Co-infection with influenza and #COVID19 is real, have had 3 such patients in my hospital. Do not assume COVID negative if flu positive.

Arsenic inhibits lipoic acid (mnemonic: arsenic kills the "love" in "TLCFN") C/F: vomiting, rice water stools, garlic breath

Thought Conrad Fischer followed me. Turns out, it was Conrad Fisher .Went from an unprecedented emotional high to a dismal low. #bipolar #oneweekleft

Prochlorperazine: Antipsychotic, but used primarily as an anti-emetic. MOA: D2 receptor antagonist S/E: Extrapyramidal effects, NMS.

Back after a long hiatus. Tweets from here on out will be a mix of #USMLE Step 1, 2 CK & 3 pearls

Long term immunosuppression to prevent transplant rejection increases the risk of malignancy. Most commonly skin (squamous cell) CA #USMLE

Retapamulin: Topical antibiotic used to Rx impetigo. MOA: inhibits protein synthesis by interacting with 50s ribosomal subunit #pharmacology

5th generation cephalosporins: Ceftaroline, Ceftobiprole. The only cephalosporins that cover MRSA. #pharmacology #USMLE

Impetigo may cause glomerulonephritis, but it will NOT cause rheumatic fever #dermatology #USMLE

Best initial test for Osteomyelitis: X-ray of the bone (elevation of the periosteum seen) #USMLE

Lateral CXR has a greater sensitivity for detecting small pleural effusions (as little as 50 ml) #USMLE #Radiology

Zafirleukast is hepatotoxic and is also associated with Churg-Strauss syndrome #pulmonary #USMLE

Increased DLCO is seen in pulmonary hemorrhage, polycythemia, asthma, intracardiac lt to rt shunting. Can also occur during exercise. #USMLE

Pulmonary embolism can result in either exudative or transudative effusions #USMLE

Pleural effusions in adenocarcinoma usually have high hyaluronidase levels

Losartan lowers uric acid levels and is the best drug for BP in gout #rheumatology #usmle

The most common cause of death in rheumatoid arthritis is coronary artery disease #rheumatology #usmle

Steroids and NSAIDs do not prevent the progression of rheumatoid arthritis #rheumatology

In an acute lupus flare, complement levels drop and anti-DS DNA levels rise #rheumatology #usmle

Presence of anti-Jo-1 in polymyositis indicates a markedly increased risk of interstitial lung disease #rheumatology #usmle