Interesting question last night, recording Unremarkable Labs - why is potassium repletion so important in a patient with chloride responsive metabolic alkalosis. Difficult to find a clear answer @askrenal Joel M. Topf, MD FACP Ashita Tolwani Swapnil Hiremath @hswapnil.medsky.social

How does Cushing cause hypokalemia? - One of the many questions that came up during today's The Clinical Problem Solvers VMR weekly recap.😁 Rabih Geha Madellena (Maddy) Conte Rafael Medina Ravi Singh Debora Loureiro 💙 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? 😏

This week’s episode presents with a very abnormal BMP and a very interesting diagnosis. Join Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social discuss a case with PGY-3 Julie England and @NatashaMehraMD. youtu.be/hq_pqAmqv6U

#UncleBob loves this: Serum Cystatin C for Estimation of GFR ja.ma/3p3CnIN via JAMA part of JAMA Network Unremarkable Labs 2things UAB Nephrology UAB Tinsley Harrison IM Residency We have seen a couple of similar stories this year

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. UAB Tinsley Harrison IM Residency Unremarkable Labs

#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

#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

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...

A patient presents with hypertension, NAGMA, and elevated BUN/creatinine. Watch Dr. Eric Judd, UAB Nephrology Fellowship Director, and Dr. Centor Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social, Professor Emeritus at UAB, work through this case and talk through multiple differential diagnoses. youtu.be/-kYm9lkGdY0

#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

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

Tumor lysis syndrome The Intern At Work #MedEd

#UncleBob and @NatashaMehraMD proudly present a new: Unremarkable Labs: An Uncommon Presentation of a Common Pathology youtu.be/z1BHcFlYuDg via YouTube UAB Tinsley Harrison IM Residency @DxRxEdu Rabih Geha

Watch our first episode of the new year! Dr. Centor works through a case with a young woman presenting with abdominal pain.

#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.

#UncleBob - if you are a hypercalcemia fanatic, you will likely love this Rabih Geha @DxRxEdu The Clinical Problem Solvers Unremarkable Labs The Case | A 48-year-old man with recurrent hypercalcemia and uremia after parathyroidectomy kidney-international.org/article/S0085-…

🫁 Chest X ray reading made easy #MedEd #MedTwitter #FOAMed

#UncleBob proudly presents Annals On Call - Exercise for Knee Osteoarthritis: Is More Better? Annals of Int Med acpjournals.org/doi/10.7326/A2… featuring Patty Perez Physical Therapist