However, there are malignant J waves. Their morphological features include: 1. a J wave height > 0.2mV 2. horizontal or down-sloping ST segment, & 3. some ECG leads showing those changes (eg, II, III & aVF & V4-6)

Julie J. Paik and I wrote a review about the current state of novel B cell and plasma cell-targeting therapies (including CAR-T cells + bispecifics) in myositis. Lots of promising agents are on the horizon for IIM! frontiersin.org/journals/immun… Johns Hopkins Rheumatology The Myositis Association

1/5 SPLENOMEGALY/HYPERSPLENISM Mechanisms of splenomegaly: • Congestive • Work hypertrophy • Infiltrative What enlarges? • Red pulp: macrophages, sinusoids, blood • White pulp: lymphocytes, plasma cells • Infiltrative: tumor, storage cells, granulomas, amyloid #MedEd

After 30 years of primary PCI we now have an objective definition of the most common #ECG pattern of STEMI. Hyperacute T-waves specific for acute coronary occlusion now defined using #AI in JACC Journals!

【Rash on the palms and soles: ID DDx】 The differential diagnosis is broad, but hopefully this helps you remember! Level: Intermediate #IDMedEd #IDFellow #IMResident #MedEd

What are hyperacute T waves, you ask? Right this way!

Aravind Palraj Dr Ihab Suliman Dr. Akhil 🇮🇳 Polymyositis is an extremely rare disorder. Some argue that is even not a thing anymore. Most cases thought to be polymyositis are now classified as overlap myositis, immune-mediated necrotizing myopathy or IBM. Drs. Amato and Griggs wrote an editorial on this 20+ years ago.

How did your management reasoning play out? 🤔 Answer to Choose Your Own Adventure episode now up! 🥂

Antibiotic therapy for severe bacterial infections 🔥🔥🔥This must be one of the greates review about ID of the year. https://doi. org/10.1007/s00134‐025‐08063‐0.

Breaking News: In a win for Harvard University, a judge said that the government broke the law by freezing billions of dollars in research funds. nyti.ms/3UV5VbH

Myositis and factors associated with malignancy risk ⬇️ likelihood of malignancies in IIM patients, such as ILD, arthritis, arthralgia and Raynaud’s ⬆️ anti-TIF1γ, anti-NXP2-positive, Dysphagia, Necrotising Myositis abs #Rheumatology #MedTwitter

🌟 Important pearls from today’s lecture 🌟

An update to the primary aldosteronism guidelines now recommend screening EVERYONE with hypertension for primary aldosteronism. 🩺📑 Why such a broad recommendation? 🤔 Primary aldosteronism is under-recognized as the most common cause of secondary hypertension. ⚡️🫀 It’s

So excited to have Steph & Ann Marie Kumfer over for noon conference tomorrow! BIDMC IM Residency residents are in for some amazing discussion on a fascinating, still unsolved case!

1/11 An older man presents with the clinical syndrome of heart failure (weight gain, orthopnea, elevated JVP, etc.) Here is a video of his neck in the upright position:

A simple CBC can be a powerful tool when evaluating Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP). If a patient presents with an acquired demyelinating neuropathy and has thrombocytosis, it’s a strong indication that they may have POEMS syndrome rather than

Join us for another Guestpisode featuring the amazing Austin Rezigh! An unforgettable case with some unforgettable takeaways... Thank you, Austin!