Knowing that #July1 is coming, I’m sharing my favorite #liver work up sheets. Pleasantly surprised to see this hanging on GI team room several years later. #MedEd Baylor Scott & White Health Steven Bollipo Mohammad Bilal, MD Dr Deborah Fisher @KapuriaMd @DrKhanSolo Elliot Tapper Jasmohan Bajaj

Hoping there’s a solution for all the residents and fellows at Drexel University College of Medicine with the news of their main teaching hospital Hahnemann Hospital that broke this AM via The Philadelphia Inquirer Inquirer Health & Science google.com/amp/s/www.inqu…

Congrats friend

I recently had a patient who presented in profound acute renal failure with a BUN of >200, creatinine of 13.5, and critical pH of 6.7, on the brink of death... [thread]

What in the world is anti-smooth muscle antibody (SMA)!? Join me for another quick-hit #livertwitter #tweetorial on this mysterious test used in the eval of autoimmune hepatitis Second in a series on diagnostic testing for liver disease #meded

100% agree

Should be an interesting talk by my friend and mentor Dr Sundaram

Amazingly informative graph of “true cancer occurrence” from NEJM Oct3 issue. Thanks Jonathan (Tsoni) Peled for pointing it out.

Brilliant experiments by Jasmohan Bajaj and co-authors👏🏻 Stool from HE patients led to brain inflammation in mice, which improved when mice were given FMT-treated stool. But NOT when given sterile supernatant. Answering critical question: it’s the bugs that matter. #LiverMtg19

My patient has HE. Should I check an ammonia? #cirrhosis New #AmJGastro studies (fig1-2) show: Ordering ammonia 🚫change in lactulose dose 🚫change in LOS, ICU use Ammonia levels 🚫association w/LOS/ICU/Survival 🤪labile, variable Fig3: Proud 2 write editorial with Bob Rahimi

AASLD-IDSA Hepatitis C Guidance is out, complementing the excellent HCVguidelines.org - All adults should be screened - Risks/benefits of Hep C organs in Hep C negative recipients outlined. Preemptive pan-genotypic DAA tx recommended AASLD aasldpubs.onlinelibrary.wiley.com/doi/epdf/10.10…

‘There’s no lost and found box, there’s an ass box...’ for all you scrubs fans out there😂

Such a useful single slide that takes 5 min to read!

Finally!

Nice to see my friend and mentor join the #MedTwitter sphere, looking forward to seeing interesting facts from Vinay Sundaram, MD, MSc!

Fascinating study on genetic variants for alcohol metabolism and effect on Nash severity. Mazen Noureddin, MD, MHSc Naim Alkhouri @KathleenCoreyMD Thomas G. Cotter, MD MS gastrojournal.org/article/S0016-…

1/17 How does calcium "stabilize the cardiac membrane" in hyperkalemia? I learned early in my intern year to use calcium in the setting of severe hyperkalemia. I never really learned how it works. The answer requires some history. And uncovers a forgotten alternative treatment.

How transplant immunosuppressants work #4KMedEd #LiverTwitter