1/Break out your schemas! Let’s talk about a case tweetorial-style courtesy of Daniel Minter . Thanks Tony Goncalves, MedEd Pittsburgh , BCM IM Residency and Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social and many others for the inspiration. :)

#idboardreview 20 M from Peru 7d of fever, dyspnea, jaundice now w/ altered mental status. Hb4, plt250, ast34, ALT200, Tbili4, cxr b/l infiltrates. Diagnosis? #medEd #idmedEd

Weekend Digest Name the disease, its pathogen and treatment. Clues: Andes, fever, hemolytic anemia, high fatality if untreated

Medicine has thousands of eponyms. Most are named for doctors but a few eponyms honor patients. For example, Bacitracin, named for the bacteria Bacillus subtilis var Tracy, was first identified in a little girl “Tracy I.” New post & medical history🧵 1/ onepagericu.com/blog/magnanimo…

Take a look at the CBC in the graphic. 1. How would you describe it? 2. What is the differential dx? 2. What is the most likely dx? 3. Why is the RDW-CV (labeled RDW) increased, but not the RDW-SD? Answers to follow tomorrow at thebloodproject.com (search Unknown Case 3)

1/7 I tweeted a poll asking for the most likely diagnosis based on a CBC time series. Most of you came up with the right answer... vitamin B12 deficiency 🙌 In liver disease, the macrocytosis would not typically appear and then disappear 8 weeks later.

A 78-year-old kidney transplant patient presents w/ a 4-day history of fever, cough, dyspnea. CXR shows upper lobe infiltrates w/ "bulging fissures". What is the diagnosis and why are the bacterial colonies mucoviscus? 🧵🧵🧵 (1/n) #MedTwitter #MedEd #IDTwitter

1/5 PERNICIOUS ANEMIA I posted a poll asking whether the CBC time series shown in the graphic is from a patient with cirrhosis, alcohol use disorder, pernicious anemia (PA) or MDS. The answer was PA.

Story time During one of my ER duties, I received a male patient in his late 40s whose chief complaint was abdominal pain. Initial impression in the previous hospital was heart attack. I begged to differ. I was more inclined to consider this as a case of acute pancreatitis.🧵

A 9yr ♂️ south American with fever,headache,anaemia, generalized body pain, lymphadenopathy,hepatomegaly then later presents with this skin lesions. Peripheral blood smear done showed 👇.What is the diagnosis? Causative organism and what transmit this infection? Treatment?

1/3 2 WAYS TO EXPRESS THE RDW I posted a poll yesterday asking the most likely diagnosis based on just 2 lab results: 1. Normal RDW-SD (standard deviation) 2. Increased RDS-CV (coefficient of variation) The correct answer was thalassemia trait, which 24% guessed correctly.

“This new drug has an impressive NNT of 2!” Sounds like a very good idea, doesn’t it? But before we jump to conclusions, let’s take a closer look. NNT, or Number Needed to Treat, tells us how many patients need to receive a treatment for one additional person to benefit,

1/3 EVOLUTIONARY MEDICINE DEFINITION: application of modern evolutionary theory to an understanding of human health and disease (WHY do we get sick?).

1/2 CLOSTRIDIAL PERFRINGENS I recently posted a CBC and diff, asking for the diagnosis in 2 words. CORRECT ANSWER: CLOSTRIDIAL SEPSIS What were the hints? 1. RAPID drop in Hb/Hct 2. Increase in RDW 3. Increase in MCHC 4. Leukocytosis with left shift

1/16 A 30 year old man presents with tea-colored urine.

Mokaya is really a great content creator. Goliath wa Bungoma us really suffered alot in his hands😂... he sounds more Goliath than Goliath wa bungoma himself Check Thread 👇👇

Kuna a certain content creator nimecome across pale TikTok anajiita Neville This guy is funny asf na Ako na a very unique content of how Kenyans hujifanya but they don't mean it Ebu check some of his videos

CLINICAL DECISION MAKING ''Sensitivity - vs - Specificity'' "Imagine you're running airport security, screening passengers (tests) to catch dangerous items (diseases). Now meet your two star agents: Sensitivity and Specificity. Sensitivity is your overachiever. It’s all about

1/2 HYPOGONADISM AND ANEMIA 86M otherwise well, presented with ++fatigue and normocytic normochromic anemia (Hb 11.3) No evidence of liver/kidney disease, inflammation, hypothyroidism or nutritional deficiency. So, I decided to check a testosterone - virtually undetectable!

1/3 I posted a poll yesterday asking what you would do next for a 67-year-old Chinese male with ferritin ~700 µg/L, stable over 5 years, asymptomatic, no: liver disease, alcohol use, inflammatory conditions, transfusions. Normal CBC, liver enzymes, CRP, TSAT, cancer screening.