Check out this graphic as a reminder of how coccidioidomycosis might present, w some rough estimates of epidemiology! See our #blogpost for a challenging case of a pt w pulmonary cocci, & another pt who presented w PTLD. Paul Marano Arielle Klepper bit.ly/2lQp7Kr

1/ #Knowledgenuggets from Moffitt report from Arielle Klepper & Paul Marano: Young man with a PMH of LMNA cardiomyopathy presents for evaluation. What is LMNA cardiomyopathy and what happened to bread-and-butter heart failure?

Day 1 of 7 photos of my life. The rules: no people, no explanation. Challenge 1 person a day to do the same. I was originally challenged by ⁦Sharmin Shekarchian⁩. Today I challenge ⁦⁦Paul Marano⁩.

It's fellowship interview season w/ a lot of talking about "early career" when ⁦⁦Paul Marano⁩ shares this ⁦New York Times Opinion⁩ that on average, #mdphds get their 1st major NIH grant at 45... #doubledocs = double edged sword? nytimes.com/2019/09/23/opi…⁩

Experienced today what happens when realness, humanity, and wisdom merge to form the ultimate physician. It's Kimberly D. Manning, MD, MACP. Thank you to Gurpreet Dhaliwal for bringing this amazing #meded hero to grand rounds, was so very special.

When do we think of renal AA-amyloidosis? Kimberly D. Manning, MD, MACP shared #EBM that renal AA-amyloidosis is "the predominant cause of progressive kidney disease" in #PWID "accounting for 50% of cases" & is "linked to repeated bacterial infections," especially SSTI Paul Marano

1/What can we learn from the DLCO? This middle child of pulmonary function testing approximates how well gas diffuses from the lungs into the blood, diagrammed on rb.gy/533860

Two #morningreports with the same chief complaint at #Moffitt: warm and rigid! One case was NMS & the other serotonin syndrome - how could we tell them apart? See the table below! ucsfmed.wordpress.com/2019/10/07/mof…

I keep thinking about the work ⁦@jbullockruns⁩ presented at #GrandRounds -- the powerful finding that medical students "believed that being liked... most influenced final grades," turning attention to biases in evaluations pdfs.journals.lww.com/academicmedici…

1/ When trying to describe a rash to a derm consultant, do you ever plan to say maculopapular & just hope it's right? Fear no more, one of our wonderful residents, Lowell, shared this plain English approach to rashes in #morningreport

1/ Hey #medtwitter! Here is our Monday afternoon #knowledgenugget: A patient presented to clinic with lightheadedness and dyspnea. What is shown on the neck exam? What is the ddx? (photo credit Yaanik Desai, pt permission obtained)

A young man comes in with colitis on imaging; is this IBD? If not, how do I even go about thinking about what else it could be? One approach: location, location, location! See below for a segmental road map of colitis below. #knowledenugget #medtwitter ucsfmed.wordpress.com/2019/11/04/mof…

Type 3c diabetes. Yes, it's a thing: diabetes 2/2 exocrine pancreatic disease, associated w/ high rates of pancreatic cancer. So how do I work this into my existing framework for diabetes? Check out this flowsheet as a diagnostic approach #medtwitter #FOAMed UCSF IM Chiefs

Check out this awesome project by Kathryn Sullivan and Billy Smith and consider donating!!

We discovered an immunologic link between #COVID19 & a profound life-threatening inflammatory response in children, MIS-C. Thrilled to share our preprint & grateful for an amazing team of collaborators. UCSF Benioff SF UCSF Pediatrics Chan Zuckerberg Biohub Network UC San Francisco medrxiv.org/content/10.110…

Excited to share our findings on novel autoantibodies in autoimmune hepatitis (AIH); thankful to this team of collaborators for moving us closer to understanding AIH pathogenesis and to UCSF Gastroenterology Fellowship and Women Physician-Scientists at UCSF for support! medrxiv.org/content/10.110…