Josh Inglis(@inglisjosh) 's Twitter Profileg
Josh Inglis

@inglisjosh

Physician in training. Clinical educator. Sharing adult medicine content and reflecting on hospital medicine. #MedTwitter #MedStudentTwitter #FOAMed

ID:14520652

linkhttps://www.linkedin.com/in/inglisjosh/ calendar_today25-04-2008 01:23:32

3,6K Tweets

13,8K Followers

646 Following

Ryan O'Keefe(@ROKeefeMD) 's Twitter Profile Photo

The medical education community on X is unparalleled.

Here are some of my favorite posts and threads related to from 2023!

Each and every one of these exceptional educators deserves a follow!

What posts/threads would you add?

1/27

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Andrew Dixon(@DrAndrewDixon) 's Twitter Profile Photo

Lobar anatomy from my new CXR signs online course! 🫁

ANTERIOR CHEST: Horizontal fissure (white line), oblique fissures (white dotted line), R upper lobe (red), R middle lobe (green), R lower lobe (purple), L upper lobe (yellow), L lower lobe (blue).

radiopaedia.org/courses/chest-…

Lobar anatomy from my new CXR signs online course! 🫁 ANTERIOR CHEST: Horizontal fissure (white line), oblique fissures (white dotted line), R upper lobe (red), R middle lobe (green), R lower lobe (purple), L upper lobe (yellow), L lower lobe (blue). radiopaedia.org/courses/chest-…
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Rahul Ganatra(@rbganatra) 's Twitter Profile Photo

Listening to a recent grand rounds by Tim Anderson on the pitfalls of treating inpatient hypertension got me wondering:

What is the single best justification for routine BP monitoring in all hospitalized patients?

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Michelle Kittleson MD PhD(@MKIttlesonMD) 's Twitter Profile Photo



Know the pitfalls of the tests you order.

Ex:
- Neg D-dimer makes PE unlikely, but pos D-dimer doesn't indicate PE
- Normal uric acid doesn't rule out gout.
- A stress test is neg only if the pt achieves adequate HR.

Share your pitfalls!

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Josh Inglis(@inglisjosh) 's Twitter Profile Photo

Should all hospitalised patients with COPD exacerbations have imaging to exclude VTE?

In this study VTE prevalence was 25% in patients admitted with COPD exacerbations. Two thirds were PEs and two thirds were in large vessels.



t.n.nejm.org/r/?id=h65e4e51…

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Robert Centor MD MACP 🇮🇱(@medrants) 's Twitter Profile Photo

day 10/39 - we had a pt with multiple problems. One was labelled COPD and he was on appropriate meds. Searching his chart we found PFTs. Normal FEV1/FVC but markedly decreased total lung capacity. Try to not accept dx without confirming. This happens often.

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Reza(@DxRxEdu) 's Twitter Profile Photo

1/2
Jaundice

How to predict direct (hepatobiliary) vs indirect (hemolysis) before labs?

Dark urine > points to direct b/c direct is water soluble but hemoglobinuria from IV hemolysis fair game

Abd pain > points to direct but indirect from hemolysis and gallstone fair game

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Prathit Kulkarni, MD(@PrathitKulkarni) 's Twitter Profile Photo

Pro tip:

When you see these diagnoses in the chart, try your best to verify on what basis they were made:

Heart failure
CKD
COPD
CAD
Dementia

It can sometimes take a little bit of time, but you will be amazed what a little digging might reveal.

Any others I missed???

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Shunichi Nakagawa(@snakagawa_md) 's Twitter Profile Photo

'When clinicians, from a position of authority, describe patients with respiratory failure as needing intubation, patients and families presume intubation is what should be done.'

Reconsidering the Language of Serious Illness jamanetwork.com/journals/jama/…

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Andrew Sanchez M.D.(@ASanchez_PS) 's Twitter Profile Photo

❓Question for my ID enthusiasts:

The patient has aortic stenosis with recent TTE without veg. Blood cultures are positive for strep spp. considered high risk for infective endocarditis 1 week later.

In the *absence* of embolic phenomena, what prompts you to go for TEE?

❓Question for my ID enthusiasts: The patient has aortic stenosis with recent TTE without veg. Blood cultures are positive for strep spp. considered high risk for infective endocarditis 1 week later. In the *absence* of embolic phenomena, what prompts you to go for TEE?
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Paul Williams(@PaulNWilliamz) 's Twitter Profile Photo

*How to round with Paul Williams*

Tips for medical students, interns, and the curious - a thread

Just in case this might be helpful. Your mileage may vary with other attendings, who may violently disagree with these. (1/16)

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Adam Rodman(@AdamRodmanMD) 's Twitter Profile Photo

Can GPT-4 solve really hard medical cases and come up with a good list of differential diagnoses?

Zahir Kanjee MD, MPH, FACP Byron Crowe and my study is out in JAMA , and the short answer is, “Yes.”

But what does this all mean? 🧵⬇️ twitter.com/JAMA_current/s…

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Andrew Sanchez M.D.(@ASanchez_PS) 's Twitter Profile Photo

Teaching Clement Lee, MD, MSc's approach to Acute Hypoxemia! 🫁

No better way to get through the major DDx with ease. Students always love this one.

All while on the Klatskin service with Dr. Schilsky (@Dr_Aly_Fox)

Teaching @ClementLeeMD's approach to Acute Hypoxemia! 🫁 No better way to get through the major DDx with ease. Students always love this one. All while on the Klatskin service with Dr. Schilsky (@Dr_Aly_Fox)
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Rebecca Berger 🇮🇱(@RebeccaEBerger) 's Twitter Profile Photo

Love this advice! Some of the greatest learning in my career has come from following patients courses after discharge.

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Michael Cellini(@dr_cellini) 's Twitter Profile Photo

One of my favorite homemade diagrams… please don’t order an Abdominal X-ray in the acute setting. It is worthless.

One of my favorite homemade diagrams… please don’t order an Abdominal X-ray in the acute setting. It is worthless.
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