Mark Heslin (@mark_heslin) 's Twitter Profile
Mark Heslin

@mark_heslin

Academic Hospitalist @Stanford | s/p IM @PennMedicine | @CPSolvers Member | @HDX Editor | Clinical Reasoning, Diagnostic Error, #MedEd | @CooperMedSchool | @JMU

ID: 450215094

calendar_today30-12-2011 00:46:19

3,3K Tweet

1,1K Followers

520 Following

Shreyas Raghavan Nandyal (@shreyas_rn) 's Twitter Profile Photo

1A/ Why is Behçet's disease characterized by an ultra-hypercoagulable state? The exact reasons for the extreme hyper-coagulability in BD still remain unknown.

Mark Heslin (@mark_heslin) 's Twitter Profile Photo

🫁Histoplasmosis Inc. period 7-21 days 3 Syndromes ⭐️Acute: diffuse infiltrates +/- hilar/mediastinal LAD, arthritis, EN/EM ⭐️Subacute: focal infiltrates/nodules+ calcified hilar/mediastinal LAD ⭐️Chronic: upper lobe cavities, mimics TB, ⬆️risk w/ COPD Dx: antigen➡️serology

🫁Histoplasmosis 

Inc. period 7-21 days

3 Syndromes
⭐️Acute: diffuse infiltrates +/- hilar/mediastinal LAD, arthritis, EN/EM
⭐️Subacute: focal infiltrates/nodules+ calcified hilar/mediastinal LAD
⭐️Chronic: upper lobe cavities, mimics TB, ⬆️risk w/ COPD

Dx: antigen➡️serology
Oumaima Outani, MD (@ooutani) 's Twitter Profile Photo

Beyond excited to share that I have matched into Internal Medicine residency in the US 🇺🇸. Grateful for the support of my family, my amazing mentors, and friends who have all been part of this path. Excited for what’s next! #Match2025

Beyond excited to share that I have matched into Internal Medicine residency in the US 🇺🇸.

Grateful for the support of my family, my amazing mentors, and friends who have all been part of this path.
Excited for what’s next!

#Match2025
Rahul Pottabathini (@rahulpottabath1) 's Twitter Profile Photo

I am delighted to share that I have Matched into the Yale Waterbury Internal Medicine Residency, Connecticut! It wouldn't have been possible without the support of my family, friends and my mentors. My sincere gratitude to the The Clinical Problem Solvers community.

Michael "Mike" Albert, MD (@michaelalbertmd) 's Twitter Profile Photo

🧬 NEW STUDY: Obesity’s Massive Health Impact--from my research group, led by the brilliant Jackie Yao. - - - 🚨 In a nationwide study of 270,000+ adults using the All of Us Research Program, obesity was linked to a higher risk of 16 health conditions—with risk increasing by

🧬 NEW STUDY: Obesity’s Massive Health Impact--from my research group, led by the brilliant <a href="/yao_zhiqi/">Jackie Yao</a>.
- - -
🚨 In a nationwide study of 270,000+ adults using the All of Us Research Program, obesity was linked to a higher risk of 16 health conditions—with risk increasing by
Mark Heslin (@mark_heslin) 's Twitter Profile Photo

Sjögrens 80% have dry eyes/mouth, arthalgias, & fatigue. 🩺 ⭐️⬆️Salivary gland: ⬆️lymphoma ⭐️🦴: small joint, symmetric,non-erosive ⭐️🫁: chronic cough, ILD(LIP,NSIP) ⭐️Skin: palpable purpura(cyro) ⭐️🧠: sensory neuropathy ⭐️🫘: TIN, distal RTA Dx: ANA,SSA/SSB(66%), RF(50%)

Sjögrens 

80% have dry eyes/mouth, arthalgias, &amp; fatigue. 

🩺
⭐️⬆️Salivary gland: ⬆️lymphoma
⭐️🦴: small joint, symmetric,non-erosive 
⭐️🫁: chronic cough, ILD(LIP,NSIP)
⭐️Skin: palpable purpura(cyro)
⭐️🧠: sensory neuropathy
⭐️🫘: TIN, distal RTA

Dx: ANA,SSA/SSB(66%), RF(50%)
Oumaima Outani, MD (@ooutani) 's Twitter Profile Photo

Excited to announce that I matched at Mount Sinai Morningside/West🗽for IM residency! A dream come true! Excited for this new chapter where I will learn, grow, and serve. Grateful for my family, friends, mentors both in Morocco and the US, and my CPS fam ❤️ #Match2025 #IM

Excited to announce that I matched at Mount Sinai Morningside/West🗽for IM residency! A dream come true! Excited for this new chapter where I will learn, grow, and serve.

Grateful for my family, friends, mentors both in Morocco and the US, and my CPS fam ❤️ 

 #Match2025 #IM
Maryana Mendonça Ribeiro (@maryanamribeiro) 's Twitter Profile Photo

I matched at UAMS Internal Medicine Residency for my Internal Medicine residency! 🎉 Grateful for the support of my mentors, friends, and family throughout this journey. Beyond excited to start this new chapter!

I matched at <a href="/UAMSintmedicine/">UAMS Internal Medicine Residency</a> for my Internal Medicine residency! 🎉 

Grateful for the support of my mentors, friends, and family throughout this journey. 

