USPSTF recommends daily ASA 81mg for CVD primary prevention for adults 40-59yo w/ ASCVD > 10% if no contraindication. #MedEd #MedTwitter #CardioTwitter #primarycare #prevencion #FOAMed #MEDX

Melatonin is a great medication for sleep regulation but ideally dosed several hours before sleep to effect the circadian rhythm. #MedEd #MedTwitter #sleep #countingsheep #FOAMed

Triad of Lofgren's syndrome: - hilar lymphadenopathy - erythema nodosum - bilateral ankle arthritis Treatment: NSAIDs #MedEd #MedTwitter #MedX #dermatologia #Lofgren #skintific #FOAMed

Always screen for hypothyroidism prior to starting statin therapy. Untreated hypothyroidism can increase risk of statin induced myopathy. #MedEd #MedTwitter #statin #hypothyroidism #cholesterol #CardioTwitter #EndoTwitter #MedX #FOAMed

For new GERD dx*, when deciding therapy, try using this rule of thumb: - sx <2 days/week: H2 blockers - sx ≥2 days/week: PPI if no improvement on PPI daily, can inc to BID *assuming H pylori neg, no other insidious causes #MedEd #MedTwitter #GITwitter #gerd #MedX #FOAMed

Metformin reduces the absorption of vit B12 by 30%. For diabetic patients with neuropathy, rule out vit B12 deficiency before diagnosing diabetic peripheral neuropathy. #MedEd #MedTwitter #DiabetesChat #EndoTwitter #vitamins #Feet #FOAMed #MedX

Abx with greater risk for C diff: - Fluoroquinolones - Clindamycin - 3rd/4th gen cephalosporins - Carbapenems - Monobactams #MedEd #MedTwitter #antibiotics #cdiff #diarrhea #GITwitter #IDTwitter #FOAMed #MedX

Elevated prolactin is common in CKD because of: 1. poor clearance of PRL 2. increased production of PRL #MedED #MedTwitter #RenalTwitter #EndoTwitter #prolactin #gotmilk #FOAMed #MedX

In general, those with a baseline O2 requirement will need to increase their rate by 1-2L when flying in a plane. #MedEd #MedTwitter #airtravel #plane #flight #MedX #FOAMed

Post-menopausal women and men >50y taking chronic steroids (at least 7.5mg/d >3 mo) should be on bisphosphonates to prevent fragility fractures. #MedEd #MedTwitter #steroids #fractures #Bones #MedX #FOAMed

Patients with CKD and metabolic acidosis should be treated with NaHCO3 for bicarb <22. There is a strong association between the progression of CKD and metabolic acidosis. #MedEd #MedTwitter #kidneyhealth #renaltwitter #ckd #FOAMed #MedX

Antibiotics that are safe to give in pregnancy for UTI: - Augmentin - Fosfomycin - Cephalosporins If any signs of pyelonephritis, guidelines recommend for inpatient admission. #MedEd #MedTwitter #UTI #obslovetwt #pregnantlife #FOAMed #medX

Diuretics that were recently ingested will result in high urine chloride and UNa >40. Diuretics taken more than 24 hrs ago will result in low urine chloride. #MedEd #MedTwitter #RenalTwitter #FOAMed #MedX

Screening and treating asymptomatic bacteruria is typically not recommended. Treatment is recommended if pt is undergoing an invasive urologic procedure (could lead to seeding of bacteria). #MedEd #MedTwitter #UroTwitter #UTI #bacteria #FOAMed #MedX

It may be easy to forget, but don't forget to screen all females > 65yo for incontinence during their primary care visit. Elderly patients may have a hard time bringing this up. #MedEd #MedTwitter #primarycaredoctor #FOAMed #MedX

ESRD patients can get acquired von Willebrand disease (nrl PT/PTT, inc risk of bleeding from poor plt aggregation). MOA: ⬆️ urea (BUN) -> ⬆️ NO production -> ⬇️ plt adhesion/activation #MedEd #MedTwitter #RenalTwitter #ESRD #dialysis #FOAMed #MedX

Things to remember for heart failure: - falsely decrease BNP: obesity, SGLT2inh (use pro-BNP instead) - falsely increase BNP: CKD, age > 65yo #MedEd #MedTwitter #CardioTwitter #heartfailure #Cardiology #FOAMed #MEDX

What does GPT mean? "Generative Pre-Trained Transformer" What's the difference between Chat GPT and GPT: ChatGPT (from Open AI) uses GPT (the means of AI) to power its chatbot. But many say "GPT" and mean "ChatGPT" in context! #MedEd #ChatGPT #aiInfluencer #FOAMed

Chat GPT, and other large language models, have difficulty with negation (ex. "not") due to the semantic complexity. It can confuse the model and lead to false results! See this example: should hypertension have been listed? #MedED #ChatGPT #AIinEducation #FOAMed #MedTwitter

How can AI be used to help in research? Try openevidence.com - a free AI based tool engine that pulls/summarizes research articles. A great tool to overcome the initial activation energy to start any research project and lit review! #MedEd #AIinHealthcare #MedTwitter