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Facial weakness, what is on your differential? How does bilateral facial weakness change the ddx? This is inspired by Noah Rosenberg, MD The Clinical Problem Solvers VMR presentation from 11/26 (clinicalproblemsolving.com/morning-report…). What would you add or change? Also, as you can probably tell, I am no artist...

1/24 Recently, I started reading a lot about vascular waterfall (VW) and its importance in cardiovascular physiology. It seemed confusing at first, but the more I read about it, the more it fascinated me. 🧵 about physiology!

This was VC-CMVs (aka, "volume-control"; in this case each breath was given with decelerating/ramp flow, not constant/square flow) & all the undesirable patient-ventilator interactions were nicely depicted by Dr. Miguel Ibarra-Estrada. Early cycling was at the core of the problem

The PGY-2 playbook: 7 ways resident physicians can own their new role. After gaining footing as interns, second-year residents take on a new role and increased responsibility. These tips help new PGY-2s excel. spr.ly/6013fkS09

Dr. Matthew Shotwell presenting at #ASPC2025 #earlycareer ✨Lipoprotein X: severe hyperchol without atherosclerosis 🫀LpX: assoc with cholestatic ds 🫀lacks apoB, albumin rich core, ⤴️ phospholipids 🫀Hyperviscosity common 🫀tx: plasma exchange & tx underlying cause

Saturday overnight shift ⁦U of Maryland Emergency Med⁩ #foamed #WhiteBoardTeaching

#MedTwitter - Plan your week with us!🗓️ We can't wait to see you at this week's sessions! Join our live sessions for free using the link⬇️ bit.ly/31LWIKg

A 𝐦𝐢𝐭𝐨𝐜𝐡𝐨𝐧𝐝𝐫𝐢𝐨𝐧 is a cytoplasmic organelle that generates, through oxidative phosphorylation, molecules of ATP, a chemical used to store and generate energy for cellular functions, including proliferation. Neurons and muscle cells are particularly sensitive to

🚨 New #CardioNerds episode! 🚨 Ep 423: The Malignant Murmur - More Than Meets the Echo in NBTE Richard Ferraro joins Sahar Samimi, MD & Lorraine Mascarenhas, DO with expert commentary by Dr. Basant Arya from BCM Cardiology! 🎧 Listen now: cardionerds.com/423-case-repor…

📌 Shanghai score system for the diagnosis of 👉 #BrugadaSyndrome #ECG #SCD #ICD #EPeeps #WomeninEP #CardioTwitter #MedTwitter #SportsCardiology #Review Adrian Baranchuk MD FACC FRCPC FCCS FSIAC Manlio Márquez Murillo Sanjay Sharma Arnel Carmona Hany Ragy CRY Stephen W. Smith Dr Koh Kok Wei Francisca Martínez Tom De Potter Piotr Futyma, MD

#ZieveSyndrome Spur cell hemolytic anemia seen in Advanced de compensated Liver Disease #HeydesSyndrome macroscopic Hemolytic anemia Acquired vWF deficiency #GIAVm facebook.com/share/1HpSJKEg…

1/3 CHRONIC NON-ANEMIC IRON DEFICIENCY I have seen quite a few patients with chronically depleted iron stores (ferritin < 10 x several years) who never develop anemia. How is that possible? ✅ The body needs ~20–25 mg of iron/day to support new RBC production

Here is the link to the blog post: drsmithsecgblog.com/chest-pain-thi…

🧠 Stimulation of Ant Hypothalamus ➡️ ⬆️ PNS ➡️⬇️🫀Rate 🧠Stimulation of Lateral Hypothalamus ➡️⬆️SNS➡️⬆️ 🫀Rate #cardiodrop #Medtwitter

What’s #Cardiodrop ? A saying in Tamil which translates to “what you know is in the size of a drop, what ought to be learnt in size of the ocean” - #Cardiodrop | #meddrop tiny bit of information I plan on sharing here daily🍀 🧿#MedTwitter

(DOACs)❌ Warfarin ✅ in: 🫀Mechanical Heart Valves 🫀Moderate to Severe Rheumatic Mitral Stenosis with Atrial Fibrillation 🫀Triple-positive Antiphospholipid Syndrome (APS) #cardiodrop #Medtwitter

🅱️LAINT Syndrome 🧠 Optic Ataxia: despite Cerebellar & Motor WNL, 😖 in reaching for an object 🧠 Oculomotor Apraxia:😖 ↔️ 👀 movements 🧠 Simultanagnosia : ❌ 👁️> than 1️⃣ object at a time MRI: Parieto-Occipital Atrophy. Dx: Posterior Cortical Atrophy #Neurodrop #Meddrop

RHD PPx: 2020 AHA/ACC guidelines ✅ penicillin G benzathine 1.2 MU * 4wk 👍penicillin V 250 mg po TD| sulfadiazine 1 g po OD ☝️macrolide| azalide ⏳RF & residual VHD* 10 years after the last episode or until age 40 (whichever is longer) ⌛️ PPx even post 🫀Sx #cardiodrop

Heparin ✅ DOAC 🚫: 🫄🤰& postpartum 💁‍♀️: acute VTE: LMWH - peri operative ⏰ cancer/spine/ THA/TKA: LMWH 1st dose within 24 HR * 2–3 D - In Cancer-associated VTE: Specific conditions. Non Infective Thrombotic Endocarditis #cardiodrop

🫀 #CardioNugget: Ebstein Anomaly on cMRI Ebstein anomaly = apical displacement of the septal tricuspid valve + atrialized RV. 🔍 cMRI Features: - Apical septal TV displacement ≥8 mm/m² BSA (4-chamber view) - Atrialized RV = portion of RV proximal to TV acts like RA - Leaflet