@mendesthiagob Today learning is way more efficient

This article is interesting jamanetwork.com/journals/jama/…

✅Free hormones are the active hormones

🤔Does it mean we should always order free whatever the hormone is?
No

‼️Free testosterone is frequently displayed as a result of equations based on flawed models of testosterone binding to SHBG

👉 Be careful interpreting free T!

Type 2 diabetes is overdiagnosed!

Before calling it type 2 ask some questions:

-Are there a lot of symptoms? Consider type 1.
-Does mild, long-standing diabetes run in the family? Consider MODY.
-Hx of acute or chronic pancreatitis?
-Is this post steroid use?
-Is this post-Tx?

@mendesthiagob Hypothalamic lesions or dementia?
Excessive salt intake

Are the #MedTwitter and #OncTwitter communities ready to become #MedX and #OncX ?

Juliana Beal, MD Vivek Subbiah, MD Ishwaria Subbiah, MD MS FASCO Paolo Tarantino Jon Trent, MD, PhD @mendesthiagob OncoAlert David S. Hong MD Guilherme Perini, MD Mark Lewis Paulo G Bergerot Brian Van Tine Balazs Halmos gilberto lopes

A 🧵 on screening and diagnosis of diabetes mellitus 💉 all based on our The Clinical Problem Solvers #managementreasoning VMR yesterday! Rabih Geha Reza Sharmin Shekarchian Youssef Saklawi @jasbajwa18 Reshma Reguram Sara Zhou David Serantes Madellena (Maddy) Conte @mendesthiagob

@mendesthiagob Love this! I remember thinking as an early M3, 'Why are they telling me to act like I know when I don't?' This diagram helped me make sense of that

Primary AI

Most common etiology is autoimmune (isolated or APS-1/2).

Then, consider infiltrative dz, cancer, & 🦠s (TB, HIV, Histo).

Labs:
-⬇️Na (80%): SIADH, ⬇️aldo, hypovolemia
-⬆️K (40%): ⬇️aldo
-Hypoglycemia
-Eosinophilia (<20%)
-⬇️T4, T1DM: APS-2

@mendesthiagob

As the match week comes to an end, let's explore the Match between DI and DM; entities causing both mellitus and insipidus ✨⭐ 🎈🎈

#MedTwitter #Match2023 #diabetes Rabih Geha Reza Ravi Singh Zaven Sargsyan @mendesthiagob Andrew Sanchez M.D. Ann Marie Kumfer Sharmin Shekarchian Austin Rezigh

@mendesthiagob 1998 “Report of the [ADA] Expert Committee on the Diagnosis and Classification of Diabetes Mellitus”
doi.org/10.2337/diacar…

What's the highest absolute eosinophil count you have seen caused by adrenal insufficiency (without additional drivers)?

#EndocrineTwitter @mendesthiagob Taher Modarressi, M.D. Christie Turin

'In my medical training in Brazil, I learned to live by Theodore Roosevelt’s quotation, 'Nobody cares how much you know until they know how much you care.''— @mendesthiagob Pitt General Internal Medicine Gold Foundation colleen christmas T Roosevelt Assoc tinyurl.com/3zyeh2ke

#MedTwitter

@mendesthiagob Mechanism?

Cory Rohlfsen Indu Partha, MD FACP Adam Cifu Frank Cacace MD FACP Yihan Yang, MD MHS-MedEd @mendesthiagob Eric Last, DO, FACP Consideration of empag in gout + diabetic patient as could lower rate of gout flares: jamanetwork.com/journals/jaman…

@mendesthiagob AEBM-ML Verónica Cámara
AEBM-ML makes a benchmarking programme to evaluate smart use of Laboratory Medicine.
Good result for this ítem
More detail and anual reporta in aebm.org/publicaciones/…

Editorial: Is routine coronary atherosclerosis imaging required in the cardiovascular risk assessment of prediabetes and diabetes? ahajournals.org/doi/10.1161/CI… @mendesthiagob Marcio S Bittencourt Jiwon Kim, MD Kaz Negishi@Cardiologist/ Heart Mafia #AHAJournals

So lucky to be training with this amazing educator @mendesthiagob and thankful for the IST program at Pitt Medicine Chiefs to bring this talented physician with us Peter Bulova Malamo Countouris

Sebastian Niezen MD, MMSc Ilias Christodoulou @mendesthiagob Gabriela F. Pucci Lizeth Cifuentes Diego Ramonfaur Mauricio Gonzalez MD. Fay Zacharia MD Matthew Metzinger, MD Adorbs! #pinkyring

@mendesthiagob boom

Katie Gavinski, MD, MPH, MS Ed Raisa Lomanto Silva, MD Drew Klein Pitt General Internal Medicine Pitt Medicine Chiefs @mendesthiagob This is such a *CLASSIC* Drew Klein pose, in the wild.
Love this.