Beyond excited to start this new chapter!
Julia Seller (@juliasellerm) 's Twitter Profile Photo

Top3 heart failure trials in March 2025 🥇Urinary Na analysis: The 🔑to effective diuretic titration European Society of Cardiology 🥈Simultaneous or rapid initiation of combination therapy for HFpEF JAMA Cardiology 🥉KF specific thresholds for NTproBNP in HF risk prediction among 👥 CKD Heart_BMJ

Top3 heart failure trials in March 2025

🥇Urinary Na analysis: The 🔑to effective diuretic titration <a href="/escardio/">European Society of Cardiology</a> 

🥈Simultaneous or rapid initiation of combination therapy for HFpEF <a href="/JAMACardio/">JAMA Cardiology</a> 

🥉KF specific thresholds for NTproBNP in HF risk prediction among 👥 CKD <a href="/Heart_BMJ/">Heart_BMJ</a>
William Aird (@williamaird4) 's Twitter Profile Photo

1/2 MMA, B12 DEFICIENCY AND CKD I was on consult service last week and saw a patient with pancytopenia and the labs shown in the graphic. Based on the elevated MMA, I worried about B12 deficiency, but one of my trainees pointed out that MMA is increased in patients with CKD.

1/2

MMA, B12 DEFICIENCY AND CKD

I was on consult service last week and saw a patient with pancytopenia and the labs shown in the graphic.

Based on the elevated MMA, I worried about B12 deficiency, but one of my trainees pointed out that MMA is increased in patients with CKD.
Ellen Boakye, MD MPH (@ellen_a_boakye) 's Twitter Profile Photo

Grateful for the opportunity to present our moderated poster on mavacamten use in patients with oHCM and prior SRT! #ACC25 #HCM Many thanks to our phenomenal mentors Nosheen Reza, MD, MS Anjali Owens and ✨ co-authors Esther Duqueney Melissa Austin, MD, Parth Patel! jacc.org/doi/epdf/10.10…

Grateful for the opportunity to present our moderated poster on mavacamten use in patients with oHCM and prior SRT! #ACC25 #HCM 

Many thanks to our phenomenal mentors <a href="/noshreza/">Nosheen Reza, MD, MS</a> <a href="/tikuowens/">Anjali Owens</a> and ✨ co-authors <a href="/EstherDuqueney/">Esther Duqueney</a> <a href="/MelissaAustinMD/">Melissa Austin, MD</a>, Parth Patel!

jacc.org/doi/epdf/10.10…
Mark Heslin (@mark_heslin) 's Twitter Profile Photo

Bacterial meningitis Triad of fever, AMS, & neck stiffness (40%) Kernig (5%), Brudzinski (5%), & nuchal rigidity (30%) have⬇️sensitivity 🦠 ⭐️S. pneumo(~50%), N. mening, H. flu, & Listeria ⭐️S. aureus, CoNS➡️trauma/surgery ⭐️GNRs➡️strongy Dx: ⭐️BCx+ 70% ⭐️CSF gram stain+ 70%

Bacterial meningitis 

Triad of fever, AMS, &amp; neck stiffness (40%)

Kernig (5%), Brudzinski (5%), &amp; nuchal rigidity (30%) have⬇️sensitivity

🦠
⭐️S. pneumo(~50%), N. mening, H. flu, &amp; Listeria
⭐️S. aureus, CoNS➡️trauma/surgery
⭐️GNRs➡️strongy

Dx:
⭐️BCx+ 70%
⭐️CSF gram stain+ 70%
Mark Heslin (@mark_heslin) 's Twitter Profile Photo

Severe malaria 🥇P. falciparum (rarely P. knowlesi in SE Asia) 👶, 🤰pts, & non-immune travelers are at ⬆️ risk Parasitized RBCs adhere to endothelium. 🩺 ⭐️🧠cerebral edema,seizures ⭐️🫁pulm edema ⭐️🫘AKI,⬆️lactate ⭐️🩸hemolysis,⬇️platelets,DIC ⭐️⬇️glucose ⭐️Liver failure

Severe malaria 

🥇P. falciparum (rarely P. knowlesi in SE Asia)

👶, 🤰pts, &amp; non-immune travelers are at ⬆️ risk

Parasitized RBCs adhere to endothelium. 

🩺
⭐️🧠cerebral edema,seizures 
⭐️🫁pulm edema
⭐️🫘AKI,⬆️lactate
⭐️🩸hemolysis,⬇️platelets,DIC
⭐️⬇️glucose
⭐️Liver failure
The Clinical Problem Solvers (@cpsolvers) 's Twitter Profile Photo

#MedTwitter - Listen to our new schema episode✍️ Maddy, Youssef and Noah discuss a case presented by Andrew and share their approach to hypercarbia! Episode: bit.ly/3Zpv5l7 Schema: bit.ly/4mdoVOS

#MedTwitter - Listen to our new schema episode✍️

Maddy, Youssef and Noah discuss a case presented by Andrew and share their approach to hypercarbia!

Episode: bit.ly/3Zpv5l7
Schema: bit.ly/4mdoVOS
NEJM (@nejm) 's Twitter Profile Photo

Presented at #CCR25: In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringer’s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: nej.md/45SaEBs

Presented at #CCR25:

In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringer’s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: nej.md/45SaEBs