP @FutureDocs
46K Followers 8K Following Doctor in healthcare and meded. @uchipritzker @uchicagomed. Tweets are my own. (she/hers)
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14 Followers 34 Following I started this account to keep all the things I learn in #MedTwitter in one place, feel free to follow if you feel they might help you :)
Vivek Malhotra, MD @CultofCuriosity
29 Followers 1K Following IM, new grad PGY4 Hospitalist. Interested in #FOAMED, #POCUS. Dog is in my banner, opinions are solely my own. Hard work never betrays you!
Enfant terrible @Slevyn__Kelevra
314 Followers 706 Following
Dr Niranjan MR @ Neph... @drniranjanmr2
871 Followers 4K Following Associate Professor|Nephrologist|Mysore Medical College|Karnataka India. @Niranjan’s Health Care | Secretary |(MyNa)|Mysore Nephrology Association| Researcher
Ali Zarghami @AboveAverageAli
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dr Mohammed A Taher @mohammedataher
40 Followers 1K Following
Jefferson L Triozzi, ... @nepherson
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Aastha Mittal @Aastha_Mittal97
43 Followers 81 Following PGY-1 at Geisinger Medical Center | Goverment Medical College, Patiala
Karl Bernat MD FACP @BernatKarl
44 Followers 122 Following Physician, Practice Medical Director Duke Primary Care, Duke Health, passion for #MedEd. Tweets are my own #PrimaryCare #ACP #DukeHealth #MedTwitter
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212 Followers 3K Following embedded neuroscience, hippocampo-entorhinal systems, interfaces, politics sometimes inevitable
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516 Followers 2K Following hospitalist + hiv doc @bcmdeptmedicine via @oslerresidency @jh_uh_residents.
M. Bilal Ahmed, MD, M... @brownmagik
160 Followers 438 Following CSO & Co-founder of @lylahhealth. Interventional/Structural Cardiologist at Chhokar Clinic. Trained at @bethisraellahey. Partner-in-crime @bbsnladies.
Jonathan Coraor Fried @joncoraorfried
204 Followers 328 Following Internist and Medical Director @OakStreetHealth | population health & systems improvement | prev @AtriusHealth @BrighamMedRes @harvardmed | views mine
Dr. Aldo García Tabo... @DoctorAldo1
280 Followers 1K Following Médico Especialista en Geriatría y Cuidados Paliativos. || Opiniones aquí expresadas son a título personal, no de mi lugar de trabajo. || RT ≠ apoyo.
Nick Guest @NickGuest6
215 Followers 817 Following Alabamian. Grad school dropout. Nurse. Classical liberal, not Progressive liberal. No, that's a pseudonym. Just think for yourself. Peace, Mercutio, peace...
Riley P @riley_pickett21
45 Followers 386 Following F1 Fan | THFC & MUFC fan | Infectious Disease and Biosecurity
Vorada (“Tangkwa”... @VoradaSakul
159 Followers 510 Following GI Fellow at CPMC via @StanfordMedRes and @HopkinsMedicine & @JHUBME | 🇹🇭
Anand Ramadorai @beansdoc_DO
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Liz @Liz76692324
348 Followers 1K Following Mother to 4 humans and 3 furries, nurse, APP, sports enthusiast, democrat. She/Her. #Huskers❤️🤍 #LetsGetJacked 💛💙
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751 Followers 830 Following Primary Care Internist, Clinician Educator, Clinic Director. Tweets are my own #medtwitter @[email protected]
Estrada Carlos @Estrada_GIM
405 Followers 201 Following Internist, love physical exam, scholarship, teaching, and serving. Cayetano grad. Tweets are my own and don’t represent the views of any of my employers.
Unusual @BlitzFanaticX
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